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1.
Food Chem ; 399: 133959, 2023 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-36001928

RESUMO

Advances in understanding the biological effects of dietary flavonoids and flavonoid-rich foods have been reported. Improving knowledge about their beneficial effects, and mechanisms of action, is crucial for better utilization. However, mechanisms responsible for their health benefits are still unclear. Previous research considered has suggested that gut microbiota might be linked to the metabolism of dietary flavonoids. To understand the bioactivities of dietary flavonoids/flavonoid-rich foods better, and the role of microbiota, we explored systematically 1) types of dietary flavonoids and associated health benefits, 2) low bioaccessibilities and metabolic characteristics, 3) gut microbiota role in regulation, and 4) crosstalk between regulation mechanisms. Current challenges and future perspectives were also considered, offering new research directions and identifying trends in the development of flavonoid-rich food products.


Assuntos
Microbioma Gastrointestinal , Microbiota , Flavonoides/metabolismo , Promoção da Saúde , Polifenóis/farmacologia
2.
Int J Circumpolar Health ; 81(1): 2120174, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36097880

RESUMO

Our study sought to explore the experiences of caregivers of urban Inuit children with respect to child health knowledge acquisition to develop community-specific best practices for health promotion initiatives. A needs assessment was conducted to understand how caregivers access child health knowledge and services; what child health issues require improved knowledge mobilisation; and how caregivers would like to access this knowledge. Four focus groups were held with twenty-four parents and caregivers of Inuit children. Child health knowledge acquisition was influenced by dynamics of trust and discrimination, making caregivers' social networks and Indigenous health services highly valued sources. Health topics identified as requiring improved knowledge mobilisation were those in which caregivers faced tensions between Indigenous and non-Indigenous ways of knowing. Such topics included parenting and development, adolescent mental and sexual health, common childhood illnesses, infant care, and nutrition. Caregivers preferred a multi-modal approach to health promotion, highlighting importance of in-person gatherings while also valuing accessible multi-media components. The presence of Elders as facilitators was especially important for child development, parenting, and nutrition. For health promotion to be effective, it must consider community-specific health knowledge sharing processes; tensions between Indigenous and non-Indigenous ways of knowing; and community ownership in health promotion endeavors.


Assuntos
Cuidadores , Saúde da Criança , Adolescente , Idoso , Criança , Promoção da Saúde , Humanos , Lactente , Inuítes , Poder Familiar
3.
Health Promot Int ; 37(4)2022 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-36102477

RESUMO

To investigate a health promotion strategy to improve oral health among former refugees in New Zealand. Former refugees were recruited (n = 63) and answered a questionnaire about their oral home care, smoking, sugar consumption and use of dental services. Participants then joined either focus group sessions to co-design oral health educational material (n = 39) or to be dentally examined for oral hygiene, periodontal health, gingivitis and dental caries and receive motivational instructions to improve their oral health habits (n = 20). Health messages using dual-language leaflets (covering oral home care, smoking, diet and access to services) were subsequently individually delivered monthly to all participants via a mobile phone application. After 6 months, follow-up questionnaires were sent to all participants and those who had been dentally examined were re-examined. Half of those who did not brush twice daily at baseline (54.1%) had increased brushing to at least twice daily by follow-up; 76.9% of those who consumed sugary drinks at least twice daily, reduced their sugar intake. No smokers quit smoking, however, 52.4% reported reducing the number of cigarettes or engaging in smoking cessation activities. Among those who had been dentally examined, plaque scores, gingivitis and periodontal pocketing all decreased significantly. Culturally and linguistically tailored oral health promotion interventions led to improved oral health behaviours for this group of former refugees over a 6 months follow-up period. We expect this to not only improve the oral health quality of life for this population, but also reduce the burden on the health system.


