RESUMO
Fluorides are contaminants that occur frequently and, generally, naturally in groundwater, affecting countries that depend on these waters for irrigation and human consumption. Chronic exposure to fluorides generates various health effects; therefore, this research was based on education and risk communication to contribute to the resolution of the problem of fluoride exposure in the population. The objective was to develop the capacity to design risk communication programs for personnel involved in the response and management of environmental health risks, with emphasis on fluoride exposure. An online pilot training course on risk communication and fluoride exposure was designed and implemented. For the analysis of the risk perception and knowledge of the participants, before and after the course, a questionnaire was applied and a focus group was conducted. In addition, the participants carried out a series of activities and designed a risk communication program to assess the degree to which the capacity to develop risk communication programs was achieved. To improve the pilot course, two satisfaction surveys were designed and implemented, and a SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis was conducted. The results showed an increase in the level of knowledge and changes in the participants' perception; regarding the ability to design risk communication programs, two participants were able to design them excellently. Previous experience, motivation, commitment to learn and the feedback provided during the course influenced the development of this ability.
Los fluoruros son contaminantes presentes con frecuencia y generalmente de forma natural en aguas subterráneas, y afectan a países que dependen de estas aguas para el riego y el consumo humano. La exposición crónica a fluoruros genera diversos efectos a la salud; por lo anterior, esta investigación se basó en la educación y la comunicación de riesgos para contribuir a la resolución del problema de exposición a fluoruros en la población. El objetivo fue desarrollar la capacidad de diseñar programas de comunicación de riesgos del personal involucrado en la respuesta y manejo de los riesgos ambientales para la salud, con énfasis en la exposición a fluoruros. Se diseñó e implementó un curso piloto de formación en línea sobre comunicación de riesgos y exposición a fluoruros. Para el análisis de la percepción de riesgos y conocimientos de los participantes, antes y después del curso, se aplicó un cuestionario y se llevó a cabo un grupo focal. Además, los asistentes realizaron una serie de actividades y diseñaron un programa de comunicación de riesgos con el que se valoró el grado en que se alcanzó la capacidad de desarrollar programas de comunicación de riesgos. Para mejorar el curso piloto se diseñaron y aplicaron dos encuestas de satisfacción y se realizó un análisis FODA (Fortalezas, Oportunidades, Debilidades, Amenazas). Los resultados mostraron un incremento en el nivel de conocimientos y cambios en la percepción de los participantes; en cuanto a la capacidad de diseñar programas de comunicación de riesgos, dos participantes lograron diseñarlo de manera excelente. La experiencia previa, la motivación, el compromiso para aprender y la retroalimentación brindada durante el curso, influyeron en el desarrollo de esta capacidad.
Os fluoretos são contaminantes que ocorrem com frequência e, geralmente, de forma natural nas águas subterrâneas, afetando os países que dependem dessas águas para irrigação e consumo humano. A exposição crônica aos fluoretos gera vários efeitos à saúde; portanto, esta pesquisa baseou-se na educação e na comunicação de riscos para contribuir com a solução do problema da exposição ao fluoreto na população. O objetivo foi desenvolver a capacidade de elaborar programas de comunicação de risco para o pessoal envolvido na resposta e no gerenciamento de riscos ambientais à saúde, com ênfase na exposição à fluoretos. Foi elaborado e implementado um curso piloto de treinamento online sobre comunicação de riscos e exposição. Para a análise da percepção de risco e do conhecimento dos participantes antes e depois do curso, foi aplicado um questionário e aplicado um grupo de foco. Além disso, os participantes realizaram uma série de atividades e elaboraram um programa de comunicação de riscos para avaliar até que ponto a capacidade de desenvolver programas de comunicação de riscos foi alcançada. Para aprimorar o curso piloto, foram duas pesquisas de satisfação foram desenvolvidas e implementadas e uma análise FOFA (Forças, Oportunidades, Fraquezas e Ameaças) foi aplicada. Os resultados mostraram um aumento no nível de conhecimento e mudanças nas percepções dos participantes; em termos da capacidade de elaborar programas de comunicação de riscos, dois participantes conseguiram elaborar excelentes programas de comunicação de riscos. A experiência prévia, a motivação, o compromisso com o aprendizado e o feedback fornecido durante o curso influenciaram o desenvolvimento dessa capacidade.
