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1.
Rev. bioét. derecho ; (50): 239-253, nov. 2020.
Artículo en Español | IBECS | ID: ibc-191356

RESUMEN

Las carencias sociales de México empeorarán por la pandemia SARS-COV2. A saber, el acceso a la salud, derechos laborales básicos, y la infructuosa respuesta del gobierno para erradicar la violencia machista contra las mujeres. El desinterés histórico para fomentar una cultura del apoyo mutuo y el autocuidado ha provocado que gran parte de la ciudadanía se haya desconectado de sus derechos sociales y sanitarios. Así, no se sigue una indicación -quédate en casa- por desigualdades estructurales. Propongo que la libertad efectiva puede conseguirse mediante la aprobación de la renta básica universal desde una perspectiva feminista. Concluyo que las secuelas de la pandemia, que definirán la vida cotidiana, ameritan la aprobación de esta medida. Igualmente, las mujeres como clase sexual requieren protección desde una perspectiva feminista


Many of the social deprivations of Mexico will be worsened due to SARS-COV2 pandemic. Namely, the insufficient access to public health, lack of labor rights, and the unsuccessful government's response to eradicate male violence against women. The historical unconcern in promoting a culture rooted in mutual aid and self-care has provoked many citizens are disconnected from their social and health rights. Thus, people's inability to carry through one direction -stay home- is unfulfilled, in part, due to structural inequalities. I affirm that effective liberty could be obtained by approving a Universal Basic Income from a feminist perspective. I conclude that the aftermath of COVID-19, which will define everyday life for a while, require the endorsement of such measure. Likewise, women as a class deserve protection from a feminist critical framework


Les mancances socials de Mèxic empitjoraran per la pandèmia SARS-COV-2. A saber, l'accés a la salut, els drets laborals bàsics I la infructuosa resposta de govern per eradicar la violència masclista contra les dones. El desinterès històric per fomentar una cultura de suport mutu I l'autocura ha provocat que gran part de la ciutadania s'hagi desconnectat dels seus drets socials I sanitaris. Així, no se segueix una indicació -queda't a casa- per desigualtats estructurals. Proposo que la llibertat efectiva pot aconseguir-se mitjançant l'aprovació de la renda bàsica universal des d'una perspectiva feminista. Concloc que les seqüeles de la pandèmia, que definiran la vida quotidiana, mereixen l'aprovació d'aquesta mesura. Igualment, les dones com a classe sexual requereixen protecció des d'una perspectiva feminista


Asunto(s)
Humanos , Masculino , Femenino , Infecciones por Coronavirus/epidemiología , Neumonía Viral/epidemiología , Pandemias , Renta per Cápita , Apoyo Social , Incertidumbre , Política Pública , Política de Salud , Factores Socioeconómicos , México/epidemiología
2.
An. psicol ; 36(2): 188-199, mayo 2020. tab, graf
Artículo en Español | IBECS | ID: ibc-192055

RESUMEN

El objetivo de este trabajo es evaluar empíricamente la eficacia de un programa de intervención con mujeres víctimas de violencia de género. El programa en conjunto se enmarca dentro de las Terapias Contextuales, específicamente se ha utilizado la Psicoterapia Analítica Funcional, combinada con la Terapia de Aceptación y Compromiso y la Activación Conductual. Se ha llevado a cabo en formato grupal, durante 11 sesiones de 2 horas cada una. Participaron un total de 21 mujeres (de una media de edad de 45 años), que habían sufrido violencia física y/o abuso emocional por parte de sus parejas, en diferente grado e intensidad, y en diferentes momentos en sus vidas. Se ha utilizado un diseño intragrupo con medidas pre-post. Se realizaron tres grupos de tratamiento en diferentes ciudades con 6 a 8 mujeres cada uno. Para medir la intervención se ha aplicado el cuestionario Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM). Los resultados han mostrado una disminución estadísticamente significativa en la severidad del malestar, han disminuido los indicadores de riesgo de suicidio, y han mejorado las conductas problemáticas dentro y fuera de las sesiones, además de incrementarse la apertura hacia los demás. Se discute la utilidad de las terapias contextual es para mejorar la calidad de vida de mujeres maltratadas, y su utilidad de aplicación en grupos en las instituciones públicas


