The complexity of social intervention according to gender and education of chronic kidney disease patients
10.15343/0104-7809.202145120129
Keywords:
Gender, Education, Chronic Kidney Disease, Complexity, Social Work.Abstract
The high prevalence of chronic kidney disease and the social relevance of its treatment require a deeper knowledge concerning this sick population, taking into account its overall complexity. The study aimed to analyze the levels of complexity in the social intervention process with people with chronic kidney disease from a gender and educational perspective. The sample included 584 patients aged between 19 and 93 years, mostly male, married and with the 1st cycle of primary education completed. Participants, diagnosed with chronic kidney disease, were assessed using a protocol that includes a sociodemographic questionnaire and The Matrix of Complexity Associated with the Process of Social Intervention with Chronic Kidney Disease Patients (MCAPIS_DRC). A statistically significant association was found between the three levels of complexity assessed and the variables gender (p=0.002, phi=0.146) and education (p>0.001, phi=0.277). There was also an interaction between education and the complexity index according to sex (F (5, 572) =6.647 p=<0.001, ƞp2=0.113). Women had higher scores on the index and people with higher levels of education scored less on the index. The evidence allows for a different approach in the assessment and social intervention if this condition, prioritizing problematic groups and situations.
Downloads
Download data is not yet available.
References
1 - Gerogianni S, Babatsikos F. Psychological Aspects in Chronic Renal Failure. Health Sci J 2014; 8(2): 205-214. Available from: Disponível em: https://www.hsj.gr/medicine/psychological-aspects-in-chronic-renal-failure.pdf
2 - Braun L, Sood V, Hogue S, Lieberman B, Copley-Merriman C. High burden and unmet patient needs in chronic kidney disease. Int J Nephrol Renovasc Dis 2012; 5(13): 151–163. DOI: 10.2147/IJNRD.S37766
3 - Buss M, Filho P. A Saúde e seus Determinantes Sociais. Physis 2007; 17(1): 77–93. DOI: 10.1590/S0103-73312007000100006
4 - Carrero J. Gender Differences in Chronic Kidney Disease: Underpinnings and Therapeutic Implication. Kidney Blood Press Res 2010; 33(5): 383–392. DOI: 10.1159/000320389
5 – Hecking M, Bieber A, Ethier J, Kautzky-Willer A, Sunder-Plassmann G, Saemann M, et al. Sex-Specific Differences in Hemodialysis Prevalence and Practices and the Male-to-Female Mortality Rate: The Dialysis Outcomes and Practice Patterns Study (DOPPS). PLOS Medicine 2014; 11(10): 3-14. DOI: 10.1371/journal.pmed.1001750
6 - Goldberg I, Krause I. The role of gender in chronic kidney disease. Eur Med J 2016; 1(2): 58-64. Available from: Disponível em: https://emj.emg-health.com/wp-content/uploads/sites/2/2017/12/The-Role-of-Gender-in-Chronic-Kidney-Disease.pdf
7 - Esteban M. El estudio de la salud y el género: las ventajas de un enfoque antropológico y feminista. Salud Colectiva 2006; 2(1): 9-20. DOI: 10.18294/sc.2006.52
8 - Theobald S, Tolhurst R, Elsey H, Standing H. Engendering the bureaucracy? Challenges and opportunities for mainstreaming gender in Ministries of Health under sector-wide approaches. Health Policy Plan 2005; 20:141–149. DOI: 10.1093/heapol/czi019
9 - Daniel F, Monteiro R, Antunes S, Fernandes R, Ferreira, L. Qualidade de vida relacionada com a saúde de pessoas idosas numa perspectiva de género. Port J Public Health 2018; 36(2): 59-65. DOI: 10.1159/000490929
10 - Sen G, George A, Östlin, P. Engendering international health: The challenge of equity. London: Press Editorial Board; 2002.