Assuntos
Comunicação , Educação a Distância , Exposição Ambiental , Saúde Ambiental , Fluoretos , Educação em Saúde , Educadores em Saúde , Fatores de Risco , Humanos , Educação Baseada em Competências , Educação a Distância/métodos , Exposição Ambiental/efeitos adversos , Saúde Ambiental/educação , Saúde Ambiental/métodos , Fluoretos/administração & dosagem , Fluoretos/efeitos adversos , Grupos Focais , Feedback Formativo , Água Subterrânea/química , Educação em Saúde/métodos , Internet , Motivação , Projetos Piloto , Avaliação de Programas e Projetos de Saúde , CriançaRESUMO
Resumen: Los fluoruros son contaminantes presentes con frecuencia y generalmente de forma natural en aguas subterráneas, y afectan a países que dependen de estas aguas para el riego y el consumo humano. La exposición crónica a fluoruros genera diversos efectos a la salud; por lo anterior, esta investigación se basó en la educación y la comunicación de riesgos para contribuir a la resolución del problema de exposición a fluoruros en la población. El objetivo fue desarrollar la capacidad de diseñar programas de comunicación de riesgos del personal involucrado en la respuesta y manejo de los riesgos ambientales para la salud, con énfasis en la exposición a fluoruros. Se diseñó e implementó un curso piloto de formación en línea sobre comunicación de riesgos y exposición a fluoruros. Para el análisis de la percepción de riesgos y conocimientos de los participantes, antes y después del curso, se aplicó un cuestionario y se llevó a cabo un grupo focal. Además, los asistentes realizaron una serie de actividades y diseñaron un programa de comunicación de riesgos con el que se valoró el grado en que se alcanzó la capacidad de desarrollar programas de comunicación de riesgos. Para mejorar el curso piloto se diseñaron y aplicaron dos encuestas de satisfacción y se realizó un análisis FODA (Fortalezas, Oportunidades, Debilidades, Amenazas). Los resultados mostraron un incremento en el nivel de conocimientos y cambios en la percepción de los participantes; en cuanto a la capacidad de diseñar programas de comunicación de riesgos, dos participantes lograron diseñarlo de manera excelente. La experiencia previa, la motivación, el compromiso para aprender y la retroalimentación brindada durante el curso, influyeron en el desarrollo de esta capacidad.
Abstract: Fluorides are contaminants that occur frequently and, generally, naturally in groundwater, affecting countries that depend on these waters for irrigation and human consumption. Chronic exposure to fluorides generates various health effects; therefore, this research was based on education and risk communication to contribute to the resolution of the problem of fluoride exposure in the population. The objective was to develop the capacity to design risk communication programs for personnel involved in the response and management of environmental health risks, with emphasis on fluoride exposure. An online pilot training course on risk communication and fluoride exposure was designed and implemented. For the analysis of the risk perception and knowledge of the participants, before and after the course, a questionnaire was applied and a focus group was conducted. In addition, the participants carried out a series of activities and designed a risk communication program to assess the degree to which the capacity to develop risk communication programs was achieved. To improve the pilot course, two satisfaction surveys were designed and implemented, and a SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis was conducted. The results showed an increase in the level of knowledge and changes in the participants' perception; regarding the ability to design risk communication programs, two participants were able to design them excellently. Previous experience, motivation, commitment to learn and the feedback provided during the course influenced the development of this ability.
