Sociodemographic determinants associated with breastfeeding in term infants with low birth weight in Latin American countries.

BACKGROUND: A progressive decrease in exclusive breastfeeding (BF) is observed in Latin America and the Caribbean compared with global results. The possibility of being breastfed and continuing BF for > 6 months is lower in low birth weight than in healthy-weight infants. AIM: To identify factors associated with BF maintenance and promotion, with particular attention to low- and middle-income countries, by studying geographic, socioeconomic, and individual or neonatal health factors. METHODS: A scoping review was conducted in 2018 using the conceptual model of social determinants of health published by the Commission on Equity and Health Inequalities in the United States. The extracted data with common characteristics were synthesized and categorized into two main themes: (1) Sociodemographic factors and proximal determinants involved in the initiation and maintenance of BF in low-birth-weight term infants in Latin America; and (2) individual characteristics related to the self-efficacy capacity for BF maintenance and adherence in low-birth-weight term infants. RESULTS: This study identified maternal age, educational level, maternal economic capacity, social stratum, exposure to BF substitutes, access to BF information, and quality of health services as mediators for maintaining BF. CONCLUSION: Individual self-efficacy factors that enable BF adherence in at-risk populations should be analyzed for better health outcomes.

Feeding practices and anthropometric classification of nutritional status in low-birth-weight infants at term. A prospective cohort study.

BACKGROUND: About 50 % of LBW occurs in term newborns, which is associated with higher infant mortality rates compared to infants of average birth weight. Analysis of feeding practices in at-risk groups is essential to address malnutrition and stunting in infancy. AIM: To identify feeding practices and anthropometric classification of nutritional status in a cohort of low-birth-weight term infants. METHODS: Methods: Cohort study. A prospective follow-up of 73 term newborns with low birth weight up to six months of age was performed. Feeding practices and anthropometric classification of nutritional were analysed. Data were processed by univariate analysis and multivariate linear regression. RESULTS: The most common feeding practice was exclusive breastfeeding. Breast milk substitutes are frequent in this population group. The risk of undernutrition ranged from 2.7 % to 19.2 % and of overweight from 4.1 % to 11.0 % during the first six months of life. Low height-for-age risk was the most frequent anthropometric classification during the follow-up period. Average head circumference was consistent in infants with low birth weight. Gestational risk classification, breastfeeding during the first hour of life, and sex of the newborn were predictors of variations in anthropometric indicators. CONCLUSIONS: Exclusive breastfeeding is the most common feeding practice in the population group studied, but using breast milk substitutes is also prevalent. Low height-for-age is the most frequent anthropometric classification. The weight growth rate seems reasonable, but further studies are needed based on gender differences, analysis of the composition of breast milk, and socio-environmental factors involved in growth.

Self-management of Risk for the Prevention of Traffic Accidents from a Health Perspective: A Qualitative Study.

Introduction: In the world, deaths and injuries caused by traffic collisions have been considered a public health problem. In Colombia, 7.238 fatalities were recorded in 2021, with motorcycle riders representing the largest group of victims at 59.7%. Methods: The aim of this qualitative phenomenological study is to describe the risky experiences and deliberate actions of diverse road users that influence the self-management of the risk of traffic collisions. Results: Data were obtained from 22 participants: motorists, pedestrians and drivers. The content analysis describes various human conditions that affect self-management of the risk of traffic accidents, such as unsafe behaviors, non-compliance with traffic regulations by the different road actors, competitive culture among drivers, eagerness, among others. Additionally, factors related to care were determined: healthy recreational activities, promoting the value of one's own life and that of others, adequate time management and preventive behaviors by some road users. Conclusion: This research provides information on social and cultural aspects, experiences and risky behaviors of different road actors that influence the incidence of traffic accidents in Colombia.

