Health literacy, a more complex concept than knowledge, is a required capacity to obtain, understand, integrate and act on health information [1], in order to enhance individual and community health, which is defined by different levels, according to the autonomy and personal capacitation in decision making [2]. Medium levels of Health literacy in an adolescent population were found in a study conducted in 2013/2014, being higher in sexual and reproductive health and lower in substance use. It was also noticed that the higher levels of health literacy were in the area adolescents refer to have receipt more health information. The health literacy competence with higher scores was communication skills, and the lower scores were in the capacity to analyze factors that influence health. Higher levels were also found in younger teenagers, but in a higher school level, confirming the importance of health education in these age and development stage. Adolescents seek more information in health professionals and parents, being friends more valued as a source information in older adolescents, which enhance the importance of peer education mainly in older adolescents [3]. As a set of competences based on knowledge, health literacy should be developed through education interventions, encompassing the cultural and social context of individuals, since the society, culture and education system where the individual is inserted can define the way the development and enforcement of the health literacy competences [4]. The valued sources of information should be taken into account, as well as needs of information in some topics referred by adolescents in an efficient health education. Schizophrenia is a serious and chronic mental illness which has a profound effect on the health and well-being related with the well-known nature of psychotic symptoms. The exercise has the potential to improve the life of people with schizophrenia improving physical health and alleviating psychiatric symptoms. However, most people with schizophrenia remains sedentary and lack of access to exercise programs are barriers to achieve health benefits. The aim of this study is to evaluate the effect of exercise on I) the type of intervention in mental health, II) in salivary levels of alpha-amylase and cortisol and serum levels of S100B and BDNF, and on III) the quality of life and selfperception of the physical domain of people with schizophrenia. The sample consisted of 31 females in long-term institutions in the Casa de Saúde Rainha Santa Isabel, with age between 25 and 63, and with diagnosis of schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). Physical fitness was assessed by the six-minute walk distance test (6MWD). Biological variables were determined by ELISA (Enzyme-Linked Immunosorbent Assay). Psychological variables were assessed using SF-36, PSPP-SCV, RSES and SWLS tests. Walking exercise has a positive impact on physical fitness (6MWD -p = 0.001) and physical components of the psychological test...

Background Preventing sexual violence in nightlife environments is a pervasive issue across many countries. This study explored the associated impact of a nightlife worker sexual violence awareness raising/bystander training programme (STOP-SV) on trainees’ sexual violence myth acceptance and readiness and confidence to intervene. Methods : Pre- and post-test (n = 118), and 3-month follow-up (n = 38) trainee surveys were implemented across three countries (Czech Republic, Portugal and Spain). Paired-sample tests examined changes across time-periods in participants’ myth acceptance (e.g. unwanted sexual advances are a normal part of a night out), and readiness and confidence to intervene. Multi-nominal regression was used to examine the relationship between the change in pre-to-post-training scores and trainee characteristics. Results Compared to pre-training, post-training participants were significantly (P < 0.01) less likely to agree with sexual violence myths, and more likely to be ready and confident to intervene. In bi-variate and multi-variate analyses, we found no significant associations between the change in pre-to-post-training scores and trainee characteristics. Analyses of the small follow-up sub-sample illustrated some positive changes at the post-training and follow-up time-periods (i.e. reduction in sexual violence myth acceptance). Conclusion This exploratory study suggests that the STOP-SV training programme was associated with a decrease in trainees’ acceptance of sexual violence myths, and an increase in their readiness and confidence to intervene. Our findings support the case for further implementation and evaluation of awareness raising/bystander programmes for nightlife workers that aim to prevent and respond to sexual violence.

