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1.
BMC Public Health ; 19(1): 1145, 2019 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-31429731

RESUMO

BACKGROUND: Home gardens have been found to improve food security and dietary diversity in a wide range of settings. However, there is a need to place home gardens within the larger food and nutrition system landscapes that shape the construction of household diets. Myanmar offers a unique opportunity to study these research questions, given the decades of political isolation, high levels of food insecurity and poor nutrition levels. METHODS: The aim of our paper is to use household survey data from three distinctive agro-ecological settings in rural Myanmar to empirically analyse the role of home gardens in influencing household food insecurity and dietary diversity. Our analysis is based on unique survey data conducted in rural Myanmar. The sample includes 3230 rural households from three States/Districts (Magway, Ayeyarwady and Chin). Using information on two dimensions of food security, a series of variables capturing a household's self-reported food security status and coping strategies when food is not available; and a measure of household's dietary diversity based on 24-h recall data, we empirically estimate a household's probability of being food insecure and the diversity of their diets. RESULTS: There are statistically significant associations between access to home gardens and measures of food security and improved dietary diversity. In particular, for landless households, the ownership of home gardens/ fruits and vines is statistically significant and is associated with a 6.6 percentage points lower probability of a household having to change their diet, and a 7.9 percentage points lower probability of being in hunger. CONCLUSIONS: From a policy perspective, our results show that promoting home gardens among vulnerable households can improve food security and dietary diversity among vulnerable rural households in Myanmar.


Assuntos
Dieta/estatística & dados numéricos , Abastecimento de Alimentos/estatística & dados numéricos , Jardins/estatística & dados numéricos , População Rural/estatística & dados numéricos , Populações Vulneráveis/estatística & dados numéricos , Adulto , Dieta/métodos , Características da Família , Feminino , Abastecimento de Alimentos/métodos , Jardinagem/estatística & dados numéricos , Humanos , Masculino , Mianmar , Inquéritos e Questionários
2.
Artigo em Inglês | MEDLINE | ID: mdl-31013959

RESUMO

Nature-based adult day services (ADSs) for people with dementia (PwD) are well-known in rural areas. In recent years, a number of providers have started offering these services in urban contexts, e.g., in city farms and community gardens, where people with dementia participate in outdoor activities, such as gardening and caring for animals. At the moment, little is known about these services within an urban context, and the aim of this study is to characterize different types of nature-based ADSs in urban areas for PwD living at home, as well as to identify general and specific challenges with regard to the development of different types of ADSs. An inventory was carried out and 17 ADS providers in urban areas were interviewed about their initiatives, settings, client groups, motivations for starting their nature-based ADS, and their experiences with, competences for, and funding of urban nature-based ADS. The interviews were recorded, transcribed verbatim and thematically analyzed. Five types of nature-based ADSs were identified: (1) services offered by social entrepreneurs, (2) nursing homes opening their garden to people with dementia, (3) social care organization setting up nature-based, (4) community garden set up by citizens, and (5) hybrid initiatives. Common activities were gardening, preparing meals, and taking care of farm animals. The main activities organized by nursing homes included sitting and walking in the garden and attending presentations and excursions. General challenges included the availability of green urban spaces and acquiring funding for the nature-based services. Initiatives of social entrepreneurs depended strongly on their commitment. Challenges for nursing homes included a lack of commitment among nursing staff, involvement of PwD living at home and a lack of interaction with the neighborhood. Volunteers played a key role in the initiatives organized by social care organizations and in community gardens. However, it was a major challenge to find volunteers who know enough about care and gardening. Specific challenges for the hybrid types were related to differences in work culture between social entrepreneurs and care organizations. Different types of care-oriented and community-oriented nature-based adult day services in urban areas for people with dementia have been developed, facing different types of challenges. Care oriented initiatives like nursing homes opening their garden focus on risk prevention and their nature-based services tended to be less diverse and stimulating for people with dementia living at home. Collaboration between such care-oriented initiatives with initiatives of other types of organizations or social entrepreneurs can lead to more appealing community-oriented nature-based services.


Assuntos
Terapia Comportamental/métodos , Cuidadores/psicologia , Demência/psicologia , Demência/terapia , Jardinagem/estatística & dados numéricos , Jardins/estatística & dados numéricos , Adulto , Idoso , Idoso de 80 Anos ou mais , Cidades , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
3.
J Eur Acad Dermatol Venereol ; 32(10): 1695-1701, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29806193

