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1.
Comunidad (Barc., Internet) ; 22(2): 0-0, jul.-oct. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-193593

RESUMO

OBJETIVOS: Evaluar la efectividad de una intervención comunitaria de formación profesional para jóvenes en riesgo de exclusión social, en la salud autopercibida, la autoestima y el consumo de sustancias (alcohol, tabaco y cannabis). Evaluar la satisfacción de los participantes. MÉTODOS: Diseño: estudio de intervención pre-post. Emplazamiento: tres barrios de renta baja de Barcelona durante 2013-2017. Participantes: 185 participantes, de 21 años de media y predominio masculino (65,5%). Intervención: programa de 4 meses de formación profesional de diferentes disciplinas e itinerarios orientados a la inserción laboral. Mediciones principales: análisis bivariado (McNemar) para datos apareados, comparando la salud autopercibida, autoestima y consumos pre-post intervención. Modelos de regresión de Poisson para las variables resultado, ajustando por variables explicativas. Además, se evaluó la satisfacción con el programa a través de un cuestionario y una discusión grupal. RESULTADOS: la salud autopercibida era elevada antes de la intervención (87,7% hombres y 82,1% mujeres) y se mantuvo tras ella (90,6% y 83,9% respectivamente). Los niveles elevados de autoestima previos a la intervención (92,8% en hombres y 92,9% mujeres) aumentaron tras ella (95,5% y 100% respectivamente), de forma significativa en las mujeres (p < 0,05). El consumo de sustancias no varió tras la intervención. La satisfacción con el programa fue elevada. CONCLUSIÓN: la intervención parece haber mejorado la autoestima en las mujeres, un colectivo con elevado desempleo y normalmente infrarrepresentado en los programas formativos. Esta intervención no incidió en el consumo de sustancias. Los programas de inserción laboral para jóvenes pueden promover factores beneficiosos para la salud mental


OBJECTIVES: To evaluate the effectiveness of a community occupational training intervention for young people at risk of social exclusion on self-perceived health, self-esteem and substance use (alcohol, tobacco and cannabis). To assess participant's satisfaction. METHODS: Design: Quasi-experimental before-after study. Setting: Three low-income neighbourhoods in Barcelona during 2013-2017. Participants: 185 participants with an average age of 21 years and mainly males (65.5%). Intervention: Four-month programme on specific occupational skills and itineraries oriented towards occupational integration. Most important measurements: Bivariate analysis (McNemar test) for paired data to compare self-rated health and self-esteem pre-intervention and post-intervention. Poisson regression models for result variables, adjusting for explanatory variables. In addition, satisfaction with the programme was evaluated by means of a questionnaire and group discussion. RESULTS: Pre-intervention self-rating was good (87.7% men and 82.1% women) and remained good post-intervention (90.6% and 83.9% respectively). Pre-intervention self-esteem was good (92.8% in men and 92.9% in women) and increased after the intervention (95.5% and 100% respectively). This was statistically significant in women (P<0.05). Substance use was unaltered after the intervention. Satisfaction with the programme was high. CONCLUSION: The intervention appears to have improved self-esteem among young women, who are an important group among the unemployed, as they are usually underrepresented in training and professional programmes. Programmes that foster young people moving into working life may also promote factors beneficial to mental health


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Participação da Comunidade , Capacitação Profissional , Populações Vulneráveis/psicologia , Autoimagem , Transtornos Relacionados ao Uso de Substâncias/psicologia , Usuários de Drogas/psicologia
2.
Nursing ; 50(10): 48-53, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32956203

RESUMO

A dramatic shift in adolescent risks and behaviors in recent years threatens adolescents' mental well-being more than ever. This article explores vulnerable adolescent populations, describes the importance of nurses in all categories of assessment for adolescent mental health, and identifies assessment strategies and immediate interventions for successful outcomes.


Assuntos
Transtornos Mentais/enfermagem , Avaliação em Enfermagem , Populações Vulneráveis/psicologia , Adolescente , Humanos , Suicídio/prevenção & controle , Populações Vulneráveis/estatística & dados numéricos
4.
Med Clin North Am ; 104(5): 909-917, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32773054

RESUMO

Advancing age is associated with increasing risk of activities important for independence, such as driving and living alone. Cognitive impairment is more common with older age; financial resources and social support may dwindle. Risk, cognitive impairment, and decisional capacity each change over time. Transparent decision making and harm reduction help balance risk and safety. When a patient lacks decisional capacity, an option that considers the patient's preferences and shows respect for the person is favored. Vulnerable patients making choices that are high risk, and patients for whom others are making such choices, may require state intervention.