11 - Doyal, L. Gender and the 10/90 gap in health research. Bulletin of the World Health Organization 2004; 82(3): 162. Available from: Disponível em: https://apps.who.int/iris/handle/10665/72502
12 - Pedro A, Amaral O, Escoval A. Literacia em saúde, dos dados à ação: tradução, validação e aplicação do European Health Literacy Survey em Portugal. Rev Port Saúde Pública 2016; 34(3): 259-275. DOI: 10.1016/j.rpsp.2016.07.002
13 - Frasen S, Roderick P, Casey M, Taal W, Yuen H, Nuthbeam D. Prevalence and associations of limited health literacy in chronic kidney disease: a systematic review. Nephrol Dial Transplant 2013; 28(1): 129-137. DOI: 10.1093/ndt/gfs371
14 - Taylor D, Bradley J, Bradley C, Draper H, Johnson R, Metcalfe W, et al. Limited Health literacy in advanced kidney disease. Kidney International 2016; 90(3): 685-695. DOI: 10.1016/j.kint.2016.05.033
15 - Costa-Requena G, Moreso F, Cantarell M, Serón D. Health literacy and chronic kidney disease. Nefrologia 2017; 37(2): 115–117. DOI: 10.1016/j.nefro.2016.10.001
16 - Jan D, Green A. Health literacy in kidney disease: review of the literature and implications for clinical practice. World J Nephrol 2016; 5(2):147–151. DOI: 10.5527/wjn.v5.i2.147
17- OPSS - Observatório Português dos Sistemas de Saúde. Saúde: Procuram-se novos caminhos – Relatório de Primavera. Lisboa: Escola Nacional de Saúde Pública da Universidade Nova de Lisboa, Centro de Estudos e Investigação em Saúde da Universidade de Coimbra, Universidade de Évora, e Faculdade de Farmácia da Universidade de Lisboa; 2016. Available from: Disponível em: http://opss.pt/wp-content/uploads/2018/06/Relatorio_Primavera_2016_1.pdf
18 - Olim M, Guadalupe S, Daniel F, Pimenta J, Carrasco L, Silva A. Matrix of Complexity Associated with the Process of Social Intervention with Chronic Renal Disease Patients. In: Albuquerque C, editor. Emerging Trends and Innovations in Privacy and Health Information Management. USA: IGI global Publisher of Timely Knowledge; 2019. p.85-114. DOI: 10.4018/978-1-5225-8470-4
19 - Kim H. Statistical notes for clinical researchers: assessing normal distribution (2) using skewness and kurtosis. Restorative dentistry & endodontics 2013; 38(1):52–54. DOI: 10.5395/rde.2013.38.1.52
20 - Lopes M, Fukushima R, Inouye K, Pavarini S, Orlandi S, Lopes J, et al. Quality of life related to the health of chronic renal failure patients on dialysis. Acta Paulista de Enfermagem 2014; 27(3): 230–236. DOI: 10.1590/1982- 0194201400039
21 - Campos-Matos I, Russo G, Perelman J. Connecting the dots on health inequalities – a systematic review on the social determinants of health in Portugal. Int J Equity in Health 2016; 15-26. DOI: 10.1186/s12939-016-0314-z
22 - Cobo G, Hecking M, Port K, Exner I, Lindholm B, Stenvinkel P, et al. Sex and gender differences in chronic kidney disease: progression to end-stage renal disease and haemodialysis. Clinical Science 2016; 130 (14): 1147–1163. DOI: 10.1042/CS20160047