The goal of this study is to empirically evaluate the efficacy of an intervention program with women victims of gender violence. Specifically, Functional Analytical Psychotherapy has been used, combined with Acceptance and Commitment Therapy, and Behavioral Activation. It has been carried out in group format, during 11 sessions of 2 hours each. A total of 21 women participated (an average of 45 years-old), who had suffered physical violence and/or emotional abuse by their partners, with different degrees and intensity, and at different moments of their lives. An intra-group design with pre-post measures was used. Three treatment groups were carried out in different cities with 6 to 8 women each one. To measure the intervention, the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) questionnaire was applied. The results has shown a statistically significant decrease in the severity of discomfort, decreased suicide risk indicators, improved problem behavior inside and outside sessions, and increased openness to others. The usefulness of contextual therapies to improve the quality of life of battered women and their usefulness for application in groups in public institutions are discussed


Asunto(s)
Humanos , Femenino , Adulto , Persona de Mediana Edad , Anciano , Violencia de Género/psicología , Resultado del Tratamiento , Psicoterapia de Grupo/métodos , Psicometría/instrumentación , Encuestas y Cuestionarios , Abuso Físico/psicología , Calidad de Vida/psicología , Apoyo Social , Escalas de Valoración Psiquiátrica/normas , Análisis de Varianza , Maltrato Conyugal/psicología
3.
An. psicol ; 36(2): 232-241, mayo 2020. tab
Artículo en Inglés | IBECS | ID: ibc-192059

RESUMEN

BACKGROUND: The cardinal aim of the present study was to assess the level of social support, self esteem and quality of life among people living with HIV/AIDS in Jammu and Kashmir State of India. Further, the study strived to explore the relationship between independent and dependent variables. METHOD: The study consists a sample of 460 AIDS patients selected through purposive sampling technique, out of them 177 (38.3%) were male, 283 (61.5%) were female patients; 295 (64.1%) were married and 165 (35.9%) were unmarried. Measures included Enriched Social Support Inventory by Mitchell et al., (2003), Rosenberg's Self-Esteem Scale (1965) and Quality of Life Scale by Sharma & Nasreen (2014). For the statistical analysis of data Mean, Standard deviation, Frequency distribution, t-test, one way analysis of variance, correlation analysis and Scheffe's post hoc test was applied by SPSS 20.0 version. Findings: The findings illustrated that majority of patients have poor social support, lower self-esteem and poor quality of life; also it reveals that patient's social support, and self-esteem differs by age, occupation, duration of illness, gender, and marital status. However their quality of life differs only by their age, occupation, duration of illness, and marital status. Further the result shows social support and self-esteem are positively correlated with quality of life


ANTECEDENTES: El objetivo principal del presente estudio fue evaluar el nivel de apoyo social, autoestima y calidad de vida entre las personas que viven con el VIH / SIDA en Jammu y el Esta do de Cachemira de la India. Además, el estudio se esforzó por explorar la relación entre variables independientes y dependientes. Método: El estudio consiste en una muestra de 460 pacientes con SIDA seleccionados mediante una técnica de muestreo intencional, de ellos 177 (38.3%) eran hombres, 283 (61.5%) eran pacientes femeninas; 295 (64.1%) estaban casados y 165 (35.9%) no estaban casados. Las medidas incluyeron el Inventario de apoyo social enriquecido de Mitchell et al. (2003), la Escala de autoestima de Rosenberg (1965) y la Escala de calidad de vida de Sharma y Nasreen (2014). Para el análisis estadístico de los datos, la versión SPSS 20.0 aplicó la media, la desviación estándar, la distribución de frecuencia, la prueba t, el análisis de varianza unidireccional, el cuadrado de eta, el análisis de correlación y la prueba post hoc de Scheffe. Hallazgos: Los hallazgos ilustran que la mayoría de los pacientes tienen poco apoyo social, baja autoestima y mala calidad de vida; también revela que el apoyo social y la autoestima del paciente difieren según la edad, la ocupación, la duración de la enfermedad, el género y el estado civil. Sin embargo, su calidad de vida difiere solo por su edad, ocupación, duración de la enfermedad y estado civil. Además, el resultado muestra que el apoyo social y la autoestima se correlacionan positivamente con la calidad de vida


