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Adv Gerontol ; 32(4): 652-657, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31800196


This study examines older adults' perceptions about their participation in vigorous physical activity (VPA) and the association between VPA and self-related health. A total of 686 older adults responded to self-reported questionnaires, and Pearson's ꭓ2 test and binary logistic regression were used to present findings. About 74% of older adults reported experiencing dislocations, fractures, or/and other forms of injury in intense physical activities lasting 30 minutes or more a day. After controlling for relevant socio-demographic factors, older adults who participated in VPA for 30 or more minutes a day were less likely (OR=0,129; p=0,000) to report good health compared with those who participated in VPA for less than 30 minutes. It is concluded that VPA in older populations can result in casualties that may compel older adults to underrate their health, which can discourage active living habits in older populations and discredit PA/health promotion programs.

Exercício , Geriatria , Promoção da Saúde , Ferimentos e Lesões , Idoso , Exercício/psicologia , Geriatria/tendências , Promoção da Saúde/estatística & dados numéricos , Promoção da Saúde/tendências , Humanos , Luxações Articulares/psicologia , Autoimagem , Autorrelato , Inquéritos e Questionários , Ferimentos e Lesões/psicologia
PLoS One ; 14(12): e0224542, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31860638


For four decades, theories of job demand-control have proposed that higher occupational status groups have lower health risks due to the stress accompanying jobs featuring high demands but high control. This research examines whether Flexible Work Arrangements (FWAs) can improve the health prospects of a range of workers by giving greater control over work time arrangements. Our setting is Australia, where FWAs were introduced in 2009. In line with these early studies alongside studies of work-life balance, we expected to observe that workers with access to control over daily work times could better control the activities outside of work that influence chronic disease. Using a practice sociology approach, we compared the accounts of twenty-eight workers in blue and white collar industries with differing degrees of work time flexibility. The findings do not contradict early theories describing occupational differences of job demand-control dynamics and their relationship to health risks. However, this study suggests that a) time demands and strains have increased for a broad sweep of workers since the 1980s, b) the greater control of higher occupational status groups has been eroded by the high performance movement, which has attracted less scrutiny than FWAs, and c) more workers are forced to adapt their daily lives, including their approach to health, to accommodate their job demands. Job insecurity further impedes preventative health practices adoption. What might appear to be worker-controlled flexibility can-under the pressures of job insecurity and performance expectations without time limits-transform into health-eroding unpredictability. The answer however is not greater flexibility in the absence of limits on the well-documented precursors of work stress: long hours, job insecurity and intensity-related exhaustion. While there have been welcome developments in job demand-control-health conceptualizations, they typically ignore the out-of-work temporal demands that workers face and which compound on-the-job demands. Redesign of the temporalities of working life within worksites need to be accompanied by society-level policies which address caring responsibilities, gender equality as well as broad labour market conditions.

Saúde do Trabalhador/tendências , Estresse Ocupacional/psicologia , Estresse Psicológico/psicologia , Adulto , Idoso , Austrália , Emprego , Feminino , Promoção da Saúde/tendências , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa
Evid. actual. práct. ambul ; 22(3): e002018, nov. 2019. ilus.
Artigo em Espanhol | LILACS | ID: biblio-1046953


En este comentario editorial, la autora repasa la controversia sobre la promoción del rastreo mamográfico del cáncer de mama en el contexto de las campañas de des-información durante el octubre rosa. (AU)

In this editorial comment, the author reviews the controversy over the promotion of mammographic screening of breastcancer in the context of misinformation campaigns during the pink October. (AU)

Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Neoplasias da Mama/prevenção & controle , Mamografia/efeitos adversos , Programas de Rastreamento/efeitos adversos , Comunicação em Saúde/métodos , Serviços Preventivos de Saúde/tendências , Comunicação em Saúde/tendências , Prevenção Quaternária , Promoção da Saúde/tendências
Rev Bras Enferm ; 72(4): 964-972, 2019 Aug 19.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31432953


