International Health Trends and Perspectives最新文献

{"title":"Indicators for continuance of childhood gender dysphoria into adulthood: A critical interpretive synthesis of literature (2000–2020)","authors":"Jeandré Cooke, P. Moodley","doi":"10.32920/ihtp.v3i1.1690","DOIUrl":"https://doi.org/10.32920/ihtp.v3i1.1690","url":null,"abstract":"Introduction: Health professionals are unable to predict whether gender nonconforming distress or manifestations will continue after puberty. They also hold varied ideologies about gender. Information about these indicators lacks integration to benefit decision-making about how to intervene in childhood gender dysphoria. Aims: The aim of this review was to synthesize the literature on early indicators that anticipate the continuity of childhood gender dysphoria following puberty. A secondary aim, because of the ideological debates that underpin clinical decisions in transgender health care, was to critically interpret that literature. Methods: A critical interpretive synthesis was selected to integrate and offer a critical appraisal of literature (n=20). Results: A synthesizing argument was developed from four constructs: the intensity of gender dysphoric feelings, the child’s assertion of their gender identity, the stability of gender identity, and gender is a composite of multiple selves. Conclusions: The framing of experts’ arguments fed into presumed stability of gender identity. No single homogenous indicator can be postulated, but a compartmentalizing process is needed to understand the experiential world of a child’s gender nonconformity so that one concept (dysphoria about gender identity) can be teased apart from other investments of gender, body, and sexuality. Our constructs of the intensity of feelings and gender as a composite of multiple selves were found to challenge DSM-5 criteria. Understanding that multiple transitions may occur can help a child locate a gendered positioning in which they are comfortable. This could enable health practitioners offer affirmative care while remaining cautious about using medical treatments that cannot be reversed. The search for indicators itself, however, can be considered a historical moment, given the developments in the field in the 2 years after this review was conducted.","PeriodicalId":231465,"journal":{"name":"International Health Trends and Perspectives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129853609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A commentary on Brazilian perspectives of lessons learned during the COVID-19 pandemic","authors":"M. Zanchetta, Stephanie Pedrotti Lucchese, Mavi Galante Mancera Molinari Blotta, Vanessa Fracazzo, Maria Odete Pereira, Cláudio da Fonseca Rodrigues Panda, Cecília Moreira Torres, Clarissa Moura De Paula","doi":"10.32920/ihtp.v3i1.1707","DOIUrl":"https://doi.org/10.32920/ihtp.v3i1.1707","url":null,"abstract":"Background: While the pandemic brought many challenges and disruption to an individual’s life, it also presented individuals with the opportunity to develop coping strategies and seek changes in their lives. Brazilians experiencing that moment disclosed the uniqueness of learned lessons. Methods: A commentary written by the interviewers and transcription team of 93 interviews conducted with Brazilians living in Canada and their relatives living in Brazil, identified trends in the experiential learning acquired during the pandemic. The Bloom’s taxonomy framed the review of team’s insights about learned lessons and newest skills and organization of evidence within the domains of cognitive, affective, and psychomotor learning. Results: Overall, there was a significant number and diversity of evidence about new learning and successful strategies that the participants implemented that promoted opportunities for learning. Identified evidence was in the affective (n=26), psychomotor (n=11) and cognitive (n=8) domains. Learning occurred in the affective domain which contributed to new self-perception, expanded awareness, new life priorities, renewed humanistic thoughts, increased valorization of time, life, and interpersonal relations. Conclusions: The findings of the lessons learnt from Brazilian participants are significant and highlight the unique perspectives of the positive benefits that resulted from a negative experience due to the pandemic. The significance of this interesting set of evidence indicates that in a near future the multidisciplinary community of scientists may definitively recalibrate the research focus and further explore how individuals learn and react during a pandemic.","PeriodicalId":231465,"journal":{"name":"International Health Trends and Perspectives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127582062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring educators’ perception of issues involving Planetary Health: A qualitative study in the Brazilian