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Estágios de mudança de comportamento e fatores associados à prática de atividade física em indivíduos com claudicação intermitente; Stages of health behavior change and factors associated with physical activity in patients with intermittent claudication

Oliveira, Jacilene Guedes de; Barbosa, João Paulo dos Anjos Souza; Farah, Breno Quintella; Chehuen, Marcel da Rocha; Cucato, Gabriel Grizzo; Wolosker, Nelson; Forjaz, Cláudia Lúcia de Moraes; Dias, Raphael Mendes Ritti
Fonte: Instituto Israelita de Ensino e Pesquisa Albert Einstein Publicador: Instituto Israelita de Ensino e Pesquisa Albert Einstein
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
55.95%
OBJECTIVE: To analyze, in people with intermittent claudication, the frequency of individuals who are in each of stages of health behavior change to practice physical activity, and analyze the association of these stages with the walking capacity. METHODS: We recruited 150 patients with intermittent claudication treated at a tertiary center, being included those >30-year-old-individuals and who had ankle-arm index <0.90. We obtained socio-demographic information, presence of comorbidities and cardiovascular risk factors and stages of health behavior change to practice physical activity through a questionnaire, they being pre-contemplation, contemplation, preparation, action and maintenance. Moreover, the walking capacity was measured in a treadmill test (Gardner protocol). RESULTS: Most individuals were in the maintenance stage (42.7%), however, when the stages of health behavior change were categorized into active (action and maintenance) and inactive (pre-contemplation, contemplation and preparation),51.3% of the individuals were classified as inactive behavior. There was no association between stages of health behavior change, sociodemographic factors and cardiovascular risk factors. However, patients with intermittent claudication who had lower total walking distance were three times more likely to have inactive behavior. CONCLUSION: Most patients with intermittent claudication showed an inactive behavior and...

Associação entre comportamentos em saúde bucal e variáveis biopsicossociais em escolares de Piracicaba-SP = : Association between oral health behavior and biopsychosocial variables in students from Piracicaba-SP; Association between oral health behavior and biopsychosocial variables in students from Piracicaba-SP

Luale Leão Ferreira
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 27/02/2015 PT
Relevância na Pesquisa
55.95%
Considerando o crescente interesse da odontologia em conceber a saúde bucal para além do paradigma biomédico, visando atender aos preceitos do modelo biopsicossocial e de prevenção e promoção da saúde, o presente trabalho teve como objetivo geral avaliar comportamentos em saúde bucal e variáveis biopsicossociais que permeiam a saúde bucal em escolares. Para tanto, foram desenvolvidas três análises baseadas em levantamento epidemiológico observacional com delineamento transversal, que apresentou os seguintes objetivos específicos: 1. Avaliar as variáveis de desfecho frequência de consultas odontológicas e prevalência de cárie, investigando sua associação com variáveis psicossociais e nível socioeconômico; 2. Investigar a ansiedade frente ao tratamento odontológico nos escolares, e testar associações entre a ansiedade, condições clínicas odontológicas, variáveis psicossociais e socioeconômicas; 3. Avaliar a existência de associações entre odontalgia e fatores socioeconômicas, condições de saúde bucal e variáveis psicossociais. Para o estudo 1 e 2, a amostra foi composta por de 532 escolares de 15 anos de idade, provenientes de escolas públicas estaduais de Piracicaba, São Paulo. Para o estudo 3...

