Percepción parental de la salud psicofísica, estado nutricional y salud bucal, en relación con características sociodemográficas en niños de Bariloche, Argentina: estudio epidemiológico / Parental perception of psychophysical health, nutritional status and oral health in relation to sociodemographic characteristics in children in Bariloche, Argentina: an epidemiological study

Introducción. Existen evidencias de la asociación de determinantes sociales con la salud infantil. Objetivo. Identificar características sociodemográficas asociadas a desigualdades en la salud infantil y evaluar el efecto acumulado sobre la salud de factores de riesgo basados en estas características. Población y métodos. Evaluamos niños de 4-13 años, de Bariloche, entre junio de 2008 y mayo de 2009. Características sociodemográficas consideradas: nivel socioeconómico, educación materna, embarazo adolescente, cobertura médica, inseguridad y hábitos familiares. Valoramos la percepción parental de la salud física y socioemocional, el estado nutricional y la salud bucal en relación con dichas características y con la acumulación de factores de riesgo. Utilizamos encuesta, antropometría y examen bucal. Resultados. Participaron 180 escolares. El nivel educativo materno se asoció con la salud física, socioemocional y bucal del niño. El porcentaje de niños con piezas faltantes o caries fue 77% entre aquellos cuyas madres, como máximo, habían completado el primario, comparado con 13% entre aquellos cuyas madres habían completado estudios terciarios/universitarios. La posibilidad de percepción de salud física y socioemocional no óptima aumentó con cada factor de riesgo 1,8 y 1,4 veces, respectivamente, y la posibilidad de caries o piezas faltantes se duplicó con cada factor de riesgo adicional. El 27,3% de los escolares presentó sobrepeso y el 8,7%, obesidad, y no se encontró asociación con características sociodemográficas. Conclusiones. El bajo nivel socioeconómico familiar y educativo materno se asoció con una mayor prevalencia de resultados de salud desfavorables. Múltiples factores de riesgo tienen un efecto acumulado sobre la percepción parental de la salud física y socioemocional y la salud bucal.

Introduction. There is evidence of an association between social determinants and child health. Objective. To identify sociodemographic characteristics related to child health inequalities and to analize the cumulative effect on health of risk factors based on these characteristics. Population and Methods. We evaluated 4-13 year-old children in Bariloche between June 2008 and May 2009. The following sociodemographic characteristics were taken into account: socioeconomic level, maternal education, adolescent pregnancy, medical coverage, unsafeness, and family habits. We assessed parental perception of physical, and social and emotional health, nutritional status and oral health in relation to these characteristics and the accumulation of risk factors. We used survey, anthropometry and oral examination. Results. One hundred and eighty students participated. The level of maternal education was associated with the child's physical, social and emotional, and oral health. The percentage of children with missing teeth or cavities reached 77% among those whose mothers had, at most, completed primary school, compared to 13% among those whose mothers had completed tertiary school or university. The possibility of perceiving a non-optimal physical, and social and emotional health increased 1.8 and 1.4 times with each risk factor, respectively, and the possibility of having missing teeth or cavities was twice as much with each additional risk factor. Overweight and obesity was observed in 27.3% and 8.7% of students, respectively, and no relationship was found with sociodemographic characteristics. Conclusions. A low family socioeconomic level and a low maternal education level were associated with a higher prevalence of unfavorable health outcomes. Multiple risk factors have an cumulative effect on parental perception of physical, social and emotional, and oral health.

Percepción parental de la salud psicofísica, estado nutricional y salud bucal, en relación con características sociodemográficas en niños de Bariloche, Argentina: estudio epidemiológico / Parental perception of psychophysical health, nutritional status and oral health in relation to sociodemographic characteristics in children in Bariloche, Argentina: an epidemiological study