Refugees have high rates of oral health problems and face hardships in accessing available dental services. This project intended to promote better oral health knowledge and self-care in a group of Syrian refugees that are resettled in Dunedin, New Zealand. We recruited 63 Syrian former refugees who answered a questionnaire on their oral home care, smoking, sugar consumption and use of dental services. A group of 39 people took part in focus group meetings to help design oral health educational material in both the Arabic and English languages. The remaining 20 were dentally examined for periodontal health, dental caries, gingivitis and oral hygiene. All participants received individual monthly oral health messages taken from the leaflets designed with the focus group participants. After 6 months, the same people answered follow-up questionnaires and those who had been dentally examined were re-examined. Participants reported significantly more favourable oral health attitudes and behaviours at follow-up, and oral health among those who had been clinically examined was greatly improved. Oral health education resources tailored to the language and culture of former refugees may help to improve oral self-care and health.


Assuntos
Cárie Dentária , Gengivite , Promoção da Saúde , Refugiados , Disparidades em Assistência à Saúde , Humanos , Nova Zelândia , Saúde Bucal , Higiene Bucal , Qualidade de Vida , Síria
4.
Sci Rep ; 12(1): 14595, 2022 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-36109557

RESUMO

Synbiotics are feed supplements with the potential to promote health and productivity in pigs partly, through modulation of the intestinal microbiome. Our study used shotgun sequencing and 16S rRNA gene sequencing techniques to characterize the effect of a synbiotic containing three Lactobacillus species and a fructo-oligosaccharide on the proximal colonic microbiome of 4- to 7-month-old Korean native black gilts. With shotgun sequencing we constructed unique metagenome-assembled genomes of gut microbiota in Native Black Pig for the first time, which we then used for downstream analysis. Results showed that synbiotic treatment did not alter microbial diversity and evenness within the proximal colons, but altered composition of some members of the Lactobacillaceae, Enterococcaceae and Streptococcaceae families. Functional analysis of the shotgun sequence data revealed 8 clusters of orthologous groups (COGs) that were differentially represented in the proximal colonic microbiomes of synbiotic-treated Jeju black pigs relative to controls. In conclusion, our results show that administering this synbiotic causes changes in the functional capacity of the proximal colonic microbiome of the Korean native black pig. This study improves our understanding of the potential impact of synbiotics on the colonic microbiome of Korean native black pigs.


Assuntos
Microbiota , Simbióticos , Animais , Feminino , Promoção da Saúde , Metagenoma , Microbiota/genética , RNA Ribossômico 16S/genética , República da Coreia , Sus scrofa/genética , Suínos
5.
BMJ Open ; 12(9): e062121, 2022 09 14.
Artigo em Inglês | MEDLINE | ID: mdl-36104122

RESUMO

OBJECTIVES: We evaluated an online Sleep Health and Wellness (SHAW) programme paired with dayzz, a personalised sleep training programme deployed via smartphone application (dayzz app) that promotes healthy sleep and treatment for sleep disorders, among employees at a large healthcare organisation. DESIGN: Open-label, randomised, parallel-group controlled trial. SETTING: A healthcare employer in the USA. PARTICIPANTS: 1355 daytime workers. INTERVENTION: Participants were randomised to intervention (n=794) or control (n=561) on consent. Intervention participants received the SHAW educational programme at baseline plus access to the personalised dayzz app for up to 9 months. The control condition received the intervention at month 10. PRIMARY AND SECONDARY OUTCOME MEASURES: Our primary outcome measures were sleep-related behavioural changes (eg, consistent sleep schedule); sleep behaviour tracked on an electronic sleep diary and sleep quality. Our secondary outcome measures included employee absenteeism, performance and productivity; stress, mood, alertness and energy; and adverse health and safety outcomes (eg, accidents). RESULTS: At follow-up, employees in the intervention condition were more likely to report increased sleep duration on work (7.20 vs 6.99, p=0.01) and on free (8.26 vs 8.04, p=0.03) nights. At follow-up, the prevalence of poor sleep quality was lower in the intervention (n=160 of 321, 50%) compared with control (n=184 of 327, 56%) (p=0.04). The mean total dollars lost per person per month due to reduced workplace performance (presenteeism) was less in the intervention condition (US$1090 vs US$1321, p=0.001). Employees in the intervention reported fewer mental health visits (RR 0.72, 95% CI 0.56 to 0.94, p=0.01) and lower healthcare utilisation over the study interval (RR 0.81, 95% CI 0.67 to 0.98, p=0.03). We did not observe differences in stress (4.7 (95% CI 4.6 to 4.8) vs 4.7 (95% CI 4.6 to 4.8)), mood (4.5 (95% CI 4.4 to 4.6) vs 4.6 (95% CI 4.5 to 4.7)), alertness (4.9 (95% CI 4.8 to 5.0) vs 5.0 (95% CI 4.9 to 5.1)) or adverse health and safety outcomes (motor vehicle crashes: OR 0.82 (95% CI 0.34 to 1.9); near-miss crashes: OR=0.89 (95% CI 0.5 to 1.5) and injuries: 0.9 (95% CI 0.6 to 1.3)); energy was higher at follow-up in the intervention group (4.3 vs 4.5; p=0.03). CONCLUSIONS: Results from this trial demonstrate that a SHAW programme followed by access to the digital dayzz app can be beneficial to both the employee and employer. TRIAL REGISTRATION NUMBER: NCT04224285.


