Negative Self-Assessment of Health in Women: Association with Sociodemographic Characteristics, Physical Inactivity and Multimorbidity.

INTRODUCTION: Women present a higher prevalence of negative self-assessment of health (NSAH) when compared to men. However, there is a gap in the literature of factors associated with NSAH in women from developing countries such as Brazil. In addition, few studies have assessed the magnitude of the association between multimorbidity and NSAH in this population. Thus, the aim of this study was to evaluate the association between NSAH and sociodemographic characteristics, lifestyle and multimorbidity in women from the Midwest region of Brazil. METHODS: A study based on data from the National Health Survey, a household survey that investigated health situation, lifestyle and risk factors for chronic diseases in the adult population of Brazil, was held. Sampling was performed in multiple stages. The selected women answered a standardized questionnaire on sociodemographic data, self-assessment of health and potential determinants. Poisson regression was used to analyze the association between NSAH and sociodemographic characteristics, lifestyle and multimorbidity. A significance level of 0.05% was established. RESULTS: The study included 4233 women. The prevalence of NSAH found was 6.0% (95% Confidence Interval [95% CI]: 5.1-7.0%). There was an association between NSAH and advancing age, low schooling, physical inactivity and multimorbidity. Furthermore, there was an association between NSAH and diseases/disorders such as chronic back pain, systemic arterial hypertension, mental disorders, depression, cardiovascular diseases, stroke, cancer, hypercholesterolemia and diabetes mellitus. CONCLUSION: The prevalence of NSAH was low. A strong association was found between this variable and multimorbidity. In addition, increased age, low schooling and physical inactivity were predictors of NSAH in women.

Estudo ecológico das tendências de mortalidade em menores de 5 anos em Goiás, 2000­2018 / Ecological study of under-5 mortality trends in Goiás, 2000­2018

Identificar a taxa de mortalidade em crianças menores de 5 anos e descrever sua evolução no estado de Goiás quanto ao componente etário, variáveis sociodemográficas e evitabilidade. Métodos: Trata-se de um estudo ecológico de séries temporais utilizando regressão linear generalizada pelo método de Prais-Winsten para a análise de tendência. Resultados: A correlação das taxas de mortalidade com a cobertura da Estratégia Saúde da Família foi verificada pelo coeficiente de correlação de Pearson. O estado de Goiás apresentou tendência decrescente na taxa de mortalidade em crianças menores de 5 anos, com variação percentual anual de -1,6% (IC95% -1,8%­ -0,9%) e correlação negativa com a cobertura da Estratégia Saúde da Família (r=-0,193; p=0,023). Conclusão: As séries das taxas por evitabilidade e subgrupos de causas evitáveis foram decrescentes, com exceção dos óbitos reduzíveis por adequada atenção à mulher na gestação. Prevaleceram óbitos por causas evitáveis, sugerindo necessidade de melhorias na assistência materno-infantil.

Objective: To identify the mortality rate in children under 5 years old and describe its evolution in the state of Goiás in regard to the component of age, sociodemographic variables, and preventability. Methodology: This is an ecological time series study using generalized linear regression via the Prais-Winsten method for trend analysis. Results: The correlation between mortality rates and the coverage of the Estratégia de Saúde da Família (Family Health Strategy) was verified by the Pearson correlation coefficient. The state of Goiás showed a decreasing trend in the mortality rate in children under 5 years old, with an annual percentage change of -1.6% (95%CI -1.8%­ -0.9%) and a negative correlation with Family Health Strategy coverage (r=-0.193; p=0.023). Conclusion: The rates for preventability and subgroups of preventable causes were decreasing, except for deaths that can be prevented with adequate care for women during pregnancy. Deaths from preventable causes prevailed, suggesting the need for improvements in maternal and childcare.

Adaptação cultural da ferramenta de avaliação de comunicação em saúde (HCAT) para a língua portuguesa, Brasil / Cultural adaptation of the health communication assessment tool to portuguese language, Brazil / Adaptación cultural de la herramienta de evaluación de comunicación en salud (HCAT) para la lengua portuguesa, Brasil

Este estudo tem como objetivo descrever o processo de adaptação cultural da ferramenta Health Communication Assessment Tool (HCAT) para o Brasil. A HCAT é uma escala que avalia comportamentos de comunicação em simulação clínica. Trata-se de uma pesquisa metodológica, desenvolvida em instituição de ensino superior por meio das seguintes etapas: tradução da ferramenta para a língua portuguesa; avaliação por um comitê de juízes; retrotradução; e avaliação semântica. Todas as etapas do processo de adaptação cultural foram rigorosamente seguidas, garantindo equivalências semânticas, idiomáticas, culturais e conceituais entre a versão original e a brasileira, além de concordância superior a 70% dos professores de enfermagem das regiões Nordeste, Sudeste e Sul que participaram da última etapa, ou seja, da avaliação semântica. Conclui-se que a versão brasileira do HCAT foi adaptada culturalmente e poderá avaliar a habilidade de comunicação de estudantes de enfermagem em cenário de simulação clínica.

This study aims to describe the process of cultural adaptation of the Health Communication Assessment Tool (HCAT) to Brazil. The HCAT is a scale that evaluates communication behaviors in clinical simulation. We developed a methodological research in an institution of higher education through the following stages: translation of the tool from English into Portuguese; evaluation by a committee of judges; back-translation; and semantic evaluation. All stages of the cultural adaptation process were rigorously developed ensuring semantic, idiomatic, cultural and conceptual equivalence between the original and the Brazilian version, in addition to a concordance of more than 70% of the nursing teachers who were invited to collaborate in evaluation. They are from three Brazilian regions ­ Northeast, Southeast and South ­ and participated in the last stage, namely semantic evaluation. It was concluded that the Brazilian version of the HCAT was culturally adapted and it will be a good tool to assess the communication skills of nursing students in a scenario of clinical simulation.

Este estudio se centra en describir el proceso de la adaptación cultural de la herramienta Health Comunnication Assessment Tool (HCAT) a Brasil. El HCAT es una escala que evalúa la comunicación de los comportamientos en simulación clínica. El estudio constituye una investigación metodológica desarrollada en una institución de educación superior a través de las siguientes etapas: la traducción de la herramienta al portugués; evaluación por un comité de jueces; back-translation; y evaluación semántica. Todas las etapas del proceso de adaptación cultural fueron desarrolladas con el debido rigor garantizando equivalencias semánticas, idiomáticas, culturales y conceptuales entre la versión original y la brasileña, además de concordancia superior al 70% de los profesores de enfermería de las regiones Nordeste, Sudeste y Sur del Brasil que participaron de la última etapa, es decir, la evaluación semántica. Se consideró que la versión brasileña de la HCAT fue adaptada culturalmente y podrá evaluar las habilidades de comunicación de los estudiantes de enfermería en escenario de simulación clínica.

Serious game e-Baby: nursing students' perception on learning about preterm newborn clinical assessment.

OBJECTIVE: To evaluate students opinion regarding e-Baby educational technology. METHODOLOGY: Exploratory descriptive study in which participated a sample composed of 14 nursing Portuguese students that used e-Baby digital educational technology in an extracurricular course. To achieve the aim of the study, the data collection was realized through an opinion instrument in Likert scale including the possibility of commentaries by students. Is was also collected data of participants' characterization. RESULTS: Students made very satisfactory evaluations regarding the game e-Baby, varying since usability acceptation through suggestions of expansion of the game to other nursing themes. CONCLUSION: Serious game e-Baby can be considered a didactic innovation and motivator tool of learning. Besides, it demonstrates have adequate interface in design and educative function aspects, evocating intense interaction between user and computational tool.