scholarly journals The Association of Interpersonal Relationships and Social Services with the Self-Rated Health of Spanish Homelessness

Author(s):  
Fernando Fajardo-Bullón ◽  
Jesús Pérez-Mayo ◽  
Igor Esnaola

Understanding the specific factors associated with poor health is critical to improve the health of homeless people. This study aimed to analyze the influence of personal variables, interpersonal relationships, and the influence of social services on the health of homeless people. A secondary analysis was applied to cross-sectional data from a sample of 1382 homeless people living in the Basque Country (Spain) (75.69% male). Multinomial logistic regression modelling was used to analyze the relationship between health and personal variables, interpersonal variables, perceived help and use of the social services. Relationships with the family, using a day center, and a sufficient and high perceived help of the social services were significant factors associated with good health. On the other hand, spending the day alone or using mental and health care services are associated with poor health. In the same way, the longer a person has been homeless, the worse their expected state of health is. Addressing housing exclusion, promoting interpersonal relationships, using a day center, and developing the use and perceived helpfulness of social services stand out as key factors in improving health status. Social policies are usually focused on housing. However, this paper also highlights the relevance of developing interpersonal relationships and using day centers to improve homeless people’s health.

2021 ◽  
Author(s):  
Fatme Hoteit ◽  
Debbie Erhmann Feldman ◽  
Lisa C. Carlesso

Purpose: To explore factors associated with intermittent, constant, and mixed pain in people with knee osteoarthritis. Method: We conducted a secondary analysis of a cross-sectional multicenter study with adults ≥ 40 years with knee osteoarthritis. Participants completed questionnaires on personal (e.g., demographics, comorbidities), physical (e.g., physical function), psychological (e.g., depressive symptoms), pain (e.g., qualities), and tests for physical performance and nervous system sensitivity. We qualified patients’ pain as intermittent, constant, or mixed using the Modified painDETECT Questionnaire and assessed associations with the variables using multinomial logistic regression. Results: The 279 participants had an average age of 63.8 years (SD = 9.6), BMI of 31.5 kg/m2 (SD = 8.7), and 58.6% were female. Older age (odds ratio [OR] 0.95; 95% CI: 0.90, 1.00) and higher self-reported physical function ([OR] 0.94; 95% CI: 0.91, 0.98) were associated with a lower likelihood of mixed pain compared with intermittent pain. Higher pain intensity ([OR] 1.25; 95% CI: 1.07, 1.47) was related to a 25% higher likelihood of mixed pain compared with intermittent pain. Conclusions: This study provides initial data for associations of personal, pain, and physical function factors with different pain patterns. Awareness of these factors can help clinicians develop targeted strategies for managing patients’ pain.


2014 ◽  
Vol 17 (1) ◽  
pp. 45-58 ◽  
Author(s):  
Daniele Marano ◽  
Silvana Granado Nogueira da Gama ◽  
Rosa Maria Soares Madeira Domingues ◽  
Paulo Roberto Borges de Souza Junior

OBJECTIVE: To assess the prevalence and potential factors associated with pre-pregnancy nutritional status of women. METHODS: This is a cross-sectional study carried out between December 2007 and November 2008 with 1,535 women in the first trimester of pregnancy and randomly selected in health units of the Brazilian public health system (SUS) in the municipalities of Queimados and Petrópolis in the State of Rio de Janeiro. The diagnosis of nutritional deviations was based on the Body Mass Index, according to the classification of the Institute of Medicine, and the following categories were obtained: underweight, normal weight, overweight and obesity. In the statistical analysis, the multinomial logistic regression model was used and an odds ratio and confidence interval of 95% were estimated. RESULTS: The sample included women between 13 and 45 years. The prevalence of underweight, overweight and obesity were 10, 18 and 11%, respectively. Women living in Queimados, adolescents, women who did not live with a partner and smokers had a higher proportion of low pre-pregnancy weight. There was an association between hypertension, overweight and obesity. Adolescents presented lower chance to overweight and obesity. Living in Queimados reduced the odds of overweight. CONCLUSION: The proportion of pre-pregnancy nutritional deviations was high, and recognizing factors that lead to them is very important for an early identification of women at nutritional risk, with view to interventions to reduce the adverse effects of malnutrition on maternal and child health.


