Thesis (MPH.) -- University of Limpopo, 2021 / Background: The provision and success of Antiretroviral therapy (ART) depend on monitoring and evaluation of treatment programmes which should be assessed during regular patient follow-ups. The treatment of HIV infection can only be effective if patients are retained in care and programme monitoring is adequately undertaken to understand the effectiveness of the emerging treatment. The outcome of patients lost to follow-up (LTFU) has received relatively little attention and it is predicted that these patients may have stopped taking antiretroviral drugs, resulting in high morbidity and mortality. The provision of ART was introduced into South African public health facilities in 2003 and therefore, attention has shifted from the immediate need to get patients into care, to the long-term challenges of keeping patients in care and on treatment. The objective of the current study was to determine the trends at which HIV-positive patients become LTFU on the ART programme at Shiluvana Local Area’s six clinics in the Greater Tzaneen Sub-District, Limpopo Province, South Africa. Methods: A retrospective cohort study approach was used and data was collected from the database of patients who were LTFU from 2012 – 2017 in the electronic data management system of the District Health Information System. Data was collected from 1161 patients. Data analysis was done using SPSS version 25, in which categorical data was presented using frequencies and percentages and comparisons between groups was done using Chi-square test for categorical data, and Student’s t-test for continuous data. A p-value of <0.05 was considered statistically significant. Univariate regression analysis was done to determine the contributory factors to LTFU for a period of more than 3 months. Results: The mean age of the study population was 36.5 years old ranging from 16 years to 87 years old and the age distribution of people who were LTFU for ART showed a significant association (p = 0.001). The study participants’ distribution by gender revealed that majority were females at 71.4%. The study findings also revealed there was a statistically significance difference in health status of the study population and majority of the LTFU were in the younger age group. The CD4 count of LTFU patients showed a statistically significance difference and majority of the LTFU in patients with a CD4 count of less than 200 were in younger age group also. The TB/HIV co-infection in the study population showed a statistically significance difference and majority of LTFU in the study did not have TB/HIV co-infection. The WHO clinical HIV staging in the study population did not show a statistically significance difference. Marital status, TB/HIV co-infection and WHO clinical staging were found to be a strong predictor of LTFU of more than 3 months. Conclusion: The study findings bring with them a number of recommendations such as there is a need to have a standardised tracking method of patients who migrate to other health facilities for their ART treatment. This will provide more accurate information regarding LTFU levels and reduce the misclassification of patients. The age group which is affected by LTFU in all variables was in the 20 – 34 years’ age group. This is of great concern, as this is the age group who are economically active and should contribute to the future economy of the country. It is therefore recommended that a greater focus should be placed in this age group, with policies and programmes that bring them into ART and retain them there. Lastly, educational campaigns, in a form of pamphlets and posters to emphasize adherence to ART and the importance of remaining on ART within designated health facilities. In conclusion, patients should be retained in care for as long as possible to prevent the prevalence of the ARV resistant virus that can impact negatively on the ART programme. Keywords: Antiretroviral treatment. Human immunodeficiency virus, Loss to follow-up, socio-demographic.

There is increasing recognition of the relationship between depression and obesity in the pediatric population and recently, there has been a focus on inflammation as a potential link. Both conditions are considered to be pro-inflammatory states, and certain inflammatory markers are linked to depression in obese adults and vice versa. Leptin has also been implicated in depression as a potential mediator between inflammation and depression. Brain derived neurotrophic factor (BDNF), which is associated with depression and obesity, is influenced by inflammation and leptin in animal models as well. Few studies have examined the interactions between depression, adiposity, and biological markers in obese youth and therefore, our objective was to explore the determinants of depression in obese youth in a clinical setting. We studied 244 youth aged 8-17 years (125 girls, 119 boys) at the time of entry to a weight management program, as part of a prospective, longitudinal study. The CES-DC depression-screening tool was used to assess depressive symptoms, and a participant was classified as having high depressive symptoms if the CES-DC score ≥15 or taking antidepressants. Questionnaires assessed socio-demographic factors and puberty while adiposity was measured using dual-energy X-ray absorptiometry (DXA). Inflammatory markers (IL-6, TNFα, CRP, IL-10), leptin, and BDNF were quantified by immunoassays. Of the 244 participants, 8 were on antidepressants and 88 (36.4%) met the criteria for high depressive symptoms. We confirmed previous findings that household income and body fat were important determinants of depressive symptoms. However for the first time, it was identified that leptin levels predicted CES-DC score independent of body fat. Neither inflammatory markers nor BDNF were significantly related to depression scores. Our findings suggest that leptin may mediate the relationship of adiposity and depression but it is uncertain if this is related to direct action or to the phenomenon of leptin resistance. / Thesis / Master of Science (MSc) / Obesity has a significant impact on depression in children and adolescents. Inflammation – the body’s response to injury – is measured through markers in the blood and leptin – the marker of body fat – have shown to be related to depression. Research indicates that depression influences these factors to act on obesity. However, research on the interactions of biological and socio-demographic factors with depression in youth with obesity is lacking. Therefore, our objective was to explore the impact of these factors on depression in obese youth entering into a weight management program. Using a depression-screening tool, we studied 244 youth under 18 years and confirmed that household income and body fat were important factors of depression. However for the first time, we found leptin influenced depression regardless of the amount of fat present suggesting that depression acts on obesity through leptin but it is uncertain how this occurs and further research is warranted.

