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      Generalized Resistance Deficits in inmates with hypertension: missing resources that limit health Translated title: Déficits de Resistencia Generalizados en reclusos con hipertensión: recursos faltantes que limitan la salud Translated title: Déficits Generalizados de Resistência em pessoas presas com hipertensão: recursos ausentes que limitam a saúde

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          ABSTRACT

          Objective:

          to understand the Generalized Resistance Deficits of people deprived of liberty with hypertension in a Brazilian prison unit.

          Method:

          qualitative research, anchored in Salutogenesis, carried out with 38 people with hypertension from a Brazilian prison unit, from February to July 2022, with a semi-structured interview with open-ended questions, whose analysis was thematic, explaining the limitations to health in prison.

          Results:

          13 Generalized Resistance Deficits were reported, mostly related to the prison environment and, to a lesser extent, to the social group and the individual, respectively. Living in prison for people with hypertension implies living with a high number of Generalized Resistance Deficits, accentuating the movement towards the disease pole.

          Final considerations:

          knowing Generalized Resistance Deficits allows directing health promotion to support the use of available Generalized Resistance Resources and contributes to the expansion of intersectoral policies.

          RESUMO

          Objetivo:

          apreender os Déficits Generalizados de Resistência de pessoas privadas de liberdade com hipertensão arterial sistêmica de uma unidade prisional brasileira.

          Método:

          pesquisa qualitativa, ancorada na Salutogênese, realizada com 38 pessoas com hipertensão arterial sistêmica de uma unidade prisional brasileira, de fevereiro a julho de 2022, com entrevista semiestruturada de questões abertas, cuja análise foi temática, explicitando os limitantes à saúde na prisão.

          Resultados:

          foram relatados 13 Déficits Generalizados de Resistência, relacionando-se em maioria ao ambiente prisional e, em menor proporção, ao grupo social e ao indivíduo, respectivamente. O viver na prisão para pessoas com hipertensão arterial sistêmica implica conviver com elevado número de Déficits Generalizados de Resistência, acentuando o movimento em direção ao polo doença.

          Considerações finais:

          conhecer os Déficits Generalizados de Resistência permite direcionar a promoção da saúde para apoiar o uso dos Recursos Generalizados de Resistência disponíveis e contribui com a ampliação de políticas intersetoriais.

          RESUMEN

          Objetivo:

          comprender los Déficits de Resistencia Generalizados de personas privadas de libertad con hipertensión arterial sistémica en una unidad penitenciaria brasileña.

          Método:

          investigación cualitativa, anclada en la Salutogénesis, realizada con 38 personas con hipertensión arterial sistémica de una unidad penitenciaria brasileña, de febrero a julio de 2022, con entrevista semiestructurada con preguntas abiertas, cuyo análisis fue temático, explicando las limitaciones a la salud en prisión.

          Resultados:

          se reportaron 13 Déficits de Resistencia Generalizados, en su mayoría relacionados con el ambiente penitenciario y, en menor medida, con el grupo social y el individuo, respectivamente. Vivir en prisión para personas con hipertensión arterial sistémica implica vivir con un elevado número de Déficits de Resistencia Generalizados, acentuando el movimiento hacia el polo de la enfermedad.

          Consideraciones finales:

          conocer los Déficits de Resistencia Generalizada permite orientar la promoción de la salud para apoyar el uso de los Recursos de Resistencia Generalizada disponibles y contribuye a la ampliación de políticas intersectoriales.

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          Most cited references45

          • Record: found
          • Abstract: not found
          • Article: not found

          The salutogenic model as a theory to guide health promotion

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            • Article: not found

            Amostragem e saturação em pesquisa qualitativa: consensos e controvérsias

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              • Article: not found

              Validity of Antonovsky's sense of coherence scale: a systematic review.

              The aim of this paper is to systematically review and analyse the validity and reliability of Antonovsky's life orientation questionnaire/sense of coherence scale (SOC). The study is descriptive and analytical with a systematic integration of the contemporary knowledge base on the salutogenic research published 1992-2003. The review includes 458 scientific publications and 13 doctoral theses. Worldwide, based on postgraduate scientific publications in eight authorized databases, doctoral theses, and available books. The SOC questionnaire has been used in at least 33 languages in 32 countries with at least 15 different versions of the questionnaire. In 124 studies using SOC-29 the Cronbach's alpha ranges from 0.70 to 0.95. The alpha values in 127 studies using SOC-13 range from 0.70 to 0.92, and in 60 studies using a modified SOC scale range from 0.35 to 0.91. Test-retest correlation show stability and range from 0.69 to 0.78 (1 year), 0.64 (3 years), 0.42 to 0.45 (4 years), 0.59 to 0.67 (5 years) to 0.54 (10 years). The means of SOC-29 range 100.50 (SD 28.50) to 164.50 (SD 17.10) points and SOC-13 from 35.39 (SD 0.10) to 77.60 (SD 13.80) points. After 10 years SOC seems to be comparatively stable, but not as stable as Antonovsky initially assumed. SOC tends to increase with age. The factorial structure of SOC seems rather to be multidimensional than unidimensional. SOC predicts a positive outcome in a long term perspective, although there are divergent findings reported. The SOC scale seems to be a reliable, valid, and cross culturally applicable instrument measuring how people manage stressful situations and stay well.
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                Author and article information

                Contributors
                Role: conception or design of the study/researchRole: analysis and/or interpretation of dataRole: final review with criticalRole: intellectual participation in the manuscript
                Role: conception or design of the study/researchRole: analysis and/or interpretation of dataRole: final review with criticalRole: intellectual participation in the manuscript
                Role: conception or design of the study/researchRole: analysis and/or interpretation of dataRole: final review with criticalRole: intellectual participation in the manuscript
                Role: conception or design of the study/researchRole: analysis and/or interpretation of dataRole: final review with criticalRole: intellectual participation in the manuscript
                Role: conception or design of the study/researchRole: analysis and/or interpretation of dataRole: final review with criticalRole: intellectual participation in the manuscript
                Journal
                Rev Bras Enferm
                Rev Bras Enferm
                reben
                Revista Brasileira de Enfermagem
                Associação Brasileira de Enfermagem
                0034-7167
                1984-0446
                13 May 2024
                2024
                : 77
                : 2
                : e20230246
                Affiliations
                [I ]Universidade Federal do Paraná. Curitiba, Paraná, Brazil
                [II ]Universidade Federal de Santa Catarina. Florianópolis, Brazil
                Author notes
                Corresponding author: Marta Cossetin Costa, E-mail: m_cossetin@ 123456hotmail.com

                EDITOR IN CHIEF: Antonio José de Almeida Filho

                ASSOCIATE EDITOR: Rafael Silva

                Author information
                http://orcid.org/0000-0002-1771-8428
                http://orcid.org/0000-0001-7961-8273
                http://orcid.org/0000-0001-7140-9557
                http://orcid.org/0000-0001-6216-1633
                http://orcid.org/0000-0003-2913-2851
                Article
                00151
                10.1590/0034-7167-2023-0246
                11095910
                38747810
                f05716c1-5b3d-4b86-b485-f29996695a49

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 23 July 2023
                : 09 December 2023
                Categories
                Original Article

                prisoners,prisons,health promotion,salutogenesis,adult health,personas privadas de libertad,cárcel,promoción de la salud,salutogénesis,salud del adulto,pessoas privadas de liberdade,prisão,promoção da saúde,salutogênese,saúde do adulto

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