Amazon","authors":"Paula Regina Humbelino De Melo, Tatiana Souza de Camargo, Renato Abreu Lima, Thiago Ferreira Abreu, Raquel de Andrade Cardoso Santiago","doi":"10.32920/ihtp.v2i3.1680","DOIUrl":"https://doi.org/10.32920/ihtp.v2i3.1680","url":null,"abstract":"Background: Planetary Health is a transdisciplinary area that needs to be part of the curriculum of students at all levels of education, starting from basic education with early childhood education. The present work aims to discuss the perceptions of basic education teachers from a riverside school on Planetary Health issues, in addition to knowing the environmental context of communities and/or riverside schools in the Brazilian State of Amazonas. Methods: The data collection was done through semi-structured interviews with rural education teachers from the south of the state of Amazonas. For the data analysis, we opted for the content analysis (Bardin, 2009) with the support of the N-Vivo software - version 1.5. Results: The results indicated the main environmental problems related to anthropogenic actions in the community and school, in which the following questions stood out: garbage disposal in the river, mineral extraction, lack of basic sanitation, and the predominance of ultra-processed foods in school meals. On the other hand, teachers pointed out the great potential of rural schools to promote the consciousness of children and adolescents on Planetary Health themes. Conclusion: Primary school teachers in rural Amazonia are in contact with a rich source for the creation of teaching materials on PH for students, in view of the importance of the inclusion of PH themes in the formative trajectory of children and adolescents in the basic education curriculum. These experiences provide knowledge about the reality of riverside schools, local traditional issues, environmental sustainability, and the changes occurring in ecosystems, especially in the Amazon.","PeriodicalId":231465,"journal":{"name":"International Health Trends and Perspectives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129532901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Planetary health action framework: A case study","authors":"Enrique Falceto de Barros, Tatiana Souza de Camargo, Airton Tetelbom Stein, A. Abelsohn, Diogo Onofre de Souza","doi":"10.32920/ihtp.v2i3.1700","DOIUrl":"https://doi.org/10.32920/ihtp.v2i3.1700","url":null,"abstract":"Planetary Health (PH) action is urgent to avoid the collapse of Earth's systems that sustain human health. PH care has been proposed as an approach to improve health equity and reduce healthcare´s ecological footprint. This paper presents the conceptual framework of patient-centered PH care as essential for PH action at the community level. We examine and reflect on one primary care clinical case through 8 lenses: 1) Actor-Network Theory, 2) Evidence-based medicine, 3) Patient-Centered Clinical Method; 4) Principles of Primary Care, 5) Proposed new primary care derivate principle of PH care, 6) the WONCA´s (World Organization of Family Doctors) core competencies tree, 7) WONCA´'s curriculum, and 8) Sustainable Development Goal 3. This case offers insights into functions of primary care that mitigate, adapt and build resilience to the challenges of climate emergency and Anthropocene. It “connects-the-dots” to propose a new identity of primary care, elaborate a blueprint for patient-centered PH care and a roadmap for PH action at the community level.","PeriodicalId":231465,"journal":{"name":"International Health Trends and Perspectives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127861881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapeutic itineraries of children with the early loss of primary teeth: A qualitative phenomenological study","authors":"Fernando Valentim Bitencourt, Cristiane Falcão Gaspar, Carolina Scheffler, Jonas Almeida Rodrigues, Ramona Fernanda Ceriotti Toassi","doi":"10.32920/ihtp.v2i3.1661","DOIUrl":"https://doi.org/10.32920/ihtp.v2i3.1661","url":null,"abstract":"Background: Children with untreated dental caries tend to have a higher prevalence of early tooth loss, causing physical, psychosocial, and financial impacts on children and their families. The present study aims to understand the therapeutic itineraries of children with the early loss of primary teeth due to caries by analyzing the access to and integrality of care. Methods: This was a qualitative phenomenological study. Participants were caregivers, aged 18 years or older, of children up to 12 years of age who attended the University Dental Clinic of a Public University in Southern Brazil. Analysis of medical records and interviews were performed. The saturation criterion defined the sample size (n=44). Results: Public and private health services were accessed by families in the search for treatments for children's oral health conditions until they reached the University