Health profiles of families with young children: observational study
DOI:
https://doi.org/10.29352/mill0217e.39135Keywords:
family health; family; social determinants of health; health status indicators; primary health careAbstract
Introduction: Family health, influenced by sociodemographic determinants and health status, plays a crucial role in the well-being and quality of life of its members, making it essential to understand the health profiles of families with young children for the development of effective interventions.
Objective: To characterize the health profiles of families with young children and analyze the relationship between these profiles and sociodemographic and health determinants.
Methods: A quantitative, observational, descriptive, and cross-sectional study was conducted with 474 families attending Child and Youth Health consultations. Participants were selected by convenience, and data were collected through a self-administered questionnaire. The analysis included cluster formation based on the "Total Family Functioning Ratio" and employed descriptive and inferential statistical techniques.
Results: Five clusters of families were identified, ranging from a more balanced family functioning in cluster 1 to a less balanced functioning in cluster 4, which exhibited the poorest health outcomes, including lower education levels, higher unemployment rates, and worse health perceptions.
Conclusion: The study revealed that single-parent families and those with lower educational qualifications experience poorer health outcomes. Perceived social support and family functioning are significant determinants. It is recommended to implement intervention strategies aimed at improving the well-being and health of families based on the identified profiles.
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References
Agostinho, M. & Rebelo, L. (1988). Família: do conceito aos meios de comunicação. Revista Portuguesa de Clínica Geral, 5(32), 18-21.
Amaro, F. (2001). A classificação das famílias segundo a escala de graffar. Fundação Nossa Senhora do Bom Sucesso.
Becker, N., Martins, R., Jesus, S., Chiodelli, R. & Rieber, M. (2018). Sleep health assessment: a scale validation. Psychiatry Research, 259, 51–55. https://doi.org/10.1016/j.psychres.2017.10.014.
Cancian, M. & Haskins, R. (2014). Changes in Family Composition: Implications for Income, Poverty, and Public Policy. The ANNALS of the American Academy of Political and Social Science, 654(1), 31–47. https://doi.org/10.1177/0002716214525322.
Carvalho, S., Pinto-Gouveia, J., Pimentel, P., Maia, D. & Mota-Pereira, J. (2011). Características psicométricas da versão portuguesa da Escala Multidimensional de Suporte Social Percebido (Multidimensional Scale of Perceived Social Support – MSPSS). Psychologica, 54, 331-357. https://impactum-journals.uc.pt/psychologica/article/view/1647-8606_54_13/559
Crandall, A., Weiss-Laxer, N., Broadbent, E., Holmes, E., Magnusson, B., Okano, L., Berge, J., Barnes, M., Hanson, C., Jones, B & Novilla, L. (2020). The Family Health Scale: Reliability and Validity of a Short-and Long-Form. Frontiers in public health, 8, 587125. https://doi.org/10.3389/fpubh.2020.587125.
Demidenko, J., Routasalo, P., Helminen, M., Paavilainen, E., & Suominen, T. (2018). Family functioning evaluated by family members of older patients and nurses in emergency departments. Scandinavian journal of caring sciences, 32(3), 1064–1073. https://doi.org/10.1111/scs.12552
Feinberg, M., Hotez, E., Roy, K., Ledford, C., Lewin, A., Perez-Brena, N., Childress, S. & Berge, J. (2022). Family Health Development: A Theoretical Framework. Pediatrics, 149 (Supplement 5). https://doi.org/10.1542/peds.2021-053509I.
Guimarães, T. & Cafieiro, M. (2018). As novas configurações familiares sob o olhar dos filhos destes sistemas. Revista Brasileira de Ciências da Vida, 6(2), 1-19. https://abrir.link/QVTYM
Graffar, M. (1956). Une Méthode de Classification Sociale D'echantillons de Population. Courrier, VI (8), 5.
