Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 338
Filter
1.
Chinese Journal of Experimental Traditional Medical Formulae ; (24): 256-264, 2024.
Article in Chinese | WPRIM | ID: wpr-1011466

ABSTRACT

Enzymes are widely used in chemical and pharmaceutical industries because of their advantages of high efficiency and specificity. However, the shortcomings of the free enzymes, such as poor stability and difficulty in recycling, limit their application. Therefore, the immobilization and application of enzymes have become one of the research hotspots. The selection of the immobilization carriers is a critical step in the process of enzyme immobilization. Metal-organic frameworks(MOFs), a kind of porous materials, are formed by the coordination of metal ions or metal clusters with organic ligands. As an emerging immobilization carrier, its advantages such as high porosity, strong stability, and surface modifiability make it ideal for immobilized enzyme carriers. By immobilizing the free enzyme on MOFs, the above mentioned deficiencies of the free enzymes can be effectively solved, which greatly broaden the applicable condition. Ligand fishing is a method to find receptor-specific ligands from complex components, which has the advantages of high efficiency, simple sample pretreatment and high specificity. The MOF-enzyme complex formed by enzyme immobilization can act as a "fishing rod" for ligand fishing, which can screen out the targets from the complex system of components. The complex chemical composition and various active ingredients of traditional Chinese medicine(TCM) make the ligand fishing technology to play a big role in the screening of enzyme inhibitors from TCM. And the screened enzyme inhibitors are expected to be further developed into the lead compounds with good efficacy and low adverse effects, so the immobilized enzymes of MOFs have a wide application in the screening of active ingredients from TCM. Based on this, this paper summarized the methods of immobilized enzymes of MOFs in recent years, analyzed the characteristics, advantages and disadvantages of each method, and summarized the laws of preparation conditions and mechanisms. Meanwhile, the application and future development of immobilized enzymes of MOFs in the field of enzyme inhibitor screening from TCM were also summarized and prospected, with a view to providing a reference for the development of natural ingredients and the modernization of TCM.

2.
Chinese Journal of Experimental Traditional Medical Formulae ; (24): 215-224, 2024.
Article in Chinese | WPRIM | ID: wpr-1011461

ABSTRACT

As a Chinese saying goes, "good Chinese medicinal material makes good medicine", the quality of Chinese herbal medicines is related to the development prospect of Chinese medicine industry in China. With the rapid development of new technologies such as traceability methods and monitoring instruments, it is imperative to integrate and innovate traditional Chinese herbal medicines with new-generation information technology in view of the quality problems existing in the current production and circulation of Chinese herbal medicines, and it is of great significance for the construction of traceability system to ensure the quality and safety of Chinese herbal medicines and to promote the industry of Chinese herbal medicines to move towards high-quality development. This paper reviews the development history of the traceability system of Chinese herbal medicines in China, takes the influencing factors of the quality of Chinese herbal medicines as the entry point, and proposes that the construction of the traceability system should satisfy the traceability requirements of the characteristics of Chinese herbal medicines and their traditional medication experience. By analyzing the influencing factors of the quality of Chinese herbal medicines, it is pointed out that focusing on the influencing factors to build a traceability system is of great significance for targeting the problematic links at a later stage and exploring the interrelationship between environmental factors and the quality of Chinese herbal medicines. Based on the previous explorations, the author summarizes the system framework, functional modules and practical applications of the traceability system of Chinese herbal medicines, and looks forward to the development of a traceability system with risk early warning function and expert decision-making function in its functional development. Finally, based on the factors affecting the quality of Chinese herbal medicines, the author puts forward several thoughts on construction of the traceability system, and makes an in-depth analysis and puts forward a solution for the current situation that a unified, standardized and universal traceability system has not yet been built, with a view to providing ideas and references for the construction of traceability system of Chinese herbal medicines.

