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1.
Rev. pesqui. cuid. fundam. (Online) ; 11(4): 868-872, jul.-set. 2019. tab, graf
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1005607

RESUMO

Objetivo: Conhecer a vulnerabilidade dos adolescentes sobre o risco de contrair HIV/AIDS, vivenciada pelos adolescentes do ensino médio de uma rede pública no município de Riachão do Dantas/SE. Métodos: Pesquisa transversal, de natureza quantitativa. A amostra foi constituída por 204 adolescentes na faixa etária entre 14 e 18 anos que responderam um questionário estruturado (Ministério da Saúde/Ministério da Educação) intitulado: Eu preciso fazer o teste do HIV/AIDS? Resultados: Os resultados identificaram que 62% dos adolescentes do gênero masculino entrevistados já haviam iniciado a prática sexual enquanto que do gênero feminino, 38%. Observou-se uma vulnerabilidade considerável entre os adolescentes ao HIV; 67,6% estão em situação de vulnerabilidade, sendo que 82,9% destes adolescentes são do gênero masculino. Conclusão: Observa-se a necessidade de intensificar a atenção à saúde dos adolescentes nas escolas, oferecendo aos jovens informações sobre a prevenção dos agravos relativos à atividade sexual


Objective: To know the vulnerability of adolescents to the risk of contracting HIV / AIDS, experienced by high school adolescents of a public network in the municipality of Riachão do Dantas / SE. Methods: This is a cross-sectional, quantitative research. The sample consisted of 204 adolescents between the ages of 14 and 18 who answered a structured questionnaire (Ministry of Health / Ministry of Education) entitled: Do I need to be tested for HIV / AIDS? Results: The results identified that 62% of the male adolescents interviewed had already started the sexual practice while in the female gender it was 38%. There was considerable vulnerability among adolescents to HIV, 67.6% are vulnerable, and 82.9% of these adolescents are male. Conclusion: It is observed the need to intensify the attention to the health of the adolescents in the schools, offering to the young people information on the prevention of the aggravations related to the sexual activity


Objetivo: Conocer la vulnerabilidad de los adolescentes sobre el riesgo de contraer VIH / SIDA, vivida por los adolescentes de la escuela secundaria de una red pública en el municipio de Riachão do Dantas / SE. Métodos: Investigación transversal, de naturaleza cuantitativa. La muestra fue constituida por 204 adolescentes en el grupo de edad entre 14 y 18 años que respondieron un cuestionario estructurado (Ministerio de Salud / Ministerio de Educación) titulado: ¿Necesito hacer la prueba del VIH / SIDA? Resultados: Los resultados identificaron que el 62% de los adolescentes del género masculino entrevistados ya habían incitado la práctica sexual mientras que en el género femenino fue del 38%. Se observó una vulnerabilidad considerable entre los adolescentes al VIH, el 67,6% está en situación de vulnerabilidad, siendo que el 82,9% de estos adolescentes son del género masculino. Conclusión: Se observa la necesidad de intensificar la atención a la salud de los adolescentes en las escuelas, ofreciendo a los jóvenes información sobre la prevención de los agravios relativos a la actividad sexual


Assuntos
Humanos , Masculino , Feminino , Adolescente , Síndrome de Imunodeficiência Adquirida/prevenção & controle , HIV , Saúde do Adolescente , Prevenção Primária/educação , Promoção da Saúde
2.
Rev. pesqui. cuid. fundam. (Online) ; 11(4): 1025-1030, jul.-set. 2019.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1005844

RESUMO

Objetivo: Descrever as condições do estilo de vida e riscos à saúde de um grupo de adolescentes e jovens participantes de um Núcleo de Atenção à Saúde do Adolescente (NASA). Métodos: Estudo descritivo de abordagem qualitativa realizado com 13 adolescentes e jovens cadastrados no NASA de um município da Baixada Litorânea do estado do Rio de Janeiro, por meio de questionários padronizados autoaplicáveis. Resultados: Foram identificados hábitos alimentares inadequados; precocidade das relações sexuais e uso irregular de preservativo; ausência de atividade física e situações constrangedoras vivenciadas na escola. Conclusão: O estudo aponta situações de riscos à saúde que demandam estratégias preventivas, sobretudo de promoção da saúde. Faz-se necessária a implementação de ações intersetoriais locais voltadas para a redução de vulnerabilidades com ênfase nos eixos temáticas de alimentação, sexualidade, atividade física, prevenção da violência e cultura da paz


