Irma Yolanda Castillo-Ávila

Predictores de disfunción familiar en adolescentes escolarizados

OBJECT Determination of family dysfunction predictors in adolescent students of Cartagena, Colombia. METHODOLOGY A cross-sectional analytical research was conducted by means of a probabilistic sample per conglomerate of high-school students. Participation of students between 13 and 17 years was requested. Family dysfunction was identified through the family APGAR scale. Predictors were adjusted by binary logistic regression. RESULTS A total of 1,730 students agreed to participate, mean age was 14.7 years (SD=1.2), and 52.7% were girls. The family APGAR scale showed a Cronbach alpha of 0.78. A group of 896 students (51.8%) reported family dysfunction. Predictors of family dysfunction were: clinically significant depressive symptoms (OR=3.61; IC 95%: 2.31-5.63), low religiosity (OR=1.73; CI 95%: 1.41-2.13), non-nuclear family (OR=1.71, CI 95% 1.71-2.09) (OR=1.73, 95% CI 1.41-2.13), non-nuclear family (OR=1.71, 95%: CI 1.41-2.09), consumption of any illegal substance in their lives (OR=1.67, CI 95%: 1.15-2.13), residents of depressed neighborhoods (OR = 1.49; CI 95%: 1.19-1.87), and poor academic performance (OR=1.43; CI 95%: 1.15-1.76). CONCLUSIONS Clinically significant depressive symptoms, low religiosity and non-nuclear family are the main predictors of family dysfunction among adolescent students in Cartagena, Colombia. The association is possibly bidirectional.Resumen Objetivo: Establecer los predictores de disfuncion familiar en adolescentes escolarizados de Cartagena, Colombia. Metodo: Se llevo a cabo una investigacion analitica transversal, mediante un muestreo probabilistico por conglomerado de estudiantes de secundaria. Se solicito la participacion de estudiantes de entre 13 y 17 anos de edad. Se identifico disfuncion familiar con la escala APGAR Familiar. Se ajustaron los predictores mediante regresion logistica binaria. Resultados: Aceptaron participar un total de 1730 estudiantes; media para la edad de 14,7 anos (DE = 1,2) y 52,7 % mujeres. La escala APGAR mostro un alfa de Cronbach de 0,78. Un grupo de 896 estudiantes (51,8 %) informo disfuncion familiar. Fueron predictores de disfuncion familiar: sintomas depresivos con importancia clinica (OR = 3,61; IC 95 %: 2,31-5,63), baja religiosidad (OR = 1,73; IC 95 %: 1,41-2,13), familia no nuclear (OR = 1,71; IC 95 %: 1,41-2,09), consumo de alguna sustancia en la vida (OR = 1,67; IC 95 %: 1,15-2,13), residente en estrato bajo (OR = 1,49; IC95 %: 1,19-1,87) y mal rendimiento academico (OR = 1,43; IC 95 %: 1,15-1,76). Conclusiones: Sintomas depresivos con importancia clinica, baja religiosidad y familia no nuclear son los principales predictores de disfuncion familiar en estudiantes adolescentes de Cartagena, Colombia. Es posible que la asociacion sea bidireccional.

Artículos originalesPredictores de disfunción familiar en adolescentes escolarizados*Predictors of Family Dysfunction among Adolescent Students