Assuntos
Aplicativos Móveis , Promoção da Saúde , Humanos , Aceitação pelo Paciente de Cuidados de Saúde , Sono , Smartphone
7.
Prog Community Health Partnersh ; 16(3): 433-444, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36120885

RESUMO

THE PROBLEM: Evidence-based interventions are often tested in specific, structured settings, but may need modification to meet the complex needs of vulnerable youth in real-world settings. Nonetheless, past research has not provided practical guidelines to help community partners make decisions about how to adapt evidence-based interventions to their settings. PURPOSE OF ARTICLE: We identify barriers in implementing a mental health promotion and violence prevention intervention with youth in a complex community setting to provide practice examples of how the program was adapted to address different challenges. These adaptation decisions are framed within guidelines that are grounded in a wider evidence base. KEY POINTS: The guidelines underscore the importance of trauma-informed practice, emphasizing confidentiality, tailoring content to meet individual youth's clinical risk and responsivity factors, adjusting dosage and content to meet the group's needs, aligning programming with case planning, being flexible with format, and attending to contextual factors. CONCLUSIONS: Evidence-based interventions need to be adapted to meet the needs of both individual participants and groups. The guidelines and case examples presented here demonstrate how this adaptation was undertaken in an intentional and evidence-driven way in one agency in the context of a community-based research partnership.


Assuntos
Pesquisa Participativa Baseada na Comunidade , Promoção da Saúde , Adolescente , Medicina Baseada em Evidências , Humanos , Violência/prevenção & controle
8.
J Infect Dev Ctries ; 16(8): 1372-1375, 2022 08 30.
Artigo em Inglês | MEDLINE | ID: mdl-36099384

RESUMO

Tuberculosis remains a serious health problem in pregnant women. Tuberculosis during pregnancy is related to poor perinatal outcomes, including low birth weight, insufficient growth relative to gestational age, perinatal mortality, and maternal morbidity and mortality. Additionally, diabetes mellitus in pregnant women with tuberculosis is associated with a higher risk of maternal and fetal complications such as preeclampsia, preterm birth, hypoglycemia, and giant baby. We report two perinatal outcomes of (1) pregnancy during tuberculosis treatment and (2) tuberculosis in a pregnant woman with diabetes mellitus. Both women completed anti-tuberculosis treatments. This report emphasizes the importance of health promotion through family planning among women with tuberculosis. This case report also underscores the increased risk of developing tuberculosis in pregnant women with diabetes mellitus. Early diagnosis of tuberculosis in pregnant women is vital as it affects the health of both mother and child.