Introduction: The occurrence of transmissible and non-communicable diseases related to lifestyle has acquired relevance in the juvenile phase. The objective was to describe aspects of the lifestyle of participants of a Teen Health Care Center. Materials and methods: Descriptive study of qualitative approach carried out with 13 adolescents and young people registered in the Adolescent Health Care Center of a city of Baixada Litorânea, state of Rio de Janeiro, Brazil, using standardized self-administered questionnaires. Results: Inappropriate eating habits; Precocity of the onset of sexual intercourse and irregular use of condoms; Absence of regular physical activity and embarrassing situations experienced at school were identified. Discussion: The commitment in these aspects of lifestyle indicates that there are situations of health risks that demand new preventive strategies besides the educational actions with the young public. Conclusions: There is a need for planning and implementation of local intersectoral actions at primary and secondary health care levels aimed at reducing youth vulnerabilities on inadequate feeding, sexual precocity, irregular physical activity and school violence


Introducción: La aparición de las enfermedades transmisibles y no transmisibles relacionadas con el estilo de vida ha obtenido relevancia en la fase juvenil. El objetivo fue describir aspectos del estilo de vida de participantes de un Núcleo de Atención a la Salud del Adolescente. Materiales y métodos: Estudio descriptivo del abordaje cualitativo realizado con 13 adolescentes y jóvenes registrados en el Núcleo de Atención a la Salud del Adolescente de un municipio de la Baixada Litoral del estado de Río de Janeiro, Brasil, por medio de cuestionarios estandarizados autoaplicables. Resultados: Se identificaron hábitos alimenticios inadecuados; Precocidad del inicio de las relaciones sexuales y uso irregular de preservativo; Ausencia de actividad física regular y situaciones embarazosas vivenciadas en la escuela. Discusión: El compromiso en estos aspectos del estilo de vida apunta que existen situaciones de riesgos a la salud que demandan nuevas estrategias preventivas además de las acciones educativas con el público joven. Conclusiones: Hay necesidad de planificación y realización de acciones intersectoriales locales en niveles de atención primaria y secundaria en salud que estén dirigidas a reducir las vulnerabilidades juveniles sobre alimentación inadecuada, precocidad sexual, actividad física irregular y violencia escolar


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Adulto , Fatores de Risco , Saúde do Adolescente , Estilo de Vida , Comportamento Sexual , Drogas Ilícitas , Higiene/educação , Comportamento Alimentar , Promoção da Saúde
3.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-LISBR1.1-46635

RESUMO

A Coordenação Geral de Saúde dos Adolescentes e Jovens – CGSAJ/DAPES/SAS, com o apoio de coletivos jovens de todo o país e do Fundo de População das Nações Unidas - Unfpa, apresenta o DiverSUS - Educomunicação, Juventudes e Saúde.


Assuntos
Diversidade Cultural , Saúde do Adolescente , Pessoas Transgênero , Direitos Sexuais e Reprodutivos , Minorias Sexuais e de Gênero , População Indígena
4.
BMC Public Health ; 19(1): 673, 2019 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-31151394

RESUMO

BACKGROUND: India is home to 243 million adolescents. Two million (9%) of them belong to Scheduled Tribes living in underserved, rural areas. Few studies have examined the health of tribal adolescents. We conducted a cross-sectional survey to assess the health, nutrition and wellbeing of adolescent girls in rural Jharkhand, eastern India, a state where 26% of the population is from Scheduled Tribes. We aimed to identify priorities for community interventions to serve adolescents and their families. METHODS: Between June 2016 and January 2017, interviewers visited all households in 50 purposively sampled villages of West Singhbhum district, Jharkhand. They aimed to interview all girls aged 10-19. Interviewers conducted face-to-face interviews with girls to administer a survey about physical and mental health, disability, nutrition, sexual and reproductive health, gender norms, decision-making, education and violence. Interviewers also measured girls' height, weight, and Mid-Upper Arm Circumference. RESULTS: Interviewers collected data from 3324 (82%) of an estimated 4068 girls residing in the study area. Their mean age was 14.3 (SD 2.9). 82% were from Scheduled Tribes. 89% of younger girls aged 10-14 and 46% of older girls aged 15-19 were in school or college. Girls dropped out of school because they were required for household work (37%) or work on the family farm or business (22%). Over a third reported symptoms of anaemia in the past month, but less than a fifth had a blood test. The prevalence of thinness (<-2SD median BMI for age and sex) was 14% for younger girls and 6% for older girls. 45% of girls were stunted (<-2SD median height for age and sex). 40% reported emotional violence in the past year, 14% physical violence, and 0.7% sexual violence. 12% had problems associated with depression or anxiety. 30% aged 15-19 had heard of contraception. Among married girls and their husbands, only 10% had ever used methods to prevent or delay pregnancy. CONCLUSIONS: Our study identified several priorities to improve adolescent girls' health, nutrition and wellbeing in largely tribal areas of Jharkhand: reducing violence, early marriage and undernutrition, as well as improving mental health, knowledge about contraception and school retention.


