Co-developing a health promotion programme for indigenous youths in Brazil: A concept mapping report.
Co-developing a health promotion programme for indigenous youths in Brazil: A concept mapping report.
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DOI：
10.1371/journal.pone.0269653
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
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拉丁美洲和加勒比地区约有4200万土著人，其中约90万人生活在巴西。从该地区土著社区定期收集的人口数据很少，显示出健康和福祉方面的严重不平等。有305个土著民族，讲274种语言，分布在偏远的国家领土上，他们忍受着与贫困，健康状况不佳和获得医疗保健有限有关的长期不平等。营养不良和心理健康是青年人关注的主要问题。在过去二十年中，我们建立了土著社区-学术伙伴关系，我们与Terena土著民族的年轻人，村庄领导人，教师，家长和波罗基地（社区卫生中心）的当地卫生从业人员合作，以获得他们对青年健康促进计划重要和可行行动的看法。报告是在南马托格罗索的Terere村进行的。在7个讲习班、15名成人和40名9至17岁的青年中进行了概念测绘，这是一种参与性的混合方法。艺术为基础的概念映射与9至11岁的儿童（N = 20）。概念系统软件被用来制作概念图，概念图在讲习班期间定稿。重点提示可能影响青年健康和幸福的因素。参与式方法使Terena青年在制定可以改善其健康的议程方面有了重要的发言权。Terena青年确定了优先行动，这些行动集中在“家庭”、“学校”、“教育”、“社会经济环境”、“尊重”和“体育”下，以保护幸福;以及“营养模式”、“体育活动”、“当地环境”和“福祉”下，以拥有健康的身体。通过参与性的概念绘制透镜，青年阐明了这些群组中优先行动的相互关联性，（例如营养模式、饮用水、体育活动）和愿望（能够阅读，有一份好工作）被认为取决于更广泛的生态因素（例如生态系统的丧失、亲子关系、师生关系、父母失业）。针对发展青年健康，Terena成人建议优先采取行动，这些行动集中在“友谊”、“健康问题”、“波罗基地的预防”、“获得保健”、“与年轻人沟通”、“社区生活”、“提高认识”和“学校支助”等项下。他们的优先事项反映了需要采取结构性变革行动（例如，波罗基地和学校工作人员共同努力），并需要采取保护土著文化的行动（例如，将其文化知识纳入培训方案）。土著青年的概念图强调，需要一个健康促进方案，与健康的结构和社会决定因素，以保护他们的幸福和健康，而那些成年人强调，需要通过预防保健，通过学校马球基地合作，解决具体的健康问题。在部门间参与下，对共同制定的学校-马球基地健康促进方案进行投资，有可能使土著卫生系统对青年健康的不平等做出反应，为健康的老龄化轨迹以及下一代的健康带来红利。
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. 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. 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). 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.
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影响因子：
3.6
作者：
Mellor, David;Moore, Kathleen A.
通讯作者：
Moore, Kathleen A.
影响因子：
4.5
作者：
Coimbra, Carlos E. A., Jr.;Santos, Ricardo Ventura;Horta, Bernardo L.
通讯作者：
Horta, Bernardo L.
影响因子：
3.2
作者：
Burke, JG;O'Campo, P;Trochim, WMK
通讯作者：
Trochim, WMK
DOI：
10.24109/2176-6681.rbep.99i251.3337
发表时间：
2018-01-01
期刊：
Revista Brasileira de Estudos Pedagógicos
影响因子：
--
作者：
Bergamaschi, Maria Aparecida;Doebber, Michele Barcelos;Brito, Patricia Oliveira
通讯作者：
Brito, Patricia Oliveira
影响因子：
1.9
作者：
Iwelunmor J;Blackstone S;Gyamfi J;Airhihenbuwa C;Plange-Rhule J;Tayo B;Adanu R;Ogedegbe G
通讯作者：
Ogedegbe G