{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T06:10:47Z","timestamp":1774505447411,"version":"3.50.1"},"reference-count":51,"publisher":"FapUNIFESP (SciELO)","issue":"6","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Esse estudo objetivou avaliar a sa\u00fade mental, qualidade de vida, suporte social e atividades desenvolvidas por agentes comunit\u00e1rios de sa\u00fade (ACS) durante e ap\u00f3s uma crise sanit\u00e1ria, sob o recorte de g\u00eanero. Estudo multic\u00eantrico, quantitativo, longitudinal, realizado em oito cidades do Nordeste brasileiro, nos anos 2021 e 2023, com 705 ACS pareados por meio do propensity score matching, que responderam a question\u00e1rios validados, analisados sob o recorte de g\u00eanero (masculino e feminino), tempo (durante e ap\u00f3s a pandemia de COVID-19) e intera\u00e7\u00e3o entre estes. Efeito do tempo foi observado frente \u00e0 viol\u00eancia nos territ\u00f3rios, atividades desenvolvidas, ansiedade para o coronav\u00edrus, sa\u00fade mental e qualidade de vida. Identificou-se efeito do g\u00eanero na redu\u00e7\u00e3o do suporte social (amigos) em ACS mulheres e maior realiza\u00e7\u00e3o de visitas domiciliares e atividades do Programa Sa\u00fade nas Escolas por ACS homens. Intera\u00e7\u00e3o entre g\u00eanero e tempo foi observada por meio da redu\u00e7\u00e3o de viol\u00eancia contra ACS do g\u00eanero feminino e aumento no g\u00eanero masculino entre os tempos estudados. Embora homens e mulheres compartilhem os mesmos dilemas e dificuldades no exerc\u00edcio da fun\u00e7\u00e3o ACS, recai sobre as profissionais femininas as implica\u00e7\u00f5es do g\u00eanero, havendo neste p\u00fablico, maior desgaste f\u00edsico e emocional e maior susceptibilidade ao adoecimento, especialmente em momentos de crises sanit\u00e1rias.<\/jats:p>","DOI":"10.1590\/0102-311xpt168824","type":"journal-article","created":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T09:46:38Z","timestamp":1751967998000},"source":"Crossref","is-referenced-by-count":2,"title":["Trabalho, sa\u00fade mental, qualidade de vida e suporte social de agentes comunit\u00e1rios de sa\u00fade durante e p\u00f3s-pandemia de COVID-19 sob o recorte de g\u00eanero"],"prefix":"10.1590","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8726-0619","authenticated-orcid":false,"given":"Grayce Alencar","family":"Albuquerque","sequence":"first","affiliation":[{"name":"Universidade Regional do Cariri,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4225-7958","authenticated-orcid":false,"given":"Regina Glaucia Lucena Aguiar","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Universidade Federal do Cear\u00e1,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4316-9020","authenticated-orcid":false,"given":"Andr\u00e9a Silvia Walter de","family":"Aguiar","sequence":"additional","affiliation":[{"name":"Universidade Federal do Cear\u00e1,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1552-7350","authenticated-orcid":false,"given":"Isabella Lima Barbosa","family":"Campelo","sequence":"additional","affiliation":[{"name":"Instituto Materno Infantil do Cear\u00e1,  Brasil; Centro Universit\u00e1rio UniFanor,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7813-547X","authenticated-orcid":false,"given":"Maria Socorro de Ara\u00fajo","family":"Dias","sequence":"additional","affiliation":[{"name":"Universidade Estadual Vale do Acara\u00fa,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4237-8995","authenticated-orcid":false,"given":"Anya Pimentel Gomes Fernandes","family":"Vieira-Meyer","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","article-title":"A pandemia de COVID-19 uma crise sanit\u00e1ria e humanit\u00e1ria","volume":"36","author":"Lima NT","year":"2020","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref2","article-title":"A gest\u00e3o da pandemia de COVID-19 e as suas repercuss\u00f5es para o gestor do SUS.","volume":"32","author":"Castro JL","year":"2023","journal-title":"Sa\u00fade Soc"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"3","DOI":"10.24281\/rremecs2024.9.15.317","article-title":"Atua\u00e7\u00e3o dos agentes comunit\u00e1rios de sa\u00fade na pandemia da COVID-19 a realidade de um munic\u00edpio do nordeste brasileiro","volume":"9","author":"Marinho PRGL","year":"2024","journal-title":"Revista Remecs - Revista Multidisciplinar de Estudos Cient\u00edficos em