Assuntos
Condução de Veículo , Disfunção Cognitiva , Vida Independente , Segurança , Populações Vulneráveis , Idoso , Condução de Veículo/legislação & jurisprudência , Condução de Veículo/psicologia , Disfunção Cognitiva/fisiopatologia , Disfunção Cognitiva/psicologia , Função Executiva , Humanos , Vida Independente/ética , Vida Independente/psicologia , Risco , Populações Vulneráveis/legislação & jurisprudência , Populações Vulneráveis/psicologia
5.
Psychol Trauma ; 12(6): 588-592, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32744842

RESUMO

The coronavirus disease 2019 (COVID-19) has emerged as a global health threat, with every nation facing unique challenges during the outbreak. Such pandemics are much beyond biological phenomena. They have psychosocial and economic implications that might long outlast the infection itself. India recently crossed 50,000 cases and is undergoing a historic nationwide lockdown in an attempt to control the outbreak. Considering the sociocultural diversity, limited public health resources, increasing psychological comorbidities, and substantial number of vulnerable populations (e.g., homeless, migrants), the subcontinent is facing unprecedented challenges at all fronts. This commentary glances at the COVID-19 scenario in India through the psychosocial lens, highlights the strategies so far, and discusses the recommended ways ahead. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Betacoronavirus , Infecções por Coronavirus/complicações , Infecções por Coronavirus/psicologia , Transtornos Mentais/psicologia , Pandemias , Pneumonia Viral/complicações , Pneumonia Viral/psicologia , Populações Vulneráveis/psicologia , Humanos , Índia
6.
Psychol Trauma ; 12(6): 582-584, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32772533

RESUMO

India enforced one of the world's largest lockdowns in the last quarter of March 2020 to minimize the impact of the COVID-19 pandemic. This commentary focuses on the mental health implications of the ongoing pandemic as well as the lockdown that lasted for more than two months and is still in place in certain areas. Whereas loneliness, stress, anxiety, and depression have been widespread, vulnerable sections of the population, including daily wage workers, migrant laborers, religious minorities, women and children, and the elderly, have been facing various forms of economic, sociopolitical, and familial stigma, racism, and violence. By and large, the COVID-19 pandemic has widened all forms of societal disparities in India. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Adaptação Psicológica , Betacoronavirus , Infecções por Coronavirus/psicologia , Disparidades nos Níveis de Saúde , Pneumonia Viral/psicologia , Trauma Psicológico/psicologia , Quarentena/psicologia , Populações Vulneráveis/psicologia , Infecções por Coronavirus/complicações , Humanos , Índia , Pandemias , Pneumonia Viral/complicações , Trauma Psicológico/etiologia
7.
Ir Med J ; 113(6): 100, 2020 06 11.
Artigo em Inglês | MEDLINE | ID: mdl-32816435

RESUMO

The Covid-19 pandemic has brought unprecedented pressure to healthcare systems worldwide, resulting in significant and precipitous changes in demand, burden and method of delivery. The psychosocial impact of this crisis is likely to increase over the course of the pandemic, peak later than medical cases and endure for longer thereby significantly exceeding medical morbidity. It will have far reaching impact on the individual, their family and their care providers. Frontline healthcare workers and those with pre-existing mental health difficulties are recognised at increased risk. Now that the initial surge has been expertly curtailed, it is essential that urgent consideration is now directed towards the mental health implications of the current outbreak and ensure that we are as ready for the increased MH needs of the community as we were for the intensive medical care.


Assuntos
Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Saúde Mental , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Betacoronavirus , Comorbidade , Família/psicologia , Pessoal de Saúde/psicologia , Humanos , Irlanda/epidemiologia , Transtornos Mentais/epidemiologia , Angústia Psicológica , Populações Vulneráveis/psicologia
8.
Pediatrics ; 146(4)2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32764151

