Abstract

FERNANDEZ OLIVA, Regla et al. First information of the results of the project called "Individual and social determinants of health in family medicine". Rev Cubana Salud Pública [online]. 2014, vol.40, n.1, pp. 26-39. ISSN 0864-3466.

Introduction: the project "Individual and social determinants of health in family medicine" conceived for two years, is aimed at developing the option of preventing the occurence of non-communicable chronic diseases by intervening in the individual and social determinants of health. Objective: to describe the preliminary results after one-year work in the mentioned project. Methods: prospective and descriptive study of 1 496 subjects classified in "Tomas Romay" university polyclinics. The sample was divided into two homogeneous groups: the intervened group whose members were invited to salutogenic consultation four times a year, and a control group which went to two consultations, one at the beginning and other at the end of the year. An interview was made to update the state of the individual and social determinants and allowed providing salutogenic guiding. Results: the intervened group reduced the frequency of smoking (p< 0.001), risky drinking (p< 0.05), weight (p< 0.05) and the body mass index (p< 0.05) as well as the number of overweighed persons (p< 0.001), diastolic blood pressure ((p< 0.005), and systolic blood pressure (p< 0.001). On the other hand, the incidence of diabetes mellitus rose during the intervention period in the control group compared with that of the intervened group (p< 0.05). Conclusions: the results are still modest, but they support a rational possibility to diminish the risk of emergence of non-communicable chronic diseases.

Keywords : non-communicable chronic diseases; social determinants in health; family medicine; Cuba.