Stages of health behavior change and factors associated with physical activity in patients with intermittent claudication

Oliveira,Jacilene Guedes de; Barbosa,João Paulo dos Anjos Souza; Farah,Breno Quintella; Chehuen,Marcel da Rocha; Cucato,Gabriel Grizzo; Wolosker,Nelson; Forjaz,Cláudia Lúcia de Moraes; Dias,Raphael Mendes Ritti
Fonte: Instituto Israelita de Ensino e Pesquisa Albert Einstein Publicador: Instituto Israelita de Ensino e Pesquisa Albert Einstein
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2012 EN
Relevância na Pesquisa
55.95%
OBJECTIVE: To analyze, in people with intermittent claudication, the frequency of individuals who are in each of stages of health behavior change to practice physical activity, and analyze the association of these stages with the walking capacity. METHODS: We recruited 150 patients with intermittent claudication treated at a tertiary center, being included those >30-year-old-individuals and who had ankle-arm index <0.90. We obtained socio-demographic information, presence of comorbidities and cardiovascular risk factors and stages of health behavior change to practice physical activity through a questionnaire, they being pre-contemplation, contemplation, preparation, action and maintenance. Moreover, the walking capacity was measured in a treadmill test (Gardner protocol). RESULTS: Most individuals were in the maintenance stage (42.7%), however, when the stages of health behavior change were categorized into active (action and maintenance) and inactive (pre-contemplation, contemplation and preparation),51.3% of the individuals were classified as inactive behavior. There was no association between stages of health behavior change, sociodemographic factors and cardiovascular risk factors. However, patients with intermittent claudication who had lower total walking distance were three times more likely to have inactive behavior. CONCLUSION: Most patients with intermittent claudication showed an inactive behavior and...

Embracing Chaos and Complexity: A Quantum Change for Public Health

Resnicow, Kenneth; Page, Scott E.
Fonte: American Public Health Association Publicador: American Public Health Association
Tipo: Artigo de Revista Científica
Publicado em /08/2008 EN
Relevância na Pesquisa
55.84%
Public health research and practice have been guided by a cognitive, rational paradigm where inputs produce linear, predictable changes in outputs. However, the conceptual and statistical assumptions underlying this paradigm may be flawed. In particular, this perspective does not adequately account for nonlinear and quantum influences on human behavior. We propose that health behavior change is better understood through the lens of chaos theory and complex adaptive systems. Key relevant principles include that behavior change (1) is often a quantum event; (2) can resemble a chaotic process that is sensitive to initial conditions, highly variable, and difficult to predict; and (3) occurs within a complex adaptive system with multiple components, where results are often greater than the sum of their parts.

Meta-Synthesis of Health Behavior Change Meta-Analyses

Johnson, Blair T.; Scott-Sheldon, Lori A.J.; Carey, Michael P.
Fonte: American Public Health Association Publicador: American Public Health Association
Tipo: Artigo de Revista Científica
Publicado em /11/2010 EN
Relevância na Pesquisa
55.74%
Objectives. We integrated and compared meta-analytic findings across diverse behavioral interventions to characterize how well they have achieved change in health behavior.

Health Behavior in Ecological Context

Simons-Morton, Bruce
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.02%
Health is best understood within an ecological context. Accordingly, health promotion involves processes that foster supportive environments and healthful behavior. Thus, effective health promotion programs are typically multilevel, focusing not only on the population at risk but also on the environmental conditions that contribute so importantly to health and health behavior. Health behavior is important at each societal level. Arguably, accomplishment of health promotion goals at each societal level requires changes in the behavior of those who control or influence the health outcomes of interest. Recognition of three distinct types of health behavior can guide multilevel health promotion program planning. Personal-health behavior affects the health of the person who engages in that behavior. Health-related behavior includes actions taken by proximal others that directly affect the health of others, although usually not purposefully. Health-protective behavior is undertaken purposefully to foster the health of others. Regardless of the outcome of interest or societal level, similar health promotion processes can be employed to alter health behavior.