RESUMO

BACKGROUND AND OBJECTIVES: The outbreak of coronavirus disease 2019 has changed American society in ways that are difficult to capture in a timely manner. With this study, we take advantage of daily survey data collected before and after the crisis started to investigate the hypothesis that the crisis has worsened parents' and children's psychological well-being. We also examine the extent of crisis-related hardships and evaluate the hypothesis that the accumulation of hardships will be associated with parent and child psychological well-being. METHODS: Daily survey data were collected between February 20 and April 27, 2020, from hourly service workers with a young child (aged 2-7) in a large US city (N = 8222 person-days from 645 individuals). A subsample completed a one-time survey about the effects of the crisis fielded between March 23 and April 26 (subsample n = 561). RESULTS: Ordered probit models revealed that the frequency of parent-reported daily negative mood increased significantly since the start of the crisis. Many families have experienced hardships during the crisis, including job loss, income loss, caregiving burden, and illness. Both parents' and children's well-being in the postcrisis period was strongly associated with the number of crisis-related hardships that the family experienced. CONCLUSIONS: Consistent with our hypotheses, in families that have experienced multiple hardships related to the coronavirus disease 2019 crisis, both parents' and children's mental health is worse. As the crisis continues to unfold, pediatricians should screen for mental health, with particular attention to children whose families are especially vulnerable to economic and disease aspects of the crisis.


Assuntos
Saúde da Criança , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Saúde Mental , Pandemias , Relações Pais-Filho , Pais/psicologia , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Afeto , Betacoronavirus , Criança , Cuidado da Criança/psicologia , Pré-Escolar , Efeitos Psicossociais da Doença , Inquéritos Epidemiológicos , Humanos , Renda , Desemprego/psicologia , Populações Vulneráveis/psicologia
10.
Minerva Pediatr ; 72(3): 226-235, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32613821

RESUMO

Although medical literature shows that children are minimally susceptible to 2019-Corona virus disease (COVID-19), they are hit the hardest by psychosocial impact of this pandemic. Being quarantined in homes and institutions may impose greater psychological burden than the physical sufferings caused by the virus. School closure, lack of outdoor activity, aberrant dietary and sleeping habits are likely to disrupt children's usual lifestyle and can potentially promote monotony, distress, impatience, annoyance and varied neuropsychiatric manifestations. Incidences of domestic violence, child abuse, adulterated online contents are on the rise. Children of single parent and frontline workers suffer unique problems. The children from marginalized communities are particularly susceptible to the infection and may suffer from extended ill-consequences of this pandemic, such as child labor, child trafficking, child marriage, sexual exploitation and death etc. Parents, pediatricians, psychologists, social workers, hospital authorities, government and non-governmental organizations have important roles to play to mitigate the psychosocial ill-effects of COVID-19 on children and adolescents. To provide the basic amenities, social security, medical care, and to minimize the educational inequities among the children of the different strata of the society are foremost priorities.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Quarentena/psicologia , Estresse Psicológico/etiologia , Atividades Cotidianas , Adolescente , Criança , Maus-Tratos Infantis/psicologia , Socorristas/psicologia , Acesso aos Serviços de Saúde , Humanos , Deficiência Intelectual/psicologia , Acontecimentos que Mudam a Vida , Fatores de Risco , Instituições Acadêmicas , Isolamento Social/psicologia , Marginalização Social , Fatores Socioeconômicos , Estresse Psicológico/prevenção & controle , Populações Vulneráveis/psicologia
11.
Mol Autism ; 11(1): 61, 2020 07 22.
Artigo em Inglês | MEDLINE | ID: mdl-32698850

RESUMO

The new coronavirus disease (COVID-19) pandemic is changing how society operates. Environmental changes, disrupted routines, and reduced access to services and social networks will have a unique impact on autistic individuals and their families and will contribute to significant deterioration in some. Access to support is crucial to address vulnerability factors, guide adjustments in home environments, and apply mitigation strategies to improve coping. The current crisis highlights that our regular care systems are not sufficient to meet the needs of the autism communities. In many parts of the world, people have shifted to online school and increased use of remote delivery of healthcare and autism supports. Access to these services needs to be increased to mitigate the negative impact of COVID-19 and future epidemics/pandemics. The rapid expansion in the use of telehealth platforms can have a positive impact on both care and research. It can help to address key priorities for the autism communities including long waitlists for assessment and care, access to services in remote locations, and restricted hours of service. However, system-level changes are urgently needed to ensure equitable access and flexible care models, especially for families and individuals who are socioeconomically disadvantaged. COVID-19 mandates the use of technology to support a broader range of care options and better meet the diverse needs of autistic people and their families. It behooves us to use this crisis as an opportunity to foster resilience not only for a given individual or their family, but also the system: to drive enduring and autism-friendly changes in healthcare, social systems, and the broader socio-ecological contexts.


