[秘鲁利马一个地区的贫困及其对风险和家庭损害的影响：部门分析和初级卫生保健的结果]

[Poverty and its influence on risk and family damage in a district of Lima, Peru: results by sector analysis and Primary Health Care].

作者信息

Morán-Mariños C, Alarcon-Ruiz C A, Alva-Diaz C

机构信息

Unidad de Investigación en Bibliometría, Universidad San Ignacio de Loyola, Lima, Perú; Servicio de Neurología, Departamento de Medicina y Oficina de Apoyo a la Docencia Investigación (OADI), Hospital Daniel Alcides Carrión, Callao, Perú.

Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Universidad San Ignacio de Loyola, Lima, Perú.

出版信息

Semergen. 2019 May-Jun;45(4):225-231. doi: 10.1016/j.semerg.2019.02.007. Epub 2019 Mar 23.

DOI:10.1016/j.semerg.2019.02.007

PMID:30910367

Abstract

OBJECTIVE

Poverty generates negative effects on health, education, and family environment. Sectoral analysis through its components enables to identify the risk groups and damage in the families. The objective of this work is to determine the state of poverty and its influence on the risk and family damage in the district of Villa Maria del Triunfo (VMT), Lima, Peru.

MATERIALS AND METHODS

Ecological study that used the database of the health facility of the VMT district, in which the family risk and the socioeconomic level of 450 families in 7 sectors are evaluated between the years 2015 to June 2017.

RESULTS

More than three-quarters of the families are poor (77.9%). The most prevalent damages were malnutrition and mental health. The most frequent family risk factors were family violence, with the absence of breastfeeding in infants, adolescent pregnancy, and old age. It was found that poverty was associated with family risk (P=.019, OR: 1.84, 95% CI: 1.07-3.23), and damage risk (P<.001, OR: 2.29; 95% CI: 1.32-3.92).

CONCLUSION

The level of poverty is high. This condition was associated with increased risk and family damage, especially for malnutrition and mental health problems. Interventions should be carried out in families, especially among the poor, and decisive measures should be made on the social factors determining ill-health.

摘要

目的

贫困对健康、教育和家庭环境产生负面影响。通过其组成部分进行部门分析有助于识别家庭中的风险群体和损害情况。本研究的目的是确定秘鲁利马市胜利圣母镇（VMT）的贫困状况及其对风险和家庭损害的影响。

材料与方法

采用生态研究方法，利用VMT地区卫生机构的数据库，评估了2015年至2017年6月期间7个街区450个家庭的家庭风险和社会经济水平。

结果

超过四分之三的家庭处于贫困状态（77.9%）。最普遍的损害是营养不良和心理健康问题。最常见的家庭风险因素是家庭暴力、婴儿未进行母乳喂养、青少年怀孕和老年。研究发现，贫困与家庭风险相关（P = 0.019，OR：1.84，95% CI：1.07 - 3.23），与损害风险相关（P < 0.001，OR：2.29；95% CI：1.32 - 3.92）。