Acceso a redes sociales y de salud de población en extrema pobreza / Access to social networks and health care among extremely poor people

Background: Extremely poor people have more problems to have access to social networks and health care. Aim: To evaluate the access to health services and the perception about these services of adults living in conditions of extreme poverty. Material and methods: A survey was applied to 361 people living in slums aged 15 to 77 years (83 percent females), that were living in these conditions for a mean of 11 years. Twenty six in-depth interviews were also performed to prototypical subjects living in extreme poverty. Results: Ten percent of subjects were illiterate. Sixty two percent were unsatisfied with their access to health services and 32 percent were not registered in primary health clinics. Among children of less than 6 years of age, 22 percent were delayed in their vaccination schedule and 32 percent were not withdrawing the milk delivered by the complementary feeding program of the clinic. The qualitative analysis revealed that the lack of access to health care is associated with the feeling of exclusion, mutual distrust and lack of resolution of health problems. Conclusions: People living in extreme poverty are distrustful and perceive obstacles to have access to the health care system.

Las madres de adolescentes y jóvenes chilenos con trastornos alimentarios / Eating disorders inventory scores among mothers of adolescents with and without eating disorders

Background: Parents have a control role in the development and treatment of eating disorders among teenagers. Aim: To compare attitudes, beliefs and behaviors between mothers of patients with eating disorders and mothers of teenagers without these disorders. Material and methods: Twenty one mother-sibling pairs of adolescents with eating disorders and 15 pairs of adolescents without this condition, but of similar age, were studied. The eating disorders inventory (EDI-2), a self administered questionnaire that includes 91 items, was applied. Results: No differences in any of the subscales of EDI-2 were observed between mothers of teenagers with or without eating disorders. No differences in perfectionism, maturity fears, impulsivity and interpersonal distrust were observed between adolescents with and without eating disorders. The latter had a lesser drive for thinness and inefficacy. Conclusions: In this sample, no differences in behaviors, attitudes and beliefs about food, were observed between mothers of adolescents with and without eating disorders.