Assuntos
Nascimento Prematuro , Tuberculose Pulmonar , Tuberculose , Feminino , Promoção da Saúde , Humanos , Indonésia/epidemiologia , Lactente , Recém-Nascido , Gravidez , Resultado da Gravidez , Tuberculose Pulmonar/diagnóstico , Tuberculose Pulmonar/tratamento farmacológico , Tuberculose Pulmonar/epidemiologia
9.
J Prim Care Community Health ; 13: 21501319221121464, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36112865

RESUMO

BACKGROUND: The Chronic Pain Self-Management Program is an evidence-based intervention that has been shown to be efficacious in reducing symptoms of chronic pain. However, there is a paucity of research examining CPSMP in a predominantly rural population. The purpose was to evaluate patient-reported outcomes of in-person peer-led CPSMP workshops offered in a rural region in 2018 and 2019. METHODS: Participants were surveyed at baseline and 6 months post-workshop. Descriptive statistics were used to describe characteristics of CPSMP completers. Paired t-tests were used to analyze change in depression score (PHQ-8), disability (modified Roland-Morris Disability Questionnaire), self-efficacy, and patient activation (PAM-10). Analysis of variance was used to detect differences over time by age group, education, insurance type, self-rated health, and comorbidities. RESULTS: Among the 327 adults who enrolled in a workshop, 73.1% completed. Of completers, 74.9% were female, average age was 65. Significant improvements were observed in pain disability (P = .0008), patient activation (P = .0362), depression (P < .0001), and self-efficacy (P < .0001), at 6 weeks; and pain disability (P = .0030), depression (P = .0015), and self-efficacy (P = .0064) at 6 months post-program. Individuals who rated their health as fair/poor at baseline reported greater improvements in depression scores than individuals who rated their health as good or better (P < .0002). There were also distinct patterns of change in pain disability among the different age groups. No other differences between groups were noted. CONCLUSIONS: The CPSMP appears to improve pain self-efficacy, disability, and depression regardless of age, gender, insurance status, education, or comorbidities. Healthcare and community organizations should consider investing in and offering chronic pain workshops in rural areas in order to promote health and wellness.


Assuntos
Dor Crônica , Autogestão , Adulto , Idoso , Dor Crônica/terapia , Feminino , Promoção da Saúde , Humanos , Masculino , População Rural , Autoeficácia
10.
BMC Public Health ; 22(1): 1658, 2022 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-36050657

RESUMO

BACKGROUND: The public health benefits of physical activity for children are well known including contributions to metabolic and cardiorespiratory health. Along with physical benefits, engaging in physical activity can support the social and emotional health of youth and promote health and well-being into adulthood. This cluster-randomized controlled trial assesses the impact of an after-school curriculum aimed at improving physically active and inclusive play to promote physical, social, and emotional health. A secondary focus is on the implementation (appropriateness, feasibility, fidelity, sustainability) of the curriculum. METHODS: The PLAYground (Play and Learning Activities for Youth) project utilizes a social-ecological approach, targeting personal, behavioral, and environmental conditions, and Social Cognitive Theory (SCT) to study how a playground curriculum impacts children's health. All elementary schools with an existing after-school program in a large, public school district in Mesa, Arizona will be eligible to participate. Seven schools will be allocated to the intervention arm in year one using random sampling stratified by school-income. In year two, the seven control schools will receive the intervention. Intervention schools will implement the research-based PlayOn!® playground curriculum to promote active and inclusive play. After-school staff will be trained to teach activities that address social and emotional skills (e.g., conflict resolution) through physical activity. Participating students will be trained as peer leaders to extend the playground activities to the recess setting. This trial will assess between-group differences in physical activity, social and emotional health indicators, and number of health and behavior incidents among students attending intervention schools and control schools. Implementation outcomes will also be assessed among program facilitators at each school site. DISCUSSION: Enhancement of physical activity opportunities at schools has the potential for high impact and reach due to practicality. Enhancements can also improve quality pedagogy and curricula in after-school settings. Results of this project can inform practical strategies to improve existing after-school programs to prepare leaders (adults and children) to facilitate physical activity, positive social interactions, and emotional well-being. TRIAL REGISTRATION: ClinicalTrials.gov, NCT ID NCT05470621 , Registered July 22, 2022.