RESUMO

BACKGROUND: One of the main risk factors for non-melanoma skin cancer (NMSC), the most common cancer worldwide, is solar ultraviolet radiation (UVR). This has led to the recognition of NMSC as occupational disease for outdoor workers in several countries. However, outdoor professions are a very heterogeneous group with diverse daily activities and associated UVR exposure. OBJECTIVE: To compare the prevalence of NMSC and associated risk behaviour in different outdoor professions. METHODS: Cross-sectional study among outdoor workers (farmers, gardeners, mountain guides) and indoor workers (office employees) as control group using a paper-based questionnaire on UVR exposure and protective behaviour followed by a skin examination by a dermatologist. RESULTS: A total of 563 participants (46.9% women, 46.9 ± 13.8 years) consisting of 348 outdoor workers (38.8% farmer, 35.3% gardener, 25.9% mountain guides) and 215 indoor workers were included in the study between March and September 2017. NMSC incl. actinic keratosis was diagnosed in 33.3% of mountain guides, 27.4% of farmers, 19.5% of gardeners and in 5.6% of indoor workers. Significant differences were seen between the outdoor professions with mountain guides at highest risk compared to farmers (OR = 2.6, 95% CI = 1.2-5.7). Substantial differences between the professions were also seen in skin cancer screening attendance rates (indoor worker 61.4%, mountain guides 57.8%, farmers 31.9%, gardeners 27.6%), daily UVR exposure during work and protective behaviour such as sunscreen use during work. CONCLUSION: Different outdoor professions have significant different risks for NMSC and show different risk behaviour. Tailoring prevention efforts to different professions based on their individual needs could be the key to lower the global burden of (occupational) NMSC.


Assuntos
Agricultura/estatística & dados numéricos , Carcinoma Basocelular/epidemiologia , Carcinoma de Células Escamosas/epidemiologia , Montanhismo/estatística & dados numéricos , Doenças Profissionais/epidemiologia , Exposição Ocupacional/efeitos adversos , Neoplasias Cutâneas/epidemiologia , Raios Ultravioleta/efeitos adversos , Pessoal Administrativo/estatística & dados numéricos , Adolescente , Adulto , Fatores Etários , Idoso , Carcinoma Basocelular/diagnóstico , Carcinoma Basocelular/prevenção & controle , Carcinoma de Células Escamosas/diagnóstico , Carcinoma de Células Escamosas/prevenção & controle , Estudos Transversais , Detecção Precoce de Câncer/estatística & dados numéricos , Feminino , Jardinagem/estatística & dados numéricos , Alemanha/epidemiologia , Humanos , Ceratose Actínica/diagnóstico , Ceratose Actínica/epidemiologia , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/diagnóstico , Doenças Profissionais/prevenção & controle , Prevalência , Roupa de Proteção/estatística & dados numéricos , Medição de Risco , Fatores Sexuais , Neoplasias Cutâneas/diagnóstico , Neoplasias Cutâneas/prevenção & controle , Protetores Solares/uso terapêutico , Inquéritos e Questionários , Adulto Jovem
4.
J Community Health ; 43(6): 1053-1060, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-29779075

RESUMO

American Indians, including Navajo, are disproportionately affected by obesity and diabetes, in part due to diet-related health behaviors. The purpose of this study was to assess the patterns of gardening and fruit and vegetable (FV) consumption among residents in two communities on the Navajo Nation in order to inform a community gardening intervention. We analyzed survey data collected from participants in the Yéego Gardening study conducted in two communities in the Navajo Nation (N = 169). We found that 51% of the sample gardened, and on average participants gardened 8.9 times per month. Lack of time (53%) and financial barriers, such as gas for transportation or irrigation (51 and 49%, respectively), were reported as barriers to gardening. Most participants reported low levels of self-efficacy (80%) and behavioral capability (82%) related to gardening. Those with higher levels of gardening self-efficacy and behavioral capability reported more frequent gardening. Average daily FV consumption was 2.5 servings. Most participants reported high levels of self-efficacy to eat FV daily (64%) and high behavioral capability to prepare FV (66%). There was a positive association between FV consumption and gardening, with those gardening more than 4 times per month eating about 1 more serving of FV per day than those gardening 4 or fewer times per month. Further research is needed to better understand how gardening can increase fruit and vegetable availability and consumption among residents of the Navajo Nation.


Assuntos
Dieta/etnologia , Comportamento Alimentar/etnologia , Alimentos Orgânicos/estatística & dados numéricos , Jardinagem/estatística & dados numéricos , Índios Norte-Americanos/estatística & dados numéricos , Autoeficácia , Adulto , Atitude Frente a Saúde , Diabetes Mellitus Tipo 2/prevenção & controle , Feminino , Frutas , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade/prevenção & controle , Inquéritos e Questionários , Verduras
5.
BMC Pulm Med ; 18(1): 75, 2018 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-29784045

RESUMO

BACKGROUND: Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive fibrosing interstitial pneumonia of unknown cause associated with the histopathologic and/or radiologic pattern of usual interstitial pneumonia (UIP). Occupational risk factors have been proposed to be associated with UIP. The aim of this case-control study is to evaluate the relationship between UIP pattern and occupational exposure in Southern Europe. METHODS: Sixty nine cases with a UIP radiological pattern at CT-scan were selected from a clinical database of the University Hospital of Perugia, Umbria, between January 2010 and December 2013. Controls (n = 277) not reporting doctor diagnosed pulmonary fibrosis, were ascertained casually among general population from the same catching area of cases. Data were collected by a questionnaire used previously in a similar study. Logistic regression models, adjusted for gender, age and smoking, were performed to evaluate the association between UIP and occupational exposure. RESULTS: Farmers, veterinarians and gardeners (OR = 2.73, 95%CI = 1.47-5.10), metallurgical and steel industry workers (OR = 4.80, 95%CI = 1.50-15.33) were occupations associated with UIP. Metal dust and fumes and organic dust were risk factors for UIP. Increasing the length of occupational exposure in jobs at risk of pulmonary fibrosis, increased the risk of having UIP. CONCLUSIONS: This case control study confirm partially the results from previous similar studies. Some discrepancies could be explained by the different geographical origins of the population under study, reflecting also different occupational exposures.