Resumo: Os fluoretos são contaminantes que ocorrem com frequência e, geralmente, de forma natural nas águas subterrâneas, afetando os países que dependem dessas águas para irrigação e consumo humano. A exposição crônica aos fluoretos gera vários efeitos à saúde; portanto, esta pesquisa baseou-se na educação e na comunicação de riscos para contribuir com a solução do problema da exposição ao fluoreto na população. O objetivo foi desenvolver a capacidade de elaborar programas de comunicação de risco para o pessoal envolvido na resposta e no gerenciamento de riscos ambientais à saúde, com ênfase na exposição à fluoretos. Foi elaborado e implementado um curso piloto de treinamento online sobre comunicação de riscos e exposição. Para a análise da percepção de risco e do conhecimento dos participantes antes e depois do curso, foi aplicado um questionário e aplicado um grupo de foco. Além disso, os participantes realizaram uma série de atividades e elaboraram um programa de comunicação de riscos para avaliar até que ponto a capacidade de desenvolver programas de comunicação de riscos foi alcançada. Para aprimorar o curso piloto, foram duas pesquisas de satisfação foram desenvolvidas e implementadas e uma análise FOFA (Forças, Oportunidades, Fraquezas e Ameaças) foi aplicada. Os resultados mostraram um aumento no nível de conhecimento e mudanças nas percepções dos participantes; em termos da capacidade de elaborar programas de comunicação de riscos, dois participantes conseguiram elaborar excelentes programas de comunicação de riscos. A experiência prévia, a motivação, o compromisso com o aprendizado e o feedback fornecido durante o curso influenciaram o desenvolvimento dessa capacidade.
RESUMO
Non-communicable diseases (NCD), are not transmitted from person to person, are long-lasting and usually of slow evolution. Worldwide cause 71% deaths, in Mexico during 2016 were the cause of 80% of registered deaths; population in socioeconomic disadvantage is more vulnerable. It is urgent to develop strategies that can prevent NCD, thus, the objective of this study was to design, implement and evaluate an educational intervention strategy (EI), to prevent and control risk factors for the development NCD in families of two vulnerable communities. The research design was mixed, the stages were developed based on a risk communication (RC) model and was performed in three stages: 1) EI Design, 2) Implementation and 3) Evaluation of the intervention. In the contextualization, risk factors were found in the participants who were integrated in the design of the educational strategy. The EI implemented was effective in increasing knowledge about NCD and practice of healthy habits, such as increasing the consumption of fruits and vegetables. Additionally, the guidance of EI at the family level has the advantage of creating a support network for these changes. However, pending issues remain, such as the design of effective strategies to reduce the consumption of sugars and sugary drinks.
Assuntos
Doenças não Transmissíveis , Humanos , México , Doenças não Transmissíveis/epidemiologia , Doenças não Transmissíveis/prevenção & controle , Avaliação de Programas e Projetos de Saúde , Fatores de Risco , VerdurasRESUMO
Background and objectives: To identify the relationship between neck circumference (NC) and cardiometabolic risk factors in children. Materials and Methods: Children and adolescents 6-18 years old (n = 548) from five counties of San Luis Potosí, México were included. Data was collected for biological markers (glucose and lipid profile) and anthropometric and clinical measurements-weight, height, NC, waist circumference (WC), and blood pressure (BP). Body mass index (BMI) was calculated using Quetelet formula (kg/m2). Descriptive analysis, correlation tests, and receiver operating characteristic (ROC) analysis were performed. Results: NC was highly correlated with BMI and WC in both genders (p <0.0001). The most frequent risk factor was high BMI (38.7%). Sensitivity and specificity analysis of NC and high BMI showed an area under the ROC curve of 0.887. Conclusions: According to our findings, NC is a simple, low-cost, and non-invasive measurement, which has a high association with high BMI and increased WC.
Assuntos
Antropometria/métodos , Doenças Metabólicas/classificação , Pescoço , Pesos e Medidas/normas , Adolescente , Antropometria/instrumentação , Índice de Massa Corporal , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Doenças Metabólicas/fisiopatologia , México , Pediatria/instrumentação , Pediatria/métodos , Medição de Risco/métodos , Medição de Risco/normas , Fatores de Risco , Pesos e Medidas/instrumentaçãoRESUMO
Objective To carry out a diagnosis of children's environmental health and an analysis of risk perception in indigenous communities of the Huasteca Sur region of San Luis Potosí, Mexico, in order to design an intervention strategy in line with their needs. Methods The study used mixed methods research, carried out in two phases. It was conducted in three indigenous communities of Tancanhuitz municipality from January 2005 to June 2006. In the adult population, risk perception was analyzed through focus groups, in-depth interviews, and questionnaires. In the child population, analysis of children's drawings was used to study perception. An assessment of health risks was carried out through biological monitoring and environmental monitoring of water and soil. Results The three communities face critical problems that reveal their vulnerability. When the results were triangulated and integrated, it was found that the principal problems relate to exposure to pathogenic microorganisms in water and soil, exposure to indoor wood smoke, exposure to smoke from the burning of refuse, use of insecticides, exposure to lead from the use of glazed ceramics, and alcoholism. Conclusions To ensure that the intervention strategy is adapted to the target population, it is essential to incorporate risk perception analysis and to promote the participation of community members. The proposed intervention strategy to address the detected problems is based on the principles of risk communication, community participation, and interinstitutional linkage.
