health choices
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2021 ◽  
Vol 43 (2) ◽  
pp. 115-138
Author(s):  
Ella van Hest ◽  
July De Wilde

Abstract Misconception and contraception: knowledge and decision-making in contraceptive consultations with a language barrier Just like in general medical consultations, different domains of knowledge come together and are negotiated in contraceptive consultations, followed by decision-making on the contraceptive method. Research shows that a language barrier can hamper knowledge negotiation and decision-making in medical consultations. Our paper contributes to those findings by focussing on contraceptive counselling as a specific and underexplored consultation type. We gathered our data in a Belgian abortion clinic, where contraception is discussed during the consultations, and where an important part of the consultations are characterised by a language barrier. We adopt a Bourdieusian view on language as capital, and use a linguistic ethnographic and interactional sociolinguistic approach, complemented with analytical tools from conversation analysis on epistemics and deontics. The analysis of data fragments, ranging from a limited to a double language barrier, shows that this barrier is connected in various ways with how, and how much, knowledge is negotiated. Incomplete renditions, interruptions, epistemic and deontic claims from non-professional interpreters, along with a lack of shared contextualisation, impede clients to gather information and therefore influence decision-making. We conclude that a language barrier involves a potential risk for knowledge negotiation and decision-making in contraceptive consultations. More attention from healthcare professionals to language barriers could empower women in their sexual and reproductive health choices.


2021 ◽  
Vol 8 (2) ◽  
pp. 70-83
Author(s):  
Robert Nyaga ◽  
Marifran Mattson

Guided by social identity theory (SIT), this study considers how identification influences health seeking behaviours among college  students in Kenya and the USA. The study sought to investigate how felt-connectedness among students influenced the health choices they made and the relevance of identification to health. Data were collected using responsive interviews with 22 students in a large Kenyan university and 21 students at a Midwestern university. The age of the participants from both countries ranged from 20 to 29 years. Data were coded and analysed using thematic analysis. The findings of the study indicate that identification  influenced students’ health seeking behaviours, especially on use of contraceptives, vaccination, choosing a physician, offering advice, eating habits, and in ensuring safety for friends at risk. This study point to the need of health communicators to utilize  identification in health interventions targeting college students.


F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 312
Author(s):  
Laura Martínez García ◽  
Laura Samsó Jofra ◽  
Pablo Alonso-Coello ◽  
Eukane Ansuategi ◽  
Laia Asso Mistral ◽  
...  

Introduction The Informed Health Choices (IHC) project developed learning resources to teach primary school children (10 to 12-year-olds) to assess treatment claims and make informed health choices. The aim of our study is to explore the educational context for teaching and learning critical thinking about health in Spanish primary schools. Methods During the 2020-2021 school year, we will conduct 1) a systematic assessment of educational documents and resources, and 2) semi-structured interviews with key education and health stakeholders. In the systematic assessment of educational documents and resources, we will include state and autonomous communities’ curriculums, school educational projects, and commonly used textbooks and other health teaching materials. In the semi-structured interviews, we will involve education and health policy makers, developers of learning resources, developers of health promotion and educational interventions, head teachers, teachers, families, and paediatric primary care providers. We will design and pilot a data extraction form and a semi-structured interview guide to collect the data. We will perform a quantitative and a qualitative analysis of the data to explore how critical thinking about health is being taught and learned in Spanish primary schools. Conclusion We will identify opportunities for and barriers to teaching and learning critical thinking about health in Spanish primary schools. We will formulate recommendations—for both practice and research purposes—on how to use, adapt (if needed), and implement the IHC resources in this context.


