Purpose: This study aimed to determine how personal factors influence health-promoting behavior in university students using a structural equation modeling approach guided by the Health Promotion Model. Patients and Methods: An analytical cross-sectional study was conducted. The study included 763 health science students from four universities in Cali, Colombia, who answered a questionnaire on personal factors and Health Promoting Lifestyle Profile II, Spanish version, which was validated in the study population. The direct and indirect relationships between personal factors and health-promoting behaviors were assessed using structural equation modeling. Data analysis was performed using descriptive statistics and structural equation modeling. Results: A significant relationship was noted between the biological and psychological personal factors of the measurement model (p < 0.05). Psychological personal factors (self-esteem and perceived health status) positively influence health promoting behavior in university students (Hypothesis 2). It’s not possible to demonstrate that health promoting behavior is positively influenced by personal biological factors (Hypothesis 1) and by personal sociocultural factors (Hypothesis 3). Conclusion: There is a need for interventions that help improve the health-promoting lifestyle profile and are focused on enhancing the self-esteem and perceived health status of university students.

Aim: The purpose of this study was to assess the reliability and validity of the Spanish version of the Health Promoting Lifestyle Profile II (HPLP-II) scale in Colombian university students. Methods: This was a methodological study to verify reliability and construct validity. A total of 763 undergraduate university students in Cali, Colombia, agreed to participate in the study by filling out a form that included information on sociodemographic characteristics and the HPLP-II scale Spanish version. Data were collected between February and June 2021. To determine construct validity, a confirmatory factor analysis was performed, and internal consistency was determined through Cronbach’s alpha. Results: The confirmatory factor analysis of the proposed theoretical model showed that the goodness-of-fit indices of the scale demonstrated an acceptable level of validity nearing an excellent level of fit (χ² = 7168.98; gl = 1268; p < 0.001; root mean square error of approximation = 0.08; normed fit index, adjusted goodness-of-fit index = 0.95). Cronbach’s alpha coefficient of the scale was 0.94, and the subscales ranged from 0.68 to 0.89. Conclusions: The HPLP-II Spanish version is a valid and reliable instrument to assess the health-promoting lifestyle profile of university students.

Purpose: To determine the efficacy of the “interpersonal influence intervention” conducted by health professionals to increase the commitment to adopt health-promoting behavior in nursing students compared to the usual care of a university wellness program. Patients and Methods: A quasi-experimental study was performed. The study included 114 nursing students from a university in Cali, Colombia, who were divided into a control group (n = 57) that received usual care and an experimental group (n = 57) that received the intervention designed and validated according to Nola Pender’s Health Promotion Model. The main outcome was the lifestyle measured before and after the test using the Health-Promoting Lifestyle Profile II Spanish version. The effect of the intervention was carried out through the average comparison, effect size measures were calculated using Cohen’s d and analysis of the effect of possible confounding variables on the intervention (ANCOVA). Results: A statistically significant difference was observed between the experimental group and the control group (p = 0.015; 95% CI − 0.42, − 0.05). The effect size of the intervention was 0.49. The interpersonal influences exhibited by health professionals can increase the commitment to adopt health-promoting behaviors (Hypothesis 1), and the greater the commitment to a specific action plan, the more likely it is that health-promoting behaviors will be maintained over time (Hypothesis 2). Conclusion: The effectiveness of the intervention interpersonal influences exerted by health professionals to increase the commitment to adopt health-promoting behavior is proven. Evidence demonstrates the practical utility of the Health Promotion Model.

Objetivo: Diseñar y validar material educativo dirigido a adultos con Falla Cardíaca para una intervención de enfermería centrada en la toma de decisiones para el manejo de los síntomas. Materiales y métodos: Estudio metodológico realizado siguiendo la Guía para el diseño, utilización y evaluación de material educativo en Salud y el instrumento de Pautas Específicas para Evaluación de material educativo impreso, desarrollados por la Organización Panamericana para la Salud. En el diseño participó un grupo conformado por 2 adultos con Falla Cardíaca, 2 cuidadores, 2 enfermeras y un 1 cardiólogo. El material educativo en su diseño preliminar fue sometido a prueba por expertos (n=7) y por adultos con Falla Cardíaca (n=10). Resultados: El diseño del material educativo tipo folleto está sustentado en la Teoría de Situación Especifica Autocuidado en Falla Cardíaca y su indicador empírico es la escala Self-care Heart Failure Índex. Los expertos y los adultos con Falla Cardíaca que participaron en el estudio convinieron en que el folleto cumple con los criterios de efectividad potencial de todo material educativo. Los puntajes obtenidos en las pautas específicas indicaron que se debe usar como está diseñado y algunos evaluadores indicaron algunas reformas a la versión preliminar. La producción de la versión definitiva se realizó atendiendo las observaciones de los evaluadores. Conclusiones: Se detallan los pasos para el diseño y validación de un material educativo sustentado en una teoría de enfermería y se pone a disposición para ser utilizado en la práctica y la investigación.

The study aimed to analyze the relationship between the risk of suicide and the use of coping strategies in the face of stress, in school adolescents. A quantitative study of correlational descriptive scope. A sample of 565 students from 11 schools in Montería (Córdoba, Colombia), aged 15 to 17 years, was taken, who answered the Plutchik suicide risk scale and the Coping-M strategies scale. The results obtained show that 29% had a risk of suicide. Statistically significant correlations were found between suicide risk and coping strategies: problem solving, emotional avoidance, waiting, religion, seeking social support, denial, and autonomy, with the most used coping strategies focused on emotion. These results are necessary to design positive coping skills promotion interventions aimed at preventing suicide risk in the school setting within the framework of a multisectoral approach to public health.

Objetivo. Analizar la tendencia, el riesgo relativo y desigualdades geográficas en la morbilidad por Dengue en Córdoba-Colombia para el periodo 2018 al 2022. Materiales y métodos. Estudio ecológico poblacional a partir de los registros de vigilancia epidemiológica se estimaron tasas de morbilidad y riesgos relativo por grupos poblacionales y sexo al ajustar modelos de regresión de Poisson. Se calculó la tendencia y la desigualdad absoluta y relativa. Resultados. Se registraron 11.894 casos de Dengue. La tendencia disminuyó en el periodo 2020 y luego aumentó en el periodo de 2021-2022. El riesgo más alto de Dengue se estimó en los hombres (RR= 1,166; IC95% [1,102-1,233]). La mayor desigualdad se encontró en el grupo poblacional de 1 y 14 años principalmente en los municipios de Montería, Planeta Rica, Sahagún, Cereté y Ciénaga de Oro (ridit < 0.5). Conclusiones. El Dengue en Córdoba se ha mantenido con una tendencia al aumento, riesgos y desigualdades geográficas sin cambios significativos en los últimos 5 años. El mayor riesgo en personas menores de 15 años está relacionado con la mayor desigualdad geográfica del municipio de residencia. Por tanto, las políticas públicas para la prevención y el control del Dengue deben ser reorientadas desde un enfoque territorial teniendo en cuenta los grupos poblacionales más susceptibles a la infección y su relación con las desigualdades geográficas entre los municipios.