الملخص
Introducción: El consumo de bebidas analcohólicas ha aumentado. Médicos y enfermeros resultan estratégicos para promocionar cambios en el estilo de vida. Objetivos: Establecer: la prevalencia de consumo habitual de bebidas analcohólicas comerciales entre médicos y enfermeros, la percepción del carácter saludable, la asociación entre percepción y consumo, y si las técnicas de mercadeo social modifican la percepción y los cambios de hábitos de hidratación. Materiales y métodos: Se incluyeron médicos y enfermeros de las salas de internación. Completaron una encuesta sobre consumo habitual y percepción del carácter saludable de las bebidas. Se realizaron dos intervenciones educativas nutricionales. Al mes, se aplicó un cuestionario sobre percepción y, a quienes refirieron consumo habitual, una encuesta para evaluar cambios de hábitos de hidratación (Prochaska). Diseño Cuasi-experimental, antes/después. Estadística descriptiva (tendencia central y dispersión; frecuencias y proporciones). Estadística inferencial (chi2 significancia del 0,05, Stata 14). Resultados: De los 105 encuestados se observó un consumo habitual: 72,4% (76). Previa a la intervención: el 85,7% (90) consideró no saludable a las gaseosas con azúcar; siendo menor para jugos (59-56,2%) y aguas saborizadas con azúcar (52-49,5%). En su versión sin azúcar consideraron no saludables a: gaseosas 33,3% (35), jugos comerciales 20% (21), y aguas saborizadas 17,1% (18). Dentro de la variedad sin azúcar, quienes consumían gaseosas, jugos y aguas saborizadas, tuvieron una percepción significativamente más saludable: p 0,046, p 0,006 y p 0,0001 respectivamente. Pos intervención, hubo diferencias significativas en la percepción en todos los grupos de bebidas excepto en las gaseosas con azúcar (p 0,190). Entre quienes consumían habitualmente, 60,5% (46) respondió haber iniciado cambios en su hidratación. Conclusiones: La intervención educativa generó cambios en la percepción y en hábitos no saludables. Existe la necesidad de instaurar herramientas innovadoras y espacios sostenidos de educación nutricional para profesionales, teniendo en cuenta su importante rol en la transmisión de conocimientos a los pacientes
Introduction: The consumption of non-alcoholic beverages has increased. Doctors and nurses are strategic in promoting changes in lifestyle. Objectives: To establish: the prevalence of habitual consumption of commercial non-alcoholic beverages among doctors and nurses, perception of healthy character, association between perception and consumption, whether social marketing techniques modify perception, changes in hydration habits. Materials and methods: Physicians and nurses from the hospitalization wards were included. They completed a survey on habitual consumption and perception of the healthy nature of beverages. Two nutritional educational interventions were carried out. After a month, a questionnaire on perception was applied and, to those who reported habitual consumption, a survey to evaluate changes in hydration habits (Prochaska). Quasi-experimental design, before/after. Descriptive statistics (central tendency and dispersion; frequencies and proportions). Inferential statistics (chi2 significance of 0.05, Stata 14). Results: Of the 105 respondents, habitual consumption was observed: 72.4% (76). Before the intervention: 85.7% (90) considered soft drinks with sugar unhealthy; being lower for juices (59-56.2%) and flavored waters with sugar (52-49.5%). In its version without sugar, they considered unhealthy: soft drinks 33.3% (35), commercial juices 20% (21), and flavored waters 17.1% (18). Within the sugar-free variety, those who consumed soft drinks, juices and flavored waters had a significantly healthier perception: p 0.046, p 0.006 and p 0.0001 respectively. Post-intervention, there were significant differences in perception in all beverage groups except soft drinks with sugar (p 0.190). Of those who regularly consumed, 60.5% (46) responded that they had initiated changes in their hydration. Conclusions: The educational intervention generated changes in perception and in unhealthy habits. There is a need to establish innovative tools and sustained spaces for nutritional education for professionals, taking into account their important role in transmitting knowledge to patients
الموضوعات
Humans , Carbonated Beverages , Food and Nutrition Education , Social Marketing , Habitsالملخص
ABSTRACT OBJECTIVES To identify the possible causes of low adherence to vaccination campaigns in Brazil, find and analyze campaigns regarding human papillomavirus (HPV) in Brazil and abroad, and apply quality tools to prepare proposals to increase vaccination coverage (VC) and prevent HPV in the country. METHOD This is a qualitative and deductive-hypothetical research. A narrative review of the literature (especially on the narratives and formats applied in vaccination campaigns in Brazil) was the technique used to develop our method. RESULTS Brazil had a 49.6% VC in 2019, unlike countries such as Australia (80.2% in 2017), Mexico (97.5% in 2019), and Peru (91% in 2019). This study found evidence of the use of social marketing strategies to engage communities as good practices in the vaccination campaigns of these countries. CONCLUSION With the retrieved information, three quality tools (Ishikawa diagram, Pareto graph, and 5W2H) classified and quantified the causes of low VC in Brazil and enabled proposals that can direct its Ministry of Health to take more effective strategies to achieve the HPV VC goal recommended by the WHO.
