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[PMID]:27510933
[Au] Autor:Portuondo-Sao M; Cobas-Ruiz M; Zacca-Peña E; Lantigua-Cruz A; López-García J; Boligán-Jomarrón Y; Leyva-Serrano M; Herrera-Armenteros A; Morales-Suárez IR
[Ad] Endereço:Ministry of Public Health, Havana, Cuba. mpsao@infomed.sld.cu.
[Ti] Título:Improving Disability Care in Countries of the Bolivarian Alliance for the Peoples of Our America.
[So] Source:MEDICC Rev;18(3):22-4, 2016 Jul.
[Is] ISSN:1527-3172
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Persons with disabilities constitute one of the most vulnerable groups in every society; their identification, assessment and care present a major challenge. In 2001-2003, Cuba conducted the first comprehensive national study of persons with disabilities in the Americas. In 2007-2010, the study was replicated in Bolivia, Ecuador, Nicaragua, Saint Vincent and the Grenadines, and Venezuela, at their governments' request. Study results have enabled implementation of strategies with substancial impact on human health in these countries. In response to it, more than a million medical consultations were provided by professionals whose specialties are lacking in the participating countries, including 139,772 clinical genetic consultations. Once each country's needs were identified, Cuba provided technical assistance with equipment supplied by Venezuela. The study led to development of public policies and programs for disability prevention and care of disabled persons in Bolivia, Ecuador, Nicaragua and Venezuela, and the opening of the National Medical Genetics Center and orthotic and prosthetic laboratories in Venezuela, and rehabilitation centers in Bolivia. KEYWORDS Disability, epidemiology, health services research, needs assessment, human resources, workforce, Bolivia, Cuba, Ecuador, Nicaragua, Saint Vincent and the Grenadines, Venezuela.
[Mh] Termos MeSH primário: Serviços de Saúde para Pessoas com Deficiência
[Mh] Termos MeSH secundário: Bolívia
Pessoas com Deficiência/reabilitação
Pessoas com Deficiência/estatística & dados numéricos
Equador
Serviços de Saúde para Pessoas com Deficiência/organização & administração
Serviços de Saúde para Pessoas com Deficiência/normas
Seres Humanos
Determinação de Necessidades de Cuidados de Saúde
Nicarágua
Melhoria de Qualidade
São Vicente e Granadinas
Venezuela
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170825
[Lr] Data última revisão:
170825
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160812
[St] Status:MEDLINE


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[PMID]:25841166
[Au] Autor:Keizer Beache S; Guell C
[Ad] Endereço:Public Health Group, Faculty of Medical Sciences, University of the West Indies, Bridgetown, Barbados.
[Ti] Título:Non-urgent accident and emergency department use as a socially shared custom: a qualitative study.
[So] Source:Emerg Med J;33(1):47-51, 2016 Jan.
[Is] ISSN:1472-0213
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: We explored attitudes of non-urgent accident and emergency department (AED) patients in the middle-income healthcare setting Saint Vincent and the Grenadines (SVG) in the Caribbean to understand how and why they decide to seek emergency care and resist using primary care facilities. METHODS: In 2013, we conducted 12 semistructured interviews with a purposive sample of non-urgent AED users from a variety of social backgrounds. Verbatim transcripts were analysed with a grounded theory approach. RESULTS: In this study, we found, first, that participants automatically chose to visit the AED and described this as a locally shared custom. Second, the healthcare system in SVG reinforced this habitual use of the AED, for example, by health professionals routinely referring non-urgent cases to the AED. Third, there was also some deliberate use; patients took convenience and the systemic encouragement into account to determine that the AED was the most appropriate choice for healthcare. CONCLUSIONS: We conclude that the attitudes and habits of the Vincentian non-urgent patient are major determinants of their AED use and are intricately linked to local, socially shared practices of AED use. Findings show that health services research should reconsider rational choice behaviour models and further explore customs of health-seeking.