Assuntos
Poeira , Fibrose Pulmonar Idiopática , Pulmão , Metais , Exposição Ocupacional , Compostos Orgânicos , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Poeira/análise , Poeira/prevenção & controle , Europa (Continente)/epidemiologia , Fazendeiros/estatística & dados numéricos , Feminino , Jardinagem/estatística & dados numéricos , Humanos , Fibrose Pulmonar Idiopática/diagnóstico , Fibrose Pulmonar Idiopática/epidemiologia , Fibrose Pulmonar Idiopática/prevenção & controle , Pulmão/diagnóstico por imagem , Pulmão/fisiopatologia , Masculino , Metalurgia/estatística & dados numéricos , Metais/efeitos adversos , Metais/química , Pessoa de Meia-Idade , Exposição Ocupacional/efeitos adversos , Exposição Ocupacional/análise , Exposição Ocupacional/prevenção & controle , Compostos Orgânicos/efeitos adversos , Compostos Orgânicos/química , Radiografia Torácica/métodos , Medição de Risco , Fatores de Risco , Médicos Veterinários/estatística & dados numéricos
6.
Am J Epidemiol ; 187(7): 1549-1558, 2018 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-29762655

RESUMO

Most epidemiologic studies of physical activity measure either total energy expenditure or engagement in a single type of activity, such as walking. These approaches may gloss over important nuances in activity patterns. We performed a latent transition analysis to identify patterns of activity, as well as neighborhood and individual determinants of changes in those activity patterns, over 2 years in a cohort of 2,023 older adult residents of New York, New York, surveyed between 2011 and 2013. We identified 7 latent classes: 1) mostly inactive, 2) walking, 3) exercise, 4) household activities and walking, 5) household activities and exercise, 6) gardening and household activities, and 7) gardening, household activities, and exercise. The majority of subjects retained the same activity patterns between waves (54% unchanged between waves 1 and 2, 66% unchanged between waves 2 and 3). Most latent class transitions were between classes distinguished only by 1 form of activity, and only neighborhood unemployment was consistently associated with changing between activity latent classes. Future latent transition analyses of physical activity would benefit from larger cohorts and longer follow-up periods to assess predictors of and long-term impacts of changes in activity patterns.


Assuntos
Exercício , Avaliação Geriátrica/estatística & dados numéricos , Características de Residência/estatística & dados numéricos , Atividades Cotidianas , Idoso , Feminino , Jardinagem/estatística & dados numéricos , Humanos , Análise de Classes Latentes , Estudos Longitudinais , Masculino , Cidade de Nova Iorque/epidemiologia , Comportamento Sedentário , Inquéritos e Questionários
7.
Am J Emerg Med ; 36(9): 1565-1569, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-29395756

RESUMO

OBJECTIVE: The objective of this study was to describe recent trends in the epidemiology of lawn mower injuries presenting to the Emergency Department in the United States using nationally representative data for all ages. METHODS: Data for this retrospective analysis were obtained from the U.S. Consumer Product Safety Commission's National Electronic Injury Surveillance System (NEISS), for the years 2005-2015. We queried the system using all product codes under "lawn mowers" in the NEISS Coding Manual. We examined body part injured, types of injuries, gender and age distribution, and disposition. RESULTS: There were an estimated 934,394 lawn mower injuries treated in U.S. ED's from 2005 to 2015, with an average of 84,944 injuries annually. The most commonly injured body parts were the hand/finger (22.3%), followed by the lower extremity (16.2%). The most common type of injury was laceration (23.1%), followed by sprain/strain (18.8%). The mean age of individuals injured was 46.5 years, and men were more than three times as likely to be injured as women. Patients presenting to the ED were far more likely to be discharged home after treatment (90.5%) than to be admitted (8.5%). CONCLUSION: Lawn mowers continue to account for a large number of injuries every year in the United States. The incidence of lawn mower injuries showed no decrease during the period of 2005-2015. Preventative measures should take into account the epidemiology of these injuries.


