1904/2012 - FATORES DE RISCO PARA O DESENVOLVIMENTO DE CRIANÇAS ATENDIDAS EM UNIDADES DE SAUDE DA FAMILIA, AO FINAL DO PRIMEIRO ANO DE VIDA: ASPECTOS SÓCIO-DEMOGRÁFICOS E SAÚDE MENTAL MATERNA RISK FACTORS FOR IMPAIRED DEVELOPMENT IN CHILDREN ASSISTED AT FAMILY HEALTH UNITS AT THE END OF THE FIRST YEAR OF LIFE: SOCIO-DEMOGRAPHIC ASPECTS AND MATERNAL MENTAL HEALTH
• Gimol Benzaquen Perosa - Perosa,GB - Botucatu, São Paulo - Universidade Estadual Paulista "Júlio de Mesquita Filho" – UNESP - <gimol@fmb.unesp.br>
• Flávia Helena Pereira Padovani - PADOVANI, F H P - Universidade Estadual Paulista "Júlio de Mesquita Filho" – UNESP - <flaviapad@yahoo.com.br>
Área Temática:
Saúde da Criança e do Adolescente
Resumo:
Objetivo: Verificar fatores de risco e proteção para o desenvolvimento de crianças de 1 ano, atendidas em unidades de saúde da família. Métodos: Estudo transversal com 65 crianças de aproximadamente 1 ano, atendidas em duas Unidades de Saúde da Família, e suas respectivas mães. Avaliou-se o desenvolvimento através de um teste de screening para rastreamento de risco. As mães responderam a uma entrevista e ao SRQ-20 para identificar indicadores de transtorno mental comum (TMC). Realizou-se análise descritiva dos dados e procedeu-se a análise estatística inferencial. Resultados: Estavam em risco para o desenvolvimento global 43,1% das crianças e as áreas mais afetadas foram linguagem (24,6%) e motricidade fina (20,0%); 44,6% das mães pontuaram para indicativo de transtorno mental comum, quando a criança tinha 1 ano. Na análise bivariada, depressão referida, tabagismo, infecções na gravidez, TMC após o nascimento e trabalhar fora associaram-se significativamente com o desenvolvimento da criança. Após os ajustes, apenas TMC apresentou-se como fator de risco e trabalhar fora fator de proteção. Conclusão: Para aumentar as chances de sucesso de programas direcionados a crianças com risco para o desenvolvimento em unidades de saúde parece importante ter dois focos: a estimulação da criança e a saúde mental materna.
Palavras-chave:
Desenvolvimento infantil
Fatores de risco
Saúde mental materna
Abstract:
Objective: To evaluate risk and protection factors to the development of 1 year old children assisted at family health care units. Methods: Cross-sectional study on 65 children aged at approximately 1 old year and assisted at two Family Health care units and their respective mothers. The development was evaluated by a developmental screening test (Denver II). The mothers were interviewed and answered the SRQ-20 to identify common mental disorder (CMD) indicators. After data collected, both descriptive and inferential statistical analysis were performed. Results: It was observed that global development was at risk in 43.1% of the evaluated children, and the most affected areas were language (24.6%) and fine motor development (20.0%); 44.6% of mothers scored for indicative of common mental disorders when the child was 1 year old. In bivariate analysis, reported depression, smoking, infections in pregnancy, CMD after birth and working outside were significantly associated with children’s development. After all statistical analysis, CMD showed to be a risk factor, and working outside a protection factor. Conclusion: In order to increase the chances of success of programs targeted for children at users of health care units and risk of impaired development, it´s important to focus on two aspects: children’s stimulation and maternal mental health.
Keywords:
Child development
Risk factors
Maternal mental health
RISK FACTORS FOR IMPAIRED DEVELOPMENT IN CHILDREN ASSISTED AT FAMILY HEALTH UNITS AT THE END OF THE FIRST YEAR OF LIFE: SOCIO-DEMOGRAPHIC ASPECTS AND MATERNAL MENTAL HEALTH
Resumo (abstract):
Objective: To evaluate risk and protection factors to the development of 1 year old children assisted at family health care units. Methods: Cross-sectional study on 65 children aged at approximately 1 old year and assisted at two Family Health care units and their respective mothers. The development was evaluated by a developmental screening test (Denver II). The mothers were interviewed and answered the SRQ-20 to identify common mental disorder (CMD) indicators. After data collected, both descriptive and inferential statistical analysis were performed. Results: It was observed that global development was at risk in 43.1% of the evaluated children, and the most affected areas were language (24.6%) and fine motor development (20.0%); 44.6% of mothers scored for indicative of common mental disorders when the child was 1 year old. In bivariate analysis, reported depression, smoking, infections in pregnancy, CMD after birth and working outside were significantly associated with children’s development. After all statistical analysis, CMD showed to be a risk factor, and working outside a protection factor. Conclusion: In order to increase the chances of success of programs targeted for children at users of health care units and risk of impaired development, it´s important to focus on two aspects: children’s stimulation and maternal mental health.
Palavras-chave (keywords):
Child development
Risk factors
Maternal mental health
RIBEIRO, DG, Perosa,GB, PADOVANI, F H P. FATORES DE RISCO PARA O DESENVOLVIMENTO DE CRIANÇAS ATENDIDAS EM UNIDADES DE SAUDE DA FAMILIA, AO FINAL DO PRIMEIRO ANO DE VIDA: ASPECTOS SÓCIO-DEMOGRÁFICOS E SAÚDE MENTAL MATERNA. Cien Saude Colet [periódico na internet] (2013/jan). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/fatores-de-risco-para-o-desenvolvimento-de-criancas-atendidas-em-unidades-de-saude-da-familia-ao-final-do-primeiro-ano-de-vida-aspectos-sociodemograficos-e-saude-mental-materna/12087?id=12087