Introducción. Existen evidencias de la asociación de determinantes sociales con la salud infantil. Objetivo. Identificar características sociodemográficas asociadas a desigualdades en la salud infantil y evaluar el efecto acumulado sobre la salud de factores de riesgo basados en estas características. Población y métodos. Evaluamos niños de 4-13 años, de Bariloche, entre junio de 2008 y mayo de 2009. Características sociodemográficas consideradas: nivel socioeconómico, educación materna, embarazo adolescente, cobertura médica, inseguridad y hábitos familiares. Valoramos la percepción parental de la salud física y socioemocional, el estado nutricional y la salud bucal en relación con dichas características y con la acumulación de factores de riesgo. Utilizamos encuesta, antropometría y examen bucal. Resultados. Participaron 180 escolares. El nivel educativo materno se asoció con la salud física, socioemocional y bucal del niño. El porcentaje de niños con piezas faltantes o caries fue 77% entre aquellos cuyas madres, como máximo, habían completado el primario, comparado con 13% entre aquellos cuyas madres habían completado estudios terciarios/universitarios. La posibilidad de percepción de salud física y socioemocional no óptima aumentó con cada factor de riesgo 1,8 y 1,4 veces, respectivamente, y la posibilidad de caries o piezas faltantes se duplicó con cada factor de riesgo adicional. El 27,3% de los escolares presentó sobrepeso y el 8,7%, obesidad, y no se encontró asociación con características sociodemográficas. Conclusiones. El bajo nivel socioeconómico familiar y educativo materno se asoció con una mayor prevalencia de resultados de salud desfavorables. Múltiples factores de riesgo tienen un efecto acumulado sobre la percepción parental de la salud física y socioemocional y la salud bucal.(AU)

Introduction. There is evidence of an association between social determinants and child health. Objective. To identify sociodemographic characteristics related to child health inequalities and to analize the cumulative effect on health of risk factors based on these characteristics. Population and Methods. We evaluated 4-13 year-old children in Bariloche between June 2008 and May 2009. The following sociodemographic characteristics were taken into account: socioeconomic level, maternal education, adolescent pregnancy, medical coverage, unsafeness, and family habits. We assessed parental perception of physical, and social and emotional health, nutritional status and oral health in relation to these characteristics and the accumulation of risk factors. We used survey, anthropometry and oral examination. Results. One hundred and eighty students participated. The level of maternal education was associated with the childs physical, social and emotional, and oral health. The percentage of children with missing teeth or cavities reached 77% among those whose mothers had, at most, completed primary school, compared to 13% among those whose mothers had completed tertiary school or university. The possibility of perceiving a non-optimal physical, and social and emotional health increased 1.8 and 1.4 times with each risk factor, respectively, and the possibility of having missing teeth or cavities was twice as much with each additional risk factor. Overweight and obesity was observed in 27.3% and 8.7% of students, respectively, and no relationship was found with sociodemographic characteristics. Conclusions. A low family socioeconomic level and a low maternal education level were associated with a higher prevalence of unfavorable health outcomes. Multiple risk factors have an cumulative effect on parental perception of physical, social and emotional, and oral health.(AU)

Parental perception of psychophysical health, nutritional status and oral health in relation to sociodemographic characteristics in children in Bariloche, Argentina: an epidemiological study.

INTRODUCTION: There is evidence of an association between social determinants and child health. OBJECTIVE: To identify sociodemographic characteristics related to child health inequalities and to analize the cumulative effect on health of risk factors based on these characteristics. POPULATION AND METHODS: We evaluated 4-13 year-old children in Bariloche between June 2008 and May 2009. The following sociodemographic characteristics were taken into account: socioeconomic level, maternal education, adolescent pregnancy, medical coverage, unsafeness, and family habits. We assessed parental perception of physical, and social and emotional health, nutritional status and oral health in relation to these characteristics and the accumulation of risk factors. We used survey, anthropometry and oral examination. RESULTS: One hundred and eighty students participated. The level of maternal education was associated with the child's physical, social and emotional, and oral health. The percentage of children with missing teeth or cavities reached 77% among those whose mothers had, at most, completed primary school, compared to 13% among those whose mothers had completed tertiary school or university. The possibility of perceiving a non-optimal physical, and social and emotional health increased 1.8 and 1.4 times with each risk factor, respectively, and the possibility of having missing teeth or cavities was twice as much with each additional risk factor. Overweight and obesity was observed in 27.3% and 8.7% of students, respectively, and no relationship was found with sociodemographic characteristics. CONCLUSIONS: A low family socioeconomic level and a low maternal education level were associated with a higher prevalence of unfavorable health outcomes. Multiple risk factors have an cumulative effect on parental perception of physical, social and emotional, and oral health.

Cuidados prenatales y de puerperio en el primer nivel de atención de Bahía Blanca en el año 2013 / Prenatal and postpartum care in the primary care of Bahia Blanca in 2013

Introducción: Los cuidados prenatales son una prioridad para el Primer Nivel de Atención y deben ser mejorados. Objetivos: Describir el perfil de las consultas de embarazadas y puérperas en el primer nivel de atención de Bahía Blanca durante 2013. Material y Métodos: estudio descriptivo, observacional, análisis cuantitativo. Resultados: Se analizaron 4697 consultas: 4288 por control de embarazo y 409 por puerperio. El 21,5 % fueron menores de 19 años, 69% entre 20 y 34, y 9.2% mayores de 35. El 2,5% presento anemia, 1.74% problemas tiroideos, 1.38% infección urinaria, 0.94% vulvovaginitis, 0.43% hipertensión arterial, 0.18% diabetes, 0.11% violencia de género, 0.14% tabaquismo. Discusión: La distribución de edad es similar a la media nacional. Son escasos los controles de puerperio. Las enfermedades asociadas son menos que la media nacional. Conclusiones: deben propiciarse los controles de puerperio. Los datos son útiles para la gestión local. Deben mejorarse los registros. Palabras Clave: Atención Prenatal. Atención Primaria de Salud. Complicaciones del Embarazo.