Institute of Medicine (US). (1997). Improving Health in the Community: A Role for Performance Monitoring. National Academies Press (US); 1997. https://www.ncbi.nlm.nih.gov/books/NBK233011/
Kaakinen, J. (2018). Family health Care Nursing: Theory, Practice, and Research (6th ed). F.A. Davis Company.
Kaakinen, J. & Hanson, S. (2015). Family health care nursing: An introduction. In J. Kaakinen, p. Coehlo, R. Steele, A. Tabacco, & S. Hanson (Eds.), Family health care nursing: theory, practice and research (5th ed., pp.33-32). F.A. Davis Company.
Lima-Rodríguez, J., Domínguez-Sánchez, I., & Lima-Serrano, M. (2022). Family and Social Variables Associated with Family Health. Western Journal of Nursing Research, 44(10):920-931. https://doi.org/10.1177/01939459211026384.
Lindemann, I. L., Reis, N. R., Mintem, G. C., & Mendoza-Sassi, R. A. (2019). Autopercepção da saúde entre adultos e idosos usuários da Atenção Básica de Saúde. Ciência & Saúde Coletiva, 24(1), 45–52. https://doi.org/10.1590/1413- 81232018241.34932016
Macedo, M. (2017). A influência da escolaridade e etnia parental na saúde das crianças e adolescentes. [Dissertação de Mestrado, Universidade Nova de Lisboa]. http://hdl.handle.net/10362/31039.
Monteiro, M. A., & Peixoto, J. P. (2020). A influência da educação na saúde: da antiga à nova geração. EduSer, 11(2), 77–91. https://doi.org/10.34620/eduser.v11i2.126.
Naing, L., Winn, T. B. N. R., & Rusli, B. N. (2006). Practical issues in calculating the sample size for prevalence studies. Archives of orofacial Sciences, 1, 9-14. https://aos.usm.my/docs/Vol_1/09_14_ayub.pdf
OCDE & Observatório Europeu dos Sistemas e Políticas de Saúde (2021). Portugal: Perfil de Saúde do País 2021, Estado da Saúde na EU. OCDE & Observatório Europeu dos Sistemas e Políticas de Saúde. https://health.ec.europa.eu/system/files/2021-12/2021_chp_pt_portuguese.pdf
Olson, D. & Gorall, D. (2003). Circumplex Model of Marital and Family Systems. In F. Walsh, F. (Ed.) Normal Family Processes (3a ed., 514-547). Guilford.
Palimaru, A., Dong, L., Brown, R., D'Amico, E., Dickerson, D., Johnson, C. & Troxel, W. (2022). Mental health, family functioning, and sleep in cultural context among American Indian/Alaska Native urban youth: A mixed methods analysis. Social Science & Medicine, 292, 114582. https://doi.org/10.1016/j.socscimed.2021.114582.
Sequeira, J., Cerveira, C., Silva, M., Neves, S., Vicente, H., Espiríto-Santo, H. & Guadalupe, S. (2015). Validation of FACES IV for the Portuguese Population. Instituto Superior Miguel Torga – Escola Superior de Altos Estudos: Departamento de Investigação e Desenvolvimento. https://repositorio.ismt.pt/server/api/core/bitstreams/95182472-6f79-484b-a99f-c3925171dc00/content
Smilkstein, G. (1978). The Family APGAR: A proposal for family function test and its use by physicians. The Journal of Family Practice, 6(6), 1231–1239. https://abrir.link/ssfiW
Ribeiro, J. (2001). Mental Health Inventory: um estudo de adaptação à população portuguesa. Psicologia, Saúde & Doenças, 2(1), 77-99. http://hdl.handle.net/10400.12/1039
Weiss-Laxer, N., Crandall, A., Okano, L. & Riley, A. (2020). Building a Foundation for Family Health Measurement in National Surveys: A Modified Delphi Expert Process. Maternal and child health journal, 24(3), 259–266. https://doi.org/10.1007/s10995-019-02870-w
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