Determinants Of Adherence To Dental Treatment Of Socially Vulnerable Adolescents In Primary Health Care: A Cohort Study

2020 ◽  
Author(s):  
Jaqueline Vilela Bulgareli ◽  
Karine Laura Cortellazzi Cortellazzi ◽  
Luciane Miranda Guerra ◽  
Gláucia Maria Bovi Ambrosano ◽  
Armando Koichiro Kaieda ◽  
...  
Keyword(s):  
Family Cohesion ◽  
Family Income ◽  
Dental Treatment ◽  
Family Health ◽  
Service Planning ◽  
High Rate ◽  
Adherence To Treatment ◽  
Health Service Planning ◽  
The Family ◽  
Number Of Individuals

Abstract Background: Different studies with adolescents address the difficulty they have to adhere to oral dental treatments. Therefore, better understanding the processes involved in adherence to treatment in this population is necessary. The aim of this study was to investigate the factors that influence adherence to dental treatment in socially underprivileged adolescents in primary care. Methods: A longitudinal analytical study was conducted in Piracicaba, São Paulo, Brazil, between 2014 and 2015. The sample consisted of 1179 adolescents examined in family health units; of these, 474 were referred to treatment (40.2%) and 325 (68.6%) were reevaluated after 18 months. Adherence to dental treatment was the dependent variable. Independent variables were: individual (clinical, sociodemographic, access to the service, reporting pain, oral impacts on daily performance, family cohesion) and contextual (percentage of families in the neighborhood with income of 0.5 to 1 minimum wage). Results: Non-adherence to treatment showed high rate in the studied sample (49.5%). Family income (p=0.039) and number of individuals in the family (p=0.003) were associated with non-adherence to dental treatment. Conclusions: It is concluded that the adolescents’ social vulnerability condition resulted in situations that are incompatible with adherence, which hinders dental treatment and health service planning.

scholarly journals Determinants of adherence to dental treatment of socially vulnerable adolescents: a cohort study

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Jaqueline Vilela Bulgareli ◽  
Karine Laura Cortellazzi ◽  
Luciane Miranda Guerra ◽  
Gláucia Maria Bovi Ambrosano ◽  
Armando Koichiro Kaieda ◽  
...  
Keyword(s):  
Primary Care ◽  
Social Vulnerability ◽  
Family Income ◽  
Dental Treatment ◽  
Service Planning ◽  
High Rate ◽  
Adherence To Treatment ◽  
Health Service Planning ◽  
The Family ◽  
Number Of Individuals

Abstract Objective Different studies with adolescents address the difficulty they have to adhere to oral dental treatments. Therefore, better understanding the processes involved in adherence to treatment in this population is necessary. The aim of this study was to investigate the factors that influence adherence to dental treatment in socially underprivileged adolescents in primary care. Results Non-adherence to treatment showed high rate in the studied sample (49.5%). Family income (p = 0.039) and number of individuals in the family (p = 0.003) were associated with non-adherence to dental treatment. It is concluded that the adolescents’ social vulnerability condition resulted in situations that are incompatible with adherence, which hinders dental treatment and health service planning.

scholarly journals Determinants of Adherence to Dental Treatment of Adolescents in Social Vulnerability in Primary Care

2020 ◽  
Author(s):  
Jaqueline Vilela Bulgareli ◽  
Karine Laura Cortellazzi Cortellazzi ◽  
Luciane Miranda Guerra ◽  
Gláucia Maria Bovi Ambrosano ◽  
Armando Koichiro Kaieda ◽  
...  
Keyword(s):  
Primary Care ◽  
Social Vulnerability ◽  
Family Cohesion ◽  
Family Income ◽  
Dental Treatment ◽  
Family Health ◽  
Action Planning ◽  
Adherence Rate ◽  
Household Crowding ◽  
Oral Impacts