RESUMO OBJETIVOS Identificar as possíveis causas da baixa adesão à campanha de vacinação no Brasil, identificar e analisar as campanhas relacionadas ao papilomavírus humano (HPV) no Brasil e em outras regiões do mundo, e aplicar ferramentas de qualidade para elaboração de propostas para aumento da cobertura vacinal (CV) para prevenção do HPV no país. MÉTODO Pesquisa de natureza qualitativa e dedutiva-hipotética. A técnica utilizada para o desenvolvimento do método é a revisão narrativa da literatura, em particular estudando as narrativas e formatos aplicados nas campanhas de vacinação no Brasil. RESULTADOS Identificou-se que, em 2019, a CV no Brasil foi de 49,6%, diferentemente de países como Austrália (80,2% em 2017), México (97,5% em 2019) e Peru (91% em 2019). Evidências do uso de estratégias de marketing social para engajamento comunitário foram encontradas nas campanhas de vacinação utilizadas como boas práticas nesses países. CONCLUSÃO Com as informações encontradas foram aplicadas três ferramentas de qualidade (diagrama de Ishikawa, gráfico de Pareto e 5W2H) que classificaram e quantificaram as causas da baixa CV no Brasil e, com isso, viabilizaram propostas que podem direcionar o MS à tomada de estratégias mais eficazes para atingimento da meta de CV do HPV recomendada pela OMS.
الموضوعات
Uterine Cervical Neoplasms/prevention & control , Immunization , Immunization Programs , Social Marketing , Papillomaviridaeالملخص
ABSTRACT@#This study investigated personal and professional social media use among orthodontists in Malaysia, to determine marketing strategies and to identify potential determinants associated with their behaviours. A cross sectional study using an online questionnaire distributed to members of the Malaysian Association of Orthodontists (MAO). Data were analysed using SPSS software to derive descriptive statistics and analysis of variance was applied to compare responses between age groups and working sector. Responses to open ended questions were analysed using thematic analysis. A response rate of 41% was obtained (n = 72). Almost all respondents were social media users with Facebook being the most common online platform. Majority relied on traditional methods of marketing such as good service and image practice (94.4%), word of mouth (94.4%) and referrals (93.1%). Only 9.7% of respondents had adopted social media marketing but 23.6% had future plans to adopt it as their marketing strategy. Difference in knowledge of social media marketing was significantly different between age groups (p = 0.024). Concerns over patient confidentiality (p = 0.016) and risk of breaching online professional behaviour (p = 0.025), as reasons discouraging social media marketing was statistically significant between work sector groups. Most orthodontists in Malaysia use social media for personal use but only a minority incorporate it into their marketing strategies. Majority see its potential and predict its use will increase in the future.
الموضوعات
Orthodontics , Social Marketing , Malaysiaالملخص
Background@#Health information systems (HIS) such as Electronic Medical Record (EMR) systems are essential in the integration of fragmented local health systems. Investing in HIS is crosscutting; it can address multiple interrelated health system gaps. However, public health authorities, especially those in resource-constrained communities, are often faced with the dual challenge of upgrading and digitalizing local HIS and addressing other more apparent health system gaps. @*Objectives@#The study aimed to identify and document strategies that not only motivate policy change towards adoption of electronic HIS but also address other health system gaps. @*Methodology@#The author, in his capacity as a local health official in a resource-constrained community, developed, implemented, and documented a social marketing strategy wherein community stakeholders were influenced to invest in an electronic medical record (EMR) system because it was shown to also have the capacity to address other priority health system gaps identified. @*Results@#The strategy, based on situational, stakeholder, and risk analyses, prompted local governance to first invest in improving the delivery of services accredited by the national health insurance program (PhilHealth), for which reimbursements would require electronically submitted claim forms. Community stakeholders then supported the proposal to invest in an EMR system because they were persuaded that it can facilitate increased financing from PhilHealth claims reimbursements, which could be used to enable not only improvement in existing health services but to also initiate other health programs.@*Conclusion@#Social marketing using the perspective of health as an investment influenced stakeholders to invest in an EMR system.
