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Rev. APS ; 25(Supl. 2): 160-181, 16/08/2022.
Article in Portuguese | LILACS | ID: biblio-1393282


No Brasil, a prevalência de tabagismo ainda é elevada em pessoas portadoras de Condições Crônicas não Transmissíveis (CCNT). A compreensão dos modelos de atenção ao tabagista é essencial para se reduzir o abandono do tratamento. Objetivos: identificar as características sociodemográficas e de saúde dos indivíduos que buscaram o Programa Nacional de Controle do Tabaco (PNCT) em duas Unidades Básicas de Saúde (UBS) do município de Campinas, estimar o percentual de abandono do tratamento e elencar os fatores associados a esse desfecho. Metodologia: coorte histórico cujos dados foram obtidos, entre 2016 e 2019, em grupos de tratamento do PNCT. Para a realização da análise exploratória, a pesquisa incluiu 276 participantes, dos quais foram registradas suas variáveis sociodemográficas, condições de saúde, formas de uso do tabaco e participação no programa. Foram estimados o índice de abandono do tratamento e as possíveis relações com as variáveis significativas através de regressão múltipla. Resultados: a média de idade foi de 50,7 anos, com 60% do sexo feminino, 57,7% brancos, 52,2% com companheiro, 84,7% com filhos, 52,5% com ensino fundamental, 64% com renda entre um e dois salários, 40,1% trabalhando em setor de serviços e 58% católicos. O percentual de abandono do tratamento foi de 31%. A hipertensão se relacionou com o abandono do tratamento (p=0,030), reduzindo-o. Conclusão: o perfil dos indivíduos foi semelhante ao encontrado em outras pesquisas; indivíduos não hipertensos apresentaram maioríndice de abandono. São necessários outros estudos que avaliem fatores associados ao abandono do tratamento

In Brazil, there is still a high prevalence of smoking among people with chronic diseases. The understanding of smoking treatments is essential to a reduction in treatment dropout. Objectives: to identify epidemiological and health aspects of smokers, estimate the dropout rates, and list the factorsassociated with treatment dropouts. Data from PNCT (National Program of Tobacco Control) treatment groups was obtained from a historical cohort between 2016 and 2019. The research included 276 participants with different sociodemographic realities, healthconditions, forms of tobacco use, and participation in the program to conduct an exploratory analysis. The treatment dropout rate and possible relations with significant variables were estimated through multiple regression. Results: The mean age was 50.7 years; 60% female; 57.7% white; 52.2% with a partner; 84.7% with children; 52.5% studied until elementary school; 64% received between one and two salaries; 40.1% worked in the service sector; 58% were Catholic. The percentage of treatment dropouts was 31%. Hypertension was related to treatment dropout (p = 0.030), reducing it. Conclusion: The profiles of individuals were similar to those in other surveys. Non-hypertensive individuals had a higher dropout rate. Further studies are needed to assess the factors associated with treatment dropout.

Humans , Male , Female , Adult , Middle Aged , Patient Dropouts/statistics & numerical data , Tobacco Use Disorder/prevention & control , Smoking Prevention , Health Status , Risk Factors , Sociodemographic Factors
Acta sci., Health sci ; 44: e56397, Jan. 14, 2022.
Article in English | LILACS | ID: biblio-1363820


According to different researches, 30% of university graduates have a low level of health, and studying at university is one of the factors of its deterioration, besides the first year is considered critical. The purpose of research is to study the dynamics of physical development, physical fitness and functional state of young men during the first year of university studies. For the survey we used standard measurements and index calculations for 11 indicators of physical development, 9 indicators of physical fitness and 15 indicators of functional status. We calculated the arithmetic mean (M), the standard error of the mean (m), then evaluated differences by the Student criterion (t) for independent samples and considered them as reliable atр < 0.05. It is shown that during the first year of studies, young men have an increase in the Erismann index, the corpulence (Rohrer's) index, the body mass index and a decrease in the Pignet index. There is also an increase in the coefficient of endurance, adaptive capacity and diastolic pressure, while vital capacity of the lungs, the vital index, time of hanging on the bar and the speed of running 1000 m decrease. The dynamics of physical development is expressed in a change in mass-growth indices and indicates an increase in body weight. The dynamics of physical fitness is expressed in a decrease of the time of hanging on the bar and the speed of running 1000 m. The dynamics of the functional state is expressed in a decrease of vital capacity of the lungs, vital index, increase in the coefficient of endurance, adaptive capacity and diastolic blood pressure.

Humans , Male , Young Adult , Students , Universities/statistics & numerical data , Health Status , Physical Fitness/physiology , Athletic Performance/physiology , Motor Skills/physiology , Physical Endurance/physiology , Running/physiology , Blood Pressure/physiology , Body Weight/physiology , Cardiovascular System , Body Mass Index , Vital Capacity/physiology , Muscle Strength/physiology , Arterial Pressure/physiology , Functional Status , Indicators and Reagents , Men
Acta sci., Health sci ; 44: e58304, Jan. 14, 2022.
Article in English | LILACS | ID: biblio-1364007


This study aimed to determine pain assessment approaches and pain management strategies in elderly people in a nursing home.The cross-sectional-descriptive study sample consisted of 147 older adults living in a nursing home in Turkey in 2019. They all agreed to participate in the study (n = 147); however, as our research was about older adultswith pain problems, the study was completed with a total of 108 older adultsexperiencing pain problems. The participants' average age was 73.60 ± 6.97 years. Geriatric pain scale scores were higher for women aged 75 years and over, those who had a chronic disease and those who received analgesics, and there was a statistically significant difference between the mean scores (p < 0.05). Nurses must pay attention to pain assessment and management in nursing homes because of the adverse effects of pain on older adults' health status, vital functions, and well-being.

