Centro de Estudos Globais | Artigos em revistas internacionais / Papers in international journals
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- Adaptação do Communities That Care Youth Survey para Portugal: um estudo pilotoPublication . Henriques, Susana; Rabelo, RachelO questionário Communities That Care Youth Survey (CTCYS) avalia fatores de risco e de proteção, prevendo uma série de problemas de saúde comportamentais, incluindo uso de substâncias psicoativas, violência e delinquência em jovens e adolescentes. Em 2022, o CTCYS foi adaptado para Portugal, incorporando fatores de risco e proteção, associados ao uso de substâncias psicoativas, comportamento antissocial e problemas de saúde mental em quatro dimensões: comunidade, família, escola e indivíduo-pares. O presente estudo investigou as propriedades psicométricas e a aplicabilidade do CTCYS em Portugal. O processo de adaptação envolveu a tradução e o refinamento do US CTCYS complementado de discussões em grupos focais com alunos e especialistas. Realizou-se ainda um pré-teste num dos municípios da Região Autónoma dos Açores (RAA) no sentido de aferir a consistência interna do instrumento. Os resultados indicam que a estrutura do CTCYS adaptado a Portugal capta amplamente os principais fatores de risco e proteção considerados. A versão final foi aplicada a 1218 alunos a da RAA e foi realizada nova análise de confiabilidade e validade dos constructos visando a verificação da confiabilidade dos resultados da pesquisa. De modo geral, a os resultados mostraram-se promissores. Neste artigo apresentamos a análise dos resultados que identificam maiores efeitos para o consumo de substâncias psicoativas nos jovens da RAA. O uso dos resultados do CTCYS na identificação dos fatores de risco mais proeminentes para o consumo de substâncias em adolescentes, demonstra o potencial desta ferramenta para orientação de intervenções comunitárias de prevenção.
- Alcohol consumption and night-time leisure among brasilian studentsPublication . Freitas, Heloisa; Henriques, Susana; Uvinha, Ricardo R.; Lusby, Carolin; Romera, LianaRecreational drug use is recognized by the World Health Organization as the consumption of alcoholic beverages, carried out by a portion of youth during leisure contexts. This research aimed at knowing the types of recreational drug use of a population of young Brazilian university students. This is an exploratory and quantitative research, developed through an anonymous and semi-structured questionnaire. The sample consisted of 217 university students, aged 18 to 24 from a public university in the city of Vitoria- Brazil. The results showed that the recreational uses of substances occur mostly during leisure time. Such scenarios represent, for these young people, the possibility of rupture with daily life and the adult universe, characterized by the imposition of rules. For a young group, night-time leisure represents an important context of sociability and alcohol consumption. Among those surveyed, 63.6% consumed alcoholic beverages at night outings and 45.1% almost every weekend. Regarding the pattern of use, 49% consume binge drinking, especially when drinking in informal spaces such as streets and squares due to the lower regulatory control. The results corroborate that alcohol consumption is related to leisure agendas and address issues such as autonomous expression of identities and lifestyles in contemporary society.
- Building a framework based on european quality standards for prevention and e-learning to evaluate online training courses in preventionPublication . Henriques, Susana; Broughton, Natalie; Teixeira, António; Burkhart, Gregor; Miovský, MichaelPrevention practitioners are required to develop their skills and competencies in response to recent advances in prevention science. It is thus important to develop training programmes which ensure the development of a prevention workforce. Aiming to respond to this need, the Specialised Training Course in Addictions Prevention is based on the European Universal Prevention Curriculum (EUPC) and delivered online. In view of this being the first online course based on the EUPC, the absence of training programmes for prevention practitioners in Portugal, and the significance of international guidelines in these two domains (prevention and online distance learning), it was considered important to create a framework which supports the evaluation and monitoring of the course. This paper presents a framework for the evaluation of the specialised training course in prevention based on two models: the European Drug Prevention Quality Standards, and the adaptation of the European Standards and Guidelines to digital programmes and courses – Considerations for Quality Assurance of E-learning Provision. Given the importance of quality assurance in contemporary society, the framework presented in this paper is a tool that may be useful for evaluating other online distance learning programmes which focus on the professional development of prevention practitioners.
- Collaborative management in schools: experiences on the role of ibero-american networks in health educationPublication . Reis Bomfim, Natanael; Correia, Silvia Letícia Costa Pereira; Henriques, Susana; Rodrigues, ElisabeteHealth education is complex and, in schools, involves not only specific teams, but also management, organizational climate, and curricula. In this context, we understand collaborative management as a model in which school leaders promote the involvement of the school community, are based on open communication processes, and are receptive to innovation. Networking, enhanced by digital technologies, is one of the resources of these collaborative practices in the management of schools that, at the same time, reinforce them. Following a methodological strategy of an exploratory and qualitative nature, we analyze in a comparative perspective the public policies that frame health education in schools. The focus is on two experiences carried out in a network, in Brazil and Portugal. The results allow us to (re)think health education strategies in the school context, based on collaborative management strategies and cooperation networks.
- Domestic violence against LGBTI people: perspectives of Portuguese education professionalsPublication . Sousa, Edgar; Neves, Sofia; Ferreira, Mafalda; Topa, Joana; Vieira, Cristina Pereira; Borges, Janete S.; Rodrigo, Costa; André, LiraLesbian, gay, bisexual, trans and intersex (LGBTI) people are more likely to be exposed to domestic violence than the rest of the population. Using a descriptive qualitative methodology, 28 professionals from the educational sector, aged between 28 and 64 years old (M = 44.5), were interviewed to describe and understand their perspectives on the sector’s ability to support, intervene and get involved with LGBTI people and, particularly, with victims or former victims of domestic violence. Through a thematic content analysis, three main themes emerged: (i) life trajectories of LGBTI people; (ii) domestic violence perpetrated against LGBTI people; and (iii) training of the educational sector to intervene with LGBTI people. The results show that Portuguese education professionals are not trained to recognize and intervene with LGBTI people and, in particular, with those who are victims of domestic violence, since they are unaware of the existence of protocols and/or guidelines for detecting and preventing risk situations among students. Furthermore, the curricular plan fails in the coverage of domestic violence and LGBTI-related topics, although the National Strategy for Citizenship Education has been implemented in Portugal since 2017. Findings suggest the need to invest in education professionals’ training.
- Evaluation of the lights4violence program: reduction in machismo and acceptance of violence among adolescents in EuropePublication . Pérez Martínez, Vanesa; Sanz-Aranguez, Belen; Ferrer, Rosario; Bowes, Nicola; Ayala, Alba; Guadaño Sánchez, Miriam; Albaladejo-Blázquez, Natalia; Rosati, Nicoletta; Neves, Sofia; Vieira, Cristina Pereira; Jankowiak, Barbara; Jaskulska, Sylwia; Waszyńska, Katarzyna; Cuadrado Vives, Maria CarmenBackground: Machismo and acceptance of violence (AV) against women are part of the social construction of hegemonic masculinity and are related to the risk of dating violence. This study aims to analyze the efectiveness of the Lights4Violence program in reducing machismo and AV in secondary school students from diferent European cities. Methods: Quasi-experimental longitudinal study using a convenience sample of 1,146 high school students from diferent European cities (12–17 years old) including 575 intervention group students (59.1% girls) and 571 control group students (62.7% girls). We performed linear regression models to identify the efect of the intervention, model‑ling the diference in means in machismo and AV (dependent variables) between wave-2 and wave-1. Results: An interaction was identifed between the group variable and the empathy variable. In wave-2, girls with high empathy at baseline in the intervention group obtained lower mean AV scores (β: -0.131; p=0.004). However, the boys in the intervention group (reference: control group) with low empathy at baseline registered a signifcant increase in the mean values of machismo (β: 0.247; p<0.001). Conclusion: The importance of empathy is shown in the efectiveness of interventions to reduce machismo and AV in adolescents. While the Lights4Violence program focuses on promoting healthy relationships, there were some controversial results. It is possible that some children, especially those with less empathy, may have felt “challenged” during the intervention and/or assessment. This suggests the need for the development of interventions that also consider psychological processes and integrate the promotion of positive expressions of masculinity. Keywords: Machismo, Acceptance of violence, Empathy, Adolescents, Intervention, Intimate partner violence.
- Interculturality, public health and health education: data report based on the Virtual Learning Environment of the Brazilian Health System (AVASUS)Publication . Cunha, Priscila; Batista, Natalia; Fernandes, Felipe; Barbalho, Ingridy; Romão, Manoel Honorio; Coutinho, Karla; Valentim, Janaína; Lacerda, Juciano; Dias, Aline de P.; Henriques, Susana; Valentim, Ricardo; Alves, Fátima; Coutinho, Karilany D.Interculturality is increasingly gaining conceptual and operational relevance, especially in public health, since the cultural diversity of population groups generates myriad needs and demands for health services. In this scenario, technology-mediated Massive Open Online Courses (MOOCs) have become innovative strategies for health training from an intercultural perspective. In Brazil, this is exemplified by the reinforcement of comprehensive Indigenous health care initiatives under primary health care. Prison health is also part of this spectrum of measures, as seen in the National Policy for Comprehensive Healthcare for People Deprived of Liberty. Hence, the prison population is a significant example of cultural and social diversity.
- Interfaces between communication, education and health: a scoping review protocolPublication . Batista, Natalia Araújo do Nascimento; Henriques, Susana; Lacerda, Juciano; Aline de Pinho Dias; Muñoz Gallego, Almudena; Abreu, Danielle Correia Neves; Clemente, Heleni Aires; Bidarra, José; Araújo, Kaline Sampaio de; Coutinho, Karilany Dantas; Sanjuán Núñez, Lucía; Romão, Manoel Honorio; Freire, Maria da Guia Cunha Dantas; Tavares, Mirian; Reis, Mônica Karina Santos; Lorite García, Nicolás; Valentim, RicardoIntroduction The interfaces between the fields of communication, education and health have been indicated by international institutions such as the WHO and the European Centre for Disease Prevention and Control. However, hegemonic scientific practices supersede dialogue between the three fields, isolating their practices. This fragmenting tendency is observed in scientific literature, which has created gaps in the dialogue and articulation between communication, education and health. Although health promotion requires both communicative and educational practices, the epistemological, historical, political, cultural and socioeconomic aspects have also engendered tensions between the fields. Communication is often seen as a mere instrument for other practices, rather than a phenomenon that (re)produces meanings and power dynamics. In opposing the reductionist and instrumentalising perspectives of knowledge fields, the primary objective of the scoping review is to map the scientific evidence on the interfaces between communication and education in health to indicate a conceptual framework that articulates communication and education practices within the context of health. Methods and analysis A transdisciplinary team developed this protocol based on the 2024 Joanna Briggs Institute Manual for Evidence Synthesis. The procedures required to conduct the review were guided by the frameworks proposed by Arksey and O'Malley, Levac et al and Peters et al. The study eligibility criteria were established based on the Problem, Concept and Context outlined in the research questions. Primary and secondary studies will be retrieved from nine sources, covering both conventional and grey literature. These sources include Embase, ERIC, LILACS, PubMed/MEDLINE, ScienceDirect, Scopus, Web of Science, the Brazilian Digital Library of Theses and Dissertations, and the Networked Digital Library of Theses and Dissertations. A categorised form will be used for data collection and subsequent analysis. The reporting of the review findings will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Ethics and dissemination The nature of the research and the use of secondary data sources do not require informed consent forms or approval from ethics committees in Brazil. The scientific findings from the review will be disseminated through peer-reviewed journals, academic conferences and other scientific communication channels. Study registration The protocol was registered on the Open Science Framework (OSF) and is available at https://doi.org/10.17605/OSF.IO/Z3CX7.
- Lógicas de risco na experiência da sexualidade juvenilPublication . Vieira, Cristina PereiraO domínio da contraceção é um campo de ambiguidades entre as forças modernas de racionalização (representadas pelo uso do preservativo aconselhado pela medicina para prevenir o risco de IST/sida), as forças morais subjetivas (representadas pela confiança na fidelidade do/a parceiro/a) e os preconceitos sociais (representados pelo medo da gravidez pré-conjugal). Claramente, a opção de contraceção funciona no modelo relacional. O artigo apresenta dados de estudo empírico com jovens portugueses(as), pela técnica de grupos de discussão. A análise dos dados mostra como nas racionalidades leigas a avaliação dos riscos na sexualidade (aqui referidos relativamente à IST/sida e à gravidez), a lógica da contraceção e as opções que dela emergem aparecem incrustadas a valores, símbolos e significados que ultrapassam a lógica da racionalidade científica e que justificam uma não total adesão à normatividade. O que nos leva pensar que as campanhas de promoção da saúde sexual e reprodutiva, em particular quando dirigidas aos jovens, não devem atender unicamente a um saber pericial, técnico ou especializado que informa o indivíduo, sem ter presente o conhecimento leigo.
- Permanent health education for health economics in Brazil: a forgotten facet?Publication . Romão, Manoel Honório; Paiva, Jordana Crislayne de Lima; Silva, Lorena de Macêdo; Oliveira Junior, Elinaldo Bernardo de; Costa, João Maria Macêdo da; Felipe, Israel José dos Santos; campos, Rodrigo Pires de; Lima, Thaísa Góis Farias de Moura Santos; Rêgo, Maria Carmem F. D.; Reis, Mônica Karina Santos; Bonfim, Marilyn Anderson Alves; Valentim, Janaina Luana Rodrigues da Silva; Coutinho, Karilany Dantas; Dias, Aline de Pinho; Oliveira, Carlos Alberto Pereira de; Coitinho, Karla Mônica Dantas; Batista, Natalia Araújo do Nascimento; Rocha, Marcella A. da; Aragão, Erika Santos de; Guimarães, Jane Mary de Medeiros; Henriques, Susana; Veloso, Claudia Miranda; Valentim, Ricardo Alexsandro de Medeiros; Mendes, António QuintasIntroduction: This article analyzes the presence and induction of Permanent Health Education (PHE) in Health Economics (HE) within the official documents of the Department of Health Economics and Development (DESID) of Brazil’s Ministry of Health (MoH). Methods: This is an exploratory and descriptive qualitative study, grounded in the document analysis of 126 records categorized according to the elements proposed by Williams and content analysis based on Bardin’s method (2016). Results: The findings revealed a lack of programmatic, budgetary, and strategic guidelines specifically aimed at PHE in Health Economics, as well as a restricted provision of specialized courses and limited integration with public health management policies. Comparative analysis with international experiences, including the United Kingdom, Belgium, and South Africa, demonstrates that the institutionalization of HE training fosters greater efficiency, equity, sustainability, and rationality in the use of public resources. The findings suggest that continuous technical qualification in this field constitutes an essential component for strengthening Brazil’s National Health System (SUS). Discussion: In this context, there is a clear need for the formulation of government policies that stimulate, incentivize, and expand PHE in Health Economics, leveraging the potential of technological platforms such as AVASUS and the Brazil Telehealth Program, both of which possess significant reach, adherence, and engagement across the national territory.