Assuntos
Adaptação Psicológica , Transtorno Autístico/psicologia , Infecções por Coronavirus/terapia , Pneumonia Viral/terapia , Resiliência Psicológica , Populações Vulneráveis/psicologia , Acesso aos Serviços de Saúde , Humanos , Redes Sociais Online , Pandemias , Fatores Socioeconômicos , Telemedicina/estatística & dados numéricos
12.
J Perinatol ; 40(9): 1283-1285, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32709980

RESUMO

Parents of NICU infants are a vulnerable population from a psychological perspective, and often experience high levels of acute stress, depression, anxiety, and post-traumatic stress. The added burden of the current SARS CoV-2 disease (COVID-19) pandemic is likely to exacerbate these issues, with potential implications for the wellbeing of infants and families in the short- and long-term. In this paper, we propose utilizing the stress contagion framework and consider how psychosocial stress can "spill over" into the parent-infant relationship domain, which can impact child development and family wellbeing longer term. As the effects of the pandemic will likely persist well beyond the acute stage, we offer advocacy points and general guidelines for healthcare professionals to consider in their quest to mitigate stress and build resilience in NICU families.


Assuntos
Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Família/psicologia , Unidades de Terapia Intensiva Neonatal/organização & administração , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Sistemas de Apoio Psicossocial , Adulto , Relações Familiares/psicologia , Feminino , Humanos , Recém-Nascido , Controle de Infecções/organização & administração , Transmissão Vertical de Doença Infecciosa/prevenção & controle , Masculino , Determinação de Necessidades de Cuidados de Saúde , Pandemias/estatística & dados numéricos , Pais/psicologia , Medição de Risco , Estados Unidos , Populações Vulneráveis/psicologia
13.
Fam Process ; 59(3): 865-882, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32663315

RESUMO

The novel coronavirus has added new anxieties and forms of grieving to the myriad practical and emotional burdens already present in the lives of underserved and uninsured immigrant families and communities. In this article, we relate our experiences since the COVID-19 crisis to the lessons we have learned over time as mental health professionals working with families in no-cost, student-managed community comprehensive health clinics in academic-community partnerships. We compare and contrast the learnings of flexibility of time, space, procedures, or attendance we acquired in this clinical community setting during regular times, with the new challenges families and therapists face, and the adaptations needed to continue to work with our clients in culturally responsive and empowering ways during the COVID-19 pandemic. We describe families, students, professionals, promotoras (community links), and IT support staff joining together in solidarity as the creative problem solvers of new possibilities when families do not have access to Wi-Fi, smartphones, or computers, or suffer overcrowding and lack of privacy. We describe many anxieties related to economic insecurity or fear of facing death alone, but also how to visualize expanding possibilities in styles of parenting or types of emotional support among family members as elements of hope that may endure beyond these unprecedented tragic times of loss and uncertainty.


Assuntos
Serviços Comunitários de Saúde Mental/métodos , Infecções por Coronavirus/psicologia , Emigrantes e Imigrantes/psicologia , Terapia Familiar/métodos , Pneumonia Viral/psicologia , Quarentena/psicologia , Adolescente , Adulto , Idoso , Betacoronavirus , Criança , Infecções por Coronavirus/etnologia , Infecções por Coronavirus/prevenção & controle , Feminino , Pessoal de Saúde/psicologia , Disparidades em Assistência à Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Pneumonia Viral/etnologia , Pneumonia Viral/prevenção & controle , Populações Vulneráveis/etnologia , Populações Vulneráveis/psicologia , Adulto Jovem
14.
Australas Psychiatry ; 28(5): 492-499, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32729320

RESUMO

OBJECTIVES: The COVID-19 pandemic poses significant risks to the vulnerable patient population supported by community mental health (CMH) teams in South Australia. This paper describes a plan developed to understand and mitigate these risks. METHODS: Public health and psychiatric literature was reviewed and clinicians in CMH teams and infectious disease were consulted. Key risks posed by COVID-19 to CMH patients were identified and mitigation plans were prepared. RESULTS: A public health response plan for CMH teams was developed to support vulnerable individuals and respond to the COVID-19 pandemic. This plan will be reviewed regularly to respond to changes in public health recommendations, research findings and feedback from patients and clinicians. CONCLUSIONS: The strategic response plan developed to address risks to vulnerable patients from COVID-19 can assist other CMH services in managing the COVID-19 pandemic.