3.
Philippine Journal of Allied Health Sciences ; (2): 77-86, 2024.
Article in English | WPRIM | ID: wpr-1006834

ABSTRACT

@#It is undeniable that technology has become part of modern society that extends to children's grasp. However, the amount of screen time exposure in children and its effects are increasingly becoming a significant concern for families, educators, and child-related health professionals, such as occupational therapists. This study aims to help child-related health professionals understand the factors contributing to screen time and describe children's screen time levels to enable proper assessment and intervention planning. The Screen Time Ecological Model (STEM) follows the SocioEcological Model in describing influencing factors to screen time behavior, the Ecology of Human Performance in conceptualizing intervention approaches, and the Developmental Frame of Reference in describing the age-appropriate screen time recommendation children based on the American Academy of Pediatrics Media Use Guidelines for Families. The optimal goal of STEM is to promote the just-right screen time use within the pediatric population.


Subject(s)
Child , Occupational Therapy
4.
Article | IMSEAR | ID: sea-221464

ABSTRACT

This research article aims to examine the impact of emerging technologies on cybersecurity and evaluate the effectiveness of legal frameworks in addressing transnational cyber-attacks. With the rapid advancement of technology, cyber threats have become more sophisticated and interconnected, requiring robust legal measures to combat them. With the emergence of new technologies, the threat landscape for cyber security has also evolved. The continuous development of new technologies like (A.I) artificial intelligence, (I.O.T) Internet of Things & cloud computing has led to a rapid increase in cyber-attacks and has made it even more challenging for organizations to protect their assets. This study utilizes a mixed-methods approach, incorporating both qualitative and quantitative research methods. The qualitative aspect involves an analysis of existing literature, case studies, and legal frameworks, while the quantitative component includes surveys and interviews with cybersecurity professionals and legal experts. By integrating these methods, this research aims to provide valuable insights into the effectiveness of current legal measures in mitigating transnational cyber-attacks and propose strategies to enhance cybersecurity in the face of emerging technologies.

5.
Cad. Ibero Am. Direito Sanit. (Impr.) ; 12(2): 09-12, abr.-jun.2023.
Article in Portuguese | LILACS, PAHO-CUBA | ID: biblio-1435892

ABSTRACT

Quais as consequências da aprovação do novo arcabouço fiscal para o Sistema Único de Saúde (SUS)? Esta é a pergunta que norteia este editorial que reflete, com base em estudos econômicos e normativas federais, a necessidade de aprovação de um arcabouço fiscal que dialogue com um projeto de sistema universal de saúde, não desconsiderando o contexto histórico de desfinanciamento estrutural do SUS frente aos seus princípios, objetivos e diretrizes sistematizados pela nossa Constituição Federal.


What are the implications of the approval of the new fiscal framework for the Brazilian Unified Health System (SUS)? This question is the focus this editorial, which, based on economic studies and federal regulations, reflects the need to approve a fiscal framework consistent with the project of auniversal health system, not ignoring the historical context of structural underfunding of the SUS given its principles, objectives and guidelines systematized in Brazilian Federal Constitution.


¿Cuáles son los efectos de la aprobación del nuevo marco fiscal para el Sistema Único de Salud (SUS) del Brasil? Esa es la pregunta que guía este editorial, que refleja, con base en estudios económicos y normas federales, la necesidad de aprobar un marco fiscal que dialogue con un proyecto de sistema universal de salud, sin olvidar el contexto histórico de desfinanciamiento estructural del SUS frente de sus principios, objetivos y lineamientos sistematizados por la Constitución Federal de Brasil.


Subject(s)
Health Law
6.
Article | IMSEAR | ID: sea-218844

ABSTRACT

This article aims at writing a research framework for exploring sustainable cultural heritage tourism policy implementation at Angkor (World Heritage Area). There are six policy initiatives within Angkor's Tourism Management Plan (2012-2020) to guide sustainability of tourism development. The year 2020 was the end of implementing these policy initiatives, but there were not any documents reporting the effectiveness and success of their implementations; therefore, this study will show the framework for investigating the implementation of policy initiatives within this timeframe. There are three main objectives in this framework. First, it is necessary to identify the outcomes of policy implementation judged by stakeholders. Second, it is important to outline and understand the barriers that hinder the successful implementation of the policy. Third, there is a need to create a framework for how to successfully implement sustainable tourism policies in the development of more sustainable tourism in the future.