Sa\u00fade"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"3451","DOI":"10.1590\/1413-812320232812.06242023","article-title":"A Aten\u00e7\u00e3o Prim\u00e1ria \u00e0 Sa\u00fade e o cuidado aos usu\u00e1rios com COVID-19 nas regi\u00f5es brasileiras","volume":"28","author":"Mota PHS","year":"2023","journal-title":"Ci\u00eanc Sa\u00fade Colet"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1590\/1413-81232021262.29922020","article-title":"Viol\u00eancia e vulnerabilidade no territ\u00f3rio do agente comunit\u00e1rio de sa\u00fade implica\u00e7\u00f5es no enfrentamento da COVID-19","volume":"26","author":"Vieira-Meyer APGF","year":"2021","journal-title":"Ci\u00eanc Sa\u00fade Colet"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1007\/s10900-023-01221-9","article-title":"Gender and violence in the daily routine of community health workers in Fortaleza, Brazil","volume":"48","author":"Vieira-Meyer APGF","year":"2023","journal-title":"J Community Health"},{"key":"ref7","series-title":"Orienta\u00e7\u00f5es gerais sobre a atua\u00e7\u00e3o do ACS frente \u00e0 pandemia de COVID-19 e os registros a serem realizados no e-SUS APS","year":"2020"},{"key":"ref8","article-title":"Violence in the neighborhood and mental health of community health workers in a Brazilian metropolis","volume":"38","author":"Vieira-Meyer APGF","year":"2023","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref9","article-title":"Reorganiza\u00e7\u00e3o do processo de trabalho dos agentes comunit\u00e1rios de sa\u00fade frente \u00e0 pandemia de COVID-19","volume":"98","author":"Lima FT","year":"2024","journal-title":"Revista Enfermagem Atual In Derme"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1590\/0103-1104202213203","article-title":"Mulheres profissionais da sa\u00fade e as repercuss\u00f5es da pandemia da Covid-19 \u00e9 mais dif\u00edcil para elas?","volume":"46","author":"Vieira J","year":"2022","journal-title":"Sa\u00fade Debate"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"113129","DOI":"10.1016\/j.psychres.2020.113129","article-title":"Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic","volume":"290","author":"Barello S","year":"2020","journal-title":"Psychiatry Res"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1111\/anae.15360","article-title":"Impact of the intersection of anaesthesia and gender on burnout and mental health, illustrated by the Covid-19 pandemic","volume":"76","author":"Lorello GR","year":"2021","journal-title":"Anaesthesia"},{"key":"ref13","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0253646","article-title":"Dilemma of physician-mothers faced with an increased home burden and clinical duties in the hospital during the Covid-19 pandemic","volume":"16","author":"Nishida S","year":"2021","journal-title":"PLoS One"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1590\/S1414-32832012000300013","article-title":"G\u00eanero e trabalho em Sa\u00fade um olhar cr\u00edtico sobre o trabalho de agentes comunit\u00e1rias\/os de Sa\u00fade","volume":"16","author":"Barbosa RHS","year":"2012","journal-title":"Interface (Botucatu)"},{"key":"ref15","series-title":"Informa\u00e7\u00e3o e gest\u00e3o da aten\u00e7\u00e3o b\u00e1sica. Hist\u00f3rico de cobertura da APS."},{"key":"ref16","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1590\/1516-4446-2016-2139","article-title":"Screening for common mental disorders using the SRQ-20 in Brazil what are the alternative strategies for analysis?","volume":"40","author":"Carmo MBB","year":"2018","journal-title":"Rev Bras Psiquiatr"},{"key":"ref17","series-title":"WHOQOL: measuring quality of life","year":"1997"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"1705","DOI":"10.1590\/1413-81232017225.20362015","article-title":"Qualidade de vida e caracter\u00edsticas associadas aplica\u00e7\u00e3o do WHOQOL-BREF no contexto da Aten\u00e7\u00e3o Prim\u00e1ria \u00e0 Sa\u00fade","volume":"22","author":"Almeida-Brasil CC","year":"2017","journal-title":"Ci\u00eanc Sa\u00fade Colet"},{"key":"ref19","first-page":"409","article-title":"Adapta\u00e7\u00e3o e valida\u00e7\u00e3o da Nova Escala Geral de Autoefic\u00e1cia","volume":"19","author":"Balsan LAG","year":"2020","journal-title":"Aval Psicol"},{"key":"ref20","first-page":"30","article-title":"The multidimensional scale of perceived social support","volume":"52","author":"Zimet GD","year":"1988","journal-title":"J Pers Soc Psychol"},{"key":"ref21","first-page":"309","article-title":"Caracter\u00edsticas