ABSTRACT
OBJECTIVE: To identify the role of family life strategies on malnutrition in children aged 6-23 months of age. MATERIAL AND METHODS: This case-control study was conducted in 1998 in the municipality of Teolocholco, State of Tlaxcala, Mexico, among families with children aged 6-23 months of age. The sample was conformed by 105 cases and 210 controls. Family life strategies were grouped into five types: family composition, means and distribution of family income, family and social networks, and life preservation strategies. Malnutrition was classified according to height for age. Data were analyzed using logistic regression to obtain odds ratios and 95% confidence intervals. RESULTS: Data were collected from 605 families, for a total of 445 controls and 160 cases. The predictive model included mother's schooling, overcrowding, time elapsed between childbirths, per capita monthly income, and time devoted to child-rearing activities. CONCLUSIONS: Family life strategies determine children's nutritional status; understanding the influence of the family on the children's health status is necessary to develop effective programs aimed at improving the nutritional status of children.
Subject(s)
Family Characteristics , Nutrition Disorders/epidemiology , Case-Control Studies , Humans , Infant , Socioeconomic FactorsABSTRACT
OBJECTIVE: To identify the role of family life strategies on malnutrition in children aged 6-23 months of age. MATERIAL AND METHODS: This case-control study was conducted in 1998 in the municipality of Teolocholco, State of Tlaxcala, Mexico, among families with children aged 6-23 months of age. The sample was conformed by 105 cases and 210 controls. Family life strategies were grouped into five types: family composition, means and distribution of family income, family and social networks, and life preservation strategies. Malnutrition was classified according to height for age. Data were analyzed using logistic regression to obtain odds ratios and 95 confidence intervals. RESULTS: Data were collected from 605 families, for a total of 445 controls and 160 cases. The predictive model included mother's schooling, overcrowding, time elapsed between childbirths, per capita monthly income, and time devoted to child-rearing activities. CONCLUSIONS: Family life strategies determine children's nutritional status; understanding the influence of the family on the children's health status is necessary to develop effective programs aimed at improving the nutritional status of children.
Subject(s)
Humans , Infant , Nutrition Disorders , Family Characteristics , Case-Control Studies , Socioeconomic FactorsABSTRACT
En una unidad de medicina familiara con sobredemanda se llevó a cabo un estudio transversal comparativo para conocer la frecuencia y factores relacionados con la consulta subsecuente, factor que ha sido relacionado con la sobredemanda del servicio. Se analizaron 290 expedientes obtenidos al azar de consulta subsecuente otorgada durante el año anterior. Se evaluó la justificación de la subsecuencia basados en la información contenida en el expediente clínico. Sólo 26 por ciento de la consulta subsecuente injustificada fueron las enfermedades cronicodegenerativas (CD) 23.88 por ciento, las infecciones agudas (IA) 21.62 por ciento, el control del niño sano (CNS) 14.86 por ciento, el control prenatal (CP) 13.15 por ciento y los padecimientos traumáticos (PT) 9.21 por ciento para la justificada fueron CD 46.15 por ciento, CNS 15.89 por ciento, CP 10.75 por ciento, IA 8.78 por ciento y PT 6.07 por ciento. Hubo diferencia estadísticamente significativa con mayor número de CD para la consulta subsecuente justificada (p < 0.05) y de IA para la injustificada (p < 0.05). Las consultas subsecuentes injustificadas se debieron a no resolución del padecimiento por deficiencias diagnóstico-terapéuticas, omisión en el envío con la enfermera materno-infantil (EMI) y motivos del paciente. Las características de los pacientes no fueron diferentes, sin embargo, la edad mayor a 50 años, tipo de derechohabiencia (jubilado, pensionado y sus beneficiarios) y escolaridad media y media superior fueron características relacionadas con mayor subsecuente la generaron principalmente las enfermedades CD, el CNS y el CP que no fueron derivados oportunamente a EMI. Se propone atención grupal del paciente con Cd y supervisar al médico familiar para que aquellos que requieran CNS y CP sean enviados oportunamente a EMI