Eleuthera ◽  
2020 ◽  
Vol 22 (1) ◽  
pp. 149-171
Author(s):  
Jorge Hernández Valdés ◽  
Cruz García Lirios ◽  
Eyder Bolivar Mojica ◽  
Oscar Coronado Rincón

Objective. Social historical reconstruction of the Ayotzinapa case from the perspective of Social Work intervention models. Methodology. Mixed, a qualitative, retrospective and hermeneutical study with key informants and other quantitative, cross-sectional and correlational research with an intentional selection of mobilization activists in favor of Ayotzinapa. Results. Disclosure of meanings from discourses and narratives of causal attribution of responsibility to the State for the enforced disappearance and genocide of 43 students, as well as relationships that determine the expectations of justice based on the expectations of honesty. Conclusion. The intersection device corresponds to a qualitative and quantitative diagnosis of the social representations of the Ayotzinapa case spread as a central axis of a public agenda.


2020 ◽  
Author(s):  
Clécio Gabriel Souza ◽  
Marcelo Cardoso Souza ◽  
Hugo Jario Silva ◽  
Sanderson Assis ◽  
Diego Sousa Dantas

Abstract Background: Rheumatic diseases are increasingly present in the world population, represented by chronic joint and musculoskeletal pain. Among them, osteoarthritis (OA) is the most prevalent. It is considered the third most prevalent chronic non-communicable disease in the Brazilian population, being responsible for a high rate of physical disability and reduced quality of life. Little has been discussed about the social factors associated with this health condition. This study aimed to analyze the social factors associated with arthritis in the Brazilian population.Methods: This is a cross-sectional study based on data from the 2013 National Health Survey in Brazil with arthritis as its main outcome. Sex, age, body weight, usual activities, physical activity, self-perceived health and diagnosis of depression were analyzed as independent variables. Descriptive and inferential statistics were used. Poisson multiple regression was performed, and the prevalence ratio (PR) and confidence interval (CI) of 95% were calculated using a significance level of 5% (p≤0.05).Results: A total of 60,202 individuals of both sexes took part in this study and the rheumatic diseases or arthrtitis prevalence was 6.4%. The individual factors associated with a higher prevalence of arthritis were female (PR = 2.09; CI = 1.95-2.25), age over 35 years (PR = 2.88; CI = 2.57-3.24) and excess body weight (PR = 1.61; CI = 1.25-2.07). The presence of rhemautic diseases showed an association with lower performance of usual activities (PR = 1.61; CI = 1.50-1.73) and self-perceived health as very poor (PR = 3.96; CI = 3.31-4.72). In addition, it was associated with a higher prevalence of mental illnesses such as depression (PR = 1.77; CI = 1.64-1.90).Conclusion: Social and modifiable factors which are associated with a higher prevalence of arthritis can be controlled through incentive measures such as social participation and physical activity.


2020 ◽  
Author(s):  
I Mateo-Rodríguez ◽  
E Knox ◽  
A Daponte-Codina ◽  

Abstract Background The concept of workability provides a conceptual framework and proposes measures for the evaluation of relevant actions focused on a healthy workforce. In Spain, one of the countries with the highest life expectancy, there are practically no scientific studies on workability and its associated factors. Aims The objective of this study is to examine the associations between workability and variables related to health and work in a sample of workers from Spanish health centres. Methods Cross-sectional study including 1184 health centre workers who completed a questionnaire at baseline, comprising measures of workability, health and other work-related factors. Workability has been analysed as a one-factor construct, and as a two-factor construct. Multinomial logistic regression models were used to analyse factors associated with workability. Results As a one-dimensional construct, workability is associated with physical and mental health, number of hours of worked, insomnia, work and family life balance, adequate training, never having had an accident and type of contract. When the two-factor measure was used, sensitivity of findings increased, and it was identified that those participants who were older, lived alone and have more years of service in their profession also show worse workability. Conclusions The present study identified factors associated with the workability of health centre workers. The two-factor workability index (WAI) has better psychometric properties and used in combination with the global measure of WAI, identifies important additional aspects, specifically, age and years of professional experience as additional considerations for the intervention.


