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1.
Int J Equity Health ; 21(Suppl 1): 143, 2022 Sep 29.
Artigo em Inglês | MEDLINE | ID: mdl-36171604

RESUMO

BACKGROUND: The paper analyzes how the Accountability Can Transform Health (ACT Health) program activated bottom-up citizen action to secure government responses and more accountable health services in Uganda. The ACT Health program had two phases-Phase 1 focused on a community-level intervention studied with a randomized control trial, and Phase 2 supported citizen-led advocacy targeting government officials across multiple levels. The focus of this paper is an analysis of Phase 2, when the "people-centered advocacy" approach supported almost 400 community advocates representing 98 health facilities to organize, identify joint advocacy priorities, directly monitor health services, and collaborate on health advocacy campaigns in 18 districts. Most district campaigns focused on the complex, power-laden issue of health worker absenteeism. With a few notable exceptions, iterative cycles of engagement between citizens and the state across multiple levels are infrequently discussed in the formal literature on health accountability. METHODS: This paper is based on a comparative, inductive, practitioner-led analysis of program monitoring data from 18 multi-level health advocacy campaigns. The findings emerge from analysis of a "Heat Map," capturing grounded accounts of government responses to community-led advocacy. RESULTS: Officials in eight out of 18 districts fulfilled or surpassed commitments made to community advocates. Government responses included: increased monitoring, more downward accountability, countering backlash against advocates, applying sanctions for absent health workers, and increased budget allocations. Advocates' bottom-up advocacy worked in part through triggering top-down responses and activating governmental checks and balances. CONCLUSIONS: Methodologically, this article demonstrates the value of analyzing process monitoring and program data to understand outcomes from direct engagement between citizens and the state to improve health services. Survey-based research methods and quantitative analysis may fail to capture signs of government responsiveness and relational outcomes (such as subtle signs of shifting power dynamics) many hope to see from citizen-led accountability efforts. Practitioners' perspectives on how accountability for health emerges in practice are important correctives to much positivist research on accountability, which has a tendency to ignore the complex dynamics and processes of building citizen power.


Assuntos
Serviços de Saúde , Responsabilidade Social , Governo , Empregados do Governo , Humanos , Uganda
2.
PLoS One ; 17(9): e0273153, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36054094

RESUMO

Governments can use social media platforms such as Twitter to disseminate health information to the public, as evidenced during the COVID-19 pandemic [Pershad (2018)]. The purpose of this study is to gain a better understanding of Canadian government and public health officials' use of Twitter as a dissemination platform during the pandemic and to explore the public's engagement with and sentiment towards these messages. We examined the account data of 93 Canadian public health and government officials during the first wave of the pandemic in Canada (December 31, 2019 August 31, 2020). Our objectives were to: 1) determine the engagement rates of the public with Canadian federal and provincial/territorial governments and public health officials' Twitter posts; 2) conduct a hashtag trend analysis to explore the Canadian public's discourse related to the pandemic during this period; 3) provide insights on the public's reaction to Canadian authorities' tweets through sentiment analysis. To address these objectives, we extracted Twitter posts, replies, and associated metadata available during the study period in both English and French. Our results show that the public demonstrated increased engagement with federal officials' Twitter accounts as compared to provincial/territorial accounts. For the hashtag trends analysis of the public discourse during the first wave of the pandemic, we observed a topic shift in the Canadian public discourse over time between the period prior to the first wave and the first wave of the pandemic. Additionally, we identified 11 sentiments expressed by the public when reacting to Canadian authorities' tweets. This study illustrates the potential to leverage social media to understand public discourse during a pandemic. We suggest that routine analyses of such data by governments can provide governments and public health officials with real-time data on public sentiments during a public health emergency. These data can be used to better disseminate key messages to the public.


Assuntos
COVID-19 , Mídias Sociais , COVID-19/epidemiologia , COVID-19/prevenção & controle , Canadá/epidemiologia , Empregados do Governo , Humanos , Pandemias/prevenção & controle
3.
Multimedia | Recursos Multimídia | ID: multimedia-9847

