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- Health behaviors as a mediator of the association between interpersonal relationships and physical health in a workplace contextPublication . Dinis, Maria Alzira Pimenta; Sousa, Helder Fernando Pedrosa; Moura, Andreia de; Viterbo, Lilian Monteiro Ferrari; Pinto, Ricardo J.The etiology of diseases is multifactorial, involving genetic, environmental, and lifestyle-related behaviors. Considering the pathway that involves behavioral processes, a huge body of empirical evidence has shown that some healthy behaviors such as non-smoking, any or moderate alcohol consumption, a healthy diet, (e.g., fruit and vegetable intake), and physical activity, decrease the risk of disease and mortality. This study aimed to explore the potential mediating effect of combined health behaviors on the association between interpersonal relationships and physical health in a Brazilian adult worker population from the Occupational Health Service within the oil industry in Bahia, Brazil. The sample included 611 workers, of which 567 (92.8%) were males and 44 (7.2%) females, age ranging from 18 to 73 years (M = 41.95; SD = 8.88). The significant predictors of physical health were interpersonal relationships and health behaviors. Health behaviors contributed significantly to a reduction in the effect of interpersonal relationships on physical health outcomes. As far as it is known, there has been no prior work in Brazil that simultaneously examined the best predictors of physical health in oil workers using this conceptual model. Interventions in the workplace environment need to consider health behavior as a mediator between interpersonal relationships and physical health, aligned in a global psychosocial approach to health at work.
- Effectiveness of an Oral Health Program Among Brazilian Oil WorkersPublication . Viterbo, Lilian Monteiro Ferrari; Vidal, Diogo Guedes; Costa, André Santana; Dinis, Maria Alzira PimentaThe aim of this study was to assess the effectiveness of the implementation of an oral health program among Brazilian oil workers, Bahia. The program consists in an annual consultation, with and an occupational dentist and oral health technicians, performing oral examination, in addition to having access to plaque and gingival indices obtained in the exam. The Oral Hygiene Index (OHI) was used, as well as the “Quality of oral hygiene”, “Periodontal disease”, “Systemic Arterial Hypertension” (SAH) and “Diabetes Mellitus” (DM) questionnaires. The reduction of periodontal disease was associated with the improvement of oral hygiene quality, with a positive impact in the reduction of the probability to develop high blood pressure and DM. The oral health promotion programme was effective in keeping or maintaining good oral health among workers, also resulting in savings to the company.
- Family, leisure and social environments influence in mental health: Brazilian oil industry: A influência da família, lazer e ambientes sociais na saúde mental: indústria do petróleo brasileiraPublication . Viterbo, Lilian Monteiro Ferrari; Vidal, Diogo Guedes; Dinis, Maria Alzira Pimenta; Costa, André Santana; Caridade, SóniaThe World Health Organization estimates that by 2020, mental disorders will account for about 15% of all diseases. Since mental health is conditioned by the family and social context, the present study aimed to analyse the influence of the family environment, leisure and social environments on workers' mental health.
- Medical Emergency Resource Classification Instrument (MERCI) in the Oil Industry, BrazilPublication . Bonato, Denise Bonato Dias Carvalho; Costa, André Santana; Viterbo, Lilian Monteiro Ferrari; Vidal, Diogo Guedes; Dinis, Maria Alzira PimentaThe area of medical urgency and emergency is an important component of health care. Oil and Gas companies exist in a variety of locations in Brazil. The quality of medical infrastructure and specialties differs, and it is important to ensure optimal workers medical care. This paper describes the development of an objective tool for classifying levels of medical emergency response services in the oil industry, Bahia, Brazil, based on the steps that make up a complete cycle of medical emergency care: emergency detection, specifically requested resources, first aid on site, specialized care, and assisted removal to definitive treatment unit. A committee of 12 recognized occupational health and medical emergency experts with at least five years’ experience participated in content validation through the Delphi Technique. The indicator was subdivided into 4 indices based on the risk profiles observed from the internal risk analysis documents. Medical Emergency Resource Classification Instrument (MERCI) aimed to reduce the subjectivities of the assessment and allocation of resources in medical emergencies, considering the characteristics of oil and gas companies regarding the assessment of risk scenarios, location and exposed population. The proposed methodology can lead top management to routinely adopt MERCI, ensuring the maintenance of medical emergency response resources, with a level of service appropriate to the needs of industry and workers.