Assuntos
Acidentes Domésticos/estatística & dados numéricos , Serviço Hospitalar de Emergência/estatística & dados numéricos , Utensílios Domésticos/estatística & dados numéricos , Adulto , Idoso , Tratamento de Emergência/estatística & dados numéricos , Feminino , Jardinagem/estatística & dados numéricos , Traumatismos da Mão/epidemiologia , Humanos , Incidência , Lacerações/epidemiologia , Traumatismos da Perna/epidemiologia , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Entorses e Distensões/epidemiologia , Fatores de Tempo , Estados Unidos/epidemiologia
8.
J Nutr Educ Behav ; 50(2): 133-140.e1, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-28988655

RESUMO

OBJECTIVE: To examine the relationship between high school students' agricultural experiences and their (1) attitudes about consuming local fruits and vegetables, (2) willingness to try new fruits and vegetables, and (3) fruit and vegetable consumption. DESIGN: Cross-sectional survey research. SETTING: Public high schools in a lower-income, diverse, urban, northeastern community. PARTICIPANTS: A total of 327 students from 3 public high schools. MAIN OUTCOME MEASURE(S): Exposures were prior experience helping on a farm or community garden (yes/no) and having a home garden (yes/no). Outcomes were perceptions about local produce consumption (α = .73), willingness to try new fruits (α = .86) and vegetables (α = .86), and adequate fruit and vegetable consumption (yes/no) as measured by a valid 2-item cup screener. ANALYSIS: Independent t tests, 1-way ANOVA, and chi-square tests were used. RESULTS: Half of students (52.9%) reported prior farm experience; 29.7% reported having a garden at home. Few students reported consuming at least 3 cups/d of vegetables (9.8%) or 2 cups/d of fruit (37.0%). Students with prior farm experience had more favorable scores for local produce perceptions (P = .002) and willingness to try new fruits (P = .001) and vegetables (P < .001) than were students without prior experience. Students with a home garden had more favorable scores for local produce perceptions (P = .02) and willingness to try new fruits (P = .001) and vegetables (P = .001) and more often consumed adequate vegetables (P = .007) than did students without a garden. CONCLUSIONS AND IMPLICATIONS: Those working with high school students might consider offering agriculture experiences that could promote positive fruit and vegetable attitudes and behaviors.


Assuntos
Preferências Alimentares/fisiologia , Frutas , Jardinagem/estatística & dados numéricos , Estudantes/estatística & dados numéricos , Verduras , Adolescente , Connecticut/epidemiologia , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Instituições Acadêmicas
9.
J Acad Nutr Diet ; 118(2): 275-283, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29198845

RESUMO

BACKGROUND: Gardening interventions have been shown to increase fruit and vegetable (F/V) intake among school-aged children. It is unknown whether these effects persist into later adolescence or adulthood, and little is known about whether gardening in later adolescence is related to F/V intake. OBJECTIVE: To identify the relationship between both childhood and recent (within the past 12 months) gardening experiences and current F/V intake among college students. DESIGN/PARTICIPANTS: A cross-sectional evaluation of 1,121 college freshmen with suboptimal F/V consumption from eight US universities. MAIN OUTCOME MEASURES: Participants completed the National Cancer Institute Fruit and Vegetable Screener and questions about gardening experiences. Respondents were grouped as having gardened or not gardened during childhood and recently. STATISTICAL ANALYSES PERFORMED: A linear mixed model was used to evaluate the relationship between childhood and recent gardening and current F/V intake. RESULTS: Of the student participants, 11% reported gardening only during childhood, 19% reported gardening only recently, 20% reported gardening both as a child and recently, and 49% of students reported never having gardened. Students who gardened both during childhood and recently had a significantly higher mean current intake of F/V compared with students who never gardened (2.5±0.6 vs 1.9±0.5 cup equivalents [CE], respectively; P<0.001). In addition, F/V intake increased with frequency of recent gardening engagement when comparing students who did not garden with those who gardened monthly or weekly (2.1±0.5 CE, 2.4±0.6 CE, and 2.8±0.7 CE, respectively; P<0.001). CONCLUSIONS: This analysis suggests that the combination of childhood and recent gardening experience is associated with greater current F/V intake among first-year college students not currently meeting national F/V recommendations. In addition, a greater frequency of gardening experience may further enhance this effect.


Assuntos
Dieta/estatística & dados numéricos , Frutas , Jardinagem/estatística & dados numéricos , Estudantes/estatística & dados numéricos , Verduras , Adolescente , Criança , Estudos Transversais , Feminino , Humanos , Masculino , National Cancer Institute (U.S.) , Estados Unidos , Universidades , Adulto Jovem
10.
Contact Dermatitis ; 78(3): 185-193, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29148057

RESUMO

BACKGROUND: Compositae dermatitis was originally described as airborne contact dermatitis. More recent studies have reported a wider clinical spectrum, but often in polysensitized patients. OBJECTIVE: To evaluate the clinical features of patients sensitized to Compositae only. PATIENTS/METHODS: Consecutive Compositae-sensitive eczema patients, tested between 1990 and 2015, who, at the patch testing session diagnosing their Compositae allergy, were found to be sensitized only to the plant family, were included. RESULTS: Altogether, 529 of 13 139 patients tested (4.0%) were sensitized to Compositae, and 95 (18% of these) were monosensitized. The majority had hand eczema, and 39 (44%) had a vesicular volar pattern. Eighty-one patients were classified into one of three groups of similar size: localized eczema, eczema of exposed skin, and localized eczema turning into widespread eczema. CONCLUSIONS: The prevalence of Compositae sensitization is continuously high in consecutive eczema patients. Sensitization may occur at any age. Clinical features in monosensitized patients vary, but, with continuing exposure, the patients may develop more widespread dermatitis similar to classic Compositae dermatitis. Avoidance may clear the exogenous part, but not endogenous aetiological factors such as vesicular hand eczema or possible photosensitivity. Thorough clinical assessment and patient education are important in reducing the impact of Compositae contact allergy.


