Influence of social determinants of health in family-effectiveness

Autores/as

DOI:

https://doi.org/10.15649/cuidarte.2805

Palabras clave:

Family nursing, Nursing Evaluation, Self-efficacy

Resumen

Highlights:

To Know how the social determinants of health influence family health supported by the systemic organization, can contribute to the assessment and nursing intervention, and promote the improvement of the health of families.

The social determinants of health that influenced the level of family-effectiveness, was, education, fixed income, the number of family relatives and the number of occupations (Work/sorce of income).

The more occupations as the main source of income, the lower the family effectiveness. Since families, with children, dedicate many hours to work, they have less time available for family relationships.

The effectiveness of family functioning was lower in families with low education, without a fixed income, with a greater number work and/or retirement, and the presence of relatives.

Introduction: The Social Determinants of Health are defined by the living conditions of the population, how they are born, grow, live, work and age, and are considered as the main responsible for the health of populations. Objective: To evaluate the influence of social determinants of health on effectiveness of family functioning. Materials and Methods: A quantitative study was carried out with 200 participants between 2017 and 2018. To assess the correlation between proximal, intermediate and distal social determinants of health and the level of effectiveness of family functioning, home visits were made to 100 families who responded the Assessment of strategies in Family Effectiveness instrument and a sociodemographic questionnaire. Data were analyzed by simple frequency, Spearman’s correlation coefficient (ρ) (p <0.05), and subjected to descriptive analysis from the perspective of systemic organization. Results: The social determinants that showed a positive correlation coefficient with the level of effectiveness of family functioning were the years of study and the fixed family income. There was a negative correlation with the main source of income (number of occupations) or source of income and the presence of other members or relatives in the family. Discussion: Investments in education can improve the family's ability to organize, solve or prevent adverse events, increase income and provide more time for family relationships and the achievement of congruence, as evidenced by other authors. Conclusions: The proximal and intermediate social determinants of health influenced the level of effectiveness of family functioning.

How to cite this article: Lise Fernanda, Schwartz Eda, De Lima Spagnolo Lilian Moura, Stacciarini Jeanne-Marie. Influence of social determinants of health in family-effectiveness. Revista Cuidarte. 2023;14(1): e2805. http://dx.doi.org/10.15649/cuidarte.2805

Biografía del autor/a

Fernanda Lise, Universidade Federal de Pelotas

Universidade Federal de Pelotas, Pelotas, Brazil. 

Eda Schwartz, Universidade Federal de Pelotas

Universidade Federal de Pelotas, Pelotas, Brazil. 

Lílian Moura De Lima Spagnolo, Universidade Federal de Pelotas

Universidade Federal de Pelotas, Pelotas, Brazil. 

Jeanne-Marie Stacciarini, University of Florida

University of Florida, Gainesville, United States. 

Referencias

World Health Organization. What are social determinants of health?. WHO. 2017. http://www.who.int/social_determinants/sdh_definition/en/

Centers for Disease Control and Prevention. NCHHSTP social determinants of health.CDC. 2014. https://www.cdc.gov/nchhstp/socialdeterminants/faq.html

Organização Mundial de Saúde. CID-10, tradução do Centro Colaborador da OMS para a Classificação de Doenças em Português. Rev - São Paulo: EDUSP. 2003; 9. https://apps.who.int/iris/bitstream/handle/10665/42407/9788531407840_por.pdf?sequence=111

Friedemann ML. An instrument to evaluate effectiveness in family functioning. West J Nurs Res. 1991; 13(2):220-41. https://doi.org/10.1177/019394599101300205

Friedemann ML. The framework of systemic organization: a conceptual approach to families and nursing. Thousand Oaks: SAGE Publications. 1995. https://us.sagepub.com/en-us/nam/the-framework-of-systemic-organization/book5259

Zavala-Rodríguez MDR, Ríos-Guerra MDC, García-Madrid G, Rodríguez-Hernández CP. Family functionality and anxiety in adult patients with chronic disease. Aquichan. 2009; 9(3): 257-70. http://www.scielo.org.co/pdf/aqui/v9n3/v9n3a06.pdf

Osorno-Navarro MM. Functionality of families of community mothers at child welfare homes in Sincelejo, Colombia. Curare. Semantic Scholar. 2014; 1(1):27-33. https://pdfs.semanticscholar.org/f029/bece112988c6368d1304cd8fcecdc35c5546.pdf

Perdomo Romero AY, Ramirez Perdomo CA, Galán González EF. Asociación de la funcionalidad familiar entre padres e hijos adolescentes en Neiva. Av Enferm. 2015; 33(1):94-103. http://www.scielo.org.co/pdf/aven/v33n1/v33n1a11.pdf

Zenteno-López MA, García-Madrid G, Marín-Chagoya MA, Marcela-Flores M. Family functioning, therapeutic treatment adherence and glycemic control vs aging adults with type 2 diabetes. J Multidisc Sci. 2015; 2(4):207-17. https://www.researchgate.net/publication/299391403_Family_Functioning_Therapeutic_Treatment_adherence_and_glycemic_control_vs_Aging_Adults_with_Type_2_Diabetes

Rey Anacona CA, Bolivar Suárez Y, Marínez Gómez JA. Family functionality, number of relationships and dating violence in high school students. Psicol Caribe. 2017; 34(1):91-100. http://www.scielo.org.co/pdf/psdc/v34n1/2011-7485-psdc-34-01-00091.pdf

Lise F, Schwartz E, Friedemann ML, Stacciarini JM. Validity and reliability of the brazilian version of the instrument the Assessment Strategies In Families-Effectiveness (ASF-E). Texto & Contexto - Enfermagem. 2022; 31: e20200555. https://doi.org/10.1590/1980-265X-TCE-2020-0555

Hair JF, Black WC, Babin BJ, Anderson RE, Tatham RL. Análise multivariada de dados. Porto Alegre: Bookman. 2009; 6.ed. 688p.