Abstract Background Different studies with adolescents refers to the difficulty they have to adhere to oral dental treatments. Therefore, better understanding the processes involved in adherence to treatment in this population is necessary. The aim of this study was to investigate the factors that influence adherence to dental treatment in social underprivileged adolescents in primary care.Methods A longitudinal analytical study was conducted in Piracicaba, São Paulo, Brazil, between 2014 and 2015.The sample consisted of 1179 adolescents whom were examined in family health units, these 474 were referred for treatment (40,2%) and these 325 (68,6%) teenagers were reevaluated after 18 months. Adherence to dental treatment was the dependent variable. Independent variables were: individual (clinical, socio demographic, access to the service, reporting pain, oral impacts on daily perfomance, family cohesion) and the contextual (percentage of families in the neighborhood with income of 0.5 to 1 minimum wage).Results Non-adherence rate to treatment was high in the studied sample (49.5%).Family income (p = 0.039) and household crowding (p = 0.003) were associated with non-adherence to dental treatment.Conclusions It is concluded that the condition of social vulnerability of adolescents resulted in competing situations with adherence, a fact that makes it difficult dental treatment and action planning health services.

scholarly journals Experiencing and overcoming financial stress in married couples: A study in COVID 19 pandemic era

2021 ◽  
Vol 10 (42) ◽  
pp. 124-140
Author(s):  
Iryna P. Yakymchuk ◽  
Serhii M. Olkhovetskyi ◽  
Ilona V. Rashkovska ◽  
Halyna M. Bevz ◽  
Maryna O. Martseniuk
Keyword(s):  
Online Survey ◽  
Family Cohesion ◽  
Family Income ◽  
Family System ◽  
Coping Behavior ◽  
Financial Stress ◽  
Married Couples ◽  
Well Being ◽  
Family Coping ◽  
The Family

The article analyzes interaction of spouses in overcoming financial stress. An online survey of 136 married couples was conducted during the lockdown caused by the spread of COVID-19 accompanied by family income losses. Frequency and severity of discussions on financial topics; level of subjective economic well-being, activity of coping strategies, family cohesion and adaptation were measured. Results showed that the discussion of financial topics is a stressor for married couples, accompanied by contradictions and conflicts, but ultimately helps to improve quality of relations between spouses, and also increases the adaptability of the family system in a situation of socio-economic crisis. Subjects of conflicts were defined. Influence of gender roles on financial consciousness and behavior was shown. Wives are more likely to initiate discussions on economic topics and more inclined to economic anxiety, while husbands showed economic optimism. The severity of financial stress correlates with assessments of family cohesion. Correlations between financial well-being and coping behavior of husbands and wives represent the family as an entire open system. Partners are interdependent in overcoming financial stress. Collective family coping is determined by individual reactions of spouses. The efforts of partners can be congruent and complementary.

scholarly journals Comparison of satisfaction with happiness in families with children between the Czech ‒ Latvian people

2018 ◽  
Vol 40 ◽  
pp. 03005 ◽  
Author(s):  
L. Stasova ◽  
L. Vilka
Keyword(s):  
Family Cohesion ◽  
Satisfaction With Life ◽  
High Rate ◽  
Significant Similarity ◽  
Reciprocal Influence ◽  
The Family ◽  
Healthy Family ◽  
Mixed Approach ◽  
Families With Children ◽  
Happy Family

It is an assumed opinion that the family is the main unit of society. The society and the family are in reciprocal influence: the healthier the families are, the healthierthe society and vice versa. Subjective wellbeing and satisfaction with life are important factors in family stability. Feeling of happiness and the image of a happy family in contemporary Czech and Latvian society are the focus of the research. In the research the data from an international survey on the lifestyle of contemporary families that have been collected during 2013 – 2014 in the Czech Republic and Latvia were used. A self-administered questionnaire data were collected in both countries as well. A mixed approach with emphasis on the quantitative approach to research was used in data analysis. The results showed a significant similarity, although the ‘feeling of happiness’ differed and varied in each specific family. So it was possible to use the same categories of „a happy family“ that had been found in both samples of data (Czech and Latvian)material, and they were: financial prosperity, good relationships and success in the family, cohesion within the family, doing things and spending leisure time together and a healthy family.The research results allow us to conclude that the family has a high value in people’s minds despite the rapid changes in the family structure and de facto high rate of divorce in both countries.