RESUMO

A AMHB e a Campanha Novembro Verde tem o prazer de convidar você para prestigiar a Live: Homeopatia: Verde na Capital Federal, Conversa com o Senador Nelsinho Trad, direto do Congresso em Brasília. O Senador Nelsinho Trad é médico e político, foi prefeito de Campo Grande e um dos apoiadores da iluminação verde do Congresso no dia 23/11, em homenagem à Homeopatia. Para moderar esse bate papo, contaremos com a presença: Dr. Luiz Darcy Siqueira, médico e Presidente da AMHB; Dr. Paulo Maldonado, médico e além de Primeiro Secretário da AMHB, também é Vice-presidente para o Brasil da LMHI (Liga Médica Homeopática Internacional). Marina Costa Florio, que é jornalista, com pós graduação em Ciência da Homeopatia e Ciência Política, e atualmente Médica em Formação (4º período). Autora Blog Homeopatia Em Casa. Dra. Andrea Padre, presidente da ABCDH - Associação Brasileira de Cirurgiões Dentistas Homeopatas e uma das criadoras da campanha Novembro Verde; E Dr. Ariovaldo Ribeiro Filho, médico, Vice Presidente da Regional Sudeste da AMHB.


Assuntos
Homeopatia , Promoção da Saúde , Empregados do Governo , Governo Federal , Sistemas Locais de Saúde , Cuidados Paliativos
4.
Front Public Health ; 10: 890604, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35875038

RESUMO

Background: Currently, evidence on the role of stressful life events in fatigue among the Chinese working adults is lacking. This study aimed at exploring the prospective associations between stressful life events and chronic fatigue among Chinese government employees. Methods: From January 2018 to December 2019, a total of 16206 government employees were included at baseline and they were followed-up until May 2021. A digital self-reported questionnaire platform was established to collect information on participants' health and covariates. Life events were assessed by the Life Events Scale (LES), fatigue was assessed by using a single item, measuring the frequency of its occurrence. Binary logistic regression analysis was used for the data analysis. Results: Of the included 16206 Chinese government employees at baseline, 60.45% reported that they experienced negative stressful life events and 43.87% reported that they experienced positive stressful life events over the past year. Fatigue was reported by 7.74% of the sample at baseline and 8.19% at follow-up. Cumulative number of life events at baseline, and cumulative life events severity score at baseline were positively associated with self-reported fatigue at follow up, respectively. After adjusting sociodemographic factors, occupational factors and health behavior related factors, negative life events at baseline (OR: 2.06, 95% CI: 1.69-2.51) were significantly associated with self-reported fatigue at follow-up. Some specific life events including events related to work and events related to economic problems were significantly associated with self-reported fatigue. Specifically, work stress (OR = 1.76, 95%CI: 1.45-2.13), as well as not satisfied with the current job (OR = 1.95, 95%CI: 1.58-2.40), in debt (OR = 1.75, 95%CI: 1.40-2.17) were significantly associated with self-reported fatigue. The economic situation has improved significantly (OR = 0.62, 95%CI: 0.46-0.85) at baseline was significantly associated with lower incidence of self-reported fatigue. Conclusion: Negative stressful life events were associated with fatigue among Chinese government employees. Effective interventions should be provided to employees who have experienced negative stressful life events.


Assuntos
Síndrome de Fadiga Crônica , Empregados do Governo , Adulto , Asiáticos , China/epidemiologia , Estudos de Coortes , Humanos
5.
Arq. ciências saúde UNIPAR ; 26(2): 101-106, maio-ago. 2022.
Artigo em Português | LILACS | ID: biblio-1372948

RESUMO

Introdução: os cuidados com os trabalhadores é uma importante questão de saúde pública. Objetivo: avaliar os efeitos da ginástica laboral (GL) na flexibilidade da coluna cervical e lombar de servidores do hospital universitário. Materiais e Métodos: trata-se de um estudo experimental. Participaram do estudo, 50 colaboradores distribuídos em dois grupos: Controle (CTL, n=25) e Experimental (EXP, n=25). O grupo CLT não participou das aulas de GL e o grupo EXP realizou 16 sessões de GL, quatro vezes por semana, por quatro semanas. A flexibilidade da coluna cervical e lombar dos participantes foi realizada em dois momentos, antes de iniciarem o programa de GL e após 16 sessões. Resultados: foi verificado que a prática de GL resultou em um aumento da flexibilidade cervical. Em relação à coluna lombar, o período de intervenção não impediu a redução da flexibilidade, no entanto, essa redução foi 50% menor no grupo EXP quando comparado ao grupo CTL. Conclusão: o programa de GL é uma estratégia de intervenção fundamental para a saúde do trabalhador, visto que a flexibilidade é um importante componente da atividade física relacionada à saúde.


