Suchergebnisse

Health promotion is defined as the process of enabling people to increase control over and to enhance their health. It focuses on individual behaviors towards a wide range of interventions on social and environmental determinants of health and other health related aspects of life (WHO, 2015; 2017). Thus, health promotion implies the need to promote and empower people with resources and skills towards health and well-being (Saboga-Nunes, et al., 2019). The literature reports a negative variation in the lifestyle of university students, and simultaneously demonstrates a significant percentage of university students with a set of emotional, relational, anxiety and stress management difficulties (WHO, 2021, 2018). The need to curb behavioral tendencies harmful to the health of young university students comes justify the need for health promotion in the context of these institutions. This study aimed at analyzing the impact of university students' training, in the area of health promotion and of personal and socio-emotional skills. Participated 286 students. The results show that in addition to the skills worked during the training, the students' well-being and health also improved at the end of the training. The variables that evidenced to be the most important for the university students' health promotion were that they finished the training with more self-esteem, resilience, psychological well-being, self-efficacy, happiness and less instability and alienation. Regarding the pre and post evaluation comparisons about skills, importance and usefulness of HBSC/JUnP training, it was observed that both knowledge about health aspects and personal and socio-emotional skills, namely the resilience, self-regulation and problem-solving strategies had a strong positive impact on promoting the health and well-being of students. Higher education institutions present themselves as enhancers of public health, contributing to the students make healthy choices.
Keywords: health promotion, personal and socio-emotional skills, university students' training, healthy universities, Portugal

Practicing sexual intercourse (SI) under the influence of alcohol or drugs has been identified as an unhealthy sexual behaviour. The sample consisted of 5695 adolescents, of which 46.1% were males, with a mean age of 15 years old. The measures consisted of asking the adolescent if he or she had ever had SI, age of 1st SI, condom use at last SI, SI under the influence of alcohol or drugs and HIV testing. Most adolescents reported having never had SI (77.0%). Among those who responded affirmatively, they referred having had their 1st SI at 15 years old. A significant minority reported not having used condom at last SI (34.1%) and having had SI under the influence of alcohol or drugs (14.5%). It was noticeable that males, adolescents with high SES, those who reported not having used condom at last SI, those not having been HIV tested, those who consider themselves fat, smoke daily, and scored lower in emotional sensitivity and quality of life were those who were more likely to have reported having had SI under the influence of alcohol or drugs. Adolescents who reported having had SI under the influence of alcohol or drugs have multiple risk behaviours. These results may account for important changes in educational and health policies, directed towards the development of personal and social skills, the importance of adolescents' quality of life and the activation of all the support structures where adolescents are involved and that are somewhat responsible for promoting a healthy lifestyle.
Keywords: unhealthy sexual behaviour, sexual intercourse, substance use, Portuguese adolescents

Recently HIV is falling in a significant number of countries, partly due to the adoption of preventive behaviors, which demonstrates that decreasing sexual transmission of HIV is possible. The aim of this research was to analyze preventive sexual behavior in Portuguese adolescents, including information and attitudes about HIV/AIDS, and assessing whether they changed from 2002 to 2010. Data were collected through a self-administered questionnaire from the Portuguese sample of the Health Behaviour in School-aged Children (HBSC), a collaborative WHO study. The study provided national representative data of 10587 Portuguese adolescents, randomly chosen from those attending 8th and 10th grades and the opportunity to examine trends in sexual behaviour on a national level. In terms of preventive behaviours, results showed an increasing trend regarding the percentage reporting first sexual intercourse at 14 years old or more and condom use at last sexual intercourse and a stabilized trend concerning having had sexual intercourse and contraceptive pill use. Nevertheless, in terms of information and attitudes about HIV/AIDS, results showed a systematic decreasing trend.
Key words: adolescents, attitudes, information, preventive behaviours, sex education.

The purpose of this study is to analyse the relation between risk and protective factor and substance use in adolescence, including tobacco use, drunkenness and consumption of illicit drugs.
The sample included 3494 students, mean age 15 years old, in the 8th and 10th grades from the public school system, of primary and secondary schools in Portugal. Data collection was held within the HBSC (Health Behavior in School-aged Children) survey from 2010. For the purpose of this specific study, the questionnaire includes questions about risk and protective behaviors and substance use, namely tobacco, drunkenness and illicit drug consumption.
Results confirmed that adolescents with higher levels of protective factors seem to consume fewer substances and adolescents who present higher levels of risk factors are more likely to consume all the substances in the study. There were statistically significant differences for the majority of risk and protective behaviours regarding tobacco, drunkenness and illicit drugs. Although risk factors have a higher impact on substance use, the existence of protective factors seems to fade such impact.
Key words: adolescence, risk and protective factors, substance use.