[Mh] Termos MeSH primário: Serviço Hospitalar de Emergência/utilização
Aceitação pelo Paciente de Cuidados de Saúde/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Comportamento de Escolha
Feminino
Acesso aos Serviços de Saúde
Necessidades e Demandas de Serviços de Saúde
Seres Humanos
Masculino
Meia-Idade
Motivação
Pesquisa Qualitativa
São Vicente e Granadinas
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1609
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150405
[St] Status:MEDLINE
[do] DOI:10.1136/emermed-2014-204039


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[PMID]:26447794
[Au] Autor:Benn Torres J; Vilar MG; Torres GA; Gaieski JB; Bharath Hernandez R; Browne ZE; Stevenson M; Walters W; Schurr TG; Genographic Consortium
[Ad] Endereço:Department of Anthropology, University of Notre Dame, Notre Dame, Indiana, United States of America.
[Ti] Título:Genetic Diversity in the Lesser Antilles and Its Implications for the Settlement of the Caribbean Basin.
[So] Source:PLoS One;10(10):e0139192, 2015.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Historical discourses about the Caribbean often chronicle West African and European influence to the general neglect of indigenous people's contributions to the contemporary region. Consequently, demographic histories of Caribbean people prior to and after European contact are not well understood. Although archeological evidence suggests that the Lesser Antilles were populated in a series of northward and eastern migratory waves, many questions remain regarding the relationship of the Caribbean migrants to other indigenous people of South and Central America and changes to the demography of indigenous communities post-European contact. To explore these issues, we analyzed mitochondrial DNA and Y-chromosome diversity in 12 unrelated individuals from the First Peoples Community in Arima, Trinidad, and 43 unrelated Garifuna individuals residing in St. Vincent. In this community-sanctioned research, we detected maternal indigenous ancestry in 42% of the participants, with the remainder having haplotypes indicative of African and South Asian maternal ancestry. Analysis of Y-chromosome variation revealed paternal indigenous American ancestry indicated by the presence of haplogroup Q-M3 in 28% of the male participants from both communities, with the remainder possessing either African or European haplogroups. This finding is the first report of indigenous American paternal ancestry among indigenous populations in this region of the Caribbean. Overall, this study illustrates the role of the region's first peoples in shaping the genetic diversity seen in contemporary Caribbean populations.
[Mh] Termos MeSH primário: Cromossomos Humanos Y
DNA Mitocondrial/genética
Variação Genética
[Mh] Termos MeSH secundário: Grupo com Ancestrais do Continente Africano/genética
Grupo com Ancestrais do Continente Asiático/genética
Região do Caribe
Hibridização Genômica Comparativa
DNA Mitocondrial/análise
DNA Mitocondrial/classificação
Grupo com Ancestrais do Continente Europeu/genética
Feminino
Genética Populacional
Haplótipos
Seres Humanos
Masculino
Filogenia
Polimorfismo de Nucleotídeo Único
São Vicente e Granadinas
Trinidad e Tobago
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (DNA, Mitochondrial)
[Em] Mês de entrada:1606
[Cu] Atualização por classe:151021
[Lr] Data última revisão:
151021
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151009
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0139192


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[PMID]:26344713
[Au] Autor:Newman SP; Meesters EH; Dryden CS; Williams SM; Sanchez C; Mumby PJ; Polunin NV
[Ad] Endereço:School of Marine Science and Technology, Newcastle University, Newcastle, NE1 7RU, UK.
[Ti] Título:Reef flattening effects on total richness and species responses in the Caribbean.
[So] Source:J Anim Ecol;84(6):1678-89, 2015 11.
