scholarly journals Healthcare: action research with trans people living on the streets

2022 ◽  
Vol 75 (suppl 2) ◽  
Author(s):  
Eduardo Sodré de Souza ◽  
Luiza Hiromi Tanaka
Keyword(s):  
Action Research ◽  
Cultural Sensitivity ◽  
Health Needs ◽  
Positive Health ◽  
Intersectionality Theory ◽  
Trans People ◽  
Positive Health Outcomes ◽  
Education Groups ◽  
The Relationship ◽  
Specific Health

ABSTRACT Objectives: to analyze the representations of healthcare provided to trans people living on the streets. Methods: ten women (three trans) and three cisgender men participated in this action research. Popular health education groups, focus groups, seminars and interviews were held, the data of which were organized in the software Nvivo®, submitted to content analysis and interpreted in the light of intersectionality theory. Results: healthcare was represented by the technical, relational, structural and citizenship dimensions. The relationship between gender and poverty determines the specific health needs of trans people living on the streets. Final Considerations: the need to expand conceptions and practices on healthcare to meet the specific health needs of trans people living on the streets was evidenced. Nursing, with competence and cultural sensitivity, can contribute to positive health outcomes and, consequently, break with the logic of exclusion, illness and poverty.

scholarly journals The power-trust cycle in global health: Trust as belonging in relations of dependency

2021 ◽  
pp. 1-21
Author(s):  
Emma-Louise Anderson ◽  
Laura Considine ◽  
Amy S. Patterson
Keyword(s):  
Global Health ◽  
Health Outcomes ◽  
Positive Health ◽  
Global Health Initiatives ◽  
Health Initiatives ◽  
Power Trust ◽  
Trust And Power ◽  
Positive Health Outcomes ◽  
Exercise Of Discretion ◽  
The Relationship

Abstract Trust between actors is vital to delivering positive health outcomes, while relationships of power determine health agendas, whose voices are heard and who benefits from global health initiatives. However, the relationship between trust and power has been neglected in the literatures on both international politics and global health. We examine this relationship through a study of relations between faith based organisations (FBO) and donors in Malawi and Zambia, drawing on 66 key informant interviews with actors central to delivering health care. From these two cases we develop an understanding of ‘trust as belonging’, which we define as the exercise of discretion accompanied by the expression of shared identities. Trust as belonging interacts with power in what we term the ‘power-trust cycle’, in which various forms of power undergird trust, and trust augments these forms of power. The power-trust cycle has a critical bearing on global health outcomes, affecting the space within which both local and international actors jockey to influence the ideologies that underpin global health, and the distribution of crucial resources. We illustrate how the power-trust cycle can work in both positive and negative ways to affect possible cooperation, with significant implications for collective responses to global health challenges.

When Religion Hurts: Structural Sexism and Health in Religious Congregations

2021 ◽  
pp. 000312242199668
Author(s):  
Patricia Homan ◽  
Amy Burdette
Keyword(s):  
General Social Survey ◽  
State Level ◽  
Religious Participation ◽  
Religious Institutions ◽  
Religious Congregations ◽  
Positive Health ◽  
Nationally Representative ◽  
Positive Health Outcomes ◽  
High Degree ◽  
The Relationship

An emerging line of research has begun to document the relationship between structural sexism and health. This work shows that structural sexism—defined as systematic gender inequality in power and resources—within U.S. state-level institutions and within marriages can shape individuals’ physical health. In the present study, we use a novel dataset created by linking two nationally representative surveys (the General Social Survey and the National Congregations Study) to explore the health consequences of structural sexism within another setting: religious institutions. Although religious participation is generally associated with positive health outcomes, many religious institutions create and reinforce a high degree of structural sexism, which is harmful for health. Prior research has not reconciled these seemingly conflicting patterns. We find that among religious participants, women who attend sexist religious institutions report significantly worse self-rated health than do those who attend more inclusive congregations. Furthermore, only women who attend inclusive religious institutions exhibit a health advantage relative to non-participants. We observe marginal to no statistically significant effects among men. Our results suggest the health benefits of religious participation do not extend to groups that are systematically excluded from power and status within their religious institutions.

scholarly journals Smoke-Free Hospital Grounds

2021 ◽  
Vol 1 (6) ◽  
Author(s):  
Jonathan Harris ◽  
Sheila Tucker
Keyword(s):  
Smoking Cessation ◽  
Prince Edward Island ◽  
Health Facilities ◽  
Positive Health ◽  
Materials Used ◽  
Additional Education ◽  
Positive Health Outcomes ◽  
The Relationship ◽  
And Training ◽  
Psychiatric Facilities