OBJECTIVE: To understand adolescents' perceptions on school health. METHOD: Qualitative and descriptive research grounded on Maurice Merleau-Ponty's phenomenology, which was developed with 90 adolescent students from a federal school of the state of Rio de Janeiro. Data were produced by gathering answers to the following question: what is your perception on school health? Those who chose to write their answer to the guiding question deposited the manuscripts in polls. RESULTS: School health is linked to hygienist practices and to the hegemonic assistentialist model. Nevertheless, we assigned senses and meanings to the practice of physical activity and health education by integrating and expanding behavioral strategies and healthy habits. FINAL CONSIDERATIONS: a healthy school environment implies the protagonism of adolescents in school health promotion actions.

Comportamento do Adolescente/psicologia , Percepção , Serviços de Enfermagem Escolar/normas , Adolescente , Brasil , Feminino , Educação em Saúde/métodos , Educação em Saúde/normas , Promoção da Saúde/métodos , Promoção da Saúde/tendências , Humanos , Masculino , Pesquisa Qualitativa , Serviços de Enfermagem Escolar/métodos , Serviços de Enfermagem Escolar/tendências , Instituições Acadêmicas/organização & administração , Instituições Acadêmicas/normas , Instituições Acadêmicas/estatística & dados numéricos , Estudantes/psicologia , Estudantes/estatística & dados numéricos
Rev Bras Enferm ; 72(4): 979-987, 2019 Aug 19.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31432955


OBJECTIVE: to analyze education and practice of nursing technicians in health promotion, from the perspective of teaching nurses of technical course and Primary Health Care nurses. METHOD: an exploratory study with qualitative data analysis, carried out in the city of São Paulo, through semi-structured interviews with nine public technical professors and 16 nurses from the basic health network. Data thematic analysis was carried out. RESULTS: three thematic categories have emerged: Conceptions and experiences on health promotion; Nursing technician's practice in health promotion; and Nursing technician education on health promotion. FINAL CONSIDERATIONS: it is necessary to review the centrality given to technicalism in the education and practice of nursing technicians, contemplating the health promotion and seeking the development of professional competence for the construction of transformative practices aimed at valuing the autonomy and proactivity of the people in health and quality of life production.

Promoção da Saúde/normas , Enfermeiras e Enfermeiros/psicologia , Assistentes de Enfermagem/normas , Percepção , Adulto , Atitude do Pessoal de Saúde , Brasil , Docentes de Enfermagem/psicologia , Docentes de Enfermagem/tendências , Feminino , Promoção da Saúde/métodos , Promoção da Saúde/tendências , Humanos , Pessoa de Meia-Idade , Pesquisa Qualitativa , Educação Vocacional/métodos , Educação Vocacional/normas
Int Health ; 11(6): 422-424, 2019 11 13.
Artigo em Inglês | MEDLINE | ID: mdl-31294789


In the midst of tackling the persistent burden of maternal mortality and infectious diseases, Indonesia is facing an increasing burden of non-communicable diseases (NCDs). Although there are increasing national efforts in NCD prevention and control, the worsening trend of NCD risk factors and morbidity is alarming. We provided assessment and discussion on the policies and actions needed in the country including comprehensive efforts to reduce tobacco use and unhealthy diet, the need to reorient the health systems for better NCD prevention and control, and the promotion of NCD-related research that are still lacking.

Epidemias/prevenção & controle , Política de Saúde/tendências , Promoção da Saúde/tendências , Doenças não Transmissíveis/prevenção & controle , Doença Crônica , Países em Desenvolvimento , Epidemias/estatística & dados numéricos , Feminino , Humanos , Indonésia , Doenças não Transmissíveis/epidemiologia , Formulação de Políticas , Fatores de Risco
BMC Med ; 17(1): 137, 2019 07 17.
Artigo em Inglês | MEDLINE | ID: mdl-31311535


