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Title: Factores determinantes de la salud asociados a dos episodios de anemia en niños menores de 36 meses
Advisor(s): Huamán Saavedra, Juan Jorge
OCDE field: https://purl.org/pe-repo/ocde/ford#3.03.09
Issue Date: 2024
Institution: Universidad Nacional de Trujillo
Abstract: La anemia un problema de salud pública, en la provincia Sánchez Carrión los niños menores de 3 años tiene una recidiva del 10%. Objetivo: Establecer los determinantes de salud para dos episodios de anemia frente a uno en niños menores de 36 meses, provincia Sánchez Carrión. Materiales y métodos: Estudio de casos y controles. Se aplicó cuestionario validado con “alfa de Cronbach” y juicio de expertos, referente a determinantes de salud: estilos de vida, medio ambiente, servicios de salud, biología humana; participaron 189 madres de niños menores de 36 meses, 63 con anemia más de una vez (casos) y 126 con un solo episodio (controles) de la provincia Sánchez Carrión, La Libertad. Resultados: Determinante Estilos de Vida, inadecuado historial alimenticio 52% (p=0.000, OR 3.52), hábitos de higiene 63% (p=0.000, OR 7.03), conductas violentas 57% (p=0.000, OR 4.09). Medio ambiente, inadecuado calidad de agua para consumo 49% (p=0.001, OR 2.97), características de la vivienda 52% (p=0.000, OR 3.68), hacinamiento 73% (p=0.000, OR 3.38), sociocultural 35% (p=0.017, OR 2.28). Servicios de Salud, mala calidad de atención 51% (p=0.001, OR 2.79), no disponibilidad de sulfato ferroso 40% (p=0.000, OR 3.95), no accesibilidad 29% (p=0.004, OR 2.96), costes de sulfato ferroso 54% (p=0.000, OR 8.06), rechazo al sulfato ferroso 70% (p=0.004, OR 7.75), vacunas incompletas 35%(p=0.000, OR 4.29). Biología Humana, anemia materna 76% (p=0.000, OR 3.20), bajo peso al nacer 27%(p=0.000, OR 4.29), lactancia materna no exclusiva 54%(p=0.000, OR 8.06), enfermedades prevalentes de la infancia 63%(p=0.004, OR 2.48). Conclusiones: La anemia con dos episodios en niños menores de 36 meses tienen como determinantes: estilos de vida, medio ambiente; servicios de salud y biología humana.

Anemia is a significant public health problem. Children under 3 years of age have a 10% recurrence rate of this condition in Sánchez Carrión province, La Libertad region, Perú. Objective: To establish the determinants of health associated with experiencing two or more episodes of anemia compared to one episode in children under 36 months of age in the province of Sánchez Carrión from January to December 2021. Materials and Methods: A quantitative, observational, analytical, case-control study was conducted. A questionnaire validated by 'Cronbach's alpha' and expert judgment was used. It consisted of 48 questions related to health determinants, such as lifestyle, diet history, environment, health services, and human biology. A total of 189 mothers of children under 36 months of age participated, comprising 63 cases with multiple episodes of anemia and 126 controls with a single episode, all residing in Sánchez Carrión province. Results: Lifestyle determinants included inadequate iron intake in 52% of the multiple cases group (p=0.000, OR 3.52), poor hygiene habits 63% (p=0.000, OR 7.03), and violent behavior 57% (p=0.000, OR 4.09). Environmental factors included inadequate drinking water quality 49% (p=0.001, OR 2.97), poor housing conditions 52% (p=0.000, OR 3.68), overcrowding 73% (p=0.000, OR 3.38), and sociocultural factors 35% (p=0.017, OR 2.28). Health services determinants were poor quality of care 51% (p=0.001, OR 2.79), unavailability of ferrous sulfate 40% (p=0.000, OR 3.95), lack of accessibility 29% (p=0.004, OR 2.96), cost of ferrous sulfate 54% (p=0.000, OR 8.06), rejection of ferrous sulfate 70% (p=0.004, OR 7.75), and incomplete vaccinations 35% (p=0.000, OR 4.29). Human biology factors included maternal anemia 76% (p=0.000, OR 3.20), low birth weight 27% (p=0.000, OR 4.29), non-exclusive breastfeeding 54% (p=0.000, OR 8.06), and prevalent childhood diseases 63% (p=0.004, OR 2.48). Conclusions: The determinants of anemia with two or more episodes in children under 36 months of age are associated with lifestyle factors such as inadequate diet, poor hygiene habits, and violent behavior; environmental factors including inadequate drinking water quality, poor housing conditions, overcrowding, and sociocultural influences; health services factors such as poor quality of care, unavailability, cost, and rejection of ferrous sulfate, lack of accessibility to health services, and incomplete vaccinations; and human biology factors including maternal anemia, low birth weight, non-exclusive breastfeeding, and prevalent childhood diseases.
Discipline: Maestría en Salud Pública, mención Epidemiología
Grade or title grantor: Universidad Nacional de Trujillo. Escuela de Posgrado
Grade or title: Maestra en Salud Pública
Juror: Caffo Marruffo, Roberto; Núñez Acevedo, Edwars Salomón; Ríos Caro, Marco César; Huamán Saavedra, Juan Jorge
Register date: 5-Sep-2024



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