ArticleBMC global and public health2025
Psychosocial, organizational, and health aspects related to the labor of community health workers in the trans- and post-COVID-19 pandemic period in Brazil's Northeast Region.
Article in BMC global and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe impact of COVID-19 across different territories in Brazil was shaped by social determinants, affecting vulnerable populations, including those experiencing violence. Understanding how COVID-19 pandemic affected and was managed at the primary health care (PHC) sheds light on how to prepare for, prevent, manage, and mitigate the impact of future pandemics. The aim of this study was to evaluate the perceived violence, work process, mental health, quality of life, self-efficacy, and social support of community health workers (CHW) in the trans- and post-COVID-19 pandemic period.
methodsA multi-site, quantitative study was conducted in eight different municipalities in the Northeast Region of Brazil in 2021 (n = 1944 CHWs) and in 2023 (n = 1915 CHWs) employing a self-administered questionnaire. Statistical analysis included chi-square, t-test, multivariate analysis of variance (MANOVA), and Cochran's Q tests.
resultsAt the end of COVID-19 (2023), improvement was observed in CHWs' quality of life, self-efficacy, and a decrease seen in the percentage of CHWs at risk of common mental disorders. There was also an increase in the diversity of work activities conducted by the CHWs and in the types of home visits they conducted. Although, the quantity of those activities remains lower when compared to pre COVID-19 era. A decrease in anxiety related to coronavirus, social support and in the psychological domain of quality of life was observed. Violence was observed in more than three quarters of the communities, influencing CHWs' health and ability to work, with about 30% of CHWs reporting they stopped caring for families due to violence.
conclusionsPerceived violence by CHWs (i.e., ever saw/heard of violence in the community) increased in capital cities with time while diminishing in the inner cities. A larger increase in the types of work activities, including home visits performed by CHWs, in capital cities was noted over time. These changes are likely affecting PHC functioning and the care offered.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.