Assuntos
Saúde Ambiental , Indígenas Norte-Americanos , Avaliação das Necessidades , Adulto , Poluição do Ar em Ambientes Fechados , Criança , Exposição Ambiental , Grupos Focais , Serviços de Saúde do Indígena , Humanos , México , Risco , Fumaça/efeitos adversos , Microbiologia do Solo , Microbiologia da ÁguaRESUMO
Objetivo. Realizar un diagnóstico de salud ambiental infantil y un análisis de percepción de riesgos en comunidades indígenas de la Región Huasteca Sur de San Luis Potosí, México, para diseñar una estrategia de intervención acorde a sus necesidades. Métodos. La investigación siguió un enfoque mixto realizado en dos fases de estudio. Se desarrolló en tres comunidades indígenas del municipio de Tancanhuitz, desde enero de 2005 hasta junio de 2006. En la población adulta, se analizó la percepción de riesgos mediante grupos focales, entrevistas a profundidad y cédulas de entrevistas. En la población infantil, para el análisis de percepción se utilizó la técnica de dibujo. Se realizó una evaluación de riesgos a la salud a través de un monitoreo biológico y un monitoreo ambiental de agua y suelo. Resultados. Las tres comunidades enfrentan problemas críticos que hacen evidente su vulnerabilidad. Al realizar la triangulación e integración de resultados, se halló que las principales problemáticas se relacionan con la exposición a microorganismos patógenos en el agua y el suelo, la exposición a humo de leña en interiores, la exposición al humo por quema de basura, el uso de insecticidas, la exposición a plomo por uso de barro vidriado y el alcoholismo. Conclusiones. Para que la estrategia de intervención sea acorde a la población que será intervenida, es fundamental incorporar el análisis de percepción de riesgos y fomentar la participación de sus integrantes. La estrategia de intervención que se propone para atender las problemáticas detectadas se basa en los principios de comunicación de riesgo, la participación comunitaria y la vinculación interinstitucional.
Objective. To carry out a diagnosis of children’s environmental health and an analysis of risk perception in indigenous communities of the Huasteca Sur region of San Luis Potosí, Mexico, in order to design an intervention strategy in line with their needs. Methods. The study used mixed methods research, carried out in two phases. It was conducted in three indigenous communities of Tancanhuitz municipality from January 2005 to June 2006. In the adult population, risk perception was analyzed through focus groups, in-depth interviews, and questionnaires. In the child population, analysis of children’s drawings was used to study perception. An assessment of health risks was carried out through biological monitoring and environmental monitoring of water and soil. Results. The three communities face critical problems that reveal their vulnerability. When the results were triangulated and integrated, it was found that the principal problems relate to exposure to pathogenic microorganisms in water and soil, exposure to indoor wood smoke, exposure to smoke from the burning of refuse, use of insecticides, exposure to lead from the use of glazed ceramics, and alcoholism. Conclusions. To ensure that the intervention strategy is adapted to the target population, it is essential to incorporate risk perception analysis and to promote the participation of community members. The proposed intervention strategy to address the detected problems is based on the principles of risk communication, community participation, and interinstitutional linkage.