OBJECT Determination of family dysfunction predictors in adolescent students of Cartagena, Colombia. METHODOLOGY A cross-sectional analytical research was conducted by means of a probabilistic sample per conglomerate of high-school students. Participation of students between 13 and 17 years was requested. Family dysfunction was identified through the family APGAR scale. Predictors were adjusted by binary logistic regression. RESULTS A total of 1,730 students agreed to participate, mean age was 14.7 years (SD=1.2), and 52.7% were girls. The family APGAR scale showed a Cronbach alpha of 0.78. A group of 896 students (51.8%) reported family dysfunction. Predictors of family dysfunction were: clinically significant depressive symptoms (OR=3.61; IC 95%: 2.31-5.63), low religiosity (OR=1.73; CI 95%: 1.41-2.13), non-nuclear family (OR=1.71, CI 95% 1.71-2.09) (OR=1.73, 95% CI 1.41-2.13), non-nuclear family (OR=1.71, 95%: CI 1.41-2.09), consumption of any illegal substance in their lives (OR=1.67, CI 95%: 1.15-2.13), residents of depressed neighborhoods (OR = 1.49; CI 95%: 1.19-1.87), and poor academic performance (OR=1.43; CI 95%: 1.15-1.76). CONCLUSIONS Clinically significant depressive symptoms, low religiosity and non-nuclear family are the main predictors of family dysfunction among adolescent students in Cartagena, Colombia. The association is possibly bidirectional.Resumen Objetivo: Establecer los predictores de disfuncion familiar en adolescentes escolarizados de Cartagena, Colombia. Metodo: Se llevo a cabo una investigacion analitica transversal, mediante un muestreo probabilistico por conglomerado de estudiantes de secundaria. Se solicito la participacion de estudiantes de entre 13 y 17 anos de edad. Se identifico disfuncion familiar con la escala APGAR Familiar. Se ajustaron los predictores mediante regresion logistica binaria. Resultados: Aceptaron participar un total de 1730 estudiantes; media para la edad de 14,7 anos (DE = 1,2) y 52,7 % mujeres. La escala APGAR mostro un alfa de Cronbach de 0,78. Un grupo de 896 estudiantes (51,8 %) informo disfuncion familiar. Fueron predictores de disfuncion familiar: sintomas depresivos con importancia clinica (OR = 3,61; IC 95 %: 2,31-5,63), baja religiosidad (OR = 1,73; IC 95 %: 1,41-2,13), familia no nuclear (OR = 1,71; IC 95 %: 1,41-2,09), consumo de alguna sustancia en la vida (OR = 1,67; IC 95 %: 1,15-2,13), residente en estrato bajo (OR = 1,49; IC95 %: 1,19-1,87) y mal rendimiento academico (OR = 1,43; IC 95 %: 1,15-1,76). Conclusiones: Sintomas depresivos con importancia clinica, baja religiosidad y familia no nuclear son los principales predictores de disfuncion familiar en estudiantes adolescentes de Cartagena, Colombia. Es posible que la asociacion sea bidireccional.

Efectividad de un programa educativo sobre tuberculosis infantil apoyado en Tecnologías de la Información y de la Comunicación (TIC) dirigido a madres comunitarias de Cartagena

OBJECTIVES To evaluate the effectiveness of an educational program using ICT to improve knowledge on childhood tuberculosis, in Family Women and Childhood (FAMI, for the term in Spanish) of Cartagena (Colombia). METHODS A controlled and randomize prevention trial without blinding was conducted on a sample of 50 community mothers from a location in Cartagena. The educational program combined five face meetings and support from information and communication technologies (ICT). With the control group only five education sessions were developed. RESULTS The average number of users in charge per community mother corresponds to 11 and the average number of children in charge was eight. Although in both groups the total score from the pretest to the post-test was improved (Intervention = 29.9 to 38.2, and Control = 31.9 to 36.8), this difference in the total and by modules was higher in the intervention group. Module 5 of Activities to identify suspected cases, monitor children, and care routes obtained in both groups the biggest difference in score between the pre- and post-test moments. C. CONCLUSIONS The education strategy that involved the virtual information component resulted significantly more effective to improve knowledge than the traditional education strategy.

Effectiveness of an Educational Program on Childhood Tuberculosis Supported on Information and Communication Technologies Aimed at Community Mothers from Cartagena

OBJECTIVES To evaluate the effectiveness of an educational program using ICT to improve knowledge on childhood tuberculosis, in Family Women and Childhood (FAMI, for the term in Spanish) of Cartagena (Colombia). METHODS A controlled and randomize prevention trial without blinding was conducted on a sample of 50 community mothers from a location in Cartagena. The educational program combined five face meetings and support from information and communication technologies (ICT). With the control group only five education sessions were developed. RESULTS The average number of users in charge per community mother corresponds to 11 and the average number of children in charge was eight. Although in both groups the total score from the pretest to the post-test was improved (Intervention = 29.9 to 38.2, and Control = 31.9 to 36.8), this difference in the total and by modules was higher in the intervention group. Module 5 of Activities to identify suspected cases, monitor children, and care routes obtained in both groups the biggest difference in score between the pre- and post-test moments. C. CONCLUSIONS The education strategy that involved the virtual information component resulted significantly more effective to improve knowledge than the traditional education strategy.