Câncer de mama no Brasil: medicina e saúde pública no século XX / Breast cancer in Brazil: medicine and public health in 20th century
Saúde Soc
; 29(3): e180753, 2020.
Article
in Portuguese
| LILACS, Sec. Est. Saúde SP
| ID: biblio-1139536
Responsible library:
BR67.1
Localization: BR67.1
RESUMO
Resumo Neste artigo, discutimos os caminhos que levaram o câncer de mama ao estatuto de grande problema de saúde pública e tópico constante de debates pela sociedade brasileira. Tendo como marco temporal o século XX, traçamos um amplo perfil das transformações nas abordagens ao câncer de mama no Brasil com base no desenvolvimento de novas tecnologias diagnósticas e terapêuticas e no jogo de forças entre diferentes grupos relacionados à sua implantação. Mostramos como, a partir do desenvolvimento de tecnologias médicas de diagnóstico precoce, deu-se mais atenção ao processo de prevenção à doença, implicando controvérsias sobre a melhor forma de implementar as práticas de prevenção. A análise se caracteriza como um estudo qualitativo de abordagem histórica, dialogando com trabalhos da história da medicina e dos estudos sociais das ciências. A investigação é pautada em fontes médicas (revistas especializadas, anais de congressos, teses, manuais); documentos institucionais e legislativos; jornais e revistas leigas; e um conjunto de entrevistas realizadas pelo projeto "História do Câncer Atores, Cenários e Políticas Públicas" (Fundação Oswaldo Cruz/Instituto Nacional de Câncer).
ABSTRACT
Abstract This study discusses the trajectory of breast cancer to becoming a major public health issue and constant topic of discussions in Brazilian society. We trace an extensive profile on the changes in approach concerning breast cancer in Brazil, considering the development of new diagnostic and therapeutic technologies and the power struggles between the different groups involved in their implementation. We show that with new technologies major attention was directed to the prevention of breast cancer, which led to controversies on how it would be done. The analysis is framed as a qualitative study with a historical approach based on studies of medical history and the Social Sciences. The data were collected from medical sources (specialized journals, congress reports, medical thesis and books); institutional and legislative documents; magazines and newspapers; and a corpus of interviews made by the project "History of Cancer Actors, Scenarios and Public Policies" (Fiocruz/INCA).
Full text:
Available
Collection:
National databases
/
Brazil
Health context:
Sustainable Health Agenda for the Americas
/
SDG3 - Health and Well-Being
/
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Goal 5: Medicines, vaccines and health technologies
/
Target 3.4: Reduce premature mortality due to noncommunicable diseases
/
Breast Cancer
Database:
LILACS
/
Sec. Est. Saúde SP
Main subject:
General Surgery
/
Therapeutics
/
Breast Neoplasms
/
Mass Screening
/
Public Health
/
Diagnosis
/
Access to Essential Medicines and Health Technologies
Type of study:
Diagnostic study
/
Prognostic study
/
Qualitative research
/
Screening study
Aspects:
Social determinants of health
Limits:
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
Portuguese
Journal:
Saúde Soc
Year:
2020
Document type:
Article
Institution/Affiliation country:
Fundação Oswaldo Cruz/BR