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1.
Rev. enferm. UERJ ; 29: e57581, jan.-dez. 2021.
Artículo en Inglés, Portugués | LILACS | ID: biblio-1224578

RESUMEN

Objetivo: descrever as características sociodemográficas e de saúde de mulheres e homens com 75 anos ou mais de idade, no baseline e follow-up de quatro anos e verificar para mulheres e homens as mudanças nas condições de saúde. Métodos: estudo longitudinal com 109 idosos de 75 anos ou mais de idade de um município no Triângulo Mineiro. A coleta dos dados, realizada em dois momentos (2014-2018), ocorreu no domicílio com a aplicação de instrumentos validados no Brasil. Procederam-se às análises descritiva e teste t pareado (p<0,05). Os projetos foram aprovados pelo Comitê de Ética e Pesquisa com Seres Humanos. Resultados: verificaram-se, em ambos os sexos, aumento do número de morbidades e diminuição do escore total das atividades instrumentais da vida diária. Entre as mulheres observou-se, ainda, aumento do número de quedas e do escore de fragilidade. Conclusão: ao longo do seguimento houve piora nas condições de saúde dos idosos, sendo mais expressiva entre as mulheres.


Objective: to describe the sociodemographic and health characteristics of women and men aged 75 or over, at baseline and after four years of follow-up, and to ascertain changes in their health status. Methods: in this longitudinal study of 109 elderly people aged 75 or over from a city in the Triângulo Mineiro, data were collected at two points (2014 and 2018), at home, by applying instruments validated for use in Brazil. Descriptive analysis and paired t-tests were performed (p < 0.05). The projects were approved by the human research ethics committee. Results: in both genders, the number of morbidities increased and the total score for instrumental activities of daily living decreased. Among women, the number of falls and frailty score also increased. Conclusion: the older people's health status worsened over the course of follow-up, more so among the women.


Objetivo: describir las características sociodemográficas y de salud de mujeres y hombres de 75 años o más, en la base de referencia y el seguimiento durante cuatro años, y verificar los cambios en las condiciones de salud de mujeres y hombres. Métodos: estudio longitudinal con 109 personas mayores, de 75 años o más, de un municipio del Triângulo Mineiro. La recolección de datos, realizada en dos momentos (2014-2018), se realizó en sus domicilios aplicando instrumentos validados en Brasil. Se realizaron análisis descriptivos y prueba t pareada (p <0.05). Los proyectos fueron aprobados por el Comité de Ética en Investigación con Humanos. Resultados: en ambos os sexos, hubo un aumento en el número de morbilidades y una disminución en la puntuación total de las actividades instrumentales de la vida diaria. Entre las mujeres, se observó asimismo un aumento en el número de caídas y la puntuación de fragilidad. Conclusión: a lo largo del seguimiento, las condiciones de salud de las personas mayores empeoraron, más expresivamente entre las mujeres.


Asunto(s)
Humanos , Masculino , Femenino , Anciano , Anciano de 80 o más Años , Estado de Salud , Salud del Anciano , Estudios de Seguimiento , Estudios Longitudinales , Determinantes Sociales de la Salud
2.
J. Health NPEPS ; 6(2): 1-15, dez. 2021.
Artículo en Inglés | LILACS, BDENF - Enfermería, Coleciona SUS | ID: biblio-1337842

RESUMEN

ABSTRACT Objective:to analyze the epidemiological data of Severe Acute Respiratory Syndrome (SARS), and the access to health of black people in Brazil during the pandemic, comparing them with previous years. Method:epidemiological, descriptive, and quantitative study of SARS cases in black patients, reported in the information system on epidemiological surveillance of influenzaof the Ministry of Health, between 2017 and 2020. Results:it was observed that, in 2020, there was an increase in the prevalence of SARS cases in blacks, in addition to a significant increase in lethality when compared to the general population. Furthermore, it was found that mortality was significantly higher in individuals with SARS who required ventilatory support. Conclusion:skin color is a determinant of several social and health vulnerabilities in Brazil and worldwide, having a direct impact on theincreased morbidity and mortality of the black population during the pandemic.