7.
Chinese Journal of Rehabilitation Theory and Practice ; (12): 1276-1285, 2023.
Article in Chinese | WPRIM | ID: wpr-998969

ABSTRACT

ObjectiveTo systematically develop the courses of rehabilitation based on World Health Organization rehabilitation competency framework (RCF). MethodsThe theories and methods of RCF were used to analyze competency characteristics of rehabilitation workers and educational objectives to construct the curriculum contents in rehabilitation. ResultsThe competency of the rehabilitation workers included practice, professionalism, learning and development, management and leadership, research, values and beliefs in the specific rehabilitation situations. The objectives of rehabilitation medicine education needed to correspond to the competencies of the rehabilitation workers and set up knowledge units that could develop competency in terms of behaviour, activity tasks and proficiency. The curriculum systems of rehabilitation with RCF included the fields of rehabilitation physiotherapy, rehabilitation occupational therapy, hearing and speech rehabilitation, and prosthetic and orthopaedic engineering, etc. ConclusionThe teaching objectives corresponding to the competency characteristics of rehabilitation workers need to be translated into competency-based education. The curriculum contents in rehabilitation needs to be systematically constructed based on RCF from the areas of rehabilitation physiotherapy, rehabilitation occupational therapy, hearing and speech rehabilitation, and prosthetic and orthopaedic engineering.

8.
Chinese Journal of Rehabilitation Theory and Practice ; (12): 1268-1275, 2023.
Article in Chinese | WPRIM | ID: wpr-998968

ABSTRACT

ObjectiveTo construct rehabilitation competency framework (RCF) of the speciality of education and rehabilitation (SER-RCF) based on World Health Organization RCF, to innovate the curriculum system. MethodsThe competency for undergraduate level professionals in the speciality of education and rehabilitation were analyzed to develop curriculum using RCF theory and methodology. ResultsTalent training was a kind of competency-based and outcome-based education. SER-RCF integrated the competencies and activities in the areas of professionalism, practice, learning and development, management and leadership, and research required for professional work in education and rehabilitation around core values and beliefs. It also designed the training objectives of the speciality of education and rehabilitation: to be ethical and correct, to be physically and mentally healthy, to have a solid foundation, to be sustainable, to be co-operative and enjoyable, and to be reflective and enquiring. SER-RCF played a central role in developing the curriculum system of rehabilitation, education and psychology, and practice. ConclusionReshaping the undergraduate level curriculum system of education and rehabilitation based on RCF is not only the implementation of the construction concept of new medicine and new liberal arts, but also can effectively connect with the international standard of rehabilitation higher education.

9.
Chinese Journal of Rehabilitation Theory and Practice ; (12): 1261-1267, 2023.
Article in Chinese | WPRIM | ID: wpr-998967

ABSTRACT

ObjectiveTo systematically analyze the application of World Health Organization rehabilitation competency framework (RCF) and its supporting guidelines in education system of rehabilitation science and curriculum development. MethodsBased on the conceptual framework of RCF and its supporting guidelines, the application of its areas and the modes were analyzed to construct the education system of rehabilitation science with reference to the framework of competency-based clinical medical education. ResultsThe education system of rehabilitation science was developed based on RCF. The competences for specific scenarios in rehabilitation were defined and investigated. A structured system of vocational qualification accreditation and occupational competency standards was constructed, as well as core education system and rehabilitation curricula in rehabilitation science, which helped to train competent rehabilitation workers. ConclusionThe construction of rehabilitation subspecialties, its education system and the development of a curriculum content system based on the RCF is an important way for the development of modern rehabilitation education. RCF theoretical framework and supporting tools provide a standardized and unified method and way for China's rehabilitation science higher education system and professional certification, career access and professional standards for rehabilitation personnel. The quality of rehabilitation science education and the professional development of rehabilitation personnel will also be improved in future.

