RESUMEN
This paper responds to recent calls for empirical study of the impact of age-structural transition. It begins by reviewing evidence of cohort oscillations in twentieth-century Indonesia, which indicates that current older generations are likely to have smaller numbers of children on whom they may rely than generations before and after them. However, to assess whether the imbalances implied by this situation are actually influencing people's lives, attention to further factors shaping the availability and reliability of younger generations, notably differences in socio-economic status and in patterns of inter-generational support flows, is required. Community-level Indonesian data confirm that elders in the lower social strata are child-poor. Social structural and family network patterns, however, have a greater influence on the availability of inter-generational support than cohort differentials.
RESUMEN
OBJETIVO: O estudo pretende caracterizar a percepção, os conhecimentos sobre promoção e sobre os cuidados com a saúde bucal de cuidadores de crianças com HIV+/AIDS. MÉTODOS: Um questionário foi aplicado aos cuidadores de crianças HIV+/AIDS, abordando a qualidade de vida, a classificação socioeconômica (CCEB) e temas sobre a saúde bucal, através de um conjunto de perguntas fechadas, envolvendo percepção, cuidados e promoção da saúde bucal. A consistência interna foi avaliada através dos domínios do WHOQoL-bref dos componentes do CCEB e dos temas de saúde bucal; uma análise de agrupamento foi realizada com os escores dos domínios do WHOQoL-bref. RESULTADOS: A estatística de alfa-Crombach quantificou a consistência interna: 0,9101, 0,8027 e 0,6355, respectivamente, para os domínios do WHOQoL, para as questões do CCEB e para os temas de saúde bucal. A análise de agrupamento gerou dois grupos de informantes. Houve relações entre os níveis de qualidade de vida, os estratos do CCEB e as respostas observadas nos temas sobre a saúde bucal; foram relatadas dificuldades de acesso à atenção odontológica. CONCLUSÕES: A metodologia e os instrumentos utilizados mostraram consistência e coerência com o referencial teórico, contribuindo para o desenvolvimento da assistência à saúde de crianças HIV+.
OBJECTIVE: This study examines perceptions, and knowledge of how to promote oral healthcare among people caring for children with HIV/AIDS. METHODS: A questionnaire was completed by people caring for children with HIV/AIDS, encompassing the quality of life (WHOQoL-bref); the socioeconomic stratification (BECC); and aspects related to oral health through the perception, care and promotion of oral health. Internal consistency was evaluated for the WHOQoL-bref domains, for the BECC questions and for the oral health questions. Cluster analysis was performed by WHOQoL-bref domain scores. RESULTS: The alpha-Crombach statistics showed that the internal consistency quality progressed: 0.9101, 0.8027, and 0.6355, respectively, for WHOQoL-bref domains, for the ECC questions, and for the oral health questions. The cluster analysis generated two homogenous groups. There were descriptive relations between the quality of life scores and the BECC strata and the answers given for the oral health related themes; difficulties were reported in accessing dental care. CONCLUSIONS: The methodology and tools deployed by this survey showed consistency and coherence to the theoretical framework, contributing to the development of better healthcare for HIV+ children.