Humans , Male , Female , Aged , Aged, 80 and over , Pain/nursing , Pain/drug therapy , Pain Measurement/nursing , Aged , Prevalence , Pain Management/nursing , Homes for the Aged , Health Status , Geriatric Nursing , Analgesics/therapeutic use , Nurses , Nursing Homes
Acta sci., Health sci ; 44: e59132, Jan. 14, 2022.
Article in English | LILACS | ID: biblio-1367780


The aim of this study is to examine the relationship between family role performance levels and health perceptions of individuals. This cross-sectional study was conducted with 438 participants who appliedto four Family Health Centers between 18 July 2020 and 18 November 2020. The data were collected using Personal Information Form, Family Role Performance Scale, and Perception of Health Scale. ANOVA, independent samples t test and regression test were used for statistics calculations. Ethics Committee approval and institutional permissions were obtained to conduct the study. Scale mean scores of the participants were 30.92 ± 6.41 for Family RolePerformance Scaleand 48.35 ± 7.73 for Perception of Health Scale. As a result of simple linear regression analysis, a significant correlation was found between Family Role Performance and Perception of Health Scale. According to regression analysis, it was determined that family role performance affected health perception at the rate of 15.1%. In this study, it was determined that as family role performance increased, the level of health perception also increased, and there was a correlation between family role performance and health perception. Family role performances and health perception for all participants were at a moderate level.

Humans , Male , Female , Adolescent , Adult , Middle Aged , Young Adult , Primary Health Care , Health Status , Family Relations/psychology , Health Centers , Family Health , Cross-Sectional Studies
Afr. j. disabil. (Online) ; 11(NA): 1-13, 2022. figures, tables
Article in English | AIM | ID: biblio-1373725


Background: People with disabilities are at higher risk of adverse coronavirus disease 2019 (COVID-19) outcomes. Additionally, measures to mitigate COVID-19 transmission have impacted health service provision and access, which may particularly disadvantage people with disabilities. Objectives: To explore the perspectives and experiences of people with disabilities in accessing health services in Zimbabwe during the pandemic, to identify perceived challenges and facilitators to inclusive health and key actions to improve accessibility. Methods: We used in-depth interviews with 24 people with disabilities (identified through purposive sampling) and with 10 key informants (from expert recommendation) to explore the impact of COVID-19 on access to health care. Interviews were transcribed, coded and thematically analysed. We used the disability-inclusive health 'Missing Billion' framework to map and inform barriers to inclusive health care during COVID-19 and disparities in outcomes faced by people with disabilities. Results: People with disabilities demonstrated good awareness of COVID-19 mitigation strategies, but faced difficulties accessing COVID-19 information and health services. Challenges to the implementation of COVID-19 guidelines related to a person's functional impairment and financial ability to do so. A key supply-side constraint was the perceived de-prioritisation of rehabilitation services. Further restrictions on access to health services and rehabilitation decreased an individual's functional ability and exacerbated pre-existing conditions. Conclusion: The immediate health and financial impacts of the COVID-19 pandemic on people with disabilities in Zimbabwe were severe. Government departments should include people with disabilities in all communications and activities related to the pandemic through a twin-track approach, meaning inclusion in mainstream activities and targeting with specific interventions where necessary.

Disabled Persons , Pandemics , COVID-19 , Health Services Accessibility , Health Status
Ethiop. j. health dev. (Online) ; 36(1): 1-12, 2022. tales, figures
Article in English | AIM | ID: biblio-1398387


Background: Creating responsibility for quality healthcare data and utilization are among the basic functions of leadership. While the benefits of data quality and use are well known, the evidence around the role of healthcare information systems leadership and governance in sustaining data demand and use is limited. Therefore, this study aimed to investigate the level and contributing factors of health data quality and information use in Assosa district, Benishangule Gumuze Region. Methods: A mixed approach design, using qualitative exploration and a facility-based quantitative cross-sectional approach was used. Seventeen departments from two health facilities were enrolled for the quantitative component, while 28 in-depth interviews were conducted to complete the qualitative part of the study. A phenomenological approach was used to explore factors influencing the quality and use of health data. Quantitative data was analyzed descriptively using tables and graphs, whereas qualitative data was analyzed using content analysis guided by the framework for the social ecological model. Results: The average levels of information use and report accuracy were 38.6 and 119.33, respectively. Three themes emerged, explaining the main factors that influence quality data generation: individual characteristics, facility and environmental factors, and leadership and governance characteristics. Individual characteristics were motivation, capacity building, commitment, and digital literacy, while facility and environmental factors included infrastructure, healthcare information system resources and supportive supervision. Furthermore, among the leadership and governance related factors, healthcare data, assigning the right person, and system regulation were some of the factors which were identified. Conclusions: The level of health data quality and its utilization was low during the Asossa city adminstration. The unfriendly physical and organizational working environments and high staff turnover which negatively affected the leadership and governance of the health system are some of the reasons which were sighted with regards to the poor quality of data and information use. Therefore, interventions that have multifaceted effects on data quality and use, such as improving leadership and governance practices and behavior should be implemented. [Ethiop. J. Health Dev. 2022;36 (SI-1)]