Author(s):  
Mabhala ◽  
Yohannes

Background: Homelessness is rising in the United Kingdom, despite investment in measures to eradicate it made by the government and charity organisations. Aim: The aim is to examine the stories of homeless people in order to document their perceptions of their social status, the reasons that led to their homelessness, and propose a conceptual explanation. Method: We conducted 26 semi-structured interviews in three centres for homeless people in Cheshire, North West of England. Results: Three categories—education, employment, and health—emerged from the data and provided a theoretical explanation for the reasons that led to their homelessness. These are vital not only for the successful negotiation of one’s way out of homelessness, but also for achieving other social goods, including social connections, social mobility, and engaging in positive social relationships. Conclusion: Participants catalogued the adverse childhood experiences, which they believe limited their capacity to meaningfully engage with the social institution for social goods, such as education, social services, and institutions of employment. Since not all people who have misfortunes of poor education, poor health, and loss of job end up being homeless, we contend that a combination of these with multiple adverse childhood experiences may have weakened their resilience to traumatic life changes, such as loss of job and poor health.


2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Ximena Alvarado San Román ◽  
Maria Cecilia Toffoletto ◽  
Juan Carlos Oyanedel Sepúlveda ◽  
Salvador Vargas Salfate ◽  
Katiuska Lidice Reynaldos Grandón

ABSTRACT Objective: identify the factors associated with subjective wellbeing in older adults. Method: analytical, cross-sectional study developed in Chile. The sample consisted of 20,351 seniors, who answered a question on overall life satisfaction in the National Socio-Economic Survey, 2011. Subjective wellbeing was correlated with health, demographic and social indicators. Comparisons of averages, correlations and regressions were applied using the software Statistical Package for the Social Sciences 20. Results: life satisfaction was associated with increased age; being male; participation in social organizations; being married or living as a couple; having higher education level; higher income; good perceived health status and better health care. Conclusion: according to the age and income predictors, it can be concluded that, over the years, life satisfaction is reinforced, but in combination with adequate perceived health and income, which permit an excellent quality of life.


Author(s):  
David S. Houéto ◽  
Eloi B. N’Koué N’Da ◽  
Emmanuel N. Sambiéni

Introduction HIV/AIDS is one of the most dreaded diseases of this century. Condom use is probably the most effective way to combat the disease. Objective: To study the factors associated with condom use among high school students in Natitingou in 2017. Methods A descriptive cross-sectional analytical study involving 202 individuals, based on non-random sampling technique with exhaustive choice. Collected data were processed and analyzed with Epi-Data 3.1 and Epi-Info 7. Results 128 male and 74 female students were included in the study. Mean age was 19.51 years. Prevalence of condom use was 40.63%. Factors associated with condom use were: level of education, injecting drug use, knowing one’s HIV status, ease access to condom, friends' point of view on voluntary testing. Conclusions There is still room for improving the prevalence of condom use among high school students, and this suggests the social gradient perspective that other more in-depth studies will be able to specify.


2019 ◽  
Vol 26 (2) ◽  
pp. 39-52
Author(s):  
Vike Pebri Giena ◽  
Nikki Sulastry ◽  
Buyung Keraman