The digital revolution is disrupting the ways in which health research is conducted, and subsequently, changing healthcare. Direct-to-consumer wellness products and mobile apps, pervasive sensor technologies and access to social network data offer exciting opportunities for researchers to passively observe and/or track patients 'in the wild' and 24/7. The volume of granular personal health data gathered using these technologies is unprecedented, and is increasingly leveraged to inform personalized health promotion and disease treatment interventions. The use of artificial intelligence in the health sector is also increasing. Although rich with potential, the digital health ecosystem presents new ethical challenges for those making decisions about the selection, testing, implementation and evaluation of technologies for use in healthcare. As the 'Wild West' of digital health research unfolds, it is important to recognize who is involved, and identify how each party can and should take responsibility to advance the ethical practices of this work. While not a comprehensive review, we describe the landscape, identify gaps to be addressed, and offer recommendations as to how stakeholders can and should take responsibility to advance socially responsible digital health research.

Inteligência Artificial/ética , Assistência à Saúde/ética , Pesquisa sobre Serviços de Saúde/ética , Prática Profissional/ética , Assistência à Saúde/métodos , Assistência à Saúde/tendências , Promoção da Saúde/ética , Promoção da Saúde/métodos , Promoção da Saúde/tendências , Humanos , Invenções/ética , Invenções/tendências , Aplicativos Móveis/ética , Medicina de Precisão/ética , Medicina de Precisão/métodos , Medicina de Precisão/tendências
Arch. prev. riesgos labor. (Ed. impr.) ; 22(2): 72-75, abr.-jun. 2019. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-181178


Objetivos: Evaluar los cambios en la actividad física de los participantes de un programa de actividad física (Mueve-T) implantado en el medio laboral. Métodos: En marzo del 2014, se iniciaron las actividades del programa Mueve-T con los objetivos de sensibilizar a los trabajadores en la práctica de la actividad física y conseguir una mejora en el nivel de actividad. Para evaluar su efectividad se utilizó el Cuestionario IPAQ (International Physical Activity Questionnaire) antes de iniciarse el programa (2014) y a los dos años (2016). Se realiza la comparación entre años ajustando un modelo logístico de medidas repetidas de dos poblaciones de trabajadores de distintos centros de trabajo de la misma empresa con respuesta ordinal politómica para IPAQ (nivel bajo o inactivo, moderado y alto), para toda la población y estratificado por sexo, centro de trabajo y puesto de trabajo. Resultados: Se incluyen los 314 trabajadores que respondieron el cuestionario en los dos años. En 2014 un 35,35% de los encuestados reportaron un nivel bajo de actividad, un 39,50% moderado y un 25,15 un nivel alto. En 2016 un 36,30% reportaron nivel bajo de actividad, un 39,80% nivel moderado y un 23, 90% un nivel alto. El análisis de respuesta entre años no ha mostrado evidencia de cambio entre años (p=ns). No se han encontrado diferencias por sexo, pero sí una menor actividad en determinados centros y puestos de trabajo. Conclusiones: Si valoramos los resultados del programa y su efectividad con el cuestionario IPAQ, observamos que estadísticamente no muestran cambio en actividad física estadísticamente significativo; pero si hay cambios en el nivel de actividad manteniéndose y aumentando en un grupo de trabajadores, a su vez consideran el programa efectivo y desean continuar con las actividades. Para obtener un aumento del nivel de actividad física se precisaría de un periodo más largo de evaluación