Introducción: El dengue es una enfermedad metaxénica, que afecta a todas las personas sin distinción, provocando síntomas de fiebre, cefalea, dolor retro ocular y músculo articular. En el Distrito de Chongoyape un gran número de personas se infectaron con este virus, probablemente por malas prácticas preventivas y el desconocimiento de la enfermedad. Objetivo: determinar la relación entre los factores sociodemográficos con el nivel de conocimientos de dengue en personas que asisten al centro de salud de Chongoyape, 2022. Método: Se realizó una investigación cuantitativa de diseño correlacional, transversal. La población, fueron 500 sujetos atendidos el mes de Mayo en el centro de salud de Chongoyape, la muestra se estableció en 194 personas, muestreadas por conveniencia. Los datos se recolectaron mediante el cuestionario denominado “conocimientos acerca del dengue: documento que fue adaptado y validado con (V de Aiken =1; p= 0.004); y la confiabilidad con Kuder-Richadrson (KR20 (0.70). Los datos fueron procesados y analizados con el programa SPSS versión 27. Se consideró el principio de anonimato y confiabilidad, trato justo y de participación voluntaria e informada. Resultados: Los entrevistados mayormente fueron mujeres adultas, con nivel de instrucción de secundaria, cuentan con trabajos independientes, reportaron almacenar agua y haber observado criaderos de mosquitos en la vivienda; el 73,7% se calificaron con nivel de conocimiento alto y se encontró relación significativa entre el nivel de conocimientos y el nivel educativo (<0,001). Conclusión: La investigación realizada demuestra que la población estudiada obtuvo un alto nivel de conocimiento sobre el tema de dengue, el cual nos permite aprovechar el beneficio al capacitar agentes comunitarios, los cuales guíen a la población para identificación del vector y sus múltiples síntomas durante la epidemia actual sobre dengue que pone en riesgo la salud de la población del norte. / Introduction: Dengue is a metaxenic disease, which affects all people without distinction, causing symptoms of fever, headache, retro-ocular pain and joint muscle. In the Chongoyape District, a large number of people became infected with this virus, probably due to poor preventive practices and ignorance of the disease. Objective: to determine the relationship between sociodemographic factors with the level of knowledge of dengue in people who attend the Chongoyape health center, 2022. Method: A quantitative investigation of correlational, cross-sectional design was carried out. The population consisted of 500 subjects attended in the month of May at the Chongoyape health center, the sample was established at 194 people, sampled for convenience. The data was collected through the questionnaire called "knowledge about dengue: document that was adapted and validated with (Aiken's V =1; p= 0.004); and reliability with Kuder-Richadrson (KR20 (0.70). The data was processed and analyzed with the SPSS version 27 program. The principle of anonymity and reliability, fair treatment and voluntary and informed participation were considered. Results: The interviewees were mostly Adult women, with a high school level of education, have independent jobs, reported storing water and having observed mosquito breeding sites in their homes; 73.7% qualified themselves with a high level of knowledge and a significant relationship was found between the level of knowledge and the educational level (<0.001).Conclusion: The research carried out shows that the population studied obtained a high level of knowledge on the subject of dengue, which allows us to take advantage of the benefit by training community agents, who guide the population to Vector identification and its multiple symptoms during the current dengue epidemic that puts the health of the northern population at risk.