Dahlgren G, Whitehead M. Policies and strategies to promote social equity in health. Stockholm: Institute for future studies. 2007. https://core.ac.uk/download/pdf/6472456.pdf

Hulley SB, Cummings SR, Browner WS, Grady D, Hearst N, Newman TB. Outlining clinical research: an epidemiological approach. 2ª ed. Porto Alegre: Artmed. 2003.

Lise, F. Base de dados da tese Adaptação transcultural e validação do instrumento The Assessment of Strategies in Family Effectiveness ASF-E para uso com famílias brasileiras. Mendeley Data, V1. 2023. https://doi.org/10.17632/j2wn2kx464.1

BRASIL. Conselho Nacional de Saúde (Brasil). Resolução no 466, de 12 de dezembro de 2012. Brasília. CNS. 2012. http://www.conselho.saude.gov.br/resolucoes/reso_12.htm

Lima GS, Neto AC, Lima MS, Tanure B, Versiani F. O teto de vidro das executivas brasileiras. Revista Pretexto. 2018; 14(4), 65-80. http://revista.fumec.br/index.php/pretexto/article/view/1922

Organizacão das Nacões Unidas. Igualdade de gênero é essencial para cultura de paz e cidadania no Brasil. Instituto Igarapé. 2018 https://nacoesunidas.org/igualdade-de-genero-e-essencial-para-cultura-de-paz-e-cidadania-no-brasil-diz-onu-mulheres/

Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisa Nacional por Amostra de Domicílios Contínua PNAD Contínua. Mercado de trabalho brasileiro. 2018. https://agenciadenoticias.ibge.gov.br/media/com_mediaibge/arquivos/81c9b2749a7b8e5b67f9a7361f839a3d.pdf

Prado D. O que é família. São Paulo: Brasiliense, 2017. Coleção Primeiros Passos.

Regula o direito dos companheiros a alimentos e à sucessão.Lei no 8.971, de 29 de dezembro de 1994.Presidência da República Casa Civil. http://www.planalto.gov.br/ccivil_03/leis/l8971.htm

Regula o direito dos companheiros a alimentos e à sucessão.Lei no 9.278, de 10 de maio de 1996. Presidência da República Casa Civil. http://www.planalto.gov.br/ccivil_03/leis/l9278.htm

Código Civil brasileiro. Lei nº 10.406, de 10 de janeiro de 2002. Presidência da República Casa Civil. http://www.planalto.gov.br/ccivil_03/leis/2002/l10406compilada.htm

Weishaupt Proni TTR, Weishaupt Proni M. “Discriminação de gênero em grandes empresas no Brasil”. Revistas Estudos Feministas. 2018; 26(1). https://periodicos.ufsc.br/index.php/ref/article/view/41780

Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisa Nacional por Amostra de Domicílios Contínua. PNAD Contínua Educação. 2017. https://biblioteca.ibge.gov.br/visualizacao/livros/liv101576_informativo.pdf

Instituto Brasileiro de Geografia e Estatística (IBGE). As novas caras das famílias. Revista de retratos. 2019. https://agenciadenoticias.ibge.gov.br/agencia-noticias/2012-agencia-de-noticias/noticias/19061-as-novas-caras-das-familias

Tseng WS, Hsu J. Culture and Family: Problems and Therapy (1st ed.). Routledge. 1991. https://doi.org/10.4324/9781315642666

FENATIBREF. Política de valorização garante salário-mínimo de R$ 937 em 2017. https://fenatibref.org.br/posts/politica-de-valorizacao-garante-salario-minimo-de-r-937-em-2017

Reis LA, Gomes NP, Reis LA, de Oliva Menezes TM, Couto TM, Aguiar ACDSA, Abreu MDSN. Relação familiar da pessoa idosa com comprometimento da capacidade funcional. Aquichan. 2015;15(3), 393-402. http://www.scielo.org.co/pdf/aqui/v15n3/v15n3a07.pdf

Kaur H, Kaur H, Venkateashan M. Factors determining family support and quality of life of elderly population. Int J Med Sci Public Health. 2015; 4(8): 1049. https://www.ejmanager.com/mnstemps/67/67-1421835325.pdf

Internacional de Enfermagem Familiar. Position Statement on Advanced Practice Competencies for Family Nursing. IFNA. 2017. https://internationalfamilynursing.org/wordpress/wp-content/uploads/2017/05/APC-Print-friendly-PDF-document-in-color-no-photos-English-language.pdf

Publicado

2023-03-02

Cómo citar

1.
Lise F, Schwartz E, Spagnolo LMDL, Stacciarini J-M. Influence of social determinants of health in family-effectiveness. Revista Cuidarte [Internet]. 2 de marzo de 2023 [citado 18 de junio de 2024];14(1). Disponible en: https://revistas.udes.edu.co/cuidarte/article/view/2805

Número

Sección

Artículos de Investigación

Categorías

Altmetrics

Descargas

Los datos de descargas todavía no están disponibles.

Artículos más leídos del mismo autor/a