Knowledge of Heat-Related Illness First Aid and Self-Reported Hydration and Heat-Related Illness Symptoms in Migrant Farmworkers

2020 ◽  
Vol 69 (1) ◽  
pp. 15-21
Author(s):  
Daniel J. Smith ◽  
Erin P. Ferranti ◽  
Vicki S. Hertzberg ◽  
Valerie Mac

Background: Outdoor workers are exposed to hot work environments and are at risk of heat-related morbidity and mortality. The purpose of this study was to evaluate the knowledge of migrant farmworkers about first aid for heat-related illness (HRI) symptoms. Methods: The authors recruited 60 migrant farmworkers out of 66 who were approached from vegetable farms in Georgia. They were workers who participated in the 2018 Farmworker Family Health Program (FWFHP). The authors surveyed the workers to assess demographics, prevalence of HRI symptoms, hydration practices, and knowledge of HRI first aid. Descriptive statistics for worker demographics, HRI symptoms, and hydration data were calculated, as were the percentages of correctly answered pilot questions. Findings: Of the 60 workers who chose to participate in this study, more than 50% incorrectly answered pilot questions related to their knowledge of HRI first aid. The two most common HRI symptoms reported were heavy sweating and muscle cramps. More than two thirds reported experiencing at least one HRI symptom during the workday. Mean liquid consumption within this sample was 72.95 oz per day, which is much less than the recommended 32 oz per hour. Conclusion/Application to Practice: Until larger structural change can occur to protect farmworkers, farm owners can prevent morbidity and mortality from inadequate hydration practices and working in high-heat conditions by providing migrant farmworkers with training in heat-related first aid. Appropriate heat-illness interventions should focus on first aid measures to reduce morbidity and mortality related to heat illness in farmworkers.

2014 ◽  
Vol 22 (1) ◽  
pp. 100-107 ◽  
Author(s):  
Everton Faccini Augusto ◽  
Larissa Silva dos Santos ◽  
Ledy do Horto dos Santos Oliveira

OBJECTIVES: to survey the prevalence of human papillomavirus, associated risk factors and genotype distribution in women who were referred to cervical cancer screening when attended in a Family Health Program. METHOD: we conducted a cross-sectional survey, investigating 351 women. Polymerase chain reaction for DNA amplification and restriction fragment length polymorphism analysis were used to detect and typify the papillomavirus. RESULTS: virus infection was detected in 8.8% of the samples. Among the 21 different genotypes identified in this study, 14 were high risk for cervical cancer, and the type 16 was the most prevalent type. The infection was associated with women who had non-stable sexual partners. Low risk types were associated with younger women, while the high risk group was linked to altered cytology. CONCLUSION: in this sample attended a Family Health Program, we found a low rate of papillomavirus infection. Virus frequency was associated to sexual behavior. However, the broad range of genotypes detected deserves attention regarding the vaccine coverage, which includes only HPV prevalent types.


Aquichan ◽  
2019 ◽  
Vol 19 (2) ◽  
Author(s):  
Celia Maria Ribeiro de Vasconcelos ◽  
Eliane Maria Ribeiro de Vasconcelos ◽  
Maria Gorete Lucena de Vasconcelos ◽  
Viviane Cristina Fonseca Jardim ◽  
Maria Cristina Falcão Raposo ◽  
...  

Objective: To validate the content and appearance of an instrument to evaluate knowledge on healthy feeding. Materials and Methods: Methodological study of validation of content, appeareance with 22 judges, and semantic validation with 12 schoolchildren from 4th and 5th grades in primary school education, ranging in age between nine and ten years. The Scale-Level Content Validity Index (S-CVI) ≥ 0.90 and the Item-Level Content Validity Index (I-CVI) ≥ 0.80 were considered approved in the validation. The Binomial test was used through the p value of the proportion (rejecting the H0 if p ≤ 0.80) to select items that should be revised or modified (items validated at significance level ≤ 0.05). Results: The instrument was validated with S-CVI = 0.93 and I-CVI ≥ 0.80 in the 12 items evaluated, with the mean proportion of “non-discordance” among judges = 0.93. The instrument with the suggested modifications was submitted to the target audience and completely approved by all the participating students. Conclusion: This instrument can be used during the health education activities of the School Health Program and the Family Health Program to promote healthy feeding with children between nine and ten years of age.