Assuntos
Promoção da Saúde , Instituições Acadêmicas , Adolescente , Criança , Currículo , Exercício Físico , Promoção da Saúde/métodos , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto , Serviços de Saúde Escolar , Estudantes/psicologia
11.
BMC Public Health ; 22(1): 1674, 2022 09 04.
Artigo em Inglês | MEDLINE | ID: mdl-36058913

RESUMO

BACKGROUND: Prior studies demonstrate associations between risk factors for obesity and related chronic diseases (e.g., cardiovascular disease) and features of the built environment. This is particularly true for rural populations, who have higher rates of obesity, cancer, and other chronic diseases than urban residents. There is also evidence linking health behaviors and outcomes to social factors such as social support, opposition, and norms. Thus, overlapping social networks that have a high degree of social capital and community cohesion, such as those found in rural communities, may be effective targets for introducing and maintaining healthy behaviors. METHODS: This study will evaluate the effectiveness of the Change Club (CC) intervention, a civic engagement intervention for built environment change to improve health behaviors and outcomes for residents of rural communities. The CC intervention provides small groups of community residents (approximately 10-14 people) with nutrition and physical activity lessons and stepwise built environment change planning workshops delivered by trained extension educators via in-person, virtual, or hybrid methods. We will conduct process, multilevel outcome, and cost evaluations of implementation of the CC intervention in a cluster randomized controlled trial in 10 communities across two states using a two-arm parallel design. Change in the primary outcome, American Heart Association's Life's Simple 7 composite cardiovascular health score, will be evaluated among CC members, their friends and family members, and other community residents and compared to comparable samples in control communities. We will also evaluate changes at the social/collective level (e.g., social cohesion, social trust) and examine costs as well as barriers and facilitators to implementation. DISCUSSION: Our central hypothesis is the CC intervention will improve health behaviors and outcomes among engaged citizens and their family and friends within 24 months. Furthermore, we hypothesize that positive changes will catalyze critical steps in the pathway to improving longer-term health among community residents through improved healthy eating and physical activity opportunities. This study also represents a unique opportunity to evaluate process and cost-related data, which will provide key insights into the viability of this approach for widespread dissemination. TRIAL REGISTRATION: ClinicalTrials.gov: NCT05002660 , Registered 12 August 2021.


Assuntos
Dieta Saudável , População Rural , Ambiente Construído , Exercício Físico , Promoção da Saúde/métodos , Humanos , Obesidade/prevenção & controle
12.
BMC Public Health ; 22(1): 1679, 2022 09 05.
Artigo em Inglês | MEDLINE | ID: mdl-36064340

RESUMO

BACKGROUND: Health promotion behaviors are key determinant of health and well-being, and also play an important role in promoting successful aging. This study investigated levels of engagement in health promotion behaviors among Chinese rural older adults, and explored effects of perceived health competence, health education activities experience and sociodemographic variables on health promotion behavior in this population. METHODS: A multicenter cross-sectional survey was performed. Participants were recruited by a multistage, stratified, cluster-sampling procedure from Nanbu County, Sichuan Province, China. All participants completed four paper questionnaires: sociodemographic characteristics and health care status survey, the Chinese version of the health promoting lifestyle profile-II (HPLP-II), perceived health competence scale and Lubben social network scale. Data were collected from July to August 2021. Stepwise multiple linear regression analysis was performed to analyze the effects of different factors on health promotion behaviors. RESULTS: A total of 425 rural older adults with an average age of 72.7 years were included in analysis. The overall average score of HPLP-II was 101.6. The stepwise multiple linear regression analysis results showed that those who had higher perceived health competence (ß = 0.66, P < 0.001), experienced health education activities (ß = 0.254, P < 0.001), had physical examination (ß = 0.107, P < 0.001), was married (ß = 0.189, P < 0.001), had primary school education or above (ß = 0.189, P < 0.001), and had a per capita monthly household income of more than 1000¥ (ß = 0.085, P = 0.007), have higher levels of engagement in health promotion behaviors; while the level of health promotion behaviors of the older adults living alone was lower than that of living with their spouse or others (ß = -0.192, P < 0.001). Combination of the above variables accounted for a total of 69.1% of the variance in health promotion behaviors. CONCLUSIONS: The level of health promotion behaviors among Chinese rural older adults is low. Perceived health competence and health education activities experience are two strong determinants of health promotion behaviors. Comprehensive health promotion programs aimed at improving perceived health competences and health literacy through health education activities may be an important part of optimizing the level of health promotion behaviors among rural older adults.


