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1.
Rev Fac Cien Med Univ Nac Cordoba ; 76(4): 227-232, 2019 11 28.
Artigo em Espanhol | MEDLINE | ID: mdl-31833746

RESUMO

Introduction: In the present study were determined the psychological, social and cultural factors that are related to organ donation in a Peruvian sample from the districts of San Isidro, Lince and San Juan de Lurigancho (Lima-Peru). Methods: Observational, retrospective, cross-sectional study controls that included adults between 18-60 years. Districts of Lima of different socioeconomic levels (A, B and C), A - San Isidro, B - Lince, and C - San Juan de Lurigancho were included. The questionnaire was administered to people who indicated they were donors and those who were not according to their district of domicile, with an equitable distribution of the surveyed population and the sectors of each district: San Isidro, Lince and San Juan de Lurigancho (5 sectors), 32 inhabitants for each sector of the district. Results: psychological factor was significantly associated with organ donation (OR = 6.407; p <0.001), altruism and fear of disfiguring the body being the ones with the greatest strength of association to organ donation. Social factors (OR = 0.879; p> 0.05) and cultural factors (OR = 0.659; p> 0.05) were not significantly associated. Major conclusion: The statistically significant associated factor to organ donation in the three districts of Lima was the psychological factor; the social and cultural factor did not show association in the districts evaluated.


Assuntos
Altruísmo , Características Culturais , Medo/psicologia , Psicologia , Obtenção de Tecidos e Órgãos/estatística & dados numéricos , Adolescente , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Peru , Estudos Retrospectivos , Inquéritos e Questionários , Adulto Jovem
4.
BMC Public Health ; 19(1): 1452, 2019 Nov 05.
Artigo em Inglês | MEDLINE | ID: mdl-31690307

RESUMO

BACKGROUND: Physical inactivity is a crucial risk factor for the development of chronic health issues, which have a high incidence among Arabs living in the Gulf Cooperation Council (GCC) countries. The Qatar Stepwise Survey 2012 reported that approximately 44% of young adults 18-44 years of age had insufficient levels of physical activity. Family is a powerful source of information and socialization for adolescents and has a strong influence on their attitudes, decision-making, and behaviors. METHODS: The purpose of this study is to understand how university students' physical activity can be influenced by sociocultural factors, particularly family health values and Muslim Arab culture. Using the criterion sampling strategy, 20 undergraduate Muslim students (Female students =10, Male students = 10) aged from 18 to 23 years who were Qatari or born and also raised in Qatar were recruited and interviewed. Participants were asked if they consider themselves active or not, about their perception of family health values regarding physical activity and the factors shaping these values, and the influence of family values on their physical activity behavior. The interviews were transcribed verbatim, coded, and analyzed following inductive analysis. RESULTS: The majority of the participants were influenced by their family health values, which were shaped by Qatari culture and the culture of origin for non-Qatari and were implicitly shaped by Islam. Participants reported that their role models of physical activity were males (fathers and male siblings), a health condition will motivate their families to be physically active, and families give priority to work and academic achievement over physical activity. A few participants showed that there was explicit influence of Islam on their physical activity, because culture's influence was veiling religion's. Culture was seen as a facilitator for physical activity from the males' perspectives, which was not the case for female participants who reported the negative influence of culture on their physical activity because of the limited choices available for them. Non-Qatari students revealed that their culture of origin (such as Syria, Palestine, Egypt, Somalia, Bangladesh, Sudan, Pakistan and India) was the dominant factor in shaping their family health values. CONCLUSIONS: The findings address gaps in the literature about families' health values regarding physical activity in Qatar, the influence of the different ecologies surrounding these values, and the physical activity behaviors of university students. Knowledge about these factors can aid in the development of family-based interventions designed to motivate adolescents to be physically active, which should be religion- and culture-tailored.


