Skip to main content
Top
Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Individual and collective empowerment and associated factors among Brazilian adults: a cross-sectional study

Authors: Marcia Fatima Soares, Rachel Conceição Ferreira, Camila Alessandra Pazzini, Denise Vieira Travassos, Saul Martins Paiva, Efigênia Ferreira e Ferreira

Published in: BMC Public Health | Issue 1/2015

Login to get access

Abstract

Background

The empowerment embedded in the health area is defined as a process that can facilitate control over the determinants of health of individuals and population as a way to improve health. The aim of this study was to verify the association between individual and collective empowerment with sociodemographic conditions, lifestyle, health conditions and quality of life.

Method

A cross-sectional analytical study was conducted with 1150 individuals (aged 35 to 44 years). The empowerment was determined by questions from the Integrated Questionnaire for the Measurement of Social Capital (IQ-MSC). The quality of life was measured using the WHOQOL (World Health Organization Quality of Life-Bref). Lifestyle and health conditions were obtained by adapted questions from the Fantastic Lifestyle Questionnaire The DMFT Index was incorporated in the health conditions questions. Logistic regression or multinomial regression was performed.

Results

The practice of physical activity was related to individual (OR: 2.70) and collective (OR: 1.57) empowerment. Regarding individual empowerment, people with higher education level (5–11 years – OR: 3.46 and ≥12 years – OR: 4.41), who felt more able to deal with stress (OR:3.76), who presented a high score on quality of life (psychological domain) (OR:1.23) and that smoked (OR:1.49) were more likely to feel able to make decisions and participate in community activities. The increase in the DMFT Index represented less chance of individuals to feel more able to make decisions (OR: 0.96). Regarding the collective empowerment, being religious (catholic) (OR: 1.82), do not drink or drink just a little (OR: 1.66 and 2.28, respectively), and increased score of overall quality of life (OR: 1.08) were more likely to report that people cooperate to solve a problem in their community.