Assuntos
Educação em Saúde , Estilo de Vida Saudável , Idoso , Estudos Transversais , Promoção da Saúde , Nível de Saúde , Humanos , Inquéritos e Questionários
13.
J Med Internet Res ; 24(9): e38541, 2022 Sep 13.
Artigo em Inglês | MEDLINE | ID: mdl-36098994

RESUMO

BACKGROUND: Communicating strategically is a key issue for health organizations. Over the past decade, health care communication via social media and websites has generated a great deal of studies examining different realities of communication strategies. However, when it comes to systematic reviews, there is fragmentary evidence on this type of communication. OBJECTIVE: The aim of this systematic review was to summarize the evidence on web institutional health communication for public health authorities to evaluate possible aim-specific key points based on these existing studies. METHODS: Guided by the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement, we conducted a comprehensive review across 2 electronic databases (PubMed and Web of Science) from January 1, 2011, to October 7, 2021, searching for studies investigating institutional health communication. In total, 2 independent researchers (AN and SS) reviewed the articles for inclusion, and the assessment of methodological quality was based on the Kmet appraisal checklist. RESULTS: A total of 78 articles were selected. Most studies (35/78, 45%) targeted health promotion and disease prevention, followed by crisis communication (24/78, 31%), general health (13/78, 17%), and misinformation correction and health promotion (6/78, 8%). Engagement and message framing were the most analyzed aspects. Few studies (14/78, 18%) focused on campaign effectiveness. Only 23% (18/78) of the studies had an experimental design. The Kmet evaluation was used to distinguish studies presenting a solid structure from lacking studies. In particular, considering the 0.75-point threshold, 36% (28/78) of the studies were excluded. Studies above this threshold were used to identify a series of aim-specific and medium-specific suggestions as the communication strategies used differed greatly. CONCLUSIONS: Overall, the findings suggest that no single strategy works best in the case of web-based health care communication. The extreme variability of outcomes and the lack of a unitary measure for assessing the end points of a specific campaign or study lead us to reconsider the tools we use to evaluate the efficacy of web-based health communication.


Assuntos
Comunicação em Saúde , Saúde Pública , Promoção da Saúde , Humanos , Internet , Projetos de Pesquisa
14.
J Clin Pediatr Dent ; 46(4): 262-272, 2022 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-36099234

RESUMO

Pediatricians are primary health care professionals who supervise the growth and development and treat infants and children during the first years of life. Thus, they should possess knowledge regarding oral health care, to provide anticipatory guidance, as well as dental education to parents in order to make appropriate clinical decisions. For many years, several surveys have been performed worldwide to assess the pediatricians' knowledge, awareness, and experience regarding oral health care and prevention. This work aimed to scope the existing literature and summarize the most relevant evidence about knowledge, practices, and attitudes on oral health/care among pediatricians worldwide. PubMed, Cochrane Library, Google Scholar, and Dentistry & Oral Sciences Source were explored. Under a structured PCC question and eligibility criteria, for relevant clinical trials and observational studies, published during the last decade. Titles and abstracts were screened. Full-text articles were critically reviewed for bias risk and a data charting table was constructed. A total of 44 references were initially identified, and 37 titles remained for abstract screening after removing duplicates; then, 27 potential full-text articles were carefully reviewed. Finally, 25 relevant and most informative studies were included. The selected studies were conducted in India, Lebanon, Saudi Arabia, and Paraguay, Europe, Australia, Qatar, Iran, Turkey, United Arab Emirates, Nigeria, Brazil, Chile, Germany, Taiwan, Canada, and the USA. Through included surveys, researchers have reported different levels of knowledge, practice involvement, and attitude on children's oral health among pediatricians. In general, unsatisfactory knowledge of oral health was reported. The main impediments for a better professional involvement or practice include inappropriate education, poor auto-confidence, and lack of time. So, it has been suggested that some oral health training or clinical guidelines should be included in the current medical curricula.