10.
Chinese Journal of Rehabilitation Theory and Practice ; (12): 1249-1260, 2023.
Article in Chinese | WPRIM | ID: wpr-998966

ABSTRACT

ObjectiveTo develop basic training courses for family doctor teams for people with disabilities. MethodsUtilizing the methods and theories of the World Health Organization (WHO) rehabilitation competency framework (RCF), and referring to the WHO universal health coverage global competency framework, the rehabilitation competency characteristics of family doctor teams for people with disabilities in community settings were analyzed, and a basic training course system for these teams based on the RCF was developed. Results and ConclusionBased on RCF, a competency framework for family doctor teams serving people with disabilities has been constructed. The objectives, content and training course system for basic rehabilitation training has been established.

11.
Chinese Journal of Rehabilitation Theory and Practice ; (12): 1241-1248, 2023.
Article in Chinese | WPRIM | ID: wpr-998965

ABSTRACT

ObjectiveTo investigate rehabilitation competence among trainers and trainees whom participated in the training program entitled National Training Program of Shortage Rehabilitation Physicians (NTPSRP) using World Health Organization rehabilitation competency framework (RCF). MethodsBased on RCF, a questionnaire was developed and administrated through network using Questionnaire Star. All the trainers and trainees who participated in NTPSRP were investigated in September, 2023. ResultsA total of 911 subjects were collected from 27 provinces, including 426 trainers (teachers) and 485 trainees (students). The average age of the teachers was older, with more years of work experience and professional experience in rehabilitation medicine. The degree and professional title of the teachers was also higher. The overall internal consistency reliability of the questionnaire was good (Cronbach's α = 0.988), and all the internal consistency reliability in five fields was good (Cronbach's α > 0.9). The five dimensional structure of RCF in the results was consistent with the prior model established by RCF theory. The self-ratings of all physicians in the five fields were higher than the median level, and was higher in the teachers than in the students [(3.42±0.68) vs. (2.73±0.80), P < 0.001]. Gender and years of experience in rehabilitation medicine were independent factors for the total score of the questionnaire. The total self-rating of female students was 9.65 points lower than that of the male (95%CI 4.386 to 14.914); and one more year in rehabilitation medicine would increase 1.78 points in self-rating (95%CI 1.140 to 2.419). ConclusionThe structure and content of RCF can be used to evaluate the competence of rehabilitation physicians. The teachers and students of NTPSRP are eligible to RCF. RCF-based evaluation can be used to guide the development of continuing education courses for rehabilitation professionals.

12.
Chinese Journal of Rehabilitation Theory and Practice ; (12): 862-868, 2023.
Article in Chinese | WPRIM | ID: wpr-998255

ABSTRACT

ObjectiveTo develop a high-quality rehabilitation major curriculum using the World Health Organization rehabilitation competency framework (RCF), to improve the level of traditional Chinese medicine (TCM) rehabilitation major, to meet the requirements of competency-based education development. MethodsThe competence requirements of rehabilitation professionals of higher traditional TCM colleges and universities were analyzed using the theory and method of RCF. ResultsThe competency structure of TCM rehabilitation talents based on RCF was built, and the curriculum setting of TCM rehabilitation based on RCF was proposed. According to the characteristics of the educational environment of colleges and universities, a competency model suitable for undergraduate-level TCM rehabilitation major was established. ConclusionThe theory and methods of RCF are of great significance for the construction of competency-based education system of TCM rehabilitation major. Based on RCF, this study constructs the basic and practical curriculum system of TCM rehabilitation at the undergraduate level to promote the training of applied talents in TCM rehabilitation.