Humans , Health Status , Ecological Development , Immunoglobulin Variable Region , Total Quality Management
J. Phys. Educ. (Maringá) ; 33: e3321, 2022. tab
Article in English | LILACS | ID: biblio-1386002


ABSTRACT The present study estimate the prevalence of negative self-rated health and to analyze its association with simultaneous risk behaviors (insufficient levels of physical activity, greater exposure to sedentary time and inappropriate sleep time) in students at a public university in the state from Minas Gerais, Brazil. It consists of cross-sectional study, with data collected through a questionnaire. The outcome variable was negative self-rated health. The independent variables were estimated by the questions related to the time spent on physical activity, sitting and sleep time, and these three behaviors were considered according to the risk criteria (none, one, two and three risk behaviors). The association was estimated by the Prevalence Ratios (PR), via Poisson regression. 1,110 students participated in the study. The prevalence of negative self-rated health among university students was 47.3%, and the prevalence of two risk behaviors and three risk behaviors were 41.3% and 11.3%, respectively. The simultaneous occurrence of three risk behaviors was associated with negative self-rated health in university students. The information in this study makes it possible to characterize the need for actions to promote health in the university environment.

RESUMO O presente estudo estimou a prevalência da autoavaliação de saúde negativa e analisou a sua associação com comportamentos de risco simultâneos (níveis insuficientes de atividade física, maior exposição ao tempo sedentário e tempo de sono não apropriado) em estudantes de uma universidade pública do ensino superior do estado de Minas Gerais, Brasil. Consiste de um estudo transversal, com informações mensuradas via questionário e a variável desfecho foi a autoavaliação de saúde negativa. As variáveis independentes foram estimadas pelas perguntas referentes ao tempo despendido em: atividade física, tempo sentado e tempo de sono, e esses três comportamentos foram somados conforme os critérios de risco (nenhum, um, dois e três fatores de risco). A associação foi estimada pelas Razões de Prevalências (RP), via regressão de Poisson. Participaram do estudo 1.110 estudantes. A prevalência da autoavaliação de saúde negativa entre os universitários foi de 47,3%, e as prevalências de dois fatores de risco e de três fatores de risco foram de 41,3% e 11,3%, respectivamente. A ocorrência de forma simultânea de três fatores de risco mostrou-se associada com a autoavaliação de saúde negativa em universitários. As informações deste estudo possibilitam caracterizar a necessidade de ações na promoção de saúde no ambiente universitário.

Humans , Male , Female , Adult , Risk-Taking , Students , Health Status , Risk Factors , Self-Testing , Physical Education and Training , Sleep , Stress, Psychological/psychology , Universities/organization & administration , Exercise , Body Mass Index , Cholesterol , Public Health/education , Cross-Sectional Studies/methods , Sedentary Behavior , Smokers/statistics & numerical data , Sitting Position , Health Promotion , Life Style
J. Phys. Educ. (Maringá) ; 33: e3324, 2022. tab, graf
Article in English | LILACS | ID: biblio-1385999


ABSTRACT This study aimed to describe the working and health conditions of physical education teachers in public basic education in the state of Minas Gerais - Brazil during the COVID-19 pandemic. Cross-sectional study, carried out from August to September 2020, via digital form and had the support of the Minas Gerais State Department of Education. The instrument presented variables related to the sociodemographic profile, work and health conditions during the pandemic. The prevalences of the variables were presented. 1,016 physical education teachers participated in the study. Of these, 61.4% were female, 65.8% aged 21 to 40 years and 15.3% worked in the countryside. In relation to working conditions during the pandemic, 99% performed remote activities, 35.7% were dissatisfied with their work, 37% worked much more than they used to and 81.2% presented the interest of students/parents in classes as a difficulty. As for health conditions during the pandemic, 10.3% increased their consumption of alcoholic beverages, 26.1% did not practice physical exercise, 56.5% had increased body weight and 37.8% reported a lot of fear of COVID-19. Physical education teachers of basic education in the state of Minas Gerais were significantly affected by the pandemic, so it is important to implement support strategies.