scholarly journals Family characteristics on self-reported toothache among Indonesian children aged 12–14 years

2018 ◽  
Vol 5 (3) ◽  
pp. 235-239
Author(s):  
Elyda Akhya Afida Misrohmasari ◽  
Hestieyonini Hadnyanawati ◽  
Berlian Prihartiningrum ◽  
Dina Eka Putri ◽  
Keyword(s):  
Logistic Regression ◽  
Oral Health ◽  
Parental Education ◽  
Family Income ◽  
Dental Treatment ◽  
Descriptive Statistics ◽  
Family Characteristics ◽  
Permanent Teeth ◽  
Number Of Children ◽  
The Family

Abstract Objective Toothache was reported as a reason for school absenteeism, sleeping difficulties, loss of appetite, and seeking dental treatment among children. These represented some impacts of dental problems on health, quality of life, and socioeconomic problems. The aims of this study were to describe the prevalence of toothache among 12–14-year-old children in Indonesia and their family characteristics and to analyze the associations of family characteristics on the toothache. Methods We analyzed the data from the Indonesian Family Life Survey 5 in 2014–2015. A total of 2,377 children aged 12–14 years were included in this survey. This age is the early stage of eruption of all permanent teeth. Children were asked about their experience on toothache in the last 4 weeks as a dependent variable. The independent variables were the family socioeconomic characteristics including father's and mother's highest educational level, family income, and the number of children in the family. A logistic regression was applied to analyze the relationship of family characteristics with toothache experience of children. Results Toothache experience was reported from 13.9% of the respondents. Descriptive statistics showed that higher percentages of toothache were experienced by male children and children from family with lower parental education and economic position as well as from bigger family. However, logistic regression showed that only the number of children in the family had a statistically positive association with self-reported toothache of the children. Children living in the family with more than four children were more likely reported toothache than living in the family with one or two children (P=0.012; odds ratio [OR]=1.53). Children living with more siblings may experience less attention from their parents on oral health hygiene. Poor oral health habits could result in dental pain. Conclusions Descriptive statistics showed that a higher percentage of toothache was experienced by children from lower socioeconomic families, although the only significant association was the number of children in the family.

scholarly journals Dificuldades enfrentadas pelo portador de hipertensão arterial sistêmica à adesão ado tratamento na Estratégia Saúde da Família

2017 ◽  
Vol 7 (1) ◽  
pp. 23
Author(s):  
Thays Jorgeana Alexandre e Silva ◽  
Elvira Uchoa dos Anjos ◽  
Symara Abrantes Albuquerque de Oliveira Cabral ◽  
Carla Heloisa De Alencar Figueiredo
Keyword(s):  
Health Care ◽  
Arterial Hypertension ◽  
Family Health ◽  
Adherence To Treatment ◽  
Hypertensive Patients ◽  
Systemic Arterial Hypertension ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Lack Of Knowledge

