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1.
Artículo en Español | LILACS | ID: biblio-1510995

RESUMEN

La prevalencia de depresión en adolescentes es aproximadamente 7% en Chile. Sólo entre 18% y 34% de jóvenes con depresión accede a ayuda profesional. Objetivo: El objetivo de esta investigación fue analizar barreras y facilitadores para la búsqueda de ayuda profesional en salud mental, desde la perspectiva de adolescentes entre 15 y 17 años con depresión en Santiago de Chile. Método: Se llevó a cabo un estudio cualitativo exploratorio y descriptivo desde el enfoque fenomenológico. Se realizaron diez entrevistas semi estructuradas a adolescentes, que fueron analizadas con teoría fundamentada. Resultados: Las principales barreras fueron estigma, minimización de síntomas y preocupación por confidencialidad. Los principales facilitadores fueron contar con red de apoyo, reconocimiento de síntomas e intervenciones escolares que favorecen la detección de síntomas. Conclusiones: Se debe trabajar de manera conjunta con adolescentes, sus familias, pares y sistema escolar brindando información sobre la depresión y su tratamiento.


The prevalence of depression in adolescents is approximately 7% in Chile. Only between 18% and 34% of young people with depression access professional help. Objective: The aim of this research was to analyze the barriers and facilitators for seeking professional help in mental health, from the perspective of adolescents between 15 and 17 years of age with depression in Santiago, Chile. Methodology: An exploratory and descriptive qualitative study was carried out from the phenomenological approach. Ten semi-structured interviews were conducted with adolescents and analyzed with grounded theory. Results: The main barriers were stigma, minimization of symptoms, and concerns about confidentiality. The main facilitators were having a support network, symptom recognition, and school interventions that favor symptom detection. Conclusions: Joint work should be done with adolescents, their families, peers, and school system providing information about depression and its treatment.


Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Salud Mental , Depresión/epidemiología , Chile/epidemiología , Epidemiología Descriptiva , Prevalencia , Encuestas y Cuestionarios , Conducta de Búsqueda de Ayuda , Barreras de Acceso a los Servicios de Salud
2.
Biomedica ; 43(1): 83-92, 2023 03 30.
Artículo en Inglés, Español | MEDLINE | ID: mdl-37167465

RESUMEN

Introduction: Diabetes mellitus is one of the most prevalent chronic diseases in the pediatric and juvenile population that affects the quality of life of patients. Objective: To evaluate the quality of life of a pediatric population under 18 years of age diagnosed with type 1 diabetes from two pediatric institutions in the city of Bogotá. Material and methods: We collected of sociodemographic data and clinical variables and application of the PedsQL 4.0™ questionnaire, and the diabetes module 3.2 version validated in Spanish. The sociodemographic data, the clinical variables and the PedsQL™ were processed in the statistical software Stata 17™. Results: In the global score of the PedsQL™ 3.2, diabetes version, men presented better quality of life compared to women. The correlation between the hemoglobin A1c (HbA1c) values and the PedsQL scale in the global score was evaluated. Patients with HbA1c values below 9% presented a better health-related quality of life, while in the group with HbA1c greater than 9% a perception of low quality of life was observed (p=0.025). Regarding the type of therapy and the relationship with the domains of the PedsQL 3.2, diabetes version, patients who used insulin pumps had better scores in the domains barriers, adherence, concern, communication and in the global score compared to patients who used multiple daily injections of insulin as treatment (p=0.0363). Conclusions: In our patients, a better metabolic control (measured by the HbA1c value) and the use of an insulin pump contribute to a better perception of quality of life.


Introducción. La diabetes mellitus es una de las enfermedades crónicas con mayor prevalencia en la población pediátrica y juvenil, con efectos en la calidad de vida de los pacientes. Objetivo. Evaluar la calidad de vida de una población pediátrica menor de 18 años con diagnóstico de diabetes de tipo 1, de dos instituciones pediátricas de la ciudad de Bogotá. Materiales y métodos. Se recolectaron los datos sociodemográficos, y se emplearon la versión validada en español del cuestionario PedsQL 4.0™ y el módulo 3.2 sobre diabetes. Los datos se procesaron en el software estadístico STATA 17™. Resultados. Con el puntaje global del módulo 3.2 sobre diabetes, de la versión validada del PedsQL™, se evaluó la correlación entre los valores de la hemoglobina A1c (HbA1c) y los del cuestionario. Los pacientes con valores por debajo del 9 % de HbA1c presentaron una mejor calidad de vida relacionada con la salud, mientras que, en el grupo con HbA1c mayor de 9 %, se observó una baja percepción de calidad de vida (p=0,025). En cuanto el tipo de terapia y la relación con los dominios del PedsQL™ 3.2, versión diabetes, los pacientes que utilizaban la bomba de insulina o microinfusor presentaban mejor puntaje en los dominios barreras, cumplimiento, preocupación y comunicación, y en el puntaje global, respecto a quienes usaban múltiples inyecciones de insulina como tratamiento (p=0,0363). Conclusiones. En nuestros pacientes, un mejor control metabólico (medido por el valor de HbA1c) y el uso de microinfusora contribuyen a una percepción de mejor calidad de vida.


Asunto(s)
Diabetes Mellitus , Humanos , Colombia/epidemiología , Hemoglobina Glucada , Diabetes Mellitus/epidemiología , Estudios Retrospectivos
3.
Cuad. psicol. deporte ; 23(2): 210-222, abril 2023. tab, ilus
Artículo en Español | IBECS | ID: ibc-219723

RESUMEN

Las actitudes predicen el compromiso hacia la práctica de actividad físico-deportiva. Cuanto más se conozcan, mejor será la predicción de los posibles hábitos que las personas adoptarán. Por tanto, es necesario contar con un instrumento que evidencie validez y fiabilidad, especialmente para adolescentes, ya que la adolescencia constituye una etapa fundamental en la adopción de estilos de vida saludables. El objetivo de esteestudio fue analizar las propiedades psicométricas del Cuestionario de Actitudes hacia la Práctica de Actividad Físico-Deportiva Orientada a la Salud (CAAFS) en adolescentes peruanos. Se trata de un estudio descriptivo transversal en el que participaron 1314 adolescentes de edades entre 13 y 19 años (15.59±1.05 años), conformados por 716 hombres y 598 mujeres provenientes de Lima y Callao, Perú. Mediante el software R versión 4.1.0., se efectuó la validez de constructo (Análisis Factorial Exploratorio [AFE] y el Análisis Factorial Confirmatorio [AFC]) y el cálculo de fiabilidad. Los resultados del AFE arrojaron un modelo con tres factores del CAAFS, que explica el 35 % de la varianza total. El AFC reportó un buen ajuste del modelo de tres factores del CAAFSde 19 ítems (Chi-cuadrado sobre los grados de libertad = 2.38; error de aproximacióncuadrático medio = .046; residuo cuadrático medio estandarizado = .060; índice de ajuste comparativo = .940; índice de Tuker-Lewis = .931). El coeficiente de fiabilidad Omega reportó un valor de .77. Finalmente se demostró que el CAAFS de 19 ítems evidencia validez y fiabilidad; por lo tanto, el cuestionario puede ser aplicado en adolescentes del contexto peruano. (AU)