Conclusion

The two approaches to empowerment, the individual and collective are connected, and the physical activity showed to be a good strategy for the empowerment construction.
Literature
1.
go back to reference Lalonde M. A new perspective on the Health of Canadians: a working document. Ottawa: Health and Welfare Canada; 1974. Lalonde M. A new perspective on the Health of Canadians: a working document. Ottawa: Health and Welfare Canada; 1974.
2.
go back to reference Carvalho SR. The multiple meanings of “empowerment” in the health promotion proposal. Cad Saúde Pública. 2004;20:1088–95.PubMed Carvalho SR. The multiple meanings of “empowerment” in the health promotion proposal. Cad Saúde Pública. 2004;20:1088–95.PubMed
4.
go back to reference Conger JA, Kanungo RN. The Empowerment Process: Integrating theory and practice. Acad Manage Rev. 1988;13:471–82. Conger JA, Kanungo RN. The Empowerment Process: Integrating theory and practice. Acad Manage Rev. 1988;13:471–82.
5.
go back to reference Baquero RVA. Empowerment: instrument of social emancipation? A conceptual discussion. Rev Debates. 2012;6:173–87. Baquero RVA. Empowerment: instrument of social emancipation? A conceptual discussion. Rev Debates. 2012;6:173–87.
6.
go back to reference Ferreira MS, Castiel LD, Cardoso MHCA. Physical activity from the perspective of new health promotion: contradictions of an institutional program. Ciênc Saúde Coletiva. 2011;16:865–72.CrossRef Ferreira MS, Castiel LD, Cardoso MHCA. Physical activity from the perspective of new health promotion: contradictions of an institutional program. Ciênc Saúde Coletiva. 2011;16:865–72.CrossRef
7.
go back to reference Spencer G. Young people and health: Towards a new conceptual framework for understanding empowerment. Health. 2014;18:3–22.PubMed Spencer G. Young people and health: Towards a new conceptual framework for understanding empowerment. Health. 2014;18:3–22.PubMed
8.
go back to reference Pan SC, Tien KL, Hung IC, Lin YJ, Yang YL, Yang MC, et al. Patient empowerment in a hand hygiene program: differing points of view between patients/family members and health care workers in Asian culture. Am J Infect Control. 2013;41:979–83.CrossRefPubMed Pan SC, Tien KL, Hung IC, Lin YJ, Yang YL, Yang MC, et al. Patient empowerment in a hand hygiene program: differing points of view between patients/family members and health care workers in Asian culture. Am J Infect Control. 2013;41:979–83.CrossRefPubMed
9.
go back to reference Mahmud AJ, Olander E, Wallenber L, Haglund BJ. Health promoting settings in primary healthy care: “halsotorg” an implementation analysis. BMC Public Health. 2010;10:707.CrossRefPubMedPubMedCentral Mahmud AJ, Olander E, Wallenber L, Haglund BJ. Health promoting settings in primary healthy care: “halsotorg” an implementation analysis. BMC Public Health. 2010;10:707.CrossRefPubMedPubMedCentral
10.
go back to reference Leerlooijer JN, Bos AE, Ruiter RA, Van Reeuwijk MA, Rijsdijk LE, Nshakira N, et al. Qualitative evaluation of the Teenage Mothers Project in Uganda: a community-based empowerment intervention for unmarried teenage mothers. BMC Public Health. 2013;13:816.CrossRefPubMedPubMedCentral Leerlooijer JN, Bos AE, Ruiter RA, Van Reeuwijk MA, Rijsdijk LE, Nshakira N, et al. Qualitative evaluation of the Teenage Mothers Project in Uganda: a community-based empowerment intervention for unmarried teenage mothers. BMC Public Health. 2013;13:816.CrossRefPubMedPubMedCentral
11.
go back to reference Pattussi MP, Hardy R, Sheiham A. The potencial impact of neighborhood empowerment on dental caries among adolescents. Community Dent Oral Epidemiol. 2006;34:344–50.CrossRefPubMed Pattussi MP, Hardy R, Sheiham A. The potencial impact of neighborhood empowerment on dental caries among adolescents. Community Dent Oral Epidemiol. 2006;34:344–50.CrossRefPubMed
12.
go back to reference Bezerra IA, Goes PSA. Association between social capital and oral health conditions and behavior. Ciênc Saúde Colet. 2014;19:1943–50.CrossRef Bezerra IA, Goes PSA. Association between social capital and oral health conditions and behavior. Ciênc Saúde Colet. 2014;19:1943–50.CrossRef
14.