<p>A hipertensão arterial sistêmica (HAS) é considerada um grave problema de saúde pública no Brasil e no Mundo. Sendo considerada um dos maiores fatores de risco para o surgimento de doenças cardiovasculares, renais e cerebrovasculares dentre outras. A terapia anti-hipertensiva é extremamente eficaz em reduzir a pressão arterial. Contudo, o percentual de pacientes que alcançam os alvos terapêuticos é baixo. A não adesão ao tratamento é um dos mais importantes problemas enfrentados, neste sentido, objetivou-se identificar as dificuldades enfrentadas pelo portador de hipertensão arterial sistêmica a adesão do tratamento na Estratégia Saúde da Família (ESF), esta responsável pela Atenção Primária à Saúde, seno ainda o centro das redes de atenção à saúde. Trata-se de um estudo exploratório, descritivo com abordagem quantitativa com a população de 4.772 hipertensos cadastrados no programa HiperDia na secretaria de saúde do município de Cajazeiras, a amostra foi composta de 100 hipertensos. Os resultados demostraram prevalência do sexo feminino (65%), a média de idade ficou entre 59 anos (35%). Quanto aos principais motivos que impedem a adesão ao tratamento 89% referiram falta de conhecimento. Antecedentes familiares o predomínio foi entre irmãos 66%. Existe um déficit de adesão ao tratamento, especialmente por usuárias do sexo feminino, que relatam falta de conhecimento, revelando a necessidade de melhores estratégias de atuação no tocante à educação em saúde.</p><p align="center"><strong><em>Difficulties faced by patients with systemic arterial hypertension and adherence to treatment in the Family Health Strategy</em></strong></p><p align="center"><strong><em> </em></strong></p><p><strong>Abstract</strong><strong>: </strong>Systemic arterial hypertension (SAH) is considered a serious public health problem in Brazil and in the World. It is considered one of the major risk factors for cardiovascular, renal and cerebrovascular diseases, among others. Antihypertensive therapy is extremely effective in lowering blood pressure. However, the percentage of patients reaching therapeutic targets is low. Non-adherence to treatment is one of the most important problems faced. In this sense, the objective was to identify the difficulties faced by patients with systemic arterial hypertension, adherence to treatment in the Family Health Strategy (ESF), which is responsible for Primary Health Care, The center of health care networks. This is an exploratory, descriptive study with a quantitative approach with the population of 4,772 hypertensive patients enrolled in the HiperDia program at the department of health of the municipality of Cajazeiras, the sample was composed of 100 hypertensive patients. The results showed female prevalence (65%), mean age was 59 years (35%). Regarding the main reasons that prevent adherence to treatment, 89% reported lack of knowledge. Family history The predominance was between siblings 66%. The data show that there is a deficit of adherence to treatment, especially by female users, who report a lack of knowledge, revealing the need for better strategies in health education.</p>

The Hampstead Schizophrenia Survey 1991

1997 ◽  
Vol 170 (4) ◽  
pp. 301-306 ◽  
Author(s):  
Siobhan E. Jeffreys ◽  
Carol A. Harvey ◽  
Alan S. McNaught ◽  
Anthony S. Quayle ◽  
Michael B. King ◽  
...  
Keyword(s):  
Service Planning ◽  
Point Prevalence ◽  
High Rate ◽  
Occupational Activity ◽  
Medication Usage ◽  
Point Prevalence Study ◽  
Specialist Services ◽  
Key Informant ◽  
Number Of Individuals ◽  
Higher Doses

BackgroundA point prevalence study al schizophrenia was carried out in 1986 in the former Hampstead Health District using a key informant method to identify cases. The point prevalence al broadly defined schizophrenia was 4.7 per 1000.MethodA repeat census al people with schizophrenia, using the same method, was carried out in 1991 and the point prevalence calculated. The accuracy al the census method was estimated. Contact with services, social and occupational activity, and medication usage in the 1986 and 1991 samples were compared.ResultsThe point prevalence rate al broadly defined schizophrenia in 1991 was 5.1 per 1000. The results al both censuses showed we underestimated the number of individuals with DSM-III-R positive schizophrenia by about 14%. The level of contact with specialist services was greater in 1991 than 1986. Patients in 1991 were discharged on higher doses of medication, and their most recent admission was more likely to be due to non-compliance, than the 1986 group.ConclusionThe point prevalence confirmed the high rate reported in 1986. The accuracy of the census was within acceptable limits for service planning. Contact with specialist services increased between 1986 and 1991.