RESUMO Este estudo objetivou descrever as condições de trabalho e saúde dos professores de educação física da educação básica pública do estado de Minas Gerais - Brasil durante a pandemia da COVID-19. Estudo transversal, realizado de agosto a setembro de 2020, via formulário digital e contou com o apoio da Secretaria de Estado de Educação de Minas Gerais. O instrumento apresentou variáveis referentes ao perfil sociodemográfico, condições de trabalho e saúde durante a pandemia. Foram apresentadas as prevalências das variáveis. Participaram do estudo 1.016 professores de educação física. Destes, 61,4% eram mulheres, 65,8% com idade de 21 a 40 anos e 15,3% trabalhavam na zona rural. Em relação às condições de trabalho durante a pandemia, 99% realizaram atividades remotas, 35,7% estavam insatisfeitos com o trabalho, 37% trabalharam muito mais que costumavam e 81,2% apresentaram como dificuldade o interesse dos alunos/pais pelas aulas. Quanto às condições de saúde durante a pandemia, 10,3% aumentaram o consumo de bebidas alcóolicas, 26,1% não praticaram exercício físico, 56,5% tiveram aumento de peso corporal e 37,8% relataram muito medo da COVID-19. Os professores de educação física da educação básica do estado de Minas Gerais foram significativamente afetados pela pandemia, portanto é importante implementação de estratégias de apoio.

Humans , Male , Female , Adult , Physical Education and Training/methods , Coronavirus , Faculty/education , Pandemics/prevention & control , COVID-19/prevention & control , Students , Working Conditions , Alcohol Drinking/psychology , Exercise , Weight Gain , Health Status , Epidemiology/education , Cross-Sectional Studies , Occupational Health/education , Education, Primary and Secondary , Fear/psychology , Teleworking/trends , Sociodemographic Factors , Life Style
Ciênc. cuid. saúde ; 21: e59527, 2022. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1384523


RESUMO Objetivo: Comparar as características sociodemográficas, de saúde e de trabalho de homens e mulheres com deficiência que residem em contexto rural. Método: Estudo transversal analítico, com 276 pessoas com deficiência residentes em cenário rural de oito municípios da região noroeste do Estado do Rio Grande do Sul, Brasil. Os dados foram coletados por meio de um questionário fechado, com variáveis sociodemográficas, de trabalho e saúde, aplicado na residência dos participantes nos meses de setembro de 2018 a julho de 2019. Esses foram digitados e analisados no programa estatístico software Statistical Package for the Social Sciences for Windows, versão 18.0 por meio de estatística analítica descritiva (comparação de frequência). Para comparar os dois grupos (homens e mulheres) empregou-se o teste Qui-Quadrado. Resultados: Dos homens, 27,8% apresentaram deficiência física e a deficiência múltipla foi mais frequente na mulher (p<0,001). O trabalho na agricultura e do lar eram mais frequentes no sexo feminino e as atividades autônomas e empregatícias, no sexo masculino. Ambos recebiam BPC, ainda que 18% não tivessem nenhum tipo de benefício. Homens tinham duas vezes mais chance de serem tabagistas e quase três vezes maior risco de etilismo que as mulheres (p<0,001). Conclusão: As características de pessoas com deficiência que residem em contexto rural se diferenciam entre os sexos, no que se refere à deficiência, trabalho e hábitos que vulnerabilizam a saúde.

RESUMEN Objetivo: comparar las características sociodemográficas, de salud y de trabajo de hombres y mujeres con discapacidad que residen en contexto rural. Método: estudio transversal analítico, con 276 personas con discapacidad residentes en escenario rural de ocho municipios de la región noroeste del Estado de Rio Grande do Sul, Brasil. Los datos fueron recogidos a través de un cuestionario cerrado, con variables sociodemográficas, de trabajo y salud, aplicado en la residencia de los participantes en los meses de septiembre de 2018 a julio de 2019. Estos fueron introducidos y analizados en el programa estadístico software StatisticalPackageforthe Social Sciencesfor Windows, versión 18.0. por medio de estadística analítica descriptiva (comparación de frecuencia). Para comparar los dos grupos (hombres y mujeres) se empleó la Prueba de chi-cuadrado. Resultados: de los hombres, el 27,8% presentó discapacidad física y la discapacidad múltiple fue más frecuente en la mujer (p<0,001). El trabajo en la agricultura y en el hogar eran más frecuentes en el sexo femenino y las actividades autónomas y de empleo, en el sexo masculino. Ambos recibían BPC, aunque el 18% no tenía ningún tipo de beneficio. Los hombres tenían dos veces más probabilidades de ser fumadores y casi tres veces mayor riesgo de etilismo que las mujeres (p<0,001). Conclusión: las características de las personas con discapacidad que residen en un contexto rural se diferencian entre los sexos, en lo que se refiere a la discapacidad, trabajo y hábitos que vulneran la salud.

ABSTRACT Objective: Comparing the sociodemographic characteristics of health and work of men and women with disabilities living in a rural context. Method: A cross-sectional analytical study with 276 people with disabilities living in a rural setting in eight cities in the Northwest Region of the State of Rio Grande do Sul, Brazil. Data were collected through a closed questionnaire with sociodemographic, work and health variables applied at the participants' residence from September 2018 to July 2019. These were typed and analyzed in the software Statistical Package for the Social Sciences for Windows, version 18.0 by means of descriptive analytical statistics (frequency comparison). To compare the two groups (men and women) the Chi-Square test was used. Results: Of the men, 27.8% had physical disabilities and multiple disability was more frequent in women (p<0.001). Work in agriculture and home was more frequent in females and autonomous and employment activities in males. Both received PB, although 18% did not have any kind of benefit. Men were twice as likely to be smokers and almost three times higher risk of alcohol than women (p<0.001). Conclusion: The characteristics of people with disabilities living in a rural setting differ between the genders, with regard to disability, work and habits that make health vulnerable.