Effects of Physical Examination and Diet Consultation on Serum Cholesterol and Health-behavior in the Korean Pilots Employed in Commercial Airline

CHOI, Yun Young; KIM, Ki Youn
Fonte: National Institute of Occupational Safety and Health, Japan Publicador: National Institute of Occupational Safety and Health, Japan
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
55.74%
An objective of this study is to search how physical examination and diet consultation can influence those risk factors of cardiovascular disease. The subjects were 326 pilots of the “B” airline company in Korea whose total cholesterol values were over 220 mg/dl on their regular physical examinations from April 2006 to December 2008. They were divided into two groups, one who had diet consultation (an intervention group) and a control group. The physical examination components used to each group were body mass index (BMI), total cholesterol (TC), high density lipoprotein (HDL), low density lipoprotein (LDL) and triglyceride (TG). The behavioral, anthropometric and biomedical measurements were collected at each visit. This study compares and investigates the changes of serum cholesterol and also the health-behavior at each physical examination. Within the intervention group significant improvements were observed for total cholesterol, BMI (body mass index) and HDL (high density lipoprotein). The normalizing rates for cholesterol level to decrease down to lower than 200 mg/dl were 17.7% in intervention group and 8.7% in control group, which is statistically significantly higher among the intervention group. The odds ratio of diet consultation was 2.80 (95% CI=1.35–5.79)...

Self-reported health status and lifestyle behaviours of the residents of the Town of Fort Erie, Ontario, as related to the Canadian Community Health Survey

Morris-Tries, Deanna Elizabeth.
Fonte: Brock University Publicador: Brock University
Tipo: Electronic Thesis or Dissertation
ENG
Relevância na Pesquisa
55.76%
The purpose of this cross sectional survey design was to examine self-reported health status and lifestyle behaviours of the residents of the Town of Fort Erie, Ontario, as related to the Canadian Community Health Survey. Using a mail-out survey, entitled the Fort Erie Survey of Health (FESH), a probability cluster sampling technique was used to measure self-reported health status (present health, health conditions, health challenges, functional health limitations) and lifestyle behaviour (smoking, alcohol use, drug use, physical activity, fruit and vegetable consumption, body weight, and gaming). Each variable was described and analyzed in relation to socio-economic variables, age and gender. The findings from this study were compared to the Canadian Community Health Survey 2000/2001. Overall, 640 surveys were completed. The majority of Fort Erie residents rated their present health as good and were satisfied with their overall health and quality of life. The main chronic conditions reported were arthritis, back pain and heart disease. Other main health problems reported were vision, sleeping and chronic pain. Overall, 14.6% smoke; 58.8% engaged in physical activity either occasionally or never as opposed to regularly engaging in physical activity; 52.1% did not eat the required daily fruits and vegetables; and 40.0% were in the overweight category. Persons who practiced one healthy lifestyle behaviour were more likely to practice other healthy promoting behaviours. Therefore...

Do Economic Crises Lead to Health and Nutrition Behavior Responses? Analysis Using Longitudinal Data from Russia

Nikoloski, Zlatko; Ajwad, Mohamed Ihsan
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
Relevância na Pesquisa
55.97%
Using longitudinal data on more than 2,000 Russian families spanning the period between 2007 and 2010, this paper estimates the impact of the 2009 global financial crisis on food expenditures, health care expenditures, and doctor visits in Russia. The primary estimation strategy adopted is the semi-parametric difference-in-difference with propensity score matching technique. The analysis finds that household health and nutritional behavior indicators do not vary statistically between households that were crisis-affected and households that were not affected by the crisis. However, the analysis finds that crisis-affected poor families curtailed their out-of-pocket health expenditures during and after the crisis more than poor families that were not affected by the crisis did. In addition, crisis-affected vulnerable groups changed their health behavior. In particular, households with low educational attainment of household heads and households with more elderly people changed their health and nutrition behavior response when affected by the crisis. The results are invariant to the propensity score matching techniques and parametric fixed effects estimation models.

Timor Leste : Health Equity and Financial Protection Project

World Bank
Fonte: Washington, DC Publicador: Washington, DC
EN_US
Relevância na Pesquisa
55.88%
This report analyses equity and financial protection in the health sector of Timor-Leste. In particular, it examines inequalities in health outcomes, health behavior and health care utilization; benefit incidence analysis; financial protection; and the progressivity of health care financing. Data are drawn from the 2009/2010 Demographic and Health Survey, the 2001-2002 and 2007-2008 Living Standards and Measurement Surveys as well as 2011-2012 Household Income Expenditure Survey, and the Ministry of Finance. All analyses are conducted using original data and performed using the health modules of the ADePT software.

