2010, Number 4
Perinatol Reprod Hum 2010; 24 (4)
Riesgo familiar total en gestantes del Instituto Nacional de Perinatología Isidro Espinosa de los Reyes
Mendoza-Flores ME, Amaya-Rey P, García-Méndez G, Nava-Benítez AA, Sánchez-Piña S, Hurtado-Ponce R, Toribio-Hernández AJ, Sánchez-Reyes A
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ABSTRACTIntroduction: Total family risk (RFT) is the global sum of the adverse probabilities of consequences or individual or familiar facts (disease, disorganization or dysfunction), due to the presence of practical biological-demographic, environmental, socio-economic, psycho-affective characteristics of health and services of health.
Objective: Describe total family risk in a group of pregnant women at Instituto Nacional de Perinatología Isidro Espinosa de los Reyes (INPer) in Mexico City.
Material and methods: It is a descriptive, cross-sectional and quantitative study. The RFT Mx-33 was the instrument of total familiar risk used, elaborated and validated in families of low-middle income socioeconomic level, whose author is Amaya de Peña (1992-2007).
Results:There were 498 families interview; with family history of diabetes in the 70%, 54% with hypertension and 33% with alcoholism problems. 51% were families that use the primary care health centers and/or private medicine. With three dimensions of familiar risk of threat: 1) The detection of healthful practices (92.2%), 2) Cleaning and security of the familiar surroundings (89.4%), and 3) intrafamily violence (88.1%). As far as the global sum of the RFT was a 11% with low risk, 78% threatened families and 11% of high risk. There were statistical differences (p ‹ 0.001) in the risk of threat between the nuclear ones (60%), in opposition to the extensive families (50%).
Conclusions:The measurement of the risk, showed elements ofsocial development that influence in the condition of familiar risk; therefore, the models of intervention in family will have within the framework to consider the inter-sectoral and interdisciplinary participation of the promotion of health and the social development.