[Is] ISSN:1365-2656
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:There has been ongoing flattening of Caribbean coral reefs with the loss of habitat having severe implications for these systems. Complexity and its structural components are important to fish species richness and community composition, but little is known about its role for other taxa or species-specific responses. This study reveals the importance of reef habitat complexity and structural components to different taxa of macrofauna, total species richness, and individual coral and fish species in the Caribbean. Species presence and richness of different taxa were visually quantified in one hundred 25-m(2) plots in three marine reserves in the Caribbean. Sampling was evenly distributed across five levels of visually estimated reef complexity, with five structural components also recorded: the number of corals, number of large corals, slope angle, maximum sponge and maximum octocoral height. Taking advantage of natural heterogeneity in structural complexity within a particular coral reef habitat (Orbicella reefs) and discrete environmental envelope, thus minimizing other sources of variability, the relative importance of reef complexity and structural components was quantified for different taxa and individual fish and coral species on Caribbean coral reefs using boosted regression trees (BRTs). Boosted regression tree models performed very well when explaining variability in total (82·3%), coral (80·6%) and fish species richness (77·3%), for which the greatest declines in richness occurred below intermediate reef complexity levels. Complexity accounted for very little of the variability in octocorals, sponges, arthropods, annelids or anemones. BRTs revealed species-specific variability and importance for reef complexity and structural components. Coral and fish species occupancy generally declined at low complexity levels, with the exception of two coral species (Pseudodiploria strigosa and Porites divaricata) and four fish species (Halichoeres bivittatus, H. maculipinna, Malacoctenus triangulatus and Stegastes partitus) more common at lower reef complexity levels. A significant interaction between country and reef complexity revealed a non-additive decline in species richness in areas of low complexity and the reserve in Puerto Rico. Flattening of Caribbean coral reefs will result in substantial species losses, with few winners. Individual structural components have considerable value to different species, and their loss may have profound impacts on population responses of coral and fish due to identity effects of key species, which underpin population richness and resilience and may affect essential ecosystem processes and services.
[Mh] Termos MeSH primário: Antozoários/fisiologia
Biodiversidade
Recifes de Corais
Peixes/fisiologia
[Mh] Termos MeSH secundário: Animais
Antilhas Holandesas
Densidade Demográfica
Porto Rico
São Vicente e Granadinas
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1607
[Cu] Atualização por classe:170510
[Lr] Data última revisão:
170510
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150908
[St] Status:MEDLINE
[do] DOI:10.1111/1365-2656.12429


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[PMID]:26312988
[Au] Autor:Krauss G; Sandy S; Corbin DO; Bird-Compton J; Jack F; Nelson B; Jalonen TO; Ali A; Fortuné T; Clarke D; Okolie J; Cervenka MC
[Ad] Endereço:Department of Neurology, Johns Hopkins University, Meyer 2-147, 600 N Wolfe St., Baltimore, MD 21287, USA. Electronic address: gkrauss@jhmi.edu.
[Ti] Título:Epilepsy care in the southern Caribbean.
[So] Source:Epilepsy Behav;51:267-72, 2015 Oct.
[Is] ISSN:1525-5069
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Very little has been reported about the health resources available for patients with epilepsy in the five English-speaking southern Caribbean countries of Trinidad and Tobago, Barbados, Grenada, Saint Vincent and the Grenadines, and Saint Lucia. There is no comprehensive resource describing their health systems, access to specialty care, antiepileptic drug (AED) use, and availability of brain imaging and EEG. The purpose of this study was to profile epilepsy care in these countries as an initial step toward improving the standard of care and identifying gaps in care to guide future policy changes. In each southern Caribbean country, we conducted study visits and interviewed health-care providers, government health ministers, pharmacy directors, hospital medical directors, pharmacists, clinic staff, radiologists, and radiology and EEG technicians. Health-care providers completed extensive epilepsy care surveys. The five countries all have integrated government health systems with clinics and hospitals that provide free or heavily subsidized care and AEDs for patients with epilepsy. Only Trinidad and Tobago and Barbados, however, have neurology specialists. The three smaller countries lack government imaging and EEG facilities. Trinidad had up to one-year waits for public MRI/EEG. Government formularies in Grenada, Saint Vincent and the Grenadines, and Saint Lucia are limited to first-generation AEDs. One or more second-line agents are formulary in Trinidad and Barbados. Nonformulary drugs may be obtained for individual patients in Barbados. Grenada, Saint Lucia, and Saint Vincent and the Grenadines participate in an Organization of Eastern Caribbean States formulary purchasing system, which added levetiracetam following the survey. Newer generic AED formulations with the lowest risks for pregnancy malformation were not in use. In conclusion, patients with epilepsy in the southern Caribbean have excellent access to government clinics and hospitals, but AED choices are limited. Local medical providers reported that the major limitations in care were lack of specialty care, lack of imaging and EEG services, financial barriers to care, long wait times for care, and limited access to additional AEDs.
