scholarly journals Social determinants of health related to adhesion to mammography screening

2018 ◽  
Vol 71 (1) ◽  
pp. 97-103 ◽  
Author(s):  
Camila Brasil Moreira ◽  
Ana Fátima Carvalho Fernandes ◽  
Régia Christina Moura Barbosa Castro ◽  
Rosy Denyse Pinheiro de Oliveira ◽  
Ana Karina Bezerra Pinheiro

ABSTRACT Objective: To identify proximal, intermediary and individual social determinants related to mammography adherence, according to the Social Determinants of Health model proposed by Dahlgren and Whitehead. Method: Correlational cross-sectional study, carried out with a sociodemographic and clinical data questionnaire and the Champion's Health Belief Model Scale, translated and adapted for use in Brazil. Data analyzed by multiple linear regression, from the domains scale, and sociodemographic and clinical variables were used as predictors. Results: The age group of 60-64 years (55.0%) was highlighted, 22 (55.0%) women had a stable partner; and 14 (65.0%) completed higher education. The domain with the greatest influence on adhesion to mammography was perceived barriers. Conclusion: The social determinants of health are directly related to the levels of adherence to the exam among women, as well as the perceived benefits, susceptibilities and barriers.

2019 ◽  
pp. 89-101 ◽  
Author(s):  
José M Ocampo Chaparro ◽  
Carlos A Reyes Ortiz ◽  
Ximena Castro Flórez ◽  
Fernando Gómez

Objective: To estimate the prevalence of frailty and evaluate the relationship with the social determinants of health in elderly residents in urban and rural areas of Colombia. Methods: The SABE (Health, Wellbeing, and Aging) Colombia project is a cross-sectional study, carried out in 2014-2015, involving 24,553 men and women aged 60 years and older who live in the community in Colombia. For this analysis, we used data from 4,474 participants included as a subsample with grip strength measurements. The frailty syndrome was diagnosed according to the Fried criteria (weakness, low speed, low physical activity, exhaustion, and weight loss). The independent variables were grouped as (a) biological and genetic flow, (b) lifestyle (adverse conditions in childhood) (c) social networks and community, and (d) socio-economic, cultural and environmental conditions. Multiple logistic and linear regression analyses were used to assess the prognostic value of frailty for the outcomes of interest. Results: The prevalence of frailty was 17.9%. The factors significantly associated with frailty were older age, being women, living in rural areas, having low education, a greater number of medical conditions, insufficient current income, childhood health problems and a poor economic situation in childhood. Conclusions: Our results support the need to include frailty prevention programs, to improve the socioeconomic health conditions of infants to avoid future development of frailty.


2018 ◽  
Vol 71 (suppl 1) ◽  
pp. 625-630 ◽  
Author(s):  
Vanessa da Frota Santos ◽  
Samyla Citó Pedrosa ◽  
Priscila de Souza Aquino ◽  
Ivana Cristina Vieira de Lima ◽  
Gilmara Holanda da Cunha ◽  
...  

ABSTRACT Objective: To analyze the social support of people with HIV/AIDS from the perspective of the Social Determinants of Health Model. Method: This was a cross-sectional study conducted in 2015 in an infectious disease outpatient clinic. The sample was made up of 116 people with HIV/AIDS. The data was collected through interviews, using a sociodemographic form and a social support scale. The data was analyzed using descriptive statistics, and Student’s t-tests and Mann-Whitney tests were performed to determine the association between social support and the social determinants of health. Results: Total social support was satisfactory, emotional support was influenced by smoking (p=0.0432) and instrumental support, by the number of people in the household (p=0.0003). The main source of instrumental and emotional support was relatives living outside the household, corresponding to 66.7% and 56.1%, respectively. Conclusion: It was found that smokers havelower emotional support and people living alone received less instrumental support.