Introduction: care of workers is an important public health issue. Objective: to evaluate the effects of occupational gymnastics (OG) on the flexibility of the cervical and lumbar spine of employees at the university hospital. Materials and Methods: this is an experimental study. A total of 50 employees participated in the study, divided into two groups: Control (CTL, n = 25) and Experimental (EXP, n = 25). The CLT group did not participate in the OG classes and the EXP group had 16 OG sessions, which took place four times a week, for four weeks. The flexibility of the cervical and lumbar spine of the participants was assessed in two moments, before starting the OG program and after 16 sessions. Results: it was observed that the practice of OG resulted in an increase in cervical flexibility. Regarding the lumbar spine, the intervention period did not prevent the reduction in flexibility; however, this reduction was 50% lower in the EXP group when compared to the CTL group. Conclusion: the OG program is a fundamental intervention strategy for workers' health, since flexibility is an important component of physical activity related to health.


Assuntos
Humanos , Masculino , Feminino , Adulto , Maleabilidade , Exercícios de Alongamento Muscular , Empregados do Governo , Ginástica , Hospitais Universitários , Exercício Físico , Vértebras Cervicais , Saúde do Trabalhador , Vértebras Lombares
6.
PLoS One ; 17(6): e0269606, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35679276

RESUMO

INTRODUCTION: Few studies have described the drivers of vaccine hesitancy and acceptance in India from the perspective of those involved in the design and implementation of vaccine campaigns-such as government officials and civil society stakeholders-a prerequisite to developing approaches to address this barrier to high immunization coverage and further child health improvements. METHODS: We conducted a qualitative study to understand government officials and civil society stakeholders' perceptions of the drivers of vaccine hesitancy in India. We conducted in-depth phone interviews using a structured guide of open-ended questions with 21 participants from international and national non-governmental organizations, professional associations, and universities, and state and national government-six national-level stakeholders in New Delhi, six state-level stakeholders in Uttar Pradesh, six in Kerala, and three in Gujarat-from July 2020 to October 2020. We analyzed data through a multi-stage process following Grounded Theory. We present findings on individual-level, contextual, and vaccine/vaccination program-specific factors influencing vaccine hesitancy. RESULTS: We identified multiple drivers and complex ways they influence vaccine beliefs, attitudes, and behaviors from the perspective of government officials and civil society stakeholders involved in vaccine campaigns. Important individual-level influences were low awareness of the benefits of vaccination, safety concerns, especially related to mild adverse events following immunization, and mistrust in government and health service quality. Contextual-level factors included communications, the media environment, and social media, which serves as a major conduit of misinformation and driver of hesitancy, as well as sociodemographic factors-specific drivers varied widely by income, education, urban/rural setting, and across religious and cultural groups. Among vaccine/vaccination-level issues, vaccine program design and delivery and the role of health care professionals emerged as the strongest determinants of hesitancy. CONCLUSIONS: Drivers of vaccine hesitancy in India, as elsewhere, vary widely by local context; successful interventions should address individual, contextual, and vaccine-specific factors. While previous studies focused on individual-level factors, our study demonstrates the equal importance of contextual and vaccine-specific influences, especially the communication and media environment, influential leaders, sociodemographic factors, and frontline health workers.


Assuntos
Aceitação pelo Paciente de Cuidados de Saúde , Vacinas , Criança , Empregados do Governo , Humanos , Sociedades , Vacinação , Hesitação Vacinal
8.
Global Health ; 18(1): 54, 2022 05 26.
Artigo em Inglês | MEDLINE | ID: mdl-35619107

RESUMO

BACKGROUND: The political activities of industry stakeholders must be understood to safeguard the development and implementation of effective public health policies. METHODS: A quantitative descriptive study was performed using data from Canada's Registry of Lobbyists to examine the frequency and governmental target of lobbying that occurred between various types of stakeholders (i.e., industry versus non-industry) and designated public office holders (DPOH) regarding Health Canada's Healthy Eating Strategy, from September/2016 to January/2021. Initiatives of interest were revisions to Canada's Food Guide, changes to the nutritional quality of the food supply, front-of-pack nutrition labelling and restrictions on food marketing to children. RESULTS: The majority of registrants (88%), and corporations and organizations (90%) represented in lobbying registrations had industry ties. Industry-affiliated stakeholders were responsible for 86% of communications with DPOH, interacting more frequently with DPOH of all ranks, compared to non-industry stakeholders. Most organizations and corporations explicitly registered to lobby on the topic of marketing to children (60%), followed by Canada's Food Guide (48%), front-of-pack nutrition labelling (44%), and the nutritional quality of the food supply (23%). The food and beverage industry, particularly the dairy industry, was the most active, accounting for the greatest number of lobbying registrations and communications, followed by the media and communication industry. CONCLUSIONS: Results suggest a strategic advantage of industry stakeholders in influencing Canadian policymakers. While some safeguards have been put in place, increased transparency would allow for a better understanding of industry discourse and help protect public health interests during the policy development process.


