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The care provided to black-skinned children and adolescents with mental health problems in the intersection between gender and race* * Supported by Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP), Grant#2018/07251-2 and Grant #2020/03493-1, Brazil.

Objective:

to characterize the sociofamily profile of black-skinned children and adolescents with mental health problems and to intersectionally describe who assumes responsibility for their care.

Method:

a descriptive and exploratory study with a quantitative approach, developed in the Psychosocial Care Center for Children and Adolescents from the North region of the municipality of São Paulo. The data were collected from 47 family members of black-skinned children and adolescents, using a script with predefined variables submitted to statistical analysis.

Results:

a total of 49 interviews were conducted: 95.5% women with a mean age of 39 years old, 88.6% mothers and 85.7% black-skinned. Family income comes from wages for all the male caregivers and for 59% of the women. Among the black-skinned female caregivers, 25% live in their own house, whereas this percentage is 46.2% among the brown-skinned ones. Of all the caregivers, 10% have a job, 20% live in transferred properties, 35% in houses of their own and 35% in rented places. The social support network is larger among white-skinned people (16.7%), followed by brown-skinned (3.8%), and absent among black-skinned individuals (0%).

Conclusion:

those responsible for the care of black-skinned children and adolescents monitored by the CAPS-IJ are almost entirely women, black-skinned (black or brown) “mothers or grandmothers”, with unequal access to education, work and housing, constitutional social rights in Brazil.

Descriptors:
Mental Health; Gender; Race; Children; Adolescents; Community Mental Health Centers


Highlights:

(1) The socio-family profile exerts an influence on children’s and adolescents’ health-disease process.

(2) Inequalities in terms of gender, race/skin color, ethnicity and social class are mental health determinants.

(3) Intersectionality as an analytical category to improve care in freedom within the SUS.

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br