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Revista Cubana de Medicina General Integral

versión impresa ISSN 0864-2125versión On-line ISSN 1561-3038

Resumen

LOURO BERNAL, Isabel  y  PRIA BARROS, María del Carmen. Methodological alternatives for the stratification of families according to family health situation. Rev Cubana Med Gen Integr [online]. 2008, vol.24, n.4. ISSN 0864-2125.

INTRODUCTION: the knowledge of the family health situation is an important aspect of comprehensive health care at the primary level. The stratification of the families according to the health family situation is useful for planning community interventions. METHODS: 294 families from the selected municipalities of the country were studied in 2004. They were stratified according to the family health situation by using the family health matrix and the non-hierarchical analysis of conglomerates. The foundation of the matrix is the theoretical-methodological model to evaluate the health of the family group that includes the family functioning perception test and the inventory of risk family characteristics. Both results were considered and each family was located in the matrix representing gradients of affectation of the family health situation. With the data resulting from the application of the above mentioned instruments, the non-hierarchical analysis of conglomerates was used to stratify the families. The concordance bwtween both techniques was determined by Kappa's index. RESULTS: 51 % of the families classified in the zone of family adjustment, 14.3 % in the zone of elevated sociofamiliar criticity and good intrafamily functioning, 28.6 % presented dysfunctional intrafamily relations with low sociofamiliar criticity and 6.1 % had affectation of extreme severity with high sociofamiliar criticity and dysfunctionality. CONCLUSIONS: there was an elevated concordance between the methods used to stratify the families. The family health matrix and the application of the analysis by conglomerates are useful procedures for stratifying the families according to the family health situation for research and for the family categorization in a territory.

Palabras clave : Family; family health; family evaluation; family stratification.

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