2021 ◽  
Vol 2 (3) ◽  
pp. 143-152
Author(s):  
Jade Stewart ◽  
Lynn Sayer

Background The United Kingdom lost its measles free status in 2019 because of an increase in measles cases, resulting from lowered vaccination uptake. Aims This review aims to gather a deeper understanding about parents' health choices for their children related to this vaccination. Methods A systematic review was carried out with a literature search using CINHAL, MEDLINE and OVID databases to identify information published between September 2016 and February 2020. A critical appraisal of seven studies was completed and a mixed methods synthesis was used to explore the results. Results The review identified factors that contribute to a parent's decision to vaccinate their child against measles, mumps and rubella. Five themes emerged: parental knowledge, attitudes and beliefs; safety concerns; specific groups related to religion and natural lifestyles; socioeconomic factors; and the source of health information. Conclusions Ongoing health promotion is required for the UK to work towards regaining its measles free status.


2021 ◽  
pp. 179-196
Author(s):  
Christopher Dye

The argument in this book rests on a simple proposition: understanding the reason why people prefer to take a chance on sickness and cure is the key to persuading them when and why they should choose prevention instead. This final chapter summarizes the means of persuasion: investigate rather than presuppose which criteria are used to make health choices; build systems for accounting (inclusive costs and benefits of prevention) and for accountability (liability and responsibility); offer ways to improve health, not merely ways to avoid losing it; evaluate, in order to manage, the perceptions linked to health hazards; exploit the logic of choice to insure against the risk of unlikely disasters, to increase the present value of future threats, to foster cooperation as a basis for prevention, to map out the practical pathways to prevention, and to remedy the under-investment in prevention research. The tools of prevention are the means to a greater end—health as a ‘state of complete physical, mental, and social well-being’.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Maria Goretti Catur Yuantari ◽  
Enny Rachmani ◽  
Eti Rimawati ◽  
Sri Handayani ◽  
Edi Jaya Kusuma

Objective and Background: The high number of Covid-19 cases until the end of 2020 is acomplicated problem in all countries including Indonesia. The dilemma between health choices or thecontinuity of life to keep working and making ends meet has become a struggle during the Covid-19pandemic. The purpose of this study was to analyze the application of health protocols to the level ofadherence to informal workers during the Covid-19 pandemic.Method: This research method using cross-sectional, data collection was done by interviewmethod. The population of this research is in the informal work unit in the district Tanjung MasSemarang, and we obtained a sample of 52 respondents. Data processing SPSS program andbivariate test using Fisher Exact Test.Result: The results of this study are there is a relationship between the application of healthprotocols with the level of compliance in the workplace with a p-value of 0.000. The low availability ofsanitation facilities in implementing health protocols by workplace leaders and the lack of monitoringby leaders are one of the reasons for the high number of Covid-19 cases.Keywords: Covid-19, health protocol, level of compliance, workplace.


F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 312
Author(s):  
Laura Martínez García ◽  
Laura Samsó Jofra ◽  
Pablo Alonso-Coello ◽  
Eukane Ansuategi ◽  
Laia Asso Mistral ◽  
...  

Introduction The Informed Health Choices (IHC) project developed learning resources to teach primary school children (10 to 12-year-olds) to assess treatment claims and make informed health choices. The aim of our study is to explore the educational context for teaching and learning critical thinking about health in Spanish primary schools. Methods During the 2020-2021 school year, we will conduct 1) a systematic assessment of educational documents and resources, and 2) semi-structured interviews with key education and health stakeholders. In the systematic assessment of educational documents and resources, we will include state and autonomous communities’ curriculums, school educational projects, and commonly used textbooks and other health teaching materials. In the semi-structured interviews, we will involve education and health policy makers, developers of learning resources, developers of health promotion and educational interventions, head teachers, teachers, families, and paediatric primary care providers. We will design and pilot a data extraction form and a semi-structured interview guide to collect the data. We will perform a quantitative and a qualitative analysis of the data to explore how critical thinking about health is being taught and learned in Spanish primary schools. Conclusion We will identify opportunities for and barriers to teaching and learning critical thinking about health in Spanish primary schools. We will formulate recommendations—for both practice and research purposes—on how to use, adapt (if needed), and implement the IHC resources in this context.


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