Asociación entre Salud Familiar, Caracteristicas Sociodemograficas y Condiciones especiales en pacientes atendidos en una Clinica de Cartagena

Abstract

Objective : Estimate association between family health, sociodemographic characteristics and special conditions in patients attended at clinic Cartagena (Colombia). Materials and methods : A Cross-sectional analytic study was conducted in 150 patients of the Special Adult Clinic, Faculty of Dentistry, University of Cartagena, 2011-2015. A questionnaire was designed and applied to investigate sociodemographic variables (age, sex, schooling), prevalence of special conditions and family health (type of family, presence of extra familiar resources [eco-map] and family functionality [family APGAR]). Descriptive statistics (frequencies and percentages), estimation of associations through OR and multinomial logistic regression with 95% confidence intervals mediated regression analyses were performed. Results: The multivariate model that best explain the family health in persons with special conditions are: 1) Living in non-nuclear families : death of a child of 5 years or less in the last year (OR=10,97, IC 95%= 3,34-36,01), consumption of alcohol /drugs (OR= 7,95; IC 95%= 2,54-24,87), unresolved medical treatments and surgeries (OR= 3,31; IC 95%= 1,01-10,89), 2) Families without extrafamiliar resources : to be more than 60 years old (OR= 0,20; IC 95 %:0,090-0,45), unemployed Family Head (OR= 7,81; IC 95%= 2,87-21,24) and public health services (OR: 0,18; IC 95 %: 0,06-0,52) and 3) Family dysfunction : hospitalization in the last year (OR= 6,28; IC 95%= 1,76-22,38). Conclusions: Living in non-nuclear families, without extrafamiliar resources and family dysfunction in persons with special conditions can compromise the prognosis and management of their diseases.