Assuntos
Saúde do Adolescente/estatística & dados numéricos , Saúde Mental/estatística & dados numéricos , Estado Nutricional , Saúde da População Rural/estatística & dados numéricos , Adolescente , Criança , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Índia/epidemiologia , Pesquisa Qualitativa , Adulto Jovem
6.
BMC Public Health ; 19(1): 681, 2019 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-31159767

RESUMO

BACKGROUND: Positive youth development (PYD) models are effective in improving adolescent sexual health. Adolescent programs including peer educators, parents and the wider community also demonstrate effectiveness in improving sexual health outcomes. An innovative Positive Adolescent Sexual Health (PASH) Conference model has been introduced in Northern NSW, Australia. It is run by the North Coast PASH Consortium, which is based on a health promotion framework. It takes a positive and holistic approach to sexual health education, and incorporates peer educators, parents, community workers and teachers. This study provides an introductory evaluation of the PASH Conference and identifies areas for increased effectiveness. It is intended as an early piece of research to inform future evaluations and to provide introductory information for public health educators. METHODS: Data collection included semi-structured interviews with 13 key stakeholders of the PASH Conference. Interviews were recorded, transcribed verbatim and analysed using deductive thematic analysis. RESULTS: Subjects included 2 teachers, 2 parents, 2 youth conference workers, 2 organisers, 2 presenters and 3 Peer Educators engaging Peers (PEEPs). Stakeholders perceived that young people were engaged to strengthen their sexual health and wellbeing due to many factors. These followed 3 themes: a safe and open learning environment, empowerment of young people and involvement of the support system and broader community. Multiple recommendations were identified across 2 themes: changes to conference format and planning, and enhancing stakeholder engagement. DISCUSSION: The PASH Conference is a promising new youth development design promoting positive adolescent sexual health, which may provide a feasible model for public health educators to trial. Elements of the conference identified as engaging to youth align well with those in PYD research literature. This study provides an early piece of research to inform the design of future research on the PASH Conference including evaluation of behavioural outcomes. It provides introductory information to inform PASH Conference development to further increase its effectiveness.


Assuntos
Saúde do Adolescente , Promoção da Saúde/métodos , Educação Sexual , Saúde Sexual , Adolescente , Desenvolvimento do Adolescente , Austrália , Feminino , Educação em Saúde , Humanos , Masculino , Pais , Grupo Associado , Percepção , Poder (Psicologia) , Pesquisa Qualitativa , Comportamento Sexual
7.
BMC Public Health ; 19(1): 828, 2019 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-31242885

RESUMO

BACKGROUND: In order to prevent health and social problems later in life, it is important to identify childhood conditions related to the development of somatic symptoms. This prospective study expands on previous research by investigating whether negative childhood conditions are related to somatization later in life, taking other risk factors into account. This study aims to investigate whether somatic symptoms of the participants' parents, poor family functioning, or negative life events during childhood result in somatic symptoms in early or late adolescence. METHODS: The study population includes participants from the West Jutland Cohort Study who responded to the survey on their somatic symptoms at age 15 (n = 2963) and/or age 18 (n = 2341). The study also includes additional questionnaire information about the participants' poor family functioning, number of negative life events, and parental reports of somatic symptoms as well as register information about parental socioeconomic background. Generalized linear models for the binomial family were used and the results were presented as relative risks (RR) and risk differences (RD) with 95% confidence intervals (95%-CI). RESULTS: Experiencing poor family functioning at age 15 showed associations with somatic symptoms at age 15 (RR 1.75, 95%-CI, 1.43-2.14 and RD 18, 95%-CI, 11-25%) and 18 (RR 1.32, 95%-CI, 1.00-1.75 and RD 7, 95%-CI, 0.2-14%). The relative risks between poor family functioning and somatic symptoms were 2.5 for the boys at age 15 and 1.71 for the girls at age 18. Having experienced two or more negative life events up to the age of 15 was associated with reporting somatic symptoms at age 15 (RR 1.73, 95%-CI, 1.31-2.28 and RD 24, 95%-CI, 11-37%). No relative risks above 1.35 were found between parents reporting somatic symptoms and participants reporting somatic symptoms at ages 15 or 18. CONCLUSIONS: An increased awareness of the association between a poor social climate in the family and somatic symptoms may help professionals in health and educational systems prevent the development of such symptoms among adolescents.