الموضوعات
Public Health , Health Information Systems , Health Communication , Social Marketingالملخص
Introducción: En Ecuador se han establecido políticas públicas encaminadas al tratamiento de la problemática social de los adultos mayores. Sin embargo, en la ciudad de Riobamba las acciones que se realizan para implementar estas políticas son aisladas e insuficientes, sin involucrar a todos los actores en el cambio social necesario. Objetivo: Diseñar un plan de marketing social como contribución a la implementación de las políticas públicas relacionadas con la atención integral al adulto mayor en el Gobierno Autónomo Descentralizado de Riobamba. Métodos: El análisis y síntesis de la información obtenida mediante la revisión documental, la aplicación de encuestas y entrevistas y la realización de grupos focales permitieron establecer las bases teóricas y metodológicas, identificar el problema existente y diseñar el plan de marketing social. Resultados: A partir de la convergencia existente entre el proceso de diseño e implementación de las políticas públicas y los planes de marketing social fue posible contribuir a la atención integral al adulto mayor. El plan de marketing social diseñado y validado propone un programa con seis proyectos encaminados a influir en la aceptación de ideas y la modificación de comportamientos en los públicos objetivo en beneficio de los adultos mayores, para su atención integral, con el uso de las herramientas del marketing. Conclusiones: El uso del marketing social posibilita dar el salto de la institucionalidad y la normatividad vigente al diseño de programas con verdadera coordinación entre todos los actores públicos y de la sociedad civil, garantizando la sostenibilidad y la participación en la implementación de las políticas públicas(AU)
Introduction: In Ecuador, public policies that have been established are aimed to address the social problems of the elderly. However, in the city of Riobamba the actions taken to implement these policies are isolated and insufficient, without involving all actors in the necessary social change. Objective: Design a social marketing plan as a contribution to the implementation of public policies related to comprehensive care for the elderly in the Decentralized Autonomous Government of Riobamba. Methods: The analysis and synthesis of the information obtained through the documentary review, the application of surveys and interviews and the realization of focus groups allowed to establish the theoretical and methodological bases, identify the existing problem and design the social marketing plan. Results: From the convergence between the process of design and implementation of public policies and social marketing plans, it was possible to contribute to comprehensive care for the elderly. The designed and validated social marketing plan proposes a program with six projects aimed at influencing the acceptance of ideas and the modification of behaviors in the target audiences for the benefit of older adults, for their comprehensive care, with the use of marketing tools. Conclusions: The use of social marketing makes it possible to make the leap from institutionality and current regulations to the design of programs with true coordination between all public and civil society actors, guaranteeing sustainability and participation in the implementation of public policies(AU)
الموضوعات
Humans , Male , Female , Aged , Aged, 80 and over , Comprehensive Health Care , Social Marketing , Health Policy , Aged , Ecuadorالملخص
Com o avanço das tecnologias de informação, as redes sociais estão inseridas diretamente no cotidiano dos indivíduos e refletem o modo como grupos e indivíduos constroem suas relações sociais, afetivas e laborais. Considerando que a percepção sobre os corpos é influenciada pelos canais de comunicação, este trabalho procura discutir o crescimento do movimento Body Positive (BoPo) em perfis do Instagram, tendo em vista a estetização da saúde e o efeito de influência e controle que são exercidos sobre a relação dos indivíduos com seus corpos. Para tanto, toma-se como referência a análise dos mecanismos neoliberais de controle e modulação de subjetividades marcados pela exigência de desempenho máximo e pela permanente concorrência consigo mesmo e com os outros. Procura-se apresentar uma reflexão crítica sobre a capacidade de captura dos mecanismos de controle em redes sociais que, em associação ao mercado capitalista, produzem novas roupagens para antigos dispositivos de poder.
