Factors related to the development of health-promoting community activities in Spanish primary healthcare: two case – control studies
Year: 2017
Type: article
Study design: Observational Study
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: 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 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 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.
Source: BMJ Open
Authors: Sebastià March, Joana Ripoll, Matilde Jordan Martin, Edurne Zabaleta-del-Olmo, Carmen Belén Benedé Azagra, Lázaro Elizalde Soto, Mª Clara Vidal, María de Lluc Bauzà Amengual, Trinidad Planas Juan, Damiana Maria Pérez Mariano, Micaela Llull Sarralde, Juan Luís Ruiz-Giménez, Rosa Bajo Viñas, Carmen Solano Villarubia, Maria Rodriguez Bajo, Manuela Cordoba Victoria, Marta Badia Capdevila, Elena Serrano Ferrandez, Maria Bosom Diumenjo, Isabel Montaner-Gomis, Buenaventura Bolibar-Ribas, Angel Antoñanzas Lombarte, Samantha Bregel Cotaina, Ana Calvo Tocado, Barbara Olivan Blázquez, Rosa Magallon Botaya, Pilar Marín Palacios, Margarita Echauri Ozcoidi, María Jose Perez - arauta, Joan Llobera, Maria Ramos
Institutions: Servei de Salut de les Illes Balears, Health Research Institute of the Balearic Islands, Madrid Health Service, Institut Català de la Salut, Servicio Aragonés de Salud, Instituto de Salud Pública de Navarra, Universitat de les Illes Balears, Institut Universitari d'Investigació en Atenció Primària Jordi Gol
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,839
OpenAlex ID: W2762496970