The Factors Associated with Participation of Being Member of National Health Insurance in Working Area of Kembang Seri Public Health Center      Bengkulu TengahABSTRAKJaminan Kesehatan Nasional (JKN) merupakan bagian dari Sistem Jaminan Sosial Nasional (SJSN) yang diselenggarakan oleh Badan Penyelenggara Jaminan Sosial (BPJS) dengan tujuan untuk memenuhi kebutuhan dasar kesehatan masyarakat yang layak yang diberikan kepada setiap orang yang telah membayar iuran atau iurannya dibayar oleh Pemerintah. Tujuan penelitian ini adalah untuk mempelajari faktor-faktor yang berhubungan dengan keikutsertaan menjadi peserta Jaminan Kesehatan Nasional (JKN) di Wilayah Puskesmas Kembang Seri Bengkulu Tengah. Desain penelitian ini adalah Cross Sectional. Populasi dalam penelitian ini adalah seluruh warga yang berada di wilayah Puskesmas Kembang Seri sebanyak 8436 orang. Sampel diambil menggunakan teknik Accidental Sampling berdasarakan kriteria inklusi dan eksklusi besar sampel 96 orang. Teknik analisis data dilakukan dengan analisis univariat dan bivariat dengan uji Chi-Square dan uji Contingency Coefficient. Hasil uji penelitian ini didapatkan 80 orang (83,3%) ikut serta dalam JKN, 16 orang (16,7%) tidak ikut serta dalam JKN, ada hubungan antara tingkat pendidikan dengan keikutsertaan Jaminan Kesehatan Nasional dengan keeratan sedang. Ada hubungan antara pengetahuan dengan keikutsertaan Jaminan Kesehatan Nasional dengan keeratan sedang. Ada hubungan pekerjaan dengan keikutsertaan Jaminan Kesehatan Nasional dengan keeratan sedang. Ada hubungan pendapatan dengan keikutsertaan Jaminan Kesehatan Nasional dengan  keeratan lemah. Diharapkan Badan Penyelenggara Jaminan Sosial (BPJS) untuk meningkatkan pengawasan dan kerjasama dengan pihak Puskesmas guna meningkatkan pengetahuan masyarakat tentang Jaminan Kesehatan Nasional (JKN). Kata Kunci : JKN, pekerjaan, pendapatan, pengetahuan, tingkat pendidikan ABSTRACTNational Health Insurance (JKN) is part of the Social Security System National (SJSN) organized by the Social Security Organizing Agency (BPJS) with the goal of meeting the basic needs of proper public health given to each people who have paid contributions or whose contributions have been paid by the Government.  The aim of this study was to determine factors associated with participation of being member of Nasional Health Insurance in Area of Puskesmas Kembang Seri Bengkulu Tengah. This study used Cross Sectional design. Populasi in this study were all residents in Area of Puskesmas Kembang Seri with the amount of 8436 people. Sampling technique in this study used Accidental Sampling base on inclusion and exclusion criteria with the amount samples of 96 people. Data analysis in this study used univariate analysis and bivariate analysis with Chi-Square test and Contingency Coefficient test. The results of this study found 80 people (83,3%) participated in JKN, 16 people (16,7%) did not participated in JKN, there is significant relationship between education level with participation of being member of Nasional Health Insurance with moderate category relationship. There is significant relationship between knowledge with participation of being member of Nasional Health Insurance with moderate category relationship. There is significant relationship between occupations with participation of being member of Nasional Health Insurance with moderate category relationship. There is significant relationship between incomes with participation of being member of Nasional Health Insurance with weak category relationship. It is expected that the Social Security Organizing Agency (BPJS) will increase supervision and collaboration with the Puskesmas to increase public knowledge about the National Health Insurance (JKN). Keywords: education level, income, JKN, knowledge, occupation


2020 ◽  
Author(s):  
Clécio Gabriel Souza ◽  
Marcelo Cardoso Souza ◽  
Hugo Jario Silva ◽  
Sanderson Assis ◽  
Diego Sousa Dantas

Abstract Background: Osteoarthritis (OA) is considered the third most prevalent chronic non-communicable disease in the Brazilian population, being responsible for a high rate of physical disability and reduced quality of life. Little has been discussed about the social factors associated with this health condition. This study aimed to analyze the social factors associated with OA in the Brazilian population. Methods: This is a cross-sectional study based on data from the 2013 National Health Survey in Brazil with OA as its main outcome. Gender, age, body weight, usual activities, physical activity, self-perceived health and diagnosis of depression were analyzed as independent variables. Descriptive and inferential statistics were used. Poisson multiple regression was performed, and the prevalence ratio (PR) and confidence interval (CI) of 95% were calculated using a significance level of 5% (p≤0.05). Results: A total of 60,202 individuals of both genders took part in this study and the OA prevalence was 6.4%. The individual factors associated with a higher prevalence of OA were female gender (PR = 2.09; CI = 1.95-2.25), age over 35 years (PR = 2.88; CI = 2.57-3.24) and excess body weight (PR = 1.61; CI = 1.25-2.07). The presence of OA showed an association with lower performance of usual activities (PR = 1.61; CI = 1.50-1.73) and self-perceived health as very poor (PR = 3.96; CI = 3.31-4.72). In addition, it was associated with a higher prevalence of mental illnesses such as depression (PR = 1.77; CI = 1.64-1.90). Conclusion: Social and modifiable factors which are associated with a higher prevalence of osteoarthritis can be controlled through incentive measures such as social participation and physical activity.


Sign in / Sign up

Export Citation Format

Share Document