13.
Malaysian Journal of Medicine and Health Sciences ; : 332-341, 2023.
Article in English | WPRIM | ID: wpr-998036

ABSTRACT

@#Disaster risk reduction (DRR) plays essential roles in ensuring food security to avoid adverse social, economic and financial implications to the disaster victims. This article aims to review existing DRR strategies in food security during flood disasters and recommend strategies that can be adapted into policies in Malaysia according to the Sendai Framework. Sendai Framework provides comprehensive, globally recognized priority themes in DRR while highlighting governmental and stakeholders’ responsibility. A literature review was carried out by searching available published literatures from online databases and selected information used in this review is taken from articles, journals, reports, national reports, news, and thesis regarding the topic from November 2021 to January 2022. This review revealed that DRR strategies of food security during flood disasters in Malaysia lack one out of 14 work areas in four priorities in the Sendai Framework, which is the national-level risk and vulnerability assessment system and tools. This article proposed 19 recommendations to improve eight work areas across all four priority areas to enhance national food security during flood disasters.

14.
Chinese Journal of Hospital Administration ; (12): 113-118, 2023.
Article in Chinese | WPRIM | ID: wpr-996045

ABSTRACT

Objective:To explore the establishment of a surgical complication monitoring mode based on data on the medical record homepage, and analyze its impact on the trend of changes in surgical complication incidence.Methods:A monitoring mode of surgical complication was developed based on the " structure-process-results" framework by using surgical complication rates derived from performance appraisal for a tertiary general hospital in Guangzhou. The number of surgical complications and the number of discharged surgical patients was collected from the hospital from January 2019 to June 2022 through the home page collection system for performance appraisal of national tertiary public hospitals. Descriptive analysis was used to analyze the incidence of surgical complications, and Joinpoint regression was used to analyze the trend of changes in the incidence of surgical complications. Monthly percentage change ( MPC) and average monthly percentage change ( AMPC) were calculated. Results:Since the hospital began implementing the surgical complication monitoring mode in May 2021, the incidence of surgical complications had decreased from 2.55% in June 2021 to 0.82% in June 2022, with an MPC of -5.58% ( P=0.024), which was better than the changes from January 2019 to May 2021 ( MPC=0.18%, P=0.755). Conclusions:The surgical complication monitoring mode constructed by the hospital can effectively reduce the incidence of surgical complications, providing reference for optimizing hospital′s medical quality management process and decision-making mode.

15.
Journal of Pharmaceutical Analysis ; (6): 421-429, 2023.
Article in Chinese | WPRIM | ID: wpr-991155

ABSTRACT

Chiral metal-organic frameworks(CMOFs)with enantiomeric subunits have been employed in chiral chemistry.In this study,a CMOF formed from 6-methoxyl-(8S,9R)-cinchonan-9-ol-3-carboxylic acid(HQA)and ZnCl2,{(HQA)(ZnCl2)(2.5H2O)}n was constructed as a chiral stationary phase(CSP)via an in situ fabrication approach and used for chiral amino acid and drug analyses for the first time.The{(HQA)(ZnCl2)(2.5H2O)}n nanocrystal and the corresponding chiral stationary phase were systematically characterised using a series of analytical techniques including scanning electron microscopy,X-ray diffraction,Fourier transform infrared spectroscopy,circular dichroism,X-ray photoelectron spectros-copy,thermogravimetric analysis,and Brunauer-Emmett-Teller surface area measurements.In open-tubular capillary electrochromatography(CEC),the novel chiral column exhibited strong and broad enantioselectivity toward a variety of chiral analytes,including 19 racemic dansyl amino acids and several model chiral drugs(both acidic and basic).The chiral CEC conditions were optimised,and the enantioseparation mechanisms are discussed.This study not only introduces a new high-efficiency member of the MOF-type CSP family but also demonstrates the potential of improving the enantiose-lectivities of traditional chiral recognition reagents by fully using the inherent characteristics of porous organic frameworks.

