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      Enfermos renales hispanoamericanos en la época de las redes sociales virtuales: análisis de contenido de sus publicaciones, 2010 - 2012 Translated title: Hispanic American kidney patients in the age of online social networks: content analysis of postings, 2010 - 2012

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          Abstract

          OBJETIVO: Describir la utilización de las redes sociales virtuales (RSV) por parte de personas con enfermedad renal crónica, sus cuidadores y familiares, residentes en países hispanoamericanos e identificar los temas y subtemas más frecuentes en sus publicaciones. MÉTODOS: Se realizó un estudio cualitativo de las publicaciones de los enfermos renales crónicos, sus cuidadores y familiares, residentes en Hispanoamérica en cinco redes sociales: Blogger, Facebook, Twitter, Wordpress y YouTube, entre 2010 y 2012. Se utilizaron los motores internos de cada red con términos médicos y legos: enfermedad renal crónica, insuficiencia renal, diálisis peritoneal, hemodiálisis, trasplante renal, enfermo renal, paciente renal, nefrópata y asociación de enfermos renales. Se realizó el análisis de contenido temático de 1 846 publicaciones de Facebook, Blogger y Wordpress. RESULTADOS: Se identificaron 162 cuentas (97 individuales y 65 colectivas); la mayoría se localizó en México (46) y en Argentina, Chile, Colombia y Perú (44 cuentas). Los temas más frecuentes fueron el intercambio de información (46,0%), el relato de vivencias como enfermo (17,9%), el apoyo (15,6%), los relatos sobre experiencias con los servicios de salud (8,5%), la interacción con pares (3,5%) y la promoción de cambios de conducta (3,4%). CONCLUSIONES: Los enfermos renales crónicos residentes en Hispanoamerica utilizan las RSV para informar e informarse, relatar sus vivencias con la enfermedad y los servicios de salud, y como mecanismo de apoyo. Esto genera conocimientos diferentes y complementarios a los aportados por los profesionales de la salud. Urge fomentar estudios sobre las posibilidades que brindan estas tecnologías en las Américas, región caracterizada por una enorme desigualdad social.

          Translated abstract

          OBJECTIVE: Describe the use of online social networks by people with chronic kidney disease, their caregivers, and family members, living in Hispanic American countries, and identify the most frequent topics and subtopics in their postings. METHODS: A qualitative study was conducted of postings by chronic kidney patients, their caregivers, and family members, living in Hispanic America, on five social networks: Blogger, Facebook, Twitter, WordPress, and YouTube, from 2010 to 2012. The internal search engines of each network were used with medical and lay terms in Spanish: chronic kidney disease, renal failure, peritoneal dialysis, hemodialysis, renal transplant, renal patient, nephropathy, and kidney patients association. An analysis was carried out of the thematic content of 1 846 postings on Facebook, Blogger, and WordPress. RESULTS: A total of 162 social network accounts were identified (97 individuals and 65 groups); the majority was in Mexico (46), with others in Argentina, Chile, Colombia, and Peru (44 accounts). The most frequent topics were exchange of information (46.0%), descriptions of experiences as patients (17.9%), support (15.6%), descriptions of experiences with health services (8.5%), interaction with peers (3.5%), and promotion of behavior change (3.4%). CONCLUSIONS: Chronic kidney patients living in Hispanic America use online social networks to inform and to be informed, describe their experiences with the disease and health services, and as a support mechanism. This produces knowledge that is different from and complementary to knowledge conveyed by health professionals. There is a pressing need to promote studies of the opportunities that these technologies offer in the Americas, a region characterized by enormous social inequality.

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          Three approaches to qualitative content analysis.

          Content analysis is a widely used qualitative research technique. Rather than being a single method, current applications of content analysis show three distinct approaches: conventional, directed, or summative. All three approaches are used to interpret meaning from the content of text data and, hence, adhere to the naturalistic paradigm. The major differences among the approaches are coding schemes, origins of codes, and threats to trustworthiness. In conventional content analysis, coding categories are derived directly from the text data. With a directed approach, analysis starts with a theory or relevant research findings as guidance for initial codes. A summative content analysis involves counting and comparisons, usually of keywords or content, followed by the interpretation of the underlying context. The authors delineate analytic procedures specific to each approach and techniques addressing trustworthiness with hypothetical examples drawn from the area of end-of-life care.
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            Seeking Support on Facebook: A Content Analysis of Breast Cancer Groups

            Background Social network sites have been growing in popularity across broad segments of Internet users, and are a convenient means to exchange information and support. Research on their use for health-related purposes is limited. Objective This study aimed to characterize the purpose, use, and creators of Facebook groups related to breast cancer. Methods We searched Facebook (www.Facebook.com) using the term breast cancer. We restricted our analysis to groups that were related to breast cancer, operated in English, and were publicly available. Two of us independently extracted information on the administrator and purpose of the group, as well as the number of user-generated contributions. We developed a coding scheme to guide content analysis. Results We found 620 breast cancer groups on Facebook containing a total of 1,090,397 members. The groups were created for fundraising (277/620, 44.7%), awareness (236, 38.1%), product or service promotion related to fundraising or awareness (61, 9%), or patient/caregiver support (46, 7%). The awareness groups as a whole contained by far the most members (n = 957,289). The majority of groups (532, 85.8%) had 25 wall posts or fewer. The support oriented groups, 47% (27/57) of which were established by high school or college students, were associated with the greatest number of user-generated contributions. Conclusions Facebook groups have become a popular tool for awareness-raising, fundraising, and support-seeking related to breast cancer attracting over one million users. Given their popularity and reach, further research is warranted to explore the implications of social network sites as a health resource across various health conditions, cultures, ages, and socioeconomic groups.
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              Chronic kidney disease: the global challenge.

              The worldwide rise in the number of patients with chronic kidney disease (CKD) and consequent end-stage renal failure necessitating renal replacement therapy is threatening to reach epidemic proportions over the next decade, and only a small number of countries have robust economies able to meet the challenges posed. A change in global approach to CKD from treatment of end-stage renal disease (ESRD) to much more aggressive primary and secondary prevention is therefore imperative. In this Seminar, we examine the epidemiology of CKD worldwide, with emphasis on early detection and prevention, and the feasibility of methods for detection and primary prevention of CKD. We also review the risk factors and markers of progressive CKD. We explore current understanding of the mechanisms underlying renal scarring leading to ESRD to inform on current and future interventions as well as evidence relating to interventions to slow the progression of CKD. Finally, we make strategic recommendations based on future research to stem the worldwide growth of CKD. Consideration is given to health economics. A global and concerted approach to CKD must be adopted in both more and less developed countries to avoid a major catastrophe.
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                Author and article information

                Journal
                rpsp
                Revista Panamericana de Salud Pública
                Rev Panam Salud Publica
                Organización Panamericana de la Salud (Washington, Washington, United States )
                1020-4989
                1680-5348
                June 2014
                : 35
                : 5-6
                : 392-398
                Affiliations
                [01] Guadalajara orgnameUniversidad de Guadalajara orgdiv1Centro Universitario de Ciencias de la Salud México
                Article
                S1020-49892014000500012 S1020-4989(14)03500500012
                8cb5aaf4-861c-4b0a-8435-977bb6929d70

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 15 July 2013
                : 20 May 2014
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 35, Pages: 7
                Product

                SciELO Public Health

                Self URI: Texto completo solamente en formato PDF (ES)
                Categories
                Artículos de Investigación Original

                Internet,Social networking,enfermedades renales,kidney diseases,Redes sociales,Hispanic Americans,internet,Latin America,hispanoamericanos,América Latina

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