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Urban Care for Unpaid Caregivers: Community Voices in the Care Block Program, in Bogotá, Colombia.
Guevara-Aladino, Paula; Sarmiento, Olga L; Rubio, María Alejandra; Gómez-García, Lina María; Doueiri, Zakaria Nadeem; Martínez, Diego; King, Abby C; Hurtado-Tarazona, Adriana; Banchoff, Ann; Guzman, Luis A; Álvarez-Rivadulla, María José; Palencia, Leonardo.
Afiliação
  • Guevara-Aladino P; School of Medicine, Universidad de los Andes, Bogotá, Colombia.
  • Sarmiento OL; School of Medicine, Universidad de los Andes, Bogotá, Colombia. osarmien@uniandes.edu.co.
  • Rubio MA; School of Medicine, Universidad de los Andes, Bogotá, Colombia.
  • Gómez-García LM; School of Medicine, Universidad de los Andes, Bogotá, Colombia.
  • Doueiri ZN; Department of Epidemiology & Population Health, Stanford University School of Medicine, Stanford, CA, USA.
  • Martínez D; Our Voice Global Citizen Science Research Initiative, Stanford, CA, USA.
  • King AC; School of Engineering, Universidad de los Andes, Bogota, Colombia.
  • Hurtado-Tarazona A; Department of Epidemiology & Population Health, Stanford University School of Medicine, Stanford, CA, USA.
  • Banchoff A; Stanford University School of Medicine (Stanford Prevention Research Center), Stanford, CA, USA.
  • Guzman LA; Our Voice Global Citizen Science Research Initiative, Stanford, CA, USA.
  • Álvarez-Rivadulla MJ; Interdisciplinary Center for Development Studies, Universidad de los Andes, Bogotá, Colombia.
  • Palencia L; Department of Epidemiology & Population Health, Stanford University School of Medicine, Stanford, CA, USA.
J Urban Health ; 2024 Sep 24.
Article em En | MEDLINE | ID: mdl-39316308
ABSTRACT
The Care Block of Bogotá, Colombia, is an urban program that offers services for low-income unpaid caregivers. This study aimed to (i) characterize unpaid caregivers' subjective well-being, mental health symptoms, physical activity levels, and use of public spaces linked to the Care Block; (ii) identify caregivers' perceived built and social environment facilitators and barriers to accessing the Care Block facility; and (iii) document the community-led advocacy process to improve the Care Block program. The quantitative component included a subjective well-being and mental health symptoms survey, and the System for Observing Play and Recreation in Communities (SOPARC) instrument. The qualitative component included the Our Voice citizen science method augmented with portable virtual reality equipment to engage participants in advocacy for changes. Participants (median age of 53 years) dedicated a median of 13.8 h a day to unpaid caregiving, had an average subjective well-being score of 7.0, and 19.1% and 23.8% reported having depression and generalized anxiety symptoms respectively. Caregivers reported that the program fosters their perception of purpose, enjoyment, resilience, and cognitive and emotional awareness. SOPARC evaluation showed that most women engaged in moderate to vigorous physical activity. The caregivers highlighted education, physical activity services, and integration of facilities as facilitators to accessing the Care Block program. Poor quality and lack of sidewalks and roads, limited personal safety, and the risk of pedestrian-vehicle collisions were identified as barriers. Virtual Reality sparked compelling dialogue between participants and stakeholders, allowing stakeholders to reflect on an urban program facilitating unpaid care work.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE País/Região como assunto: America do sul / Colombia Idioma: En Revista: J Urban Health Assunto da revista: MEDICINA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE País/Região como assunto: America do sul / Colombia Idioma: En Revista: J Urban Health Assunto da revista: MEDICINA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Estados Unidos