go back to reference Santiago BM, Valença AMG, Vettore MV. The relationship between neighborhood empowerment and dental caries experience: a multilevel study in adolescents and adults. Rev Bras Epidemiol. 2014;17 Suppl 2:15–28.CrossRefPubMed Santiago BM, Valença AMG, Vettore MV. The relationship between neighborhood empowerment and dental caries experience: a multilevel study in adolescents and adults. Rev Bras Epidemiol. 2014;17 Suppl 2:15–28.CrossRefPubMed
15.
go back to reference Borges CM, Campos ACV, Vargas AMD, Ferreira EF. Adult tooth loss profile in accordance with social capital and demographic and socioeconomic characteristics. Ciênc Saúde Coletiva. 2014;19:1849–58.CrossRef Borges CM, Campos ACV, Vargas AMD, Ferreira EF. Adult tooth loss profile in accordance with social capital and demographic and socioeconomic characteristics. Ciênc Saúde Coletiva. 2014;19:1849–58.CrossRef
16.
go back to reference Chi DL, Carpiano RM. Neighborhood social capital, neighborhood attachment, and dental care use for Los Angeles family and neighborhood survey adults. Am J Public Health. 2013;103:88–95.CrossRef Chi DL, Carpiano RM. Neighborhood social capital, neighborhood attachment, and dental care use for Los Angeles family and neighborhood survey adults. Am J Public Health. 2013;103:88–95.CrossRef
17.
go back to reference Edge S, Newbold KB, McKeary M. Exploring socio-cultural factors that mediate, facilitate, & constrain the health and empowerment of refugee youth. Soc Sci Med. 2014;117:34–41.CrossRefPubMed Edge S, Newbold KB, McKeary M. Exploring socio-cultural factors that mediate, facilitate, & constrain the health and empowerment of refugee youth. Soc Sci Med. 2014;117:34–41.CrossRefPubMed
18.
go back to reference World Health Organization. Oral health Surveys: Basic Methods. 5th ed. Geneva: WHO; 2013. World Health Organization. Oral health Surveys: Basic Methods. 5th ed. Geneva: WHO; 2013.
22.
go back to reference Rodrigues Añez CR, Reis RS, Petroski EL. Brazilian version of “Fantastic lifestyle”: translation and validation for young adults. Arq Bras Cardiol. 2008;91:92–8. Rodrigues Añez CR, Reis RS, Petroski EL. Brazilian version of “Fantastic lifestyle”: translation and validation for young adults. Arq Bras Cardiol. 2008;91:92–8.
23.
go back to reference Gomes RS, Peres KG. Socioeconomic and demographic inequalities as risk factors for self-reported arthritis: a population-based study in southern Brazil. Cad Saúde Pública. 2012;28:1506–16.CrossRefPubMed Gomes RS, Peres KG. Socioeconomic and demographic inequalities as risk factors for self-reported arthritis: a population-based study in southern Brazil. Cad Saúde Pública. 2012;28:1506–16.CrossRefPubMed
24.
go back to reference Wendhausen ALP, Barbosa TM, Borba MC. Empowerment and resources for participation in Management Councils. Saúde Soc. 2006;15:131–44. Wendhausen ALP, Barbosa TM, Borba MC. Empowerment and resources for participation in Management Councils. Saúde Soc. 2006;15:131–44.
25.
go back to reference Abdoli S, Ashktorab T, Ahmadi F, Parvizy S, Dunning T. Religion, faith and the empowerment process: stories of Iranian people with diabetes. Int J Nurs Pract. 2011;17:289–98.CrossRefPubMed Abdoli S, Ashktorab T, Ahmadi F, Parvizy S, Dunning T. Religion, faith and the empowerment process: stories of Iranian people with diabetes. Int J Nurs Pract. 2011;17:289–98.CrossRefPubMed
26.
go back to reference Maton KI, Wells EA. Religion as a Community Resource for Well-Being: Prevention, Healing, and Empowerment Pathways. J Soc Issues. 1995;51:177–93.CrossRef Maton KI, Wells EA. Religion as a Community Resource for Well-Being: Prevention, Healing, and Empowerment Pathways. J Soc Issues. 1995;51:177–93.CrossRef
27.
go back to reference Levin J. Religion and physical health among older Israeli Jews: findings from the SHARE-Israel study. Isr Med Assoc J. 2012;14:595–601.PubMed Levin J. Religion and physical health among older Israeli Jews: findings from the SHARE-Israel study. Isr Med Assoc J. 2012;14:595–601.PubMed
29.
go back to reference Kirk D. Empowering Girls and Women through Physical Education and Sport - Advocacy Brief. Bangkok: UNESCO Bangkok; 2012. p. 1–23. Kirk D. Empowering Girls and Women through Physical Education and Sport - Advocacy Brief. Bangkok: UNESCO Bangkok; 2012. p. 1–23.