The effect of health behavior change on self-rated health across the adult life course: a longitudinal cohort study

Sargent-Cox, Kerry; Cherbuin, Nicolas; Morris, Lara; Butterworth, Peter; Anstey, Kaarin J
Fonte: Elsevier Publicador: Elsevier
Tipo: Artigo de Revista Científica Formato: 6 pages
Relevância na Pesquisa
55.82%
OBJECTIVE. While it is clear that health behaviors are related to self-rated health (SRH), it is less clear if maintaining positive behaviors, or improving, can protect SRH over time. METHOD. SRH trajectories were modeled in a large representative Australian sample (n = 7485 at baseline), of three age cohorts (20–24, 40–44 and 60–64 years at baseline; 1999, 2000 & 2001 respectively), over an 8 year period. Change in smoking, alcohol consumption and physical activity on SRH trajectories were examined, controlling for demographic, physical and mental health factors. RESULTS. SRH became poorer over time across the sample. Being a non-smoker was associated with more positive SRH levels across all groups. Maintaining or increasing moderate physical activity was associated with less decline in SRH CONCLUSIONS. Findings highlight the benefits of positive health behaviors, particularly performing regular physical activity over time, for reducing the risk of subjective health becoming poorer across the adult life course.; This study was supported by the NHMRC Grant No. 973302, Program Grant Nos. 179805 and 350833, NHMRC Project Grant No. 157125. KS-C is funded by the Australian Research Council Centre of Excellence in Population Ageing Research (#CE110001029). KA is funded by NHMRC Fellowship #1002560. NC is funded by an ARC Future Fellowship #120100227.

Emergence of socioeconomic inequalities in smoking and overweight and obesity in early adulthood: The National Longitudinal Study of Adolescent Health

Yang, S.; Lynch, J.; Schulenberg, J.; Diez Roux, A.; Raghunathan, T.
Fonte: Amer Public Health Assoc Inc Publicador: Amer Public Health Assoc Inc
Tipo: Artigo de Revista Científica
Publicado em //2008 EN
Relevância na Pesquisa
55.69%
OBJECTIVES: We examined whether socioeconomic inequalities in smoking and overweight and obesity emerged in early adulthood and the contribution of family background, adolescent smoking, and body mass index to socioeconomic inequalities. METHODS: Using data from the National Longitudinal Study of Adolescent Health we employed multinomial regression analyses to estimate relative odds of heavy or light-to-moderate smoking to nonsmoking and of overweight or obesity to normal weight. RESULTS: For smoking, we found inequalities by young adult socioeconomic position in both genders after controlling for family background and smoking during adolescence. However, family socioeconomic position was not strongly associated with smoking in early adulthood. For overweight and obesity, we found socioeconomic inequalities only among women both by young adult and family socioeconomic position after adjusting for birthweight, other family background, and body mass index during adolescence. CONCLUSIONS: Socioeconomic inequalities in smoking emerged in early adulthood according to socioeconomic position. Among women, inequalities in overweight or obesity were already evident by family socioeconomic position and strengthened by their own socioeconomic position. The relative importance of family background and current socioeconomic circumstances varied between smoking and overweight or obesity.; Seungmi Yang...