Student intention to drop out is a concern for higher education institutions as well for their students. Students with the intention to drop out may eventually drop out and contribute towards the already high dropout rates, which are causing economic damage. Students leaving their institution have vast financial consequences for their institution, as institutions obtain grants from the government according to their success rates. Although previous research has been conducted on students’ intention to drop out, it is limited, especially when looking at possible predictors that are specific to the South African context. This study contributes towards the gap in research regarding the possible predictors of student intention to drop out. The objectives of this study were to 1) conceptualise the possible predictors of student intention to drop out according to the literature; 2) determine if self-evaluation traits (self-esteem and self-efficacy) are significant predictors of student intention to drop out; 3) determine if student burnout and student engagement are significant predictors of student intention to drop out; 4) determine if social support (social support from parents and general social support) are significant predictors of student intention to drop out; and 5) determine if career decision-making difficulties are significant predictors of student intention to drop out. A non-probability quota sample (N = 782) was used to investigate possible predictors of career student intention to drop out in a sample of university students. Student intention to drop out was measured by one item consisting of two categories: I have no intention to drop out (n = 501), and I have an intention to drop out (n = 280). These two groups were enclosed as a dependent variable in the logistic regression. The variables included in the final model predicted between 13% (Cox and Snell) and 18% (Nagelkerke) of the variance in intention to drop out. The results of this study suggest that self-esteem had an influence on student intention to drop out. Furthermore, it was found that cynicism and dedication have a significant relationship with student intention to drop out. Lastly, lack of information about ways to obtain information also indicated a significant relationship with student intention to drop out. Thus, it may be concluded that self-esteem, burnout and engagement and lack of information about ways of obtaining information have an influence on students’ intention to drop out. Recommendations were made for practice as well as for future research. / Thesis (MCom (Industrial Psychology))--North-West University, Potchefstroom Campus, 2012

Background: Russia has undergone tremendous socioeconomic transformations. Particularly detrimental was the period of 1990-s that evidenced hazardous trends in public health. Alcohol consumption was suggested to be responsible for the negative health trends in the society. Male alcohol consumption attracted disproportional attention leaving female alcohol consumption, its predictors and influence on women’s health disregarded and uninvestigated. Aim: To describe the practices of female alcohol consumption and socio-demographic predictors of drinking, to explore the impact that drinking might have on the self-rated health of Russian women. Method: Cross-sectional analysis of data drawn from the Russia Longitudinal Monitoring Survey, round 20th. The association tests between the measures of alcohol consumption and covariates were run. Ordinal regression model tested the predictors of self-rated health.      Results: A Russian female drinker is middle-aged, high-educated, married/ cohabiting or divorced, resides from the urban area and is infrequent drinker. The frequency of drinking increases when she is young, high-educated, married/ cohabiting, resides from urban area. U-shaped relation between drinking and self-rated health was demonstrated: never drinkers and regular drinkers report poorer health than seldom-drinkers.  Conclusion: Predictors of female drinking in Russia are poorly investigated due to overrepresentation of research focused on men’s drinking. More studies are needed in order to explore the impact of drinking on self-rated health of  Russian women.

O ingresso na universidade impõe inúmeros desafios ao estudante e pesquisas indicam que estudantes mais habilidosos socialmente podem ter menor propensão a apresentar problemas de saúde mental, provavelmente por terem maior habilidade para lidar com esses desafios. Nessa interface o desempenho acadêmico dos universitários também ganha destaque na literatura da área. Observa-se uma tendência a identificação de uma relação positiva entre repertório socialmente habilidoso, bom desempenho acadêmico e saúde mental dos universitários, embora poucas pesquisas empíricas embasem tal afirmação Nesse contexto se insere a proposta deste estudo, como desdobramento de um amplo estudo desenvolvido junto a alunos de graduação. Objetiva-se verificar se as habilidades sociais e as condições de saúde mental de estudantes universitários dos anos iniciais da graduação são preditoras do desempenho acadêmico dos mesmos no início e ao final da graduação, bem como verificar as possíveis associações entre as variáveis mencionadas. Propõe-se um delineamento comparativo, correlacional e preditivo e a inclusão da variável desempenho acadêmico dos graduandos, não avaliada no estudo amplo. Foram participantes