Assuntos
Saúde do Adolescente , Experiências Adversas da Infância , Saúde da Família , Família , Sintomas Inexplicáveis , Transtornos Somatoformes/etiologia , Adolescente , Criança , Estudos de Coortes , Feminino , Humanos , Masculino , Pais , Estudos Prospectivos , Fatores de Risco , Classe Social , Inquéritos e Questionários
8.
BMC Public Health ; 19(1): 825, 2019 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-31242893

RESUMO

BACKGROUND: Policymakers can adopt and implement various supply-side policies to limit youth access and exposure to tobacco, such as increasing the minimum age of sale, limiting the number or type of tobacco outlets, or banning the display of tobacco products. Many studies have assessed the impact of these policies, while less is known about the preceding policy process. The aim of our review was to assess the available evidence on the preceding process of agenda setting, policy formulation, and policy legitimation. METHODS: A systematic literature search was conducted using the PubMed and the Social Sciences Citation Index databases. After selection, 200 international peer-reviewed articles were identified and analyzed. Through a process of close reading, evidence based on scientific enquiry and anecdotal evidence on agenda setting, policy formulation and policy legitimation was abstracted from each article. RESULTS: Scientific evidence on the policy process is scarce for these policies, as most of the evidence found was anecdotal. Only one study provided evidence based on a scientific analysis of data on the agenda setting and legitimation phases of policy processes that led to the adoption of display bans in two Australian jurisdictions. CONCLUSION: The processes influencing the adoption of youth access and exposure policies have been grossly understudied. A better understanding of the policy process is essential to understand country variations in tobacco control policy.


Assuntos
Saúde do Adolescente , Formulação de Políticas , Política Pública , Prevenção do Hábito de Fumar , Indústria do Tabaco , Produtos do Tabaco , Fumar Tabaco/prevenção & controle , Adolescente , Fatores Etários , Austrália , Comércio/legislação & jurisprudência , Promoção da Saúde/métodos , Humanos , Marketing/legislação & jurisprudência , Países Baixos , Prevenção do Hábito de Fumar/legislação & jurisprudência , Tabaco , Indústria do Tabaco/legislação & jurisprudência , Produtos do Tabaco/legislação & jurisprudência , Fumar Tabaco/legislação & jurisprudência
9.
Recurso educacional aberto em Espanhol | ID: oer-3842

RESUMO

Material de lectura constituído por 26 diapositivas, que incluye un resumen de los principales derechos relacionados al ámbito de la salud, con base a la Convención sobre los derechos del niño, y del Manual de formación de formadores para el equipo de salud


Assuntos
Saúde do Adolescente
11.
BMC Health Serv Res ; 19(1): 339, 2019 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-31138177