Dental Clinic. Children experiencing suffering and pain, who had had multiple extractions, and families affected financially and emotionally by the oral health condition of their children highlighted these itineraries. The resilience of these families in overcoming the challenges experienced and their continuous efforts to find solutions for the oral health care of their children were emphasized. Their relations with students and teachers at the University Dental Clinic were also discussed. Conclusion: The study showed a range of paths taken by children and their families and suggested weaknesses in ensuring the integrality of care for children in the Brazilian National Health System. Qualitative analysis of the therapeutic itineraries of children’s families presented in this study is proposed as a complementary tool for health care. This study has the potential to contribute to the evaluation of health services in the country, strengthening children's oral health.","PeriodicalId":231465,"journal":{"name":"International Health Trends and Perspectives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116135689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between electronic health literacy and individual factors among adults with chronic pain: A cross-sectional study","authors":"G. Martorella, Hye‐Jin Park, G. Schluck","doi":"10.32920/ihtp.v2i3.1671","DOIUrl":"https://doi.org/10.32920/ihtp.v2i3.1671","url":null,"abstract":"Introduction: Chronic pain requires individuals to develop self-management skills that rely on health literacy and, more recently, eHealth literacy. Very few studies have investigated potential predictors of eHealth literacy in chronic pain patients. Therefore, the purpose of this study is to explore potential predictors of eHealth literacy among individual characteristics and pain-related clinical factors, as a preliminary step to understanding the multi-variable relationships that could be examined in a larger study. Methods: A cross-sectional online survey was distributed to adults living in the United States with various chronic pain conditions using Amazon’s Mechanical Turk. A convenience sample of 196 participants was recruited. The independent variables of interest regarding their relationship with eHealth literacy (dependent variable) included demographics, health literacy, chronic pain severity, pain attitudes and coping skills. Chi square tests of association, and independent samples t-tests were used to examine the bivariate relationships. Results: The majority of the sample suffered from chronic pain for more than 2 years with 48% suffering from chronic back pain. Most of the sample (n=184, 93.9%) had high eHealth literacy. Significant relationships were found between eHealth literacy and the following variables: marital status, education level, and age, as well as health literacy, chronic pain interference with activities and chronic pain attitudes. These warrant further exploration in a larger study using logistic regression. Conclusions: our findings provide new information on the relationship between eHealth literacy levels, pain-related individual factors such as attitudes toward pain, and clinical outcomes, i.e., pain interference with physical and psychological function. Although further research is needed to investigate eHealth literacy predictors and mediators, these findings promote the evidence-based development and evaluation of interventions enhancing eHealth literacy skills, as well as self-management skills of chronic pain patients.","PeriodicalId":231465,"journal":{"name":"International Health Trends and Perspectives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124377607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring health care for transgender people in the Brazilian health system: Qualitative descriptive-interpretative study","authors":"Mateus Aparecido De Faria, T. Paiva, Andressa Marques Cornelli, Carolina Feijó Bitencourt Voigt, C. Rocha, C. Modena","doi":"10.32920/ihtp.v2i3.1652","DOIUrl":"https://doi.org/10.32920/ihtp.v2i3.1652","url":null,"abstract":"The guarantee of rights in Brazil is legitimized through its Constitution of the Republic and its national health system needs to follow a list of prerogatives that include, also, transgender people. Currently there are situations in which the expectation of rights is broken and the free exercise of life of this population is prevented. This article analyzes access to health services by trans people in the health system in Brazil. The investigation was carried out in cities in the metropolitan region of a municipality in southeastern Brazil, through qualitative, exploratory and descriptive-interpretive research. The trans population faces many difficulties in accessing the services that make up the Brazilian Health System, such as the lack of qualification of health professionals, barriers to the use of the social