Humans , Male , Female , Working Conditions , Rural Health/statistics & numerical data , Health of the Disabled , Sociodemographic Factors , Public Policy/legislation & jurisprudence , Quality of Life , Rural Population/trends , Tobacco Use Disorder , Health Status , Disabled Persons/statistics & numerical data , Alcoholics/statistics & numerical data , Leisure Activities
Einstein (Säo Paulo) ; 20: eAO6268, 2022. tab
Article in English | LILACS | ID: biblio-1364785


ABSTRACT Objective To describe the patterns of displacement of the hyoid bone in healthy individuals, considering their displacements during swallowing of different consistencies. Methods Two hundred one swallowing videofluoroscopy exams of 67 adult and elderly individuals without swallowing disorders were analyzed. Descriptive analysis was performed to identify and describe the patterns of displacement of the hyoid bone. Results Seven types of displacement of the hyoid bone were found: H1 (horizontal), H2 (short vertical and long horizontal), H3 (vertical and diagonal to upper), H4 (long vertical and short horizontal), H5 (vertical), H6 (diagonal), and H7 (brief). The standards were maintained in different consistencies. The most frequent pattern of displacement was type H2. The distribution of the types of displacement of the hyoid was different among men and women. Conclusion Seven patterns of displacement of the hyoid bone during swallowing of normal adults and older people have been described. The most frequent pattern of displacement was horizontal, with variations in distribution between men and women. The displacement pattern was maintained during the swallowing of the three different consistencies (thin, pasty and solid liquid).

Humans , Male , Female , Adult , Aged , Deglutition Disorders/diagnostic imaging , Deglutition , Health Status , Hyoid Bone/diagnostic imaging
Saúde Soc ; 31(3): e210529pt, 2022.
Article in Portuguese | LILACS | ID: biblio-1390337


Resumo O objetivo do presente texto é explorar as interfaces entre a Promoção da Saúde (PS), atenção à saúde e processo de cuidado. Parte-se da premissa de que a dimensão da atenção à saúde é essencial para a construção teórico-prática da PS, de forma que possa contribuir para melhores condições de saúde. Trata-se de pesquisa com caráter qualitativo; foi realizada consulta a gestores(as) e trabalhadores(as) municipais da Atenção Básica, utilizando formulário eletrônico, que teve 215 respondentes; e 13 entrevistas com especialistas, membros do Grupo de Trabalho da Associação Brasileira de Saúde Coletiva; também foi realizada análise categorial-temática. Como resultado, pode-se destacar: não necessariamente há dicotomia entre PS, Clínica e cuidado; a forma como o cuidado é produzido torna-se relevante, já que é necessário considerar princípios e diretrizes da PS; e que o cuidado estaria relacionado à PS ainda que a perspectiva seja a recuperação da saúde em casos de adoecimento. Assim, defender a importância da dimensão da atenção à saúde não é ratificar a hegemonia da assistência à saúde sobre outros componentes do processo de cuidado, sendo essencial considerar necessidades individuais em conjunto com a dinâmica social e o contexto no qual vivem as pessoas.

Abstract The aim of this text is to explore the interfaces between Health Promotion (HP), health care and the care process. It starts from the assumption that the dimension of health care is essential for the theoretical-practical construction of HP, so that it can contribute to better health conditions. This is a qualitative research, a consultation was carried out with managers and municipal workers of Health Primary Care, using an electronic form, which had 215 respondents; and 13 interviews with experts, so called members of the Working Group of the Brazilian Association of Collective Health; also a categorical-thematic analysis was performed. As a result, stands out that: there is not necessarily a dichotomy between HP, , clinical care; the way in which care is produced becomes relevant since considering HP principles and guidelines is necessary, thus care would be related to HP even though the perspective is the recovery of health in cases of illness. Thus, defending the importance of the health care dimension is not to ratify the hegemony of health care over other components of care process, and considering individual needs alongside the social dynamics and the context in which people live is essential.

Primary Health Care , Health Status , Delivery of Health Care , Integrality in Health , Health Promotion , Qualitative Research
Article in English | LILACS, BBO | ID: biblio-1390017


ABSTRACT OBJECTIVE Determine and measure the association of social factors and health conditions with worse capacity and performance levels. METHODS Dependent variables consisted of performance and capacity; independent variables comprised age, gender, level of education, personal income, and health conditions. Means (95%CI) of performance and capacity were presented according to the independent variables. Generalized linear models, using a mutual adjustment for all variables considered statistically significant (p < 0.05), measured the associations between each exposure and outcomes. Study population included 12,265 individuals. RESULTS Older women with lower education and income levels and with some health condition showed the worst performance and capacity. CONCLUSION Results showed that the capacity and performance levels of the Chilean population changed according to social demographic characteristics and health conditions.