RESUMO

BACKGROUND: Collaborative learning has been shown to be effective in improving health worker performance, but relatively little is known about the feasibility or acceptability of collaborative learning in youth-friendly health services (YFHS). This paper describes the characteristics, feasibility and acceptability of a collaborative learning approach implemented in YFHS in Moldova as part of a national scaling up process. METHODS: We gathered and analysed data on the number, location, themes, and participants of sessions, as well as benefits and challenges of collaborative learning, using two information sources: 1) formal reports on collaborative learning sessions, and 2) two questionnaires conducted with participants and moderators. RESULTS: Collaborative learning sessions have been implemented in 30 out of 35 YFHS in Moldova. In 2016, 464 collaborative learning sessions were conducted. Sessions were conducted one to three times per month, had a mean of 15 participants and an average duration of two - three hours. 74.3% of participants (n = 6942) were from rural areas and 55.1% were health professionals. The most common topics in 2016 were adolescent health and YFHS (159 of 464 sessions), sexual and reproductive health (103 sessions), and violence (76 sessions). Reported benefits for participants of collaborative learning fell into three categories: 1) improved knowledge on adolescent health / development and use of evidence-based resources; 2) strengthened teamwork and cooperation; and 3) empowerment to provide high quality, youth-friendly care. Moderators identified benefits for the quality, youth-friendliness, and positioning of YFHS as centres of excellence on adolescent health. Challenges included the time and resources required to start and maintain the program, developing a constructive multi-disciplinary learning culture, and ensuring the involvement of stakeholders from outside YFHS. CONCLUSION: This study confirms that collaborative learning within YFHS is feasible and acceptable, and offers benefits to both participants and YFHS. Collaborative learning may be a valuable strategy to improve the quality and youth-friendliness of services. It may also be relevant to key challenges in scaling up YFHS such as increasing utilisation and achieving long-term sustainability. Further research is required to confirm our results in other settings and to examine the effects of collaborative learning at the outcome and impact level.


Assuntos
Serviços de Saúde do Adolescente/normas , Competência Clínica/normas , Pessoal de Saúde/normas , Adolescente , Saúde do Adolescente , Confidencialidade , Comportamento Cooperativo , Assistência à Saúde/normas , Estudos de Viabilidade , Feminino , Pessoal de Saúde/educação , Humanos , Práticas Interdisciplinares , Aprendizagem , Masculino , Moldávia , Pesquisa , Inquéritos e Questionários , Desempenho Profissional/normas
12.
Rev Bras Enferm ; 72(2): 513-520, 2019 Mar-Apr.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31017217

RESUMO

OBJECTIVE: Identify and analyze the scientific literature on digital technologies for promotion of healthy eating habits in teenagers. METHOD: Integrative review of articles published in English and Spanish, available in full on four databases. The descriptors used were (Adolescent health) OR (Teen health) AND (Healthy diet) OR (Healthy eating) AND (Educational technology) OR (Instructional technology), respectively, from which eight articles were selected. RESULTS: Among the studies included, three were digital games; two web-based nutrition interventions; two using online programs to prevent obesity; and one nutritional advice using multimedia. They showed experiences of digital technology and its effects on knowledge improvement and/or behavior of participants when developing healthy eating habits. CONCLUSION: Digital technologies are innovative tools present in the lives of teenagers, with the possibility of being used for education and promotion of healthy eating, contributing to the empowerment of the subject for his/her self-care.


Assuntos
Comportamento do Adolescente/psicologia , Comportamento Alimentar/psicologia , Promoção da Saúde/métodos , Adolescente , Saúde do Adolescente/normas , Comportamento de Escolha , Feminino , Promoção da Saúde/normas , Humanos , Masculino , Autocuidado/métodos , Autocuidado/psicologia
13.
SMAD, Rev. eletrônica saúde mental alcool drog ; 15(2): 45-51, abr.-jun. 2019. tab
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1004542

RESUMO

OBJETIVO: conhecer os níveis de informação, crenças e atitudes de escolares acerca do uso de álcool e outras drogas. MÉTODO: estudo transversal, descritivo e exploratório com uma amostra de 240 escolares da rede municipal de educação de Belo Horizonte, Minas Gerais, Brasil. Foi utilizada a Escala de Representações Sociais do Consumo de Álcool e Drogas em Adolescentes. Os dados foram analisados por meio dos testes t-Student, Mann-Whitney e Correlação de Spearman. RESULTADOS: o uso de álcool e outras drogas foi apontado por 29,2% da amostra. Foi identificado que o nível de informação influencia em atitudes não permissivas e crenças positivas. CONCLUSÃO: a capacitação de escolares sobre a temática é uma importante estratégia para intervenção em escolas, devendo ser realizada de maneira intersetorial, envolvendo saúde e educação, pois desse modo, pode-se reduzir o estigma que associa a temática à marginalização.