deste estudo 305 estudantes universitários, de ambos os sexos e de diferentes cursos de graduação da UNESPBauru, que foram avaliados quando cursavam até um semestre anterior ao meio do curso, caracterizando início da graduação. Esses participantes, após os devidos procedimentos éticos, responderam em sala de aula, a um conjunto de instrumentos apresentados em um caderno contendo instruções específicas para cada um deles, a saber: Questionário de Avaliação de Habilidades Sociais, Comportamentos e Contextos para Universitários (QHC universitários), Versão reduzida do Inventário de Fobia Social (Mini SPIN), Inventário de Depressão de Beck (BDI) e Inventário de Habilidades Sociais (IHS Del Prette). E, posteriormente, responderam individualmente a Entrevista Clínica Estruturada para o DSM-IV (SCID) conduzida por telefone. Realizou-se a coleta dos dados sobre o desempenho acadêmico dos universitários, junto à secretaria da universidade, registrando as informações referentes às notas de início do curso e se os participantes concluíram ou não a graduação no tempo especificado pelas grades curriculares dos cursos. Foram selecionadas para o modelo de regressão logística binária para as análises do desempenho acadêmico do início e final da graduação as variáveis que apresentaram nível de significância de p<0,1 nas análises univariadas. As variáveis IHS-autocontrole da agressividade em situações aversivas (F5) e saúde mental foram as variáveis incluídas na análise do início da graduação e se mantiveram como preditoras. Em relação ao final da graduação foram incluídas as variáveis QHC comunicação e afeto, QHC falar em público e apresentar seminários, QHC comunicação e afeto e QHC potencialidades para grupos diferenciados pelos escores de ansiedade, IHS escore total, IHS autoafirmação da expressão de sentimentos negativos, IHS autoexposição a desconhecidos e situações novas, sexo, ano do curso, área e desempenho acadêmico inicial, mantendo-se como preditoras: sexo feminino, estar matriculado em anos mais avançados, por ocasião da avaliação do início do curso, cursar área de humanas e ter desempenho acadêmico inicial na média ou acima da média. Tais dados sugerem desdobramentos para os campos da psicologia, da educação e para as políticas públicas. / Getting into college poses many challenges for students. Research in the field shows that more socially skillful students are less likely to present with mental problems, probably because they have better skills in coping with these challenges. In this aspect academic performance also plays an important role in the field literature. A tendency is seen that points to a positive relationship between good social skills, good academic performance and mental health in university students, although little empiric research bears out this statement. That is the goal of this project, a spin-off of a study carried out among undergraduate students. Our aim is to assess whether mental health and social skills of university students in the first years of an undergraduate course predict their academic performance during and at the end of the course as well as to assess possible associations between the variables under study. We propose a correlational and predictive analysis and the inclusion of the undergraduate students academic performance variable, not assessed in the in-depth study. 305 students of both genders and of different undergraduate courses of UNESP-Bauru were assessed when they were still in a semester before half of the course, which corresponds to the beginning of the undergraduate course. These subjects, after undergoing ethical procedures, answered in the classroom a set of questionnaires shown them in a notebook containing specific instructions for each one of them, which were: Questionnaire on Assessing University Students Behavior and Lifestyles (QAUSBL), reduced version of the Social Phobia Inventory (Mini SPIN), Beck Depression Inventory (BDI) and Social Skills Inventory (SKI - Del Prette). Later they individually answered a structured clinical telephone interview for DSN-IV (SCID). Data concerning students academic performance were collected at the university deans office, including grades at the beginning of the course as well as whether students graduated within the period specified by the school\'s timetable. For the model of binary logistic regression to analyze academic performance at the beginning and end of undergraduate studies, the variables with a significance level of p<0 in univariate analyses were selected. The variables IHC-self-control of aggressiveness in adverse situations (F5) and mental health were the variables included in the analysis at the beginning of undergraduate studies and were kept as predictive. At the end of the course, communication and affection QAUSBL, speaking in public and presenting seminars QAUSBL and potentialities for groups differentiated by anxiety scores QAUSBL, total score SKI, self-affirmation of expressing negative feelings SKI, self-exposal to strangers and new situations, sex, course year, field and initial academic performance SKI. The predictive factors were: feminine sex, being enrolled in higher years during the evaluation that took place at the beginning of the course, attending human science courses and to showing an initial academic performance on average or above average. Such data suggest unfolding into the fields of psychology, education and public policies.

