ABSTRACT
BACKGROUND: The long-term health consequences of childhood physical abuse are often studied using retrospective self-reports collected from adults. This study assesses the quality of a question on childhood physical abuse in the National Population Health Survey (NPHS). DATA AND METHODS: All NPHS respondents aged 18 or older (n = 15,027) were asked a question about childhood physical abuse in cycles 1 (1994/1995), 7 (2006/2007) and 8 (2008/2009). The reliability of this question was assessed over these periods. Associations between response patterns to the abuse item and health conditions that are related to childhood physical abuse were examined. RESULTS: Across all NPHS cycles, very few respondents refused to answer or replied "don't know" to the item on childhood physical abuse. Reliability, as measured by Cohen's kappa statistic, was "substantial" for the two-year interval between cycles 7 and 8, and "moderate" for the 12- and 14-year intervals from cycle 1. Kappa estimates were similar when examined by various demographic factors. Compared with consistent deniers, respondents who consistently affirmed childhood physical abuse and those who provided inconsistent responses had increased odds of depression, fair or poor self-perceived health, disability, migraine, and heart disease. INTERPRETATION: Despite some limitations, the NPHS question on childhood physical abuse allows researchers to investigate long-term health consequences of abuse.
Subject(s)
Adult Survivors of Child Abuse/psychology , Child Abuse/statistics & numerical data , Health Status , Health Surveys/supply & distribution , Mental Health , Adult , Adult Survivors of Child Abuse/statistics & numerical data , Aged , Aged, 80 and over , Canada/epidemiology , Child , Depression/epidemiology , Female , Heart Diseases/epidemiology , Humans , Male , Middle Aged , Migraine Disorders/epidemiology , Reproducibility of Results , Socioeconomic FactorsABSTRACT
La transmisión epidemiológica de las últimas décadas genero un incremento de las llamadas no transmisibles principalmente en la cardiovascular, la diabetes, el cáncer, la enfermedad respiratoria crónica y las lesiones de causas externas. El crecimiento de estas enfermedades en todo el mundo amenaza la capacidad de respuesta de los sistemas de salud. Por otra parte los efectos de esta situación sanitaria repercuten en lo económico social. En el 2005 se realizó la primera Encuesta Nacional de Factores de Riesgo que permitió contar con una línea de base y priorizar acciones de prevención y control. Esta Segunda Encuesta proporciona por primera vez tendencias de los principales factores de riesgo, ayudara a priorizar diseñar y monitorear las acciones de prevención
Subject(s)
Humans , Health Surveys/statistics & numerical data , Health Surveys/supply & distribution , Health Surveys , Motor Activity , Diet , Cholesterol , Diabetes Complications , Alcohol Drinking , Cardiovascular Diseases , Body WeightABSTRACT
En esta obra se detallan los objetivos, funcionamientos y métodos que se realizan a traves de las redes, para frenar el flagelo de la epidemia, que ya esta entre nosotros, esta impronta, en otras palabras este rastro o influencia que queda de una cosa o de un suceso, como es una epidemia, que no esta preparada para afrontar, los momentos del ya, esta entre nosotros, bueno estas redes pretenden preparar a las personas para que podamos hacerle frente, con las mejores herramientas