Factores de riesgo y estilos de vida en adolescentes asociados al cáncer en la adultez: una revisión de alcance / Fatores de risco e estilos de vida em adolescentes associados ao câncer na idadeadulta: uma revisão de escopo / Risk factors and lifestyles in adolescents associated with cancer in adulthood: a scoping review

Objective: To identify scientific evidence related to risk factors and lifestyles in adolescentsassociated with the occurrence of lung, cervical, gastrointestinal, skin and breast cancer in adulthood. Methodology: Scope review based on the methodology of the Joanna Briggs Institute (JBI),four databases were explored, and the selected articles were analyzed, extracted and synthesized.Results: 33 articles were included, the risk factors identified were family history, sex, tobacco, alcohol, overweight, underweight, sun exposure, human papillomavirus (HPV) infection, lack ofknowledge about self-care measures, low consumption of fruits and vegetables, consumption of redmeat and fats, low socioeconomic status, low level of schooling and sedentary lifestyle: physicalactivity, condom use, monitoring and screening of their health status, human papillomavirus (HPV)vaccination, healthy eating and sun protection. Conclusion: The risk factors found in the scope review are numerous, according to each type of cancer, there are modifiable factors that can be putinto practice from adolescence as lifestyles in the individual, family and school sense.(AU)

Objetivo: Identificar la evidencia científica relacionada con los factores de riesgo y losestilos de vida en adolescentes asociados a la ocurrencia de cáncer pulmonar, cervicouterino, gastrointestinal, de piel y de mama en la adultez. Metodología: Revisión de alcance basada en la metodología del Joanna Briggs Institute (JBI), se exploraron cuatro bases de datos, a los artículos seleccionados se les realizó análisis, extracción y síntesis de datos. Resultados: Se incluyeron 33 artículos,los factores de riesgo identificados fueron antecedentes familiares, sexo, tabaco, alcohol, sobrepeso, bajo peso, exposición al sol, infección por virus del papiloma humano (VPH), desconocimientosobre medidas de autocuidado, bajo consumo de frutas y verduras, consumo de carnes rojas y degrasas, bajo nivel socioeconómico, bajo nivel de escolaridad y sedentarismo; y, como estilos de vida:actividad física, uso del condón, seguimiento y detección de su situación de salud, vacuna contra elvirus del papiloma humano (VPH), alimentación saludable y protección solar. Conclusión: Los factores de riesgos encontrados en la revisión de alcance son numerosos, según cada tipo de cáncer,existen factores modificables que desde la adolescencia se pueden poner en práctica como estilos devida en sentido individual, familiar y escolar. (AU)

Objectivo: Identificar provas científicas relacionadas com factores de risco e estilos de vidaem adolescentes associados com a ocorrência de cancro do pulmão, cervical, gastrointestinal, dapele e da mama na idade adulta. Metodologia: Revisão do âmbito com base na metodologia doInstituto Joanna Briggs (JBI), foram exploradas quatro bases de dados e foram analisados, extraídose sintetizados artigos seleccionados. Resultados: 33 artigos foram incluídos, os factores de risco identificados foram história familiar, sexo, tabaco, álcool, excesso de peso, baixo peso, exposição solar,infecção por papilomavírus humano (HPV), falta de conhecimento sobre medidas de autocuidado,baixo consumo de frutas e vegetais, consumo de carne vermelha e gordura, baixo estatuto socioeconómico, baixo nível de educação e sedentarismo; e, como estilos de vida: actividade física, utilizaçãode preservativos, monitorização e rastreio do seu estado de saúde, vacinação contra o papilomavírus humano (HPV), alimentação saudável e protecção solar. Conclusão: Os factores de risco encontrados na revisão do âmbito são numerosos, dependendo de cada tipo de cancro, e há factores modificáveis que podem ser postos em prática a partir da adolescência como estilos de vida individuais, familiares e escolares.(AU)