Made available in DSpace on 2016-04-29T14:16:45Z (GMT). No. of bitstreams: 1 Viviane Duarte Correia.pdf: 2938227 bytes, checksum: 2783ac28709cfca4fd350f5a7e994220 (MD5) Previous issue date: 2015-10-05 / The Cerebral Palsy (CP) is the most common cause of severe disability in childhood. Understand the circumstances in with the children with CP live is one of the premises treated in the World Report s recommendations on Disability (2012). Therefore, this study presents an analysis of the social contribution of the International Classification of Functioning, Disability and Health (ICF) in children with Cerebral Plasy. General Purpose: Know the socioeconomic and demographic universes of the children with CP based on the ICF. Specific: Detect environmental and family factors that may affect the rehabilitation process, according to the health domain of ICF; contribute to the theoretical and methodological structure of the practice of social work in rehabilitation teams of people with disabilities. Methodology: This is quantitative, qualitative and descriptive study. The subjects are 25 children and youngs, between 0 and 18 years diagnosed with CP followed by the Physical Medicine and Reabilitation Institute, Lucy Montoro Network, in the units of the southern region of São Paulo city. A family caregiver of each child with CP, was interviewed by two instruments, prepared by the researcher: Socioeconomic and demographic profile of patients with cerebral palsy; and Social Assessment based on the International Classification of Functioning, Disability and Health. Results: The survey revealed that family arrangements could interfere with treatment in children with CP. Families of children with CP, subjects of this study, have lower incomes. The support received is given by the patient s nuclear family. Most of the patients had trouble in social interactions. The housing policy showed the worst indexes, followed by education policy. For transport and health policies, there was intensity variation, however, they were assessed as facilitating the context of life of the patient. Negative attitudes of society had the lowest scores evaluation. Conclusions: The CIF represents an appropriate assessment model to obtains subsidies, that are necessary and sensitive for the analysis of human -social reality, lived by a child with CP. Furthermore, it assists in identifying disabling barriers and allows an analysis on the provision of public services / A Paralisia Cerebral (PC) é causa mais comum de deficiência física grave na infância. Compreender as circunstâncias em que vivem as crianças com PC é umas das premissas tratadas nas recomendações do Relatório Mundial sobre a Deficiência (2012). Para tanto, este estudo apresenta uma análise social sobre a contribuição da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) em crianças com PC. Objetivos Geral: Conhecer os universos sócio econômico e demográfico de crianças com PC, com base na CIF. Específicos: Detectar fatores socioambientais e familiares que possam interferir no processo de reabilitação, de acordo com os domínios de saúde da CIF; contribuir para a estruturação teórico-metodológica da prática do Serviço Social nas equipes de reabilitação da pessoa com deficiência. Metodologia: Trata-se de estudo quantitativo, qualitativo e descritivo. Tem como sujeitos 25 crianças e jovens, de 0 a 18 anos, diagnosticados com Paralisia Cerebral (PC), em acompanhamento no Instituto de Medicina Física e Reabilitação do HCFMUSP, Rede Lucy Montoro, nas unidades da região sul, do município de São Paulo. Foram entrevistados um familiar cuidador de cada criança, utilizando-se dois instrumentos, elaborados pela própria pesquisadora: Perfil socioeconômico e demográfico dos pacientes com Paralisia Cerebral e Avaliação Social com base na Classificação Internacional de Funcionalidade, Incapacidade e Saúde. Resultados: A pesquisa revelou que os arranjos familiares podem interferir no tratamento em reabilitação física da criança com PC. As famílias de crianças com PC, objetos deste estudo, têm menores rendas. O apoio recebido é dado, basicamente, pelo núcleo familiar do paciente. A maioria dos pacientes apresentou dificuldades de interações sociais. A política de habitação apresentou os piores índices, seguida da política de educação. Para as políticas de transporte e saúde, houve variação de intensidade, no entanto, foram avaliadas como facilitadores ao contexto de vida do paciente. Atitudes negativas da sociedade obtiveram os piores scores de avaliação. Conclusões: A CIF apresenta um modelo de avaliação apropriado à obtenção de subsídios, necessários e sensíveis à análise da realidade humano-social, vivida pela criança com PC. Outrossim, auxilia na identificação das barreiras incapacitantes e permite uma análise sobre a oferta de serviços públicos na região Sul do município de São Paulo

Cette recherche examine l'influence de l'attitude à l'égard de l'argent sur l'image perçue de la banque dans le contexte syrien. Le rôle des caractéristiques sociodémographiques du client bancaire (Genre, Revenu, Âge) est ensuite étudié. Nous développons enfin une typologie de consommateurs selon leur attitude à l'égard de l'argent. Afin de réaliser ces objectifs, une méthodologie quantitative a été mobilisée. Trois niveaux de résultats peuvent être mis en évidence. Tout d'abord, une relation entre les dimensions de l'attitude à l'égard de l'argent et les composantes de l'image de la banque a été trouvée. Ensuite, nous avons identifié un rôle modérateur des variables sociodémographiques. Enfin, notre analyse typologique a permis d'identifier trois profils de consommateurs selon leur attitude à l'égard de l'argent « les matérialistes », « les économes » et « les indifférents ». / This research examines the effect of the customer money attitude on the perceived image of the bank. The effect of socio-Demographic characteristics of a bank client (Gender, Income, Age) is then examined. Finally, this research develops a typology of customers' according to their attitude towards money. To achieve the objectives of this study, a quantitative approach is used. Three principal results can be noticed. First, a relationship between attitude towards money dimensions and bank image composites has been identified. Second, we have found a moderator role of socio demographic variables. Finally our cluster analysis has reveled three customer profiles considering their attitude towards money: "materialist"," Frugal", "indifferent".