Asunto(s)
Humanos , Masculino , Femenino , Adulto Joven , Adulto , Persona de Mediana Edad , Infecciones por VIH/epidemiología , Síndrome de Inmunodeficiencia Adquirida/epidemiología , Síndrome de Inmunodeficiencia Adquirida/psicología , Apoyo Social , Calidad de Vida/psicología , Autoimagen , Infecciones por VIH/psicología , India/epidemiología , Análisis de Varianza
4.
Zhong Nan Da Xue Xue Bao Yi Xue Ban ; 45(6): 649-656, 2020 Jun 28.
Artículo en Inglés, Chino | MEDLINE | ID: mdl-32879121

RESUMEN

OBJECTIVES: To understand medical students' mental health, professional pride, and intention to work in the front-line during coronavirus disease 2019 (COVID-19) pandemic, and provide a reference for psychological intervention. METHODS: We used the depression-anxiety-stress scale and self-designed questionnaire on professional pride, intention to work in the front-line and the extent of family support. Medical students from 4 medical schools in Fujian and Hunan were investigated. Their mental health status, professional pride and first-line work willingness with different characteristics were compared, and the influential factors for professional pride and first-line work willingness were analyzed. RESULTS: A total of 266 valid questionnaires were collected. During the pandemic, there were significant differences in the proportion of depressed students among different college and universities, majors and stages (P<0.05), and the professional pride was significantly different (P<0.001). Medical students with different mental health status showed significant differences in professional pride (P<0.01). Marriage, pressure and extent of family support were the influential factors for their professional pride (P<0.05). The latter two were also influential factors for their intention to work in the front-line (P<0.05). CONCLUSIONS: During the pandemic, students from college and nursing have relatively better mental health and higher professional pride. The professional pride is low in medical students who married, with abnormal stress or low family support. The intention to work in front-line is decreased in students with abnormal stress or low family support.


Asunto(s)
Infecciones por Coronavirus/psicología , Salud Mental , Neumonía Viral/psicología , Estudiantes de Medicina/psicología , Betacoronavirus , China , Familia , Humanos , Intención , Pandemias , Profesionalismo , Apoyo Social , Estrés Psicológico , Encuestas y Cuestionarios
5.
J UOEH ; 42(3): 281-290, 2020.
Artículo en Japonés | MEDLINE | ID: mdl-32879193

RESUMEN

The purpose of this study is to investigate and clarify the relationships between occupational stress, personal factors, buffer factors and stress responses of newly graduated nurses, based on the NIOSH model. A questionnaire survey was conducted on 320 newly graduated nurses working at university hospitals where research cooperation was obtained. Data from 107 people was collected by mail (the response rate of 33.4%). In the results of the analysis, the GHQ-12 scores of the nurses on the three-shift system (23.5 ± 7.04) were found to be higher than those on the two-shift system (18.88 ± 6.03) (P = 0.007). The GHQ-12 score was significantly higher in the high stressor group (24.1 ± 6.20), who had higher job demand and lower work ratings than the low stressor group (18.93 ± 6.14) (P = 0.001, t = -3.44). The results of a multiple logistic regression analysis using high/low GHQ groups defined by a cut-off point of 4 in the GHQ-12 (GHQ method) as the dependent variables and the associated variables as the independent variables showed that the basic role identity and colleague support were found to have a significant relationship. The results of a Hosmer-Lemeshow test were P = 0.643, and the coefficient of determination was as high as 81.0%. This study was conducted approximately 6 months after the nurses entered employment, which is in the middle of the critical transition period from a student to a working member of society and can be assumed to be the most exhausting state of the year both physically and mentally. The results of this study suggest that various stressors might cause serious stress reactions. Also, as shown in previous literature, newly graduated nurses tend not to seek support from their bosses or preceptors throughout the year. Their main sources of support are family members, friends, and colleagues. Taken together, it became clear from our study that support from colleagues in the workplace is the most powerful buffer against stress and an indispensable resource to overcome the "reality shock" of working life.