Introduction: Prenatal care is a priority for the primary care level ands hould be improved. Objectives: To describe the profile of pregnant and postpartum consultations in primary care Bahia Blanca during 2013. Material and Methods: A descriptive, observational study, quantitative analysis. Results: 4697 consultations were analyzed by birth control 4288 and 409 by puerperium. 21.5% were under 19, 69% between 20 and 34, and 9.2% over 35. The 2.5% showed anemia, thyroid problems 1.74%, 1.38% UTI, vulvovaginitis 0.94%, 0.43% hypertension pressure, diabetes 0.18%, 0.11% GBV, 0.14% smoking. Discussion: The age distribution is similar to the national average. There are few controls puerperium. Associated diseases are less than the national average. Conclusions: there should be focus controls puerperium. The data are useful for local management. Records should be improved. Key words: Prenatal Care. Primary Health Care. Complications of Pregnancy.

Child psychomotor development and its relationship with socio-demographic and family stimulation factors in children from Bariloche, Argentina.

INTRODUCTION: This study analyzed the association between psychomotor development and socio-demographic and family stimulation factors in 3-year-old children from San Carlos de Bariloche. POPULATION AND METHODS: A total of 152 apparently healthy children aged 35-37 months old who attended municipal and private kindergartens were evaluated. Children's performance in personal-social, fne motor, language and gross motor skills development using the National Screening Test was analyzed. The relationship between environmental factors and the achievement of developmental milestones was studied using a multivariate logistic regression model. RESULTS: Twenty seven percent of children did not pass the test. The most common outcome measures associated with altered developmental milestones were no reading, low birth weight, and the parents' lower education level. The association with reading was always positive; and this also occurred in relation to the parents' education level. A low birth weight had a negative association with the possibility of passing four milestones, three of which were gross motor skills. Children who attended municipal kindergartens had a low performance in three language milestones, one personal-social milestone and one fne motor milestone when compared to national profles. CONCLUSIONS: The percentage of children who did not pass the test was 27%. The most common outcome measures associated with altered developmental milestones were lack of reading to the child, low birth weight, and the parents' lower education level.

Child psychomotor development and its relationship with socio-demographic and family stimulation factors in children from Bariloche, Argentina / Desarrollo psicomotor infantil y su relación con las características sociodemográfcas y de estimulación familiar en niños de la ciudad de Bariloche, Argentina

Introduction. This study analyzed the association between psychomotor development and socio-demographic and family stimulation factors in 3-year-old children from San Carlos de Bariloche. Population and Methods. A total of 152 apparently healthy children aged 35-37 months old who attended municipal and private kindergartens were evaluated. Children's performance in personal-social, fne motor, language and gross motor skills development using the National Screening Test was analyzed. The relationship between environmental factors and the achievement of developmental milestones was studied using a multivariate logistic regression model. Results. Twenty seven percent of children did not pass the test. The most common outcome measures associated with altered developmental milestones were no reading, low birth weight, and the parents' lower education level. The association with reading was always positive; and this also occurred in relation to the parents' education level. A low birth weight had a negative association with the possibility of passing four milestones, three of which were gross motor skills. Children who attended municipal kindergartens had a low performance in three language milestones, one personal-social milestone and one fne motor milestone when compared to national profles. Conclusions. The percentage of children who did not pass the test was 27%. The most common outcome measures associated with altered developmental milestones were lack of reading to the child, low birth weight, and the parents' lower education level.