Cuidado en salud de la niñez ámbito cultural familiar en Girón, Santander

(analítico) El cuidado de la primera infancia presenta desafíos para las familias, dado que la niñez está expuesta a factores que influyen en su crecimiento y desarrollo, como son las prácticas culturales y familiares, las cuales repercuten en su salud y bienestar. El objetivo del estudio consistió en comprender el significado de la familia sobre el cuidado en salud de la primera infancia del programa Familias en Acción. Estudio cualitativo, basado en la etnografía interpretativa, que incluyó a diez familias con hijos del municipio de Girón, Santander. Los resultados confirmaron que el cuidado de la salud infantil en las familias, desde el componente cultural, se brinda según las creencias y costumbres adquiridas transgeneracionalmente y con predominio del rol cuidador femenino, acuerdos intrafamiliares para la convivencia y del desarrollo social de los hijos.

(analytical) Early childhood care highlights challenges for families as young children are exposed to factors that influence their growth and development during this period. In addition, cultural practices in social and family environments also have an impact on the health and wellbeing of children. The objective of this research was to understand the meanings construyected by families regarding early childhood health care in the Families in Action social program. A qualitative study using an interpretative ethnography that included ten families with children from the Municipality of Girón, Santander. The findings confirmed that early childhood care within families has a cultural component in accordance with transgenerational beliefs and customs. The female caregiver is dominant in these practices along with intrafamily agreements to improve coexistence and strengthen the social development of children.

(analítico) O cuidado na primeira infância apresenta desafios para as famílias, pois elas estão expostas a fatores influentes no crescimento e desenvolvimento, e as práticas culturais têm um impacto na saúde e no bem-estar das crianças no ambiente social e familiar. O objetivo do artigo é entender o significado do cuidado com a saúde da primeira infância do Programa Familias en Acción. Com um desenho qualitativo, etnografia interpretativa, com a participação de 10 famílias com crianças no município de Girón Santander. A análise etnográfica constatou que o cuidado com a saúde do componente cultural nas famílias a partir das crenças e costumes adquiridos transgeneracionalmente, acordos intrafamiliares de convivência e desenvolvimento social das crianças.

Psychometric Properties of the Sexual Self-Concept Inventory for Early Adolescent Girls / Propiedades psicométricas: inventario de autoconcepto sexual en mujeres adolescentes en etapa temprana / Propriedades psicométricas do Inventário de Autoconceito Sexual em mulheres na adolescência precoce

Objective: To establish the validity and dependability of the Sexual Self-Concept Inventory (SSCI) for early adolescent girls in Spanish among the Colombian population of Santander. Materials and methods: Methodological study with samples used for the theoretical construct validity of the study's dimensions and internal consistency. The sample consisted of 308 adolescent girls aged between 10 and 14 from two schools in Girón, Santander, Colombia. Results: Inventory of 34 items with three dimensions; exploratory factor analysis confirmed the three factors with a total variance of 43.261 %. The instrument reported internal consistency of α = 0.89 for the following dimensions: sexual arousability (0.908), sexual agency (0.812), and negative sexual affect (0.572). Conclusions: The SSCI in Spanish is dependable enough to evaluate a person's sexual behaviors or feelings and comprehend the sexual behavior of adolescent girls.

Objetivo: establecer la validez y la confiabilidad del instrumento autoconcepto sexual en mujeres adolescentes en etapa temprana (SSCI) ­versión en español­ en población colombiana, más exactamente en Santander. Material y métodos: estudio metodológico. Se emplearon pruebas para la validez del constructo teórico de sus dimensiones y consistencia interna con una muestra de 308 mujeres adolescentes, de 10 a 14 años, de dos instituciones educativas de Girón, Santander, Colombia. Resultados: inventario de 34 ítems con tres dimensiones; mediante un análisis factorial exploratorio, se confirmaron los tres factores con una varianza total de 43,261 %. El instrumento reportó una consistencia interna de α=0,89 para las dimensiones de excitabilidad sexual (0,908), agencia sexual (0,812) y efecto negativo sexual (0,572). Conclusiones: el inventario de autoconcepto sexual (SSCI) en mujeres adolescentes escolarizadas en etapa temprana­versión en español­ es confiable para evaluar los comportamientos, sentimientos sexuales sobre sí mismo y comprender la conducta sexual de las adolescentes.