With the advancement of information technologies, social media are inserted straight in people's daily life and reflect the way groups and individuals build their social, affective, and work relations. Considering that body perception is influenced by media channels, this paper aims to discuss the Body Positive movement increase on Instagram profiles, given the aestheticization of health and the influence and control effect over the relation of individuals with their bodies. Therefore, it takes as reference the analysis of neoliberal's control and subjectivity modulation mechanisms marked by both the exigency of maximum performance and the permanent competition with itself and the others. It seeks to present a critical reflection on the capture capacity of the social media control mechanisms that, associated with a capitalist market, produces new clothes to old power dispositives.
Con el avance de las tecnologías de la información, las redes sociales se insertan directamente en la vida diaria de las personas y reflejan la forma en que los grupos y las personas construyen sus relaciones sociales, afectivas y laborales. Teniendo en cuenta que la percepción de los cuerpos está influenciada por los canales de comunicación, este documento busca discutir el crecimiento del movimiento Body Positive (BoPo) en los perfiles de Instagram, en vista de la estetización de la salud, la influencia y el efecto de control que se ejercen sobre la relación de individuos con sus cuerpos. Con este fin, se toma como referencia el análisis de los mecanismos neoliberales para controlar y modular las subjetividades marcadas por la demanda de máximo rendimiento y competencia permanente consigo mismo y con los demás. Busca presentar una reflexión crítica sobre la capacidad de capturar mecanismos de control en las redes sociales que, en asociación con el mercado capitalista, producen ropa nueva para viejos dispositivos de energía.
الموضوعات
Humans , Beauty Culture , Communication , Information Technology , Social Networking , Social Media , Clothing , Social Marketing , Life Styleالملخص
Introdução: O marketing social é reconhecidamente uma ferramenta utilizada pela gestão de saúde coletiva no Brasil. Em se tratando especificamente da promoção da prevenção e controle do tabagismo, é importante analisar como se dá o seu uso por meio do principal órgão governamental nacional que detém essa atribuição. Objetivo: Analisar, a partir do uso do marketing social, em que nível de complexidade estão sendo propostas mudanças na sociedade em relação ao tabagismo. Método: Por meio da análise das campanhas publicitárias produzidas pelo Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) e utilizando a abordagem da análise do discurso publicitário, foi possível direcionar a investigação e compreender o processo de construção das peças publicitárias. Resultados:Após a categorização dos discursos, conforme a predominância de suas funções, foi viável relacioná-los aos níveis de mudança social pretendidos em cada peça publicitária e, com isso, compreender como o marketing social pode ser uma importante estratégia de promoção à adoção de medidas capazes de prevenir de doenças, como é o caso do câncer. Conclusão: Identificou-se a utilização do marketing social como ferramenta direcionada ao controle do tabagismo e relacionada ao nível mais complexo e avançado de mudança social e, portanto, com caráter de maior dificuldade de implementação.
Introduction: Social marketing is acknowledgedly a tool public health management uses in Brazil. In the specific case of the promotion of tobacco control and prevention, it is important to analyze how its use occurs through the main national government agency that oversees this assignment. Objective: To analyze, based in the use of social marketing, to what level of complexity changes are being proposed to the society in relation to smoking. Method: By analyzing advertising campaigns the National Cancer Institute José Alencar Gomes da Silva (INCA) produces and utilizing the advertising discourse analysis approach, it was possible to direct the investigation and understand the process of building advertising pieces. Results: After the categorization of speeches, according to the predominance of their functions, it was possible to relate them to the levels of social change intended in each advertising piece and thereby understand how social marketing can be an important strategy to promote measures capable of preventing diseases, as is the case of cancer. Conclusion: The use of social marketing was identified as a tool aimed for tobacco control and related to the most complex and advanced level of social change and therefore, difficult to execute.
