Physical activity counseling in primary health care in Brazil: a national study on prevalence and associated factors

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dc.contributor.authorFlorindo, Alex Antonio
dc.contributor.authorMielke, Gregore Iven
dc.contributor.authorGomes, Grace Angelica de Oliveira
dc.contributor.authorRamos, Luiz Roberto [UNIFESP]
dc.contributor.authorBracco, Mario Maia
dc.contributor.authorParra, Diana C.
dc.contributor.authorSimoes, Eduardo J.
dc.contributor.authorLobelo, Felipe
dc.contributor.authorHallal, Pedro Curi
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniv Fed Pelotas
dc.contributor.institutionUniversidade Federal de São Carlos (UFSCar)
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionHosp Israelita Albert Einstein
dc.contributor.institutionWashington Univ
dc.contributor.institutionUniv Missouri
dc.contributor.institutionCtr Dis Control & Prevent
dc.date.accessioned2016-01-24T14:34:17Z
dc.date.available2016-01-24T14:34:17Z
dc.date.issued2013-08-31
dc.description.abstractBackground: the aim of this study was to determine the prevalence and correlates of physical activity counseling among physicians and nurses working in primary health care in Brazil.Methods: A phone survey was carried out in 2011 with professionals working in primary health care in Brazil. the target sample consisted of 1,600 randomly selected primary care units covering all regions of the country. We successfully interviewed 529 professionals within the sampled units; 182 physicians and 347 nurses. the overall response rate was 49.6%. Multivariable logistic regression was used to estimate correlates of counseling in the whole sample and separately for physicians and nurses.Results: the prevalence of regular physical activity counseling for at least six months was 68.9% (95% CI 64.9; 72.8) and was significantly higher among physicians compared to nurses (p < 0.05). Most professionals (93.2%) interviewed were unfamiliar with current physical activity recommendations for health. in the adjusted analysis, physical activity counseling was more frequent among those who report assessing patient's physical activity (OR = 2.16; 95% CI 1.41; 3.29), those reporting that lack of time was not a barrier for counseling (OR = 0.62 95% CI 0.42-0.93), those who felt prepared to provide physical activity counseling (OR = 2.34; 95% CI 1.50-3.66), and those working at primary care units offering physical activity programs for patients (OR = 2.06; 95% CI 1.33-3.20). in the stratified analysis, only assessing patient's physical activity was a significant correlate among physicians whereas assessing patient's physical activity, feeling prepared to provide counseling and working in units with physical activity interventions were significant correlates among nurses.Conclusions: Physicians and nurses deemed physical activity counseling of great importance in primary health care in Brazil. However, in order to increase the quality of counseling and the number of professionals engaging in this activity, these health teams require greater knowledge about physical activity (global recommendations for health) as well as training on the application of instruments for assessing physical activity. Moreover, sufficient time must be allowed during consultations for the counseling process, and physical activity promotion programs should be implemented within the primary health care units.en
dc.description.affiliationUniv São Paulo, Sch Arts Sci & Humanities, São Paulo, Brazil
dc.description.affiliationUniv Fed Pelotas, Postgrad Program Epidemiol, Pelotas, RS, Brazil
dc.description.affiliationUniv Fed Sao Carlos, Gerontol Dept, BR-13560 Sao Carlos, SP, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Dept Prevent Med, São Paulo, Brazil
dc.description.affiliationHosp Israelita Albert Einstein, São Paulo, Brazil
dc.description.affiliationWashington Univ, George Warren Brown Sch Social Work, Prevent Res Ctr St Louis, St Louis, MO 63130 USA
dc.description.affiliationUniv Missouri, Sch Med, Dept Hlth Management & Informat, Columbia, MO USA
dc.description.affiliationCtr Dis Control & Prevent, Div Diabet Translat, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA USA
dc.description.affiliationUniv Fed Pelotas, Sch Phys Educ, Pelotas, RS, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Prevent Med, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipCenters for Disease Control and Prevention's Prevention Research Centers Program
dc.description.sponsorshipIDCenters for Disease Control and Prevention's Prevention Research Centers Program: U48/DP001903
dc.format.extent10
dc.identifierhttp://dx.doi.org/10.1186/1471-2458-13-794
dc.identifier.citationBmc Public Health. London: Biomed Central Ltd, v. 13, 10 p., 2013.
dc.identifier.doi10.1186/1471-2458-13-794
dc.identifier.fileWOS000324065400001.pdf
dc.identifier.issn1471-2458
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/36660
dc.identifier.wosWOS:000324065400001
dc.language.isoeng
dc.publisherBiomed Central Ltd
dc.relation.ispartofBmc Public Health
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectPhysical activity promotionen
dc.subjectPhysical activity counselingen
dc.subjectPrimary health careen
dc.subjectPhysiciansen
dc.subjectNursesen
dc.subjectKnowledgeen
dc.subjectAssociated factorsen
dc.titlePhysical activity counseling in primary health care in Brazil: a national study on prevalence and associated factorsen
dc.typeinfo:eu-repo/semantics/article
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