Attitudes predict commitment to the practice of physical-sporting activity. The more they are known, the better the prediction of the possible habits that people will adopt. Therefore, it is necessary to havean instrument that shows validity and reliability, especially for adolescents, since adolescence is a fundamental stage in the adoption of healthy lifestyles. The aim of this study was to analyze the psychometric properties of the Questionnaire of Attitudes towards the Practice of Health-Oriented Physical-Sports Activity (CAAFS) in Peruvian adolescents. This was a descriptive cross-sectional study in which 1314 adolescents aged 13 to 19 years (15.59±1.05 years), made up of 716 males and 598 females from Lima and Callao, Peru, participated. Using R software version 4.1.0, construct validity (Exploratory Factor Analysis [EFA] and Confirmatory Factor Analysis [CFA]) and reliability calculation were performed. The results of the EFA yielded a three-factor modelof the CAAFS, which explains 35% of the total variance. The AFC reported a good fit of the 19-item CAAFS three-factor model (Chi-square over degrees of freedom = 2.38; root mean square error of approximation = .046; standardized root mean square residual = .060; comparative fit index = .940; Tuker-Lewis index = .931). The Omega reliability coefficient reported a value of .77. Finally, it was demonstrated that the 19-item CAAFS shows validity and reliability; therefore, the questionnaire can be applied to adolescents in the Peruvian context. (AU)


As atitudes prevêem o compromisso com a actividade física e o desporto. Quanto mais forem conhecidos, melhor será a previsão dos possíveis hábitos que as pessoas irão adoptar. Por conseguinte, é necessário ter um instrumento que demonstre validade e fiabilidade, especialmente para os adolescentes, uma vez que a adolescência é uma fase chave na adopção de estilos de vida saudáveis. O objectivo deste estudo era analisar as propriedades psicométricas do Questionário de Atitudes para a Prática da Actividade Físico-Sportiva Orientada para a Saúde (CAAFS) em adolescentes peruanos. Este foi um estudo transversal descritivo envolvendo 1314 adolescentes com idades compreendidas entre 13-19 anos (15,59±1,05 anos), compreendendo 716 homens e 598 mulheres de Lima e Callao, Peru. Utilizando o software R versão 4.1.0, foram efectuados cálculos de validade de construção (Análise Exploratória de Factores [EFA] e Análise Confirmativa de Factores [CFA]) e de fiabilidade. Os resultados da AAE produziram um modelo de três factores do CAAFS, o que explica 35% da variação total. O CFA relatou um bom ajuste do modelo de três factores CAAFS de 19 itens (Qui-quadrado sobre graus de liberdade = 2,38; erro quadrático médio de aproximação = 0,046; raiz média quadrada residual padronizada = 0,060; índice de ajuste comparativo = 0,940; índice Tuker-Lewis = 0,931). O coeficiente de fiabilidade ómega comunicou um valor de 0,77. Finalmente, foi demonstrado que o CAAFS de 19 itens mostra validade e fiabilidade; por conseguinte, o questionário pode ser aplicado aos adolescentes no contexto peruano. (AU)


Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Actividad Motora , Rendimiento Atlético , Deportes , Epidemiología Descriptiva , Estudios Transversales , Perú , Encuestas y Cuestionarios , Calidad de Vida
4.
Biomédica (Bogotá) ; 43(1): 83-92, mar. 2023.
Artículo en Español | LILACS | ID: biblio-1533922

RESUMEN

Introducción. La diabetes mellitus es una de las enfermedades crónicas con mayor prevalencia en la población pediátrica y juvenil, con efectos en la calidad de vida de los pacientes. Objetivo. Evaluar la calidad de vida de una población pediátrica menor de 18 años con diagnóstico de diabetes de tipo 1, de dos instituciones pediátricas de la ciudad de Bogotá. Materiales y métodos. Se recolectaron los datos sociodemográficos, y se emplearon la versión validada en español del cuestionario PedsQL 4.0™ y el módulo 3.2 sobre diabetes. Los datos se procesaron en el software estadístico STATA 17™. Resultados. Con el puntaje global del módulo 3.2 sobre diabetes, de la versión validada del PedsQL™, se evaluó la correlación entre los valores de la hemoglobina A1c (HbA1c) y los del cuestionario. Los pacientes con valores por debajo del 9 % de HbA1c presentaron una mejor calidad de vida relacionada con la salud, mientras que, en el grupo con HbA1c mayor de 9 %, se observó una baja percepción de calidad de vida (p=0,025). En cuanto el tipo de terapia y la relación con los dominios del PedsQL™ 3.2, versión diabetes, los pacientes que utilizaban la bomba de insulina o microinfusor presentaban mejor puntaje en los dominios barreras, cumplimiento, preocupación y comunicación, y en el puntaje global, respecto a quienes usaban múltiples inyecciones de insulina como tratamiento (p=0,0363). Conclusiones. En nuestros pacientes, un mejor control metabólico (medido por el valor de HbA1c) y el uso de microinfusora contribuyen a una percepción de mejor calidad de vida.


Introduction: Diabetes mellitus is one of the most prevalent chronic diseases in the pediatric and juvenile population that affects the quality of life of patients. Objective: To evaluate the quality of life of a pediatric population under 18 years of age diagnosed with type 1 diabetes from two pediatric institutions in the city of Bogotá. Materials and methods: We collected of sociodemographic data and clinical variables and application of the PedsQL 4.0™ questionnaire, and the diabetes module 3.2 version validated in Spanish. The sociodemographic data, the clinical variables and the PedsQL™ were processed in the statistical software Stata 17™. Results: In the global score of the PedsQL™ 3.2, diabetes version, men presented better quality of life compared to women. The correlation between the hemoglobin A1c (HbA1c) values and the PedsQL scale in the global score was evaluated. Patients with HbA1c values below 9% presented a better health-related quality of life, while in the group with HbA1c greater than 9% a perception of low quality of life was observed (p=0.025). Regarding the type of therapy and the relationship with the domains of the PedsQL 3.2, diabetes version, patients who used insulin pumps had better scores in the domains barriers, adherence, concern, communication and in the global score compared to patients who used multiple daily injections of insulin as treatment (p=0.0363). Conclusions: In our patients, a better metabolic control (measured by the HbA1c value) and the use of an insulin pump contribute to a better perception of quality of life.