psicom\u00e9tricas da vers\u00e3o portuguesa da Escala Multidimensional de Suporte Social Percebido (Multidimensional Scale of Perceived Social Support - MSPSS)","volume":"54","author":"Carvalho S","year":"2011","journal-title":"Psychologica"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1080\/07481187.2020.1748481","article-title":"Coronavirus Anxiety Scale a brief mental health screener for COVID-19 related anxiety","volume":"44","author":"Lee SA","year":"2020","journal-title":"Death Studies"},{"key":"ref23","first-page":"921","article-title":"Anxiety and work overload perception levels of primary healthcare professionals during the COVID-19 pandemic","volume":"76","author":"Yigti I","year":"2023","journal-title":"Work"},{"key":"ref24","first-page":"14","article-title":"JCM Trabalho dos agentes comunit\u00e1rios de sa\u00fade na Estrat\u00e9gia Sa\u00fade da Fam\u00edlia: metass\u00edntese","volume":"52","author":"Alonso CMC","year":"2018","journal-title":"Rev Sa\u00fade P\u00fablica"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"1","DOI":"10.25118\/2763-9037.2024.v14.1290","article-title":"O impacto na sa\u00fade mental dos agentes comunit\u00e1rios de sa\u00fade no enfrentamento da pandemia COVID-19","volume":"14","author":"Barbosa TM","year":"2024","journal-title":"Debates em Psiquiatria"},{"key":"ref26","article-title":"Challenges for primary health care in Brazil an analysis on the labor of community health workers during a COVID-19 pandemic","volume":"19","author":"Fernandez M","year":"2021","journal-title":"Trab Educ Sa\u00fade"},{"key":"ref27","doi-asserted-by":"crossref","DOI":"10.2196\/22835","article-title":"Depression, anxiety and lifestyle among essential workers a web survey from Brazil and Spain during the Covid-19 pandemic","volume":"22","author":"De Boni RB","year":"2020","journal-title":"J Med Internet Res"},{"key":"ref28","doi-asserted-by":"crossref","DOI":"10.1590\/2526-8910.ctoao22712997","article-title":"Preval\u00eancia de ansiedade e depress\u00e3o em trabalhadores da aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade","volume":"30","author":"Julio RS","year":"2022","journal-title":"Cad Bras Ter Ocup"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1590\/1981-7746-sol00078","article-title":"Trabalho, sofrimento e adoecimento a realidade de agentes comunit\u00e1rios de sa\u00fade no Sul do Brasil","volume":"15","author":"Krug SBF","year":"2017","journal-title":"Trab Educ Sa\u00fade"},{"key":"ref30","doi-asserted-by":"crossref","DOI":"10.1590\/0102-311x00198321","article-title":"Percep\u00e7\u00e3o de risco de adoecimento por COVID-19 e depress\u00e3o, ansiedade e estresse entre trabalhadores de unidades de sa\u00fade","volume":"38","author":"Silva-Costa A","year":"2022","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"2931","DOI":"10.1590\/1413-812320232810.09802023","article-title":"Condi\u00e7\u00f5es de trabalho e sa\u00fade mental de agentes comunit\u00e1rios de sa\u00fade na pandemia de COVID-19","volume":"28","author":"Fernandes TF","year":"2023","journal-title":"Ci\u00eanc Sa\u00fade Colet"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"3465","DOI":"10.1590\/1413-81232020259.19562020","article-title":"A sa\u00fade dos profissionais de sa\u00fade no enfrentamento da pandemia de COVID-19","volume":"25","author":"Teixeira CFS","year":"2020","journal-title":"Ci\u00eanc Sa\u00fade Colet"},{"key":"ref33","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0245868","article-title":"Exploratory study on the psychological impact of COVID-19 on the general Brazilian population","volume":"16","author":"Serafim AP","year":"2021","journal-title":"PLoS One"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"3165","DOI":"10.3390\/ijerph17093165","article-title":"A nationwide survey of psychological distress among Italian people during the Covid-19 pandemic immediate psychological responses and associated factors","volume":"17","author":"Mazza C","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1016\/j.jad.2020.08.043","article-title":"Psychological impact of Covid-19 pandemic in the Philippines","volume":"277","author":"Tee ML","year":"2020","journal-title":"J Affect Disord"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"1729","DOI":"10.3390\/ijerph17051729","article-title":"Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (Covid-19) epidemic among the general population in China","volume":"17","author":"Wang