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  1. Article ; Online: Commitment and community participation towards health

    Lizbeth López-Bolaños / Marisol Campos-Rivera / María Ángeles Villanueva-Borbolla

    Salud Pública de México, Vol 60, Iss 2,mar-abr, Pp 192-

    knowledge creation from the systematization of social experiences

    2018  Volume 201

    Abstract: Objective. To reflect on the process of committing to participation in the implementation of a health strategic plan, using Participative Systematization of Social Experiences as a tool. Materials and methods. Our study was a qualitative research- ... ...

    Abstract Objective. To reflect on the process of committing to participation in the implementation of a health strategic plan, using Participative Systematization of Social Experiences as a tool. Materials and methods. Our study was a qualitative research-intervention study, based on the Dialectical Methodological Conception approach. We designed and implemented a two-day workshop, six hours daily, using Systematization methodology with a Community Work Group (CWG). During the workshop, women systematized their experience, with compromise as axis of the process. Using Grounded Theory techniques, we applied micro-analysis to data in order to identify and strengthen categories that emerged during the systematization process. We completed open and axial coding. Results. The CWG identified that commitment and participation itself is influenced by group dynamics and structural determinants. They also reconsidered the way they understood and exercised commitment and participation, and generated knowledge, empowering them to improve their future practice. Conclusions. Commitment and participation were determined by group dynamics and structural factors such as socioeconomic conditions and gender roles. These determinants must be visible and understood in order to generate proposals that are aimed at strengthening the participation and organization of groups.
    Keywords participación social ; salud de poblaciones indígenas ; educación en salud ; planificación participativa ; promoción de la salud ; Public aspects of medicine ; RA1-1270
    Subject code 300
    Language English
    Publishing date 2018-03-01T00:00:00Z
    Publisher Instituto Nacional de Salud Pública
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Breastfeeding practices, beliefs, and social norms in low-resource communities in Mexico

    Tessa M Swigart / Anabelle Bonvecchio / Florence L Théodore / Sophia Zamudio-Haas / Maria Angeles Villanueva-Borbolla / James F Thrasher

    PLoS ONE, Vol 12, Iss 7, p e

    Insights for how to improve future promotion strategies.

    2017  Volume 0180185

    Abstract: Breastfeeding is recommended exclusively for the first 6 months after birth, with continued breastfeeding for at least 2 years. Yet prevalence of these recommendations is low globally, although it is an effective and cost-effective way to prevent serious ...

    Abstract Breastfeeding is recommended exclusively for the first 6 months after birth, with continued breastfeeding for at least 2 years. Yet prevalence of these recommendations is low globally, although it is an effective and cost-effective way to prevent serious infections and chronic illness. Previous studies have reported that social support greatly influences breastfeeding, but there is little evidence on perceived social norms in Mexico and how they affect actual behavior.Our objective was to investigate breastfeeding intention, practices, attitudes, and beliefs, particularly normative, among low-resource communities in central and southern Mexico.We performed a secondary analysis using the theory of planned behavior with cross-sectional data, which included semi-structured individual interviews with fathers (n 10), 8 focus groups with mothers (n 50), and 8 focus groups with women community leaders (n 44) with a total of 104 participants. Our data also included a quantitative survey among pregnant women and mothers (n 321).Women reported supplementing breast milk with water and teas soon after birth, as well as introducing small bites of solid food a few months after birth. Social norms appeared to support breastfeeding, but not exclusive breastfeeding or breastfeeding for periods longer than about a year. This may be partially explained by: a) behavioral beliefs that for the first 6 months breast milk alone is insufficient for the baby, and that water in addition to breast milk is necessary to hydrate an infant and b) normative beliefs related to the appropriateness of breastfeeding in public and as the child gets older.Future strategies should focus on positively influencing social norms to support recommended practices, and emphasize the specific reasons behind the recommendations. Future efforts should take a multi-pronged approach using a variety of influences, not only directed at healthcare providers but close family members, including fathers.
    Keywords Medicine ; R ; Science ; Q
    Subject code 300
    Language English
    Publishing date 2017-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Design and challenges of a randomized controlled trial for reducing risk factors of metabolic syndrome in Mexican women through water intake

    Sonia Hernández-Cordero / Dinorah González-Castell / Sonia Rodríguez-Ramírez / María Ángeles Villanueva-Borbolla / Mishel Unar / Simón Barquera / Teresita González de Cossío / Juan Rivera-Dommarco / Barry M Popkin

    Salud Pública de México, Vol 55, Iss 6, Pp 595-

    2013  Volume 606

    Abstract: Objective. To describe the design, methods, and challenges encountered during a randomized clinical trial aimed to promote water intake for reducing risks of metabolic syndrome in Mexican women. Materials and methods. In a randomized clinical trial in ... ...

    Abstract Objective. To describe the design, methods, and challenges encountered during a randomized clinical trial aimed to promote water intake for reducing risks of metabolic syndrome in Mexican women. Materials and methods. In a randomized clinical trial in Cuernavaca, Mexico, overweight and obese (body mass index [BMI] ≥ 25 menor que 39) women, 18 - menor que 45 years old with an intake of sugar-sweetened beverages ≥ 250 kilocalories per day (kcal/day) were randomly allocated to the water and education provision group (n = 120) or the education provision only group (n = 120). Results. We screened 1 756 women. The main difficulties encountered were identifying participants with the recruitment criteria, delivering water to participants, and the time demanded from the study participants. Conclusions. The trial’s main challenges were difficulties surrounding recruitment, delivery of the intervention, and the time demanded from the study participants. Modifications were effectively implemented without jeopardizing the original protocol.
    Keywords clinical trials ; sugar ; beverages ; triglycerides ; body mass index ; diet ; women ; Mexico ; Public aspects of medicine ; RA1-1270
    Subject code 610
    Language English
    Publishing date 2013-11-01T00:00:00Z
    Publisher Instituto Nacional de Salud Pública
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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