Assuntos
Asteraceae/efeitos adversos , Dermatite Alérgica de Contato/epidemiologia , Dermatite Alérgica de Contato/etiologia , Dermatoses da Mão/epidemiologia , Dermatoses da Mão/etiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Dinamarca/epidemiologia , Dermatite Alérgica de Contato/patologia , Dermatite Ocupacional/epidemiologia , Dermatite Ocupacional/etiologia , Eczema/epidemiologia , Eczema/etiologia , Feminino , Jardinagem/estatística & dados numéricos , Dermatoses da Mão/patologia , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Testes do Emplastro , Prevalência , Adulto Jovem
11.
Cancer Epidemiol Biomarkers Prev ; 26(4): 495-504, 2017 04.
Artigo em Inglês | MEDLINE | ID: mdl-28154108

RESUMO

Background: Few older adults achieve recommended physical activity levels. We conducted a "neighborhood environment-wide association study (NE-WAS)" of neighborhood influences on physical activity among older adults, analogous, in a genetic context, to a genome-wide association study.Methods: Physical Activity Scale for the Elderly (PASE) and sociodemographic data were collected via telephone survey of 3,497 residents of New York City aged 65 to 75 years. Using Geographic Information Systems, we created 337 variables describing each participant's residential neighborhood's built, social, and economic context. We used survey-weighted regression models adjusting for individual-level covariates to test for associations between each neighborhood variable and (i) total PASE score, (ii) gardening activity, (iii) walking, and (iv) housework (as a negative control). We also applied two "Big Data" analytic techniques, LASSO regression, and Random Forests, to algorithmically select neighborhood variables predictive of these four physical activity measures.Results: Of all 337 measures, proportion of residents living in extreme poverty was most strongly associated with total physical activity [-0.85; (95% confidence interval, -1.14 to -0.56) PASE units per 1% increase in proportion of residents living with household incomes less than half the federal poverty line]. Only neighborhood socioeconomic status and disorder measures were associated with total activity and gardening, whereas a broader range of measures was associated with walking. As expected, no neighborhood meaZsures were associated with housework after accounting for multiple comparisons.Conclusions: This systematic approach revealed patterns in the domains of neighborhood measures associated with physical activity.Impact: The NE-WAS approach appears to be a promising exploratory technique. Cancer Epidemiol Biomarkers Prev; 26(4); 495-504. ©2017 AACRSee all the articles in this CEBP Focus section, "Geospatial Approaches to Cancer Control and Population Sciences."


Assuntos
Exercício , Características de Residência , Idoso , Estudos Transversais , Meio Ambiente , Feminino , Jardinagem/estatística & dados numéricos , Humanos , Masculino , Cidade de Nova Iorque , Pobreza , Análise de Regressão , Autorrelato , Fatores Socioeconômicos , População Urbana , Caminhada/estatística & dados numéricos
12.
Med. segur. trab ; 62(244): 199-211, jul.-sept. 2016. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-158399

RESUMO

Objetivo: realizar un estudio descriptivo, de corte transversal y alcance correlacional sobre condiciones laborales y extralaborales de trabajadores con diagnóstico de Síndrome del Túnel del Carpo que laboran en cultivos de flores en la región de Cundinamarca (Colombia). Método: Se hizo un muestreo por conveniencia y a disponibilidad en tres empresas de cultivo de flores afiliadas a la Asociación Colombiana de Exportadores de Flores (ASOCOLFLORES). Se analizaron características sociodemográficas, antecedentes ocupacionales y actividades extraocupacionales. Se realizó la evaluación de puestos de trabajo mediante la utilización del método OCRA. Resultados: el total de los casos diagnosticados afecta a mujeres que realizan actividades laborales con alta demanda de movimientos repetitivos, agarres con requerimientos de fuerza, posturas forzadas de miembros superiores por periodos prolongados y alta exigencia en el ritmo de trabajo. Se identificaron actividades extralaborales con jornadas prolongadas dedicadas a la realización de labores domésticas que evidencian una correlación estadísticamente significativa con factores de riesgo presentes en las condiciones de trabajo (RHO de Spearman). Discusión: los hallazgos pueden estar relacionados con la denominada situación de segregación laboral y la prolongada exposición a factores de riesgo presentes en las condiciones de trabajo y los que se derivan de las actividades domésticas que deben desarrollar las mujeres (AU)