RESUMEN Objetivo:analizar los datos epidemiológicos del Síndrome Respiratorio Agudo Severo (SRAS) y el acceso a la salud de los negros en Brasil durante la pandemia, comparándolos con años anteriores. Método:estudio epidemiológico, descriptivo y cuantitativo de casos de SRAS en pacientes de raza negra, reportados en el sistema de información de vigilancia epidemiológica de Influenza del Ministerio de Salud, entre 2017 y 2020. Resultados:se observó que, en En 2020, hubo un aumento en la prevalencia de casos de SARS en negros, además de un aumento significativo en la letalidad en comparación con la población general. Además, se encontró que la mortalidad fue significativamente mayor en las personas con SARS que requirieron soporte ventilatorio. Conclusión:color de la piel es un determinante de varias vulnerabilidades sociales y de salud en Brasil y en todo el mundo, teniendo un impacto directo en el aumento de la morbilidad y mortalidad de la población negra durante la pandemia.


RESUMO Objetivo: analisar os dados epidemiológicos da síndrome respiratória aguda grave (SRAG) e o acesso à saúde de pessoas negras no Brasil durante a pandemia, comparando-os com os anos anteriores.Método: estudo epidemiológico, descritivo e quantitativo de casos de SRAG em pacientes negros, notificados no sistema de informação em vigilância epidemiológica da influenza do Ministério da Saúde, entre 2017 e 2020. Resultados: observou-se que, em 2020, houve um aumento da prevalência dos casos de SRAG em negros, além de um aumento significativo da letalidade quando comparada à população em geral. Além disso, verificou-se que a mortalidade foi significativamente maior em indivíduos com SRAG que necessitaram de suporte ventilatório. Conclusão: a cor da pele é um determinante de diversas vulnerabilidades sociais e de saúde no Brasil e no mundo, tendo impacto direto no aumento da morbimortalidade da população negra durante a pandemia.


Asunto(s)
Infecciones por Coronavirus , Síndrome Respiratorio Agudo Grave , Determinantes Sociales de la Salud , Disparidades en Atención de Salud , Racismo
3.
Recurso de Internet en Alemán, Inglés, Francés | LIS - Localizador de Información en Salud | ID: lis-48508

RESUMEN

This report summarizes the evidence on the social determinants of health in the urban context, drawing on the findings of the global Commission on Social Determinants of Health and the European review of social determinants of health and the health divide.


Asunto(s)
Determinantes Sociales de la Salud , Área Urbana
4.
Recurso de Internet en Inglés | LIS - Localizador de Información en Salud | ID: lis-48488

RESUMEN

One of the most important questions the global health community should consider in light of the ongoing COVID-19 pandemic is how the private sector has impacted the public health response to the virus.


Asunto(s)
COVID-19 , Determinantes Sociales de la Salud
5.
Recurso de Internet en Inglés | LIS - Localizador de Información en Salud | ID: lis-48489

RESUMEN

The Center on Commercial Determinants of Health (CCDH) is one of the first research centers in the world involved in studying and addressing the growing health burden caused by commercial determinants of health (CDoH).


Asunto(s)
Determinantes Sociales de la Salud
6.
Recurso de Internet en Inglés | LIS - Localizador de Información en Salud | ID: lis-48490

RESUMEN

In 2020, the Southgate Institute was designated as a World Health Organization Collaborating Centre to support international research and knowledge translation on social, political, and commercial determinants of health equity. Prof Fran Baum is designated as the Director of the Centre.


Asunto(s)
Determinantes Sociales de la Salud , Equidad en Salud/normas , Organización Mundial de la Salud/organización & administración
7.
Recurso de Internet en Inglés | LIS - Localizador de Información en Salud | ID: lis-48491

RESUMEN

Intouch is for members and the Association to promote public health research and advocate for the health and well-being of all Australians.