Socioeconomic Factors , Health Status , Risk Factors , Social Factors
Cad. Saúde Pública (Online) ; 38(4): EN178221, 2022. tab, graf
Article in English | LILACS | ID: biblio-1374814


The empowerment of home cooking has been recently approached in the literature as pertaining to cooking skills and the capacity to overcome social, physical, and economic obstacles. However, thus far no studies have related the State's role in this important health-promoting home practice, namely healthy cooking. We aim to elaborate on the concept and develop a multilevel conceptual model of cooking autonomy (CMCA) in order to relate the State's role in healthy home cooking. This is a theoretical-conceptual study consisting of three phases: conceptual elaboration, expert panel consultation, and content validity of the CMCA developed in this study. A comprehensive literature review worked as the theoretical and conceptual basis, featuring Amartya Sen's human capability approach. A total of 28 experts issued their opinions in listening workshops and interviews. Cooking autonomy was defined as the capacity to think, to decide, and to act to prepare meals from scratch, influenced by interpersonal relations, environment, cultural values, access to opportunities, and guarantee of rights. The CMCA has six levels, differing according to the degree of participation of an individual. We also present two charts with examples of the agent's practices and actions that can be developed by the State in the public policy sphere. As a pioneering model in the international literature, the CMCA provides the conceptual basis for the development of studies and interventions on cooking autonomy, focusing not only on individual skills, but also on the role of public policies for healthy home cooking.

El empoderamiento de cocinar en el hogar se ha tratado recientemente en la literatura como una cuestión dentro del ámbito de las habilidades para cocinar y la capacidad para superar obstáculos sociales, físicos, y económicos. No obstante, hasta ahora ningún estudio ha relacionado el papel del Estado para esta importante práctica de promoción de la salud en el hogar, denominada cocina sana. Nuestro objetivo ha sido elaborar el concepto y desarrollar un modelo conceptual multinivel de autonomía culinaria (MCAC), con el fin de relacionar el papel del estado para la cocina sana en el hogar. Se trata de un estudio teórico-conceptual consistente en tres fases: elaboración conceptual, consulta de panel de expertos, y validez del contenido del MCAC desarrollado en este ejercicio. La revisión general de la literatura sirvió como base teórica y conceptual, destacando el enfoque basado en las capacidades de Amartya Sen. Un total de 28 expertos proporcionaron sus opiniones escuchando talleres y entrevistas. La autonomía culinaria se definió como la capacidad para pensar, decidir, y actuar para preparar comidas desde cero, influenciada por las relaciones interpersonales, el ambiente, valores culturales, acceso a oportunidades, y garantía de derechos. El MCAC cuenta con seis niveles, diferenciados según el grado de participación individual del agente. También presentamos dos tablas con ejemplos de las prácticas y acciones de los agentes que se pueden desarrollar por parte del Estado en la esfera de políticas públicas. Como modelo pionero en la literatura mundial, el MCAC proporciona la base conceptual para el desarrollo de estudios e intervenciones en la autonomía culinaria, centrándose no solo en las habilidades individuales, sino también en el papel de las políticas públicas para la cocina sana en el hogar.

O empoderamento na culinária doméstica tem sido tratado recentemente, na literatura específica sobre o tema, como uma questão de domínio de habilidades culinárias e de capacidade em superar obstáculos sociais, físicos e econômicos. Ainda não há, contudo, estudos que relacionem o papel do Estado a essa importante prática promotora de saúde em casa, que é o cozinhar saudável. Desse modo, este trabalho adotou como objetivos elaborar o conceito e desenvolver o modelo conceitual multinível de autonomia culinária (MCAC), a fim de relacionar o papel do Estado à prática da culinária saudável em casa. Trata-se de um estudo teórico-conceitual dividido em três fases: elaboração conceitual, consulta a painel de especialistas e validação de conteúdo do MCAC desenvolvido neste trabalho. Ampla revisão bibliográfica serviu de base teórica e conceitual, com destaque para a abordagem das capacidades humanas de Amartya Sen. No total, 28 especialistas opinaram em oficinas de escuta e em entrevistas. A autonomia culinária foi definida como a capacidade de pensar, decidir e agir para preparar refeições em casa, usando majoritariamente alimentos in natura ou minimamente processados, sob a influência das relações interpessoais, do meio ambiente, dos valores culturais, do acesso a oportunidades e da garantia de direitos. O MCAC possui seis níveis, que diferem entre si quanto ao grau de participação do agente. Além do MCAC, são apresentados dois quadros que fornecem exemplos de práticas do agente e de ações que podem ser desenvolvidas no âmbito de políticas públicas pelo Estado. Pioneiro na literatura mundial, o MCAC apresentado fornece as bases conceituais para o desenvolvimento de pesquisas e intervenções sobre o assunto, não apenas focando nas habilidades individuais, mas também no papel das políticas públicas.