Objective: to perform a descriptive cross-sectional study about working and extra working conditions in flower crops operators diagnosed with carpal tunnel syndrome from Cundinamarca (Colombia). Method: sampling for convenience and availability was performed in three growing flowers companies affiliated to the Colombian Association of Flower Exporters. Socio-demographic characteristics, occupational background and extra working activities were analyzed. Evaluation of Workstation was performed using the OCRA (Occupational Repetitive Action) method. Results: all diagnosed cases affect women who perform work activities with high demand for repetitive motion, grips that require strength, awkward upper limbs postures for prolonged periods and high demand of work. Extra working activities were identified with long hours dedicated to performing household chores that show a statistically significant correlation with risk factors presented in working conditions (RHO Spearman). Discussion: findings may be related to the so-called situation of occupational segregation and prolonged exposure to risk factors presented in the working conditions and those generated from domestic activities that women must develop (AU)


Assuntos
Humanos , Síndrome do Túnel Carpal/epidemiologia , Transtornos Traumáticos Cumulativos/epidemiologia , Doenças Profissionais/epidemiologia , Jardinagem/estatística & dados numéricos , Colômbia/epidemiologia , Condições de Trabalho , Estudos Transversais , Fatores de Risco
13.
J Nutr Educ Behav ; 48(9): 618-624.e1, 2016 10.
Artigo em Inglês | MEDLINE | ID: mdl-27499426

RESUMO

OBJECTIVE: To examine if gardening experience and enjoyment are associated with vegetable exposure, preferences, and consumption of vegetables among low-income third-grade children. DESIGN: Cross-sectional study design, using baseline data from the Texas! Grow! Eat! Go! SETTING: Twenty-eight Title I elementary schools located in different counties in Texas. PARTICIPANTS: Third-grade students (n = 1,326, 42% Hispanic) MAIN OUTCOME MEASURES: Gardening experience, gardening enjoyment, vegetable exposure, preference, and consumption. ANALYSIS: Random-effects regression models, adjusted for age, sex, ethnicity, and body mass index percentile of child, estimated means and standard errors of vegetable consumption, exposure, and preference by levels of gardening experience and enjoyment. Wald χ2 tests evaluated the significance of differences in means of outcomes across levels of gardening experience and enjoyment. RESULTS: Children with more gardening experience had greater vegetable exposure and higher vegetable preference and consumed more vegetables compared with children who reported less gardening experience. Those who reported that they enjoyed gardening had the highest levels of vegetable exposure, preference, and consumption. CONCLUSIONS AND IMPLICATIONS: Garden-based interventions can have an important and positive effect on children's vegetable consumption by increasing exposure to fun gardening experiences.


Assuntos
Dieta , Comportamento Alimentar/psicologia , Jardinagem/estatística & dados numéricos , Estudantes , Verduras , Criança , Estudos Transversais , Dieta/psicologia , Dieta/estatística & dados numéricos , Feminino , Hispano-Americanos/psicologia , Hispano-Americanos/estatística & dados numéricos , Humanos , Masculino , Pobreza , Instituições Acadêmicas , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Texas/epidemiologia
14.
HERD ; 10(1): 144-54, 2016 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-27053578

RESUMO

AIM: This article outlines preliminary findings of a 3-year project that explored on-site food production on institutional properties, primarily healthcare facilities. BACKGROUND: There are growing pressures on healthcare facilities to improve their food offerings and incorporate food gardens into their health programs. While several healthcare facilities produce food on-site, there are few studies that explore opportunities, capacities, and institutional barriers related to on-site food production. METHODS: The study employed mixed methods including historical review, case studies, surveys, interviews, pilot garden projects, and Geographic Information System mapping. The number of participating institutions varied by method. RESULTS: Benefits associated with on-site food production can be health, economic, environmental, and social. There are also institutional barriers including administrative roadblocks, perceived obstacles, and the difficulty in quantitatively, measuring the qualitatively documented benefits. CONCLUSIONS: The benefits of food gardens far outweigh the challenges. On-site food production has tremendous potential to improve nutrition for staff and patients, offer healing spaces, better connect institutions with the communities in which they are located, and provide the long-professed benefits of gardening for all involved-from therapeutic benefits and outdoor physical activities to developing skills and social relationships in ways that few other activities do.


Assuntos
Abastecimento de Alimentos/métodos , Jardinagem/organização & administração , Instalações de Saúde , Instituições Acadêmicas , Participação da Comunidade , Jardinagem/economia , Jardinagem/estatística & dados numéricos , Sistemas de Informação Geográfica , Humanos , Ontário , Projetos Piloto , Inquéritos e Questionários
15.
Arch Psychiatr Nurs ; 30(2): 155-61, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26992864

RESUMO

BACKGROUND: The purpose of this study was to examine the frequency of gardening/yard work in relation to depressive symptoms in African-Americans while controlling for biological and social factors. METHODS: A secondary analysis was performed on the National Survey of American Life (n=2,903) using logistic regression for complex samples. Gardening/Yard work was measured by self-reported frequency. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression scale. RESULTS: Biological and social factors, not gardening/yard work, were associated with depressive symptoms. CONCLUSIONS: Biological and social factors may need to be addressed before the association between gardening/yard work and depressive symptoms can be determined.


