scholarly journals Determinantes sociais de pacientes com neoplasia peniana

2019 ◽  
Vol 13 (2) ◽  
pp. 338
Author(s):  
Vander Monteiro da Conceição ◽  
Alexandre Inácio Ramos ◽  
Jeferson Santos Araújo ◽  
Rafaela Azevedo Abrantes de Oliveira ◽  
Julia Valéria de Oliveira Vargas Bitencourt ◽  
...  
Keyword(s):  
Social Determinants ◽  
Skin Color ◽  
Preventive Measures ◽  
University Hospital ◽  
Vulnerable Groups ◽  
White Skin ◽  
Oncology Nurse ◽  
The Social ◽  
Quantitative Descriptive ◽  
Medical Surgical Nursing

RESUMOObjetivo: descrever os determinantes sociais dos pacientes diagnosticados com câncer de pênis atendidos em um hospital universitário. Método: trata-se de um estudo quantitativo, descritivo e retrospectivo, em que se procedeu à busca pelas características dos adoecidos atendidos entre os anos de 1982 e 2013. Analisaram-se e se tabularam os dados pela estatística descritiva, após a apresentação em tabelas e figuras. Resultados: compôs-se o estudo por 107 pacientes, entre estes, prevaleceu a idade média de 63,7 anos, casados, com cor da pele branca e ensino fundamental completo e aposentados. Conclusão: conclui-se que os determinantes sociais podem servir de base para que o enfermeiro oncológico identifique grupos vulneráveis e, assim, estabelecer medidas preventivas e educação em saúde para aqueles que estão em risco da doença. Descritores: Neoplasias Penianas; Enfermagem Oncológica; Saúde do Homem; Neoplasias; Enfermagem; Enfermagem Médico-Cirúrgica.ABSTRACT Objective: to describe the social determinants of patients diagnosed with penile cancer treated in a university hospital. Method: this is a quantitative, descriptive and retrospective study, in which the characteristics of the patients treated between 1982 and 2013 were searched. The data was analyzed and tabulated by descriptive statistics, after the presentation in tables and figures. Results: the study was composed by 107 patients, among these, the average age of 63.7 years prevailed, married, with white skin color and complete primary education and retirees. Conclusion: it can be concluded that social determinants can serve as a basis for the oncology nurse to identify vulnerable groups and, thus, establish preventive measures and health education for those who are at risk of the disease. Descriptors: Penile neoplasias; Nursing Oncology; Men's Health; Neoplasias; Nursing; Medical-Surgical Nursing. RESUMEN Objetivo: describir los determinantes sociales de los pacientes diagnosticados con cáncer de pene atendidos en un hospital universitario. Método: se trata de un estudio cuantitativo, descriptivo y retrospectivo, en que se procedió a la búsqueda por las características de los enfermos atendidos entre los años 1982 y 2013. Se analizaron y se tabularon los datos por la estadística descriptiva, después de la presentación en tablas y figuras. Resultados: se compuso el estudio por 107 pacientes, entre éstos, prevaleció la edad media de 63,7 años, casados, con color de la piel blanca y enseñanza básica completa y jubilados. Conclusión: se concluye que los determinantes sociales pueden servir de base para que el enfermero oncológico identifique a grupos vulnerables y, así, establecer medidas preventivas y educación en salud para aquellos que están en riesgo de la enfermedad. Descritores: Neoplasias del Pene; Enfermagem Oncológica; Salud del Hombre; Neoplasias; Enfermería; Enfermería Médico-Quirúrgica.

scholarly journals Social determinants of malnutrition in Chilean children aged up to five

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Sandra Alvear-Vega ◽  
Héctor Vargas-Garrido
Keyword(s):  
Social Determinants ◽  
Reference Group ◽  
Multinomial Logistic Regression ◽  
Geographical Location ◽  
Vulnerable Groups ◽  
Outcome Variable ◽  
Multinomial Logistic Regression Model ◽  
The North ◽  
The Social ◽  
Child Nutritional Status

Abstract Background This study aimed to ascertain the Social Determinants (SDs) of malnutrition (over and undernutrition) of Chilean children aged up to five. Methods The study was carried out using a sample of children from zero to five years old (n = 1,270,485; 52.2% female) from the National Socioeconomic Characterization Survey (CASEN) 2017. A multinomial logistic regression model was used, where the “child nutritional status” outcome variable assumed three possible values: normal nutrition, overnutrition, and undernutrition, while taking those variables reported in previous literature as independent variables. Results The model, by default, set normal nutrition as the reference group, Count R2 = 0.81. Results show a higher likelihood of both overnutrition and undernutrition among male children from the lowest quintiles, with native ethnic backgrounds, reporting health problems, having public health insurance, and who attend kindergarten. Additionally, higher probabilities of undernutrition in younger than two and living in the north of the country, while overnutrition is more likely in the south. Conclusions Socioeconomic variables are fundamentally related to both over and undernutrition; the current single schema program to prevent malnutrition should consider SDs such as ethnicity and geographical location, among others; moreover, successful nutritional programs—which focused on the lowest quintiles, need to be expanded to other vulnerable groups and pay more attention to overnutrition.