Introducción: El marketing social es reconocido como una herramienta utilizada por la gestión de salud pública en Brasil. En el caso de una promoción específica de la promoción y el control del tabaco, es importante analizar cómo proporciona uso a través de la principal agencia del gobierno nacional que detecta ese uso. Objetivo: Analizar, desde el uso del marketing social, en qué nivel de complejidad se están aplicando cambios en la sociedad en relación con el tabaquismo. Método: Al analizar las campañas publicitarias producidas por el Instituto Nacional del Cáncer José Alencar Gomes da Silva (INCA) y utilizando un enfoque de análisis del discurso publicitario, fue posible dirigir una investigación y comprender el proceso de construcción de piezas publicitarias. Resultados: Después de la categorización de los discursos, de acuerdo con el predominio de sus funciones, fue posible relacionar los niveles de cambio social deseados en cada pieza publicitaria y así comprender cómo el marketing social puede ser una estrategia importante para promover medidas capaces de prevenir enfermedades, como es el caso del cáncer. Conclusión: El uso del marketing social se identificó como una herramienta dirigida al control del tabaco y al nivel más complejo y avanzado de cambio social, por lo tanto, con un carácter de mayor dificultad en la ejecución.
الموضوعات
Tobacco Use Disorder/prevention & control , Social Marketing , Smoking Prevention , Social Change , Brazil , Cancer Care Facilities , Advertisingالملخص
Resumen El objetivo de la investigación fue desarrollar un modelo para identificar las di mensiones del valor percibido de destinos turísticos oscuros, con una muestra de 821 parti cipantes. Se analizaron diferentes estructuras a través de un análisis factorial confirmatorio, centrándose en los índices de ajuste absoluto. Los resultados muestran que un modelo con cuatro dimensiones correlacionadas presenta los índices más altos de bondad de ajuste. Dentro del nuevo modelo es posible evidenciar una fuerte correlación entre el componente hedónico y el componente de búsqueda de sensaciones, con una correlación de .97, seguida por una correlación de .76 entre el componente hedónico y el componente utilitario; también entre el componente de búsqueda de sensaciones y el componente hedónico, cuyo coeficiente es de .57. Así, el interés por el turismo oscuro se relaciona en primera instancia con la búsqueda de sensaciones y en un grado menor, pero consistente, con el valor hedónico y utilitario perci bido. Finalmente, no se encuentran diferencias significativas intergeneracionales, ni diferen cias significativas entre sexos en la forma de percibir el valor de los destinos turísticos oscuros.
Abstract The purpose of this research was to develop a model to identify the dimensions of perceived value of dark tourist destinations, with a sample of 821 participants. Different structures are analyzed through a confirmatory factor analysis, focusing on absolute adjustment rates. The results show that a model with four correlated dimensions has the highest goodness-of-fit indexes. Within the new model it is possible to show a strong correlation between the hedonic and the sensation-seeking component, with a correlation of .97, followed by a correlation of .76 between the hedonic and the utilitarian component, as well as between the sensation-seeking and the hedonic component, whose coefficient was .57. Thus, interest in dark tourism is primarily related to sensation-seeking and to a lesser but consistent degree to the hedonic and utilitarian value per ceived by people in tourist destinations. Finally, no significative intergenerational differences were found in the way the value of dark tourist destinations is perceived and no differences between sex groups were found too.
الموضوعات
Factor Analysis, Statistical , Predictive Value of Tests , Social Marketing , Tourismالملخص
O objetivo do artigo foi analisar a relação da imagem corporal com a credibilidade profissional do personal trainer na escolha do aluno. É uma pesquisa descritiva e quantitativa, com 1000 indivíduos praticantes de musculação das cidades Patos-PB e João Pessoa-PB. Foi utilizado o questionário de autoimagem Escala de Silhuetas. 17,7% e 29,6% escolheram mulheres, enquanto 15,4% e 17,1% escolheram homens na cidade de Patos e João Pessoa, respectivamente. Observa- se que o desejo da imagem corporal está relacionado à idealização da imagem corporal do personal trainer (p<0,001). Conclui-se que a imagem corporal do personal trainer pode ser um fator influente em sua escolha pelos alunos, e a exigência nesse tocante pode divergir pela diferença regional da população.
The objective was to analyze the relationship of body image with the professional credibility of the personal trainer in the student's choice. It is a descriptive and quantitative research, with 1000 individuals practitioners weight training in the cities Patos-PB and João Pessoa-PB.The self-image questionnaire Scale of Silhouettes was used. 17,7% and 29,6% chose women, while 15,4% and 17,1% chose men in the city of Patos and João Pessoa, respectively. It is observed that the desire for body image is related to the idealization of the body image of the personal trainer (p <0.001). It is concluded that the body image of the personal trainer can be an influential factor in the choice of students, and the requirement in this regard may diverge due to the regional difference of the population.
