SUMMARY OBJECTIVE: The objective of this study was to evaluate the relationship between quality of life, perceived stress, anxiety, and depression in medical students and the university teaching method: traditional method versus active methodology. METHODS: Four questionnaires were administered to volunteer students (n=361) enrolled in two institutions that employ active (Universidade Tiradentes) or traditional (Faculdade de Medicina do ABC) teaching methodology: socioeconomic level; brief quality of life (World Health Organization Quality of Life-Bref); perceived stress scale (PSS10); and depression and anxiety scale (hospital anxiety and depression scale). RESULTS: Of the students who responded to the questionnaires (226 UNIT and 135 FMABC), 70% were female and 67% were White. The majority did not use medication for depression (90%), anxiety (81%), and stress management (91%). Regarding anxiety, it was found: absence in the traditional method and moderate anxiety in the active methodology (26% UNIT×13% FMABC) (p<0.001). Regarding quality of life, it was found to be better quality of life in the environment domain at FMABC (78.12%) versus 71.88% at the UNIT (p<0.001). There was no difference between the institutions in relation to depression and perceived stress, and in quality of lifethere was only a difference in the environmental domain (p<0.001). In relation to gender, stress was higher in females (93.7%) than males (79.6%) with p<0.001. CONCLUSION: Differences were recorded between the groups regarding anxiety, with a predominance in UNIT students (active methodology), and no differences were recorded in relation to depression, perceived stress, and quality of life in all domains, except for the environment domain, which was higher in the traditional methodology, although about one-third of participants used medication for anxiety/depression. OBJECTIVE METHODS n=361 n361 n 361 (n=361 Universidade Tiradentes Faculdade ABC level World LifeBref Life Bref Life-Bref) PSS10 PSS (PSS10) hospital scale. . scale) RESULTS 226 (22 13 FMABC, , 70 67 White 90%, 90 90% (90%) 81%, 81 81% (81%) 91%. 91 91% (91%) 26% 26 (26 UNIT13 UNIT×13 p0001 p p<0.001 0 001 (p<0.001) 78.12% 7812 78 12 (78.12% 7188 71 88 71.88 gender 93.7% 937 93 7 (93.7% 79.6% 796 79 6 (79.6% CONCLUSION methodology) domains onethird one third anxietydepression anxiety/depression n=36 n36 36 (n=36 Life-Bref PSS1 (PSS10 22 (2 1 9 (90% 8 (81% (91% 2 UNIT1 UNIT×1 p000 p<0.00 00 (p<0.001 78.12 781 (78.12 718 71.8 93.7 (93.7 79.6 (79.6 n=3 n3 3 (n=3 (PSS1 ( (90 (81 (91 UNIT× p00 p<0.0 (p<0.00 78.1 (78.1 71. 93. (93. 79. (79. n= (n= (PSS (9 (8 p0 p<0. (p<0.0 78. (78. (93 (79 (n p<0 (p<0. (78 (7 p< (p<0 (p< (p

Resumo A migração forçada é um reconhecido determinante social, pois as condições que envolvem o processo migratório tendem a gerar vulnerabilidades e impactos na saúde pública nos países de origem e de destino. O objetivo deste estudo foi a caracterização sociocultural e a percepção do estudante de Medicina perante imigração, saúde e doença. Realizou-se estudo transversal com estudantes de Medicina em uma instituição de ensino superior do Estado de Sergipe, Brasil, cuja amostra foi composta por 144 alunos regularmente matriculados na instituição. As variáveis foram descritas por meio de frequência absoluta e relativa percentual. As associações entre variáveis categóricas foram testadas por meio de teste Qui-Quadrado de Pearson. As correlações ordinais foram testadas pela correlação gamma. Houve significância em relação à percepção do conhecimento da legislação que garante acesso dos imigrantes aos serviços de saúde (p-valor <0,05). O perfil sociocultural discente aponta a necessidade de encorajar, no contexto acadêmico, práticas culturais integrativas e habilidades de comunicação, um contributo à formação cidadã e profissional. A Competência Cultural em Saúde se coloca como uma ferramenta que fortalece a tecnologia leve em saúde, a partir do intercâmbio entre profissionais e imigrantes no processo do cuidado em saúde.

Abstract Forced migration is a recognized social determinant, because the conditions surrounding the migratory process tend to generate vulnerabilities and impacts on the public health on the countries of origin and destination. This study focused on the socio-cultural characterization and the perception of the medical student about immigration, health and disease. A cross-sectional study was carried out with medical students at a higher education institution of the State of Sergipe, Brazil. The study sample consisted of 144 students who were regularly enrolled in the institution. The variables were described by means of absolute frequency and relative percentage. The associations between categorical variables were tested using Pearson's chi-squared test. The ordinal correlations were tested by the gamma correlation, there was significance in relation to the perception of the knowledge of the legislation guaranteeing immigrant access to health services (P-value < 0.05). The student socio-cultural profile points to the need to encourage, in the academic context, integrative cultural practices and communication skills a contribution to citizen and professional training. The Cultural Competence in Health stands as a tool that strengthens light technology in health, from the exchange between professionals and immigrants in the health care process.