16.
Chinese Journal of Biotechnology ; (12): 4837-4848, 2023.
Article in Chinese | WPRIM | ID: wpr-1008062

ABSTRACT

To further enhance the immune effect of the foot-and-mouth disease (FMD) virus-like particles (VLPs) vaccine, this study prepared FMDV VLPs-zeolitic imidazolate (framework-8, ZIF-8) complexes with different particle sizes. We used a biomimetic mineralization method with Zn2+ and 2-methylimidazole in different concentration ratios to investigate the effect of size on the immunization effect. The results showed that FMDV VLPs-ZIF-8 with three different sizes were successfully prepared, with an approximate size of 70 nm, 100 nm, and 1 000 nm, respectively. Cytotoxicity and animal toxicity tests showed that all three complexes exhibited excellent biological safety. Immunization tests in mice showed that all three complexes enhanced the titers of neutralizing and specific antibodies, and their immune effects improved as the size of the complexes decreased. This study showed that ZIF-8 encapsulation of FMDV VLPs significantly enhanced their immunogenic effect in a size-dependent manner.


Subject(s)
Animals , Mice , Foot-and-Mouth Disease/prevention & control , Foot-and-Mouth Disease Virus , Antibodies, Neutralizing , Immunity, Humoral , Immunization , Vaccines, Virus-Like Particle , Antibodies, Viral , Viral Vaccines
17.
Acta Pharmaceutica Sinica B ; (6): 775-786, 2023.
Article in English | WPRIM | ID: wpr-971730

ABSTRACT

The typical hallmark of tumor evolution is metabolic dysregulation. In addition to secreting immunoregulatory metabolites, tumor cells and various immune cells display different metabolic pathways and plasticity. Harnessing the metabolic differences to reduce the tumor and immunosuppressive cells while enhancing the activity of positive immunoregulatory cells is a promising strategy. We develop a nanoplatform (CLCeMOF) based on cerium metal-organic framework (CeMOF) by lactate oxidase (LOX) modification and glutaminase inhibitor (CB839) loading. The cascade catalytic reactions induced by CLCeMOF generate reactive oxygen species "storm" to elicit immune responses. Meanwhile, LOX-mediated metabolite lactate exhaustion relieves the immunosuppressive tumor microenvironment, preparing the ground for intracellular regulation. Most noticeably, the immunometabolic checkpoint blockade therapy, as a result of glutamine antagonism, is exploited for overall cell mobilization. It is found that CLCeMOF inhibited glutamine metabolism-dependent cells (tumor cells, immunosuppressive cells, etc.), increased infiltration of dendritic cells, and especially reprogrammed CD8+ T lymphocytes with considerable metabolic flexibility toward a highly activated, long-lived, and memory-like phenotype. Such an idea intervenes both metabolite (lactate) and cellular metabolic pathway, which essentially alters overall cell fates toward the desired situation. Collectively, the metabolic intervention strategy is bound to break the evolutionary adaptability of tumors for reinforced immunotherapy.

18.
Chinese Journal of Biotechnology ; (12): 1131-1141, 2023.
Article in Chinese | WPRIM | ID: wpr-970428

ABSTRACT

The α-amino acid ester acyltransferase (SAET) from Sphingobacterium siyangensis is one of the enzymes with the highest catalytic ability for the biosynthesis of l-alanyl-l-glutamine (Ala-Gln) with unprotected l-alanine methylester and l-glutamine. To improve the catalytic performance of SAET, a one-step method was used to rapidly prepare the immobilized cells (SAET@ZIF-8) in the aqueous system. The engineered Escherichia coli (E. coli) expressing SAET was encapsulated into the imidazole framework structure of metal organic zeolite (ZIF-8). Subsequently, the obtained SAET@ZIF-8 was characterized, and the catalytic activity, reusability and storage stability were also investigated. Results showed that the morphology of the prepared SAET@ZIF-8 nanoparticles was basically the same as that of the standard ZIF-8 materials reported in literature, and the introduction of cells did not significantly change the morphology of ZIF-8. After repeated use for 7 times, SAET@ZIF-8 could still retain 67% of the initial catalytic activity. Maintained at room temperature for 4 days, 50% of the original catalytic activity of SAET@ZIF-8 could be retained, indicating that SAET@ZIF-8 has good stability for reuse and storage. When used in the biosynthesis of Ala-Gln, the final concentration of Ala-Gln reached 62.83 mmol/L (13.65 g/L) after 30 min, the yield reached 0.455 g/(L·min), and the conversion rate relative to glutamine was 62.83%. All these results suggested that the preparation of SAET@ZIF-8 is an efficient strategy for the biosynthesis of Ala-Gln.