Assuntos
Exercício/psicologia , Islamismo/psicologia , Estudantes/psicologia , Adolescente , Características Culturais , Família/etnologia , Família/psicologia , Feminino , Identidade de Gênero , Humanos , Masculino , Catar , Pesquisa Qualitativa , Estudantes/estatística & dados numéricos , Universidades , Adulto Jovem
5.
Afr Health Sci ; 19(2): 1875-1880, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31656470

RESUMO

Background: Contraceptive use helps in preventing unplanned pregnancy and reducing maternal death among married women. Objective: To investigate the attitude of married women towards contraceptive use in Ilorin metropolis, Kwara State. The study also examined whether the variables of age and educational attainment would influence attitude of married women towards contraceptive use in Ilorin metropolis. Methods: Descriptive survey design and analytical methods were adopted for the study. Simple random sampling technique was adopted to draw a total of 200 respondents. A questionnaire was used to collect data for the study. Mean and rank order was used to answer the research question while Analysis of Variance was used to test the hypotheses at 0.05 alpha level. Results: The attitude of married women towards contraceptive use in Ilorin metropolis was negative. There was no significant difference in the attitude of married women towards contraceptive use based on age and educational attainment. Conclusion: Most married women in Ilorin metropolis have negative attitude towards contraceptive use. We recommended that counselling services be provided to women on how to deal with side effects associated with various modern contraceptive methods.


Assuntos
Comportamento Contraceptivo/etnologia , Anticoncepção/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Casamento , Adolescente , Adulto , Anticoncepção/métodos , Comportamento Contraceptivo/psicologia , Anticoncepcionais , Características Culturais , Serviços de Planejamento Familiar/estatística & dados numéricos , Feminino , Conhecimentos, Atitudes e Prática em Saúde/etnologia , Humanos , Nigéria , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto Jovem
6.
Soins Psychiatr ; 40(324): 33-36, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31623805

RESUMO

Transcultural consultations receive unaccompanied minors experiencing psychological distress as a result of their personal history in their country of origin, their harrowing journey until their arrival in France and their vulnerable situation. Presentation of the mental health pathway and identity issues of one of these young unaccompanied foreigners, and asylum seeker.


Assuntos
Criança Abandonada/psicologia , Menores de Idade/psicologia , Transtornos Psicóticos/terapia , Refugiados/psicologia , Estresse Psicológico/psicologia , Adolescente , Criança , Características Culturais , França , Humanos , Psicoterapia
7.
Z Gerontol Geriatr ; 52(Suppl 3): 168-179, 2019 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-31520118

RESUMO

BACKGROUND: Assistance systems serving the locomotion of older people interact in many ways with the culture of a society. Since early modern times at the latest, walking aids were tantamount to human frailty; however, the cane also symbolized governmental power or reputation. Nowadays, the cane, the wheelchair, and the rollator have not only a functional significance in terms of a better mobility, they also enable people to take an active part in social life. OBJECTIVE: This study aimes at tracing back these provisional insights into the history of civilization and thereby analyze the roots, new forms and pictures of the handling and metaphors of these assistance systems. The goal in the context of this special issue is to decipher a central textual and pictorial symbol of old age, comparing it with more recent symbols of assistance in old age. MATERIAL AND METHODS: Methodologically, the text combines approaches of philology and history of medicine with those of the history of art. It analyzes (after a brief retrospection of ancient times and the Middle Ages) by means of textual and pictorial sources from the sixteenth to the twenty-first centuries the historical development of these aids of locomotion for older people. Additionally, it explores the cultural relevancy of these assistance systems. RESULTS AND DISCUSSION: In history the medical profession paid relatively late and then only minor attention to the assistive systems analyzed here. Its semantic diversity is closely related to the age roles and stereotypes of age prevailing in certain epochs. The more the respective assistive tool is used by old people, the more suitable it is as a symbol of old age and the more biased and negative the semantic connotation seems to be. The development of a symbol of age connoting frailty, at present symbolized most clearly by the rollator, tends to refer to a pejorative image of age in a society. The cultural historical analysis suggests that a contrasting development will only be possible when the assistive systems will again fulfil a diversity of alternative functions and semantics.