Objetivos: estabelecer a validade e confiabilidade do instrumento "Autoconceito sexual em mulheres na adolescência precoce" (Sexual Self-Concept Inventory, SSCI), versão em espanhol, em população colombiana de Santander. Material e métodos: estudo metodológico em que foram utilizados testes para validar o construto teórico de suas dimensões e consistência interna com uma amostra de 308 mulheres adolescentes de 10 a 14 anos de duas instituições educacionais de Girón, Santander, Colômbia. Resultados: inventário de 34 itens com três dimensões; a partir da análise fatorial exploratória, confirmam-se os três fatores com uma variância total de 43,261 %; o instrumento relatou uma consistência interna de α = 0,89 para as dimensões de excitabilidade sexual (0,908), agência sexual (0,812) e efeito negativo sexual (0,572). Conclusões: o inventário de autoconceito sexual (SSCI), versão em espanhol, em mulheres na adolescência precoce escolarizadas é confiável para avaliar os comportamentos e sentimentos sexuais sobre si, e compreender o comportamento sexual das adolescentes.

Content and face validity of the Spanish version of the Sexual Self-Concept Inventory for early adolescent girls.

OBJECTIVES: To determine the content and face validity of the Spanish version of the Sexual Self-Concept Inventory (O'Sullivan et al.) for early adolescent girls. METHODS: Instrument-based study in which the translation, back-translation and adaptation of the 34 items of the Sexual Self-Concept Inventory (SSCI) scale was performed. Five experts carried out the content and face validation; face validation included 35 girls from the municipality of Girón (Colombia). RESULTS: The version translated into Spanish has adequate content validity because all items exceeded the minimum CVI (0.58) value considered within an overall scale of 0.92. The face validity for the 35 early adolescent girls showed that 10 items of the instrument needed to be adjusted semantically and culturally. CONCLUSIONS: The Spanish version of the scale is semantically and conceptually equivalent to the original scale and can be used in similar contexts to evaluate sexual self-concept in early adolescent girls.

Content and face validity of the Spanish version of the Sexual Self-Concept Inventory for early adolescent girls

Objective. To determine the content and face validity of the Spanish version of the Sexual Self-Concept Inventory (O'Sullivan et al.) for early adolescent girls. Mehods. Instrument-based study in which the translation, backtranslation and adaptation of the 34 items of the Sexual Self-Concept Inventory (SSCI) scale was performed. Five experts carried out the content and face validation; face validation included 35 girls from the municipality of Girón (Colombia). Results. The version translated into Spanish has adequate content validity because all items exceeded the minimum CVI (0.58) value considered within an overall scale of 0.92. The face validity for the 35 early adolescent girls showed that 10 items of the instrument needed to be adjusted semantically and culturally. Conclusion. The Spanish version of the scale is semantically and conceptually equivalent to the original scale and can be used in similar contexts to evaluate sexual self-concept in early adolescent girls.

Objetivo. Establecer la validez de contenido y facial de la versión en español del Inventario de Autoconcepto Sexual de O'Sullivan et al. para niñas en adolescencia temprana. Métodos. Estudio de validación de una prueba en el que se realizó la traducción, retrotraducción y adaptación de los 34 ítems de la escala Sexual SelfConcept Inventory (SSCI). Se hizo validación de contenido y facial con 5 expertos y validación facial con 35 niñas del municipio de Girón (Colombia). Resultados. La versión traducida al español tiene adecuada validez de contenido pues todos los ítems superan ICV mínimo de 0.58, siendo este valor para la escala total de 0.92. La validez facial en las 35 niñas mostró que 10 ítems del instrumento requerían ser ajustados semántica y culturalmente. Conclusión. La escala en versión español posee equivalencia semántica y conceptual con la escala original y podría ser utilizada en contextos similares para evaluar el autoconcepto sexual en niñas en adolescencia temprana.