Asunto(s)
Salud Mental , Enfermeras y Enfermeros/psicología , Salud Laboral , Estrés Laboral , Lugar de Trabajo/psicología , Adolescente , Femenino , Humanos , Modelos Logísticos , Masculino , Admisión y Programación de Personal , Apoyo Social , Encuestas y Cuestionarios , Carga de Trabajo/psicología , Adulto Joven
7.
FP Essent ; 496: 11-15, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32902241

RESUMEN

the first 6 months of life to achieve optimal growth, development, and health. The World Health Organization recommends continuation of breastfeeding, with the addition of complementary foods, for at least 2 years. Despite this guidance, while most newborns and infants in the United States receive some breast milk, most are not exclusively breastfed, and breastfeeding frequently is discontinued earlier than recommended. The reasons for noninitiation or early cessation of breastfeeding are multifactorial. Commonly cited reasons for early discontinuation of breastfeeding include lactation and latching issues, concerns about infant nutrition and weight, concerns about taking drugs while breastfeeding, milk pumping, unsupportive work policies, and lack of social support. Racial and ethnic disparities exist regarding the initiation and duration of breastfeeding.


Asunto(s)
Lactancia Materna , Conductas Relacionadas con la Salud , Grupos Étnicos , Femenino , Humanos , Lactante , Recién Nacido , Apoyo Social , Estados Unidos
8.
Nihon Koshu Eisei Zasshi ; 67(8): 518-527, 2020.
Artículo en Japonés | MEDLINE | ID: mdl-32879238

RESUMEN

Objectives We hypothesized that the motivation for improving physical function could be increased by increasing the awareness of social role expectations among frail community-dwelling older adults through an intervention based on the Community-as-Partner (CAP) model. We also developed a program for supporting community activities to prevent frailty, utilizing the CAP model. Program feasibility was assessed by implementing it under the local government's frailty prevention service.Methods The CAP-based program consisted of a "learning period," a "regional issue extraction period," and a "practice period," scheduled once a week for four months. Public health nurses and/or physical therapists assisted with the program. The intervention was conducted with a cohort study of community-dwelling older adults. About 160 participants identified as frail and pre-frail on the Kihon Checklist were recruited. Program feasibility was assessed through participation rate, number of pre-frail and frail individuals, and drop-out rate; scores of a pre-post intervention questionnaire assessing the understanding of frailty and regional resources; and behavioral change stage on frailty prevention.Results A total of 42 participants were recruited (participation rate=26.3%; 25 were pre-frail and 17 were frail). The drop-out rate was 23.8% (n=10). The scores on four out of five items and six out of eleven items on the understanding of frailty and regional resources, respectively, improved significantly after the intervention. Regarding the behavioral change stage, 26 participants (81.2%) maintained or improved.Conclusion The participation rate was approximately 30%, similar to conventional programs with direct professional intervention. Conversely, a higher drop-out rate compared to conventional programs suggested the importance of explaining the workshop in the program introduction and publicizing the workshop. The results indicated that the program improved the understanding of frailty and regional resources, and led to behavioral change for frailty prevention.


Asunto(s)
Fragilidad/prevención & control , Educación del Paciente como Asunto , Servicios Preventivos de Salud , Salud Pública , Apoyo Social , Anciano , Anciano de 80 o más Años , Estudios de Cohortes , Femenino , Humanos , Vida Independiente , Masculino , Encuestas y Cuestionarios
9.
J Nurs Adm ; 50(10): 505-507, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32925662

RESUMEN

Nursing leaders have voiced concern about the health and well-being of nurses and other healthcare providers during the recovery phase of disaster response after the coronavirus pandemic. There is much that can be learned from the experiences of our military colleagues. Behavioral health military nurses serving on readiness teams have educated leaders on how to apply psychological first aid (PFA) within their units during the recovery phase of disasters. This article will describe how nursing leaders can use PFA to enhance psychological support and resilience in their staff.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Liderazgo , Enfermeras Administradoras/psicología , Personal de Enfermería/psicología , Pandemias , Neumonía Viral/epidemiología , Humanos , Relaciones Interprofesionales , Enfermería Militar , Resiliencia Psicológica , Apoyo Social
11.
PLoS One ; 15(9): e0239698, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32970764