As afecções da coluna vertebral causam dores no jovem e trabalhador originando uma limitação na sua qualidade de vida. Para a sociedade, essas afecções são uma fonte de gastos devido a tendência a cronicidade e o absenteismo. Os inúmeros tratamentos são sintomáticos, o que dificulta a completa resolução dessas afecções doloridas. Muitos estudos têm demonstrado que é possível fazer a prevenção das recidivas das dores da coluna através da educação de pacientes como ocorre na denominada \"Escola de Postura\", por nós introduzida no país em 1973. A fim de analisar os fatores sócio-demográficos e emocionais que motivam a participação das pessoas na Escola de Postura, aplicou-se um questionário baseado no Modelo de Crenças de Saúde. Foi construido um questionário, contendo 66 perguntas (11 abertas e 55 fechadas) o qual foi aplicado, em duas etapas, em 166 funcionários públicos, trabalhadores ligados ao Estado, que frequentam o Hospital do Servidor Público Estadual de São Paulo. Na primeira etapa exploratória, 134 funcionários foram entrevistados. Ao aplicar-se a análise estatística de regressão logística foi possível determinar um ponto de corte adequado, em 10 questões do modelo estatisticamente significantes, considerada como possíveis fatores preditivos em relação ao comparecimento ou não à Escola de Postura. O sexo e o fumo foram as duas únicas variáveis dos fatores sócio-demográficos e emocionais que tiveram significância estatística ao nível de 5 por cento . Essas 12 questões apresentaram um valor preditivo de 88 por cento de acerto em relação aos 134 funcionários públicos entrevistados, numa ação de saúde voltada para prevenção de novas recidivas de dores na coluna. Na 2ª etapa, chamada probatória, foi aplicado probatória, foi aplicado funcionários públicos um questionário reduzido de doze questões, duas sobre fumo e sexo e dez perguntas do Modelo de Crenças. Constatou-se que houve um acerto de 65,6 por cento da previsão do comportamento. Dentro das premissas básicas do modelo as questões que tratavam da gravidade e barreiras, como era de se esperar, foram as que mais permitiram prever os participantes ou não da Escola de Postura. / Spine conditions cause young individuals and in workmen, causing a limitation in the quality of life. For society, these diseases are the source of extra expenses to the tendency of chronicity and absenteeism. The countless treatments are symptomatic and the painful condition rather arduous to be solved. Several studies have demonstrated that it is possible to prevent a relapse of the back bone conditions, by teaching and training the patients at the called \"Back School\" that we introduced in Brazil in 1973 (\"Escola de Postura\"). In order to analyze which were the socio-demographic and emotional factors that stimulated participation of the individuais in the \"Dack School\", a questionnaire based on the HEALTH BELIEF MODEL was applied. An original questionnaire of 66 items (11 opened and 55 closed was prepared and applied at two different periods 166 public servants, workmen related to the State ande attending the \"Hospital do Servidor Publico Estadual\" de Sao Paulo. During the first exploratory term, 134 public servants were interviewed and when the multiple statistical analyses of logistic regression was made, it was possible to determine an adequate score value, in 10 questions that showed to be statistically significant as predictive factors in relation to attendance frequency to the \"Black School\". Sex and smoking were the only two items of the socio demographic and emotional factors that offered a significative statistic. Those 12 questions had a right predictive value 88 per cent in relation to the 134 public servants interviewed, in a health action aiming prevention of new relapses of spine pain. During the 2nd. step called probation, 32 public servants took a test reduced to 12 questions, two on smoking and sex and 10 questions of the HEALTH BELIEF MODEL, a percentage of 65,6 per cent was correct on the behavior assumption. Within the basic premises of the model, the questions dealing with barriers and severity as expected, were the ones that really permi tted to foresee who participated or did not in the \"Back School\".