Assuntos
Saúde Bucal , Pediatras , Atitude do Pessoal de Saúde , Criança , Promoção da Saúde , Humanos , Lactente , Inquéritos e Questionários
15.
Health Promot Int ; 37(4)2022 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-36102475

RESUMO

Strategies to reduce the burden of persistent pain in society are rooted in a biomedical paradigm. These strategies are located downstream, managing persistent pain once it has become a problem. Upstream activities that create social conditions to promote health and well-being are likely to help, yet health promotion discourse and research are lacking in pain literature. In this article, we argue that the subjective nature of pain has not sat comfortably with the objective nature of medical practice. We argue that the dominance of the biomedical paradigm, with a simplistic 'bottom-up' model of pain being an inevitable consequence of tissue damage, has been detrimental to the health and well-being of people living with persistent pain. Evidence from neuroscience suggests that bodily pain emerges as a perceptual inference based on a wide variety of contextual inputs to the brain. We argue that this supports community, societal and environmental solutions to facilitate whole-person care. We call for more salutogenic orientations to understand how people living with persistent pain can continue to flourish and function with good health. We suggest a need for 'upstream' solutions using community-based approaches to address cultural, environmental, economic and social determinants of health, guided by principles of equity, civil society and social justice. As a starting point, we recommend appraising the ways human society appreciates the aetiology, actions and solutions towards alleviating persistent pain.


Persistent pain is a major healthcare challenge. Most approaches to tackle pain involve medical treatments to relieve pain once it has become a problem. There has been little research into the role of activities that promote health and well-being on pain. We argue that there needs to be more research on how people living with persistent pain can continue to flourish and function with good health. We suggest that there needs to be more attention given to health promotion and community-based approaches to tackle persistent pain and that more research is needed on cultural, environmental, economic and social factors that influence pain.


Assuntos
Promoção da Saúde , Dor , Humanos , Dor/prevenção & controle , Justiça Social
17.
Artigo em Inglês | MEDLINE | ID: mdl-36078245

RESUMO

Knee pain is an early sign of knee osteoarthritis (KOA) and a risk factor for chronic widespread pain (CWP). Early prevention is vital, and more research is needed to understand health-promoting activities for individuals with knee pain from a patient perspective. This study aimed to explore how individuals with knee pain experienced health-promoting activities. Explorative qualitative design with inductive approach was applied to explore the experiences of 22 individuals (13 women, 9 men; median age: 52). Semi-structured interviews were conducted and analysed using latent qualitative content analysis. The results revealed health-promoting activities in individuals with knee pain and were interpreted in the overall theme, striving for balance in everyday life. Two categories explored the content in health-promoting activities: (1) Caring for the body-being physically active, having a healthy diet, and utilising support; and (2) Managing life stressors-allowing for recovery, promoting vitality, and safeguarding healthy relationships. In conclusion, individuals with knee pain described various health-promoting activities. They strived for balance in everyday life by caring for the body and managing life stressors. We suggest that a broader approach to everyday life can be helpful in treatment plans and health promotion to manage and prevent KOA and CWP, while striving for a healthy lifestyle.


