Características de trabalhadores com capacidade inadequada para o trabalho em uma microárea adscrita à estratégia de saúde da família

Abstract

Several changes have been identified in the execution of the work, directly impacting on their conditions, on the health and life of workers. The inability to continue or return to work due to an injury or illness, the inability to work results from complex interactions between the individual, his health-disease state, the environment and the physical, political and social context. Identifying the determinants and interactions of disability in all spheres of life of the individual enables greater effectiveness of actions in prevention, rehabilitation, return and maintenance to work. The Family Health Strategy (FHS), the guiding element of Primary Health Care (ABS), is essential for the knowledge ofliving conditions and health of the populations, enabling a better understanding of the health-disease process and the need for interventions that go beyond curative practices. This dissertation consists of an article descriptive study carried out with paid workers, aged 18 or over, residing in a micro area covered by a team from the Family Health Unit of the Federation, in the city of Salvador, Bahia, which sought to qualify the working population with inadequate capacity in terms of social aspects demographics, lifestyle, health care and self-reported health; occupational characteristics and health risks present at work. These workers were over 36 years old, mostly black, heads of family and with children, with low education and individual and family income of up to two minimum wages. They were physically active, with no difference in the proportion between adequate weight and overweight, consumed alcoholic beverages for more than three days a week, few smokers. They practiced leisure activities, self-perceived health as good and had no health insurance. They were informal, with work done outside the home for up to five days a week. The work was characterized as having low psychological demand and low control and with reports of the presence of health risks, especially ergonomic and psychosocial ones, with a predominance of repetitive movements, work performed in the same position and pressure from the boss, respectively. The results portray the complexity involved in maintaining inadequate work capacity. with predominance of repetitive movements, work performed in the same position and pressure from the boss, respectively. The results portray the complexity involved in maintaining inadequate work capacity, with predominance of repetitive movements, work performed in the same position and pressure from the boss, respectively. The results portray the complexity involved in maintaining inadequate work capacity.New research should focus on the early identification of workers at risk, the use of more innovative and flexible strategies, combined with specific functional losses, the stronger integration of the workplace and rehabilitation, and a better understanding of stigma and other social factors at work , particularly among informal workers, in addition to exploring the interface between the family health strategy and the worker