23 - Olim M, Guadalupe S, Zeferino S, Marques M, Neves P. Necessidades e recursos sociais em doentes renais crónicos hemodialisados. Serviço Social & Saúde 2018; 17(1): 31-64. DOI: 10.20396/sss.v17i1.8655202
24 - Serafim M, Santo M. Criação e validação de uma escala de complexidade da intervenção social com adultos em contexto hospitalar (ECISACH). Intervenção Social 2012; 39: 45–87. Available from: Disponível em: http://revistas.lis.ulusiada.pt/index.php/is/article/view/1186
25 - Esteves A, Pinto J. O envelhecimento na área metropolitana do porto. Estatísticas e Estudos Regionais 1991; 14: 22-30. Available from: Disponível em: https://censos.ine.pt/xportal/xmain?xpid=CENSOS&xpgid=ine_censos_estudo_det&menuBOUI=13707294&contexto=es&ESTUDOSest_boui=106164&ESTUDOSmodo=2&selTab=tab1
26 - Dageforde L, Cavanaugh K. Health Literacy: Emerging Evidence and Applications in Kidney Disease Care. Adv Chronic Kidney Dis 2013; 20(4): 311–319. DOI: 10.1053/j.ackd.2013.04.005
2 - Braun L, Sood V, Hogue S, Lieberman B, Copley-Merriman C. High burden and unmet patient needs in chronic kidney disease. Int J Nephrol Renovasc Dis 2012; 5(13): 151–163. DOI: 10.2147/IJNRD.S37766
3 - Buss M, Filho P. A Saúde e seus Determinantes Sociais. Physis 2007; 17(1): 77–93. DOI: 10.1590/S0103-73312007000100006
4 - Carrero J. Gender Differences in Chronic Kidney Disease: Underpinnings and Therapeutic Implication. Kidney Blood Press Res 2010; 33(5): 383–392. DOI: 10.1159/000320389
5 – Hecking M, Bieber A, Ethier J, Kautzky-Willer A, Sunder-Plassmann G, Saemann M, et al. Sex-Specific Differences in Hemodialysis Prevalence and Practices and the Male-to-Female Mortality Rate: The Dialysis Outcomes and Practice Patterns Study (DOPPS). PLOS Medicine 2014; 11(10): 3-14. DOI: 10.1371/journal.pmed.1001750
6 - Goldberg I, Krause I. The role of gender in chronic kidney disease. Eur Med J 2016; 1(2): 58-64. Available from: Disponível em: https://emj.emg-health.com/wp-content/uploads/sites/2/2017/12/The-Role-of-Gender-in-Chronic-Kidney-Disease.pdf
7 - Esteban M. El estudio de la salud y el género: las ventajas de un enfoque antropológico y feminista. Salud Colectiva 2006; 2(1): 9-20. DOI: 10.18294/sc.2006.52
8 - Theobald S, Tolhurst R, Elsey H, Standing H. Engendering the bureaucracy? Challenges and opportunities for mainstreaming gender in Ministries of Health under sector-wide approaches. Health Policy Plan 2005; 20:141–149. DOI: 10.1093/heapol/czi019
9 - Daniel F, Monteiro R, Antunes S, Fernandes R, Ferreira, L. Qualidade de vida relacionada com a saúde de pessoas idosas numa perspectiva de género. Port J Public Health 2018; 36(2): 59-65. DOI: 10.1159/000490929
10 - Sen G, George A, Östlin, P. Engendering international health: The challenge of equity. London: Press Editorial Board; 2002.