2007 ◽  
Vol 1 (1) ◽  
pp. 47
Author(s):  
Anna Maria Chiesa

O artigo apresenta dois casos acerca da atenção aos indivíduos portadores de lesões de pele crônicas realizada em uma UBS integrante do PSF no município de São Paulo. Os casos evidenciam aspectos chave para o fortalecimento da implantação da Estratégia Saúde da Família em grandes cidades, tais como: a superação da polarização generalista versus especialista, o reconhecimento da complexidade tecnológica da atenção básica, a necessidade do vínculo e co-responsabilização dos profissionais com os projetos terapêuticos e a importância da educação permanente em parceria com a universidade.


2006 ◽  
Vol 22 (12) ◽  
pp. 2549-2559 ◽  
Author(s):  
Rosana Magalhães ◽  
Mônica de Castro Maia Senna

This article discusses the implementation of the Family Health Program in the municipalities of Camaragibe, Aracaju, São Gonçalo, and the Federal District of Brazil, aiming to identify possible interfaces between the program's shaping and different incentives structures, the local health system's case-resolving capacity, experiences with social participation, and accountability mechanisms. The article shows that aspects related to the constitution of local health systems in terms of the quantitative and qualitative supply of services, technical and management training within the Municipal Health Department, investment in other levels of care, and local political traditions are crucial variables for understanding the diversity of experiences in the implementation of the Family Health Program.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
G Wink ◽  
G A J Fransen ◽  
M J Huisman ◽  
S N Boersma ◽  
W J J Assendelft ◽  
...  

Abstract Background Health inequalities persist, and policymakers, researchers and practitioners seek for effective ways to positively impact the health of disadvantaged people. Researchers point to a multi-component program with an integral design including various perspectives and involving different stakeholders. Few studies address the perspectives on health of disadvantaged people themselves. This study describes what parents in a socially disadvantaged situation and professionals working in that community perceived as 1) priority aspects to improve family health 2) barriers and facilitators for health behaviour changes 3) important health program activities. Methods Design: Community-based participatory action research. 10 parents participated in 6 panel meetings. 46 professionals received 4 panel meetings summaries. 18 parents and 25 professionals responded to questions in (panel) meetings and consultation by phone and e-mail. Results (preliminary) 1) Parents’ top priorities for improving health were: less stress related to finances and communication with related organizations, followed by a safe place for kids to meet. Of the program financers’ aims (reducing tobacco, alcohol use and overweight) reducing overweight got relatively most support of parents. 2) Parents perceived their family financial situation as barrier to behaviours reducing stress and overweight. 3) Program activities related to reducing stress got more support from parents and professionals than activities related to reducing overweight. Conclusions Insight in the perspectives of disadvantaged parents and professionals resulted in a program plan supported by them, aiming to reduce stress and overweight. Most participating parents and professionals committed themselves to invest time in program activities execution. Key messages Disadvantaged parents perceived reducing stress related to finances as top priority to improve family health. They perceived family finances as barrier to behaviours reducing stress and overweight. Community-based participatory action research with disadvantaged parents and professionals can result in an integrated family health program plan with stakeholder support.


2018 ◽  
Vol 16 (3) ◽  
Author(s):  
Paulo Augusto Monteclaro Cesar ◽  
Márcia Mello Costa De Liberal ◽  
Valdecir Marvulle ◽  
Paola Zucchi

ABSTRACT Objective To analyze the Family Health Program replaced by the Family Health Strategy in 2011, based on health indicators and diseases classified as primary care sensitive. Methods This was a descriptive, analytical and documental study carried out in the Metropolitan Region of São Paulo between 2002 and 2007. We analyzed data from Health observatory for the Metropolitan Region of São Paulo. Pearson’s correlation and the Statistical Package for the Social Sciences software version 17.0 were used to calculate data associations. Results We used 30 of the 31 health indicators of 24 from the 39 studied municipalities. A total of 720 (100%) health primary care sensitive indicators were analyzed in the Metropolitan Region of São Paulo. Conclusion Percentages of improvements and worsening were low. In addition, some data were not presented. The majority of indicators remained stable.


2012 ◽  
Vol 102 (12) ◽  
pp. e90-e95 ◽  
Author(s):  
Norberto L. Cabral ◽  
Selma Franco ◽  
Alexandre Longo ◽  
Carla Moro ◽  
Talita A. Buss ◽  
...  