Asunto(s)
Diabetes Mellitus Tipo 1 , Calidad de Vida , Niño , Adolescente
5.
Rev Panam Salud Publica ; 47: e27, 2023.
Artículo en Español | MEDLINE | ID: mdl-36751675

RESUMEN

Objective: Shed light on the experiences and determinants of young people's and adolescents' participation in formal participation mechanisms during the SARS-CoV-2 pandemic in Chile. Methods: Cross-sectional, descriptive study with a qualitative approach, within the constructivist research paradigm. Three focus groups were conducted with key informants: young people and adolescents who regularly participate in advisory councils of Chile's Ministry of Health (MINSAL). Content analysis was applied for theoretical and emerging categories in the study. The reports were transcribed and studied with data analysis and hermeneutics. This study was conducted during the COVID-19 pandemic, between the months of March and November 2021. Results: During the pandemic, adolescents' and young people's experiences of health participation were affected; however, formal participation mechanisms such as advisory councils allowed for continuity. In this context and based on their experiences, young people and adolescents highlighted some factors that facilitated or limited their participation at three levels: individual, relational, and structural. They highlighted virtual communication, use of social networks, and digital health as excellent tools for the participation of young people and adolescents during the pandemic in Chile. Conclusion: The pandemic affected the participation mechanisms used by young people and adolescents in Chile; however, among the experiences highlighted by young people, aspects that facilitated participation emerged, such as virtual communication, digital health, and other strategies. At the same time, some gaps in health participation widened during this global health crisis, such as access mainly in rural populations.


Objetivo: Divulgar as experiências e determinantes da participação dos jovens e adolescentes em mecanismos formais de participação durante a pandemia de SARS-CoV-2 no Chile. Métodos: Estudo transversal, descritivo, com abordagem qualitativa, ligado ao paradigma construtivista de pesquisa. Foram realizados 3 grupos focais com informantes-chave: jovens e adolescentes que participam regularmente dos conselhos consultivos do Ministério da Saúde do Chile. Foi aplicada a técnica de análise de conteúdo para as categorias teóricas e emergentes do estudo. Os relatos foram transcritos e estudados com técnicas de análise de dados e hermenêutica. Este estudo foi realizado durante a pandemia de COVID-19, entre os meses de março e novembro de 2021. Resultados: Durante a pandemia, as experiências de participação de adolescentes e jovens na saúde foram afetadas, porém os mecanismos formais de participação, como os conselhos consultivos, permitiram sua continuidade. Nesse contexto, os jovens e adolescentes, em suas experiências, destacaram alguns fatores que facilitaram ou limitaram a participação, conforme três níveis de gestão: individual, relacional e estrutural. A comunicação virtual, o uso das redes sociais e a saúde digital destacaram-se como excelentes ferramentas para a participação de jovens e adolescentes em tempos de pandemia no Chile. Conclusão: A pandemia afetou os mecanismos de participação de jovens e adolescentes no Chile. No entanto, dentro das experiências destacadas pelos jovens, surgiram aspectos como comunicação virtual, saúde digital e outras estratégias que facilitaram a participação. Por outro lado, nessa crise de saúde mundial, aumentaram algumas lacunas na participação em saúde, como o acesso, principalmente em populações rurais.

6.
Artículo en Español | PAHO-IRIS | ID: phr-57087

RESUMEN

[RESUMEN]. Objetivo. Develar las experiencias y determinantes de la participación de adolescentes y jóvenes en meca- nismos formales de participación durante la pandemia por SARS-CoV-2 en Chile. Métodos. Estudio transversal, descriptivo de enfoque cualitativo, adscrito al paradigma constructivista de investigación. Se realizaron 3 grupos focales con informantes claves, adolescentes y jóvenes, quienes parti- cipan regularmente en consejos consultivos del Ministerio de Salud (MINSAL) en Chile. Se aplicó la técnica de análisis de contenido para categorías teóricas y emergentes del estudio. Los relatos fueron transcritos y estudiados con técnica de análisis de datos y hermenéutica. Este estudio fue realizado durante la pandemia de COVID-19, entre los meses de marzo y noviembre del 2021. Resultados. Durante la pandemia, las experiencias de participación en salud de adolescentes y jóvenes se vieron afectadas; no obstante, los mecanismos de participación formales, como los consejos consultivos, permitieron dar continuidad. En este contexto, adolescentes y jóvenes dentro de sus experiencias destacaron algunos factores que facilitaron o limitaron la participación, de acuerdo con tres niveles de gestión: individual, relacional y estructural, destacándo la comunicación virtual, el uso de redes sociales y la salud digital como excelentes herramientas para la participación de jóvenes y adolescentes en tiempos de pandemia en Chile. Conclusión. La pandemia ha afectado a los mecanismos de participación de adolescentes y jóvenes en Chile. No obstante, dentro de las experiencias destacadas por los jóvenes han surgido aspectos como la comunicación virtual, la salud digital y otras estrategias que han facilitado la participación. Por otro lado, en esta crisis sanitaria mundial se han acrecentado algunas brechas en la participación en salud, como el acceso principalmente en poblaciones rurales.


[ABSTRACT]. Objective. Shed light on the experiences and determinants of young people’s and adolescents’ participation in formal participation mechanisms during the SARS-CoV-2 pandemic in Chile. Methods. Cross-sectional, descriptive study with a qualitative approach, within the constructivist research paradigm. Three focus groups were conducted with key informants: young people and adolescents who regu- larly participate in advisory councils of Chile’s Ministry of Health (MINSAL). Content analysis was applied for theoretical and emerging categories in the study. The reports were transcribed and studied with data analysis and hermeneutics. This study was conducted during the COVID-19 pandemic, between the months of March and November 2021. Results. During the pandemic, adolescents’ and young people’s experiences of health participation were affected; however, formal participation mechanisms such as advisory councils allowed for continuity. In this context and based on their experiences, young people and adolescents highlighted some factors that facili- tated or limited their participation at three levels: individual, relational, and structural. They highlighted virtual communication, use of social networks, and digital health as excellent tools for the participation of young people and adolescents during the pandemic in Chile. Conclusion. The pandemic affected the participation mechanisms used by young people and adolescents in Chile; however, among the experiences highlighted by young people, aspects that facilitated participation emerged, such as virtual communication, digital health, and other strategies. At the same time, some gaps in health participation widened during this global health crisis, such as access mainly in rural populations.