scholarly journals The Oral Health Team in the Family Health Strategy: Trajectories and Challenges

2018 ◽  
Vol 11 (1) ◽  
pp. 438-450
Author(s):  
Renata Maria Colodette ◽  
Tiago Ricardo Moreira ◽  
Andréia Patrícia Gomes ◽  
Rodrigo Siqueira-Batista
Keyword(s):  
Oral Health ◽  
Dental Treatment ◽  
Family Health ◽  
Review Literature ◽  
Successful Implementation ◽  
Electronic Consultation ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Healthcare Model

Objectives: The objective of this study was to review literature focused on the introduction of Brazilian oral healthcare service models, incorporation of Oral Health Teams (OHTs) within the Family Health Strategy (FHS), changes occurring in the work process of the professionals that make up OHTs, difficulties for successful implementation of this new healthcare model and impacts on indicators of oral health. Methods: A review of the literature was conducted through an electronic consultation of the Pubmed and Virtual Health Library (VHL) databases published between 2001 and 2016, using a combination of descriptors. We selected 44 studies for review. Results: Oral healthcare in Brazil evolved from exclusionary and curative models to those aimed at prevention and promotion of health. The increase in government resources dedicated to oral healthcare in Brazil represented an improvement in access to dental treatment, however, some studies demonstrated that OHTs within the FHS still operate by the traditional curative models. Conclusion: Lack of proper planning for hiring OHTs and precariousness of their work contracts were also reported. The need for better managerial planning for implementation of OHTs within the scope of the FHS was demonstrated.

scholarly journals The Relative Contribution of Some Family Factors in the Prediction of Social Competence among University Students

2014 ◽  
Vol 8 (3) ◽  
pp. 491
Author(s):  
Abdul-Kareem M. Jaradat ◽  
Muawia M. Abu Ghazal ◽  
Fawwaz A. Momani
Keyword(s):  
Social Competence ◽  
Family Cohesion ◽  
Family Income ◽  
Family Factors ◽  
Stepwise Multiple Regression ◽  
Regression Analyses ◽  
Relative Contribution ◽  
The Family ◽  
Competence Scale ◽  
The University

This study aimed to explore the family factors predicting perceived social competence. The sample of the study consisted of 703 undergraduates randomly selected from the University of Jordan. To achieve the objectives of the study two scales were used, one for measuring family cohesion and the other for measuring perceived social competence. The findings of the study indicated that females scored significantly higher than males on the perceived social competence scale. Stepwise multiple regression analyses showed that while family cohesion was the only significant predictor of perceived social competence among males, there were three significant predictors of perceived social competence among females. These are: family cohesion, family size and family income, respectively. 

A Study in Family Health: (2) a Comparison of the Health of Fathers, Mothers and Children

1965 ◽  
Vol 111 (475) ◽  
pp. 467-471 ◽  
Author(s):  
E. H. Hare ◽  
G. K. Shaw
Keyword(s):  
Mental Health ◽  
Health Service ◽  
Physical Health ◽  
Family Health ◽  
Poor Mental Health ◽  
High Rate ◽  
Sample Population ◽  
Parents And Children ◽  
The Family ◽  
Mothers And Children

This paper deals with information obtained from nearly five hundred families in which at least one parent was living with one or more children aged 15 or under. It examines the association between the health of fathers and mothers, and also between that of parents and children. Elsewhere (Hare and Shaw, 1965a) we showed that, in the sample population from which these families came, there was a strong tendency for persons with poor mental health to have poor physical health as well.∗ We took this to support the view that in any population there tends to be a group of persons, comprising some 10 to 15 per cent, of the whole, who are particularly prone to ill-health of all kinds and who make a correspondingly high call on the facilities of the health service. One of the objects of the present study was to try and determine if there were families, as well as persons, prone to ill-health—in other words, whether a high rate of ill-health in (say) fathers was associated with high rates in other members of the family.

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