2003 ◽  
Vol 48 (4) ◽  
pp. 242-251 ◽  
Author(s):  
Zahid Ansari ◽  
Norman J. Carson ◽  
Michael J. Ackland ◽  
Loretta Vaughan ◽  
Adrian Serraglio

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Polly Mitchell ◽  
Alan Cribb ◽  
Vikki Entwistle ◽  
Guddi Singh

Abstract Background Poverty and social deprivation have adverse effects on health outcomes and place a significant burden on healthcare systems. There are some actions that can be taken to tackle them from within healthcare institutions, but clinicians who seek to make frontline services more responsive to the social determinants of health and the social context of people’s lives can face a range of ethical challenges. We summarise and consider a case in which clinicians introduced a poverty screening initiative (PSI) into paediatric practice using the discourse and methodology of healthcare quality improvement (QI). Discussion Whilst suggesting that interventions like the PSI are a potentially valuable extension of clinical roles, which take advantage of the unique affordances of clinical settings, we argue that there is a tendency for such settings to continuously reproduce a narrower set of norms. We illustrate how the framing of an initiative as QI can help legitimate and secure funding for practical efforts to help address social ends from within clinical service, but also how it can constrain and disguise the value of this work. A combination of methodological emphases within QI and managerialism within healthcare institutions leads to the prioritisation, often implicitly, of a limited set of aims and governing values for healthcare. This can act as an obstacle to a genuine broadening of the clinical agenda, reinforcing norms of clinical practice that effectively push poverty ‘off limits.’ We set out the ethical dilemmas facing clinicians who seek to navigate this landscape in order to address poverty and the social determinants of health. Conclusions We suggest that reclaiming QI as a more deliberative tool that is sensitive to these ethical dilemmas can enable managers, clinicians and patients to pursue health-related values and ends, broadly conceived, as part of an expansive range of social and personal goods.


Author(s):  
Anita Banerjee

The issue of the necessity to either mainstream the tribes or leave them in their present habitat has been taking place for quite some time. But efforts at ensuring their healthy existence have not been taken up seriously. Various committees have been constituted in the past to discuss about their status and providing them benefits. But the concerns regarding health which can be ensured through simple yet conscious means have been neglected. In the context of the people in the mainstream, often the importance of this model is advocated for healthier life. The same can also be extended to the tribal population with a little effort. The present study is an attempt to highlight through the social determinants of health model, how one such reclusive tribe residing in Andaman Islands, that is the Onges, can be made to live a better and healthier life.


2020 ◽  
Author(s):  
Enmar Almazyad ◽  
Abeer Ahmad ◽  
Deema Jomar ◽  
Rajiv Khandekar ◽  
Samar Al-Swailem

Abstract Purpose:To assess ophthalmologists preparedness in such a critical period in the history of pandemics, a logical socio-psychological framework assessment using the health belief model (HBM) is essential to evaluate their risk perception, their willingness to actively participate in engaging in protective health behavior and acknowledge its benefits and their capability to perform adequate successful methods in limiting the spread of COVID-19 and overcome the barriers they might encounter while implementing such precautions.Methods:A cross-sectional study conducted in King Khaled Eye Specialist Hospital using a questionnaire-based (HBM) was distributed to 135 ophthalmologists in the institute to evaluate their risk perception on COVID-19, and determine which components of the HBM contribute to preventive health behavior related to the COVID-19 infection.Results:The questionnaire had a reasonable response rate ( 79.3%, 107 ophthalmologists including; 48 consultants, 51 fellows, and 36 residents). The study demonstrated that this model is useful and mapped how several components were significantly correlated to actions. Most significantly, perceived susceptibility was the most important predictor of action. The second most important determinant of action was the perceived benefit.Conclusion:Pandemics such as COVID-19 are more likely to happen again in the future. Explicit attention to factors influencing motivation, such as threat perception to adopt appropriate health-related behavior to limit the spread of communicable diseases, is necessary. This study has successfully represented preparedness and risk behavior perception of ophthalmologists to the novel COVID-19 pandemic in one of the largest tertiary eye hospitals in the middle east using the health belief model.


2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Sheila V. Kusnoor ◽  
Taneya Y. Koonce ◽  
Suzanne T. Hurley ◽  
Kalonji M. McClellan ◽  
Mallory N. Blasingame ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document