Assuntos
Empregados do Governo , Manobras Políticas , Canadá , Criança , Dieta Saudável , Indústria Alimentícia , Humanos , Política Nutricional
9.
Sleep Med ; 96: 79-86, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35613538

RESUMO

Currently, evidence on the associations between long working hours and sleep disturbances among the Chinese workers is lacking. This study aimed at explore the possible associations and underlying mechanisms between long working hours and sleep disturbances among Chinese government employees. A total of 16206 government employees were recruited at baseline and 11806 of which were available at follow-up. A digital self-reported questionnaire platform was established to collect information. Sleep disturbances were assessed by the Pittsburgh Sleep Quality Index (PSQI), long working hours was assessed by self-report. Binary logistic regression analysis and path analysis were conducted. The results showed that long working hours at baseline were significantly associated with poor sleep quality at follow up (OR: 1.29, 95% CI: 1.12 - 1.47). Long working hours at baseline were significantly associated with some specific sleep disturbance components at follow-up including long sleep latency (OR = 1.17, 95%CI: 1.01 - 1.38), as well as short sleep duration (OR = 1.26, 95%CI: 1.12 - 1.43), impairment of sleep efficiency (OR = 1.27, 95%CI: 1.01 - 1.26), sleep disturbances (OR: 1.39, 95%CI: 1.02 - 1.95) and daytime dysfunction (OR: 1.27, 95%CI: 1.08 - 1.49). Work stress and job dissatisfaction mediated the relationship between long working hours and sleep disturbances. Continued overtime work should be recognized as a risk factor for the development of sleep disturbances among Chinese government employees. Work stress and work dissatisfaction mediated the relationship between long working hours and sleep disturbances. Effective interventions should be provided to employees who have experienced long working hours.


Assuntos
Empregados do Governo , Transtornos do Sono-Vigília , China/epidemiologia , Seguimentos , Humanos , Sono , Transtornos do Sono-Vigília/epidemiologia , Transtornos do Sono-Vigília/etiologia , Inquéritos e Questionários
10.
Artigo em Inglês | MEDLINE | ID: mdl-35409662

RESUMO

Local government officials play a central role in post-disaster community reconstruction. However, few studies have reported on the actual difficulties during a complex disaster involving a nuclear accident. A self-rated questionnaire survey was administered to a total of 583 public employees in four municipalities around the Fukushima Daiichi Nuclear Power Station. The relationship between universal occupational factors and radiation disaster-specific factors on job satisfaction and intention to leave the job due to radiation anxiety was evaluated using structural equation modeling. The results showed that interpersonal problems (ß = -0.246) and service years (ß = -0.127) were related to job satisfaction, whereas radiation-specific factors were not related to job satisfaction, and only to the intention to leave work due to radiation anxiety. A sense of coherence was associated with job satisfaction (ß = 0.373) and intention to leave work due to radiation anxiety (ß = -0.182), and it served as a moderator of the universal occupational factors and the radiation disaster-specific factors. Therefore, it is suggested that outcomes could be improved through increased stress coping capacity by providing support for relationships and radiation risk communication to public employees during the disaster recovery period.


Assuntos
Desastres , Acidente Nuclear de Fukushima , Ansiedade/epidemiologia , Estudos Transversais , Feminino , Empregados do Governo , Humanos , Japão , Gravidez
12.
Artigo em Inglês | MEDLINE | ID: mdl-35329167