Assuntos
Bengala , Características Culturais , Andadores , Caminhada , Idoso/fisiologia , Idoso/psicologia , Idoso de 80 Anos ou mais , Cultura , Humanos , Locomoção , Pessoa de Meia-Idade , Semântica
9.
BMC Public Health ; 19(1): 1276, 2019 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-31533671

RESUMO

BACKGROUND: Effective leadership is vital in the struggle to decrease the behavioral health disparities between the US population and American Indian Alaska Native (AIAN) communities. AIAN communities have a pre-colonization history of highly effective leadership, yet some AIAN leadership traditions have been eradicated through decades of trauma and genocidal efforts. There is a paucity of research on AIAN public health leadership, and most existing research relies on samples of individuals holding leadership positions rather than individuals purposely selected because of their effectiveness. The aim of the study was to investigate the experiences of successful AIAN behavioral health leaders and present an emerging AIAN public health leadership model. METHODS: Thirty-eight public health leaders in the Substance Abuse and Mental Health Service Administration (SAMHSA) funded Circles of Care project were observed over the course of their three-year leadership role. Stringent criteria for successful community participatory leadership resulted in the selection of 11 of the 38 leaders for inclusion in the study. Ultimately eight leaders (21% of the population of observed leaders) participated in the study. Semi-structured, one-on-one qualitative interviews were conducted. The methods were informed by phenomenology and the data were analyzed using a thematic content analysis approach. RESULTS: The analysis resulted in ten themes: Hopeful Vision for the People, Cultural Humility, Awareness of Historical Context, Purpose Driven Work Behavior, Cultural and Bi-Cultural Knowledge, Trusting a Broader Process, Caring Orientation, Holistic Supervision, Community Centered, and Influence Through Education. Respondents were strongly motivated by a desire to help future generations. They described their success in terms of the application of traditional AIAN values such as cultural humility and community orientation, but also relied heavily on task orientation. An emerging AIAN leadership model is presented. CONCLUSIONS: It is important to encourage AIAN public health leaders to employ leadership research and models conducted or developed in the context of AIAN communities. The emerging model presented in this study could serve as an initial basis for AIAN leadership training. Given the challenging context of AIAN leadership, the lessons taught by these successful leaders could be adapted for use by leaders in non AIAN settings.


Assuntos
Nativos do Alasca/estatística & dados numéricos , Características Culturais , Índios Norte-Americanos/estatística & dados numéricos , Liderança , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Adulto , Nativos do Alasca/psicologia , Participação da Comunidade/estatística & dados numéricos , Feminino , Humanos , Índios Norte-Americanos/psicologia , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Transtornos Relacionados ao Uso de Substâncias/epidemiologia
10.
Int J Equity Health ; 18(1): 147, 2019 09 18.
Artigo em Inglês | MEDLINE | ID: mdl-31533722

RESUMO

BACKGROUND: HPV vaccine is a prophylactic vaccine to prevent HPV infections. Recommended by the World Health Organization, this vaccine is clinically proven to be one of the most effective preventive measures against the prevalence of cervical cancer and other HPV-associated cancers and chronic genital conditions. However, its uptake rate among women in Hong Kong is insignificant-only approximately 2.9% adolescent girls and 9.7% female university students received HPV vaccination in 2014. With the notion of Critical Medical Anthropology, we aimed to identify if different influential factors, ranging from individual, societal, and cultural, are involved in the decision-making process of whether to receive HPV vaccination. METHODS: We adopted a qualitative approach and conducted in-depth individual semistructured interviews with 40 women in Hong Kong between May and August 2017. RESULTS: We noted that the following factors intertwined to influence the decision-making process: perceptions of HPV and HPV vaccine; perceived worthiness of HPV vaccines, which was in turn influenced by vaccine cost, marriage plans, and experiences of sexual activities; history of experiencing gynecological conditions, stigma associated with HPV vaccination, acquisition of information on HPV vaccines, distrust on HPV vaccines, and absence of preventive care in the healthcare practice. CONCLUSIONS: HPV vaccination is promoted in a manner that is "feminized" and "moralized" under the patriarchal value system, further imposing the burden of disease on women, and leading to health inequality of women in pursuing the vaccination as a preventive health behaviour as a result. We believe that this ultimately results in an incomplete understanding of HPV, consequently influencing the decision-making process. The "mixed-economy" medical system adopting capitalist logic also molds a weak doctor-patient relationship, leading to distrust in private practice medical system, which affects the accessibility of information regarding HPV vaccination for participants to make the decision.