Humans , Cooking , Meals , Brazil , Health Status , Interpersonal Relations
Chinese Journal of Epidemiology ; (12): 755-760, 2022.
Article in Chinese | WPRIM | ID: wpr-935455


In recent years, the research focus on determinants of chronic non-communicable diseases has shifted from non-spatial factors (e.g., lifestyle behaviors) to spatial factors (e.g., natural and built environments). As the intersection of lifecourse epidemiology and spatial epidemiology, spatial lifecourse epidemiology is a research area in the field of health geography. It combines advanced spatial technologies, including geographic information systems, surveying, remote sensing, location-based services and artificial intelligence, to accurately retrace, measure, and simulate individuals' exposures across the life course (i.e., exposome); and adopts lifecourse models, including the accumulation of risk model and critical/sensitive period models, to investigate the impact of individuals' exposures in the past on their health status at different stages of life. This paper introduces the theories, main analysis approaches and focus of spatial lifecourse epidemiology in the research of chronic non-communicable diseases for the purpose of better understanding and applications of spatial lifecourse epidemiology in the research of determinants of chronic non-communicable diseases, providing important reference for future research, facilitating the development of health geography to eventually achieve precise health management over the lifecourse.

Artificial Intelligence , Epidemiology , Forecasting , Geography , Health Status , Humans , Noncommunicable Diseases/epidemiology
Article in Chinese | WPRIM | ID: wpr-935277


Youth is the core force of social and economic development, once the occurrence of youth stroke will place a heavy burden on society and family. However, the prevention and control of stroke in China is mainly aimed at middle-aged and elderly patients, the part of young stroke is relatively easy to be ignored. This article focuses on the characteristics, research progress, prevention and control status of young stroke, pointing out the importance of centering on the prevention and treatment of young stroke. At the same time, it hopes that the industry can concentrate on the prevention and treatment of young stroke, making precise policies in the future, and developing secondary prevention guidelines for the causes or risk factors of young stroke, so as to improve comprehensive stroke prevention and control system. On this basis, the health level of the whole population will be improved, and the life expectancy of residents will be extended, thus promoting the realization of the strategic goal of "Healthy China 2030".

Adolescent , Aged , China/epidemiology , Health Status , Humans , Life Expectancy , Middle Aged , Policy , Stroke/prevention & control
Article in Chinese | WPRIM | ID: wpr-927843


Objective To measure the prevalence of mental health symptoms and identify the associated factors among college students at the beginning of coronavirus disease 2019(COVID-19)outbreak in China. Methods We carried out a multi-center cross-sectional study via snowball sampling and convenience sampling of the college students in different areas of China.The rates of self-reported depression,anxiety,and stress and post-traumatic stress disorder(PTSD)were assessed via the 21-item Depression-Anxiety-Stress Scale(DASS-21)and the 6-item Impact of Event Scale-Revised(IES-6),respectively.Covariates included sociodemographic characteristics,health-related data,and information of the social environment.Data pertaining to mental health service seeking were also collected.Multivariate Logistic regression analyses were performed to identify the risk factors. Results A total of 3641 valid questionnaires were collected from college students.At the beginning of the COVID-19 outbreak,535(14.69%)students had negative emotions,among which 402(11.04%),381(10.49%),and 171(4.90%)students had the symptoms of depression,anxiety,and stress,respectively.Meanwhile,1245(34.19%)college students had PTSD.Among the risk factors identified,male gender was associated with a lower likelihood of reporting depression symptoms(AOR=0.755,P=0.037],and medical students were at higher risk of depression and stress symptoms than liberal arts students(AOR=1.497,P=0.003;AOR=1.494,P=0.045).Family support was associated with lower risks of negative emotions and PTSD in college students(AOR=0.918,P<0.001;AOR=0.913,P<0.001;AOR=0.899,P<0.001;AOR=0.971,P=0.021). Conclusions College students were more sensitive to public health emergencies,and the incidence of negative emotions and PTSD was significantly higher than that before the outbreak of COVID-19.More attention should be paid to female college students who were more likely to develop negative emotions.We should strengthen positive and proper propaganda via mass media and help college students understand the situation and impact of COVID-19.Furthermore,we should enhance family support for college students.The government and relevant agencies need to provide appropriate mental health services to the students under similar circumstances to avoid the deterioration of their mental well-being.

COVID-19/epidemiology , Cross-Sectional Studies , Female , Health Status , Humans , Male , Students/psychology , Universities
Ciênc. cuid. saúde ; 21: e59005, 2022. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1384518


RESUMO Objetivo: avaliar a prevalência da síndrome metabólica e os fatores associados em profissionais de enfermagem que atuam em oncologia. Método: estudo transversal com 231 profissionais de enfermagem, de um centro de alta complexidade em oncologia do Estado do Rio de Janeiro, Brasil, entre junho de 2013 e junho de 2015. Realizou-se entrevista para coleta de dados sociodemográficos, profissionais, antecedentes pessoais, hábitos e estilos de vida e condições de saúde. Foram realizadas medida da circunferência da cintura, peso, altura, pressão arterial casual e Monitorização Ambulatorial da Pressão Arterial, além da glicemia plasmática de jejum, triglicerídeos e lipoproteína de alta densidade. Avaliou-se a síndrome metabólica de acordo com a I Diretriz Brasileira de Diagnóstico e Tratamento da Síndrome Metabólica. Regressão de Poisson com variância robusta foi realizada, sendo a presença da síndrome metabólica ou não o desfecho. Resultados: a prevalência da síndrome metabólica foi de 25,1% e esta condição se associou ao maior tempo de formação profissional (4,0%; IC95%:1,05-1,07), à maior pressão diastólica na Monitorização Ambulatorial da Pressão Arterial do período de sono (3,0%; IC95%:1,01-1,05), presença de sobrepeso (2,84%; IC95%:1,93-6,70) e obesidade (4,94%; IC95%:2,08-11,77). Conclusões: observou-se alta prevalência da síndrome metabólica nos profissionais avaliados, e associação com excesso de peso e alteração da pressão no período de sono. Os resultados apontam para necessidade de intervenções para controle de fatores de risco para doenças crônicas não transmissíveis na população estudada.