Theoretical Approaches to Health Behavior

Camarneiro, Ana Paula Forte
Fonte: Escola Superior de Enfermagem de Coimbra Publicador: Escola Superior de Enfermagem de Coimbra
Tipo: Conferência ou Objeto de Conferência
Publicado em 25/05/2012 ENG
Relevância na Pesquisa
55.79%
Theoretical Approaches to Health Behavior

The effect of health behavior change on self-rated health across the adult life course: a longitudinal cohort study

Sargent-Cox, Kerry; Cherbuin, Nicolas; Morris, Lara; Butterworth, Peter; Anstey, Kaarin J.
Fonte: Elsevier Publicador: Elsevier
Tipo: Artigo de Revista Científica Formato: 6 pages
Relevância na Pesquisa
55.83%
Objective. While it is clear that health behaviors are related to self-rated health (SRH), it is less clear if maintaining positive behaviors, or improving, can protect SRH over time. Method. SRH trajectoriesweremodeled in a large representative Australian sample (n = 7485 at baseline), of three age cohorts (20–24, 40–44 and 60–64 years at baseline; 1999, 2000 & 2001 respectively), over an 8 year period. Change in smoking, alcohol consumption and physical activity on SRH trajectories were examined, controlling for demographic, physical and mental health factors. Results. SRH became poorer over time across the sample. Being a non-smoker was associated with more positive SRH levels across all groups. Maintaining or increasing moderate physical activity was associated with less decline in SRH. Conclusions. Findings highlight the benefits of positive health behaviors, particularly performing regular physical activity over time, for reducing the risk of subjective health becoming poorer across the adult life course.

The role of self-presentation in adolescent health risk behaviours

Roth, Kelly.
Fonte: Brock University Publicador: Brock University
Tipo: Electronic Thesis or Dissertation
ENG
Relevância na Pesquisa
55.85%
Self-presentation has been identified as playing a key role in the perfonnance of various potentially hazardous health behaviours such as substance abuse, eating disorders and reckless behaviours (Leary, Tchividjian, & Kraxberger, 1994; Martin & Leary, 2001; Martin, Leary, & O'Brien, 2001). The present study investigated the role of selfpresentation on adolescent health-risk behaviours. Specifically, this study examined the prevalence of adolescent identified health-risk behaviours rooted in self-presentational motives in youths aged 13-18 years. The current study also identified the specific images associated with these behaviours desired by youth, and the targets of these behaviours. Also, the relationship between these behaviours, and several trait measures (social physique anxiety, public-self consciousness, fear of negative evaluations, selfpresentational efficacy) of self-presentation were examined. Finally, the gender differences in health risk behaviours and self-presentational concerns were examined. Participants in the present study were 96 adolescent students, 34 male and 62 female, recruited from various private schools across Southern Ontario. Students ranged in age from 13 to 18 years for both males (M age = 15.81 years...

Exploring Chinese-Canadians' perspectives on health : a quantitative study

Chen, Dengshu.
Fonte: Brock University Publicador: Brock University
Tipo: Electronic Thesis or Dissertation
ENG
Relevância na Pesquisa
55.75%
Chinese have unique perspectives on health and illness, which is mostly umecognized by western medicine. Immigration may contribute to problems with health consultations, inconvenience, and dissatisfaction. As the largest visible minority in Canada, Chinese- Canadians' perspectives on health should be studied in order to help Chinese immigrants adapt to a new health-care and health-promotion system, and keep them healthy. A quantitative questionnaire was designed based on the findings from a pilot study and previous literature. A hundred participants were recruited from Toronto, Vancouver, Halifax, and St. Catharines. Descriptive analysis and correlation analysis were used to investigate the structure of the variables. Findings indicated that most oftheir attitudes and corresponding practices to the different health aspects were positive. The relation between dietary practices and attitude was only found in small cities. Their attitudes were impacted by their length of stay in Canada. Their attitudes to regularly timed meals and psychological consultation were related to their acculturation level, as was the regularity of their practice of dental flossing. Their self-evaluated general health levels were also found to be affected by their medical history...

Spousal concordance in health behavior change.