2011 ◽  
Vol 5 (9) ◽  
pp. 2083
Author(s):  
Anne Jaquelyne Roque Barrêto ◽  
Vitória Suzanna Cordeiro Vasconcelos ◽  
Matheus Figueiredo Nogueira ◽  
Janaína Von Söhsten Trigueiro ◽  
Ana Cristina Oliveira e Silva ◽  
...  

ABSTRACTObjectives: to know the user’s opinion on embracement in a family health unit (FHU) in the city of Joao Pessoa, Paraiba, Brazil; to describe, from the user’s view, the organization of the service after the embracement implantation; and to identify the frailties of embracement in the FHU. Method: this is an exploratory-descriptive study with a qualitative approach, developed in a FHU located in the Sanitary District III of Joao Pessoa, whose sample consisted of eight users. The data collection started on October 2009, after the approval by the Ethics Comitee of Facene/Famene, under the Protocol 161/2009; after obtaining the participants’ speeches through interviews, the material was analyzed having the Collective Subject Discourse technique as a basis. Results: the participants understand embracement as a means for guaranteeing access to the health services and problems resolution, with higher agility and quality of treatment; the qualified listening showed to be significant in the change perceived by users; and the professional qualification, the service organization, and strengthened teamwork showed to be the main frailties. Conclusion: the meaning of embracing needs to surpass the frontiers of the relation team/users, obliging the health professionals to develop a work process which catches a glimpse of a comprehensive and humanized care provided to users. Descriptors:  nursing; embracement; family health program; delivery of health care.RESUMOObjetivos: conhecer a opinião do usuário sobre o acolhimento em uma unidade de saúde da família (USF) na cidade de João Pessoa-PB; descrever, a partir da visão do usuário, a organização do serviço após a implantação do acolhimento; e identificar as fragilidades do acolhimento na USF. Método: trata-se de estudo exploratório-descritivo com abordagem qualitativa, desenvolvido em uma USF localizada no Distrito Sanitário III de João Pessoa, cuja amostra constituiu-se por oito usuários. A coleta de dados foi iniciada em outubro de 2009, após a aprovação pelo Comitê de Ética da Facene/Famene, sob Protocolo n. 161/2009; após obtenção dos discursos dos participantes por meio de entrevistas, o material foi analisado com base na técnica do Discurso do Sujeito Coletivo. Resultados: os participantes entendem o acolhimento como recurso para a garantia de acesso aos serviços de saúde e resolução de problemas, com maior agilidade e qualidade do atendimento; a escuta qualificada evidenciou-se significativa na transformação percebida pelos usuários; e a qualificação profissional, a organização do serviço e o trabalho em equipe fortalecido apresentaram-se como principais fragilidades. Conclusão: o sentido de acolher precisa ultrapassar as fronteiras da relação equipe/usuários, devendo os profissionais de saúde desenvolver um processo de trabalho que vislumbre um cuidado integral e humanizado aos usuários. Descritores: enfermagem; acolhimento; programa saúde da família; assistência à saúde.RESUMENObjetivos: conocer la opinión del usuario acerca del acogimiento en una unidad de salud de la familia (USF) en la ciudad de João Pessoa, Paraíba, Brasil; describir, desde la visión del usuario, la organización del sevicio después de la implantación del acogimiento; y identificar las fragilidades del acogimiento realizado en la USF. Método: esto es un estudio exploratorio-descriptivo con abordaje cualitativo, desarrollado en una USF en el Distrito Sanitario III de João Pessoa, cuya muestra fue constituida por ocho usuarios. La recogida de datos tuvo inicio en octubre de 2009, después de la aprobación por el Comité de Ética de la Facene/Famene, bajo el Protocolo 161/2009; después de la obtención de los discursos de los participantes por medio de entrevistas, el material fue analisado con base en la técnica del Discurso de lo Sujeto Colectivo. Resultados: los participantes entenden el acogimiento como recurso para garantizar el acceso a los servicios de salud y resolución de problemas, con mayor agilidad y calidad de atendimiento; la escucha cualificada se mostró significativa en la transformación percibida por los usuarios; y la cualificación profesional, la organización del servicio y el trabajo en equipo fortalecido se presentaron como las principales fragilidades. Conclusión: el sentido de acoger precisa superar las fronteras de la relación equipo/usuarios debiendo los profesionales de salud desarrollar un proceso de trabajo que mire un cuidado integral y humanizado a los usuarios, Descriptores: enfermería; acogimiento; programa de salud de la familia; prestación de atención de salud.


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