Smoke-free campus policies at inpatient health facilities are most effective when situated within comprehensive smoking cessation programs that include cessation support for staff and patients and effective communications and signage for staff, patients, and visitors. Canadian jurisdictions such as Ontario, New Brunswick, Prince Edward Island, Alberta, British Columbia, and Northwest Territories have provincial smoke-free legislation that applies to the grounds of health facilities. This approach permits public health inspectors and peace officers to enforce the smoke-free grounds rules with the option of issuing fines to individuals or hospital corporations for non-compliance. There is very little existing evidence on the effectiveness of issuing fines as a means of enforcing smoke-free policies. There can be unique considerations associated with implementing smoke-free policies in inpatient psychiatric facilities or units, given the relationship between mental health and substance use issues and tobacco use. Evidence shows that smoke-free policies are feasible and result in positive health outcomes in psychiatric facilities or units. Staff may require additional education and training in smoking cessation and tools to support productive conversations with patients, visitors, or colleagues who are not in compliance with smoke-free policies. Examples of tools and communications materials used in other jurisdictions are provided in Appendix 1.

scholarly journals Mindfulness and decision-making: Sunk-costs or escalation of commitment?

2018 ◽  
Author(s):  
Neil Schmitzer-Torbert
Keyword(s):  
Decision Making ◽  
Sunk Costs ◽  
Escalation Of Commitment ◽  
Trait Mindfulness ◽  
Sunk Cost ◽  
Positive Health ◽  
Course Of Action ◽  
Cognitive Benefits ◽  
Positive Health Outcomes ◽  
The Relationship

Mindfulness is related to a number of positive health outcomes, such as decreased stress, anxiety and improved physical functioning. Recent studies have also identified a range cognitive benefits of mindfulness, including recent studies demonstrating that higher trait mindfulness and brief mindfulness inductions are associated with improved decision-making, and specifically to resistance to the influence of sunk-costs, where higher mindfulness is associated with increased willingness to discontinue a costly, but disadvantageous, course of action. However, some previous studies examining mindfulness and the sunk-cost bias have methodological limitations which make it difficult to determine if mindfulness is specifically related to sensitivity to the sunk-cost bias, or rather than to a general willingness to continue an unprofitable course of action (independent of the level of prior investment). The present study extends previous work by replicating the finding that trait mindfulness is positively related to resistance to the effects of sunk-costs, and also demonstrates that mindfulness is related to reduced escalation of commitment, an individual’s willingness to continue their commitment to a unprofitable course of action through the further investment of resources or time. Overall, trait mindfulness was most consistently related to reduced escalation of commitment, whereas the relationship between trait mindfulness and resistance to the effects of sunk-costs were less consistently observed

Remote Acculturation

2016 ◽  
Author(s):  
Gail Ferguson ◽  
Steve Tran ◽  
Shawn Mendez ◽  
Fons van de Vijver
Keyword(s):  
Health Outcomes ◽  
Cultural Landscape ◽  
The Body ◽  
Health Needs ◽  
Positive Health ◽  
Acculturation Gap ◽  
Health Implications ◽  
Health Practitioners ◽  
Positive Health Outcomes ◽  
Immigrant Acculturation

Globalization has accelerated the exposure of nonmigrants to remote cultures in which they have never lived, producing remote acculturation (RA). The health implications of RA may reach further than those of immigrant acculturation because nonmigrants constitute the majority of the world’s population. This chapter describes the conceptualization of RA, reviews the body of empirical research on RA, discusses measurement of RA, and explores the health implications of RA. The review suggests that RA to faraway cultures may have both negative and positive health outcomes, some of which are also common to immigrants (e.g., acculturation gap between adolescents and parents). Acculturation and health researchers, as well as health practitioners, need to be alert to this new cultural landscape if they are to effectively address the health needs of modern individuals who may be acculturating remotely in their own backyards.

scholarly journals Meal frequency and vegetable intake does not predict the development of frailty in older adults

2018 ◽  
Vol 25 (1) ◽  
pp. 21-28 ◽  
Author(s):  
Julie Johannesson ◽  
Elisabet Rothenberg ◽  
Susanne Gustafsson ◽  
Frode Slinde
Keyword(s):  
Older Adults ◽  
Vegetable Intake ◽  
Statistical Significance ◽  
Binary Logistic Regression ◽  
Elderly Persons ◽  
Meal Frequency ◽  
Positive Health ◽  
Face To Face ◽  
Positive Health Outcomes ◽  
The Relationship

Background: Frailty is considered highly prevalent among the aging population. Fruit and vegetable intake is associated with positive health outcomes across the life-span; however, the relationship with health benefits among older adults has received little attention. Aim: The aim was to examine if a relationship exists between meal frequency or frequency of vegetable intake and the development of frailty in a population of older adults. Methods: A total of 371 individuals, 80 years or older, from the study ‘Elderly Persons in the Risk Zone’ were included. Data was collected in the participants’ home by face-to-face interviews up to 24 months after the intervention. Baseline data were calculated using Chi2-test; statistical significance was accepted at the 5% level. Binary logistic regression was used for the relationship between meal frequency or vegetable intake and frailty. Results: Mean meal frequency was 4.2 ± 0.9 meals per day; women seem to have a somewhat higher meal frequency than men (p=0.02); 57% of the participants had vegetables with at least one meal per day. No significant relationship was found between meal frequency or vegetable intake and frailty at 12 or 24 months follow-ups. Conclusions: Among this group of older adults (80+), meal frequency was slightly higher among women than men, and just over half of the participants had vegetables with at least one meal a day. The risk of developing frailty was not associated with meal frequency or vegetable intake. The questions in this study were meant as indicators for healthy food habits.