[RESUMO]. Objetivo. Divulgar as experiências e determinantes da participação dos jovens e adolescentes em mecanis- mos formais de participação durante a pandemia de SARS-CoV-2 no Chile. Métodos. Estudo transversal, descritivo, com abordagem qualitativa, ligado ao paradigma construtivista de pesquisa. Foram realizados 3 grupos focais com informantes-chave: jovens e adolescentes que participam regularmente dos conselhos consultivos do Ministério da Saúde do Chile. Foi aplicada a técnica de análise de conteúdo para as categorias teóricas e emergentes do estudo. Os relatos foram transcritos e estudados com técnicas de análise de dados e hermenêutica. Este estudo foi realizado durante a pandemia de COVID-19, entre os meses de março e novembro de 2021. Resultados. Durante a pandemia, as experiências de participação de adolescentes e jovens na saúde foram afetadas, porém os mecanismos formais de participação, como os conselhos consultivos, permitiram sua continuidade. Nesse contexto, os jovens e adolescentes, em suas experiências, destacaram alguns fatores que facilitaram ou limitaram a participação, conforme três níveis de gestão: individual, relacional e estrutural. A comunicação virtual, o uso das redes sociais e a saúde digital destacaram-se como excelentes ferramentas para a participação de jovens e adolescentes em tempos de pandemia no Chile. Conclusão. A pandemia afetou os mecanismos de participação de jovens e adolescentes no Chile. No entanto, dentro das experiências destacadas pelos jovens, surgiram aspectos como comunicação virtual, saúde digital e outras estratégias que facilitaram a participação. Por outro lado, nessa crise de saúde mun- dial, aumentaram algumas lacunas na participação em saúde, como o acesso, principalmente em populações rurais.


Asunto(s)
Participación Social , Adolescente , Adulto Joven , Estrategias de eSalud , COVID-19 , Participación Social , Adolescente , Adulto Joven , Estrategias de eSalud , Participación Social , Estrategias de eSalud
7.
Andes Pediatr ; 94(6): 681-688, 2023 Dec.
Artículo en Español | MEDLINE | ID: mdl-38329303

RESUMEN

OBJECTIVE: To examine disparities in the use of mental health services (MHS) in adolescents according to sociodemographic factors. SUBJECTS AND METHOD: 2,022 adolescents aged 13-19 years in Santiago, Chile, participated in the study. Between April and May 2008, they answered a self-report survey that assessed lifetime (history of treatment for depression) and current (psychological or pharmacological treatment) use of MHS, sociodemographic variables, and psychopathology as symptoms of depression, symptoms of generalized anxiety disorder, and risk of problematic substance use. Data were analyzed using logistic regression. RESULTS: 16.5% of participants reported lifetime use of MHS due to depression, 9.7% were on current psychological treatment, and 2.7% were on current pharmacological treatment. Among those meeting criteria for a mental health problem, only 14.9% to 18.9% were currently on treatment. Males, younger participants, and those who had immigrants' parents reported lower lifetime use of MHS due to depression. Those with parents with 9 to 12 years of education and who had immigrants' parents reported lower current MHS use. Youth not living with both parents reported higher lifetime and current MHS use. CONCLUSIONS: We observe a high treatment gap in those with mental health needs as well as differences in MHS use based on socio-demographic variables. These results may be useful for planning interventions that favor access to and use of MHS, especially in the most disadvantaged groups of adolescents.


Asunto(s)
Servicios de Salud Mental , Masculino , Humanos , Adolescente , Chile/epidemiología , Salud Mental , Encuestas y Cuestionarios , Modelos Logísticos
8.
Rev. panam. salud pública ; 47: e27, 2023. graf
Artículo en Español | LILACS | ID: biblio-1424261

RESUMEN

RESUMEN Objetivo. Develar las experiencias y determinantes de la participación de adolescentes y jóvenes en mecanismos formales de participación durante la pandemia por SARS-CoV-2 en Chile. Métodos. Estudio transversal, descriptivo de enfoque cualitativo, adscrito al paradigma constructivista de investigación. Se realizaron 3 grupos focales con informantes claves, adolescentes y jóvenes, quienes participan regularmente en consejos consultivos del Ministerio de Salud (MINSAL) en Chile. Se aplicó la técnica de análisis de contenido para categorías teóricas y emergentes del estudio. Los relatos fueron transcritos y estudiados con técnica de análisis de datos y hermenéutica. Este estudio fue realizado durante la pandemia de COVID-19, entre los meses de marzo y noviembre del 2021. Resultados. Durante la pandemia, las experiencias de participación en salud de adolescentes y jóvenes se vieron afectadas; no obstante, los mecanismos de participación formales, como los consejos consultivos, permitieron dar continuidad. En este contexto, adolescentes y jóvenes dentro de sus experiencias destacaron algunos factores que facilitaron o limitaron la participación, de acuerdo con tres niveles de gestión: individual, relacional y estructural, destacándo la comunicación virtual, el uso de redes sociales y la salud digital como excelentes herramientas para la participación de jóvenes y adolescentes en tiempos de pandemia en Chile. Conclusión. La pandemia ha afectado a los mecanismos de participación de adolescentes y jóvenes en Chile. No obstante, dentro de las experiencias destacadas por los jóvenes han surgido aspectos como la comunicación virtual, la salud digital y otras estrategias que han facilitado la participación. Por otro lado, en esta crisis sanitaria mundial se han acrecentado algunas brechas en la participación en salud, como el acceso principalmente en poblaciones rurales.


ABSTRACT Objective. Shed light on the experiences and determinants of young people's and adolescents' participation in formal participation mechanisms during the SARS-CoV-2 pandemic in Chile. Methods. Cross-sectional, descriptive study with a qualitative approach, within the constructivist research paradigm. Three focus groups were conducted with key informants: young people and adolescents who regularly participate in advisory councils of Chile's Ministry of Health (MINSAL). Content analysis was applied for theoretical and emerging categories in the study. The reports were transcribed and studied with data analysis and hermeneutics. This study was conducted during the COVID-19 pandemic, between the months of March and November 2021. Results. During the pandemic, adolescents' and young people's experiences of health participation were affected; however, formal participation mechanisms such as advisory councils allowed for continuity. In this context and based on their experiences, young people and adolescents highlighted some factors that facilitated or limited their participation at three levels: individual, relational, and structural. They highlighted virtual communication, use of social networks, and digital health as excellent tools for the participation of young people and adolescents during the pandemic in Chile. Conclusion. The pandemic affected the participation mechanisms used by young people and adolescents in Chile; however, among the experiences highlighted by young people, aspects that facilitated participation emerged, such as virtual communication, digital health, and other strategies. At the same time, some gaps in health participation widened during this global health crisis, such as access mainly in rural populations.