[Mh] Termos MeSH primário: Assistência à Saúde/estatística & dados numéricos
Epilepsia/epidemiologia
Epilepsia/terapia
[Mh] Termos MeSH secundário: Anticonvulsivantes/provisão & distribuição
Barbados
Região do Caribe/epidemiologia
Países em Desenvolvimento
Uso de Medicamentos
Eletroencefalografia
Feminino
Formulários Farmacêuticos como Assunto
Pessoal de Saúde/estatística & dados numéricos
Acesso aos Serviços de Saúde/estatística & dados numéricos
Seres Humanos
Masculino
Neurologia/estatística & dados numéricos
Gravidez
Santa Lúcia
São Vicente e Granadinas
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Anticonvulsants)
[Em] Mês de entrada:1605
[Cu] Atualização por classe:151005
[Lr] Data última revisão:
151005
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150828
[St] Status:MEDLINE


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[PMID]:26125198
[Au] Autor:Cediel G; Olivares M; Brito A; Cori H; López de Romaña D
[Ti] Título:Zinc Deficiency in Latin America and the Caribbean.
[So] Source:Food Nutr Bull;36(2 Suppl):S129-38, 2015 Jun.
[Is] ISSN:0379-5721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Zinc deficiency affects multiple vital functions in the life cycle, especially growth. Limited information is available on the magnitude of zinc deficiency in Latin America and the Caribbean. OBJECTIVE: To examine the latest available information on both the prevalence of zinc deficiency and the risk of zinc deficiency in Latin America and the Caribbean. METHODS: The prevalence of zinc deficiency was identified through a systematic review looking for the latest available data on serum zinc concentrations from surveys or studies with national representativeness conducted in Latin America and the Caribbean. The risk of zinc deficiency in Latin America and the Caribbean was estimated based on dietary zinc inadequacy (according to the 2011 National Food Balance Sheets) and stunting in children under 5 years of age. RESULTS: Only four countries had available national biochemical data. Mexican, Colombian, Ecuadorian, and Guatemalan children under 6 years of age and women 12 to 49 years of age had a high prevalence of zinc deficiency (19.1% to 56.3%). The countries with the highest risk of zinc deficiency (estimated prevalence of inadequate zinc intake > 25% plus prevalence of stunting > 20%) were Belize, Bolivia, El Salvador, Guatemala, Haiti, Honduras, Nicaragua, and Saint Vincent and the Grenadines. Zinc dietary inadequacy was directly correlated with stunting (r = 0.64, p < .001). CONCLUSIONS: Prevalence data from the four available Latin America and Caribbean national surveys indicate a high prevalence of zinc deficiency in children under 6 years of age and women 12 to 49 years of age. High rates of both estimated zinc dietary inadequacy and stunting were also reported in most Latin America and Caribbean countries.
[Mh] Termos MeSH primário: Zinco/deficiência
[Mh] Termos MeSH secundário: Adolescente
Adulto
Belize/epidemiologia
Bolívia/epidemiologia
Região do Caribe/epidemiologia
Criança
Pré-Escolar
Colômbia/epidemiologia
Dieta
Equador/epidemiologia
El Salvador/epidemiologia
Feminino
Transtornos do Crescimento/epidemiologia
Transtornos do Crescimento/etiologia
Guatemala/epidemiologia
Haiti/epidemiologia
Inquéritos Epidemiológicos
Honduras/epidemiologia
Seres Humanos
Lactente
América Latina/epidemiologia
México/epidemiologia
Meia-Idade
Nicarágua/epidemiologia
Estado Nutricional
São Vicente e Granadinas/epidemiologia
Adulto Jovem
Zinco/administração & dosagem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
J41CSQ7QDS (Zinc)
[Em] Mês de entrada:1508
[Cu] Atualização por classe:160104
[Lr] Data última revisão:
160104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150701
[St] Status:MEDLINE


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[PMID]:25890181
[Au] Autor:Adams R; Chou YJ; Pu C
[Ad] Endereço:Ministry of Health, Wellness and Environment, Ministerial Building, Halifax Street, Kingstown, St. Vincent and the Grenadines. adamsrosm@me.com.
[Ti] Título:Willingness to participate and Pay for a proposed national health insurance in St. Vincent and the grenadines: a cross-sectional contingent valuation approach.