Assuntos
Tomada de Decisões , Infecções por Papillomavirus/prevenção & controle , Vacinas contra Papillomavirus/administração & dosagem , Vacinação/psicologia , Adolescente , Adulto , Características Culturais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Hong Kong , Humanos , Pessoa de Meia-Idade , Pesquisa Qualitativa , Fatores Socioeconômicos , Adulto Jovem
11.
Artigo em Inglês | MEDLINE | ID: mdl-31527436

RESUMO

Existing community gardening research has tended to be exploratory and descriptive, utilising qualitative or mixed methodologies to explore and understand community garden participation. While research on community gardening attracts growing interest, the empirical rigour of measurement scales and embedded indicators has received comparatively less attention. Despite the extensive body of community gardening literature, a coherent narrative on valid, high quality approaches to the measurement of outcomes and impact across different cultural contexts is lacking and yet to be comprehensively examined. This is essential as cities are becoming hubs for cultural diversity. Systematic literature reviews that explore the multiple benefits of community gardening and other urban agriculture activities have been undertaken, however, a systematic review of the impact measures of community gardening is yet to be completed. This search protocol aims to address the following questions: (1) How are the health, wellbeing, social and environmental outcomes and impacts of community gardening measured? (2) What cultural diversity considerations have existing community garden measures taken into account? Demographic data will be collected along with clear domains/constructs of experiences, impacts and outcomes captured from previous literature to explore if evidence considers culturally heterogeneous and diverse populations. This will offer an understanding as to whether community gardening research is appropriately measuring this cross-cultural activity.


Assuntos
Participação da Comunidade , Jardinagem , Jardins , Características Culturais , Humanos
12.
Occup Ther Int ; 2019: 4175184, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31558888

RESUMO

The Activity Card Sort (ACS) measures the level of participation, as perceived by each person which, unlike other scales, makes it both personal and significant. However, there is a limitation to applying the ACS to Spanish older adults as it is restricted to culturally relevant activities solely in the United States. Therefore, the aim of this study was to select activity items that reflected Spanish older adults' lifestyles in order to develop the Activity Card Sort-Spain Version (ACS-SP). Frequently, activities performed in Spain (n = 103) were listed in an initial draft. The Likert scale was administrated to a large group of Spanish nationals over the age of 60 years (n = 98) to establish which type of activities will be eventually included in the Spanish version. The final version was drawn up comprising 79 activities distributed between four performance areas. In addition, other activities that were not previously included by other assessment tools were considered and have been listed in this review, such as taking a nap, going out for a drink or "tapas," or searching for a job. The gradual adaptation to ACS for Spaniards will make it possible to measure the level of an individual's participation within a community. However, further work on psychometric properties is needed.


Assuntos
Atividades Cotidianas/psicologia , Características Culturais , Estilo de Vida/etnologia , Inquéritos e Questionários , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Terapia Ocupacional/instrumentação , Psicometria , Espanha
13.
World Neurosurg ; 125: xxvii, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-31500085
14.
Anthropol Anz ; 76(3): 223-231, 2019 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-31478053

RESUMO

In the last years, cases of violence against animals win often a main place in the everyday news. The way of abuse has different characters. Mostly the affected animals are living in the same places like humans. The result for the animal is often a long term health affection or even death. In a parallel way one gets the impression that also the cases of violence against children increase year after year. Surely the easy way to present cases of violence through the social media in our days bring them faster into our perception. But indeed it seems that the fact of animal or child abuse appears in a higher frequency and intensity compared to the past. A lot of factors play a role looking for an answer, like the age and the sex of the incriminated person, the geographic area, the stereotypes in a certain cultural circle, the social and economic status of the person. A main motive seems to be the feeling of dominance against weak persons or in general against objects. Cases of animal or children cruelty seem to have a higher frequency in lower life level classes. But also the violence of minors or children against animals has here a horrifying statistic. The phenomenon of neglect has to be described here as a form of violence. A comparison with the results of a statistic view including 315 cases of violence in different levels of an emergency station protocol comes also into discussion. Animals and children as victims of violence should not present a human biological necessity.