As afecções da coluna vertebral causam dores no jovem e trabalhador originando uma limitação na sua qualidade de vida. Para a sociedade, essas afecções são uma fonte de gastos devido a tendência a cronicidade e o absenteismo. Os inúmeros tratamentos são sintomáticos, o que dificulta a completa resolução dessas afecções doloridas. Muitos estudos têm demonstrado que é possível fazer a prevenção das recidivas das dores da coluna através da educação de pacientes como ocorre na denominada \"Escola de Postura\", por nós introduzida no país em 1973. A fim de analisar os fatores sócio-demográficos e emocionais que motivam a participação das pessoas na Escola de Postura, aplicou-se um questionário baseado no Modelo de Crenças de Saúde. Foi construido um questionário, contendo 66 perguntas (11 abertas e 55 fechadas) o qual foi aplicado, em duas etapas, em 166 funcionários públicos, trabalhadores ligados ao Estado, que frequentam o Hospital do Servidor Público Estadual de São Paulo. Na primeira etapa exploratória, 134 funcionários foram entrevistados. Ao aplicar-se a análise estatística de regressão logística foi possível determinar um ponto de corte adequado, em 10 questões do modelo estatisticamente significantes, considerada como possíveis fatores preditivos em relação ao comparecimento ou não à Escola de Postura. O sexo e o fumo foram as duas únicas variáveis dos fatores sócio-demográficos e emocionais que tiveram significância estatística ao nível de 5 por cento . Essas 12 questões apresentaram um valor preditivo de 88 por cento de acerto em relação aos 134 funcionários públicos entrevistados, numa ação de saúde voltada para prevenção de novas recidivas de dores na coluna. Na 2ª etapa, chamada probatória, foi aplicado probatória, foi aplicado funcionários públicos um questionário reduzido de doze questões, duas sobre fumo e sexo e dez perguntas do Modelo de Crenças. Constatou-se que houve um acerto de 65,6 por cento da previsão do comportamento. Dentro das premissas básicas do modelo as questões que tratavam da gravidade e barreiras, como era de se esperar, foram as que mais permitiram prever os participantes ou não da Escola de Postura. / Spine conditions cause young individuals and in workmen, causing a limitation in the quality of life. For society, these diseases are the source of extra expenses to the tendency of chronicity and absenteeism. The countless treatments are symptomatic and the painful condition rather arduous to be solved. Several studies have demonstrated that it is possible to prevent a relapse of the back bone conditions, by teaching and training the patients at the called \"Back School\" that we introduced in Brazil in 1973 (\"Escola de Postura\"). In order to analyze which were the socio-demographic and emotional factors that stimulated participation of the individuais in the \"Dack School\", a questionnaire based on the HEALTH BELIEF MODEL was applied. An original questionnaire of 66 items (11 opened and 55 closed was prepared and applied at two different periods 166 public servants, workmen related to the State ande attending the \"Hospital do Servidor Publico Estadual\" de Sao Paulo. During the first exploratory term, 134 public servants were interviewed and when the multiple statistical analyses of logistic regression was made, it was possible to determine an adequate score value, in 10 questions that showed to be statistically significant as predictive factors in relation to attendance frequency to the \"Black School\". Sex and smoking were the only two items of the socio demographic and emotional factors that offered a significative statistic. Those 12 questions had a right predictive value 88 per cent in relation to the 134 public servants interviewed, in a health action aiming prevention of new relapses of spine pain. During the 2nd. step called probation, 32 public servants took a test reduced to 12 questions, two on smoking and sex and 10 questions of the HEALTH BELIEF MODEL, a percentage of 65,6 per cent was correct on the behavior assumption. Within the basic premises of the model, the questions dealing with barriers and severity as expected, were the ones that really permi tted to foresee who participated or did not in the \"Back School\".