Resumo A migração forçada é um reconhecido determinante social, pois as condições que envolvem o processo migratório tendem a gerar vulnerabilidades e impactos na saúde pública nos países de origem e de destino. O objetivo deste estudo foi a caracterização sociocultural e a percepção do estudante de Medicina perante imigração, saúde e doença. Realizou-se estudo transversal com estudantes de Medicina em uma instituição de ensino superior do Estado de Sergipe, Brasil, cuja amostra foi composta por 144 alunos regularmente matriculados na instituição. As variáveis foram descritas por meio de frequência absoluta e relativa percentual. As associações entre variáveis categóricas foram testadas por meio de teste Qui-Quadrado de Pearson. As correlações ordinais foram testadas pela correlação gamma. Houve significância em relação à percepção do conhecimento da legislação que garante acesso dos imigrantes aos serviços de saúde (p-valor <0,05). O perfil sociocultural discente aponta a necessidade de encorajar, no contexto acadêmico, práticas culturais integrativas e habilidades de comunicação, um contributo à formação cidadã e profissional. A Competência Cultural em Saúde se coloca como uma ferramenta que fortalece a tecnologia leve em saúde, a partir do intercâmbio entre profissionais e imigrantes no processo do cuidado em saúde.

Abstract Forced migration is a recognized social determinant, because the conditions surrounding the migratory process tend to generate vulnerabilities and impacts on the public health on the countries of origin and destination. This study focused on the socio-cultural characterization and the perception of the medical student about immigration, health and disease. A cross-sectional study was carried out with medical students at a higher education institution of the State of Sergipe, Brazil. The study sample consisted of 144 students who were regularly enrolled in the institution. The variables were described by means of absolute frequency and relative percentage. The associations between categorical variables were tested using Pearson's chi-squared test. The ordinal correlations were tested by the gamma correlation, there was significance in relation to the perception of the knowledge of the legislation guaranteeing immigrant access to health services (P-value < 0.05). The student socio-cultural profile points to the need to encourage, in the academic context, integrative cultural practices and communication skills a contribution to citizen and professional training. The Cultural Competence in Health stands as a tool that strengthens light technology in health, from the exchange between professionals and immigrants in the health care process.

OBJETIVO: Avaliar fatores de risco para uso de tabaco em estudantes de duas escolas do ensino médio do município de Santo André (SP) em 2005, bem como traçar o perfil do adolescente experimentador do fumo. MÉTODOS: Estudo transversal, com questionário padronizado, autoaplicável e anônimo aplicado a adolescentes escolares de ambos os sexos, matriculados no primeiro ano do ensino médio de duas escolas de Santo André, uma particular e outra pública. Foram levantadas as seguintes variáveis: idade, sexo, raça, prática de esportes, religião e hábitos do adolescente e da família. Definiu-se como "experimentador do fumo" o adolescente que experimentou cigarro (tabaco) e não continuou o hábito tabagista. Foi feita a análise descritiva com o teste do qui-quadrado e os fatores de risco para "experimentar fumo" foram analisados por regressão logística. RESULTADOS: Dos 232 questionários aplicados, 226 (90%) foram respondidos, sendo 137 (61%) na escola particular e 89 (39%) na estadual. Dentre os entrevistados, 54 (24%) referiram já ter experimentado tabaco uma vez na vida (35 na escola privada e 19 na pública). Foram fatores de risco significativos para experimentar fumo na escola particular: mãe fumante (OR 12,4; IC95% 4,1-37,8) e amigos fumantes (OR 9,6; IC95% 3,1-29,9). Na escola pública, os fatores de risco para a mesma variável foram: consumo de bebida alcoólica (OR 8,8; IC95% 1,9-40,1), amigos fumantes, (OR 7,9; IC95% 1,9-31,3) e contato com fumaça do cigarro (OR 6,4; IC95% 1,6-26,2). CONCLUSÕES: Observou-se influência significativa do meio ambiente do adolescente, inclusive social e familiar, para a experimentação do tabaco.

OBJECTIVE: To evaluate risk factors for tobacco use in high school students of two schools of the city of Santo Andre (São Paulo, Brazil) in 2005, as well as to describe the profile of the adolescent who uses tobacco. METHODS: Cross sectional study that applied a standardized anonimous self-answered questionnaire in adolescents of both genders registered in the first year of a public and a private high school of the city of Santo André (Brazil). The following variables were collected: age, gender, race, practice of sports, religion and habits of the family/adolescent. "Tobacco trier" was defined as those who tried cigarette and did not continue with smoking habits, excluding those who inhaled illicit drugs. Statistical analysis applied chi-square test and logistic regression. RESULTS: A total of 226 (90%) questionnaires were answered: 137 (61%) in the private and 89 (39%) in the public school. Among the adolescents, 54 (24%) used tobacco (35 - private school and 19% - public school). Significant variables associated with tobacco use in the private school were: maternal smoking (OR 12.44; 95%CI 4.10-37.79) and friends who are smokers (OR 9.58; 95%CI 3.10-29.98). In the public school, the risk factors for smoking were: alcoholic beverage use (OR 8.78; 95%CI 1.92-40.06), smoking among friends (OR 7.90; CI95%: 1.99-31.29) and contact with cigarette smoke (OR 6.40; 95%CI 1.56-26.22). CONCLUSIONS: A significant influence of social and family environment was observed regarding the use of tobacco by adolescents.