Objetivo. Estabelecer a validez de conteúdo e facial da versão em espanhol do Inventário de Auto-conceito Sexual de O'Sullivan et al. para meninas em adolescência precoce. Métodos. Estudo de validação de um teste no qual se realizou a tradução, retro tradução e adaptação dos 34 itens da escala Sexual Self-Concept Inventory (SSCI). Se fez validação de conteúdo e facial com 5 especialistas e validação facial com 35 meninas do município de Girón (Colômbia). Resultados. A versão traduzida ao espanhol tem adequada validez de conteúdo pois todos os itens superam ICV mínimo de 0.58, sendo este valor para a escala total de 0.92. A validez facial nas 35 meninas mostrou que 10 itens do instrumento tiveram que ser ajustados semântica e cultural. Conclusão. A escala em versão espanhol possui equivalência semântica e conceitual com a escala original e poderia ser utilizada em contextos similares para avaliar o autoconceito sexual em meninas em adolescência precoce.

Desarrollo de la estrategia pedagógica Proyectos Formativos para fomentar la integralidad del conocimiento disciplinar / Development of the pedagogic strategy Proyectos Formativos [Capacity Building Projects] to foster the integrality of discipline knowledge

Introducción: el desarrollo de competencias en el estudiante de enfermería requiere de estrategias participativas con el enfoque integrador desde las diferentes disciplinas. Objetivo: describir el desarrollo de la estrategia pedagógica Proyectos Formativos para fomentar la integralidad del conocimiento disciplinar enfermero. Métodos: estudio descriptivo retrospectivo, mediante revisión de documentos que contienen los informes de proyectos realizados de 2008 al 2013. Resultados: corresponden a la frecuencia presentada 368 proyectos, predominaron como sujetos de cuidado: adulto 108 (29,34 por ciento), gestantes 35 (9,51 por ciento) y lactantes 16 (4,34 por ciento), diagnósticos para la práctica de familia y comunidad: conocimientos deficientes con un 39 por ciento; práctica de Adulto Mayor el dolor agudo, 39 por ciento; deterioro de la integridad tisular, 35 por ciento; en la práctica Materno Perinatal predominó el riesgo de alteración de la diada materno fetal, con 50 por ciento; la teoría más referenciada fue Dorotea Orem (teoría del autocuidado), evidenciado con 46 por ciento para el V nivel, 45 por ciento en IV nivel y 22 por ciento para el I nivel de formación respectivamente. Conclusiones: el proyecto formativo integrador como estrategia pedagógica permite evidenciar la tendencia en el proceso de enfermería desde las diferentes etapas que los conforman, en el que el estudiante experimente la vivencia de afrontar una situación real desde el inicio de la práctica y hasta el final, lo que requiere que, mediante el trabajo colaborativo, los estudiantes se organicen, tomen decisiones, lideren el proceso y se apropien de conocimientos previos y nuevos para fundamentar su proyecto y desarrollen su capacidad comunicativa mediante la socialización de resultados(AU)

Introduction: The development of competence in the nursing student requires participation strategies with an integrative approach from the different disciplines. Objective: Describe the development of the pedagogic strategy Proyectos Formativos [Capacity Building Projects] to foster the integrality in the nursing discipline knowledge. Methods: Descriptive, retrospective study carried out by the review of documents containing the reports for the projects carried out from 2008 to 2013. Results: 368 projects correspond with the presented frequency; as predominating caregiving subjects: adult 108 (29,34 percent), pregnant women 35 (9.51 percent) and breast-feeding woman 16 (4.34 percent). Diagnoses for the family and community practice: insufficient knowledge with a 39 percent; elderly adult practice of acute pain, 39 percent; decay of tissue integrity, 35 percent; in maternal-perinatal practice there was a predominance of mother-fetus dyad alteration, with a 50 percent; the most referenced theory was Dorotea Orem (self-care theory), which evinced a 46 percent for the V level, 45 percent in the IV level and 22percent for the level of capacity, respectively. Conclusions: The comprehensive capacity building project as a pedagogic strategy permits to evince the tendency in the nursing process from the different stages forming it, in which the student experience the living aspect of facing a real situation from the practice start and to the end, which demand that, by means of cooperation work, the students organize, make decisions, lead the process and to apprehend the previous and new knowledge to support the project and to develop communicative capacity by the socializing of the result(AU)