OBJECTIVE: to know the level of information, beliefs and attitudes of schoolchildren about the use of alcohol and other drugs. METHOD: a cross - sectional, descriptive and exploratory study with a 240 students sample from the municipal education network of Belo Horizonte, Minas Gerais, Brazil. The Scale of Social Representations of the Consumption of Alcohol and Drugs in Adolescents was used. Data was analyzed using Student's t-test, Mann-Whitney test and Spearman Correlation. RESULTS: alcohol and other drug use was indicated by 29.2% of the sample. It has been identified that the level of information influences non-permissive attitudes and positive beliefs. CONCLUSION: the training of schoolchildren on the subject is an important strategy for intervention in schools, and should be carried out in an intersectoral way, involving health and education, because in this way, the stigma that associates the issue with marginalization can be reduced.


Objetivo: conocer los niveles de información, creencias y actitudes de escolares acerca del uso de alcohol y otras drogas. MÉTODO: estudio transversal, descriptivo y exploratorio con una muestra de 240 estudiantes de la red municipal de educación de Belo Horizonte, Minas Gerais, Brasil. Se utilizó la Escala de Representaciones Sociales del Consumo de Alcohol y Drogas en Adolescentes. Los datos fueron analizados a través de las pruebas t-Student, Mann-Whitnney, y la correlación de Spearman. RESULTADOS: el uso de alcohol y otras drogas fue señalado por el 29,2% de la muestra. Se ha identificado que el nivel de información influye en actitudes no permisivas y creencias positivas. CONCLUSIÓN: la capacitación de escolares sobre la temática es una importante estrategia para intervención en escuelas, debiendo ser realizada de manera intersectorial, involucrando salud y educación, pues de ese modo, se puede reducir el estigma que asocia la temática a la marginación.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Serviços de Saúde Escolar , Drogas Ilícitas , Saúde do Adolescente , Bebidas Alcoólicas
14.
J Clin Nurs ; 28(13-14): 2688-2695, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30938909

RESUMO

AIMS AND OBJECTIVES: Public health nurses attended a 3-day course to learn the use of visual methods in health dialogue with adolescents. The aim of this study was to explore how to use visual methods to promote health among adolescents in a school nursing context. BACKGROUND: Photovoice is a visualising technique that enables adolescents to participate in health promotion projects in a school setting. Photovoice also enhances work of public health nurses and other health professionals. DESIGN: This was a qualitative action research study. We developed and conducted a course in visual methods and used data from focus group discussions in combination with participant observations involving public health nurses working in school health services. METHODS: We conducted focus group interviews (n = 40) using separate semi-structured discussion guides before and after a course in visual methods. The interviews were audio recorded and transcribed verbatim, and we documented the workshops (n = 8) through field notes. We collected the data from January-October 2016. Data were analysed and coded into themes and subthemes using systematic text condensation. We reported the study in accordance with the COREQ checklist. FINDINGS: Public health nurses found photovoice useful in school nursing. The use of images offered pupils an active role in dialogues and more control in defining the topics and presenting their stories. When nurses allowed adolescents to bring images into conversations, they discovered new insights into public health promotion. The public health nurses pointed out the benefits and challenges of using new methods in practice. CONCLUSION: Public health nurses considered photovoice to be useful in health promotion and other public health issues. Involving pupils in bringing images to conversations offered them an active role and voice in health promotion. RELEVANCE TO CLINICAL PRACTICE: We recommend the use of photovoice and visual technologies (e.g., smartphones) in health promotion activities for adolescents.


Assuntos
Enfermeiras de Saúde Pública , Fotografação , Serviços de Enfermagem Escolar/métodos , Adolescente , Saúde do Adolescente , Feminino , Grupos Focais , Promoção da Saúde , Humanos , Pesquisa Qualitativa , Adulto Jovem
15.
Artigo em Russo | MEDLINE | ID: mdl-30990973

RESUMO

The study was carried out analyzing common patterns and features of effect of medical social factors and life-style to particular indices of health of adolescents aged 15-17 years attending various educational organizations. It is established that students of elder adolescent age are cooperated on the basis of particular life-style, characterized by long duration of using computer, low motional activity, wide prevalence of bad habits, deficiency of basic nutrients in diet. The study established high indices of personal and reactive anxiety among school children as compared with students of technical school. The quantitative evaluation of adolescents' complaints about general state feelings.