RESUMO Objetivo. Divulgar as experiências e determinantes da participação dos jovens e adolescentes em mecanismos formais de participação durante a pandemia de SARS-CoV-2 no Chile. Métodos. Estudo transversal, descritivo, com abordagem qualitativa, ligado ao paradigma construtivista de pesquisa. Foram realizados 3 grupos focais com informantes-chave: jovens e adolescentes que participam regularmente dos conselhos consultivos do Ministério da Saúde do Chile. Foi aplicada a técnica de análise de conteúdo para as categorias teóricas e emergentes do estudo. Os relatos foram transcritos e estudados com técnicas de análise de dados e hermenêutica. Este estudo foi realizado durante a pandemia de COVID-19, entre os meses de março e novembro de 2021. Resultados. Durante a pandemia, as experiências de participação de adolescentes e jovens na saúde foram afetadas, porém os mecanismos formais de participação, como os conselhos consultivos, permitiram sua continuidade. Nesse contexto, os jovens e adolescentes, em suas experiências, destacaram alguns fatores que facilitaram ou limitaram a participação, conforme três níveis de gestão: individual, relacional e estrutural. A comunicação virtual, o uso das redes sociais e a saúde digital destacaram-se como excelentes ferramentas para a participação de jovens e adolescentes em tempos de pandemia no Chile. Conclusão. A pandemia afetou os mecanismos de participação de jovens e adolescentes no Chile. No entanto, dentro das experiências destacadas pelos jovens, surgiram aspectos como comunicação virtual, saúde digital e outras estratégias que facilitaram a participação. Por outro lado, nessa crise de saúde mundial, aumentaram algumas lacunas na participação em saúde, como o acesso, principalmente em populações rurais.


Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Adulto , Adulto Joven , Participación Social , COVID-19 , Chile , Estudios Transversales , Grupos Focales , Estrategias de eSalud
9.
Rev Panam Salud Publica ; 46: e216, 2022.
Artículo en Español | MEDLINE | ID: mdl-36582619

RESUMEN

Objective: Analyze facilitating processes, obstacles, and effects of the implementation of non-pharmacological public health measures for the prevention of COVID-19 in child and adolescent protection centers in two departments (Antioquia and La Guajira) in Colombia during the period 2020-2021. Methods: Mixed methods study with a convergent parallel design in 13 residential child/adolescent protection facilities in Colombia (11 in Antioquia and two in La Guajira). A questionnaire was given to 145 children and adolescents, and 23 interviews were held with persons responsible for the implementation of measures in the national family welfare system. Results: The implemented non-pharmacological public health measures did not differ by department; the most complex to implement were physical distancing and restriction of family visits. Conclusions: In centers for the protection of children and adolescents in Antioquia and La Guajira, non-pharmacological public health measures helped mitigate the spread of the virus in environments considered at-risk.


Objetivo: Analisar os processos que facilitam e dificultam a implementação de medidas não farmacológicas de saúde pública para a prevenção da COVID-19 em centros de proteção de crianças e adolescentes em dois departamentos (Antioquia e La Guajira) da Colômbia, e os efeitos de tal implementação, durante o período 2020-2021. Métodos: Estudo de métodos mistos com delineamento paralelo convergente em 13 internatos para a proteção de crianças e adolescentes na Colômbia (11 em Antioquia e 2 em La Guajira). Foi aplicado um questionário a 145 crianças e adolescentes, e foram realizadas 23 entrevistas com os responsáveis pela implementação das medidas do sistema nacional de bem-estar familiar. Resultados: As medidas não farmacológicas de saúde pública implementadas não diferiram por departamento. As mais complexas de serem aplicadas foram o distanciamento físico e a restrição de visitas familiares. Conclusões: Nos centros de proteção de crianças e adolescentes de Antioquia e La Guajira, medidas não farmacológicas de saúde pública contribuíram para mitigar a propagação do vírus em ambientes considerados de risco.

10.
Artículo en Español | PAHO-IRIS | ID: phr-56885

RESUMEN

[RESUMEN]. Objetivo. Analizar los procesos facilitadores y obstaculizadores y los efectos de la implementación de las medidas de salud pública no farmacológicas para la prevención de la COVID-19 en los centros de protección de la infancia y la adolescencia de dos departamentos (Antioquia y la Guajira) de Colombia durante el período 2020-2021. Métodos. Estudio de métodos mixtos con un diseño paralelo convergente en 13 internados de protección de la infancia y adolescencia de Colombia (11 en Antioquia y 2 en La Guajira). Se aplicó un cuestionario a 145 niñas, niños y adolescentes y 23 entrevistas a mediadores de la implementación de las medidas del sistema nacional de bienestar familiar. Resultados. Las medidas de salud pública no farmacológicas implementadas no difieren por departamento; las más complejas para aplicar fueron el distanciamiento físico y la restricción de las visitas familiares. Conclusiones. En los centros de protección de la infancia y la adolescencia de Antioquia y la Guajira, las medidas de salud pública no farmacológicas contribuyeron a mitigar la propagación del virus en entornos considerados de riesgo.


[ABSTRACT]. Objective. Analyze facilitating processes, obstacles, and effects of the implementation of non-pharmacologi- cal public health measures for the prevention of COVID-19 in child and adolescent protection centers in two departments (Antioquia and La Guajira) in Colombia during the period 2020–2021. Methods. Mixed methods study with a convergent parallel design in 13 residential child/adolescent protection facilities in Colombia (11 in Antioquia and two in La Guajira). A questionnaire was given to 145 children and adolescents, and 23 interviews were held with persons responsible for the implementation of measures in the national family welfare system. Results. The implemented non-pharmacological public health measures did not differ by department; the most complex to implement were physical distancing and restriction of family visits. Conclusions. In centers for the protection of children and adolescents in Antioquia and La Guajira, non-phar- macological public health measures helped mitigate the spread of the virus in environments considered at-risk.


[RESUMO]. Objetivo. Analisar os processos que facilitam e dificultam a implementação de medidas não farmacológi- cas de saúde pública para a prevenção da COVID-19 em centros de proteção de crianças e adolescentes em dois departamentos (Antioquia e La Guajira) da Colômbia, e os efeitos de tal implementação, durante o período 2020-2021. Métodos. Estudo de métodos mistos com delineamento paralelo convergente em 13 internatos para a proteção de crianças e adolescentes na Colômbia (11 em Antioquia e 2 em La Guajira). Foi aplicado um questionário a 145 crianças e adolescentes, e foram realizadas 23 entrevistas com os responsáveis pela implementação das medidas do sistema nacional de bem-estar familiar. Resultados. As medidas não farmacológicas de saúde pública implementadas não diferiram por departa- mento. As mais complexas de serem aplicadas foram o distanciamento físico e a restrição de visitas familiares. Conclusões. Nos centros de proteção de crianças e adolescentes de Antioquia e La Guajira, medidas não farmacológicas de saúde pública contribuíram para mitigar a propagação do vírus em ambientes considera- dos de risco.


