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

March, S. ; Ripoll, J. ; Jordan Martin, M. ; Zabaleta-del-Olmo, E. ; Benedé Azagra, CB. ; Elizalde Soto, L. ; Vidal, MC. ; Bauzà Amengual, ML. ; Planas, Juan T. ; Pérez Mariano, DM. ; Llull Sarralde, M. ; Ruiz-Giménez, JL. ; Bajo Viñas, R. ; Solano Villarubia, C. ; Rodriguez Bajo, M. ; Cordoba, Victoria M. ; Badia Capdevila, M. ; Serrano Ferrandez, E. ; Bosom Diumenjo, M. ; Montaner-Gomis, I. ; Bolibar-Ribas, B. ; Antoñanzas Lombarte, A. ; Bregel Cotaina, S. ; Calvo Tocado, A. ; Olivan Blázquez, B. (Universidad de Zaragoza) ; Magallon Botaya, R. (Universidad de Zaragoza) ; Marín Palacios, P. ; Echauri Ozcoidi, M. ; Perez-Arauta, MJ. ; Llobera, J. ; Ramos, M.

Resumen: 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 ve Spanish regions. subjects In the rst 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 rst 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 rst study examined 203 teams (103 cases, 100 controls). 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 classi cation (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 in uence in performing health-promoting CAs. In contrast to the opinion expressed by many professionals, workload is not related to performance of health-promoting CAs.

Idioma: Inglés

DOI: 10.1136/bmjopen-2017-015934

Año: 2017

Publicado en: BMJ open 8, 7(10) (2017), e015934 [10 pp.
ISSN: 2044-6055

Factor impacto JCR: 2.413 (2017)

Categ. JCR: MEDICINE, GENERAL & INTERNAL rank: 43 / 154 = 0.279 (2017) - Q2 - T1

Factor impacto SCIMAGO: 1.372 - Medicine (miscellaneous) (Q1)

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Psicología Social (Dpto. Psicología y Sociología)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)