El objetivo fue analizar la relación de la imagen corporal con la credibilidad profesional del entrenador personal en la elección del alumno. Es una investigación descriptiva y cuantitativa, con 1000 individuos practicantes en entrenamiento con pesas en las ciudades Patos-PB y João Pessoa-PB. Se utilizó el cuestionario de autoimagen Escala de siluetas. 17,7% y 29,6% eliegieron mujeres, mientras que el 15,4% y 17,1% eligieron hombres em la ciudad de Patos y João Pessoa, respectivamente. Se observa que el deseo de imagen corporal está relacionado con la idealización de la imagen corporal del entrenador personal (p <0,001). Se concluye que la imagen corporal del entrenador personal puede ser un factor influyente en la elección de los estudiantes, y el requisito a este respecto puede divergir debido a la diferencia regional de la población.
الموضوعات
Humans , Male , Female , Body Image , Social Marketing , Professionalism , Self Concept , Surveys and Questionnairesالملخص
Este artigo mapeia as estratégias de atuação do Ministério da Saúde na rede social Instagram. Realizou-se um estudo de caso no período de agosto de 2017 a agosto de 2018 para verificar como o tema da amamentação foi abordado na rede oficial do governo brasileiro para saúde. O corpus tem 65 posts sobre a questão, que foram analisados considerando as métricas de monitoramento das redes sociais: alcance; volume; atividade; engajamento dos usuários e influência do conteúdo junto aos seguidores. Analisando as estratégias de atuação do marketing social e digital identificou-se a falta de interação e resposta aos usuários e a baixa diversidade de representação das mulheres. O levantamento aponta a necessidade de problematizar as práticas do Ministério nesta rede e propor melhorias para ampliar o diálogo com a sociedade.
This article maps out the strategies of performance of the Brazilian Ministry of Health in Instagram's social network. A case study was carried out in the period from August 2017 to August 2018 to verify how the topic of breast-feeding was approached in the official network of the Brazilian government for health. The corpus has 65 posts about that issue which were analised considering the measures to monitor social networks: scope, volume, activity, user engagement and influence of the content on the followers. Analyzing the strategies of social and digital marketing used by the Brazilian government for health, it was identified the lack of interaction with users and of response to them and the low diversity of women represented on its Instagram profile. The research points out that we need to problematize Ministry practices in this network and to propose improvements to broaden the dialogue with the society.
El artículo mapea las estrategias de actuación del Ministerio de Salud de Brasil en la red social Instagram. Se realizó un estudio de caso en el período de agosto de 2017 hasta agosto de 2018 para escudriñar como se abordó el tema de la lactancia en la red oficial del gobierno brasileño para salud. El corpus tiene 65 posts a respecto del asunto y fueron estudiados considerando las medidas para monitorizar redes sociales: alcance; volumen; actividad; interacción de los usuarios e la influencia del contenido en los seguidores. Analizando las estrategias de actuación del marketing social y digital se identificó falta de interactividad, usuarios sin respuesta y la baja diversidad de representación de las mujeres en lo perfil del gobierno brasileño en Instagram. La investigación apunta la necesidad de problematizar las prácticas del Ministerio en esta red y de proponer mejorías para ampliar el diálogo con la sociedad.
الموضوعات
Humans , Female , Infant, Newborn , Infant , Breast Feeding , Social Marketing , Social Media , Online Social Networking , Government Agencies , Health Promotion , Unified Health System , Brazil , Community Networks , Health Policy , Interpersonal Relationsالملخص
Resumo O artigo propõe uma leitura da crise da saúde no interior de uma crise mais ampla das utopias e da necessidade de reinventarmos a emancipação social que indique trilhas realistas de esperanças a partir do presente. Para isso propomos a articulação de quatro tipos de justiça: social, sanitária, ambiental e cognitiva. As duas primeiras são bem conhecidas do pensamento crítico e da saúde coletiva, e as duas últimas ampliam o entendimento da crise em sua natureza civilizatória, ética e planetária, marcada pelas contradições e potencial destrutivo da modernidade eurocêntrica, ocidental e capitalista. O social, na perspectiva assumida, é considerado indissociável das dimensões ecológicas, ontológicas e epistemológicas que marcarão os grandes embates na interface entre ética, política, ciência e transformação social em tempos de acirramento das várias crises, surgimento de distopias e necessária transição civilizatória. O artigo se apoia nas contribuições de três campos do conhecimento: a saúde coletiva, a ecologia política e as abordagens pós-coloniais, em especial as epistemologias do Sul de Boaventura de Sousa Santos, em torno da reinvenção da emancipação social. Ao final propomos breves reflexões para que a saúde coletiva produza alternativas sobre temas como desenvolvimento econômico, científico e tecnológico, promoção, vigilância, atenção e cuidado.