Subject(s)
Escherichia coli/genetics , Glutamine , Zeolites/chemistry , Amino Acids
19.
Rev. panam. salud pública ; 47: e133, 2023. tab
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1515484

ABSTRACT

RESUMEN Objetivo. Analizar las desigualdades en la salud autopercibida entre grupos de población situados en las intersecciones de identidad de género, grupo étnico y nivel de educación en países de las Américas, clasificados según su nivel de ingreso. Métodos. Se utilizaron datos en panel de la Encuesta Mundial de Valores en el período comprendido entre los años 1990 y 2022. La muestra de este estudio incluyó 58 790 personas entre 16 y 65 años, provenientes de 14 países del continente americano. La variable dependiente fue la mala salud autopercibida, las variables independientes fueron el género, el nivel de educación y el grupo étnico. Para el análisis interseccional intercategórico se creó una variable multicategórica de 12 estratos. Se realizó un análisis de heterogeneidad individual y precisión diagnóstica mediante cinco modelos de regresión logística ajustados por edad y ola de encuesta. Resultados. Se observó un claro y persistente gradiente interseccional para la mala salud autopercibida en todas las desagregaciones de países por su ingreso. Comparados con la categoría más aventajada (hombres de etnia mayoritaria y educación superior), los demás grupos incrementaron el riesgo de mala salud, con el mayor riesgo en las mujeres de etnia minoritaria o pueblos indígenas con nivel de educación inferior a secundaria (tres a cuatro veces mayor). Además, las mujeres tuvieron mayor riesgo de mala salud respecto a los hombres en cada uno de los pares de estratos interseccionales. Conclusiones. El análisis interseccional demostró la persistencia de un gradiente social de la mala salud autopercibida en el continente americano.


ABSTRACT Objective. Analyze inequalities in self-perceived health among population groups located at the intersections of gender identity, ethnicity, and education level in countries of the Americas, classified by income level. Methods. Panel data from the World Values Survey were used for the period 1990-2022. The study sample included 58 790 people between 16 and 65 years of age from 14 countries in the Americas. The dependent variable was poor self-perceived health, and the independent variables were gender, education level, and ethnicity. A multi-categorical variable with 12 strata was created for the intercategorical intersectionality analysis. An analysis of individual heterogeneity and diagnostic accuracy was performed using five logistic regression models, adjusted by age and by survey wave. Results. A clear and persistent intersectional gradient for poor self-perceived health was observed in all country disaggregations by income. Compared to the category with the most advantage (men of majority ethnicity and higher education), the other groups had increased risk of poor health, with the highest risk among women of minority ethnicity and in Indigenous peoples with less than secondary education (three to four times higher). In addition, women had a higher risk of poor health than men in each pair of intersectional strata. Conclusions. The intersectional analysis demonstrated a persistent social gradient of self-perceived ill health in the Americas.


