Saúde Bucal de Gestantes: uma Abordagem de Gênero
Saúde Bucal de Gestantes: uma Abordagem de Gênero Saúde Bucal de Gestantes: uma Abordagem de Gênero
ABSTRACT This dissertation has as its objective to study the women s oral health, looking for the links between them and the social relations of gender. For this, the data were obtained by two forms of interview, a totally structured interview, with 96 pregnant women, and a semi-structured one, with ten women that had answered the previous interview. These ten women went through an oral exam. They are pregnant women that had done their prenatal care in three health unities of Campo Grande -MS. The results reveal the studied woman outline as young, but with low levels of years of study, dedicated to home care and with familiar monthly income that doesn t exceed 3 minimum wages, and marked by a strong economic dependence; it s an outline that can be considered as a consequence of the socially constructed relations along the history between men and women, and not as simple results of biological differences. It was found that the interviewed women are unhappy with their oral health and having specific problems during the pregnancy; and that going to the dentist during pregnancy is full of beliefs and myths, strongly associated to their women condition inside the society. The fact of being mother comes with a social gender charge that involves the act of facing every problem, even toothache, in a solitary way. It happens because the looking for professional help can mean for these women, through the knowledge universe constructed by them, a risk to their baby s health. It was found that besides the biological specificities that surround the woman during pregnancy, her condition inside the society also produces oral alterations that cannot be ignored anymore, because the differences socially constructed between men and women reflect in the oral health/disease indicators. vii
SUMÁRIO Resumo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vi Abstract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Lista de Figuras, Quadros e Tabelas . . . . . . . . . . . . . . . . . . . . . . . . . . . x Introdução . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 CAPÍTULO 1. A Saúde Coletiva e a Saúde Bucal . . . . . . . . . . . . . . . . . .11 1.1. A Saúde Coletiva e a Saúde Bucal . . . . . . . . . . . . . . . . . . . . . 11 1.1.1. O Conceito de Saúde. . . . . . . . . . . . . . . . . . . . . . . . . . 11 1.1.2. O Campo da Saúde Coletiva . . . . . . . . . . . . . . . . . . . .14 1.1.3. Saúde Bucal, Odontologia e Saúde Bucal Coletiva. . . .18 1.2. A Saúde Bucal no Brasil . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 CAPÍTULO 2. A Saúde Bucal da Mulher Brasileira . . . . . . . . . . . . . . . . 39 2.1. A Saúde Bucal da Mulher . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39 2.2. A Saúde Bucal da Brasileira Gestante . . . . . . . . . . . . . . . . . 41 2.3. As Relações de Gênero . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 CAPÍTULO 3.Saúde Bucal de Gestantes: uma Abordagem de Gênero. . 69 3.1. Metodologia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 3.2. Apresentação e Análise dos Dados . . . . . . . . . . . . . . . . . . . . 73 3.2.1. Caracterização das mulheres estudadas .. . . . . . . . . . 73 3.2.2. A saúde geral e a gestação - informações básicas . . 84 3.2.4. Saúde/doença bucal -conhecimento construído . . . . . 95 3.2.5. Ir ou não ir ao dentista durante a gestação? - mitos e crenças . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 3.2.6. Mulher grávida tem de comer por dois ? . . . . . . . . . .117 3.2.7. Hábitos de higiene bucal e alterações na gestação. .123 3.2.8. Conhecimentos sobre saúde bucal de bebês . . . . . .133 3.2.9. O exame intra-bucal . . . . . . . . . . . . . . . . . . . . . . . . . 136 viii
- Page 1 and 2: ADÉLIA DELFINA DA MOTTA SILVA SAÚ
- Page 4 and 5: ....Mas, com o passar do tempo, fui
- Page 6 and 7: AGRADECIMENTOS Ao Mestrado em Saúd
- Page 10 and 11: 3.2.10. A Saúde Bucal de Gestantes
- Page 12 and 13: Grande -MS, 2000. . . . . . . . . .
- Page 14 and 15: Tabela 24. Freqüência de consumo
- Page 16 and 17: INTRODUÇÃO Saúde Bucal de Gestan
- Page 18 and 19: 3 virtude do processo saúde/doenç
- Page 20 and 21: 5 saúde bucal da mulher, de maneir
- Page 22 and 23: 6 de cárie maior que nos homens. Q
- Page 24 and 25: 8 de primeira escolha para tais dor
- Page 26 and 27: 10 desvantagens sociais, pois, conf
- Page 28 and 29: negra -, que supunha existirem no c
- Page 30 and 31: 1.1.2. O CAMPO DA SAÚDE COLETIVA A
- Page 32 and 33: econhecido como setor saúde . (p.
- Page 34 and 35: 18 1.1.3. SAÚDE BUCAL, ODONTOLOGIA
- Page 36 and 37: 20 dental; uso de fluoretos); as cr
- Page 38 and 39: 22 A Saúde Bucal, por sua vez, ten
- Page 40 and 41: 1.2. A SAÚDE BUCAL NO BRASIL Bocas
- Page 42 and 43: sobreviver sem dentes, sem dignidad
- Page 44 and 45: 28 a II Conferência Nacional de Sa
- Page 46 and 47: 30 grande parte da população aind
- Page 48 and 49: Brasil ( Garrafa & Moysés, 1996; P
- Page 50 and 51: 34 Lalonde (1996), abordado anterio
- Page 52 and 53: et al., 1995, p.48). A priorizaçã
- Page 54 and 55: 38 brasileiras perpassa por fatores
- Page 56 and 57: 40 problemas bucais em bebês, aí
ABSTRACT<br />
This dissertation has as its objective to study the women s oral health, looking for the<br />
links between them and the social relations of gen<strong>de</strong>r. For this, the data were obtained<br />
by two forms of interview, a totally structured interview, with 96 pregnant women, and<br />
a semi-structured one, with ten women that had answered the previous interview. These<br />
ten women went through an oral exam. They are pregnant women that had done their<br />
prenatal care in three health unities of Campo Gran<strong>de</strong> -MS. The results reveal the<br />
studied woman outline as young, but with low levels of years of study, <strong>de</strong>dicated to<br />
home care and with familiar monthly income that doesn t exceed 3 minimum wages, and<br />
marked by a strong economic <strong>de</strong>pen<strong>de</strong>nce; it s an outline that can be consi<strong>de</strong>red as a<br />
consequence of the socially constructed relations along the history between men and<br />
women, and not as simple results of biological differences. It was found that the<br />
interviewed women are unhappy with their oral health and having specific problems<br />
during the pregnancy; and that going to the <strong>de</strong>ntist during pregnancy is full of beliefs and<br />
myths, strongly associated to their women condition insi<strong>de</strong> the society. The fact of being<br />
mother comes with a social gen<strong>de</strong>r charge that involves the act of facing every problem,<br />
even toothache, in a solitary way. It happens because the looking for professional help<br />
can mean for these women, through the knowledge universe constructed by them, a risk<br />
to their baby s health. It was found that besi<strong>de</strong>s the biological specificities that surround<br />
the woman during pregnancy, her condition insi<strong>de</strong> the society also produces oral<br />
alterations that cannot be ignored anymore, because the differences socially constructed<br />
between men and women reflect in the oral health/disease indicators.<br />
vii