Social Determinants of Malnutrition in Chilean Children Aged Under Five

2021 ◽  
Author(s):  
Sandra Alvear-Vega ◽  
Héctor Vargas-Garrido
Keyword(s):  
Social Determinants ◽  
Reference Group ◽  
Multinomial Logistic Regression ◽  
Geographical Location ◽  
Vulnerable Groups ◽  
Multinomial Logistic Regression Model ◽  
Under Five ◽  
The North ◽  
The Social ◽  
Child Nutritional Status

Abstract Background: This study aimed to ascertain the Social Determinants (SDs) of malnutrition (over and undernutrition) of Chilean children aged under five.Methods: The study was carried out using a sample of children from zero to five years old (n = 1,270,485; 52.2% female) from the National Socioeconomic Characterization Survey (CASEN) 2017. A multinomial logistic regression model was used, where the "child nutritional status" dependent variable assumed three possible values: normal nutrition, overnutrition, and undernutrition, while taking those variables reported in previous literature as control variables.Results: The model, by default, set normal nutrition as the reference group, Count R2 = 0.81. Results show a higher likelihood of both overnutrition and undernutrition among male children from the lowest quintiles, with native ethnic backgrounds, reporting health problems, having public health insurance, and who attend kindergarten. Additionally, higher probabilities of undernutrition in younger than two and living in the north of the country, while overnutrition is more likely in the south.Conclusions: Socioeconomic variables are fundamentally related to both over and undernutrition; the current single schema program to prevent malnutrition should consider SDs such as ethnicity and geographical location, among others; moreover, successful nutritional programs—which focused on the lowest quintiles, need to be expanded to other vulnerable groups and pay more attention to overnutrition.

scholarly journals Systemic Arterial Hypertension in the Emergency Service: medication adherence and understanding of this disease

2015 ◽  
Vol 23 (6) ◽  
pp. 1149-1156 ◽  
Author(s):  
Cássia Regina Vancini-Campanharo ◽  
Gabriella Novelli Oliveira ◽  
Thaisa Fernanda Landim Andrade ◽  
Meiry Fernanda Pinto Okuno ◽  
Maria Carolina Barbosa Teixeira Lopes ◽  
...  
Keyword(s):  
Skin Color ◽  
Emergency Service ◽  
Patient Adherence ◽  
Disease Patient ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Adherence To Treatment ◽  
Cross Sectional ◽  
White Skin ◽  
Epidemiological Profile

Objective: to identify the epidemiological profile of hypertension patients, how much they understand about the disease and the rate of adherence to treatment by these patients who had been hospitalized in the Brazilian emergency service. Methods: this cross-sectional study was performed with 116 patients, both male and female and aged over 18 years, who had been hospitalized in the Emergency Service of a University Hospital between March and June, 2013. The studied variables were data referring to socio-demographics, comorbidities, physical activity and knowledge regarding the disease. Patient adherence to treatment and the identification of the barriers were respectively evaluated using the Morisky test and the Brief Medication Questionnaire. Results: most of the patients involved in this study were women (55%), with white skin color (55%), married (51%), retirees or pensioners (64%) and with a low educational level (58%). Adherence to treatment, in most cases (55%), was moderate and the most prevalent adherence barrier was recall (67%). When medication was acquired at no cost to the patient, there was greater adherence to treatment. Conclusion: this study's patients had a moderate understanding about the disease. The high correlation between the number of drugs used and the recall barrier suggests that monotherapy is an option that can facilitate treatment adherence and reduce how often the patients forget to take their medication.

Addressing the Social Determinants of Health

2019 ◽  
Vol 101 (4) ◽  
pp. 357-395 ◽  
Author(s):  
Saty Satya-Murti ◽  
Jennifer Gutierrez
Keyword(s):  
Twentieth Century ◽  
Los Angeles ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Social Activism ◽  
Determinants Of Health ◽  
Medical Attention ◽  
Community Center ◽  
Early Twentieth Century ◽  
The Social

The Los Angeles Plaza Community Center (PCC), an early twentieth-century Los Angeles community center and clinic, published El Mexicano, a quarterly newsletter, from 1913 to 1925. The newsletter’s reports reveal how the PCC combined walk-in medical visits with broader efforts to address the overall wellness of its attendees. Available records, some with occasional clinical details, reveal the general spectrum of illnesses treated over a twelve-year span. Placed in today’s context, the medical care given at this center was simple and minimal. The social support it provided, however, was multifaceted. The center’s caring extended beyond providing medical attention to helping with education, nutrition, employment, transportation, and moral support. Thus, the social determinants of health (SDH), a prominent concern of present-day public health, was a concept already realized and practiced by these early twentieth-century Los Angeles Plaza community leaders. Such practices, although not yet nominally identified as SDH, had their beginnings in the late nineteenth- and early twentieth-century social activism movement aiming to mitigate the social ills and inequities of emerging industrial nations. The PCC was one of the pioneers in this effort. Its concerns and successes in this area were sophisticated enough to be comparable to our current intentions and aspirations.

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