Asunto(s)
Servicios de Salud del Niño , Adolescente , Servicio Social , COVID-19 , Colombia , Salud Infantil , Adolescente , Servicio Social , Salud Infantil , Servicio Social , Colombia
11.
Lima; OPS; 2022-06-21. (OPS/PER/HSS/22-0001).
No convencional en Español | PAHO-IRIS | ID: phr2-56108

RESUMEN

[Prológo]. En la provincia peruana de Condorcanqui, ubicada en la región Amazonas, los y las adolescentes de las comunidades indígenas enfrentan diversos obstáculos para acceder a los servicios de salud mental. Para una mayor comprensión de estas barreras y un efectivo diseño e implementación de políticas para superarlas, la OPS en colaboración con la Dirección Regional de Salud (DIRESA) Amazonas y la Red de Salud de Condorcanqui, ha conducido un análisis y un posterior proceso participativo de identificación de opciones de política. Esperamos que los hallazgos presentados resulten de utilidad para la toma de decisiones por parte de las autoridades de salud y sus socios estratégicos en todos los niveles, en particular para la planificación de políticas que permitan mejorar el acceso a los servicios de salud mental por parte de las poblaciones más vulnerables. Cabe añadir que esta iniciativa se enmarca en el largo historial de colaboración entre la OPS y el Ministerio de Salud de Perú, para fortalecer el sistema sanitario del país y mejorar el acceso a los servicios de salud en toda la región de las Américas.


Asunto(s)
Cobertura Universal de Salud , Desarrollo Sostenible , Acceso Universal a los Servicios de Salud , Estrategias para Cobertura Universal de Salud , Atención Primaria de Salud , COVID-19 , Américas , Perú
12.
Washington D.C; Organización Panamericana de la Salud; 1 ed; Jun. 2022. 41 p. ilus.
Monografía en Español | MINSAPERÚ, LIPECS | ID: biblio-1379447

RESUMEN

En la provincia peruana de Condorcanqui, ubicada en la región Amazonas, los y las adolescentes de las comunidades indígenas enfrentan diversos obstáculos para acceder a los servicios de salud mental. Para una mayor comprensión de estas barreras y un efectivo diseño e implementación de políticas para superarlas, la OPS en colaboración con la Dirección Regional de Salud (DIRESA) Amazonas y la Red de Salud de Condorcanqui, ha conducido un análisis y un posterior proceso participativo de identificación de opciones de política. Esperamos que los hallazgos presentados resulten de utilidad para la toma de decisiones por parte de las autoridades de salud y sus socios estratégicos en todos los niveles, en particular para la planificación de políticas que permitan mejorar el acceso a los servicios de salud mental por parte de las poblaciones más vulnerables. Cabe añadir que esta iniciativa se enmarca en el largo historial de colaboración entre la OPS y el Ministerio de Salud de Perú, para fortalecer el sistema sanitario del país y mejorar el acceso a los servicios de salud en toda la región de las Américas


Asunto(s)
Atención Primaria de Salud , Impacto Psicosocial , Pandemias , Cobertura Universal de Salud , Desarrollo Sostenible , Autoridades de Salud , Barreras de Acceso a los Servicios de Salud , Pueblos Indígenas , COVID-19 , Accesibilidad a los Servicios de Salud
14.
Rev. méd. Chile ; 150(5)mayo 2022.
Artículo en Español | LILACS-Express | LILACS | ID: biblio-1409850

RESUMEN

Background: Adolescents are more prone to develop health risk behaviors. Among these, early consumption of psychoactive drugs is relevant. Aim: To assess the association between early consumption of illicit drugs, tobacco and alcohol, suicide behaviors, risky sexual behaviors, eating habits and physical activity in school age adolescents from Valparaiso, Chile. Material and Methods: The online world survey of scholar health to identify the health risk behaviors was answered by 550 adolescents aged 15 to 18 years, from a public educational institution at Valparaiso, Chile. Results: Early consumption of alcohol, smoking and illicit drug use was reported by 59, 57 and 44% of respondents, respectively. The frequency of psychoactive drug consumption during the last month, risky sexual behaviors and missing breakfast was higher among those with an early onset of alcohol and illicit drug consumption and smoking. The frequency of suicidal risk behaviors and low consumption of fruits and vegetables was higher among those with an early onset of illicit drug use and smoking. A low physical activity level was associated with early smoking onset. Health risk behaviors were associated with early onset of alcohol and illicit drug consumption and smoking. Conclusions: Early onset of alcohol and illicit drug consumption and smoking is associated with health risk behaviors in Chilean adolescents.

15.
Rev. habanera cienc. méd ; 21(2)abr. 2022.
Artículo en Español | LILACS, CUMED | ID: biblio-1409469

RESUMEN

Introducción: El embarazo en la adolescencia es un problema de salud pública, con reconocida influencia en los aspectos socioeconómicos y psicoemocionales de la gestante, que puede influir en los indicadores de salud materna. Objetivo: Determinar el impacto del embarazo adolescente sobre los indicadores de salud materna y perinatal. Material y Métodos: Estudio retrospectivo y descriptivo, en una población de 5 920 gestantes atendidas en el Hospital San Juan de Lurigancho durante el año 2018, para la determinación de indicadores de salud materna, como la tasa de mortalidad y morbilidad materna (TMM y TMbM) y perinatal (TMP y TMbP), considerando dos grupos de análisis, mujeres gestantes entre 10 y 19 años y mayores de 19 años de edad. Resultados: Se atendieron 14,5 por ciento partos de mujeres adolescentes entre 10 y 19 años de edad, grupo en el cual se presentaron TMbM y TMbP de 10,8 y 80,3 respectivamente, en contraposición a las tasas de 8,8 y 43,3 en el grupo de mujeres gestantes mayores de 19 años. La TMP fue de 6,9 y 10,4 en los grupos de gestantes adolescentes y mujeres adultas, respectivamente, mientras que la TMM fue de 19,9 en mujeres adultas. No se registró fallecimiento de pacientes adolescentes. Conclusiones: El embarazo en la adolescencia influyó significativamente en el indicador de salud materna TMbP, probablemente debido a la falta de control prenatal temprano, además de la inmadurez y la estructura ósea de la pelvis, siendo factores que pueden determinar problemas de salud en los neonatos(AU)


Introduction: Adolescent pregnancy is a public health problem with recognized influence on the socioeconomic and psycho-emotional aspects of the pregnant woman, which can influence maternal health indicators. Objective: To determine the impact of adolescent pregnancy on maternal and perinatal health indicators. Material and Methods: A retrospective and descriptive study was conducted in a population of 5 920 pregnant women attended at the Hospital San Juan de Lurigancho during 2018 to determine maternal health indicators such as maternal mortality and morbidity rate (MMR and MMR) and perinatal (MMR and PMR), considering two groups of analysis that included pregnant women between 10 and 19 years of age and those older than 19 years of age. Results: There were 14,5 percent of deliveries in adolescent women between 10 and 19 years of age, a group in which MMR and PMR were 10,8 and 80,3 respectively, in contrast to the rates of 8,8 and 43,3 in the group of pregnant women older than 19 years of age. The PMR was 6,9 and 10,4 in the groups of pregnant adolescent women and adult women, respectively, while the MMR was 19,9 in adult women. No deaths were recorded in adolescent patients. Conclusions: Adolescent pregnancy significantly influenced the maternal health indicator PMR, probably due to the lack of early prenatal control, as well as the immaturity and the bony structure of the pelvis, being factors that can determine health problems in neonates(AU)