Assuntos
Bem-Estar do Animal , Maus-Tratos Infantis , Características Culturais , Animais , Criança , Humanos , Condições Sociais , Violência
15.
Rev Esp Salud Publica ; 932019 Aug 14.
Artigo em Espanhol | MEDLINE | ID: mdl-31409764

RESUMO

OBJECTIVE: Child accidents are the most important preventable cause of morbidity and mortality in pediatric age. The degree of parental supervision is a factor that can influence, among others, in these accidents. The aim of this study was to validate and cross-culturally adapt to Spanish the questionnaire Parental Supervision Attributes Profile Questionnaire (PSAPQ) as a method of measuring the degree of parental supervision. METHODS: Forward and back-translation methodology was applied using 4 bilingual spanish-english people to obtain version 1.0 of the questionnaire. Subsequently, the questionnaire was reviewed by a committee of experts, obtaining version 1.1, which was provided to 149 parents of children between 2-5 years old, randomly obtained, who attended consultation for the well child visits in several health centers in the province of Valencia. For the statistical study, the internal consistency was analyzed using Cronbach's α test and the test-retest reliability using Pearson correlations. RESULTS: A very good internal consistency was obtained, with Cronbach's α values greater than 0.7 in three of the four subscales that make up the test, with the remaining being 0.68. The reliability obtained was excellent, with values with Pearson correlations close to or higher than 0.7 for all subscales. CONCLUSIONS: The PSAPQ translated and validated into spanish shows very good psychometric results with respect to the original, so it can be said that an adequate instrument has been obtained to objectively measure one of the possible risk factors of child accidents.


Assuntos
Acidentes , Poder Familiar , Segurança , Ferimentos e Lesões/prevenção & controle , Pré-Escolar , Características Culturais , Feminino , Humanos , Linguagem , Masculino , Pais , Psicometria , Reprodutibilidade dos Testes , Espanha , Inquéritos e Questionários , Traduções
16.
Ann Palliat Med ; 8(3): 231-239, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31370662

RESUMO

BACKGROUND: As patients with advanced cancer approach end of life, ethical issues may arise. We describe ethical issues encountered by radiation oncologists in this setting. METHODS: A prospective, survey-based study assessed 162 consecutive consults for palliative radiation therapy (PRT) over 4 months at 3 hospitals. Consulting radiation clinicians completed a survey assessing palliative care issues encountered, based on national guidelines. Ethical issues included 5 subthemes (conflict between clinicians, caregiver-clinician conflict, internal conflict, feeling unable to do what was best for the patient, and violation of personal morals), an option for unclassified issues, and open-ended responses. Multivariate analyses (MVA) assessed potential patient-related predictors of ethical issues: gender, performance status (PS), PRT indication, physical symptoms, and presence of psychosocial, goals of care, care coordination, cultural, or spiritual issues. RESULTS: Of 162 surveys, 140 were completed (response rate =86%). Overall, 14 (10%) surveys identified ethical issues relevant to care; 11 of 14 (78%) identified more than 1 ethical issue. Half (7; 50%) involved conflict between clinicians and clinician-caregiver conflict; 6 (43%) involved clinician distress or internal conflict; and 2 (14%) felt impeded from doing what they felt was best for the patient. Open-ended responses revealed differences in opinion between medical specialties (n=6, 43%), and conflict related to coordination of care among clinicians (n=3, 21%). On UVA, ethical issues were associated with PRT referrals for bleeding, dyspnea, or dysphagia due to visceral metastases (30%) versus CNS indications such as brain metastases or cord compression (7%) or for bony metastases (4%) P<0.001. On MVA, ethical issues were associated with PRT for visceral metastases (OR 13.0; 95% CI, 2.3-74.6; P<0.001) and presence of spiritual issues (OR 4.0; 95% CI, 1.1-14.5; P=0.04). CONCLUSIONS: At least 1 in 10 referrals for PRT involve ethical issues. Further studies are warranted to assess the ability of radiation oncologists to manage ethical issues.


