Factors associated with the perception of biological risk and accidents with biological material in community health workers

Authors

  • Hélio Galdino Júnior Universidade Federal de Goiás (UFG), Goiânia, Goiás, Brasil. E-mail: helio_junior@ufg.br. https://orcid.org/0000-0002-5570-8183
  • Daniel Ferreira de Aquino Mendes Universidade Federal de Goiás (UFG), Goiânia, Goiás, Brasil. E-mail: dfamferreira.2012@hotmail.com. https://orcid.org/0000-0002-3214-8283
  • George Oliveira Silva Universidade Federal de Goiás (UFG), Goiânia, Goiás, Brasil. E-mail: georgeoliveira.z9@gmail.com. https://orcid.org/0000-0001-9863-3161
  • Anaclara Ferreira Veiga Tipple Universidade Federal de Goiás (UFG), Goiânia, Goiás, Brasil. E-mail: anaclara_tipple@ufg.br. https://orcid.org/0000-0002-0812-2243

DOI:

https://doi.org/10.5216/ree.v25.75116

Keywords:

Community Health Workers, Occupational Exposure, Communicable Disease Control, Containment of Biohazards, Information Dissemination

Abstract

Objectives: to identify factors associated with accidents involving biological material and the perception of biological risk among community health workers (CHWs). Methods: an analytical cross-sectional study was carried out with CHWs using a questionnaire and consultation of vaccination card records. Poisson multiple regression with robust variance was conducted to analyze the factors associated with accidents involving biological material and perception of biological risk. Results: of the 207 participants, 50.24% (95% CI = 43.4 - 56.9) self-reported accidents with biological material, and the associated factors were having a university degree [adjusted PR = 2.2 (95% CI = 1.0 - 4.7)], having another job [adjusted PR = 1.5 (95% CI = 1.0 - 2.3)] and knowledge of the vaccines needed by CHWs [adjusted PR = 0.7 (0.5 - 0.9)]. It was found that 74.39% of CHWs were aware of some biological risk, even to a limited extent. Among the variables investigated, in the adjusted analysis, none showed an association with the perception of biological risk by CHWs. Conclusion: the prevalence of accidents involving biological material among CHWs is high, and the associated factors are having a university degree, having another job, and having knowledge of the vaccines required for the job. Most CHWs have a limited perception of the risk. No factors were associated with this variable.

Downloads

Download data is not yet available.

References

Portaria Nº 2.436 do Ministério da Saúde, de 21 de setembro de 2017 (BR) [Internet]. Aprova a Política Nacional de Atenção Básica, estabelecendo a revisão de diretrizes para a organização da Atenção Básica, no âmbito do Sistema Único de Saúde (SUS). Diário Oficial da União. 2017 Set 21. [cited 2022 Nov 30]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/prt2436_22_09_2017.html

Freire DEWG, Freire AR, Lucena EHG, Cavalcanti YW. PNAB 2017 and the number of community health agents in primary care in Brazil. Rev Saude Publica. 2021;55:85. https://doi.org/10.11606/s1518-8787.2021055003005

Portaria Nº 2.488 do Ministério da Saúde, de 21 de outubro de 2011 (BR) [Internet]. Aprova a Política Nacional de Atenção Básica, estabelecendo a revisão de diretrizes e normas para a organização da atenção básica, para a Estratégia Saúde da Família (ESF) e o Programa de Agentes Comunitários de Saúde (PACS). Diário Oficial da União. 2011 Out 21. [cited 2022 Nov 30]. Available from: https://www.gov.br/saude/pt-br/acesso-a-informacao/acoes-e-programas/estrategia-saude-da-familia/legislacao/politica-nacional-atencao-basica-2012.pdf/view

Magalhães KA, Santos WJ, Firmo JOA, Giacomin KC. A visita domiciliaria do agente comunitário de saúde a famílias com idosos frágeis. Cien Saude Colet. 2015;20(12):3787-96. https://doi.org/10.1590/1413-812320152012.07622014

Rezende FR, Mendonça KM, Galdino-Júnior H, Salgado TA, Alves CMS, Amaral TS, et al. A vulnerabilidade de agentes comunitários de saúde frente ao risco biológico. Rev. Eletr. Enferm. 2021;23:62222. https://doi.org/10.5216/ree.v23.62222

