Factor structure and measurement invariance of the Body Appreciation Scale - 2 among Brazilian gender-expansive individuals and transgender men.

Among gender-expansive individuals and transgender men, body appreciation can play a protective role against minority stressors and is associated with gender euphoria. The Body Appreciation Scale (BAS-2; Tylka & Wood-Barcalow, 2015) is a leading measure of body appreciation that has been mainly validated in cisgender and mixed-gender samples; however, it has not been validated among Brazilian gender-expansive individuals and transgender men. Therefore, we evaluated the psychometric properties of the BAS-2 among adult Brazilian gender-expansive individuals and transgender men. Participants (158 gender-expansive individuals and 138 transgender men) were recruited through social media in Brazil. Confirmatory Factor Analysis (CFA) supported the original 10-item, unidimensional solution. Multigroup CFA showed configural, metric, and scalar invariance of the BAS-2 between gender-expansive individuals and transgender men. Moreover, the BAS-2 demonstrated significant negative associations, ranging from small to large, with self-objectification, drive for muscularity, and appearance-ideal internalization. We also found good internal consistency and test-retest reliability of the measure. Taken together, our results support the psychometric properties of the BAS-2 among Brazilian gender-expansive individuals and transgender men. The present work offers a valuable contribution towards better understanding facets of positive body image across gender-expansive and transgender populations.

Abordagem da lombalgia ocupacional na Atenção Primária / Occupational low back pain approach in Primary Care

A grande incidência de lombalgia na população leva a uma grande demanda de tratamento no nível básico, além de gerar gastos com crises agudas nos níveis secundário e terciário. Essa revisão sistemática busca entender quais abordagens seriam pertinentes à condição para que o médico da atenção primária consiga ter a conduta mais adequada e resolutiva. A pesquisa foi realizada na plataforma PubMed utilizando-se descritores "occupational", "low back pain", "primary care" e "approach", onde obteve-se 24 resultados posteriores a 2014 dos quais descartou-se 16 por não compreenderem o objetivo inicial. A partir da leitura buscou-se trazer abordagens eficientes no âmbito da atenção primária de modo a otimizar a resolutividade com base na literatura mais recente disponível. Os resultados apontaram a adoção de uma conduta multidisciplinar, bem como a associação de fármacos adjuvantes a analgésicos no tratamento farmacológico, como preconizado pelo Ministério da Saúde.

The high incidence of low back pain leads to high demand for treatment at the primary level and creates expenses with acute crises at the secondary and tertiary levels. This systematic review seeks to understand which approaches would be pertinent to the condition so that the primary care physician can take the most appropriate and resolving conduct. The research was carried out on the PubMed platform using descriptors "occupational", "low back pain", "primary care", and "approach", where 24 results after 2014 were obtained and 16 were discarded because they did not match the initial objective. After the reading, efficient approaches were shown in order to optimize the resolution based on the most recent literature available in the scope of primary care. The results indicated the adoption of a multidisciplinary approach and the association of adjuvant drugs with analgesics in pharmacological treatment, as recommended by the Ministry of Health.