Desarrollo de la estrategia pedagógica Proyectos Formativos para fomentar la integralidad del conocimiento disciplinar / Development of the pedagogic strategy Proyectos Formativos [Capacity Building Projects] to foster the integrality of discipline knowledge

Introducción: el desarrollo de competencias en el estudiante de enfermería requiere de estrategias participativas con el enfoque integrador desde las diferentes disciplinas. Objetivo: describir el desarrollo de la estrategia pedagógica Proyectos Formativos para fomentar la integralidad del conocimiento disciplinar enfermero. Métodos: estudio descriptivo retrospectivo, mediante revisión de documentos que contienen los informes de proyectos realizados de 2008 al 2013. Resultados: corresponden a la frecuencia presentada 368 proyectos, predominaron como sujetos de cuidado: adulto 108 (29,34 por ciento), gestantes 35 (9,51 por ciento) y lactantes 16 (4,34 por ciento), diagnósticos para la práctica de familia y comunidad: conocimientos deficientes con un 39 por ciento; práctica de Adulto Mayor el dolor agudo, 39 por ciento; deterioro de la integridad tisular, 35 por ciento; en la práctica Materno Perinatal predominó el riesgo de alteración de la diada materno fetal, con 50 por ciento; la teoría más referenciada fue Dorotea Orem (teoría del autocuidado), evidenciado con 46 por ciento para el V nivel, 45 por ciento en IV nivel y 22 por ciento para el I nivel de formación respectivamente. Conclusiones: el proyecto formativo integrador como estrategia pedagógica permite evidenciar la tendencia en el proceso de enfermería desde las diferentes etapas que los conforman, en el que el estudiante experimente la vivencia de afrontar una situación real desde el inicio de la práctica y hasta el final, lo que requiere que, mediante el trabajo colaborativo, los estudiantes se organicen, tomen decisiones, lideren el proceso y se apropien de conocimientos previos y nuevos para fundamentar su proyecto y desarrollen su capacidad comunicativa mediante la socialización de resultados(AU)

Introduction: The development of competence in the nursing student requires participation strategies with an integrative approach from the different disciplines. Objective: Describe the development of the pedagogic strategy Proyectos Formativos [Capacity Building Projects] to foster the integrality in the nursing discipline knowledge. Methods: Descriptive, retrospective study carried out by the review of documents containing the reports for the projects carried out from 2008 to 2013. Results: 368 projects correspond with the presented frequency; as predominating caregiving subjects: adult 108 (29,34 percent), pregnant women 35 (9.51 percent) and breast-feeding woman 16 (4.34 percent). Diagnoses for the family and community practice: insufficient knowledge with a 39 percent; elderly adult practice of acute pain, 39 percent; decay of tissue integrity, 35 percent; in maternal-perinatal practice there was a predominance of mother-fetus dyad alteration, with a 50 percent; the most referenced theory was Dorotea Orem (self-care theory), which evinced a 46 percent for the V level, 45 percent in the IV level and 22percent for the level of capacity, respectively. Conclusions: The comprehensive capacity building project as a pedagogic strategy permits to evince the tendency in the nursing process from the different stages forming it, in which the student experience the living aspect of facing a real situation from the practice start and to the end, which demand that, by means of cooperation work, the students organize, make decisions, lead the process and to apprehend the previous and new knowledge to support the project and to develop communicative capacity by the socializing of the result(AU)