RESUMEN

OBJECTIVES: Loneliness is a significant public health issue. The COVID-19 pandemic has resulted in lockdown measures limiting social contact. The UK public are worried about the impact of these measures on mental health outcomes. Understanding the prevalence and predictors of loneliness at this time is a priority issue for research. METHOD: The study employed a cross-sectional online survey design. Baseline data collected between March 23rd and April 24th 2020 from UK adults in the COVID-19 Psychological Wellbeing Study were analysed (N = 1964, 18-87 years, M = 37.11, SD = 12.86, 70% female). Logistic regression analysis examined the influence of sociodemographic, social, health and COVID-19 specific factors on loneliness. RESULTS: The prevalence of loneliness was 27% (530/1964). Risk factors for loneliness were younger age group (OR: 4.67-5.31), being separated or divorced (OR: 2.29), scores meeting clinical criteria for depression (OR: 1.74), greater emotion regulation difficulties (OR: 1.04), and poor quality sleep due to the COVID-19 crisis (OR: 1.30). Higher levels of social support (OR: 0.92), being married/co-habiting (OR: 0.35) and living with a greater number of adults (OR: 0.87) were protective factors. CONCLUSIONS: Rates of loneliness during the initial phase of lockdown were high. Risk factors were not specific to the COVID-19 crisis. Findings suggest that supportive interventions to reduce loneliness should prioritise younger people and those with mental health symptoms. Improving emotion regulation and sleep quality, and increasing social support may be optimal initial targets to reduce the impact of COVID-19 regulations on mental health outcomes.


Asunto(s)
Infecciones por Coronavirus/psicología , Soledad , Neumonía Viral/psicología , Adolescente , Adulto , Factores de Edad , Anciano , Anciano de 80 o más Años , Ansiedad/epidemiología , Betacoronavirus , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias , Prevalencia , Factores Protectores , Factores de Riesgo , Apoyo Social , Reino Unido , Adulto Joven
12.
BMC Public Health ; 20(1): 1337, 2020 Sep 02.
Artículo en Inglés | MEDLINE | ID: mdl-32878612

RESUMEN

BACKGROUND: People who are houseless (also referred to as homeless) perceive high stigma in healthcare settings, and face disproportionate disparities in morbidity and mortality versus people who are housed. Medical students and the training institutions they are a part of play important roles in advocating for the needs of this community. The objective of this study was to understand perceptions of how medical students and institutions can meet needs of the self-identified needs of the houseless community. METHODS: Between February and May 2018, medical students conducted mixed-methods surveys with semi-structured qualitative interview guides at two community-based organizations that serve people who are houseless in Portland, Oregon. Medical students approach guests at both locations to ascertain interest in participating in the study. Qualitative data were analyzed using thematic analysis rooted in an inductive process. RESULTS: We enrolled 38 participants in this study. Most participants were male (73.7%), white (78.9%), and had been houseless for over a year at the time of interview (65.8%). Qualitative themes describe care experiences among people with mental health and substance use disorders, and roles for medical students and health-care institutions. Specifically, people who are houseless want medical students to 1) listen to and believe them, 2) work to destigmatize houselessness, 3) engage in diverse clinical experiences, and 4) advocate for change at the institutional level. Participants asked healthcare institutions to use their power to change laws that criminalize substance use and houselessness, and build healthcare systems that take better care of people with addiction and mental health conditions. CONCLUSIONS: Medical students, and the institutions they are a part of, should seek to reduce stigma against people who are houseless in medical systems. Additionally, institutions should change their approaches to healthcare delivery and advocacy to better support the health of people who are houseless.


Asunto(s)
Prestación de Atención de Salud , Personas sin Hogar , Trastornos Mentales , Defensa del Paciente , Relaciones Profesional-Paciente , Estigma Social , Estudiantes de Medicina , Adulto , Actitud Frente a la Salud , Conducta Adictiva , Femenino , Necesidades y Demandas de Servicios de Salud , Personas sin Hogar/psicología , Vivienda , Humanos , Masculino , Trastornos Mentales/complicaciones , Salud Mental , Persona de Mediana Edad , Oregon , Salud Poblacional , Investigación Cualitativa , Cambio Social , Apoyo Social , Trastornos Relacionados con Sustancias/complicaciones , Encuestas y Cuestionarios
14.
J Pregnancy ; 2020: 2097285, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32908703