Assuntos
Serviços Comunitários de Saúde Mental , Infecções por Coronavirus/psicologia , Transtornos Mentais/terapia , Pneumonia Viral/psicologia , Saúde Pública , Populações Vulneráveis/psicologia , Betacoronavirus , Humanos , Pandemias , Austrália do Sul
15.
Eur Psychiatry ; 63(1): e52, 2020 06 01.
Artigo em Inglês | MEDLINE | ID: covidwho-456901

RESUMO

As COVID-19 has plagued our world, the term "social distancing" has been widely used with the aim to encourage the general population to physically distance themselves from others in order to reduce the spread of the virus. However, this term can have unintended but detrimental effects, as it evokes negative feelings of being ignored, unwelcome, left alone with one's own fears, and even excluded from society. These feelings may be stronger in people with mental illnesses and in socio-economically disadvantaged groups, such as stigmatized minorities, migrants, and homeless persons [1], many of them also having high risk for suicidal behaviors [2]. Mental health disorders are pervasive worldwide; the global burden accounting for approximately 21.2-32.4% of years lived with disability-more than any other group of illnesses [3]. So, the vulnerable group of people with mental health disorders represents a considerable share of the total global population.


Assuntos
Infecções por Coronavirus/epidemiologia , Emoções , Transtornos Mentais/epidemiologia , Transtornos Mentais/psicologia , Pneumonia Viral/epidemiologia , Distância Social , Terminologia como Assunto , Criança , Pessoas com Deficiência/psicologia , Pessoas com Deficiência/estatística & dados numéricos , Feminino , Humanos , Saúde Mental/estatística & dados numéricos , Pandemias , Estereotipagem , Populações Vulneráveis/psicologia , Populações Vulneráveis/estatística & dados numéricos
16.
Cien Saude Colet ; 25(suppl 1): 2447-2456, 2020 Jun.
Artigo em Espanhol | MEDLINE | ID: covidwho-595856

RESUMO

The scope of this work is to explore the feelings and expectations that COVID-19 has generated in Argentina during the first stage of the pandemic. A survey of the World Health Organization adapted to the local context was applied. Open-ended questions were included to study people's feelings about COVID-19, and content analysis was subsequently conducted. In terms of results, it is revealed that the population surveyed feels uncertainty, fear and anguish, albeit a feeling of responsibility and care in the face of COVID-19 also emerges. Moreover, positive feelings regarding society stand out as an achievement of social interdependence. The results obtained show that the impact on mental health differs in accordance with gender, educational level, and perceived comfort in the home. The study concludes that the emotional and bonding dimensions of people are central to confronting the COVID-19 pandemic in Argentina. It is recommended that these dimensions, as well as their subjective and differential social impact among the different population groups, should be considered in the planning of policies to address the COVID-19 pandemic.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Emoções , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Adulto , Fatores Etários , Idoso , Ansiedade/epidemiologia , Argentina/epidemiologia , Infecções por Coronavirus/prevenção & controle , Estudos Transversais , Escolaridade , Medo , Feminino , Pesquisas sobre Serviços de Saúde/estatística & dados numéricos , Avaliação do Impacto na Saúde/estatística & dados numéricos , Humanos , Masculino , Saúde Mental , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Incerteza , Populações Vulneráveis/psicologia
17.
Psychol Trauma ; 12(S1): S186-S187, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32551757

RESUMO

An examination of the trajectory of the coronavirus disease (COVID-19) pandemic and its subsequent economic impacts has revealed that this crisis will impact low-wage workers more severely than all others. The present commentary highlights the unique factors associated with low-wage work that make these workers particularly vulnerable to the effects of the pandemic, identifies potential adverse effects on the mental health of this population, and provides recommendations to maintain the safety, wellbeing, and dignity of low-wage workers. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Infecções por Coronavirus , Emprego , Pandemias , Pneumonia Viral , Trauma Psicológico , Segurança , Salários e Benefícios , Populações Vulneráveis , Adulto , Emprego/psicologia , Emprego/normas , Humanos , Satisfação Pessoal , Trauma Psicológico/prevenção & controle , Trauma Psicológico/psicologia , Qualidade de Vida , Risco , Segurança/normas , Licença Médica , Populações Vulneráveis/psicologia
18.
Psychol Trauma ; 12(S1): S239-S242, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32551761