- Aedes aegypti: Environmental Inspection for Promoting a Safe Work Environment in na Oil Industry in Bahia, BrazilPublication . Viterbo, Lilian Monteiro Ferrari; Costa, André Santana; Vidal, Diogo Guedes; Dinis, Maria Alzira Pimenta
- Prevalence of nursing diagnostics in oil industry workers in Bahia, BrazilPublication . Viterbo, Lilian Monteiro Ferrari; Bonfim Silva, Ingrid; Leite, Jamile Santos Ferreira; Vidal, Diogo Guedes; De Moura, Andreia; Dinis, Maria Alzira PimentaOBJECTIVE: to describe the prevalence of nursing diagnostics and to analyse differences between the groups according to the indicator created from the diagnoses and intervention of the CIPE® relating to job satisfaction. METHOD: 869 workers attending the occupational health assessments of an oil industry with nurse practitioners, using a data collection form to support clinical reasoning in the definition of diagnostics and intervention, with CIPE®. Data collected were grouped into five indicators: food aspects, interpersonal relationships, physical health, health behaviours and working conditions. RESULTS: 13 types of diagnoses and 18 interventions were mapped, being the most prevalent "job satisfaction" (85.0 %) and "promoting healthy relationship and communication techniques" (76.3 %), respectively. The student's t-test was used to compare scores of the five indicators between the groups. The "satisfied at work" revealed better interpersonal relationships (p < 0.001). The group intervened with the initiative "to promote healthy relationships and communication techniques and to encourage healthy relationships" demonstrates better interpersonal relationships (p < 0.01) and better physical health (p < 0.05). The best working conditions (p < 0.01) were identified in the group subject to "other interventions". CONCLUSION: structured performance of the nurse practitioner in the worker healthcare enables the development of strategies aimed at implementing improvements within organizational aspects of the nursing work.
- Mental Health in Oil Workers in Brazil: the relationship with drug abuse: Saúde mental em trabalhadores da indústria do petróleo brasileira: a relação com o consumo de drogasPublication . Viterbo, Lilian Monteiro Ferrari; Vidal, Diogo Guedes; Dinis, Maria Alzira Pimenta; Costa, André Santana; Caridade, SóniaDue to the high rate of absenteeism and difficulties in the performance of activities, drug use has negative effects on the health of individuals and affects productivity in companies. The present study aimed to analyze the association between alcohol and tobacco consumption and specific dimensions of oil workers' mental health.
- Development of an innovative index to assess worker’s health risk: the WHRI applied to an oil industry in Bahia, BrazilPublication . Viterbo, Lilian Monteiro Ferrari; Vidal, Diogo Guedes; Costa, André; Dinis, Maria Alzira Pimenta; Filho, Walter LealPurpose: The objective of this study was to assess the worker’s health (WH) risk, focused on sustainable development in a work context and based on the development and application of the Worker’s Health Risk Index (WHRI) in the oil extraction and production industry in Bahia, Brazil. Design/methodology/approach: The sample, obtained by quota sampling, comprised 965 participants. The development stage integrated a group of 10 specialists, including physicians, nurses, nutritionists, dentists and physical educators, all specialists in the WH area, as well as 3 experts in the area of data science. Three risk ranges were defined: "Low", "Moderate" and "High". Findings: The WHRI validation revealed reliability and reproducibility, as well as the ability to identify differences among the population studied according to sex, age group and education level. The results indicate that the WH risk is higher in men, aged above 50 years old and with a low level of education (p < 0.001). 74% of the participants are in the "Low", 21% in the "Moderate" and 5% in the "High" risk ranges. High-risk workers are also those with diabetes mellitus, altered triglyceride or glycemia levels, hypertension, poor oral hygiene and periodontal conditions, tobacco use, low levels of physical activity (all with p < 0.05), or alcohol abuse. Originality/Value: The WHRI’s major contribution is to make available a useful tool for the identification of WH risk, helping to define clearer health promotion, prevention and intervention policies in the context of WH.
- Use Of Light Technologies As A Strategy For Changing The Health Profile Of Workers With Chronic Conditions In The Oil Industry, Bahia, BrazilPublication . Costa, André Santana; Viterbo, Lilian Monteiro Ferrari; Silva, Ingrid Bonfim; Nascimento, Sueli de Oliveira; Vidal, Diogo Guedes; Dinis, Maria Alzira PimentaAnchored in the person-centred approach, the present work intends to analyse the impact of the use of health technologies classified as light technologies [1] in the monitoring of workers with chronic conditions, aiming to improve the health risk factors after periodic annual occupational health assessments in an oil industry, Bahia, Brazil.
- Health Risk Assessment in Oil Industry in Bahia, Brazil: The Worker’s Health Risk Index (WHRI)Publication . Viterbo, Lilian Monteiro Ferrari; Dinis, Maria Alzira Pimenta; Vidal, Diogo Guedes; Costa, André Santana; Oliveira, Pedro Vinícius Gomes; Nascimento, Jardel Gomes do; Simões, HelderThe objective of this study was to assess the worker’s health (WH) risk, focused on sustainable development in a work context and based on the development and application of the Worker’s Health Risk Index (WHRI) in the oil extraction and production industry in Bahia, Brazil. The sample, obtained by quota sampling, comprised 965 participants. The development stage integrates the Interdisciplinary Workers Health Approach Instrument (IWHAI) application to collect worker’s data, the analysis of the relationships between the indicators, the risk ranges definition, the WHRI formulas elaboration, the WHRI final application and its discriminant validity. Three risk ranges were defined: “Low”, “Moderate” and “High”. WHRI revealed the ability to identify differences between the population studied, according to sex, age group and education level. The results indicate that 74% of the participants are in the “Low”, 21% in the “Moderate” and 5% in the “High” risk ranges. High-risk workers are also those with diabetes mellitus, triglycerides, altered glycemia and hypertension, poor oral hygiene and periodontal condition, smoking, less physically active (all with p < 0.05), and higher levels of abstentionism. WHRI major contribution is to make available a useful tool for the identification of WH risk, contributing to define clearer health promotion, prevention and intervention policies in the context of WH.
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