The World Health Organization (WHO) recognizes that health and well-being are essential to achieving the United Nations (UN) Development Agenda 2030, which includes the goal of empowering people to adopt active lifestyles while protecting the planet's health. This article aims at exploring how exercise performed in different natural settings can contribute to improving health and to a more sustainable world. We define "exercise" as a form of physical activity undertaken to increase fitness, health, and well-being, and argue for the importance of "green" and "blue" exercise as forms of physical activity that are associated with the protection and sustainability of natural settings and the promotion of planetary health. Blue and green exercise should become a focus of public policies, especially when outdoor activities are being identified as fundamental for the promotion of mental, physical, social, and spiritual health. The current paper intends to raise the awareness of political decision-makers and professionals in education, environment, and heath sectors for the potential of green and blue exercise as specific exercise practices that are healthy, joyful, and environmentally friendly.

In an unprecedented scenario, much of the research and interventions during the COVID-19 pandemic, which focused on young people, found themselves suspended. (1) Background: The goals of this project were to investigate (Study 1) social participation and positive development among young people in Cascais, Portugal, and to investigate (Study 2-a case study) the implementation of a program promoting active citizenship, social participation, and social entrepreneurship. At the same time, it was intended to constitute a resource and strategy to diminish the social alienation exacerbated by the pandemic. (2) Methods: SPSS v.26 software was used to analyze quantitative data from questionnaires used in the study of social participation, as well as the pre- and post-test impacts, and MAXQDA 2020 software was used to analyze qualitative data from YouTube discussions about youth needs and strategies for their problems, as well as from focus groups. (3) Results: In S1, it was evident that young people's expectations of participation in the community were not defined and that their expected participation in the community was of a weekly nature. They considered themselves to have a good sense of belonging to the community or group and had reasonable social self-efficacy. Girls showed higher scores in Expectations of Community Participation and Active Participation. In their positive development, they did not have a defined evaluation of their competence, but their connection with others was evaluated as good. Boys showed higher levels of Competence. They said that every week they make 1 h of their day available to help others, and they did not frequently report feelings of social alienation. In S2, the evaluation of the impact of the project generally showed an improvement in the action research skills of the participants. At the end, six projects were proposed. In the analysis of the participants' voices, the themes related to Substance Use, Social Capital, and Love and Sexuality stood out with higher participation and lower participation in the themes of Diversity, Culture and Housing. (4) Conclusions: The results suggest a need to encourage social participation, active citizenship, and entrepreneurship, along with their knowledge and skills for action. The promotion of debate and knowledge on issues related to young people's lives seems to be a priority, especially issues related to Diversity, Culture and Housing. The Dream Teens model may prove to be an important strategy in this work, suggesting that this project may constitute a relevant model for future work.

© 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution(CC BY) license (http://creativecommons.org/licenses/by/4.0/). ; Environmental health is at the intersection between health and the environment. However, it still has a recent (and narrow) history as a scientific area, mainly addressing human biomonitoring and toxicological issues. Only recently additional environmental 'layers', other than the traditional chemical, biological and physical environmental determinants, have been considered. This broader perspective of environmental health also encompasses digital, psychosocial, political, socioeconomic and cultural determinants, all of them relevant when considering human health from a planetary health paradigm. This reflects the progressive adoption of a systemic perspective regarding the impact of gains for human health and well-being towards a sustainable environment. It also implies a multi-method and participatory approach to understand the intertwined relationship between environmental changes and human health. In this paper, the broader approach to environmental health is discussed in order to 'set the stage' for introducing the Institute of Environmental Health (ISAMB) of the Lisbon School of Medicine, Portugal. Each of the research groups and labs that compose ISAMB are presented, as well as their main lines of research. Present and planned contributions of ISAMB to advance knowledge on environmental health and for promoting human health gains in an environmentally sustainable way are also discussed. ; This research was funded by Fundação para a Ciência e a Tecnologia, grant number UIDB/04295/2020 and UIDP/04295/2020. ; info:eu-repo/semantics/publishedVersion

© The Author(s) 2021. Published by Oxford University Press on behalf of the Society of Behavioral Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/ licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. ; Background: Patterns of protective health behaviors, such as handwashing and sanitizing during the COVID-19 pandemic, may be predicted by macro-level variables, such as regulations specified by public health policies. Health behavior patterns may also be predicted by micro-level variables, such as self-regulatory cognitions specified by health behavior models, including the Health Action Process Approach (HAPA). Purpose: This study explored whether strictness of containment and health policies was related to handwashing adherence and whether such associations were mediated by HAPA-specified self-regulatory cognitions. Methods: The study (NCT04367337) was conducted among 1,256 adults from Australia, Canada, China, France, Gambia, Germany, Israel, Italy, Malaysia, Poland, Portugal, Romania, Singapore, and Switzerland. Self-report data on cross-situational handwashing adherence were collected using an online survey at two time points, 4 weeks apart. Values of the index of strictness of containment and health policies, obtained from the Oxford COVID-19 Government Response Tracker database, were retrieved twice for each country (1 week prior to individual data collection). Results: Across countries and time, levels of handwashing adherence and strictness of policies were high. Path analysis indicated that stricter containment and health policies were indirectly related to lower handwashing adherence via lower self-efficacy and self-monitoring. Less strict policies were indirectly related to higher handwashing adherence via higher self-efficacy and self-monitoring. Conclusions: When policies are less strict, exposure to the SARS-CoV-2 ...