31.
go back to reference Li S, Delva J. Social capital and smoking among Asian American men: an exploratory study. Am J Public Health. 2012;102:212–21.CrossRef Li S, Delva J. Social capital and smoking among Asian American men: an exploratory study. Am J Public Health. 2012;102:212–21.CrossRef
32.
go back to reference Harachi TW, Ayers CD, Hawkins JD, Catalano RF, Cushing J. Empowering communities to prevent adolescent substance abuse: Process evaluation results from a risk- and protection-focused community mobilization effort. J Prim Prev. 1996;16:233–54.CrossRefPubMed Harachi TW, Ayers CD, Hawkins JD, Catalano RF, Cushing J. Empowering communities to prevent adolescent substance abuse: Process evaluation results from a risk- and protection-focused community mobilization effort. J Prim Prev. 1996;16:233–54.CrossRefPubMed
33.
go back to reference Willemsen MC, Kiselinova M, Nagelhout GE, Joossens L, Knibbe RA. Concern about passive smoking and tobacco control policies in European countries: an ecological study. BMC Public Health. 2012;12:876.CrossRefPubMedPubMedCentral Willemsen MC, Kiselinova M, Nagelhout GE, Joossens L, Knibbe RA. Concern about passive smoking and tobacco control policies in European countries: an ecological study. BMC Public Health. 2012;12:876.CrossRefPubMedPubMedCentral
34.
go back to reference Lucchese R, Vargas LS, Teodoro WR, Santana LKB, Santana FR. Operative group technology applied to tobacco control program. Text & Context Nursing. 2013;22:918–26.CrossRef Lucchese R, Vargas LS, Teodoro WR, Santana LKB, Santana FR. Operative group technology applied to tobacco control program. Text & Context Nursing. 2013;22:918–26.CrossRef
35.
go back to reference Kuipers MA, Poppel MN, Brink W, Wingen M, Kunst AE. The association between neighborhood disorder, social cohesion and hazardous alcohol use: a national multilevel study. Drug Alcohol Depend. 2012;126:27–34.CrossRefPubMed Kuipers MA, Poppel MN, Brink W, Wingen M, Kunst AE. The association between neighborhood disorder, social cohesion and hazardous alcohol use: a national multilevel study. Drug Alcohol Depend. 2012;126:27–34.CrossRefPubMed
36.
go back to reference Silva JV, Castro V, Laranjeira R, Figlie NB. High mortality, violence and crime in alcohol dependents: 5 years after seeking treatment in a Brazilian underprivileged suburban community. Rev Bras Psychiatry. 2012;34:135–42.CrossRef Silva JV, Castro V, Laranjeira R, Figlie NB. High mortality, violence and crime in alcohol dependents: 5 years after seeking treatment in a Brazilian underprivileged suburban community. Rev Bras Psychiatry. 2012;34:135–42.CrossRef
37.
go back to reference Li IC, Chen YC, Kuo HT. The relationship between work empowerment and work stress perceived by nurses at long-term care facilities in Taipei city. J Clin Nurs. 2008;17:3050–8.CrossRefPubMed Li IC, Chen YC, Kuo HT. The relationship between work empowerment and work stress perceived by nurses at long-term care facilities in Taipei city. J Clin Nurs. 2008;17:3050–8.CrossRefPubMed
38.
go back to reference Holdsworth L, Cartwright S. Empowerment, stress and satisfaction: an exploratory study of a call centre. Leadership & Organization Development Journal. 2003;24:131–40.CrossRef Holdsworth L, Cartwright S. Empowerment, stress and satisfaction: an exploratory study of a call centre. Leadership & Organization Development Journal. 2003;24:131–40.CrossRef
39.
go back to reference Lings I. Sood A Empowerment and role stress in the human interface between the firm and its markets. Int J of Services Technology and Management. 2010;14:233–49.CrossRef Lings I. Sood A Empowerment and role stress in the human interface between the firm and its markets. Int J of Services Technology and Management. 2010;14:233–49.CrossRef
Metadata
Title
Individual and collective empowerment and associated factors among Brazilian adults: a cross-sectional study
Authors
Marcia Fatima Soares
Rachel Conceição Ferreira
Camila Alessandra Pazzini
Denise Vieira Travassos
Saul Martins Paiva
Efigênia Ferreira e Ferreira
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-2113-7

Other articles of this Issue 1/2015

BMC Public Health 1/2015 Go to the issue