Abstract The article proposes a reinterpretation about the health crisis within a broader crisis of utopias and the need to reinvent social emancipation that can show us realistic paths of hope from the present. For this purpose, we propose the association of four types of justice: social, health, environmental and cognitive. The two first ones are well known in critical thinking and collective health, and the last two extend the understanding of the crisis in its civilizing, ethical, and planetary aspects, marked by the contradictions and destructive potential of Eurocentric, Western and capitalist modernity. The social is considered inseparable from the ecological, ontological, and epistemological dimensions in the interface between ethics, politics, science and social transformation related to the various crises and the necessary civilizational transition. The article is based on contributions from three fields of knowledge: collective health, political ecology and postcolonial approaches, especially the Epistemologies of the South, as presented by Boaventura de Sousa Santos around the reinvention of social emancipation. Finally, we propose some brief reflections for collective health to produce alternatives on topics such as economic, scientific and technological development, health promotion, surveillance, and care.
الموضوعات
Humans , Social Justice , Environmental Health , Public Health , Freedom , Right to Health , Violence , Warfare , Economic Development , Clothing , Colonialism , Metaphor , Capitalism , Social Marketing , Racism , Ethnic Violence , Sustainable Development/economics , Industryالملخص
O presente estudo visa compreender os fatores de influência para a redução do consumo das bebidas açucaradas. Nesse intuito, adotou-se uma abordagem qualitativa, a fim de desenvolver ferramentas de marketing social para a promoção da redução do consumo entre adolescentes. Foram realizadas entrevistas gravadas em áudio, com roteiro semiestruturado, sendo entrevistados onze adolescentes de 16 a 18 anos, variando entre estudantes do ensino médio de instituições públicas e privadas do estado da Paraíba. Os resultados indicaram que os principais incentivos para o consumo são o sabor, preço, praticidade e o assédio dos amigos e familiares que incentivavam o consumo de bebidas açucaradas. Fazendo o uso de ferramentas de marketing social, verificou-se que a conscientização sobre os aspectos negativos da ingestão dessas bebidas, a inserção de ações reguladoras e a exposição dos malefícios contribuem para uma nova consciência sobre o consumo dessas bebidas e a redução do consumo.
In order to understand the influence factors for the reduction of consumption of sugar-sweetened beverages, a qualitative approach was adopted in order to develop social marketing tools to promote consumption reduction among adolescents. Interviews were recorded, with a semi-structured script. Eleven adolescents aged 16 to 18 years were interviewed, varying among high school students from public and private institutions in the state of Paraíba. The results indicated that the main incentives for consumption are the taste, price, practicality and harassment of friends and family that encouraged the consumption of sugary drinks. Using social marketing tools, it was found that awareness of the negative aspects of the intake of these beverages, the insertion of regulatory actions and the exposure of the maladies contribute to a new awareness about the consumption of these beverages and the reduction of consumption.
Con el objetivo de comprender los factores de influencia para la reducción del consumo de las bebidas azucaradas, se adoptó un abordaje cualitativo, con el fin de desarrollar herramientas de marketing social para la promoción de la reducción del consumo entre adolescentes. Se realizaron entrevistas grabadas por audio, con guión semiestructurado, siendo entrevistados once adolescentes de 16 a 18 años. Los resultados indicaron que los principales incentivos para el consumo son el sabor, precio, practicidad y el acoso de los amigos y familiares que incentivaban el consumo de bebidas azucaradas. Al hacer el uso de herramientas de marketing social, se verificó que la concientización sobre los aspectos negativos de la ingestión de esas bebidas, con la inserción de acciones reguladoras y la exposición de los maleficios contribuyen a una nueva conciencia sobre el consumo de esas bebidas y la reducción del consumo.