Factors related to the development of health-promoting community activities in Spanish primary healthcare: two case-control studies

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dc.contributor.author March, S
dc.contributor.author Ripoll, J.
dc.contributor.author Jordan Martin, M.
dc.contributor.author Zabaleta-del-Olmo, E.
dc.contributor.author Benedé Azagra, C.B.
dc.contributor.author Elizalde Soto, L.
dc.contributor.author Vidal, M.C.
dc.contributor.author Bauzà Amengual, M.Ll.
dc.contributor.author Planas Juan, T.
dc.contributor.author Pérez Mariano, D.M.
dc.contributor.author Llull Sarralde, M.
dc.contributor.author Ruiz-Giménez, J.L.
dc.contributor.author Bajo Viñas, R.
dc.contributor.author Solano Villarubia, C.
dc.contributor.author Rodriguez Bajo, M.
dc.contributor.author Cordoba Victoria, M.
dc.contributor.author Badia Capdevila, M.
dc.contributor.author Serrano Ferrandez, E.
dc.contributor.author Bosom Diumenjo, M.
dc.contributor.author Montaner-Gomis, I.
dc.contributor.author Bolibar-Ribas, B.
dc.contributor.author Antoñanzas Lombarte, A.
dc.contributor.author Bregel Cotaina, S.
dc.contributor.author Calvo Tocado, A.
dc.contributor.author Olivan Blázquez, B.
dc.contributor.author Magallon Botaya, R.
dc.contributor.author Marín Palacios, P
dc.contributor.author Echauri Ozcoidi, M.
dc.contributor.author Perez-Arauta, M.J.
dc.contributor.author Llobera, J.
dc.contributor.author Ramos, M.
dc.date.accessioned 2020-05-22T05:48:07Z
dc.date.available 2020-05-22T05:48:07Z
dc.identifier.uri http://hdl.handle.net/11201/152527
dc.description.abstract Abstract Objective Spanish primary healthcare teams have the responsibility of performing health-promoting community activities (CAs), although such activities are not widespread. Our aim was to identify the factors related to participation in those activities. Design Two case-control studies. Setting Performed in primary care of five Spanish regions. Subjects In the first study, cases were teams that performed health-promoting CAs and controls were those that did not. In the second study (on case teams from the first study), cases were professionals who developed these activities and controls were those who did not. Main outcome measures Team, professional and community characteristics collected through questionnaires (team managers/professionals) and from secondary sources. Results The first study examined 203 teams (103 cases, 100 ontrols). Adjusted factors associated with performing CAs were percentage of nurses (OR 1.07, 95% CI 1.01 to 1.14), community socioeconomic status (higher vs lower OR 2.16, 95% CI 1.18 to 3.95) and performing undergraduate training (OR 0.44, 95% CI 0.21 to 0.93). In the second study, 597 professionals responded (254 cases, 343 controls). Adjusted factors were professional classification (physicians do fewer activities than nurses and social workers do more), training in CAs (OR 1.9, 95% CI 1.2 to 3.1), team support (OR 2.9, 95% CI 1.5 to 5.7), seniority (OR 1.06, 95% CI 1.03 to 1.09), nursing tutor (OR 2.0, 95% CI 1.1 to 3.5), motivation (OR 3.7, 95% CI 1.8 to 7.5), collaboration with non-governmental organisations (OR 1.9, 95% CI 1.2 to 3.1) and participation in neighbourhood activities (OR 3.1, 95% CI 1.9 to 5.1). Conclusions Professional personal characteristics, such as social sensitivity, profession, to feel team support or motivation, have influence in performing health-promoting CAs. In contrast to the opinion expressed by many professionals, workload is not related to performance of health-promoting CAs.
dc.format application/pdf
dc.relation.isformatof Reproducció del document publicat a: https://doi.org/10.1136/bmjopen-2017-015934
dc.relation.ispartof Bmj Open, 2017, vol. 7, num. e015934, p. 1-11
dc.rights cc-by (c) March, S et al., 2017
dc.rights.uri http://creativecommons.org/licenses/by/3.0/es
dc.subject.classification 614 - Higiene i salut pública. Contaminació. Prevenció d'accidents. Infermeria
dc.subject.other 614 - Public health and hygiene. Accident prevention
dc.title Factors related to the development of health-promoting community activities in Spanish primary healthcare: two case-control studies
dc.type info:eu-repo/semantics/article
dc.type info:eu-repo/semantics/publishedVersion
dc.date.updated 2020-05-22T05:48:07Z
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.identifier.doi https://doi.org/10.1136/bmjopen-2017-015934

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cc-by (c) March, S et al., 2017 Except where otherwise noted, this item's license is described as cc-by (c) March, S et al., 2017