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oai:repisalud.isciii.es:20.500.12105/204572025-05-08T17:48:27Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967
Repisalud author March, Sebastia author Ripoll Amengual, Joana author Jordan Martin, Matilde author Zabaleta-del-Olmo, Edurne author Benede Azagra, Carmen Belen author Elizalde Soto, Lazaro author Vidal-Thomàs, María Clara author Bauzà-Amengual, Maria de LLuc author Planas Juan, Trinidad author Perez Mariano, Damiana Maria author Llull Sarralde, Micaela author Ruiz-Gimenez, Juan Luis author Bajo Vinas, Rosa author Solano Villarubia, Carmen author Rodriguez Bajo, Maria author Cordoba Victoria, Manuela author Badia Capdevila, Marta author Serrano Ferrandez, Elena author Bosom Diumenjo, Maria author Montaner-Gomis, Isabel author Bolibar-Ribas, Buenaventura author Antonanzas Lombarte, Angel author Bregel Cotaina, Samantha author Calvo Tocado, Ana author Olivan Blazquez, Barbara author Magallon Botaya, Rosa author Marin Palacios, Pilar author Echauri Ozcoidi, Margarita author Perez-Arauta, Maria Jose author Llobera Cànaves, Joan author Ramos Monserrat, Maria 2024-07-11T09:10:44Z 2024-07-11T09:10:44Z 2017-10 March S, Ripoll J, Jordan Martin M, Zabaleta-Del-Olmo E, Benede Azagra CB, Elizalde Soto L, et al. Factors related to the development of health-promoting community activities in Spanish primary healthcare: two case-control studies. BMJ Open. 2017 Oct;7(10):e015934. 10.1136/bmjopen-2017-015934 2044-6055 BMJ Open http://hdl.handle.net/20.500.13003/9622 28993380 L618686594 2-s2.0-85031097118 http://hdl.handle.net/20.500.12105/20457 422617500043 Objective Spanish primary healthcare teams have the responsibility of performing health-promoting community activities (CAs), although such activities are not widespread. Our aim was to identify the factors related to participation in those activities. Design Two case-control studies. Setting Performed in primary care of five Spanish regions. Subjects In the first study, cases were teams that performed health-promoting CAs and controls were those that did not. In the second study (on case teams from the first study), cases were professionals who developed these activities and controls were those who did not. Main outcome measures Team, professional and community characteristics collected through questionnaires (team managers/professionals) and from secondary sources. Results The first study examined 203 teams (103 cases, 100 controls). Adjusted factors associated with performing CAs were percentage of nurses (OR 1.07, 95% CI 1.01 to 1.14), community socioeconomic status (higher vs lower OR 2.16, 95% CI 1.18 to 3.95) and performing undergraduate training (OR 0.44, 95% CI 0.21 to 0.93). In the second study, 597 professionals responded (254 cases, 343 controls). Adjusted factors were professional classification (physicians do fewer activities than nurses and social workers do more), training in CAs (OR 1.9, 95% CI 1.2 to 3.1), team support (OR 2.9, 95% CI 1.5 to 5.7), seniority (OR 1.06, 95% CI 1.03 to 1.09), nursing tutor (OR 2.0, 95% CI 1.1 to 3.5), motivation (OR 3.7, 95% CI 1.8 to 7.5), collaboration with non-governmental organisations (OR 1.9, 95% CI 1.2 to 3.1) and participation in neighbourhood activities (OR 3.1, 95% CI 1.9 to 5.1). Conclusions Professional personal characteristics, such as social sensitivity, profession, to feel team support or motivation, have influence in performing health-promoting CAs. In contrast to the opinion expressed by many professionals, workload is not related to performance of health-promoting CAs. eng Factors related to the development of health-promoting community activities in Spanish primary healthcare: two case-control studies research article