name and structural prejudices in society.","PeriodicalId":231465,"journal":{"name":"International Health Trends and Perspectives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132089693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rise against the machine: Creating global health for vulnerable populations through child nutrition","authors":"Meryl Fury, Carrie Bruno, Ashok Nagella","doi":"10.32920/ihtp.v2i3.1719","DOIUrl":"https://doi.org/10.32920/ihtp.v2i3.1719","url":null,"abstract":"There has been much talk about the connection between Global North food systems, health, and climate change. However, very little action has been taken that has made a measurable difference. The authors propose a novel view of the structure of our food system and what we can do to mitigate its impact on the environment, health, and vulnerable populations, with our children being the most vulnerable of all. Finally, a detailed outline of a viable solution is provided.","PeriodicalId":231465,"journal":{"name":"International Health Trends and Perspectives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121752940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The mental well-being of children and adolescents during the COVID-19 pandemic: A systematic review of qualitative literature","authors":"Kalpana Subasinghe, A. Pathiranage","doi":"10.32920/ihtp.v2i3.1664","DOIUrl":"https://doi.org/10.32920/ihtp.v2i3.1664","url":null,"abstract":"COVID-19 has led to significant isolation resulting in a rise in educational inequity and mental illness among youth. A systematic literature review of qualitative studies was conducted adhering to PRISMA 2020 guidelines, to describe the mental wellbeing of children and adolescents during the COVID-19 pandemic. The protocol has been registered in the PROSPERO International Prospective Register of Systematic Reviews. Three Electronic databases were searched for original, qualitative, peer-reviewed, full text, English journal articles published from December 2019- to May 2020, conducted among children and their parents. We extracted the results that describe the psychological impact on children and their parents amidst COVID-19. Thirteen studies were included in the final review. Four major themes (1. Negative and maladaptive behavior 2. Social and psychological disruption 3. Emotion regulation 4. Value of family time) were identified through Inductive Thematic Synthesis. Although children regulate their emotions effectively, most of the children seem to experience maladaptive behaviors which may have a devastating effect on their development. Health care professionals, caregivers, school officials, and social workers should address these aspects of childcare during a pandemic and in the post-pandemic period.","PeriodicalId":231465,"journal":{"name":"International Health Trends and Perspectives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120948607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health promotion in primary care across Brazil: Genealogic-inspired qualitative study","authors":"Fernanda Carlise Mattioni, Liara Saldanha Brites, Liciane Da Silva Costa Dresch, Cristianne Maria Famer Rocha","doi":"10.32920/ihtp.v2i3.1660","DOIUrl":"https://doi.org/10.32920/ihtp.v2i3.1660","url":null,"abstract":"Objective: To describe and analyze Health Promotion practices in Primary Health Care. Method: Genealogic-inspired qualitative, descriptive, and exploratory research conducted in a PHC service in Porto Alegre, Rio Grande do Sul, Brazil. Twenty-three semi-structured interviews were held with the service staff from February to May 2020. The data were qualitatively analyzed using genealogically inspired techniques, which allowed us to identify tensions, disputes, discourses, practices, and power relationships. Results: We established eight sets of Health Promotion practices: 1) Educational activities focused on behavioral/habit changes and development of personal abilities; 2) Intersectoral practices and community social networks involving other community equipment; 3) Practices that encourage community organization and participation; 4) Integrative and Complementary Health practices; 5) Practices that stimulate meeting people, sociability, art, and creativity; 6) Practices that encourage environmental and food sustainability; 7) Practices that stimulate income generation; 8) Community communication practices. Conclusion: We identified a heterogeneous field of practices to promote health established through the circulation of different types of knowledge and powers. The practices are permeated by discourses linked to neoliberal governability and practices that position themselves against such discourse.\u0000 ","PeriodicalId":231465,"journal":{"name":"International Health Trends and Perspectives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115053844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}