Assuntos
Serviços de Saúde do Adolescente , Saúde do Adolescente , Estilo de Vida , Estudantes , Adolescente , Dieta , Humanos , Prevalência , Instituições Acadêmicas
16.
Health Psychol ; 38(6): 536-544, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30998065

RESUMO

OBJECTIVE: A major challenge for health psychologists is to ensure the implementation of evidence-based interventions to improve population health. To reduce high rates of adolescent alcohol use and related health problems, trials of the Communities That Care (CTC) prevention process were implemented in Australia beginning in 2001. The process assists communities to strategically plan and monitor implementation of evidence-based preventative interventions. This article reports an evaluation of the effects in the first four Australian communities that completed the process. METHOD: Trends were examined based on self-report surveys completed by 41,328 adolescents (average age 13.5 years, 51.7% female) across 109 municipal localities between 1999 and 2015. Multilevel modeling compared the 5 localities where the 4 coalitions completed the CTC process with the remaining 104 localities for trends in adolescent reports of lifetime alcohol, tobacco, and cannabis use and past year antisocial behavior. RESULTS: Relative to Australian trends, adolescents in CTC localities reported significantly steeper annual reductions in any lifetime alcohol (Adjusted odds ratio [AOR] = 0.94, 95% confidence intervals [CI] = [0.93, 0.95]), tobacco (AOR = 0.97, CI [0.96, 0.99]), cannabis use (AOR = 0.96, CI [0.93, 0.98]) and antisocial behavior (unstandardized regression coefficient [B] = -0.001, CI [-0.002, 0.000]). CONCLUSION: Implementation of the CTC process in Australia was associated with more rapid community reductions in adolescent health behavior problems. Supporting community coalitions to adopt evidence-based interventions appears a feasible means for health psychologists to improve the health of large adolescent populations and prevent related chronic health problems in later life. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Comportamento do Adolescente/psicologia , Saúde do Adolescente/tendências , Serviços de Saúde Comunitária/métodos , Adolescente , Austrália , Feminino , Humanos , Masculino
17.
Chiropr Man Therap ; 27: 10, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30931103

RESUMO

Background: Taking the natural course of recurrent and fluctuating low back pain (LBP) seen in longitudinal studies of adults into consideration, the aetiology and development of LBP in children and adolescents also needs to be reflected in a long-term course. Therefore, a systematic critical literature review was undertaken to assess the natural course of LBP in the general population from childhood through adolescence to young adulthood. Methods: A systematic literature search was conducted in MEDLINE, EMBASE, CINAHL and PsycINFO with synonyms of search terms for 1) low back pain; 2) natural course; 3) cohort study and 4) children. Records in English, German, French, Danish, Swedish, and Norwegian were included. To assess the methodological quality of the studies, the NIH quality assessment checklist for cohort studies was adapted and risk of bias was assessed on a study level. Two authors independently reviewed selected studies, assessed quality, and extracted data. A synthesis of results in relation to the natural course of LBP was created. Results: Totally, 3373 records were identified, eight articles were included for quality assessment, and finally, four studies of good to fair quality were included for synthesis of results. Indication of three common patterns of LBP were identified across studies and labelled as 1) ´children and adolescents with no LBP or low probability of LBP´ (49 to 53%), 2) ´children and adolescents with fluctuation of LBP´ (16 to 37%) and 3) ´children and adolescents with repeated reporting of LBP´ (< 1 to 10%). Conclusion: Although methodological heterogeneity, mainly due to different age ranges, an indication of a natural course of LBP was seen across studies. The majority of children and adolescents repeatedly reporting no or low probability of LBP. With recall periods between one week to three months and sampling rates ranging from one to four years, a very low rate repeatedly reported LBP, and approximately one-fifth to one-third of children and adolescents had fluctuating reports of LBP. A need of future research of LBP trajectories with short reporting period lengths and narrower sampling windows in a long-term perspective is emphasized in order to study childhood influences on the development of LBP throughout life.