Falba, TA; Sindelar, JL
Fonte: Universidade Duke Publicador: Universidade Duke
Tipo: Artigo de Revista Científica Formato: 96 - 116
Publicado em /02/2008 ENG
Relevância na Pesquisa
55.9%
OBJECTIVE: This study examines the degree to which a married individual's health habits and use of preventive medical care are influenced by his or her spouse's behaviors. STUDY DESIGN: Using longitudinal data on individuals and their spouses, we examine changes over time in the health habits of each person as a function of changes in his or her spouse's health habits. Specifically, we analyze changes in smoking, drinking, exercising, cholesterol screening, and obtaining a flu shot. DATA SOURCE: This study uses data from the Health and Retirement Study (HRS), a nationally representative sample of individuals born between 1931 and 1941 and their spouses. Beginning in 1992, 12,652 persons (age-eligible individuals as well as their spouses) from 7,702 households were surveyed about many aspects of their life, including health behaviors, use of preventive services, and disease diagnosis. SAMPLE: The analytic sample includes 6,072 individuals who are married at the time of the initial HRS survey and who remain married and in the sample at the time of the 1996 and 2000 waves. PRINCIPAL FINDINGS: We consistently find that when one spouse improves his or her behavior, the other spouse is likely to do so as well. This is found across all the behaviors analyzed...

Estudo comparativo de condutas de saúde entre universitários no início e no final do curso; Comparative study of health behavior among college students at the start and end of their courses

Franca, Carolina da; Colares, Viviane
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf; application/pdf
Publicado em 01/06/2008 POR; ENG
Relevância na Pesquisa
65.94%
OBJETIVO: Analisar as diferenças nas condutas de saúde de estudantes da área de saúde de universidades públicas no início e no final do curso. MÉTODOS: Estudo realizado com amostra estratificada por curso e por universidade, de 735 estudantes de ciências da saúde de universidades públicas do estado de Pernambuco, em 2006. Os dados foram coletados com a aplicação do questionário National College Health Risk Behavior Survey, validado previamente para utilização com estudantes universitários. Para análise de associação foi utilizado o teste qui-quadrado ou exato de Fisher. Os resultados foram considerados significantes para p; OBJECTIVE: To analyze differences in health behavior among students studying health related subjects in public universities, between the beginning and end of their courses. METHODS: The study sample comprised 735 students in health sciences at the public universities in Pernambuco state (Northeastern Brazil) in 2006. The data were collected by means of the National College Health Risk Behavior Survey that had been validated previously for use among university students. Descriptive and inferential statistical techniques were used. The chi-square test or Fisher's exact test was used to analyze associations. Results were considered to be significant for p

Health-promoting schools: an opportunity for oral health promotion

Kwan,Stella Y.L.; Petersen,Poul Erik; Pine,Cynthia M.; Borutta,Annerose
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2005 EN
Relevância na Pesquisa
55.75%
Schools provide an important setting for promoting health, as they reach over 1 billion children worldwide and, through them, the school staff, families and the community as a whole. Health promotion messages can be reinforced throughout the most influential stages of children's lives, enabling them to develop lifelong sustainable attitudes and skills. Poor oral health can have a detrimental effect on children's quality of life, their performance at school and their success in later life. This paper examines the global need for promoting oral health through schools. The WHO Global School Health Initiative and the potential for setting up oral health programmes in schools using the health-promoting school framework are discussed. The challenges faced in promoting oral health in schools in both developed and developing countries are highlighted. The importance of using a validated framework and appropriate methodologies for the evaluation of school oral health projects is emphasized.

Malaria in the United Republic of Tanzania: cultural considerations and health-seeking behaviour

Oberländer,Lars; Elverdan,Beth
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/11/2000 EN
Relevância na Pesquisa
55.69%
Malaria is one of the biggest health problems in sub-Saharan Africa. Large amounts of resources have been invested to control and treat it. Few studies have recognized that local explanations for the symptoms of malaria may lead to the attribution of different causes for the disease and thus to the seeking of different treatments. This article illustrates the local nosology of Bondei society in the north-eastern part of the United Republic of Tanzania and shows how sociocultural context affects health-seeking behaviour. It shows how in this context therapy is best viewed as a process in which beliefs and actions are continuously debated and evaluated throughout the course of treatment.