[So] Source:BMC Health Serv Res;15:148, 2015 Apr 09.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Numerous Caribbean countries are considering implementing National Health Insurance (NHI) and pooling resources to finance their health sectors. Based on this increased interest in health insurance, we investigated the willingness to participate and to pay for NHI in St. Vincent and the Grenadines, an upper-middle-income Caribbean country. METHODS: Four hundred heads of household in St. Vincent and the Grenadines were interviewed in August 2012 and September 2012. The samples were selected through simple random sampling, including the stratification of rural, semiurban, and urban communities to ensure the representativeness of the sample. A contingent valuation method with a pretested interviewer-led questionnaire was used. Respondents were presented with a hypothetical NHI plan. Chi-squared analysis was performed to identify factors that are associated with the willingness to participate. Multiple logistic regression was used to explore the factors that influence respondents' willingness to pay. RESULTS: In total, 69.5% (n = 278) of the respondents indicated that they were willing to participate in the proposed NHI plan, of whom 72.3% were willing to pay for the first bid (EC$50). When the bid was reduced to EC$25, all of the remaining respondents who indicated they were willing to participate were willing to pay this lowered bid. Overall, the respondents were willing to pay EC$77.83 (US$28.83) per month for each person to enroll in the NHI plan. Age, income, and having some form of health insurance were significantly associated with a willingness to participate in the plan. CONCLUSIONS: A higher socioeconomic status was the principal determinant factor for the willingness to participate. This is similar to studies on developing economies. The government can use these findings to guide the successful implementation of the proposed NHI program. People with a lower socioeconomic status must be engaged from the start of and throughout the development process to enhance their understanding of and participation in the plan.
[Mh] Termos MeSH primário: Participação da Comunidade/estatística & dados numéricos
Financiamento Pessoal/economia
Seguro Saúde/economia
Programas Nacionais de Saúde/economia
Programas Nacionais de Saúde/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Idoso
Idoso de 80 Anos ou mais
Estudos Transversais
Feminino
Financiamento Pessoal/estatística & dados numéricos
Seres Humanos
Seguro Saúde/estatística & dados numéricos
Modelos Logísticos
Masculino
Meia-Idade
População Rural/estatística & dados numéricos
São Vicente e Granadinas
Fatores Sexuais
Fatores Socioeconômicos
População Suburbana/estatística & dados numéricos
Inquéritos e Questionários
População Urbana/estatística & dados numéricos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1605
[Cu] Atualização por classe:161125
[Lr] Data última revisão:
161125
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150419
[St] Status:MEDLINE
[do] DOI:10.1186/s12913-015-0806-3


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[PMID]:24976553
[Au] Autor:Samuel D; Angarita B; Igboeli B; Woldu H
[Ad] Endereço:Columbia University College of Physicians and Surgeons, New York, NY. Electronic address: Diana.samuel1@gmail.com.
[Ti] Título:Four international residents' perspectives on working overseas as part of residency training: liberia, myanmar, and saint vincent/grenadines.
[So] Source:Ann Glob Health;80(2):143-5, 2014 Mar-Apr.
[Is] ISSN:2214-9996
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Países em Desenvolvimento
Internato e Residência
Psiquiatria/educação
[Mh] Termos MeSH secundário: Intercâmbio Educacional Internacional
Libéria
Mianmar
São Vicente e Granadinas
[Pt] Tipo de publicação:JOURNAL ARTICLE; PERSONAL NARRATIVES
[Em] Mês de entrada:1603
[Cu] Atualização por classe:140630
[Lr] Data última revisão:
140630
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140701
[St] Status:MEDLINE


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[PMID]:24976544
[Au] Autor:Chen A; Smart Y; Morris-Patterson A; Katz CL
[Ad] Endereço:Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address: Antonia.chen86@gmail.com.
[Ti] Título:Piloting self-help groups for alcohol use disorders in Saint Vincent/Grenadines.
[So] Source:Ann Glob Health;80(2):83-8, 2014 Mar-Apr.