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Objetivos: identificar o entendimento das famílias sobre fibromialgia, descrever as mudanças na rotina e analisar as estratégias de cuidado desenvolvidas pelas redes familiares. Método: pesquisa qualitativa, participativa, fundamentada na teoria freireana, com oito participantes de uma instituição universitária do Rio de Janeiro. Produção de dados em 2016, abrangendo o Mapa Falante e World Café. Dados submetidos à análise de conteúdo. Projeto aprovado por Comitê de Ética em Pesquisa nº 1.587.664. Resultados: dessa análise emergiram três categorias temáticas: Necessidades de mudanças; Organização da família; e Estratégias de cuidado. Conclusão: a família entende que a dor é um fator limitante e desencadeador da doença. As mudanças referidas foram a desorganização do cotidiano familiar e do convívio social, gerando desconforto físico e psíquico. A união, presença e atenção foram as estratégias de cuidado. Torna-se importante a mediação interdisciplinar com práticas participativas, reflexivas e sensíveis.ABSTRACTObjectives: to identify families’ understanding about fibromyalgia, to describe changes in the family routine and to analyze strategies of care developed by family networks. Method: qualitative and participative research, based on Paulo Freire’s theory, with eight participants from an university institution of Rio de Janeiro. Data were coleected in 2016, using Talking-Maps and World Café. Data were submetted to content analysis. The study was approved by Research Ethics Committee (Protocol nº 1.587.664). Results: three categories emerged: Need for changes; Family organization; and Strategies of care. Conclusion: family understands that pain is a limiting factor and a triggering of the disease. Changes referred were related to family daily life and social interaction disorganization, leading to physical and psychological discomfort. Unity, presence and attention were described as strategies of care. Interdisciplinary mediation with participatory, reflexive and sensitive practices becomes important. RESUMENObjetivo: identificar la comprensión de las familias sobre la fibromialgia, describir los cambios en la rutina familiar y analizar las estrategias de atención desarrolladas por las redes familiares. Método: investigación cualitativa y participativa, basada en la teoría de Paulo Freire, con ocho participantes de una institución universitaria de Río de Janeiro. Los datos fueron compilados en 2016, utilizando Mapa Altavolz y World Café. Los datos fueron submetidos al análisis de contenido. El estudio fue aprobado por el Comité de Ética en Investigación (Protocolo nº 1.587.664). Resultados: surgieron tres categorías: necesidad de cambios; Organización familiar; y Estrategias de cuidado. Conclusión: la familia entiende que el dolor es un factor limitante y desencadenante de la enfermedad. Los cambios referidos se relacionaron con la vida familiar cotidiana y la desorganización de la interacción social, lo que generó malestar físico y psicológico. La unidad, la presencia y la atención se describieron como estrategias de cuidado. La mediación interdisciplinaria con prácticas participativas, reflexivas y sensibles se vuelve importante. DOI: http://dx.doi.org/10.12957/reuerj.2017.30444

BackgroundCoimbra is certainly among the Portuguese university cities with more nightlife-oriented towards students. The CPTTP and IREFREA–Portugal, are investing, in partnership with other organisations of our city (Health, Education, Security Forces, Municipality, Others sectors) in primary, secondary, and tertiary prevention in nightlife settings. This initiative aims to contribute: to identify and eliminate the risk factors associated with (potentially) traumatic situations (intentional and unintentional); to identify and enhance protective factors; to strengthen community resilience.Description of the problemRecreation nightlife plays an important role in students’ lives but also has an intrinsic association to a multitude of risk factors in areas such as sexuality, violence, alcohol and other substances and road driving. According to a survey conducted by IREFREA in Coimbra, in 2014 (sample: 253 men and 184 women, aged between 16 and 43 years old) many of the night goers report that “today” there is more violence and aggression in the night life (60%), more alcohol intoxication (70%) and higher consumption of illegal drugs (43%). 17.6% reported having had road accidents, 21.4% have been hurt by these and 16.9% have had problems with the police. It is also too high a% of individuals who reported having had sex under the influence of alcohol (64.8%).ResultsMore participation, interaction and cooperation between network members; more investment on prevention and investigation; more production and exchange of content; more accession of new “actors” and more interactivity and connectivity.ConclusionsAdopting the ecological model, approaching nightlife in a public health perspective, organising care in a multidisciplinary, multisectoral network has contributed to the promotion of more involvement of the “city” aiming the safety and well-being of their citizens.