RESUMO

Ecological poverty alleviation launched by the Chinese government is an innovative green development measure that combines targeted poverty alleviation with ecological protection to realize the ecological environmental protection and income growth of the impoverished population. Based on the Chinese government's policy of poverty alleviation assessment for provincial government officials in 2016, this paper studies whether the assessment of government officials promote enterprises' participation in ecological poverty alleviation. Using the sample of Chinese A-share listed companies from 2016 to 2020, the empirical test shows that the more important the assessment of poverty alleviation by officials, the more likely local enterprises are to participate in targeted poverty alleviation and the higher the investment level is likely to be. The results pass a series of robustness tests. In addition, this paper further finds that enterprise participation in ecological poverty alleviation can effectively reduce local water pollution, air pollution and solid pollution, thus improving the ecological environment. It suggests that the assessment mechanism of Chinese government officials can effectively promote multi-dimensional ecological poverty alleviation. The contributions of this paper are as follows. Firstly, it is helpful to expand the relevant literature on enterprise environmental protection from the perspective of ecological poverty alleviation. Secondly, it is helpful to expand the literature related to government-enterprise interaction from the perspective of the assessment of government officials. Finally, it is helpful to enrich and expand the relevant literatures on promotion incentives of government officials from the perspective of ecological poverty alleviation.


Assuntos
Empregados do Governo , Governo , China , Conservação dos Recursos Naturais , Humanos , Investimentos em Saúde , Pobreza
14.
Rev. adm. pública (Online) ; 56(1): 191-207, jan.-fev. 2022. graf
Artigo em Português | LILACS | ID: biblio-1365460

RESUMO

Resumo A folha de pagamento é uma das maiores despesas do município, porém uma das mais difíceis de serem monitoradas. Se a divulgação dos salários de servidores é de interesse público para controle, a divulgação das despesas com pessoal, na forma como previsto em lei, pode não ser suficiente para detectar diversos tipos de irregularidades. Analisamos os paradoxos envolvidos na divulgação de dados da folha de pagamento e as tensões que emergem do posicionamento de diversos interessados na questão. Entrevistamos profissionais de prefeituras, sindicatos, empresas de softwares, tribunais de contas, organizações sociais e jornalistas. Procuramos reunir diversas perspectivas e interesses envolvidos na divulgação de salários e benefícios de servidores como exemplo dos desafios de ampliar a transparência pública. Com abordagem indutiva, apresentamos uma lista não exaustiva de irregularidades que reconhecidamente ocorrem no país e que, por não serem detectadas apenas com os dados divulgados nos portais de transparência, demandam cooperação entre diversos atores de controle.


Resumen La nómina es uno de los mayores gastos del municipio, pero también es uno de los más difíciles de monitorear. Si la divulgación de los salarios de los funcionarios públicos es de interés público para su control, la divulgación de los gastos en personal según lo dispuesto por la ley puede no ser suficiente para identificar algunas irregularidades. Analizamos las paradojas presentes en la apertura de dichos datos y las tensiones que surgen del posicionamiento de los diferentes interesados en el asunto. Entrevistamos a profesionales de alcaldías, sindicatos, empresas de software, tribunales de cuentas, organizaciones sociales y periodistas para reunir diversas perspectivas e intereses involucrados en la divulgación de sueldos y beneficios de los servidores públicos como ejemplo de los desafíos para ampliar la transparencia pública. Con un enfoque inductivo, presentamos una lista no exhaustiva de las irregularidades que a menudo ocurren en Brasil que, por no ser detectadas simplemente a través de los datos publicados en los portales de transparencia, exigen la cooperación entre los diferentes agentes de control para combinar múltiples fuentes de datos y evidencias.


Abstract: Although local governments' payrolls are a significant expense, they are one of the most difficult to monitor. The disclosure of civil servants' salaries to improve control is a measure of public interest, but the mere information on the government's personnel expenses as provided by law may not be sufficient to detect irregularities. This study analyzes the paradoxes of disclosing salary information and the tensions among the parties related to this issue. We interviewed local government employees, unions, software companies, courts of accounts, nonprofit organizations, and journalists, gathering different interests and perspectives, addressing the issue as an example of the challenges to improve public transparency. Based on an inductive approach, the research offers a non-exhaustive list of irregularities in Brazil that are not detected by simply disclosing information in transparency portals. Our findings point out that detecting and addressing such irregularities require the cooperation of several control agents to combine multiple data sources and evidence.