Assuntos
Dor Crônica , Osteoartrite do Joelho , Feminino , Promoção da Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Osteoartrite do Joelho/terapia , Pesquisa Qualitativa
18.
Artigo em Inglês | MEDLINE | ID: mdl-36078398

RESUMO

The study aimed to investigate the tobacco smoking prevalence, habits and awareness among a cohort of healthcare students from a university hospital in southern Italy and the associations with socio-demographic determinants. A secondary outcome was to estimate the educational needs to receive information on smoking-related risk factors. Five hundred and forty-nine students completed a self-administered questionnaire (180 male and 369 female, average age 25 yo, ±5.9 SD), enrolled from October 2018 to November 2019 at the University of Naples 'Luigi Vanvitelli', and the collected data were analysed by descriptive and inferential statistical analysis. The sample's prevalence of current smokers was 25.3%, without a significant sex difference. The multiple logistic regression model showed the link between smoking habits and alcoholic beverage consumption (p < 0.001) and living with smokers (p = 0.003). The enrolled cohort does not seem to need more information about the risks of cigarette smoking (p = 0.028). The data analysis and the comparison with the current literature allowed the authors to hypothesise a training model to be adopted within a workplace health promotion programme managed by an occupational physician. This model included targeted training for smoking dissuasion, focusing on sex and gender, cohabitant's influence, and combined addiction management. Further research will focus on the effectiveness of these proposed models.


Assuntos
Fumar Cigarros , Abandono do Hábito de Fumar , Estudantes de Medicina , Adulto , Fumar Cigarros/epidemiologia , Estudos Transversais , Feminino , Promoção da Saúde , Humanos , Itália/epidemiologia , Masculino , Projetos Piloto , Prevalência , Inquéritos e Questionários , Local de Trabalho
19.
Artigo em Inglês | MEDLINE | ID: mdl-36078479

RESUMO

OBJECTIVE: To evaluate the structure, process, and results obtained by the CEPS Program. METHODS: We combined quantitative and qualitative methods. We reviewed our databases, the health projects and reports sent by the schools, and the notes taken during the assessment visits to the schools. We included all the schools participating in the CEPS Program between 2014-2015 and 2018-2019 for structure purposes, but only those participating for at least two years for the process and results. We used a descriptive analysis as well as a content analysis. RESULTS: 84 schools participated in the CEPS Program. Attrition (24%) occurred mainly after the first year. Most schools performed at least one situation analysis (88.1%) and had at least one teacher trained (73.8%). One of three obtained a certificate (35.7%) or grant (38.1%). For the process and results, we selected 44 schools. Teachers' participation stood out (61.4% transformative and 38% representative) over the participation of other agents. The coordination of the health committee with other committees and with other local resources was a crucial element. Of the schools, 40.9% had high quality projects, 50% medium, and 9.1% low. Of the schools, 40.9% showed positive health results. CONCLUSION: We identified the characteristics of high-quality health-promoting schools.


Assuntos
Promoção da Saúde , Instituições Acadêmicas , Promoção da Saúde/métodos , Avaliação de Programas e Projetos de Saúde , Serviços de Saúde Escolar , Espanha
20.
Artigo em Inglês | MEDLINE | ID: mdl-36078806

RESUMO

A healthy lifestyle among the elderly is associated with improved health. However, many older adults are not engaging in such behavior. The purpose of the study was to develop an individually tailored online/telephone program to increase healthy lifestyle behaviors among community-dwelling elderly people. The program includes individually tailored healthy lifestyle recommendations based on participants' functional level. Community-dwelling elderly people aged 60+ years (n = 77; mean age: 72.98 ± 6.49) participated in the study. Significant associations were observed between health promotion activities and health status (r = 0.23, p = 0.04) and physical functional level (r = 0.44, p < 0.001). Twenty-seven percent of participants claimed that they learned "a lot" of new things about themselves, and 31% claimed that the recommendations received were new to them. Most participants engaged in the recommendations at least 1-2 times a week. Regression analyses showed that barriers significantly predicted reduced compliance with the health-related recommendations received (adjusted R2 = 0.18). The main barrier for compliance was inaccessible information about services (32.46% of the participants). The most prevalent facilitator for compliance with the recommendation was health behavior motivation (59.74% of the participants). In conclusion, this study provided evidence on the effectiveness of a multicomponent tailored intervention program among the elderly in increasing health-related knowledge and behavior about the recommendations.


Assuntos
Comportamentos Relacionados com a Saúde , Promoção da Saúde , Idoso , Terapia Comportamental , Aconselhamento , Estilo de Vida Saudável , Humanos , Estilo de Vida
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