Asunto(s)
Determinantes Sociales de la Salud
8.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-48493

RESUMEN

A Organização Panamericana da Saúde (OPAS) acaba de lançar um novo documento, intitulado “Marco de Referência sobre a Dimensão Comercial dos Determinantes Sociais da Saúde na agenda de enfrentamento das doenças crônicas não transmissíveis”. Trata-se de uma publicação construída a partir da colaboração de vários especialistas, sobre um tema ainda novo, mas fundamental: os chamados determinantes comerciais da saúde (DCS)


Asunto(s)
Enfermedades no Transmisibles , Determinantes Sociales de la Salud
9.
Pediatr Clin North Am ; 68(6): 1147-1155, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34736581

RESUMEN

Social determinants of health (SDH) as outlined by Healthy People 2020 encompasses 5 key domains: economic, education, social and community context, health and health care, and neighborhood and built environment. This article emphasizes pediatric populations and some of the existing SDH and health care disparities seen in pediatric gastroenterology. We specifically review inflammatory bowel disease, endoscopy, bariatric surgery, and liver transplantation. We also examine the burgeoning role of telehealth that has become commonplace since the coronavirus disease 2019 era.


Asunto(s)
Protección a la Infancia/estadística & datos numéricos , Gastroenterología/organización & administración , Equidad en Salud/estadística & datos numéricos , Disparidades en Atención de Salud/estadística & datos numéricos , Determinantes Sociales de la Salud , Niño , Accesibilidad a los Servicios de Salud/organización & administración , Disparidades en el Estado de Salud , Humanos , Factores Socioeconómicos , Estados Unidos
10.
Pediatr Clin North Am ; 68(6): 1157-1169, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34736582

RESUMEN

Pediatric gastroenterologists took on a variety of challenges during the coronavirus disease 2019 pandemic, including learning about a new disease and how to recognize and manage it, prevent its spread among their patients and health professions colleagues, and make decisions about managing patients with chronic gastrointestinal and liver problems in light of the threat. They adapted their practice to accommodate drastically decreased numbers of in-person visits, adopting telehealth technologies, and instituting new protocols to perform endoscopies safely. The workforce pipeline was also affected by the impact of the pandemic on trainee education, clinical experience, research, and job searches.


Asunto(s)
COVID-19/epidemiología , Protección a la Infancia/estadística & datos numéricos , Gastroenterología/organización & administración , Equidad en Salud/estadística & datos numéricos , Disparidades en Atención de Salud/estadística & datos numéricos , Determinantes Sociales de la Salud , Niño , Accesibilidad a los Servicios de Salud/organización & administración , Disparidades en el Estado de Salud , Humanos , Factores Socioeconómicos , Estados Unidos
11.
Int J Public Health ; 66: 621964, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34744583

RESUMEN

Objectives: Sense of unity refers to the positive feeling of being part of a larger social structure. This study aimed to investigate to what extent adolescents report sense of unity and if this differs across groups, and to assess the associations between sense of unity and self-reported health while taking into account sociodemographic characteristics and tangible social relationships. Methods: Data were obtained from the 2017/18 Swedish Health Behavior in School-aged Children study, using information collected among 15-year-old students (n = 1,392). Linear and binary logistic regression analyses were performed. Results: The participants reported overall high levels of sense of unity. Sense of unity did not differ by gender, but adolescents without an immigrant background and those with higher family affluence reported higher levels. Sense of unity was inversely associated with psychological complaints, somatic complaints, and less than good self-rated health, even when adjusting for sociodemographic characteristics and family, classmate, and teacher relationships. Conclusion: This study suggests that sense of unity may be an important social determinant for adolescent health. More research is needed on the origins and implications of sense of unity.


