scholarly journals Factors related to the development of health-promoting community activities in Spanish primary healthcare: two case–control studies

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e015934 ◽  
Author(s):  
Sebastià March ◽  
Joana Ripoll ◽  
Matilde Jordan Martin ◽  
Edurne Zabaleta-del-Olmo ◽  
Carmen Belén Benedé Azagra ◽  
...  

ObjectiveSpanish primary healthcare teams have the responsibility of performing health-promoting community activities (CAs), although such activities are not widespread. Our aim was to identify the factors related to participation in those activities.DesignTwo case–control studies.SettingPerformed in primary care of five Spanish regions.SubjectsIn the first study, cases were teams that performed health-promoting CAs and controls were those that did not. In the second study (on case teams from the first study), cases were professionals who developed these activities and controls were those who did not.Main outcome measuresTeam, professional and community characteristics collected through questionnaires (team managers/professionals) and from secondary sources.ResultsThe first study examined 203 teams (103 cases, 100 controls). Adjusted factors associated with performing CAs were percentage of nurses (OR 1.07, 95% CI 1.01 to 1.14), community socioeconomic status (higher vs lower OR 2.16, 95% CI 1.18 to 3.95) and performing undergraduate training (OR 0.44, 95% CI 0.21 to 0.93). In the second study, 597 professionals responded (254 cases, 343 controls). Adjusted factors were professional classification (physicians do fewer activities than nurses and social workers do more), training in CAs (OR 1.9, 95% CI 1.2 to 3.1), team support (OR 2.9, 95% CI 1.5 to 5.7), seniority (OR 1.06, 95% CI 1.03 to 1.09), nursing tutor (OR 2.0, 95% CI 1.1 to 3.5), motivation (OR 3.7, 95% CI 1.8 to 7.5), collaboration with non-governmental organisations (OR 1.9, 95% CI 1.2 to 3.1) and participation in neighbourhood activities (OR 3.1, 95% CI 1.9 to 5.1).ConclusionsProfessional personal characteristics, such as social sensitivity, profession, to feel team support or motivation, have influence in performing health-promoting CAs. In contrast to the opinion expressed by many professionals, workload is not related to performance of health-promoting CAs.

2001 ◽  
Vol 178 (5) ◽  
pp. 427-432 ◽  
Author(s):  
Louise M. Howard ◽  
R. Kumar ◽  
Graham Thornicroft

BackgroundIt is not known whether mothers with psychotic disorders are clinically and socially distinct from women with psychoses who have not had children.AimsTo determine the proportion of mothers in an epidemiologically representative population of women with psychotic disorders, to examine the factors associated with having children, and to examine the factors associated with having children ‘looked after’ by social services.MethodDescriptive analysis and two case–control studies.ResultsSixty-three per cent of women with psychotic disorders were mothers. There were no clinical differences between women with or without children, but mothers were more likely to be older and live in unsupported accommodation. Having had a ‘looked after’ child was associated with Mental Health Act detention, younger age, a forensic history and being Black African.ConclusionMany women with psychoses are mothers. Mothers with psychoses are as disabled and have as many needs as women with psychoses without children.


2008 ◽  
Vol 59 (4) ◽  
pp. 596-601 ◽  
Author(s):  
Jean E. Revuz ◽  
Florence Canoui-Poitrine ◽  
Pierre Wolkenstein ◽  
Cedric Viallette ◽  
Germaine Gabison ◽  
...  

2015 ◽  
Vol 9 (5) ◽  
pp. e0003791 ◽  
Author(s):  
Michael S. Donnenberg ◽  
Tracy H. Hazen ◽  
Tamer H. Farag ◽  
Sandra Panchalingam ◽  
Martin Antonio ◽  
...  

2018 ◽  
Vol 10 (6) ◽  
pp. 538-546 ◽  
Author(s):  
Jo Armour Smith ◽  
Andrew Hawkins ◽  
Marybeth Grant-Beuttler ◽  
Richard Beuttler ◽  
Szu-Ping Lee

Context: Low back pain is common in golfers. The risk factors for golf-related low back pain are unclear but may include individual demographic, anthropometric, and practice factors as well as movement characteristics of the golf swing. Objective: The aims of this systematic review were to summarize and synthesize evidence for factors associated with low back pain in recreational and professional golfers. Data Sources: A systematic literature search was conducted using the PubMed, CINAHL, and SPORTDiscus electronic databases through September 2017. Study Selection: Studies were included if they quantified demographic, anthropometric, biomechanical, or practice variables in individuals with and without golf-related low back pain. Study Design: Systematic review and meta-analysis. Level of Evidence: Level 3. Data Extraction: Studies were independently reviewed for inclusion by 2 authors, and the following data were extracted: characterization of low back pain, participant demographics, anthropometrics, biomechanics, strength/flexibility, and practice characteristics. The methodological quality of studies was appraised by 3 authors using a previously published checklist. Where possible, individual and pooled effect sizes of select variables of interest were calculated for differences between golfers with and without pain. Results: The search retrieved 73 articles, 19 of which met the inclusion criteria (12 case-control studies, 5 cross-sectional studies, and 2 prospective longitudinal studies). Methodological quality scores ranged from 12.5% to 100.0%. Pooled analyses demonstrated a significant association between increased age and body mass and golf-related low back pain in cross-sectional/case-control studies. Prospective data indicated that previous history of back pain predicts future episodes of pain. Conclusion: Individual demographic and anthropometric characteristics may be associated with low back pain, but this does not support a relationship between swing characteristics and the development of golf-related pain. Additional high-quality prospective studies are needed to clarify risk factors for back pain in golfers.


Author(s):  
Ruth H. Keogh ◽  
D. R. Cox

1976 ◽  
Vol 35 (01) ◽  
pp. 049-056 ◽  
Author(s):  
Christian R Klimt ◽  
P. H Doub ◽  
Nancy H Doub

SummaryNumerous in vivo and in vitro experiments, investigating the inhibition of platelet aggregation and the prevention of experimentally-induced thrombosis, suggest that anti-platelet drugs, such as aspirin or the combination of aspirin and dipyridamole or sulfinpyrazone, may be effective anti-thrombotic agents in man. Since 1971, seven randomized prospective trials and two case-control studies have been referenced in the literature or are currently being conducted, which evaluate the effects of aspirin, sulfinpyrazone, or dipyridamole in combination with aspirin in the secondary prevention of myocardial infarction. A critical review of these trials indicates a range of evidence from no difference to a favorable trend that antiplatelet drugs may serve as anti-thrombotic agents in man. To date, a definitive answer concerning the therapeutic effects of these drugs in the secondary prevention of coronary heart disease is not available.


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