{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T12:06:19Z","timestamp":1784549179315,"version":"3.55.0"},"reference-count":50,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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>Resumo: O objetivo foi analisar como o estigma se apresenta entre profissionais de sa\u00fade da aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade, com base nas dimens\u00f5es do conhecimento, das atitudes e das pr\u00e1ticas voltadas \u00e0s pessoas que vivem com a s\u00edndrome demencial. Estudo de m\u00e9todos mistos, explanat\u00f3rio sequencial, realizado com 122 profissionais de sa\u00fade de 91 Unidades de Sa\u00fade da Fam\u00edlia de Cuiab\u00e1, Mato Grosso, Brasil, entre 2023 e 2024. Na etapa quantitativa, foram aplicados os instrumentos Aten\u00e7\u00e3o Sanit\u00e1ria \u00e0s Dem\u00eancias: A Vis\u00e3o da Aten\u00e7\u00e3o B\u00e1sica e Question\u00e1rio de Atitudes; na etapa qualitativa, dois grupos focais com 11 participantes foram conduzidos. Na an\u00e1lise dos resultados, os dados quantitativos e qualitativos foram integrados, buscando converg\u00eancias e diverg\u00eancias interpretativas. Os resultados mostraram insufici\u00eancia de conhecimento e de preparo t\u00e9cnico dos participantes sobre a dem\u00eancia, decorrente de aus\u00eancia de forma\u00e7\u00e3o espec\u00edfica, sugerindo a presen\u00e7a de estigma estrutural e social. Os profissionais demonstraram concep\u00e7\u00f5es equivocadas e estigmatizantes sobre a condi\u00e7\u00e3o e a pessoa que vive com a dem\u00eancia, e revelaram inseguran\u00e7a profissional e incerteza nas a\u00e7\u00f5es de cuidado que contribuem negativamente na realiza\u00e7\u00e3o do diagn\u00f3stico oportuno, no tratamento e acompanhamento das pessoas envolvidas. Foi identificada disson\u00e2ncia entre atitudes e pr\u00e1ticas, indicando manifesta\u00e7\u00f5es de estigma impl\u00edcito. A presen\u00e7a de estigma estrutural, social e impl\u00edcito entre profissionais da aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade compromete o diagn\u00f3stico oportuno, o tratamento e o acompanhamento da pessoa que vive com a dem\u00eancia e familiares, perpetuando pr\u00e1ticas centradas na dem\u00eancia e neglig\u00eancia assistencial. Os achados refor\u00e7am a necessidade de forma\u00e7\u00e3o espec\u00edfica e cont\u00ednua, de educa\u00e7\u00e3o permanente voltadas \u00e0 redu\u00e7\u00e3o do estigma e \u00e0 promo\u00e7\u00e3o do cuidado centrado na pessoa.<\/jats:p>","DOI":"10.1590\/0102-311xpt230225","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T11:23:17Z","timestamp":1784546597000},"source":"Crossref","is-referenced-by-count":0,"title":["Estigma entre profissionais de sa\u00fade da aten\u00e7\u00e3o prim\u00e1ria: estudo de m\u00e9todo misto"],"prefix":"10.1590","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2711-0384","authenticated-orcid":false,"given":"Aenne Zandonadi Rodrigues","family":"Santana","sequence":"first","affiliation":[{"name":"Universidade Federal de Mato Grosso,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0904-4045","authenticated-orcid":false,"given":"Annelita Almeida Oliveira","family":"Reiners","sequence":"additional","affiliation":[{"name":"Universidade Federal de Mato Grosso,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7074-8899","authenticated-orcid":false,"given":"Luciane Almeida","family":"Casarin","sequence":"additional","affiliation":[{"name":"Universidade Federal de Rondon\u00f3polis,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7986-5768","authenticated-orcid":false,"given":"Rosemeiry Capriata de Souza","family":"Azevedo","sequence":"additional","affiliation":[{"name":"Universidade Federal de Mato Grosso,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1989-4043","authenticated-orcid":false,"given":"Joana Darc Chaves","family":"Cardoso","sequence":"additional","affiliation":[{"name":"Universidade Federal de Mato Grosso,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7084-221X","authenticated-orcid":false,"given":"Carla Rafaela Teixeira","family":"Cunha","sequence":"additional","affiliation":[{"name":"Universidade Federal de Mato Grosso,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3366-4423","authenticated-orcid":false,"given":"Amanda Cristina de Souza","family":"Andrade","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"key":"ref1","first-page":"1092","article-title":"Dem\u00eancias no Brasil aumento da carga no per\u00edodo 2000-2016. 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