Asunto(s)
Humanos , Femenino , Adolescente , Perú , Epidemiología Descriptiva , Estudios Retrospectivos
16.
Rev Med Chil ; 150(5): 584-596, 2022 May.
Artículo en Español | MEDLINE | ID: mdl-37906758

RESUMEN

BACKGROUND: Adolescents are more prone to develop health risk behaviors. Among these, early consumption of psychoactive drugs is relevant. AIM: To assess the association between early consumption of illicit drugs, tobacco and alcohol, suicide behaviors, risky sexual behaviors, eating habits and physical activity in school age adolescents from Valparaiso, Chile. MATERIAL AND METHODS: The online world survey of scholar health to identify the health risk behaviors was answered by 550 adolescents aged 15 to 18 years, from a public educational institution at Valparaiso, Chile. RESULTS: Early consumption of alcohol, smoking and illicit drug use was reported by 59, 57 and 44% of respondents, respectively. The frequency of psychoactive drug consumption during the last month, risky sexual behaviors and missing breakfast was higher among those with an early onset of alcohol and illicit drug consumption and smoking. The frequency of suicidal risk behaviors and low consumption of fruits and vegetables was higher among those with an early onset of illicit drug use and smoking. A low physical activity level was associated with early smoking onset. Health risk behaviors were associated with early onset of alcohol and illicit drug consumption and smoking. CONCLUSIONS: Early onset of alcohol and illicit drug consumption and smoking is associated with health risk behaviors in Chilean adolescents.


Asunto(s)
Drogas Ilícitas , Trastornos Relacionados con Sustancias , Humanos , Adolescente , Conductas de Riesgo para la Salud , Chile/epidemiología , Trastornos Relacionados con Sustancias/epidemiología , Psicotrópicos , Consumo de Bebidas Alcohólicas/epidemiología
17.
Andes Pediatr ; 93(6): 878-888, 2022 Dec.
Artículo en Español | MEDLINE | ID: mdl-37906805

RESUMEN

In Chile, compliance with the Food-Based Dietary Guidelines (GABA) ensures an adequate and ba lanced diet. OBJECTIVE: To determine compliance with five GABA recommendations and their asso ciations with anthropometric, lifestyle, and metabolic variables, in adolescents aged between 15 and 19 years who participated in the Chilean National Health Survey 2016-2017. SUBJECTS AND METHOD: Cross-sectional study including 355 adolescents. Participants were divided into four groups (fulfilled 0, 1, 2, or ≥ 3 recommendations) using five messages from the GABA (consumption of legumes, fish, dairy products, water, and fruits and vegetables). Associations between GABA and outcome variables (weight, body mass index, waist circumference, physical activity, sleep, and metabolic variables) were investigated using linear regression analyses adjusted by sociodemographic confounders. RESULTS: 5.6% of the adolescents met three or more GABA recommendations. Of the recommendations mea sured, the consumption of water (85%) and legumes (78.7%) presented greater compliance, showing differences between women and men regarding the consumption of legumes (58.6% vs. 86.4%), wa ter (69.6% vs. 91%), and dairy products (92.9% vs. 39.1%). Adolescents with higher compliance with GABA had a better concentration of lower glycemia (p = 0.025). There were no other significant asso ciations between lifestyle and anthropometric measurements. CONCLUSIONS: Adolescents who partici pated in this study presented difficulties in adhering to GABA recommendations, thus compromising the maintenance of healthy lifestyles.


Asunto(s)
Política Nutricional , Verduras , Masculino , Humanos , Femenino , Adolescente , Adulto Joven , Adulto , Estudios Transversales , Chile , Encuestas Epidemiológicas , Agua , Ácido gamma-Aminobutírico
18.
Rev. panam. salud pública ; 46: e216, 2022. tab, graf
Artículo en Español | LILACS-Express | LILACS | ID: biblio-1450185

RESUMEN

RESUMEN Objetivo. Analizar los procesos facilitadores y obstaculizadores y los efectos de la implementación de las medidas de salud pública no farmacológicas para la prevención de la COVID-19 en los centros de protección de la infancia y la adolescencia de dos departamentos (Antioquia y la Guajira) de Colombia durante el período 2020-2021. Métodos. Estudio de métodos mixtos con un diseño paralelo convergente en 13 internados de protección de la infancia y adolescencia de Colombia (11 en Antioquia y 2 en La Guajira). Se aplicó un cuestionario a 145 niñas, niños y adolescentes y 23 entrevistas a mediadores de la implementación de las medidas del sistema nacional de bienestar familiar. Resultados. Las medidas de salud pública no farmacológicas implementadas no difieren por departamento; las más complejas para aplicar fueron el distanciamiento físico y la restricción de las visitas familiares. Conclusiones. En los centros de protección de la infancia y la adolescencia de Antioquia y la Guajira, las medidas de salud pública no farmacológicas contribuyeron a mitigar la propagación del virus en entornos considerados de riesgo.


ABSTRACT Objective. Analyze facilitating processes, obstacles, and effects of the implementation of non-pharmacological public health measures for the prevention of COVID-19 in child and adolescent protection centers in two departments (Antioquia and La Guajira) in Colombia during the period 2020-2021. Methods. Mixed methods study with a convergent parallel design in 13 residential child/adolescent protection facilities in Colombia (11 in Antioquia and two in La Guajira). A questionnaire was given to 145 children and adolescents, and 23 interviews were held with persons responsible for the implementation of measures in the national family welfare system. Results. The implemented non-pharmacological public health measures did not differ by department; the most complex to implement were physical distancing and restriction of family visits. Conclusions. In centers for the protection of children and adolescents in Antioquia and La Guajira, non-pharmacological public health measures helped mitigate the spread of the virus in environments considered at-risk.


RESUMO Objetivo. Analisar os processos que facilitam e dificultam a implementação de medidas não farmacológicas de saúde pública para a prevenção da COVID-19 em centros de proteção de crianças e adolescentes em dois departamentos (Antioquia e La Guajira) da Colômbia, e os efeitos de tal implementação, durante o período 2020-2021. Métodos. Estudo de métodos mistos com delineamento paralelo convergente em 13 internatos para a proteção de crianças e adolescentes na Colômbia (11 em Antioquia e 2 em La Guajira). Foi aplicado um questionário a 145 crianças e adolescentes, e foram realizadas 23 entrevistas com os responsáveis pela implementação das medidas do sistema nacional de bem-estar familiar. Resultados. As medidas não farmacológicas de saúde pública implementadas não diferiram por departamento. As mais complexas de serem aplicadas foram o distanciamento físico e a restrição de visitas familiares. Conclusões. Nos centros de proteção de crianças e adolescentes de Antioquia e La Guajira, medidas não farmacológicas de saúde pública contribuíram para mitigar a propagação do vírus em ambientes considerados de risco.