Lopes DM, Lunardi Filho WD, Beck CL, Coelho AP. Cargas de trabalho do agente comunitário de saúde: pesquisa e assistência na perspectiva convergente-assistencial. Texto Contexto-Enferm. 2019;27(4):e3850017. https://doi.org/10.1590/0104-07072018003850017

Suyama EHT, Lourenção LG, Cordioli DFC, Cordioli Junior JR, Miyazaki MCOS. Estresse ocupacional e sintomas osteomusculares em Agentes Comunitários de Saúde. Cadernos Brasileiros de Terapia Ocupacional. 2022;30:e2992. https://doi.org/10.1590/2526-8910.ctoAO22692992

Malcher CMSR, Tembra AL, Amorim FC, Souza TRM, Pessoa MS. Fotoproteção em Agentes Comunitários de Saúde (ACS) de Belém-PA. Rev Bras Med Fam Comunidade. 2019;14(41):1798. https://doi.org/10.5712/rbmfc14(41)1798

Silva MHF, Dias TSC, Braga BAC, Lucena BTL, Oliveira LF, Trigueiro JS. Analysis of the sociodemographic, work profile and occupational risks of community health agents. R Pesq Cuid Fundam. 2022;14:e11144. https://doi.org/10.9789/2175-5361.rpcfo.v14.11144

Siegel JD, Rhinehart E, Jackson M, Chiarello L. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Health Care Settings. Am. J. Infect. Control. 2007;35(10):S65-164. https://doi.org/10.1016/j.ajic.2007.10.007

Stevenson M, Nunes T, Sanchez J, Thornton R, Reiczigel J, Robison-Cox J, et al. epiR: An R package for the analysis of epidemiological data. R package version 09 - 43, p. 1-197.

Wickham H. ggplot2: elegant graphics for data analysis [Internet]. Springer-Verlag New York; 2016 [cited 2022 Nov 30]. Available from: https://ggplot2-book.org/

Jayaprada R, Vineela K, Ramakrishna N, Yamini S, Bhargav KM. A study of needle-stick injury incidence amongst healthcare workers and its root cause analysis in a tertiary care teaching hospital. J Clin Sci Res [Internet]. 2022 [cited 2023 Feb 12];11(2):72. Available fom: https://journals.lww.com/jcsr/Fulltext/2022/11020/A_study_of_needle_stick_injury_incidence_amongst.3.aspx

Behzadmehr R, Balouchi A, Hesaraki M, Alazmani Noodeh F, Rafiemanesh H, J. Nashwan A, et al. Prevalence and causes of unreported needle stick injuries among health care workers: a systematic review and meta-analysis. Rev Environ Health. 2023;38(1):111-23. https://doi.org/10.1515/reveh-2021-0148

Abdelmalik MA, Alhowaymel FM, Fadlalmola H, Mohammaed MO, Abbakr I, Alenezi A, et al. Global prevalence of needle stick injuries among nurses: A comprehensive systematic review and meta‐analysis. J Clin Nurs. 2023;32(17-18):5619-31. https://doi.org/10.1111/jocn.16661

Rezende KCAD, Tipple AFV, Silva ACS, Siqueira KM, Alves SB, Salgado TA, et. al. Risco de exposição a material biológico em unidades de saúde da atenção primária à saúde. Rev. enferm. UERJ. 2016;24(2):e6442. https://doi.org/10.12957/reuerj.2016.6442

Alonso CMC, Béguin PD, Duarte FJCM. Work of community health agents in the Family Health Strategy: meta-synthesis. Rev Saude Publica. 2018;52:14. https://doi.org/10.11606/s1518-8787.2018052000395

Almeida MCS, Baptista PCP, Silva A. Acidentes de trabalho com agentes comunitários de saúde. Rev. Enferm. UERJ. 2016;24(5):e17104. https://doi.org/10.12957/reuerj.2016.17104

Corstjens PLAM, Abrams WR, Malamud D. Saliva and viral infections. Periodontol 2000. 2016; 70(1):93-110. https://doi.org/10.1111/prd.12112

Lei H, Yang L, Wang G, Zhang C, Xin Y, Sun Q, et al. Transmission Patterns of Seasonal Influenza in China between 2010 and 2018. Viruses. 2022;14(9):2063. https://doi.org/10.3390/v14092063