Assuntos
Salários e Benefícios , Remuneração , Confiabilidade dos Dados , Empregados do Governo , Governo , Salários e Benefícios , Brasil
16.
Lima; Perú. Ministerio de Salud. Oficina General de Comunicaciones. Oficina General de Gestión de Recursos Humanos; 4 ed; Ene. 2022. 18 p. ilus.(Boletín Informativo. Edición, 4).
Monografia em Espanhol | LILACS, LIPECS, MINSAPERÚ | ID: biblio-1373364

RESUMO

Pasión por lo que hacemos. Con estas palabras se podría sintetizar lo que significa la vocación de servicio. Servir a los demás a través de la empatía, tratar a las personas como nos gustaría que nos traten a nosotros, escuchar y entender las necesidades de los usuarios externos e internos y estar disponibles para dar respuesta a las mismas, de acuerdo al contexto. Para trabajar en el Estado se necesitan aptitudes y capacidades especiales para contribuir al bienestar, beneficio y mejora de nuestro sistema social. Es por ello, que la Autoridad Nacional del Servicio Civil considera a la vocación de servicio como la primera competencia transversal que debe tener el servidor público. Así como, resalta que, trabajar en el Estado, implica tener una pasión por generar un cambio que beneficie la vida del ciudadano; es decir, un compromiso por atender las necesidades de otros incluso antes que las propias. En ese sentido, se reconoce la valiosa competencia a los servidores del Ministerio de Salud, personas que día a día se esfuerzan por realizar un trabajo eficiente, responsable y con empatía, más aún ante situaciones difíciles como la que atraviesa hoy por la pandemia a causa de la COVID-19.


Assuntos
Administração Pública , Impactos da Poluição na Saúde , Gestão em Saúde , Empatia , Empregados do Governo , COVID-19 , Aniversários e Eventos Especiais
17.
Rev. bras. promoç. saúde (Impr.) ; 35(1): https://periodicos.unifor.br/RBPS/article/view/12031, 20220125.
Artigo em Inglês, Português | LILACS | ID: biblio-1354101

RESUMO

Objetivo: Investigar as características sociodemográficas, ocupacionais e de morbidade dos servidores que tiveram licenças por transtorno mental e comportamental (TMC), bem como as associações dessas características com o afastamento precoce. Métodos: Estudo longitudinal (coorte retrospectiva), realizado no Instituto Federal de Educação do Ceará (IFCE), com vistas ao delineamento do perfil epidemiológico dos servidores afastados por TMC (n=250), no período de 2010 a 2018, e as associações das características epidemiológicas (sexo, grupo do cargo, local de trabalho, tempo na instituição, estado civil, faixa etária e remuneração) com o afastamento precoce, através das curvas de sobrevivência de Kaplan-Meier. Resultados: Ocorreram 684 afastamentos por TMC em 250 servidores (incidência de 4,9%), resultando em 22.409 dias perdidos de trabalho (DAW) e efeitos financeiros de aproximadamente R$ 6.845.220. Houve um aumento na quantidade de afastamentos, de DAW e da taxa de incidência de servidores afastados ao longo do período do estudo. O grupo dos transtornos do humor (F30-F39) da CID-10 apresentou-se como a principal causa de afastamento por TMC (n=367; 53,6%) e DAW (13.057). A análise de sobrevida mostrou afastamento precoce nos servidores do interior, solteiros, com faixa etária de 18 a 39 anos, tempo de serviço na instituição de até 9 anos e classe econômica C. Conclusão: Houve crescimento no IFCE, entre 2010 e 2018, dos afastamentos, dos DAW e da incidência de servidores afastados por TMC, com predominância dos transtornos do humor, os quais geraram efeitos financeiros elevados para a instituição. Evidenciou-se associação positiva entre algumas características sociodemográficas e o afastamento precoce por TMC


Objective: To investigate the sociodemographic, occupational and morbidity characteristics of civil servants on leave due to mental and behavioral disorders (MBD) and the associations of these characteristics with early leave. Methods: Longitudinal (retrospective cohort) study carried out at the Ceará Federal Institute of Education (IFCE) with a view to identifying the epidemiological profile of civil servants who were on leave due to MBD (n=250) from 2010 to 2018 and the associations of epidemiological characteristics (sex, job category, workplace, length of service at the institution, marital status, age range and salary) with early leave through the Kaplan-Meier curves. Results: There were 684 leaves due to MBD among 250 civil servants (incidence of 4.9%), resulting in 22,409 days away from work (DAW) and financial effects of approximately R$ 6,845,220. There was an increase in the number of leaves, days away from work, and rate of incidence of civil servants on leave during the study period. The group of mood disorders (F30-F39) in ICD-10 was the main cause of leaves due to MBD (n=367; 53.6%) and DAW (13,057). The survival analysis showed earlier leaves among civil servants in the countryside, single individuals, those aged 18-39 years, and those with up to 9 years of service at the institution and belonging to economic class C. Conclusion: There was an increase in leaves, DAW and incidence of civil servants on leave due to MBD at IFCE, with a predominance of mood disorders, which generated high financial effects for the institution. There was evidence of a positive association between some sociodemographic characteristics and early leave due to MBD.