Objective: To analyze the effectiveness of a company-based physical activity program using the International Physical Activity Questionnaire (IPAQ) questionnaire. Methods: In March 2014 we implemented a company-based physical activity program (Mueve-T, by its Spanish acronym) with the objective of increasing awareness of physical activity among employees, and measuring improvements in activity level. To evaluate the effectiveness of the program, we administered the IPAQ Questionnaire, before the program began in 2014 and two years later, in 2016. Descriptive summary statistics included frequencies, percentages and bar charts. To compare pre- and post-intervention results, we used a logistic repeated measures model, adjusted for two populations, with an ordinal polytomous response for IPAQ (low or inactive, moderate and high), applied to the overall study population and further examined by sex, workplace and job. Results: A total of 746 participants responded in 2014 and 563 in 2016. Only 314 respondents completed both surveys. In 2014, 35.4% of the respondents reported a low level of activity, moderate was 39.5% and highwas, 25.2%. In 2016, 36.3% reported a low level of activity, moderate was 39.8% and a high level was indicated by 23.9%. Overall, there were no significant differences in physical activity levels between the pre- and post-intervention period, among those who participated in both surveys. Likewise, there were no significant differences when this result was examined by sex, although employees sales or commercial tasks has lower levels of physical activity as compared to other centers or jobs. Conclusions: The results did not find this intervention program to be effective in increasing levels of physical activity. The differences found among the sales and commercial task employees could have been due to differences in the effect on awareness achieved by companywide information dissemination (e.g., newsletters, talks, intranet notes, etc.) as compared to specific individual activities (e.g., (yoga classes, zumba, cycling, walks, etc.). A longer evaluation period is needed to confirm these findings

Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Atividade Motora , Promoção da Saúde/organização & administração , Eficácia/estatística & dados numéricos , Avaliação de Eficácia-Efetividade de Intervenções , Doenças Cardiovasculares/prevenção & controle , Saúde do Trabalhador/estatística & dados numéricos , Promoção da Saúde/tendências , Local de Trabalho/psicologia
Pediatr. aten. prim ; 21(82): 133-146, abr.-jun. 2019. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-184582


Introducción: la lactancia materna es un objetivo prioritario en salud pública. Los profesionales sanitarios que trabajan en el área materno-infantil de los centros hospitalarios deben poseer un adecuado nivel de conocimientos de lactancia materna. Material y métodos: estudio descriptivo trasversal realizado durante enero-febrero de 2015 utilizando el cuestionario validado ECola, que se adapta a ginecólogos, matronas y enfermería. Para los técnicos auxiliares de enfermería (TCAE) se utiliza el cuestionario de Temboury Molina MC, modificado por los autores. La población de estudio fueron todos los profesionales sanitarios del área materno-infantil de los 14 hospitales públicos de Castilla y León. Resultados: en total se recibieron 724 cuestionarios (61,0%). Considerando aceptable el 70% de aciertos (16,8 puntos), los profesionales de enfermería presentan un nivel de conocimientos en lactancia bueno (18,19) y significativamente superior (p <0,05) a los médicos (17,01). Las matronas han presentado la media de aciertos mayor (20,03). Los ginecólogos, con 15,24 puntos, poseen un nivel inferior al recomendable. Los TCAE, con 16,93 puntos, manifiestan conocimientos suficientes, pero en el límite inferior. Se observaron diferencias significativas entre los distintos centros hospitalarios. Globalmente, el nivel de conocimientos de los profesionales del área materno-infantil de los hospitales públicos de Castilla y León es suficiente (17,54). Conclusiones: el nivel de conocimientos de los profesionales del área materno-infantil en global es aceptable. Algunas categorías profesionales presentan carencias en aspectos trascendentales para el adecuado manejo de la lactancia materna. Se debe considerar la necesidad de implementar formación en lactancia en los currículos formativos, especialmente ginecólogos y TCAE

Introduction: breastfeeding is a priority objective in public health. Health care professionals involved in the delivery of hospital-based maternal and child health services need to have adequate knowledge of breastfeeding. Material and methods: we conducted a cross-sectional descriptive study in January and February 2015 using the validated questionnaire ECola, which we adapted for administration to gynaecologists, midwives and nurses. To survey nursing assistant technicians (NATs), we adapted the questionnaire developed by Temboury Molina MC, modified by the authors. The study universe consisted of all health care professionals involved in the delivery of maternal and child health services in the 14 public hospitals of Castilla y León. Results: we received a total of 724 questionnaires (61.0%). Having defined a threshold of 70% of correct answers (16.8 points) to define adequate knowledge, nurses had an adequate knowledge of breastfeeding (18.19) that was significantly better (p < 0.05) compared to physicians (17.01). Midwives had the highest mean score (20.03). Gynaecologists, with a mean score of 15.24 points, had a level of knowledge considered inadequate. Nurse assistants, with a mean score of 16.93 points, exhibited adequate knowledge but close to the lower limit. We found statistically significant differences in knowledge between the providers working in different hospitals. Overall, the level of knowledge of professionals working in maternal and child health in public hospitals in Castilla y Leon was adequate (17.54). Conclusions: overall, the level of knowledge of health professionals involved in delivery of maternal and child health services was adequate. Some categories of professionals lacked knowledge in aspects that are essential to the adequate management of breastfeeding. We need to consider the need to include training in breastfeeding in educational curricula, especially those of gynaecologists and NATs

Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Aleitamento Materno/estatística & dados numéricos , Cuidados de Enfermagem/métodos , Promoção da Saúde/tendências , Conhecimentos, Atitudes e Prática em Saúde , Capacitação Profissional , Pessoal de Saúde/estatística & dados numéricos , Estudos Transversais , Pesquisas sobre Serviços de Saúde/estatística & dados numéricos
Workplace Health Saf ; 67(8): 381-390, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31007145


Physical activity readiness of front-line employees caring for adults with disabilities (N = 381) improved during a two-phase project based on stages of change (SOC) theory. In Phase 1, we assessed barriers to, and readiness for, participation in an employee wellness program. We collected data from workers using focus groups and a preintervention physical activity readiness survey. Focus groups (N = 14) identified barriers, including lack of communication about the employee wellness program. With respect to their SOC (N = 82), 7% were in precontemplation, 16% in contemplation, 52% preparation, 5% in action, and 20% in maintenance SOC. In Phase 2, we aimed to improve readiness for participation in the program. We used SOC-based employee Facebook group messages, a health education fair, and measurement through a postintervention physical activity readiness survey. The mean number of "views" in which the workers saw the 16 theory-based messages was 12.2 (range = 0-27). Fourteen adults and 17 children attended the fair. Postintervention survey results (N = 125) indicated physical activity readiness improvement with 1% in precontemplation, 21% in contemplation, 33% in preparation, 33% in action, and 12% in maintenance SOC.

Promoção da Saúde/normas , Saúde do Trabalhador , Adulto , Feminino , Grupos Focais/métodos , Promoção da Saúde/tendências , Humanos , Masculino , Pesquisa Qualitativa , Melhoria de Qualidade , Inquéritos e Questionários
Enferm. glob ; 18(54): 470-484, abr. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-183491


La lactancia materna se considera un recurso fundamental para promover la salud nutricional del niño, con repercusiones a lo largo de la vida. La introducción de alimentos precozmente en la dieta infantil es un factor de riesgo para el desarrollo de enfermedades crónicas, como la alergia a la proteína de la leche de vaca. Esta investigación tiene como objetivo: analizar las publicaciones sobre la baja prevalencia de la lactancia materna, la introducción de la leche precoz en la dieta del bebé y el desarrollo de alergias alimentarias. Se trata de una revisión integrativa de la literatura, la búsqueda fue realizada en las bases de datos Lilacs, Pubmed, Science Direct, Capes y BVS, con descriptores previamente enumerados, entre los años 2008 a 2017. Se utilizaron los criterios de inclusión: artículos en línea disponible en su totalidad y publicados en portugués, inglés y español, obteniendo una muestra de 11 artículos. Se hizo un examen crítico de cada investigación, separándolas en cuatro categorías diferentes de forma que hiciera posible el análisis y respuesta a la pregunta orientadora de este estudio. Ante lo obtenido, se identificó la necesidad de más estudios sobre el tema, a fin de orientar y / o actualizar a los profesionales de salud en el mantenimiento de la lactancia materna en lactantes con restricciones nutricionales