[Is] ISSN:2214-9996
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Although alcohol consumption is recognized as a global problem, little research to date explores treatment options for alcohol use disorders in developing nations. Given the scarce mental health resources available in Saint Vincent and the Grenadines, community self-help programming for alcohol use disorders could potentially provide an important complement to the existing mental health services. OBJECTIVE: The aim of this study was to gather baseline data on knowledge and attitudes toward alcohol consumption among community members, and subsequently, to pilot self-help rehabilitation programs for alcohol use disorders, while determining factors that affect the feasibility and sustainability of such programs. METHODS: Focus groups were conducted in 3 communities to discuss community perceptions of alcohol use and the feasibility of self-help programs. Focus group findings guided the development and implementation of the self-help groups. A postintervention focus group was held to determine the effectiveness and community-wide effect of the self-help programs. FINDINGS: Focus group participants agreed that alcohol consumption was a problem in Saint Vincent, leading to underage drinking and violence. Suggestions to encourage self-help meeting attendance included organizing group activities and providing visuals to illustrate alcohol's effects on health. Self-help group members were surveyed about their group experience. Of the 35 members surveyed, 77% said the group was very helpful, and 91% indicated that they would attend again. Postintervention focus group participants stated that individuals had reduced alcohol consumption after attending at least 1 self-help meeting. CONCLUSIONS: Elements that contributed to the sustainability of self-help groups included strong local leadership from district health nurses as well as willingness of participants to seek support. However, efforts need to be made to increase community awareness of alcohol use disorders and its associated dangers. Our results suggested self-help programs to address alcohol use disorders are a feasible intervention in Saint Vincent that warrants further development, dissemination, and exploration.
[Mh] Termos MeSH primário: Transtornos Relacionados ao Uso de Álcool/terapia
Alcoólicos Anônimos
Serviços Comunitários de Saúde Mental/métodos
Países em Desenvolvimento
[Mh] Termos MeSH secundário: Grupos Focais
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Projetos Piloto
Desenvolvimento de Programas
São Vicente e Granadinas
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1603
[Cu] Atualização por classe:140630
[Lr] Data última revisão:
140630
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140701
[St] Status:MEDLINE


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[PMID]:23378041
[Au] Autor:Winer RA; Morris-Patterson A; Smart Y; Bijan I; Katz CL
[Ad] Endereço:Stanford Hospitals & Clinics, 300 Pasteur Drive, Stanford, CA 94305, USA. rwiner@stanford.edu
[Ti] Título:Knowledge of and attitudes toward mental illness among primary care providers in Saint Vincent and the Grenadines.
[So] Source:Psychiatr Q;84(3):395-406, 2013 Sep.
[Is] ISSN:1573-6709
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Saint Vincent and the Grenadines (SVG) is an Eastern Caribbean country with limited inpatient and outpatient resources to meet the country's mental health needs. In preparation for integrating mental health care into the primary care setting, we assessed knowledge of and attitudes toward mental illness among primary care providers in SVG. From October 24-November 11, 2011, we visited a convenience sample of District Health Centers in SVG. We gave a multiple-choice-answer, self-administered questionnaire to primary care providers and then administered a structured interview. Survey responses were analyzed for frequencies and interview transcripts qualitatively analyzed for major themes. We completed 53 surveys and interviews representing all nine SVG Health Districts. Results demonstrated a provider population with basic, but inadequate, knowledge of mental illness diagnosis and treatment. Results also revealed a curious and interested group of providers who felt mental illness should be a health priority and were willing and eager to receive further mental health training. Providers suggested strengthening resources in existing district clinics, providing additional staff training sessions, establishing positions with a dual health and mental health role, instituting annual mental health screening examinations, and creating weekly mental health clinics. Integrating mental health care into primary care necessitates involvement of primary care staff during the planning stages, and this study initiates an intensive effort to do so in SVG. Results have led to the development of a "mental health check-up" tool, which we hope will improve access to mental health care in this community.
[Mh] Termos MeSH primário: Conhecimentos, Atitudes e Prática em Saúde
Transtornos Mentais/psicologia
Transtornos Mentais/terapia
Atenção Primária à Saúde
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Entrevista Psicológica
Masculino
Transtornos Mentais/epidemiologia
Serviços de Saúde Mental
Meia-Idade
Estudos Retrospectivos
São Vicente e Granadinas/epidemiologia
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1403
[Cu] Atualização por classe:171121
[Lr] Data última revisão:
171121
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:130205
[St] Status:MEDLINE
[do] DOI:10.1007/s11126-013-9254-6



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde