Cambiamento di comportamenti
in nuclei familiari fragili

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I fattori che influenzano il comportamento sono sia psicologici che ambientaliQuesti fattori si “coagulano” in contesti familiari in particolare difficoltà

Obiettivi specifici

fumo

prevenzione secondaria

centri cardiologici

Subtopic

prevenzione primaria

target adolescenti

dieta

prevenzione primaria

prevenzione secondaria

centri diabetologici

tackle i fattori di fragilità sociale delle famiglie

Azioni

co-progettazione interventi con stakeholders locali

ricognizione buone pratiche esistenti
a cura degli stakeholders / ONG

giochi di quartiere per l'integrazione, l'attività fisica e la riduzione dello stress

creazione di opportunità per il benessere

individuazione indicatori di rischio specifici

reclutamento famiglie target

associazioni di pazienti

ong attive nell'integrazione

servizi sociali di quartiere

servizio materno-infantile

formazione operatori
sanitari

counselling motivazionale

individuazione fattori di rischio

lavoro di rete

opportunità sul territorio

counselling mirato

chi lo fa

Medici di base

cardiologi

diabetologi

professionisti
sanitari

determinanti sociali e ambientali

riduzione stress

riduzione isolamento e mancanza
capitale sociale

creazione di opportunità
sociali e di attività fisica
(giochi di quartiere)

empowerment di comunità

individuazione campanelli di allarme

BANDO:

Bibliografia

Health literacy

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Pubmed: #refugee https://pubmed.ncbi.nlm.nih.gov/31036241/# refugee health literacy Refugee and Migrant Health Literacy Interventions in High-Income Countries: A Systematic Review. Fox S, Kramer E, Agrawal P, Aniyizhai A. J Immigr Minor Health. 2022 Feb;24(1):207-236. doi: 10.1007/s10903-021-01152-4. Epub 2021 Feb 25. PMID: 33634370 Review.Health literacy is a key determinant of health in refugee and migrant populations living in in high-income countries (HICs). ...Only two studies used a common health literacy measure. Few RCTs have been conducted to investigate interventions ...Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies: Proceedings of a Workshop. National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Population Health and Public Health Practice; Roundtable on Health Literacy. Washington (DC): National Academies Press (US); 2017 Nov 9. PMID: 29144672 Free Books & Documents. Review.The increasingly diverse ethnic composition of the United States population has created a profound and ongoing demographic shift, and public health and health care organizations face many challenges as they move to address and adapt to this change. To better underst …    https://pubmed.ncbi.nlm.nih.gov/?term=refugee%20health%20literacy%20europe Health literacy among refugees in Sweden - a cross-sectional study. Wångdahl J, Lytsy P, Mårtensson L, Westerling R. BMC Public Health. 2014 Oct 3;14:1030. doi: 10.1186/1471-2458-14-1030. PMID: 25278109 Free PMC article.This study aims to determine levels of functional and comprehensive health literacy, and factors associated with inadequate health literacy, in refugees coming to Sweden. ...More research is needed to better understand health literacy …                         Access to Health Care for Pregnant Arabic-Speaking Refugee Women and Mothers in Germany. Henry J, Beruf C, Fischer T. Qual Health Res. 2020 Feb;30(3):437-447. doi: 10.1177/1049732319873620. Epub 2019 Sep 18. PMID: 31530252The aim of this study was to investigate how premigration experiences, conceptions about pregnancy and childbirth, health literacy, and language skills influence access to health care, experiences of health care, and childbirth. ...They contribute to b … 5 Exposure to culturally sensitive sexual health information and impact on health literacy: a qualitative study among newly arrived refugee women in Sweden. Svensson P, Carlzén K, Agardh A. Cult Health Sex. 2017 Jul;19(7):752-766. doi: 10.1080/13691058.2016.1259503. Epub 2016 Nov 29. PMID: 27894219Culturally sensitive health education provides a strategy for enhancing health literacy. Since 2012, specially trained civic and health communicators have provided sexual and reproductive health and rights information to newly arrived refugee …         Health literacy and refugees' experiences of the health examination for asylum seekers - a Swedish cross-sectional study. Wångdahl J, Lytsy P, Mårtensson L, Westerling R. BMC Public Health. 2015 Nov 23;15:1162. doi: 10.1186/s12889-015-2513-8. PMID: 26596793 Free PMC article.Functional health literacy is an individual's ability to read information and instructions about health and to function effectively as a patient in the health system, and comprehensive health literacy is an individual's comp … 8 What is the Prevalence of Low Health Literacy in European Union Member States? A Systematic Review and Meta-analysis. Baccolini V, Rosso A, Di Paolo C, Isonne C, Salerno C, Migliara G, Prencipe GP, Massimi A, Marzuillo C, De Vito C, Villari P, Romano F. J Gen Intern Med. 2021 Mar;36(3):753-761. doi: 10.1007/s11606-020-06407-8. Epub 2021 Jan 5. PMID: 33403622 Free PMC article. Review.BACKGROUND: Many studies have shown that low health literacy (HL) is associated with several adverse outcomes. ...DISCUSSION: We found that low HL is a public health challenge throughout Europe, where one in every three to almost one in every two Europ …       

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refugees

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https://pubmed.ncbi.nlm.nih.gov/?term=refugee%26health%26europe&filter=pubt.review&filter=datesearch.y_11: Balaam MC, Kingdon C, Haith-Cooper M. A Systematic Review of Perinatal SocialSupport Interventions for Asylum-seeking and Refugee Women Residing in Europe. JImmigr Minor Health. 2022 Jun;24(3):741-758. doi: 10.1007/s10903-021-01242-3.Epub 2021 Jul 17. PMID: 34273047; PMCID: PMC9072490.2: Rosenthal T, Touyz RM, Oparil S. Migrating Populations and Health: RiskFactors for Cardiovascular Disease and Metabolic Syndrome. Curr Hypertens Rep.2022 Sep;24(9):325-340. doi: 10.1007/s11906-022-01194-5. Epub 2022 Jun 15. PMID:35704140; PMCID: PMC9198623.3: Kumar BN, James R, Hargreaves S, Bozorgmehr K, Mosca D, Hosseinalipour SM,AlDeen KN, Tatsi C, Mussa R, Veizis A, Kállayová D, Blanchet K, Machado RS,Orcutt M, Severoni S. Meeting the health needs of displaced people fleeingUkraine: Drawing on existing technical guidance and evidence. Lancet Reg HealthEur. 2022 May 7;17:100403. doi: 10.1016/j.lanepe.2022.100403. PMID: 35721694;PMCID: PMC9198835.4: Butenop J, Brake T, Mauder S, Razum O. Gesundheitliche Lage in der Ukrainevor Kriegsbeginn und ihre Relevanz für die Versorgung ukrainischer Geflüchteterin Deutschland: Literaturdurchsicht, Risikoanalyse und Prioritätensetzung[Health Situation in Ukraine Before Onset of War and Its Relevance for HealthCare for Ukrainian Refugees in Germany: Literature Review, Risk Analysis, andPriority Setting]. Gesundheitswesen. 2022 Aug;84(8-09):679-688. German. doi:10.1055/a-1876-2423. Epub 2022 Jul 15. PMID: 35839784.5: Klas J, Grzywacz A, Kulszo K, Grunwald A, Kluz N, Makaryczew M,Samardakiewicz M. Challenges in the Medical and Psychosocial Care of thePaediatric Refugee-A Systematic Review. Int J Environ Res Public Health. 2022Aug 26;19(17):10656. doi: 10.3390/ijerph191710656. PMID: 36078371; PMCID:PMC9517743.6: Fatyga E, Dzięgielewska-Gęsiak S, Muc-Wierzgoń M. Organization of MedicalAssistance in Poland for Ukrainian Citizens During the Russia-Ukraine War. FrontPublic Health. 2022 Jul 7;10:904588. doi: 10.3389/fpubh.2022.904588. PMID:35874981; PMCID: PMC9300910.

Paesi

Italia

Polonia

Slovacchia

Svezia

Partner

Associazioni di pazienti

Ong-

Local Health Care (case di comunità, salute materno infantile)

Università / Enti di formazione

Enti Locali

Indicatori

numero di interventi di sanità pubblica locali realizzati

Numero di nuclei familiari svantaggiati raggiunto

Accesso allo screening

Accesso ai centri anti-fumo

Automonitoraggio soggetti coinvolti

rilevazione da parte degli operatori

adesione ai corsi di formazione per operatori realizzati

work programme

WP 1: coordinamento

Linee guida

coordinamento della coprogettazione degli interventi

traduzioni

WP 2 buone pratiche locali

co-progettazione interventi

coordinamento interventi rete stakeholders locali

individuazione "campanelli d'alllarme"

creazione di opportunità / empowerment di comunità

wp3 formazione operatori sanitari:counselling mirato e individuazione nuclei a rischio

fattori soggettivi

fattori socio-economici e ambientali

lavoro in rete

individuazione soggetti a rischio

wp4 equity dimension

individuazione fattori di rischio specifici

formazione operatori