19.
Rev. Fac. Med. Hum ; 21(4): 722-731, Oct.-Dic. 2021.
Artículo en Inglés, Español | LILACS-Express | LILACS | ID: biblio-1342224

RESUMEN

Introducción. La ausencia de hospitalización domiciliaria (HD) de niños y adolescentes con necesidades especiales en salud de alta complejidad (NANEAS) genera hospitalizaciones prolongadas en la atención cerrada (AC). Objetivo: Comparar el gasto estimado de HD de NANEAS de alta complejidad versus costo real del mismo paciente en AC y su impacto en la producción hospitalaria. Métodos: Estudio descriptivo y comparativo entre costos de ambas modalidades de hospitalización de NANEAS de alta complejidad. De enero a diciembre 2016 se registraron hospitalizaciones NANEAS no oncológicos del Servicio de Pediatría (SP) según norma del Ministerio de Salud-Chile (MINSAL). Se clasificó para grupos clínicos y consumos similares de recursos según grupos relacionados al diagnóstico (GRD). Para evaluar el impacto en la producción hospitalaria la estancia fue ajustada y se realizó un análisis financiero de ambas modalidades (AC) y (HD). Resultados: De 3690 egresos, 126 (3,4%) se relacionaron a 27 NANEAS, la edad promedio fue 4,6 años (± 5 DS) con dependencias tecnológicas para vivir. La estancia media NANEAS fue 16 días, comparada con 5,9 de los pacientes sin necesidades especiales en salud. Las estancias NANEAS llegaron a 2017 días (8,6%). Prescindir de los egresos NANEAS hubiera aportado 320 egresos adicionales y su HD habría ahorrado US $15/día por paciente, que para el total de estancias consumidas habría sido un ahorro anual de US $ 29 170. Conclusiones: La HD tiene un costo estimado menor a la AC de NANEAS de alta complejidad, mejora la productividad hospitalaria y libera camas críticas con inversión financieramente viable.


Introduction. The absence of home hospitalization (HH) of children and youth with special health care needs (CYSHCN) generates prolonged hospitalizations in closed care (CC). Objective: To compare the estimated cost of HH of high complexity CYSHCN versus the actual cost of the same patient in CC and its impact on hospital production. Methods: Descriptive and comparative study between costs of both hospitalization modalities of high complexity CYSHCN. From January to December 2016, non-oncological CYSHCN hospitalizations were registered by the Pediatric Service (PS) according to the Ministry of Health-Chile (MINSAL) norm. It was classified for clinical groups and similar consumption of resources according to groups related to diagnosis (DRG). The stay was adjusted, and financial analysis of both modalities (CC) and (HH) was performed to evaluate the impact on hospital production. Results: Of 3690 discharges, 126 (3.4%) were related to 27 CYSHCN, the average age was 4.6 years (± 5 SD) with technological dependencies to live. The mean CYSHCN stay was 16 days, compared with 5.9 for patients without special health needs. CYSHCN stays reached 2017 days (8.6%). Disregarding the CYSHCN discharges would have contributed 320 additional discharges, and his HH would have saved US $ 15 / day per patient, which for the total number of stays consumed would have been an annual saving of US $ 29170. Conclusion: HH has an estimated cost lower than the CA of high complexity CYSHCN, improves hospital productivity, and frees critical beds with financially viable investment.

20.
Odontol. sanmarquina (Impr.) ; 24(3): 225-233, jul.-sept. 2021.
Artículo en Español | LILACS-Express | LILACS | ID: biblio-1255450

RESUMEN

Objetivo. Evaluar indicadores de salud oral en niños y adolescentes con parálisis cerebral en Lima-Perú. Métodos. Estudio observacional, descriptivo y transversal de una muestra de 171 pacientes de dos centros de referencia nacional especializados, periodo 2012- 2013, que cumplieron los criterios de inclusión. Para los índices de higiene oral (IHO) de Greene & Vermillion, índice de dientes cariados, perdidos y obturados (CPOD) y análisis de maloclusión dentaria (MD) se evaluaron 126 niños (6,0-11,9 años) y 45 adolescentes (12,0-19,0 años). Resultados. El IHO fue de 2,55 (malo) en el 91,8%, IHO regular en el 8,2% y ninguno mostró IHO bueno, observándose el mismo comportamiento en ambos grupos etarios. La prevalencia de caries fue 100% y CPOD de 4,55 ±1,56; los niños registraron CPOD de 4,52 ±1,537 y los adolescentes CPOD de 4,64 ±1,626. El 74,3% mostró MD, los niños evidenciaron MD en el 69,8% y los adolescentes mostraron 86,7%. En los niños, se observó relación molar (RM) Clase I derecha en el 42,1% e izquierda en el 44,4%; los adolescentes evidenciaron RM Clase III derecha en el 42,2% e izquierda en el 37,8%. Para los niños, el overbite (OB) no fue registrable en el 33,3% y normal en el 29,4%; en adolescentes, se registró OB normal en el 40%. Se observó con mayor frecuencia línea media dentaria desviada hacia el lado izquierdo. Conclusiones. En la mayoría de niños y adolescentes con parálisis cerebral de centros especializados se encontró alto índice de caries CPOD, mala higiene oral y presencia de maloclusiones.


Objective. To evaluate oral health indicators in children and adolescents with cerebral palsy in Lima-Peru. Methods. An observational, descriptive and cross-sectional study of a sample of 171 patients from two specialized national referral centers for the 2012- 2013 period who met the inclusion criteria. For the Greene & Vermillion oral hygiene index (OHI), decayed, missing and filled teeth (DMFT) and the dental malocclusion (DM) analysis, 126 children (6.0-11.9 years-old) and 45 adolescents (12.0-19.0 years- old) were evaluated. Results. The OHI was 2.55 (poor hygiene) in the 91.8%, regular OHI in the 8.2% and no one showed a good IHO, observing the same behavior in both age groups. The prevalence of caries was 100% and the DMFT was 4.55 ± 1.56; the children registered a DMFT of 4.52 ± 1.537 and the adolescents 4.64 ± 1.626. The DM was present in 74.3%; the children showed a 69,8% of DM and the adolescents showed 86.7%. In children, a right class I molar relationship (MR) was observed in 42.1% and a left MR in 44.4%; the adolescents showed right Class III in 42.2% and left in 37.8%. In children, the overbite (OB) was not registered in the 33.3% of the cases and it was normal in the 29.4%; the adolescents registered a normal OB in 40%. It was more frequently observed a deviation of the dental midline to the left. Conclusions. In most children and adolescents with cerebral palsy from specialized centers, a high index of DMFT caries, poor oral hygiene and the presence of malocclusions were found.

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