Assuntos
Saúde Ambiental , Avaliação em Saúde , Exposição Ambiental , Percepção , Povos Indígenas , México , Saúde Ambiental , Exposição Ambiental , Percepção , Povos Indígenas , Avaliação em SaúdeRESUMO
RESUMEN Objetivo Realizar un diagnóstico de salud ambiental infantil y un análisis de percepción de riesgos en comunidades indígenas de la Región Huasteca Sur de San Luis Potosí, México, para diseñar una estrategia de intervención acorde a sus necesidades. Métodos La investigación siguió un enfoque mixto realizado en dos fases de estudio. Se desarrolló en tres comunidades indígenas del municipio de Tancanhuitz, desde enero de 2005 hasta junio de 2006. En la población adulta, se analizó la percepción de riesgos mediante grupos focales, entrevistas a profundidad y cédulas de entrevistas. En la población infantil, para el análisis de percepción se utilizó la técnica de dibujo. Se realizó una evaluación de riesgos a la salud a través de un monitoreo biológico y un monitoreo ambiental de agua y suelo. Resultados Las tres comunidades enfrentan problemas críticos que hacen evidente su vulnerabilidad. Al realizar la triangulación e integración de resultados, se halló que las principales problemáticas se relacionan con la exposición a microorganismos patógenos en el agua y el suelo, la exposición a humo de leña en interiores, la exposición al humo por quema de basura, el uso de insecticidas, la exposición a plomo por uso de barro vidriado y el alcoholismo. Conclusiones Para que la estrategia de intervención sea acorde a la población que será intervenida, es fundamental incorporar el análisis de percepción de riesgos y fomentar la participación de sus integrantes. La estrategia de intervención que se propone para atender las problemáticas detectadas se basa en los principios de comunicación de riesgo, la participación comunitaria y la vinculación interinstitucional.
ABSTRACT Objective To carry out a diagnosis of children’s environmental health and an analysis of risk perception in indigenous communities of the Huasteca Sur region of San Luis Potosí, Mexico, in order to design an intervention strategy in line with their needs. Methods The study used mixed methods research, carried out in two phases. It was conducted in three indigenous communities of Tancanhuitz municipality from January 2005 to June 2006. In the adult population, risk perception was analyzed through focus groups, in-depth interviews, and questionnaires. In the child population, analysis of children’s drawings was used to study perception. An assessment of health risks was carried out through biological monitoring and environmental monitoring of water and soil. Results The three communities face critical problems that reveal their vulnerability. When the results were triangulated and integrated, it was found that the principal problems relate to exposure to pathogenic microorganisms in water and soil, exposure to indoor wood smoke, exposure to smoke from the burning of refuse, use of insecticides, exposure to lead from the use of glazed ceramics, and alcoholism. Conclusions To ensure that the intervention strategy is adapted to the target population, it is essential to incorporate risk perception analysis and to promote the participation of community members. The proposed intervention strategy to address the detected problems is based on the principles of risk communication, community participation, and interinstitutional linkage.
Assuntos
Fatores de Risco , Saúde de Populações Indígenas , Serviços de Saúde do Indígena/provisão & distribuição , MéxicoRESUMO
A metallurgical industry in San Luis Potosí city, México, has contaminated the zone by lead (Pb) and arsenic (As). Since 1989 were reported by our group high concentrations of Pb in blood (PbB) and As in urine (AsU) in the local children. In present work, a Risk Communication Program (RCP) was generated to inform the children about the environmental risks of the site where they live, and to change conducts to diminish the exposure to Pb and As. We worked with 170 children (5 to 7 years) of the zone. The RCP was applied and the evaluation was realized by means of analysis of drawings, questionnaires and biological monitoring. In drawings of the children appeared toxic elements such as Pb, contaminated soil, cigarettes, among others. In the questionnaires applied to the children and family parents it was possible to estimate a change in the knowledge and in some conducts with regard to the pollutants, their effects and their exposure. There was not a decrease in the levels of PbB and in the levels of AsU. These were due probably because the principal route of exposure is not only the soil that had been contemplated previously.