Warneford-Thomson R, Shah PP, Lundgren P, Lerner J, Morgan J, Davila A, et al. A LAMP sequencing approach for high-throughput co-detection of SARS-CoV-2 and influenza virus in human saliva. Elife. 2022;11:e69949. http://doi.org/10.7554/eLife.69949

Lacerda TC, Souza FM, Prado TND, Locatelli RL, Fregona G, Lima RCD, et al. Tuberculosis infection among primary health care workers. J Bras Pneumol. 2017;43(6):416-23. https://doi.org/10.1590/S1806-37562016000000211

Chilaka VN, Hassan R, Konje JC. Post-exposure prophylaxis for Blood-Borne Viral (BBV) Infections. Eur J Obstet Gynecol Reprod Biol. 2020;255:83-91. https://doi.org/10.1016/j.ejogrb.2020.10.032

Santos DS, Pereira RSF, Almeida MCS, Oliveira FS, Rocha MS, Souza Filho ZA, et al. Occupational accidents with community health agents. J Nurs UFPE online. [Internet]. 2019 [cited 2023 Dec 12]. 13(2):401-7. https://periodicos.ufpe.br/revistas/index.php/revistaenfermagem/article/view/236350/31344

Ministério da Saúde, Secretaria de Gestão do Trabalho e da Educação na Saúde, Departamento de Gestão da Educação na Saúde. Diretrizes para capacitação de agentes comunitários de saúde em linhas de cuidado [Internet]. Brasília: Ministério da Saúde; 2016 [cited 2023 Apr 30]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/diretrizes_capacitacao_agentes_comunitarios_cuidado.pdf

Morosini MV, Fonseca AF. Os agentes comunitários na Atenção Primária à Saúde no Brasil: inventário de conquistas e desafios. Saúde debate. 2018;42(spe1):261-74. https://doi.org/10.1590/0103-11042018S117

Silva TL, Soares AN, Lacerda GA, Mesquita JFO, Silveira DC. Política Nacional de Atenção Básica 2017: implicações no trabalho do Agente Comunitário de Saúde. Saúde em Debate.2020;44(124):58-69. https://doi.org/10.1590/0103-1104202012404

Nogueira ML. Expressões da precarização no trabalho do agente comunitário de saúde: burocratização e estranhamento do trabalho. Saúde e Sociedade. 2019;28(3):309-23. https://doi.org/10.1590/S0104-12902019180783

Vilela MS, Barreto R, Gebrim C, Silva L, Suzuki K, Barbosa MA, et al. Percepção do risco ocupacional entre trabalhadores da atenção primária à saúde. CIAIQ 2015 [Internet]. 2015 [cited 2022 Apr 30]. Available from: https://ludomedia.org/publicacoes/livro-de-atas-ciaiq2015-vol-1-saude/

Bouya S, Balouchi A, Rafiemanesh H, Amirshahi M, Dastres M, Moghadam MP, et al. Global Prevalence and Device Related Causes of Needle Stick Injuries among Health Care Workers: A Systematic Review and Meta-Analysis. Ann Glob Health. 2020;86(1):35. https://doi.org/10.5334/aogh.2698

La-Rotta EIG, Garcia CS, Pertuz CM, Miquilin IOC, Camisão AR, Trevisan DD, et al. Conhecimento e adesão como fatores associados a acidentes com agulhas contaminadas com material biológico: Brasil e Colômbia. Ciência & Saúde Coletiva. 2020;25(2):715-27. https://doi.org/10.1590/1413-81232020252.04812018

Amaral TS, Alves CMS, Rezende FR, Caetano KAA, Tipple AFV. Serological and vaccine evaluation for hepatitis B among Community Health Workers. Revista Latino-Americana de Enfermagem. 2023;31:e3765. https://doi.org/10.1590/1518-8345.6107.3765

Published

2024-02-28

How to Cite

1.
Galdino Júnior H, Mendes DF de A, Silva GO, Tipple AFV. Factors associated with the perception of biological risk and accidents with biological material in community health workers. Rev. Eletr. Enferm. [Internet]. 2024 Feb. 28 [cited 2024 May 12];25:75116. Available from: https://revistas.ufg.br/fen/article/view/75116

Issue

Section

Original Article