Sense of Coherence and Biopsychosocial Health in Spanish Adolescents

2013 ◽  
Vol 16 ◽  
Author(s):  
Irene García-Moya ◽  
Carmen Moreno ◽  
Francisco Rivera
Keyword(s):  
Demographic Variables ◽  
Positive Health ◽  
School Aged Children ◽  
Self Rated Health ◽  
Gender And Age ◽  
Biopsychosocial Health ◽  
Main Components ◽  
Positive Health Outcomes ◽  
The Relationship

AbstractThe aim of this study was to analyse the effect of the SOC on the main components of biopsychosocial health separately, thereby contributing to a better understanding of the relationship between the SOC and health in adolescence. The sample consisted of 7,580 Spanish adolescents aged 13 to 18 who had participated in the 2009/10 edition of the WHO international survey Health Behaviour in School-aged Children. Using multivariate analysis of variance, the effects of the SOC and demographic variables (including interaction effects between them) on different health components were analysed. A higher SOC was associated with better self-rated health, lower frequency of somatic and psychological complaints and higher quality of life and life satisfaction. Thus, results support the association between SOC and positive health outcomes, especially for the psychological components of health. In addition, the effect of SOC on the various health components was homogeneous among all of the adolescents, regardless of gender and age.

scholarly journals The relationship between happiness and intelligent quotient: the contribution of socio-economic and clinical factors

2012 ◽  
Vol 43 (6) ◽  
pp. 1303-1312 ◽  
Author(s):  
A. Ali ◽  
G. Ambler ◽  
A. Strydom ◽  
D. Rai ◽  
C. Cooper ◽  
...  
Keyword(s):  
Mental Health Problems ◽  
Psychiatric Morbidity ◽  
Clinical Factors ◽  
Positive Health ◽  
Private Households ◽  
Adult Reading ◽  
Education And Employment ◽  
Positive Health Outcomes ◽  
The Relationship ◽  
Intelligent Quotient

BackgroundHappiness and higher intelligent quotient (IQ) are independently related to positive health outcomes. However, there are inconsistent reports about the relationship between IQ and happiness. The aim was to examine the association between IQ and happiness and whether it is mediated by social and clinical factors.MethodThe authors analysed data from the 2007 Adult Psychiatric Morbidity Survey in England. The participants were adults aged 16 years or over, living in private households in 2007. Data from 6870 participants were included in the study. Happiness was measured using a validated question on a three-point scale. Verbal IQ was estimated using the National Adult Reading Test and both categorical and continuous IQ was analysed.ResultsHappiness is significantly associated with IQ. Those in the lowest IQ range (70–99) reported the lowest levels of happiness compared with the highest IQ group (120–129). Mediation analysis using the continuous IQ variable found dependency in activities of daily living, income, health and neurotic symptoms were strong mediators of the relationship, as they reduced the association between happiness and IQ by 50%.ConclusionsThose with lower IQ are less happy than those with higher IQ. Interventions that target modifiable variables such as income (e.g. through enhancing education and employment opportunities) and neurotic symptoms (e.g. through better detection of mental health problems) may improve levels of happiness in the lower IQ groups.

Generativity Among Elderly in a Rural Area of Maharashtra, India: Correlates and Relationship With Quality of Life Approved

2018 ◽  
Vol 30 (3) ◽  
pp. 276-285
Author(s):  
Truls Østbye ◽  
Shayna Clancy ◽  
Kayla Stankevitz ◽  
Rahul Malhotra ◽  
Olajumoke Ogundare ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Family Relationships ◽  
Successful Aging ◽  
Positive Health ◽  
Concern For Others ◽  
Living Children ◽  
Positive Health Outcomes ◽  
Familial Correlates ◽  
The Relationship

Generativity, “a concern for others and a need to contribute something to the next generation,” is a dimension of successful aging in and of itself, but also predicts other positive health outcomes. We examine its manifestations and correlates among elderly in rural India and assess the association between generativity and quality of life (QoL). Three hundred and forty-eight rural Indian elderly completed an interviewer-assisted questionnaire assessing generativity, QoL, and other personal and familial factors. Regression models were used to examine potential correlates of generativity and the relationship between generativity and QoL. Higher education, inheritance income, more living children, and a son/daughter living in the home predicted higher levels of generativity. Higher levels of generativity were associated with higher QoL. There are both personal and familial correlates of generativity, and family relationships are important for generative development. Family-oriented interventions to increase generativity among elderly Indians could improve QoL.

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