Assuntos
Intoxicação por Arsênico/prevenção & controle , Exposição Ambiental/prevenção & controle , Saúde Ambiental , Comportamentos Relacionados com a Saúde , Educação em Saúde/métodos , Intoxicação por Chumbo/prevenção & controle , Criança , Pré-Escolar , Comunicação , Feminino , Humanos , Masculino , México , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Fatores de RiscoRESUMO
Una industria metalúrgica en la ciudad de San Luis Potosí, México ha contaminado el sitio con plomo (Pb) y arsénico (As) principalmente. Desde 1989 se han reportado por nuestro grupo altas concentraciones de Pb en sangre (PbS) y As en orina (AsO) en los niños del lugar. En el presente estudio se generó un Programa de Comunicación Riesgos (PCR) para informar a los niños sobre los riesgos ambientales del sitio donde viven y que cambiaran conductas para disminuir la exposición al Pb y al As. Se trabajó con 170 niños (5 a 7 años) de la zona. Se aplicó el PCR y se realizó la evaluación mediante análisis de dibujos, cuestionarios y monitoreo biológico. En los dibujos de los niños se encontraron elementos tóxicos tales como el Pb, la tierra contaminada, entre otros. En los cuestionarios aplicados a los niños y a los padres de familia se pudo apreciar un cambio en los conocimientos y en algunas conductas respecto a los contaminantes, sus efectos y su exposición. No se encontró una disminución en los niveles de PbS ni de AsO. Esto quizás porque la principal ruta de exposición no es únicamente el suelo, como se había contemplado anteriormente.
A metallurgical industry in San Luis Potosí city, México, has contaminated the zone by lead (Pb) and arsenic (As). Since 1989 were reported by our group high concentrations of Pb in blood (PbB) and As in urine (AsU) in the local children. In present work, a Risk Communication Program (RCP) was generated to inform the children about the environmental risks of the site where they live, and to change conducts to diminish the exposure to Pb and As. We worked with 170 children (5 to 7 years) of the zone. The RCP was applied and the evaluation was realized by means of analysis of drawings, questionnaires and biological monitoring. In drawings of the children appeared toxic elements such as Pb, contaminated soil, cigarettes, among others. In the questionnaires applied to the children and family parents it was possible to estimate a change in the knowledge and in some conducts with regard to the pollutants, their effects and their exposure. There was not a decrease in the levels of PbB and in the levels of AsU. These were due probably because the principal route of exposure is not only the soil that had been contemplated previously.
Assuntos
Criança , Pré-Escolar , Feminino , Humanos , Masculino , Intoxicação por Arsênico/prevenção & controle , Exposição Ambiental/prevenção & controle , Saúde Ambiental , Comportamentos Relacionados com a Saúde , Educação em Saúde/métodos , Intoxicação por Chumbo/prevenção & controle , Comunicação , México , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Fatores de RiscoRESUMO
La exposición a contaminantes ambientales implica un riesgo para la salud, principalmente para la población infantil. Una estrategia de intervención puede ser un Programa de Comunicación de Riesgos (PCR). Para que un PCR sea efectivo es necesario conocer la percepción de la comunidad sobre la exposición a riesgos ambientales. El conocer la percepción de los niños es fundamental para el diseño de los PCR que serán implementados en cada comunidad. En este trabajo se utilizó el dibujo como una herramienta para conocer la percepción de los niños de una comunidad rural-indígena y de niños de una comunidad urbano-marginada. La actividad consistió en la formulación de dos preguntas, las cuales respondieron los niños por medio de la elaboración de un dibujo. Las preguntas se formularon para conocer la percepción en los escenarios dentro y fuera de la casa. Los resultados obtenidos indicaron que los niños perciben la mayoría de las problemáticas ambientales detectadas con anterioridad por nuestro grupo y se encontraron diferencias por comunidad. Además se encontró que algunos niños percibieron problemáticas que no habían sido detectadas por los investigadores.
The exposure to environmental pollutants implies a risk for health, mainly for the children population. A strategy of preventive intervention may be a Risks Communication Program (RCP). In order for a RCP to be carried out in an effective form, it is necessary to know the perception of the community about the exposure to environmental risks. Knowing children perception is essential for designing PCR to be implemented in each community. In this work the drawing was used as a tool to understand the perception of the children from a rural-indigenous community and from a marginalized urban community. The activity consisted on the formulation of two questions, which children answered sketching a drawing. The questions were formulated to know their perception in two sceneries: inside and outside their home. The obtained results indicated that the children perceive most of the environmental issues previously detected by our group and there were some differences between communities. In addition, it was found that some children perceived problems that had not been identified by the researchers.