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. 2023 May 29;14(1):e18.
doi: 10.15649/cuidarte.2805. eCollection 2023 Jan-Apr.

Influence of social determinants of health in family effectiveness

Fernanda Lise  1 , Eda Schwartz  2 , Lílian Moura De-Lima-Spagnolo  3 , Jeanne Marie Stacciarini  4
Affiliations

Influence of social determinants of health in family effectiveness

Fernanda Lise et al. Rev Cuid. .

Abstract
in English, Spanish, Portuguese

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 (p) (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.

Introducción: Los Determinantes Sociales de la Salud están definidos por las condiciones de vida de la población, cómo nacen, crecen, viven, trabajan y envejecen, y son considerados como los principales responsables de la salud de las poblaciones.

Objetivo: Evaluar la influencia de los determinantes sociales de la salud en la efectividad del funcionamiento familiar.

Materiales y métodos: Se realizó un estudio cuantitativo con 200 participantes entre 2017 y 2018. Para evaluar la correlación entre los determinantes sociales de salud proximales, intermedios y distales y el nivel de efectividad del funcionamiento familiar, se realizaron visitas domiciliarias a 100 familias que respondieron el instrumento Evaluación de estrategias en Efectividad Familiar y un cuestionario sociodemográfico. Los datos fueron analizados por frecuencia simple, coeficiente de correlación de Spearman ( p ) (p <0,05 ), y sometidos a análisis descriptivo desde la perspectiva de la organización sistémica.

Resultados: Los determinantes sociales que mostraron un coeficiente de correlación positivo con el nivel de efectividad del funcionamiento familiar fueron los años de estudio y el ingreso familiar fijo. Hubo una correlación negativa con la principal fuente de ingresos (número de ocupaciones) o fuente de ingresos y la presencia de otros miembros o familiares en la familia.

Discusión: Las inversiones en educación pueden mejorar la capacidad de la familia para organizarse, solucionar o prevenir eventos adversos, aumentar los ingresos y brindar más tiempo para las relaciones familiares y el logro de la congruencia, como lo evidencian otros autores.

Conclusiones: Los determinantes sociales proximales e intermedios de la salud influyeron en el nivel de efectividad del funcionamiento familiar.

Introdugáo: Os Determinantes Sociais da Saúde sao definidos pelas condigóes de vida da populagáo, como nascem, crescem, vivem, trabalham e envelhecem, sendo considerados como os principais responsáveis pela saúde das populagóes.

Objetivo: Avaliar a influencia dos determinantes sociais da saúde na eficácia do funcionamento familiar.

Materiais e métodos: Foi realizado um estudo quantitativo com 200 participantes entre 2017 e 2018. Para avaliar a correlagáo entre os determinantes sociais proximais, intermediários e distais da saúde e o nível de eficácia do funcionamento familiar, foram realizadas visitas domiciliares a 100 famílias que responderam o instrumento Avaliagáo de estratégias em eficácia familiar e um questionário sociodemográfico. Os dados foram analisados por frequencia simples, coeficiente de correlagáo de Spearman ( p ) (p < 0,05 ), e submetidos a análise descritiva sob a ótica da organizagáo sistemica.

Resultados: Os determinantes sociais que apresentaram um coeficiente de correlagáo positiva com o nível de efetividade do funcionamento familiar foram os anos de estudo e a renda familiar fixa. Houve correlagáo negativa com a principal fonte de renda (número de ocupagóes) ou fonte de renda e a presenga de outros membros ou parentes na familia.

Discussao: Investimentos em educagáo podem melhorar a capacidade da família de se organizar, resolver ou prevenir eventos adversos, aumentar a renda e proporcionar mais tempo para as relagóes familiares e para o alcance da congruencia, conforme evidenciado por outros autores.

Condusdes: Os determinantes sociais proximais e intermediários da saúde influenciaram o nível de efetividade do funcionamento familiar.

Keywords: Family nursing; Nursing Evaluation; Self-efficacy.

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Conflict of interest statement

Conflitos de interesse: We declare that there are no conflicts of interest. The article was approved by the Institutional Review Board of the Universidade Federal de Pelotas, under Opinion 2.088.369/2017 and CAAE (Certificado de Apresentagáo para Apreciagáo Ética - Certificate of Presentation for Ethical Consideration) 68095317.3.0000.5316.

References

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