RESUMO Objetivo. Analisar desigualdades na autopercepção de saúde entre grupos populacionais localizados nas interseções de identidade de gênero, etnia e nível de escolaridade em países das Américas, classificados pelo nível de renda. Métodos. Foram usados dados em painel da Pesquisa Mundial de Valores referentes ao período de 1990 a 2022. A amostra deste estudo incluiu 58 790 pessoas com idades entre 16 e 65 anos de 14 países das Américas. A variável dependente foi a autopercepção de problemas de saúde, e as variáveis independentes foram gênero, nível de escolaridade e etnia. Para a análise interseccional intercategórica, foi criada uma variável multicategórica de 12 estratos. Foi realizada uma análise da heterogeneidade individual e da precisão do diagnóstico usando cinco modelos de regressão logística ajustados por idade e onda de pesquisa. Resultados. Observou-se um gradiente interseccional claro e persistente para a autopercepção de problemas de saúde em todas as desagregações de países por renda. Em comparação com a categoria mais favorecida (homens de etnia majoritária e com ensino superior), todos os outros grupos apresentaram maior risco de problemas de saúde, com o maior risco para mulheres de etnias minoritárias ou povos indígenas com nível de escolaridade inferior ao ensino médio (três a quatro vezes maior). Além disso, as mulheres tinham um risco maior de problemas de saúde do que os homens em cada um dos pares de estratos interseccionais. Conclusões. A análise interseccional demonstrou a persistência de um gradiente social na autopercepção de problemas de saúde nas Américas.

20.
Article in English | LILACS, INDEXPSI | ID: biblio-1529088

ABSTRACT

Abstract The Theory of Intersectionality is an important contribution from feminist epistemologies to the scientific field. This narrative literature review aims to discuss methodological possibilities and challenges in producing and analyzing empirical evidence based on the Theory of Intersectionality, as well as its contributions to Psychology. While this theory is increasingly being cited as the basis for empirical research, articulating its assumptions in knowledge production processes is still a difficulty. Qualitative approaches prevail in the field, but advancements in statistical analysis methods allow for an intersectional interpretation in quantitative studies. Intersectionality contributes to understanding psychological processes and challenging dominant and exclusionary assumptions in the field of Psychology. Embracing this theory requires a commitment to the imperative of social transformation and entails placing claims, values, practices, and power relations at the core of scientific knowledge production, regardless of the field under study.


Resumo A Teoria da Interseccionalidade é uma importante contribuição das epistemologias feministas para o campo científico. Este estudo de revisão narrativa da literatura teve como objetivo discutir possibilidades e desafios metodológicos na produção e análise de evidências empíricas embasadas na Teoria da Interseccionalidade e suas contribuições para a Psicologia. Embora essa teoria esteja crescentemente sendo citada como base de pesquisas empíricas, ainda se identifica a dificuldade de articular seus pressupostos nos processos de produção de conhecimento. As abordagens qualitativas são predominantes no campo e observa-se avanços em métodos de análises estatísticas que permitem uma leitura interseccional em estudos quantitativos. A interseccionalidade contribui para compreender processos psicológicos e desafiar suposições dominantes e excludentes no campo da Psicologia. Adotar essa teoria requer uma implicação com o imperativo de transformação social e implica tornar reivindicações, valores, práticas e relações de poder como cerne da produção de conhecimento científico, independentemente do campo estudado.


Resumen La Interseccionalidad es una importante contribución de las epistemologías feministas al campo científico. Este artículo de revisión narrativa tiene como objetivo discutir las posibilidades y desafíos metodológicos en la producción y análisis de evidencia empírica basada en la Interseccionalidad y sus contribuciones a la Psicología. Aunque esta teoría se cita cada vez más como base de investigaciones empíricas, aún se identifica la dificultad de articular sus supuestos en los procesos de producción de conocimiento. Los enfoques cualitativos predominan en el campo y se observan avances en métodos de análisis estadístico que permiten una lectura interseccional en estudios cuantitativos. La interseccionalidad contribuye a comprender los procesos psicológicos y desafiar suposiciones dominantes y excluyentes en el campo de la Psicología. Adoptar esta teoría requiere una implicación con el imperativo de transformación social e implica poner las demandas, valores, prácticas y relaciones de poder en el centro de la producción de conocimiento científico, independientemente del campo estudiado.


Subject(s)
Psychology , Empirical Research , Intersectional Framework
SELECTION OF CITATIONS
SEARCH DETAIL