Assuntos
Afro-Americanos/psicologia , Depressão/etnologia , Jardinagem/estatística & dados numéricos , Adulto , Afro-Americanos/estatística & dados numéricos , Estudos Transversais , Feminino , Humanos , Masculino , Fatores de Risco , Autorrelato , Fatores Sexuais , Apoio Social
16.
Am J Public Health ; 106(5): 854-6, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26985621

RESUMO

OBJECTIVES: We quantified the productivity of food gardens in Laramie, Wyoming, over 3 growing seasons. METHODS: From 2012 to 2014, 33 participating gardening households weighed and recorded each harvest. Academic partners measured plot sizes and converted reported harvest weights to volume in cups. RESULTS: The yield of the average 253-square-foot plot was enough to supply an adult with the daily US Department of Agriculture-recommended amount of vegetables for 9 months. CONCLUSIONS: Gardeners produced nutritionally meaningful quantities of food; thus, food gardening offers promise as an effective public health intervention for improving food security and nutritional health.


Assuntos
Abastecimento de Alimentos/estatística & dados numéricos , Jardinagem/estatística & dados numéricos , Abastecimento de Alimentos/economia , Jardinagem/economia , Humanos , Estações do Ano , Wyoming
17.
Sci Total Environ ; 536: 189-197, 2015 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-26204055

RESUMO

The health risk posed by arsenic in vegetables grown in private gardens near 22 contaminated glassworks sites was investigated in this study. Firstly, vegetable (lettuce and potato) and soil samples were collected and arsenic concentrations measured to characterize the arsenic uptake in the selected crops. Secondly, a probabilistic exposure assessment was conducted to estimate the average daily intake (ADIveg), which was then evaluated against toxicological reference values by the calculation of hazard quotients (HQs) and cancer risks (CRs). The results show that elevated arsenic concentrations in residential garden soils are mirrored by elevated concentrations in vegetables, and that consumption of these vegetables alone may result in an unacceptable cancer risk; the calculated reasonable maximum exposure, for example, corresponded to a cancer incidence 20 times higher than the stated tolerance limit. However, the characterization of risk depends to a great extent on which toxicological reference value is used for comparison, as well as how the exposure is determined. Based on the assumptions made in the present study, the threshold levels for chronic non-carcinogenic or acute effects were not exceeded, but the cancer risks indicated highlight the need for further exposure studies, as dietary intake involves more than just homegrown vegetables and total exposure is a function of more than just one exposure pathway. In addition, glassworks sites--and contaminated sites in general--contain multiple contaminants, affecting the final and total risk.


Assuntos
Arsênico/análise , Exposição Ambiental/estatística & dados numéricos , Contaminação de Alimentos/estatística & dados numéricos , Vidro , Indústrias , Poluentes do Solo/análise , Verduras/química , Contaminação de Alimentos/análise , Jardinagem/estatística & dados numéricos , Humanos , Medição de Risco
18.
South Med J ; 108(5): 290-7, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25972217

RESUMO

OBJECTIVES: All comprehensive US cancer control plans mention physical activity and implement physical activity promotion objectives as part of these cancer plans. The purpose of this investigation was to describe the physical activities reported by Alabama adults in the 2013 Behavioral Risk Factor Surveillance System (BFRSS) and to compare these activities by age group and relative exercise intensity. METHODS: This investigation used data on 6503 respondents from the 2013 BRFSS sample of respondents from Alabama with landline and cellular telephones. Respondents were asked whether they engaged in any physical activities or aerobic exercises such as running, calisthenics, golf, gardening, or walking. Information was collected on strengthening activities such as yoga, sit-ups, push-ups, and using weight machines, free weights, and elastic bands. Relative exercise intensity was estimated for each aerobic activity by comparing the 60% maximal oxygen uptake with metabolic equivalent values. RESULTS: Approximately two-thirds (63.7%) of respondents reported that they engaged in exercise in the past 30 days; 45.4% participated in enough aerobic activity per week to meet guidelines, and 25.9% met the muscle-strengthening guidelines. Only 10.1% of respondents 65 years old and older met both aerobic and muscle-strengthening guidelines, compared with 15.2% of those 18 to 64 years old (P < 0.05). The most common activity reported for ages 18 to 64 years was walking (53.3%), followed by running (12.7%), and gardening (4.7%). Among adults aged 65 and older, the top three activities were walking (63.2%), gardening (13.3%), and use of a bicycle machine (2.9%). The activity intensity was significantly greater for walking, gardening, and household activities among older adults compared with those younger than age 65. CONCLUSIONS: Because the recommended levels of physical activity are not met by a majority of Alabama residents, it is important to incorporate this information into state cancer objectives. Older adults may have higher relative energy costs compared with younger adults. Future studies should discern whether activities previously classified as low intensity have adequate health benefits, especially for cancer survivors and older adults with comorbidities.