Asunto(s)
Autoevaluación Diagnóstica , Identificación Social , Adolescente , Femenino , Humanos , Masculino , Determinantes Sociales de la Salud , Suecia
12.
Rev Bras Enferm ; 75Suppl 3(Suppl 3): e20200295, 2021.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-34787241

RESUMEN

OBJECTIVES: to understand the determinants involved in the mental suffering of schoolchildren on the French-Brazilian border. METHODS: a qualitative study was conducted with children from 6 to 12 years of age from four State schools in the municipality of Oiapoque, located on the French-Brazilian border. The data were obtained through interviews, analyzed by the IRAMUTEQ software, and interpreted in the light of the Dahlgren and Whitehead's social determinants of health model. RESULTS: data indicate that the mental suffering experienced by children, especially characterized by anxious symptoms, such as concern of becoming fat and worries, were permeated by social situations that children went through daily, such as family abandonment, domestic violence, and bullying. FINAL CONSIDERATIONS: social determinants can be predictors of mental suffering in children, especially in environments of extreme vulnerability, such as the border, in a context of financial difficulties, domestic violence, and absence of parenting.


Asunto(s)
Acoso Escolar , Violencia Doméstica , Brasil , Niño , Humanos , Instituciones Académicas , Determinantes Sociales de la Salud
13.
Nephrol Nurs J ; 48(5): 489-492, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34756003

RESUMEN

Chronic kidney disease (CKD) is a national public health problem. In the United States, diabetes, hypertension, and glomerular disease are the leading causes of end stage kidney disease (ESKD). However, Blacks/African Ameri cans are four times more likely than Whites/Caucasians to develop CKD. The progression of CKD and ESKD are examples of health disparities among the races. Address ing the social determinants of health is essential in improving the overall health of Blacks/African Americans and reducing longstanding inequities in health.


Asunto(s)
Fallo Renal Crónico , Insuficiencia Renal Crónica , Afroamericanos , Grupo de Ascendencia Continental Europea , Humanos , Determinantes Sociales de la Salud , Estados Unidos/epidemiología
14.
BMJ Glob Health ; 6(11)2021 11.
Artículo en Inglés | MEDLINE | ID: mdl-34740916

RESUMEN

INTRODUCTION: Early literature on the COVID-19 pandemic indicated striking ethnic inequalities in SARS-CoV-2-related outcomes. This systematic review and meta-analysis aimed to describe the presence and magnitude of associations between ethnic groups and COVID-19-related outcomes. METHODS: PubMed and Embase were searched from December 2019 through September 2020. Studies reporting extractable data (ie, crude numbers, and unadjusted or adjusted risk/ORs) by ethnic group on any of the five studied outcomes: confirmed COVID-19 infection in the general population, hospitalisation among infected patients, and disease severity, intensive care unit (ICU) admission and mortality among hospitalised patients with SARS-CoV-2 infection, were included using standardised electronic data extraction forms. We pooled data from published studies using random-effects meta-analysis. RESULTS: 58 studies were included from seven countries in four continents, mostly retrospective cohort studies, covering a total of almost 10 million individuals from the first wave until the summer of 2020. The risk of diagnosed SARS-CoV-2 infection was higher in most ethnic minority groups than their White counterparts in North American and Europe with the differences remaining in the US ethnic minorities after adjustment for confounders and explanatory factors. Among people with confirmed infection, African-Americans and Hispanic-Americans were also more likely than White-Americans to be hospitalised with SARS-CoV-2 infection. No increased risk of COVID-19 outcomes (ie, severe disease, ICU admission and death) was found among ethnic minority patients once hospitalised, except for a higher risk of death among ethnic minorities in Brazil. CONCLUSION: The risk of SARS-CoV-2 diagnosis was higher in most ethnic minorities, but once hospitalised, no clear inequalities exist in COVID-19 outcomes except for the high risk of death in ethnic minorities in Brazil. The findings highlight the necessity to tackle disparities in social determinants of health, preventative opportunities and delay in healthcare use. Ethnic minorities should specifically be considered in policies mitigating negative impacts of the pandemic. PROSPERO REGISTRATION NUMBER: CRD42020180085.


