Family functioning and dental trauma, malocclusion and anthropometry in adolescents

Aim: The aim of the study was to investigate perceived family cohesion and adaptability and its association with trauma, malocclusion and anthropometry in school adolescents. Methods: Cross-sectional study with a representative sample of 921 adolescents from 13 to 19 years old of both sexes, enrolled in state public schools of a northeastern Brazilian municipality. A questionnaire with sociodemographic questions, the FACES III scale was applied and a clinical oral examination (dental trauma and malocclusion) and anthropometric (BMI by age) were performed. For statistical analysis, was evaluated by the Chi-square test. The variables that presented significance in the bivariate analysis of up to 25% were taken to the multivariate analysis (multinomial logistic regression), variables that presented significance in bivariate analysis of up to 25% were taken to multivariate analysis and all conclusions were drawn considering the significance level of 5%. Results: As a result, it was identified that displaced families were associated with low maternal education, agglutinated families associated with the absence of caries. Rigid families were associated with marked overjet and caries. The prevalence of dental trauma (37.5%) was considered high. Conclusion: It was concluded that family cohesion and adaptability were associated with oral health and socioeconomic factors

Fatores que interferem na história da doença de pessoas com diagnóstico de hipertensão arterial: uma abordagem a partir do genograma e ecomapa / Factors that interfere in the history of the disease of people diagnosed with hypertension: an approach based on the genogram and ecomap

Na perspectiva do conceito ampliado da saúde, a família e comunidade parecem contribuir nos processos de saúde- doença dos indivíduos e no seu tratamento, sendo sua compreensão importante para a gestão do cuidado. Assim, objetivou-se compreender, por meio de genograma e ecomapa, fatores que interferem na história da doença de pessoas com diagnóstico de hipertensão arterial, acompanhadas na Atenção Primária à Saúde. O estudo teve a participação de 10 indivíduos, adscritos de uma Unidade Básica de Saúde do município de Recife, classificados e separados em dois grupos, compensado ou descompensado para a condição crônica pesquisada. A coleta de dados fez-se por meio do emprego da História de Vida Focal, analisados de acordo com o Modelo Calgary de Avaliação na Família, e posteriormente as informações foram transportadas para genogramas e ecomapas. No grupo de pacientes compensados para hipertensão arterial sugere-se que as coesões sociais, familiares e comunitárias, demonstradas graficamente pelo ecomapa e genograma, influenciam de forma positiva na história da doença e na sua terapêutica. Ao contrário, no grupo de pacientes descompensados, onde há pouca frequência de equipamentos sociais e relacionamentos em conflitos ou cortados, esses aspectos contribuem de alguma forma para um pior controle da condição crônica.

From the perspective of the expanded concept of health, family and community seem to contribute to the health- disease processes of individuals and their treatment, and their understanding is important for the management of care. Thus, through genogram and ecomap, the objective was to understand factors that interfere in the history of the disease of people diagnosed with arterial hypertension, followed up in Primary Health Care. Ten individuals participated in this study. They were enrolled in a Basic Health Unit in the municipality of Recife, separated into groups of compensated or decompensated type for the chronic condition studied. Data collection was conducted through Focal Life History and analyzed according to the Calgary Family Assessment Model. Later, the information was transferred to genograms and ecomaps. In the group of patients compensated for arterial hypertension, it is suggested that social, family, and community cohesion, shown graphically by the ecomap and genogram, positively influences the history of the disease and its treatment. On the contrary, in the group of decompensated patients, where there is little social equipment and relationships in conflict or mostly cut off, these aspects contribute in some way to the poor control of the chronic condition.