RESUMEN

Introduction: Practicing exclusive breastfeeding (EBF) in an infant's first six months of life is recommended by the World Health Organization because of its proven effectiveness as a method to support the infant's short- and long-term physical and cognitive development. However, many countries, including Cambodia, face contextually driven challenges in meeting this optimum standard of breastfeeding. The recent declining EBF rate in Cambodia is a concerning indicator of the impact of these challenges. Methods: We used existing data from the 2014 Cambodian Demographic and Health Survey (CDHS) to analyze 717 Cambodian mother-infant pairs. CDHS 2014 used a two-stage stratified cluster sampling approach to select samples. A multivariable logistic regression analysis was used to assess determinants of EBF, taking into account the sampling weight in the analysis. Adjusted odds ratios (AOR) with 95% confidence intervals (CI) were calculated, and significance level was considered at p value < 0.05. Results: Our findings indicate that among mothers with infants under six months, EBF was more likely if they resided rurally (AOR = 2.28; 95% CI 1.23-4.23) and if they delivered at a public hospital (AOR = 2.64; 95% CI 1.28-5.47). On the other hand, mothers of middle wealth index practiced EBF less than mothers of low wealth index (AOR = 0.58; 95% CI 0.34-0.99). And as expected, our analysis confirmed that the older the infants grew, the less likely they were to be exclusively breastfed than those younger than one month old (2-3 months: AOR = 0.49; 95% CI 0.26-0.92; 4-5 months: AOR = 0.25; 95% CI 0.15-0.43). Conclusion: The findings emphasize the need to address these determinants adequately by appropriate interventions to halt the declining trend of EBF practice. We recommend a multifaceted approach to improve EBF rates in Cambodia. Advocacy around EBF at public hospitals should continue, and private hospital staff should receive training to provide EBF counselling and support to mothers.


Asunto(s)
Lactancia Materna/estadística & datos numéricos , Lactancia Materna/tendencias , Madres/estadística & datos numéricos , Adolescente , Adulto , Factores de Edad , Cambodia/epidemiología , Consejo , Estudios Transversales , Femenino , Humanos , Lactante , Recién Nacido , Persona de Mediana Edad , Educación del Paciente como Asunto , Población Rural , Clase Social , Apoyo Social , Adulto Joven
15.
Matern Child Health J ; 24(Suppl 2): 232-242, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32889682

RESUMEN

INTRODUCTION: Expectant and parenting young people (young parents) need a range of supports but may have difficulty accessing existing resources. An optimally connected network of organizations can help young parents navigate access to available services. Community organizations participating in the Pathways to Success (Pathways) initiative sought to strengthen their network of support for young parents through social network analysis (SNA) undertaken within an action research framework. METHOD: Evaluators and community partners utilized a survey and analysis tool to map and describe the local network of service providers offering resources to young parents. Respondents were asked to characterize their relationship with all other organizations in the network. Following survey analysis, all participants were invited to discuss and interpret the results and plan the next actions to improve the network on behalf of young parents. RESULTS: Scores described the diversity of organizations in the network, density of connections across the community, degree to which the network was centralized or decentralized, which organizations were central or outliers, frequency of contact, levels of collaboration, and levels of trust. Findings were interpreted with survey participants and used by Pathways staff for action planning to improve their network. DISCUSSION: SNA clarified complex relationships and set service providers on a path toward optimizing their network. The usefulness of SNA to impact and improve a network approach to supporting young parents is discussed, including lessons learned from this project.