Objetivo: Investigar las características sociodemográficas, ocupacionales y de morbilidad de los funcionarios que estuvieron de baja por trastorno mental y de conducta (TMC) así como las asociaciones de esas características con el alejamiento precoz. Métodos: Estudio longitudinal (cohorte retrospectivo), realizado en el Instituto Federal de Educación de Ceará (IFCE) parala delineación del perfil epidemiológico de los funcionarios de baja por TMC (n=250), en el periodo entre 2010 y 2018 y las asociaciones de las características epidemiológicas (sexo, equipo de cargo, sitio del trabajo, tiempo en la institución, estado civil, franja de edad y remuneración) con el alejamiento precoz, a través de las curvas de supervivencia de Kaplan-Meier.Resultados: Se dieron 684 bajas por TMC en 250 funcionarios (incidencia del 4,9%), lo que resulta en 22.409 días perdidos de trabajo (DAW) y efectos financieros de aproximadamente R$ 6.845.220. Hubo un aumento de la cantidad de bajas, de DAW y de la tasa de incidencia de funcionarios de baja a lo largo del período del estudio. El grupo de los trastornos de humor (F30-F39) de la CID-10 se presentó como la principal causa de baja por TMC (n=367; 53,6%) y DAW (13.057). El análisis de la sobrevida ha presentado el alejamiento precoz de los funcionarios del campo, solteros, en la franja de edad entre 18 y 39 años, tiempo de servicio en la institución de hasta 9 años y de la clase económica C. Conclusión: Hubo un crecimiento en el IFCE, entre 2010 y 2018, de las bajas, de los DAW y de la incidencia de los funcionarios de baja por TMC, con predominio de los trastornos de humor los cuales generaron efectos financieros elevados para la institución. Se ha evidenciado una asociación positiva entre algunas características sociodemográficas y el alejamiento precoz por TMC.


Assuntos
Saúde Pública , Saúde do Trabalhador , Educação , Empregados do Governo , Transtornos Mentais
18.
J Occup Environ Med ; 64(3): 212-217, 2022 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-34873135

RESUMO

OBJECTIVE: To determine factors associated with return to work in US diplomats injured during a work assignment in Cuba. METHODS: In this case series work ability was determined at each visit. Questionnaires used included the Symptom Score Questionnaire, Beck Anxiety Inventory, Beck Depression Inventory, Quality-of-Life Inventory, and Patient Health Questionnaire. RESULTS: Of the 45 employees referred to Occupational Medicine, the mean age was 42.5 years, 60% were men, 68% were never out of work, 22% were out of work for some period, and 15% remain out of work. Vestibular, cognitive, hearing, sleep, and visual symptoms, and a higher initial symptom score were significantly associated with work inability while psychiatric symptoms were not. CONCLUSIONS: This exposure resulted in prolonged illness with cognitive impairment and other clinical manifestations associated with work inability.


Assuntos
Empregados do Governo , Traumatismos Ocupacionais , Adulto , Cuba , Depressão/epidemiologia , Depressão/psicologia , Feminino , Humanos , Masculino , Traumatismos Ocupacionais/epidemiologia , Retorno ao Trabalho , Inquéritos e Questionários , Estados Unidos/epidemiologia
19.
Occup Environ Med ; 79(1): 38-45, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34162719

