RESUMO
El análisis de las acciones del sector salud tiene como finalidad narrar la experiencia de la Subdirección de Gestión y Evaluación de Políticas en Salud Pública en la definición y aplicación de métodos de análisis de la implementación de políticas públicas, a partir del seguimiento.
Assuntos
Humanos , Política Pública , Política de Saúde , Organização e Administração , SaúdeRESUMO
OBJECTIVE: Evaluate a conceptual model that suggests an association between socioeconomic status (SES), perception of neighborhood environment, physical activity behavior, and self-rated health status (SRHS) among women living in low-resource neighborhoods of Bogotá, Colombia. METHODS: A secondary source analysis of the first measurement of a community cluster trial was used to evaluate a program to encourage a higher consumption of fruits and vegetables and increase physical activity levels among homemakers in Bogotá. Analyses were done using a multivariate multilevel logistic model to identify associations and confirm the mediations proposed in the conceptual model. RESULTS: The adjusted models revealed that individual-level SES and neighborhood perception are inversely and significantly associated with suboptimal SRHS, while the association between physical activity and SRHS was not significant. CONCLUSIONS: The study findings underscore the importance of individual SES in assessment of health status and strengthen the evidence on the independent role of perception of neighborhood environment in the SRHS of women.
Assuntos
Nível de Saúde , Autoimagem , Classe Social , Meio Social , Mulheres/psicologia , Adolescente , Adulto , Idoso , Colômbia , Dieta/estatística & dados numéricos , Escolaridade , Feminino , Hábitos , Promoção da Saúde/organização & administração , Humanos , Renda/estatística & dados numéricos , Pessoa de Meia-Idade , Modelos Psicológicos , Atividade Motora , Características de Residência , Percepção Social , Adulto JovemRESUMO
OBJETIVO: Evaluar un modelo conceptual que sugiere una asociación entre la posición socioeconómica (PSE), la percepción del entorno del barrio y la realización de actividad física, con la autopercepción del estado de salud (APES) por parte de mujeres residentes en barrios de bajo nivel socioeconómico de Bogotá, Colombia. MÉTODOS: Se describe un análisis de fuente secundaria de la primera medición de un ensayo grupal comunitario que evaluó un programa dirigido a promover el consumo de frutas y verduras y la actividad física en cuidadoras de hogar residentes en Bogotá. Se realizaron análisis multivariados logísticos de multinivel, con el fin de identificar asociaciones y verificar las mediaciones propuestas en el modelo conceptual. RESULTADOS: En los modelos ajustados se encontró que la PSE medida a nivel individual y la percepción del barrio estuvieron inversa y significativamente asociados a una APES no óptima, mientras que la asociación entre la actividad física y la APES no fue significativa. CONCLUSIONES: Los hallazgos del estudio resaltan la importancia de la PSE de las personas en la valoración de su estado de salud, y extienden la evidencia sobre el papel independiente de la percepción del entorno del barrio en la APES en mujeres.
OBJECTIVE: Evaluate a conceptual model that suggests an association between socioeconomic status (SES), perception of neighborhood environment, physical activity behavior, and self-rated health status (SRHS) among women living in low-resource neighborhoods of Bogotá, Colombia. METHODS: A secondary source analysis of the first measurement of a community cluster trial was used to evaluate a program to encourage a higher consumption of fruits and vegetables and increase physical activity levels among homemakers in Bogotá. Analyses were done using a multivariate multilevel logistic model to identify associations and confirm the mediations proposed in the conceptual model. RESULTS: The adjusted models revealed that individual-level SES and neighborhood perception are inversely and significantly associated with suboptimal SRHS, while the association between physical activity and SRHS was not significant. CONCLUSIONS: The study findings underscore the importance of individual SES in assessment of health status and strengthen the evidence on the independent role of perception of neighborhood environment in the SRHS of women.
Assuntos
Humanos , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Adulto Jovem , Nível de Saúde , Autoimagem , Classe Social , Meio Social , Mulheres/psicologia , Colômbia , Dieta/estatística & dados numéricos , Escolaridade , Hábitos , Promoção da Saúde/organização & administração , Renda/estatística & dados numéricos , Modelos Psicológicos , Atividade Motora , Características de Residência , Percepção SocialAssuntos
Autorrelato , Nível de Saúde , Classe Social , Meio Ambiente , Atividade Motora , Exercício Físico , Saúde da Mulher , Colômbia , Autorrelato , Classe Social , Meio Ambiente , Atividade Motora , Exercício Físico , Saúde da Mulher , Autoimagem , Classe Social , Meio Social , Mulheres , Colômbia , Dieta , Hábitos , Modelos Psicológicos , Nível de Saúde , Nível de Saúde , Escolaridade , Promoção da Saúde , Renda , Atividade Motora , Demografia , Percepção SocialRESUMO
BACKGROUND: The characterization of clustering behavioral risk factors may be used as a guideline for interventions aimed at preventing chronic diseases. This study determined the clustering patterns of some behavioral risk factors in young adults aged 18 to 29 years and established the factors associated with having two or more of them. METHODS: Patterns of clustering by gender were established in four behavioral risk factors (low consumption of fruits and vegetables, physical inactivity in leisure time, current tobacco consumption and acute alcohol consumption), in 1465 young adults participants through a multistage probabilistic sample. Regression models identified the sociodemografic variables associated with having two or more of the aforementioned behavioral risk factors. RESULTS: Having one, 32.9% two and 17.7% three or four. Acute alcohol consumption was the risk factor most frequent in the combined risk factor patterns among males; physical inactivity during leisure time being the most frequent among females. Among the females, having two or more behavioral risk factors was linked to be separated or divorced, this having been linked to work having been the main activity over the past 30 days among males. CONCLUSIONS: The combinations of behavioral risk factors studied and the factors associated with clustering show different patterns among males and females. These findings stressed the need of designing interventions sensitive to gender differences.