C","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"ref37","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1590\/S1414-32832013005000031","article-title":"Identidade da agente comunit\u00e1ria de sa\u00fade tecendo racionalidades emergentes","volume":"17","author":"Rocha NHN","year":"2013","journal-title":"Interface (Botucatu)"},{"key":"ref38","first-page":"1","article-title":"G\u00eanero e COVID-19: Repercuss\u00f5es na sa\u00fade mental das profissionais de sa\u00fade no Brasil.","volume":"15","author":"Pinheiro VA","year":"2023","journal-title":"Mental"},{"key":"ref39","first-page":"4148","article-title":"Compara\u00e7\u00e3o dos n\u00edveis de depress\u00e3o e ansiedade durante a primeira e quarta onda da pandemia do coronav\u00edrus-2019 no Brasil.","volume":"26","author":"Barbosa Junior JG","year":"2022","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"ref40","series-title":"As mudan\u00e7as no ciclo de vida familiar: uma estrutura para a terapia familiar.","author":"Carter B","year":"1995","edition":"2\u00aa"},{"key":"ref41","series-title":"Fam\u00edlia, rede de suporte social e idosos: instrumentos de avalia\u00e7\u00e3o","author":"Domingues MAR","year":"2020"},{"key":"ref42","doi-asserted-by":"crossref","DOI":"10.5020\/23590777.rs.v23i1.e13557","article-title":"Fatores familiares associados ao suporte social percebido entre pessoas idosas","volume":"23","author":"Rabelo DF","year":"2023","journal-title":"Revista Subjetividades"},{"key":"ref43","article-title":"Tens\u00f5es familiares em tempos de pandemia e confinamento cuidadoras familiares","volume":"30","author":"Heilborn MLA","year":"2020","journal-title":"Physis (Rio J.)"},{"key":"ref44","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1136\/oem.60.1.10","article-title":"The effectiveness of current approaches to workplace stress management in the nursing profession an evidence based literature review","volume":"60","author":"Mimura C","year":"2003","journal-title":"Occup Environ Med"},{"key":"ref45","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/j.genhosppsych.2020.03.011","article-title":"Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan","volume":"67","author":"Du J","year":"2020","journal-title":"Gen Hosp Psychiatry"},{"key":"ref46","article-title":"Loneliness during a strict lockdown trajectories and predictors during the COVID-19 pandemic in 38,217 United Kingdom adults","volume":"265","author":"Bu F","year":"2020","journal-title":"Soc Sci Med"},{"key":"ref47","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1027\/\/1015-5759.18.3.242","article-title":"Is general self-efficacy a general construct","volume":"18","author":"Scholz U","year":"2002","journal-title":"Eur J Psychol Assess"},{"key":"ref48","series-title":"G\u00eanero e Covid-19 na Am\u00e9rica Latina e no Caribe: dimens\u00f5es de g\u00eanero na resposta","year":"2020"},{"key":"ref49","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1089\/jwh.2020.8472","article-title":"Sex and gender disparities in the COVID-19 pandemic","volume":"29","author":"Gausman J","year":"2020","journal-title":"J Womens Health (Larchmt)"},{"key":"ref50","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1590\/S0101-81082006000100005","article-title":"Contribui\u00e7\u00e3o dos dom\u00ednios f\u00edsico, social, psicol\u00f3gico e ambiental para a qualidade de vida global de idosos","volume":"28","author":"Pereira RJ","year":"2006","journal-title":"Revista de Psiquiatria do Rio Grande do Sul"},{"key":"ref51","series-title":"Panorama social de America Latina.","year":"2019"}],"container-title":["Cadernos de Sa\u00fade P\u00fablica"],"original-title":["Work, mental health, quality of life, and social support of community health agents during and after the COVID-19 pandemic under a gender perspective"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0102-311X2025000601401&tlng=pt","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T09:46:48Z","timestamp":1751968008000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-311X2025000601401&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":51,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025]]}},"alternative-id":["S0102-311X2025000601401"],"URL":"https:\/\/doi.org\/10.1590\/0102-311xpt168824","relation":{},"ISSN":["1678-4464","0102-311X"],"issn-type":[{"value":"1678-4464","type":"electronic"},{"value":"0102-311X","type":"print"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e00168824"}}