Asunto(s)
Responsabilidad Parental , Embarazo en Adolescencia , Red Social , Apoyo Social , Adolescente , Conducta Cooperativa , Femenino , Investigación sobre Servicios de Salud , Humanos , Embarazo
16.
Matern Child Health J ; 24(Suppl 2): 171-177, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32889683

RESUMEN

INTRODUCTION: Expectant and parenting young people (young parents) require diverse services to support their health, educational success, and family functioning. Rarely can the needs of young parents be met by a single school or service provider. This case study examines how one large school district funded through the pathways to success initiative was able to facilitate systems change to increase young parents' access to and use of supportive services. METHODS: Data sources include a needs and resources assessment, quarterly reports documenting grantee effort, sustainability plans, social network analysis, and capstone interviews. All data sources were systematically reviewed to identify the existing context prior to the start of the initiative, the changes that resulted from the initiative, and efforts that could potentially be maintained beyond the grant period. RESULTS: The community context prior to Pathways implementation was one of disconnected services and missed opportunities. The full-time program coordinator hired by the district focused on systems-level change and facilitated connections between organizations. This greater connectivity contributed to increased collaboration with the goal of producing lasting benefits for young parents. DISCUSSION: Promoting sustainable connections and collaboration at the systems level can help dismantle barriers to service access and benefit young parents.


Asunto(s)
Servicios de Salud del Adolescente/organización & administración , Responsabilidad Parental/psicología , Servicios de Salud Escolar/organización & administración , Apoyo Social , Adolescente , Femenino , Humanos , Evaluación de Programas y Proyectos de Salud , Instituciones Académicas , Red Social
18.
Epidemiol Infect ; 148: e201, 2020 09 02.
Artículo en Inglés | MEDLINE | ID: mdl-32873358

RESUMEN

While most research focuses on the clinical treatment of COVID-19, fewer studies have investigated individuals' responses towards this novel infectious disease. This study aims to report the temporal changes in individuals' psychological wellbeing, perceived discrimination, sociopolitical perceptions and information-seeking behaviours among the general public in Hubei, China. Data were obtained from a two-wave survey of 1902 respondents aged 18-80 in Hubei province during the peak and mitigation stages of the outbreak. The results showed that the prevalence of psychological distress dropped from over 75% to around 15% throughout the study period, but perceived discrimination remained stable. Female, middle-aged, well-educated respondents and those employed in government/public institutions/state-owned enterprises tended to report more distress. While respondents' attention on COVID-19 information kept high and stable, their sources of information diversified across different sociodemographic groups. Over time, people obtained more social support from neighbourhoods than from their friends and relatives or non-government organisations. Over 80% of respondents were satisfied with the performance of the central government, which was notably higher than their ratings on the local government and neighbourhood/village committees. The findings of this research are informative for formulating effective intervention strategies to tackle various psychosocial problems during COVID-19.


Asunto(s)
Actitud , Betacoronavirus , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Conducta en la Búsqueda de Información , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Adulto , China/epidemiología , Control de Enfermedades Transmisibles/métodos , Recolección de Datos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias , Apoyo Social , Adulto Joven
20.
Am J Perinatol ; 37(12): 1283-1288, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-32911555

RESUMEN

The novel coronavirus disease 2019 (COVID-19) pandemic is affecting care for high-risk newborns in ways that will likely be sustained beyond the initial pandemic response. These novel challenges present an urgent imperative to understand how COVID-19 impacts parent, family, and infant outcomes. We highlight three areas that warrant targeted attention: (1) inpatient care: visitation policies, developmental care, and communication practices; (2) outpatient care: high-risk infant follow-up and early intervention programs; and (3) parent psychosocial distress: mental health, social support, and financial toxicity. Changes to care delivery in these areas provide an opportunity to identify and implement novel strategies to provide family-centered care during COVID-19 and beyond. KEY POINTS: · The COVID-19 pandemic is influencing care delivery for high-risk newborns and their families.. · Rapid changes to care delivery are likely to be sustained beyond the initial pandemic response.. · We have an urgent imperative to understand how COVID-19 impacts infant, parent, and family outcomes..


Asunto(s)
Atención Ambulatoria , Comunicación , Infecciones por Coronavirus , Costo de Enfermedad , Prestación de Atención de Salud/métodos , Hospitalización , Pandemias , Padres/psicología , Atención Perinatal , Neumonía Viral , Betacoronavirus , Intervención Educativa Precoz , Humanos , Lactante , Recién Nacido , Unidades de Cuidado Intensivo Neonatal , Salud Mental , Política Organizacional , Pediatría , Relaciones Profesional-Familia , Riesgo , Apoyo Social , Telemedicina , Teléfono , Comunicación por Videocoferencia , Visitas a Pacientes
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