Asunto(s)
COVID-19 , Grupos Étnicos , Prueba de COVID-19 , Hospitalización , Humanos , Unidades de Cuidados Intensivos , Grupos Minoritarios , Pandemias , Estudios Retrospectivos , SARS-CoV-2 , Determinantes Sociales de la Salud
15.
Nurs Clin North Am ; 56(4): 619-634, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34749900

RESUMEN

Obesity is a multifactorial disease that disproportionally affects diverse racial and ethnic groups. Structural racism influences racial inequities in obesity prevalence through environmental factors, such as racism and discrimination, socioeconomic status, increased levels of stress, and bias in the health care delivery system. Researchers, clinicians, and policy makers must work to address the environmental and systematic barriers that contribute to health inequities in the United States. Specifically, clinicians should quantitatively and qualitatively assess environmental and social factors and proactively engage in patient-centered care to tailor available treatments based on identified needs and experiences.


Asunto(s)
Grupos de Población Continentales , Ambiente , Grupos Étnicos , Disparidades en el Estado de Salud , Obesidad/epidemiología , Determinantes Sociales de la Salud , Sesgo , Atención a la Salud , Accesibilidad a los Servicios de Salud , Humanos , Factores Socioeconómicos , Estados Unidos
17.
Methodist Debakey Cardiovasc J ; 17(4): 15-27, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34824678

RESUMEN

Disease prevention frameworks and clinical practice guidelines in the United States (US) have traditionally ignored upstream social determinants of health (SDOH), which are critical for reducing disparities in cardiovascular disease (CVD)-the leading cause of death in the US. Existing evidence demonstrates a protective effect of social support, social cohesion, and community engagement on overall health and wellbeing. Increasing community and social support is a major objective of the Healthy People 2030 initiative, with special provisions for vulnerable populations. However, to date, existing evidence of the association between community and social context (CSC)-an integral SDOH domain-and CVD has not been reviewed extensively. In particular, the individual and cumulative impact of CSC on CVD risk and the pathways linking CSC to cardiovascular outcomes are not well understood. In this review, we critically appraise current knowledge of the association between CSC and CVD, describe potential pathways linking CSC to CVD, and identify opportunities for evidence-based policy and practice interventions to improve CVD outcomes.


Asunto(s)
Enfermedades Cardiovasculares , Determinantes Sociales de la Salud , Enfermedades Cardiovasculares/diagnóstico , Enfermedades Cardiovasculares/epidemiología , Enfermedades Cardiovasculares/terapia , Atención a la Salud , Humanos , Estados Unidos/epidemiología , Poblaciones Vulnerables
19.
Am J Occup Ther ; 75(6)2021 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-34788372

RESUMEN

IMPORTANCE: For the first time in recent history, people worldwide have faced severe restrictions in occupations because of the measures adopted by governments to contain the coronavirus disease 2019 (COVID-19) crisis. OBJECTIVE: To determine the limitations on participation of occupational therapists and occupational therapy students during "lockdown" and their impact on social determinants of health. DESIGN: A cross-sectional, descriptive study conducted via an online survey. PARTICIPANTS: A total of 488 occupational therapists and occupational therapy students in North America, South America, and Europe. Outcomes and Measures: A questionnaire consisting of the World Health Organization Disability Assessment Schedule 2.0 of the International Classification of Functioning, Disability and Health and items developed to assess the impact of lockdown on daily life was emailed to occupational therapy professional associations, organizations, and universities between April and June 2020. It was available in English, Spanish, and Portuguese and met all the parameters listed in the Declaration of Helsinki. RESULTS: The roles and routines of people across the developed world have been affected by lockdown measures. The study shows marked differences between participants in the domains of getting along and life activities, as well as influence on the environment. Moreover, South American participants experienced these difficulties to a greater extent than European participants. CONCLUSIONS AND RELEVANCE: This study quantifies the limitations in the participation of occupational therapists and occupational therapy students and the relationship of occupation to social determinants of health. What This Article Adds: The results of this research corroborate the relationship between health and occupation and highlight elements, such as the environment and context, that are important in occupational therapy. Therapists' ability to analyze occupation in relation to contextual and cultural factors will benefit clients.


Asunto(s)
COVID-19 , Terapia Ocupacional , Control de Enfermedades Transmisibles , Estudios Transversales , Humanos , Terapeutas Ocupacionales , SARS-CoV-2 , Determinantes Sociales de la Salud , Estudiantes
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