Assuntos
Sistema de Vigilância de Fator de Risco Comportamental , Exercício , Neoplasias/prevenção & controle , Treinamento de Resistência/estatística & dados numéricos , Adolescente , Adulto , Fatores Etários , Idoso , Alabama , Feminino , Jardinagem/estatística & dados numéricos , Guias como Assunto , Humanos , Masculino , Equivalente Metabólico , Pessoa de Meia-Idade , Esforço Físico/fisiologia , Corrida/estatística & dados numéricos , Fatores Sexuais , Planos Governamentais de Saúde , Caminhada/estatística & dados numéricos , Levantamento de Peso/estatística & dados numéricos , Adulto Jovem
19.
Transpl Infect Dis ; 17(2): 185-91, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25728826

RESUMO

BACKGROUND: Lung transplant (LT) recipients are at high risk for infection owing to lifelong immunosuppression and direct communication of the graft with the environment. Guidelines have been established for safe-living strategies after transplantation. We conducted a survey of LT patients to determine compliance with these strategies. METHODS: Adult LT outpatients completed a survey consisting of questions on a 5-point Likert scale with the following categories: hand washing, gardening, respiratory infections, food and water safety, animal contact, travel, and occupation. RESULTS: A total of 194 LT recipients completed the survey (age 54.4 ± 13.3 years; time post transplant 4.76 ± 3.5 years). Regular hand washing was practiced usually or always by 87.6%. Of those who worked with soil/gardened, 70/99 (70.7%) never wore a mask and 15.7% never wore gloves. Pet ownership was common (52%), but most patients used specific precautions during handling. Over one-third of patients continued employment after transplant but, of these, 56% had modified their occupation often because of perceived infectious risks. Most patients were fully compliant with influenza vaccination (92.3%). Patients <40 years of age were less likely to wear long-sleeved clothing in mosquito season (P = 0.002), more likely to handle pet feces (P = 0.005), and less likely to wear a mask with sick contacts (P = 0.021). CONCLUSIONS: We provide important insight into safe-living practices following lung transplantation and identify specific areas and subgroups of patients that could be targeted for enhanced education, with potential significant clinical benefit.


Assuntos
Rejeição de Enxerto/prevenção & controle , Desinfecção das Mãos , Comportamentos Relacionados com a Saúde , Hospedeiro Imunocomprometido , Imunossupressores/uso terapêutico , Transplante de Pulmão , Máscaras/estatística & dados numéricos , Animais de Estimação , Adolescente , Adulto , Idoso , Água Potável , Feminino , Inocuidade dos Alimentos , Jardinagem/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Exposição Ocupacional/estatística & dados numéricos , Inquéritos e Questionários , Transplantados , Viagem/estatística & dados numéricos , Adulto Jovem
20.
Eur J Pain ; 18(10): 1410-8, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24733726

RESUMO

BACKGROUND: Heritability and population-specific lifestyle factors are considered to significantly contribute to chronic low back pain (LBP), but traditional population studies fail to (1) adjust for genetics; and (2) use standard and validated definitions for LBP and for lifestyle factors. METHODS: Using a classical and a co-twin control study design and validated definitions for chronic LBP and lifestyle variables, we explored the relative contribution of genetics and environment on the prevalence of chronic LBP in a sample of adult Australian twins. RESULTS: Data from 105 twin pairs showed that the prevalence of chronic LBP is significantly determined by genetic factors (heritability = 32%). Additionally, monozygotic twins were five times more likely to have chronic LBP than dizygotic twins when one of the siblings of the pair was affected. In a case-control analysis (n = 38 twin pairs), an exploratory analysis showed higher prevalence of chronic LBP associated with light walking exercises and vigorous gardening or heavy work around the house. Daily time spent in sitting was also positively associated with chronic LBP, but not moderate physical activities such as jogging, cycling and gentle swimming. In the final multivariate model, only time spent in vigorous gardening or heavy work around the house remained associated with chronic LBP (odds ratio 6.5; 95% confidence interval 1.47-28.8). CONCLUSIONS: The type, frequency and duration of physical activity may be important to understand risk factors for chronic LBP. The causation path between chronic LBP and people's engagement in activities involving frequent bending and twisting such as gardening and housework should be further investigated.


Assuntos
Dor Crônica/genética , Estilo de Vida , Dor Lombar/genética , Gêmeos Dizigóticos/genética , Gêmeos Monozigóticos/genética , Adulto , Consumo de Bebidas Alcoólicas/epidemiologia , Austrália/epidemiologia , Dor Crônica/epidemiologia , Feminino , Jardinagem/estatística & dados numéricos , Predisposição Genética para Doença , Serviço de Limpeza/estatística & dados numéricos , Humanos , Modelos Logísticos , Dor Lombar/epidemiologia , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Prevalência , Fatores de Risco , Fumar/epidemiologia , Gêmeos Dizigóticos/estatística & dados numéricos , Gêmeos Monozigóticos/estatística & dados numéricos , Caminhada/estatística & dados numéricos
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