RESUMO

OBJECTIVE: To assess the association of lung function and respiratory symptoms with farming, particularly pesticide use, in an agricultural province in Thailand. METHODS: We undertook a cross-sectional survey of adults aged 40-65 in Nan province, Thailand, between May and August 2019. We randomly recruited 345 villagers and enriched the sample with 82 government employees. All participants performed post-bronchodilator spirometry and completed a questionnaire covering information on respiratory symptoms, farming activities, pesticide use and known risk factors for respiratory disease. Associations of respiratory outcomes with farming and pesticide exposures were examined by multivariable regression analysis. RESULTS: The response rate was 94%. The prevalence of chronic airflow obstruction among villagers was 5.5%. Villagers had, on average, a lower percent predicted post-bronchodilator forced expiratory volume in one second/forced vital capacity (FEV1/FVC) than government employees (98.3% vs 100.3%; p=0.04). There was no evidence of association of lung function with farming activities, the use of specific herbicides (glyphosate and paraquat), insecticides (organophosphates and pyrethroids) or fungicides. The exceptions were poultry farming, associated with chronic cough and an increase of FEV1/FVC, and atrazine, for which duration (p-trend <0.01), intensity (p-trend <0.01) and cumulative hours (p-trend=0.01) of use were all associated with higher FEV1/FVC in an exposure-response manner. Cumulative hours (-280 mL/hour), low duration (-270 mL/year) and intensity (-270 mL/hour/year) of atrazine use were associated with lower FVC. CONCLUSIONS: Chronic airflow obstruction is uncommon among villagers of an agricultural province in Nan, Thailand. Farming and pesticide use are unlikely to be major causes of respiratory problems there.


Assuntos
Agricultura , Exposição Ocupacional/efeitos adversos , Praguicidas/efeitos adversos , Doença Pulmonar Obstrutiva Crônica/epidemiologia , Adulto , Tosse/epidemiologia , Estudos Transversais , Dispneia/epidemiologia , Fazendeiros/estatística & dados numéricos , Feminino , Empregados do Governo/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Exposição Ocupacional/análise , Praguicidas/classificação , Testes de Função Respiratória , Sons Respiratórios , Espirometria , Inquéritos e Questionários , Tailândia/epidemiologia
20.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1353023

RESUMO

Objetivo: traçar o perfil de saúde dos servidores públicos de instituição de ensino localizada no Rio de Janeiro, a partir dos resultados dos exames periódicos de saúde. Método: utilizou-se abordagem quantitativa e transversal, com dados coletados em uma instituição pública federal de ensino. Resultados: verificou-se o risco para desenvolvimento de doenças crônicas não transmissíveis, dado o histórico familiar aliado ao estilo de vida dos participantes. A atividade física referida não pôde ser associada à diminuição de risco de doenças cardiovasculares e, por isso, pode não estar sendo efetiva sua contribuição para a saúde de seus praticantes. Quanto à exposição ocupacional, foram identificadas alterações nos exames de audiometria, videolaringoestroboscopia e Gama GT dos servidores docentes. Conclusão: torna-se fundamental consolidar as ações voltadas para os servidores públicos, enquanto ferramenta para embasar ações de promoção e proteção da saúde dos trabalhadores e para o fortalecimento de políticas públicas voltadas para o tema


Objective: to draw the health profile of public servants of an educational institution located in Rio de Janeiro, based on the results of periodic health examinations. Method: a quantitative and cross-sectional approach was used, with data collected from a federal public educational institution. Results: the risk for developing non-communicable chronic diseases was verified, given the family history combined with the participants' lifestyle. The referred physical activity could not be associated with a reduced risk of cardiovascular diseases and, therefore, its contribution to the health of its practitioners may not be effective. Regarding occupational exposure, changes in audiometry, videolaryngostroboscopy and Gama GT exams of the teaching staff were identified. Conclusion: it is essential to consolidate actions aimed at public servants, as a tool to support actions to promote and protect workers' health and to strengthen public policies. focused on the theme


Objetivo: dibujar el perfil de salud de los servidores públicos de una institución educativa ubicada en Río de Janeiro, con base en los resultados de los exámenes periódicos de salud. Método: se utilizó un enfoque cuantitativo y transversal, con datos recopilados de una institución educativa pública federal. Resultados: se verificó el riesgo de desarrollar enfermedades crónicas no transmisibles, dada la historia familiar combinada con el estilo de vida de los participantes. La actividad física referida no podría asociarse con un riesgo reducido de enfermedades cardiovasculares y, por lo tanto, su contribución a la salud de sus profesionales puede no ser efectiva. Con respecto a la exposición ocupacional, se identificaron cambios en audiometría, videolaringostroboscopia y exámenes de Gama GT del personal docente. Conclusión: es esencial consolidar las acciones dirigidas a los servidores públicos, como una herramienta para apoyar acciones para promover y proteger la salud de los trabajadores y fortalecer las políticas públicas. centrado en el tema


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Perfil de Saúde , Exposição Ocupacional/estatística & dados numéricos , Saúde do Trabalhador , Empregados do Governo/estatística & dados numéricos , Pessoal de Educação , Estilo de Vida
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