Introducción. En este estudio se analizó la asociación entre el desarrollo psicomotor y factores sociodemográfcos y de estimulación familiar, en niños de 3 años de San Carlos de Bariloche. Población y métodos. Se evaluaron 152 niños aparentemente sanos, de 35 a 37 meses, concurrentes a jardines infantiles municipales y privados. Se analizó el desempeño de los niños en pautas de desarrollo personal-social, motor fno, lenguaje y motor grueso con la Prueba Nacional de Pesquisa. Se estudió la relación de factores medioambientales con el logro de pautas de desarrollo por medio del modelo de regresión logística multivariado. Resultados. El 27% de los niños no pasaron la prueba. Las variables asociadas con mayor frecuencia con pautas de desarrollo alteradas fueron la falta de lectura, bajo peso al nacer y el menor nivel de educación parental. La asociación con la lectura siempre fue positiva; lo mismo ocurrió en relación con el nivel educativo paternal. El bajo peso al nacer se asoció negativamente con la posibilidad de pasar cuatro pautas, tres de tipo motor grueso. Los niños de establecimientos municipales mostraron bajo rendimiento en tres pautas de lenguaje, una personal-social y una de tipo motor fno en comparación con los perfles nacionales.

Child psychomotor development and its relationship with socio-demographic and family stimulation factors in children from Bariloche, Argentina / Desarrollo psicomotor infantil y su relación con las características sociodemográfcas y de estimulación familiar en niños de la ciudad de Bariloche, Argentina

Introduction. This study analyzed the association between psychomotor development and socio-demographic and family stimulation factors in 3-year-old children from San Carlos de Bariloche. Population and Methods. A total of 152 apparently healthy children aged 35-37 months old who attended municipal and private kindergartens were evaluated. Childrens performance in personal-social, fne motor, language and gross motor skills development using the National Screening Test was analyzed. The relationship between environmental factors and the achievement of developmental milestones was studied using a multivariate logistic regression model. Results. Twenty seven percent of children did not pass the test. The most common outcome measures associated with altered developmental milestones were no reading, low birth weight, and the parents lower education level. The association with reading was always positive; and this also occurred in relation to the parents education level. A low birth weight had a negative association with the possibility of passing four milestones, three of which were gross motor skills. Children who attended municipal kindergartens had a low performance in three language milestones, one personal-social milestone and one fne motor milestone when compared to national profles. Conclusions. The percentage of children who did not pass the test was 27%. The most common outcome measures associated with altered developmental milestones were lack of reading to the child, low birth weight, and the parents lower education level.(AU)

Introducción. En este estudio se analizó la asociación entre el desarrollo psicomotor y factores sociodemográfcos y de estimulación familiar, en niños de 3 años de San Carlos de Bariloche. Población y métodos. Se evaluaron 152 niños aparentemente sanos, de 35 a 37 meses, concurrentes a jardines infantiles municipales y privados. Se analizó el desempeño de los niños en pautas de desarrollo personal-social, motor fno, lenguaje y motor grueso con la Prueba Nacional de Pesquisa. Se estudió la relación de factores medioambientales con el logro de pautas de desarrollo por medio del modelo de regresión logística multivariado. Resultados. El 27% de los niños no pasaron la prueba. Las variables asociadas con mayor frecuencia con pautas de desarrollo alteradas fueron la falta de lectura, bajo peso al nacer y el menor nivel de educación parental. La asociación con la lectura siempre fue positiva; lo mismo ocurrió en relación con el nivel educativo paternal. El bajo peso al nacer se asoció negativamente con la posibilidad de pasar cuatro pautas, tres de tipo motor grueso. Los niños de establecimientos municipales mostraron bajo rendimiento en tres pautas de lenguaje, una personal-social y una de tipo motor fno en comparación con los perfles nacionales.(AU)

Child psychomotor development and its relationship with socio-demographic and family stimulation factors in children from Bariloche, Argentina. / Child psychomotor development and its relationship with socio-demographic and family stimulation factors in children from Bariloche, Argentina.

INTRODUCTION: This study analyzed the association between psychomotor development and socio-demographic and family stimulation factors in 3-year-old children from San Carlos de Bariloche. POPULATION AND METHODS: A total of 152 apparently healthy children aged 35-37 months old who attended municipal and private kindergartens were evaluated. Childrens performance in personal-social, fne motor, language and gross motor skills development using the National Screening Test was analyzed. The relationship between environmental factors and the achievement of developmental milestones was studied using a multivariate logistic regression model. RESULTS: Twenty seven percent of children did not pass the test. The most common outcome measures associated with altered developmental milestones were no reading, low birth weight, and the parents lower education level. The association with reading was always positive; and this also occurred in relation to the parents education level. A low birth weight had a negative association with the possibility of passing four milestones, three of which were gross motor skills. Children who attended municipal kindergartens had a low performance in three language milestones, one personal-social milestone and one fne motor milestone when compared to national profles. CONCLUSIONS: The percentage of children who did not pass the test was 27

. The most common outcome measures associated with altered developmental milestones were lack of reading to the child, low birth weight, and the parents lower education level.