RESUMO

In the wake of the 2019 novel coronavirus (COVID-19) pandemic and the psychological consequences that will follow, it is critical to acknowledge and understand the unique vulnerabilities of lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) populations in order to provide equitable mental health intervention that reaches these highly at-risk groups. It is well established that LGBTQ persons face social disadvantages and mental health disparities, which may be exacerbated as a result of COVID-19 pandemic trauma and social isolation measures. This commentary highlights structural, social, and individual-level challenges among LGBTQ populations in the context of COVID-19 and proposes prevention recommendations to mitigate the psychological ramifications of COVID-19 pandemic-related trauma among LGBTQ persons. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Infecções por Coronavirus , Controle de Infecções , Pandemias , Pneumonia Viral , Trauma Psicológico , Minorias Sexuais e de Gênero/psicologia , Isolamento Social/psicologia , Populações Vulneráveis/psicologia , Adolescente , Adulto , Idoso , Criança , Acesso aos Serviços de Saúde , Humanos , Serviços de Saúde Mental , Pessoa de Meia-Idade , Trauma Psicológico/etiologia , Trauma Psicológico/psicologia , Trauma Psicológico/terapia , Estudantes , Adulto Jovem
19.
PLoS One ; 15(6): e0233675, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32520938

RESUMO

STUDY AIM: Rates of out of hospital cardiac arrest are higher in deprived communities. Bystander Cardiopulmonary Resuscitation (BCPR) can double the chance of survival but occurs less often in these communities in comparison to more affluent communities. People living in deprived communities are, therefore, doubly disadvantaged and there is limited evidence to explain why BCPR rates are lower. The aim of this paper is to examine the barriers to administering BCPR in deprived communities. METHOD: Mixed method qualitative study with ten single sex focus groups (n = 61) conducted in deprived communities across central Scotland and 18 semi-structured interviews with stakeholders from the UK, Europe and the USA. RESULTS: Two key themes related to confidence and environmental factors were identified to summarise the perceived barriers to administering BCPR in deprived communities. Barriers related to confidence included: self-efficacy; knowledge and awareness of how, and when, to administer CPR; accessing CPR training; having previous experience of administering BCPR; who required CPR; and whether the bystander was physically fit to give CPR. Environmental barriers focused on the safety of the physical environment in which people lived, and fear of reprisal from gangs or the police. CONCLUSIONS: Barriers to administering BCPR identified in the general population are relevant to people living in deprived communities but are exacerbated by a range of contextual, individual and environmental factors. A one-size-fits-all approach is not sufficient to promote 'CPR readiness' in deprived communities. Future approaches to working with disadvantaged communities should be tailored to the local community.


Assuntos
Reanimação Cardiopulmonar/psicologia , Primeiros Socorros/psicologia , Parada Cardíaca Extra-Hospitalar/terapia , Populações Vulneráveis/psicologia , Adolescente , Adulto , Medo , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Características de Residência , Segurança , Escócia , Adulto Jovem
20.
Cien Saude Colet ; 25(suppl 1): 2447-2456, 2020 Jun.
Artigo em Espanhol | MEDLINE | ID: mdl-32520288

RESUMO

The scope of this work is to explore the feelings and expectations that COVID-19 has generated in Argentina during the first stage of the pandemic. A survey of the World Health Organization adapted to the local context was applied. Open-ended questions were included to study people's feelings about COVID-19, and content analysis was subsequently conducted. In terms of results, it is revealed that the population surveyed feels uncertainty, fear and anguish, albeit a feeling of responsibility and care in the face of COVID-19 also emerges. Moreover, positive feelings regarding society stand out as an achievement of social interdependence. The results obtained show that the impact on mental health differs in accordance with gender, educational level, and perceived comfort in the home. The study concludes that the emotional and bonding dimensions of people are central to confronting the COVID-19 pandemic in Argentina. It is recommended that these dimensions, as well as their subjective and differential social impact among the different population groups, should be considered in the planning of policies to address the COVID-19 pandemic.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Emoções , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Adulto , Fatores Etários , Idoso , Ansiedade/epidemiologia , Argentina/epidemiologia , Infecções por Coronavirus/prevenção & controle , Estudos Transversais , Escolaridade , Medo , Feminino , Pesquisas sobre Serviços de Saúde/estatística & dados numéricos , Avaliação do Impacto na Saúde/estatística & dados numéricos , Humanos , Masculino , Saúde Mental , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Incerteza , Populações Vulneráveis/psicologia
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