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Co-developing a health promotion programme for indigenous youths in Brazil: A concept mapping report.

التفاصيل البيبلوغرافية
العنوان: Co-developing a health promotion programme for indigenous youths in Brazil: A concept mapping report.
المؤلفون: C Jardim PT; Medicine School, State University of Mato Grosso do Sul, Mato Grosso do Sul, Brazil., Dias JM; Medicine School, State University of Mato Grosso do Sul, Mato Grosso do Sul, Brazil., Grande AJ; Medicine School, State University of Mato Grosso do Sul, Mato Grosso do Sul, Brazil., Veras AB; Medicine School, State University of Mato Grosso do Sul, Mato Grosso do Sul, Brazil., Ferri ÉK; Medicine School, State University of Mato Grosso do Sul, Mato Grosso do Sul, Brazil., Quadros FAA; Medicine School, State University of Mato Grosso do Sul, Mato Grosso do Sul, Brazil., Peixoto C; Medicine School, State University of Mato Grosso do Sul, Mato Grosso do Sul, Brazil., Botelho FCS; Medicine School, State University of Mato Grosso do Sul, Mato Grosso do Sul, Brazil., I M G Oliveira M; Medicine School, State University of Mato Grosso do Sul, Mato Grosso do Sul, Brazil., Dias IMAV; Federal University of Rio Grande do Sul, Rio Grande do Sul, Brazil., O'Keeffe M; Faculty of Life Sciences & Medicine, Department of Nutritional Sciences, School of Life Course Sciences, King's College London, London, United Kingdom., Elia C; Faculty of Life Sciences & Medicine, Department of Nutritional Sciences, School of Life Course Sciences, King's College London, London, United Kingdom., Dazzan P; Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, United Kingdom., Wolfe I; Department of Population Health Sciences, School of Population Health & Environmental Sciences, Faculty of Life Sciences & Medicine, King's College London, London, United Kingdom., Harding S; Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, United Kingdom.; Department of Population Health Sciences, School of Population Health & Environmental Sciences, Faculty of Life Sciences & Medicine, King's College London, London, United Kingdom.
المصدر: PloS one [PLoS One] 2023 Feb 15; Vol. 18 (2), pp. e0269653. Date of Electronic Publication: 2023 Feb 15 (Print Publication: 2023).
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Health Promotion* , Delivery of Health Care*, Adult ; Humans ; Adolescent ; Child ; Brazil ; Ethnicity ; Students
مستخلص: Background: Latin America and the Caribbean Region are home to about 42 million Indigenous people, with about 900,000 living in Brazil. The little routinely collected population-level data from Indigenous communities in the region available shows stark inequities in health and well-being. There are 305 Indigenous ethnic groups, speaking 274 languages, spread across the remote national territory, who have endured long-lasting inequities related to poverty, poor health, and limited access to health care. Malnutrition and mental health are key concerns for young people. Building on our Indigenous communities-academic partnerships over the last two decades, we collaborated with young people from the Terena Indigenous ethnic group, village leaders, teachers, parents, and local health practitioners from the Polo Base (community health centres) to obtain their perspectives on important and feasible actions for a youth health promotion programme.
Methods: The report was conducted in the Tereré Village in Mato Grosso do Sul. Concept mapping, a participatory mixed method approach, was conducted in 7 workshops, 15 adults and 40 youths aged 9-17 years. Art-based concept mapping was used with 9 to 11 years old children (N = 20). Concept systems software was used to create concept maps, which were finalised during the workshops. Focused prompts related to factors that may influence the health and happiness of youths. The participatory method gave Terena youths a significant voice in shaping an agenda that can improve their health.
Results: Terena youths identified priority actions that clustered under 'Family', 'School', 'Education', 'Socio-economic circumstances', 'Respect' and 'Sport' in response to protecting happiness; and 'Nutrition pattern', 'Physical activity', 'Local environment', and 'Well-being' in response to having a healthy body. Through the participatory lens of concept mapping, youths articulated the interconnectedness of priority actions across these clusters such that behaviours (e.g. Nutrition pattern, drinking water, physical activity) and aspirations (being able to read, to have a good job) were recognised to be dependent on a wider ecology of factors (e.g. loss of eco-systems, parent-child relationships, student- teacher relationships, parental unemployment). In response to developing youth health, Terena adults suggested priority actions that clustered under 'Relationships', 'Health issues', 'Prevention at Polo Base', 'Access to health care', 'Communication with young people', 'Community life', 'Raising awareness' and 'School support'. Their priorities reflected the need for structural transformative actions (e.g. Polo Base and school staff working together) and for embedding actions to protect Indigenous culture (e.g. integrating their cultural knowledge into training programmes).
Conclusions: Concept maps of Indigenous youths emphasised the need for a health promotion programme that engages with the structural and social determinants of health to protect their happiness and health, whilst those of adults emphasised the need to address specific health issues through preventative care via a school-Polo Base collaboration. Investment in a co-developed school-Polo-Base health promotion programme, with intersectoral engagement, has potential for making Indigenous health systems responsive to the inequalities of youth health, to yield dividends for healthy ageing trajectories as well as for the health of the next generation.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2023 C. Jardim et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
References: Qual Health Res. 2005 Dec;15(10):1392-410. (PMID: 16263919)
Int J Hypertens. 2015;2015:412804. (PMID: 26550488)
J Pediatr Psychol. 2014 Apr;39(3):369-79. (PMID: 24163438)
Cad Saude Publica. 2011 Dec;27(12):2327-39. (PMID: 22218576)
Implement Sci. 2011 Sep 07;6:104. (PMID: 21899754)
Rev Assoc Med Bras (1992). 2020 Jul;66(7):861-863. (PMID: 32844921)
BMC Public Health. 2013 Jan 19;13:52. (PMID: 23331985)
Cad Saude Publica. 2016 Sep 12;32(8):e00023915. (PMID: 27626648)
Eval Program Plann. 2017 Feb;60:166-175. (PMID: 27780609)
Rev Bras Epidemiol. 2020;23 Suppl 1:e200004.SUPL.1. (PMID: 32638987)
Cad Saude Publica. 2017 May 25;33Suppl 1(Suppl 1):e00085516. (PMID: 28562699)
Eval Program Plann. 2007 Aug;30(3):282-93. (PMID: 17689333)
Rev Bras Enferm. 2019 Jan-Feb;72(1):57-63. (PMID: 30916268)
معلومات مُعتمدة: MR/R022739/1 United Kingdom MRC_ Medical Research Council; MR/S003444/1 United Kingdom MRC_ Medical Research Council
تواريخ الأحداث: Date Created: 20230215 Date Completed: 20230217 Latest Revision: 20240313
رمز التحديث: 20240313
مُعرف محوري في PubMed: PMC9931109
DOI: 10.1371/journal.pone.0269653
PMID: 36791063
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0269653