O aleitamento materno é considerado um recurso fundamental para promoção da saúde nutricional da criança, com repercussões ao longo da vida. A introdução de alimentos precocemente à dieta infantil é fator de risco para o desenvolvimento de doenças crônicas, como a alergia à proteína do leite de vaca. Esta pesquisa tem como objetivo: analisar as publicações acerca da baixa prevalência do aleitamento materno, a introdução do leite precoce na dieta do bebê e o desenvolvimento de alergias alimentares. Trata-se de uma revisão integrativa da literatura, a busca foi realizada nas bases de dados Lilacs, Pubmed, Science Direct, Capes e BVS, com descritores previamente elencados, entre os anos de 2008 a 2017. Foram utilizados os critérios de inclusão: artigos online, disponíveis na íntegra e publicada nos idiomas português, inglês e espanhol, obtendo uma amostra de 11 artigos. Foi feito um exame crítico de cada pesquisa, separando-as em quatro categorias diferentes de forma que tornasse possível a análise e resposta a pergunta norteadora deste estudo. Diante do obtido, identificou-se a necessidade de mais estudos sobre o tema, a fim de nortear e/ ou atualizar os profissionais de saúde na manutenção da amamentação em lactentes com restrições nutricionais

Breastfeeding is considered a vital resource for promoting the child's nutritional health, with repercussions throughout life. The early food introduction to the infant diet is a risk factor for the development of chronic diseases, such as allergy to cow's milk protein. This research aims to analyze the literature about the low prevalence of breastfeeding, the introduction of early milk in the baby's diet and the development of food allergies. It is an integrative review of the literature. The search was performed in the databases Lilacs, Pubmed, Science Direct, Capes and VHL, with descriptors previously listed between the years 2008 to 2017. The inclusion criteria were articles online, available in full and published in Portuguese, English and Spanish, obtaining a sample of 11 articles. A critical examination of each research was made, separating them into four different categories so as to make it possible to analyze and answer the guiding question of this study. In view of this, we identified the need for further studies on the subject in order to guide and / or update health professionals in the maintenance of breastfeeding in infants with nutritional restrictions

Humanos , Lactente , Nutrição do Lactente , Alimentos Infantis/efeitos adversos , Hipersensibilidade Alimentar/epidemiologia , Aleitamento Materno , Fatores de Risco , Diagnóstico Diferencial , Promoção da Saúde/tendências
BMC Med Educ ; 19(1): 84, 2019 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-30876426


BACKGROUND: Healthcare professionals are key informants to support individual behaviour change, and although there has been some progress in empowering clinicians to promote physical activity and health at work, an effective strategy overarching the whole medical educational journey is still lacking. This report provides an overview from the Moving Healthcare Professionals programme (MHPP), a whole-system educational approach to embed prevention and physical activity promotion into clinical practice. METHODS: The MHPP model integrates educational resources into three core domains of medical education: undergraduate education, postgraduate education and continuing professional development. The interventions are designed to spiral through existing educational approaches rather than as additional special study modules or bolt-on courses, thus reducing self-selection bias in exposure. Interventions include spiral undergraduate education materials, e-learning, embedded post-graduate resources and face-to-face peer-to-peer education. RESULTS: To date the MHPP model has been applied in two key areas, physical activity and health and work. The physical activity programme in a partnership between Public Health England and Sport England has delivered face-to-face training to 17,105 healthcare professionals, embedded materials in almost three quarters of English medical schools and overseen > 95,000 e-learning modules completed over two and half years. Evaluation of the individual elements of the model is ongoing and aims to show improvements in knowledge, skills and practice. Further evaluation is planned to assess patient impact. CONCLUSIONS: The MHPP model offers a coherent whole-system approach to embed public health action into existing healthcare education models, and as such provides a framework for rapid change as well as upstream implementation to support the clinicians of today and tomorrow.

Exercício , Pessoal de Saúde/educação , Promoção da Saúde/organização & administração , Padrões de Prática Médica/organização & administração , Saúde Pública , Educação , Educação Médica , Conhecimentos, Atitudes e Prática em Saúde , Promoção da Saúde/tendências , Pesquisa sobre Serviços de Saúde , Humanos , Projetos Piloto , Padrões de Prática Médica/tendências