RESUMEN Objetivo: evaluar la prevalencia del síndrome metabólico y los factores asociados en profesionales de enfermería que actúan en oncología. Método: estudio transversal con 231 profesionales de enfermería, de un centro de alta complejidad en oncología del Estado de Rio de Janeiro, Brasil, entre junio de 2013 y junio de 2015. Se realizó entrevista para recolección de datos sociodemográficos, profesionales, antecedentes personales, hábitos y estilos de vida y condiciones de salud. Fueron realizadas medida de la circunferencia de la cintura, peso, altura, presión arterial casual y Monitoreo Ambulatorio de Presión Arterial, además de la glucemia plasmática de ayuno, triglicéridos y lipoproteína de alta densidad. Se evaluó el síndrome metabólico de acuerdo con la I Directriz Brasileña de Diagnóstico y Tratamiento del Síndrome Metabólico. Fue realizada Regresión de Poisson con varianza robusta, siendo la presencia del síndrome metabólico, o no, el resultado. Resultados: la prevalencia del síndrome metabólico fue de 25,1% y esta condición se asoció al mayor tiempo de formación profesional (4,0%; IC95%:1,05-1,07), a la mayor presión diastólica en elMonitoreo Ambulatorio de Presión Arterial del período de sueño (3,0%; IC95%:1,01-1,05); presencia de sobrepeso (2,84%; IC95%:1,93-6,70) y obesidad (4,94%; IC95%:2,08-11,77). Conclusiones: se observó alta prevalencia del síndrome metabólico en los profesionales evaluados, y asociación con exceso de peso y alteración de la presión en el período de sueño. Los resultados señalan la necesidad de intervenciones para el control de factores de riesgo para enfermedades crónicas no transmisibles en la población estudiada.

ABSTRACT Objective: to evaluate the prevalence of metabolic syndrome and associated factors in nursing professionals working in oncology. Method: cross-sectional study with 231 nursing professionals from a high complexity oncology center in the State of Rio de Janeiro, Brazil, between June 2013 and June 2015. An interview was carried out to collect sociodemographic, professional, personal history, habits and lifestyles, and health conditions data. Waist circumference, weight, height, casual blood pressure, and Ambulatory Blood Pressure Monitoring were performed, in addition to fasting plasma glucose, triglycerides, and high-density lipoprotein. Metabolic syndrome was evaluated according to the I Brazilian Guideline for the Diagnosis and Treatment of Metabolic Syndrome. Poisson regression with robust variance was performed, the outcome being the presence or not of metabolic syndrome. Results: there was a 25.1% prevalence of metabolic syndrome and this condition was associated with longer professional training (4.0%; 95%CI: 1.05-1.07), with higher diastolic pressure in Ambulatory Blood Pressure Monitoring during sleep (3.0%; 95%CI:1.01-1.05), overweight (2.84%; 95%CI:1.93-6.70), and obesity (4.94%; IC95%: 2.08-11.77). Conclusions: there was a high prevalence of metabolic syndrome among the evaluated professionals, and an association between excess weight and changes in pressure during sleep. The results point to the need for interventions to control risk factors for chronic non-communicable diseases in the studied population.

Humans , Male , Female , Health Status , Occupational Health/statistics & numerical data , Metabolic Syndrome/diagnosis , Metabolic Syndrome/nursing , Occupational Health Nursing/statistics & numerical data , Oncology Nursing/organization & administration , Blood Glucose , Body Mass Index , Cross-Sectional Studies/methods , Risk Factors , Professional Training , Waist Circumference , Arterial Pressure , Sociodemographic Factors , Life Style , Nurse Practitioners , Nurses
San Salvador; MINSAL; dic. 10, 2021. 49 p. ilus.
Non-conventional in Spanish | LILACS, BISSAL | ID: biblio-1353185


El manual de procedimientos orienta los procesos a ejecutar en el desarrollo de las actividades que el profesional de odontología debe realizar, esto permite delimitar la responsabilidad de ejecución en los diferentes procedimientos de acuerdo al nivel de atención en salud, facilitar la realización de los mismos y consecuentemente contribuir a mejorar la calidad de la atención

The procedures manual guides the processes to be carried out in the development of the activities that the dental professional must carry out, this allows defining the responsibility of execution in the different procedures according to the level of health care, facilitating the realization of the same and consequently contribute to improving the quality of care

Quality of Health Care , Dentistry , Standard of Care , Health Status , Methods