Navegando por Palavras-chave "Social determinants"

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    Determinants of quality of life in advanced cancer patients with bone metastases undergoing palliative radiation treatment
    (Springer, 2013-11-01) Lam, Kinsey; Chow, Edward; Zhang, Liying; Wong, Erin; Bedard, Gillian; Fairchild, Alysa; Vassiliou, Vassilios; El-Din, Mohamed Alm; Jesus-Garcia, Reynaldo [UNIFESP]; Kumar, Aswin; Forges, Fabien; Tseng, Ling-Ming; Hou, Ming-Feng; Chie, Wei-Chu; Bottomley, Andrew; Univ Toronto; Univ Alberta; Bank Cyprus Oncol Ctr; Tanta Univ Hosp; Universidade Federal de São Paulo (UNIFESP); Reg Canc Ctr; St Etienne Univ Hosp; Natl Yang Ming Univ; Kaohsiung Med Univ Hosp; Natl Taiwan Univ; European Org Res Treatment Canc
    Assessment of health-related quality of life (HRQOL) is critical to effective delivery of palliative care in patients with advanced cancer. the current study analyzes relationships between baseline social determinants of health and medical factors, and self-reported HRQOL in patients with bone metastases receiving palliative radiotherapy.Advanced cancer patients referred for radiotherapy treatment of bone metastases completed the EORTC QLQ-C30 questionnaire in multiple outpatient clinics internationally. Demographics and social determinants were collected as baseline information. Univariate and Bonferroni-adjusted multivariate linear regression analyses were used to detect significant correlations between baseline determinants and different HRQOL domains.Karnofsky Performance Status (KPS) was correlated with better physical (p = 0.0002), role (p < 0.0001), emotional (p < 0.0001), and social (p < 0.0001) functioning, and global health scores (p = 0.0015) and predicted lower symptom scores for fatigue (p < 0.0001), pain (p < 0.0001), appetite loss (p < 0.0001), and constipation (p < 0.0001). Increased age was predictive of better social functioning (p < 0.0001) and less insomnia (p = 0.0036), higher education correlated with better global health status (p = 0.0043), and patients who were employed or retired had improved physical functioning (p = 0.0004 and p = 0.0030, respectively) and less financial challenges compared to patients who were unemployed (p = 0.0005).Baseline KPS had the greatest influence on EORTC QLQ-C30 domain scores. Age, education level, and employment status had significant impacts, although on fewer domains. Further studies that investigate baseline determinants are worthwhile to clarify relationships in order to care for patients more effectively at the end of life.
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    Fatores sociais na produção do sofrimento psíquico: uma revisão narrativa da literatura
    (Universidade Federal de São Paulo, 2021-08-06) Balbino, Fernanda Castilho de Souza [UNIFESP]; Surjus, Luciana Togni de Lima e Silva [UNIFESP]; Silva, Rondinelli Salvador; http://lattes.cnpq.br/2303895617511302; http://lattes.cnpq.br/8786999221233177; http://lattes.cnpq.br/7302902586775034
    Introduction: Human life is socially provided in all its dimensions, including health. Understanding the social determinants of health, therefore, does not consist in understanding only that health depends on access to human objects, but what possibilities for human fulfillment depend on the relations of production in each social formation. Bringing this concept to the field of psychiatric diagnosis, it is possible to see that psychopathological or diagnostic variables are secondary to the outcome of the rehabilitative process, while social and situational variables have a comparatively more important weight. From this, there is an interest in the problematization of the relationship between psychiatric diagnosis and psychological distress, based on the social determinants of health-disease. Objective: Identify and systematize recent scientific productions that problematize social factors in the production of psychic suffering and understand which and how social factors have been identified in these productions and reflected through psychiatric diagnosis. Method: This is a narrative review through searches for articles indexed in the CAPES and SciELO portal, in which the terms: "race" OR "social inequality" OR "gender" AND "mental health" OR "psychiatric diagnosis" were used. Results and Discussion: The prevalence of some social factors in the production of psychological distress was noted, such as raciality, gender, income and psychiatric diagnosis. The division by thematic categories was necessary. Issues such as structural and institutional racism were the most present in the findings, followed by gender roles played in society and the issue of income, both delimited by the correlation of intersectionality with race. Final Considerations: It was found that issues such as raciality, gender and income have great weight in determining how a person falls ill and who will be recognized in their illness in society, thus, social production and its determinants in the health-disease process are powerful in explaining such issues. From this, it was realized that the psychiatric diagnosis is insufficient to cover the complexity of the human being and its social issues. It is necessary to analyze the context and social production in which the subject is inserted and not delimit an individual reason for the psychiatric diagnosis, as this fact ends up reinforcing and justifying social exclusion.