Assuntos
Neoplasias Encefálicas/radioterapia , Cuidados Paliativos/ética , Cuidados Paliativos/métodos , Radio-Oncologistas/ética , Adulto , Idoso , Idoso de 80 Anos ou mais , Características Culturais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Princípios Morais , Metástase Neoplásica , Planejamento de Assistência ao Paciente , Desempenho Físico Funcional , Estudos Prospectivos , Encaminhamento e Consulta , Fatores Sexuais , Fatores Socioeconômicos , Espiritualidade
18.
Rev Lat Am Enfermagem ; 27: e3164, 2019 Aug 19.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31432918

RESUMO

OBJECTIVE: to translate and cross-culturally adapt the Behavior Change Protocol for educational practices in Diabetes Mellitus. METHOD: methodological study aimed at cross-cultural adaptation, comprising the steps of translation, back-translation, assessment by an expert committee and pre-testing of the instrument on a sample of 30 healthcare service users with type 2 Diabetes Mellitus. RESULTS: the instrument was assessed based on criteria pertaining semantic, idiomatic, conceptual and cultural equivalence between the original instrument and the translated version, its mean Content Validity Index being 0.85. CONCLUSION: results showed content validity indicating the instrument's successful cross-cultural adaptation to the Brazilian culture for use in educational practices targeting self-care in type 2 DM.


Assuntos
Diabetes Mellitus Tipo 2/terapia , Educação de Pacientes como Assunto/normas , Autocuidado/normas , Inquéritos e Questionários/normas , Tradução , Brasil , Comparação Transcultural , Características Culturais , Feminino , Serviços de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Variações Dependentes do Observador , Educação de Pacientes como Assunto/métodos , Valores de Referência , Reprodutibilidade dos Testes , Autocuidado/métodos
19.
J Natl Black Nurses Assoc ; 30(1): 40-47, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31465684

RESUMO

The purpose of this article was to help healthcare practitioners understand the dynamics of Alzheimer's care giving and to introduce an evidence-based practice intervention to improve the caregiver's self-efficacy. Over 5 million people in the United States are afflicted with Alzheimer's disease and require a caregiver to assist with all areas of daily activity. Adult care giving is challenging for the caregiver, who is often a family member with little to no knowledge or skill in rendering care. African-American caregivers encounter an even greater challenge by overcoming cultural bias inherent in racial disparity. Evidence-based practice interventions are helpful in successfully rendering care while minimizing stress and burden. Healthcare providers must consider the caregiver, the dynamics of care giving, and cultural norms, in the plan of care to successfully care for the Alzheimer's patient along the trajectory of the disease.


Assuntos
Doença de Alzheimer/terapia , Cuidadores/psicologia , Planejamento de Assistência ao Paciente/organização & administração , Adulto , Afro-Americanos/psicologia , Características Culturais , Prática Clínica Baseada em Evidências , Humanos , Autoeficácia
20.
BMC Public Health ; 19(1): 1151, 2019 Aug 22.
Artigo em Inglês | MEDLINE | ID: mdl-31438907

RESUMO

BACKGROUND: Samoa is suffering from alarming rates of noncommunicable diseases (NCDs). To address this epidemic, tackling health literacy is important. A qualitative study was conducted with the aim to explore health literacy in Samoa in relation to NCDs. METHODS: Six focus groups were conducted, with a total sample size of 73 participants aged over 18 years. The semi-structured interview guide was based on the conceptual model of the European Health Literacy project (HLS-EU). Data was translated, transcribed, coded, and categorized as part of the qualitative analysis. RESULTS: The analysis resulted in one overarching category and seven sub-categories based on 19 themes. It revealed that health literacy in Samoa is strongly influenced by the culture. Personal responsibility is lacking. The family circle is central to health in a community where support is provided through the church and local groupings. Basic knowledge of NCDs was present in the population, but a deeper understanding of chronic disease implications was lacking. Difficulties with regards to medication adherence for chronic diseases arose as a topic, and traditional healers are still strongly embedded in the local society. Finally, the health system's performance, especially primary care services at the local level, is suffering from the high burden of NCDs and has been challenged to respond to the needs of the community it serves. CONCLUSION: The findings of this study show how health literacy in Samoa is influenced by culture and suggest employing participatory, culture-sensitive, public health interventions which address the family as a whole, building on health literacy to address major public health problems like NCDs and remove barriers in the health system.


Assuntos
Alfabetização em Saúde/estatística & dados numéricos , Doenças não Transmissíveis/epidemiologia , Adulto , Características Culturais , Feminino , Grupos Focais , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Fatores de Risco , Samoa/epidemiologia
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