11 - Doyal, L. Gender and the 10/90 gap in health research. Bulletin of the World Health Organization 2004; 82(3): 162. Available from: Disponível em: https://apps.who.int/iris/handle/10665/72502
12 - Pedro A, Amaral O, Escoval A. Literacia em saúde, dos dados à ação: tradução, validação e aplicação do European Health Literacy Survey em Portugal. Rev Port Saúde Pública 2016; 34(3): 259-275. DOI: 10.1016/j.rpsp.2016.07.002
13 - Frasen S, Roderick P, Casey M, Taal W, Yuen H, Nuthbeam D. Prevalence and associations of limited health literacy in chronic kidney disease: a systematic review. Nephrol Dial Transplant 2013; 28(1): 129-137. DOI: 10.1093/ndt/gfs371
14 - Taylor D, Bradley J, Bradley C, Draper H, Johnson R, Metcalfe W, et al. Limited Health literacy in advanced kidney disease. Kidney International 2016; 90(3): 685-695. DOI: 10.1016/j.kint.2016.05.033
15 - Costa-Requena G, Moreso F, Cantarell M, Serón D. Health literacy and chronic kidney disease. Nefrologia 2017; 37(2): 115–117. DOI: 10.1016/j.nefro.2016.10.001
16 - Jan D, Green A. Health literacy in kidney disease: review of the literature and implications for clinical practice. World J Nephrol 2016; 5(2):147–151. DOI: 10.5527/wjn.v5.i2.147
17- OPSS - Observatório Português dos Sistemas de Saúde. Saúde: Procuram-se novos caminhos – Relatório de Primavera. Lisboa: Escola Nacional de Saúde Pública da Universidade Nova de Lisboa, Centro de Estudos e Investigação em Saúde da Universidade de Coimbra, Universidade de Évora, e Faculdade de Farmácia da Universidade de Lisboa; 2016. Available from: Disponível em: http://opss.pt/wp-content/uploads/2018/06/Relatorio_Primavera_2016_1.pdf
18 - Olim M, Guadalupe S, Daniel F, Pimenta J, Carrasco L, Silva A. Matrix of Complexity Associated with the Process of Social Intervention with Chronic Renal Disease Patients. In: Albuquerque C, editor. Emerging Trends and Innovations in Privacy and Health Information Management. USA: IGI global Publisher of Timely Knowledge; 2019. p.85-114. DOI: 10.4018/978-1-5225-8470-4
19 - Kim H. Statistical notes for clinical researchers: assessing normal distribution (2) using skewness and kurtosis. Restorative dentistry & endodontics 2013; 38(1):52–54. DOI: 10.5395/rde.2013.38.1.52
20 - Lopes M, Fukushima R, Inouye K, Pavarini S, Orlandi S, Lopes J, et al. Quality of life related to the health of chronic renal failure patients on dialysis. Acta Paulista de Enfermagem 2014; 27(3): 230–236. DOI: 10.1590/1982- 0194201400039
21 - Campos-Matos I, Russo G, Perelman J. Connecting the dots on health inequalities – a systematic review on the social determinants of health in Portugal. Int J Equity in Health 2016; 15-26. DOI: 10.1186/s12939-016-0314-z
22 - Cobo G, Hecking M, Port K, Exner I, Lindholm B, Stenvinkel P, et al. Sex and gender differences in chronic kidney disease: progression to end-stage renal disease and haemodialysis. Clinical Science 2016; 130 (14): 1147–1163. DOI: 10.1042/CS20160047
23 - Olim M, Guadalupe S, Zeferino S, Marques M, Neves P. Necessidades e recursos sociais em doentes renais crónicos hemodialisados. Serviço Social & Saúde 2018; 17(1): 31-64. DOI: 10.20396/sss.v17i1.8655202
24 - Serafim M, Santo M. Criação e validação de uma escala de complexidade da intervenção social com adultos em contexto hospitalar (ECISACH). Intervenção Social 2012; 39: 45–87. Available from: Disponível em: http://revistas.lis.ulusiada.pt/index.php/is/article/view/1186
25 - Esteves A, Pinto J. O envelhecimento na área metropolitana do porto. Estatísticas e Estudos Regionais 1991; 14: 22-30. Available from: Disponível em: https://censos.ine.pt/xportal/xmain?xpid=CENSOS&xpgid=ine_censos_estudo_det&menuBOUI=13707294&contexto=es&ESTUDOSest_boui=106164&ESTUDOSmodo=2&selTab=tab1
26 - Dageforde L, Cavanaugh K. Health Literacy: Emerging Evidence and Applications in Kidney Disease Care. Adv Chronic Kidney Dis 2013; 20(4): 311–319. DOI: 10.1053/j.ackd.2013.04.005
Downloads
Published
2021-04-05
How to Cite
Olim, M., Guadalupe, S., Daniel, F., Carvalho, M., Rocha, S., & Macário, F. (2021). The complexity of social intervention according to gender and education of chronic kidney disease patients: 10.15343/0104-7809.202145120129. O Mundo Da Saúde, 45, 120–129. Retrieved from https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/1054
Issue
Section
Articles