Assuntos
Saúde do Adolescente , Saúde da Criança , Dor Lombar , Adolescente , Adulto , Criança , Progressão da Doença , Humanos , Adulto Jovem
18.
Lancet ; 393(10176): 1101-1118, 2019 Mar 16.
Artigo em Inglês | MEDLINE | ID: mdl-30876706

RESUMO

BACKGROUND: Rapid demographic, epidemiological, and nutritional transitons have brought a pressing need to track progress in adolescent health. Here, we present country-level estimates of 12 headline indicators from the Lancet Commission on adolescent health and wellbeing, from 1990 to 2016. METHODS: Indicators included those of health outcomes (disability-adjusted life-years [DALYs] due to communicable, maternal, and nutritional diseases; injuries; and non-communicable diseases); health risks (tobacco smoking, binge drinking, overweight, and anaemia); and social determinants of health (adolescent fertility; completion of secondary education; not in education, employment, or training [NEET]; child marriage; and demand for contraception satisfied with modern methods). We drew data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2016, International Labour Organisation, household surveys, and the Barro-Lee education dataset. FINDINGS: From 1990 to 2016, remarkable shifts in adolescent health occurred. A decrease in disease burden in many countries has been offset by population growth in countries with the poorest adolescent health profiles. Compared with 1990, an additional 250 million adolescents were living in multi-burden countries in 2016, where they face a heavy and complex burden of disease. The rapidity of nutritional transition is evident from the 324·1 million (18%) of 1·8 billion adolescents globally who were overweight or obese in 2016, an increase of 176·9 million compared with 1990, and the 430·7 million (24%) who had anaemia in 2016, an increase of 74·2 million compared with 1990. Child marriage remains common, with an estimated 66 million women aged 20-24 years married before age 18 years. Although gender-parity in secondary school completion exists globally, prevalence of NEET remains high for young women in multi-burden countries, suggesting few opportunities to enter the workforce in these settings. INTERPRETATION: Although disease burden has fallen in many settings, demographic shifts have heightened global inequalities. Global disease burden has changed little since 1990 and the prevalence of many adolescent health risks have increased. Health, education, and legal systems have not kept pace with shifting adolescent needs and demographic changes. Gender inequity remains a powerful driver of poor adolescent health in many countries. FUNDING: Australian National Health and Medical Research Council, and the Bill & Melinda Gates Foundation.


Assuntos
Saúde do Adolescente/estatística & dados numéricos , Anemia/epidemiologia , Doenças Transmissíveis/epidemiologia , Pessoas com Deficiência/estatística & dados numéricos , Doenças não Transmissíveis/epidemiologia , Obesidade/epidemiologia , Adolescente , Saúde do Adolescente/tendências , Austrália/epidemiologia , Criança , Efeitos Psicossociais da Doença , Feminino , Humanos , Masculino , Crescimento Demográfico , Prevalência , Anos de Vida Ajustados por Qualidade de Vida , Fatores de Risco , Distribuição por Sexo , Fatores Socioeconômicos , Recursos Humanos/tendências , Adulto Jovem
20.
Artigo em Inglês | MEDLINE | ID: mdl-30813530

RESUMO

The familial social background of a child can significantly impact their behavior and health. We investigated associations between socio-economic status (SES) and health parameters and behaviors in German children and adolescents. Data were collected between 2011 and 2018 in the framework of the LIFE Child study. Participants included 2998 children aged 3⁻18 years. SES was represented by an index combining information on parental education, occupation, and income. Associations between SES and health outcomes were estimated using linear and logistic regression analyses. In a moderator analysis, all associations were checked for interactions between SES and age or sex. A higher SES composite score was associated with better health (lower body mass index (ß = -0.26), fewer behavioral difficulties (ß = -0.18), higher quality of life (ß = 0.21), fewer critical life events (odds ratio (OR) = 0.93); all p < 0.05) and a healthier lifestyle (healthier nutrition (ß = 0.16), less excessive television use (OR = 0.87), less nicotine consumption (OR = 0.93), and more physical activity (OR = 1.18); all p < 0.05). However, SES was not associated with alcohol consumption (OR = 1.02) or sleep problems (ß = -0.04). The strengths of the associations between SES and child health did not differ depending on SES indicator (education, occupation, income). The associations between SES and parent-reported behavioral difficulties and physical activity were stronger in older vs. younger children. In contrast, none of the observed associations were moderated by sex. This study highlights the strong association between socio-economic status and child health, even in modern Western societies.


Assuntos
Saúde do Adolescente/estatística & dados numéricos , Saúde da Criança/estatística & dados numéricos , Fatores Socioeconômicos , Adolescente , Fatores Etários , Criança , Pré-Escolar , Estudos de Coortes , Feminino , Alemanha , Comportamentos Relacionados com a Saúde , Humanos , Masculino , Razão de Chances , Pais
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