RESUMO
Previous publications have suggested that living in a nonintact family household and socializing with girlfriends who smoke or who consume alcoholic beverages favor the development of health-risk habits and customs in adolescents. However, their relationship with unplanned pregnancy in adolescents has not been determined. We investigated the association between family structure, employed mother, and female friends with health-risk habits and behaviors with unplanned pregnancy in adolescents (n = 3,130). After adjusting for low maternal educational level and low family income, logistic regression analyses showed that having an employed mother and socializing with girlfriends who have health-risk habits or behaviors, rather than living in a nonintact family household, appear to be the most important health-risk factors for unplanned pregnancy in adolescents. It is important for health-care programs for adolescents to be revised and for their strategies be strengthened in order to reach the objectives for which they were created.
Assuntos
Comportamento do Adolescente/psicologia , Características da Família , Comportamentos Relacionados com a Saúde , Gravidez na Adolescência/psicologia , Gravidez não Planejada/psicologia , Comportamento Sexual/estatística & dados numéricos , Adolescente , Estudos Transversais , Emprego , Família , Feminino , Amigos , Hábitos , Humanos , Modelos Logísticos , México , Gravidez , Fatores de Risco , Inquéritos e Questionários , Adulto JovemRESUMO
BACKGROUND: The association between asthma and pregnancy has been documented previously. The relationship between unplanned pregnancy and onset asthma in adolescence has not been studied. OBJECTIVE: To determine the association between unplanned pregnancy and adolescence onset asthma. MATERIAL AND METHODS: A cross-sectional study was done gathering information about asthma, unplanned pregnancy, family atopy and active or passive smoking in 3,130 adolescents aged 13-19 years. Asthma diagnosis was established through a selfquestionnaire based on the International Study of Asthma and Allergy in Childhood. Odds ratios for asthma were determined using logistic regression model and chi-squared test. RESULTS: Mean age of the participants was 16.37 ± 1.93 years. The prevalence of active smoking was 16.1%, of passive smoking 40% and of family atopy 9.8%. From the pregnant adolescents (785), 59.5% reported had planned not to have a child before pregnancy. Prevalence of wheezing during the year prior to the study was 9.3% and of wheezing during the pregnancy 2%. The prevalence of adolescence onset asthma was 5.4%. The age of initiation of asthma in the adolescence was 14.75 ± 1.60 years. The analysis showed that unplanned pregnancy has a slight risk for the development of asthma during adolescence. (Crude OR=1.03; CI 95% 1.02-1.05; p=0.000). CONCLUSION: Unplanned pregnancy, family atopy, active smoking and smoking friends are associated with the onset-asthma in the adolescence.
ANTECEDENTES: la asociación entre embarazo y asma se ha documentado previamente. La relación entre embarazo no planeado y asma de inicio en la adolescencia no se ha estudiado. OBJETIVO: determinar la asociación entre embarazo no planeado y asma de inicio en la adolescencia. MATERIAL Y MÉTODOS: estudio transversal en el que se recogió información de asma, embarazo no planeado, atopia familiar y tabaquismo activo o pasivo en 3,130 adolescentes de 13-19 años de edad. El asma se diagnosticó mediante un cuestionario autoadministrado basado en el utilizado en el Estudio Internacional de Asma y Alergia en Niños (ISAAC por sus siglas en inglés). Se determinó la razón de momios para asma mediante regresión logística y chi cuadrada. RESULTADOS: la edad media de las participantes fue 16.37 ± 1.93 años. La prevalencia del tabaquismo activo fue 16.1%, del pasivo 40% y la atopia familiar 9.8%. De las adolescentes embarazadas (785), 59.5% anotó que no había planeado tener un hijo antes del embarazo. La prevalencia de sibilancias durante el último año fue 9.3% y de sibilancias durante el embarazo 2%. La prevalencia de asma de inicio en la adolescencia fue 5.4%. La edad de inicio de asma en la adolescencia fue 14.75 ± 1.60 años. El análisis muestra que el embarazo no planeado tiene un ligero riesgo de padecer asma de inicio en la adolescencia (RM cruda=1.03; IC 95% 1.02-1.05). CONCLUSIONES: el embarazo no planeado, la atopia familiar, el tabaquismo activo y el tabaquismo de las amigas se asocian con el asma de inicio en la adolescencia.
Assuntos
Asma/epidemiologia , Complicações na Gravidez/epidemiologia , Gravidez na Adolescência , Gravidez não Planejada , Adolescente , Idade de Início , Asma/etiologia , Estudos Transversais , Características da Família , Feminino , Humanos , Hipersensibilidade Imediata/epidemiologia , Hipersensibilidade Imediata/genética , Gravidez , Complicações na Gravidez/etiologia , Gravidez na Adolescência/estatística & dados numéricos , Prevalência , Sons Respiratórios , Fatores de Risco , Fumar/efeitos adversos , Fumar/epidemiologia , Fatores Socioeconômicos , Inquéritos e Questionários , Poluição por Fumaça de Tabaco/efeitos adversos , Poluição por Fumaça de Tabaco/estatística & dados numéricos , População Urbana/estatística & dados numéricos , Adulto JovemRESUMO
BACKGROUND: Metabolic syndrome (MS) including obesity, diabetes mellitus, hypertension, dyslipidemia, etc.. is a major cause of morbidity and mortality worldwide. It was reported that 15.9% of blood donors showed changes in fasting plasma glucose. OBJECTIVE: To determine the prevalence of MS in a population of healthy donors in a secondary hospital. MATERIAL AND METHODS: A cross-sectional study, included 726 healthy donors who attended the blood bank HGZ36. The SM was identified with at least 3 of 5 criteria of the NCEP ATPIII, we applied a structured questionnaire. We determined HDL cholesterol, triglycerides, glucose Abnormal Fasting (GAA), hypertension (SAH), body mass index (BMI), waist circumference (WC), hip circumference (NCC). Plan Analysis: prevalence, t student, Chi2. RESULTS: Of the 726 donors, 85.1% were male, according to the ATPIII criteria, 54.8% (398) had a GAA, 63.2% (458) had hypertriglyceridemia, almost 17% (121) presented HDL hypocholesterolemia, 44.1% (320) were overweight by BMI, the prevalence of metabolic syndrome was 54.4%, in comparison by gender, men had a statistically significant difference compared to women, showing an OR = 2.27 (p = 0.0001, 95% CI 1.44-3.60). CONCLUSIONS: MS is highly prevalent in this population, which involves implementing preventive measures, changes in lifestyles and identify risk factors to be free from diseases like diabetes, hypertension, obesity and MS itself.
Assuntos
Doadores de Sangue/estatística & dados numéricos , Síndrome Metabólica/epidemiologia , Gordura Abdominal/fisiologia , Adulto , Glicemia/análise , Estudos Transversais , Feminino , Humanos , Masculino , Síndrome Metabólica/sangue , Síndrome Metabólica/etiologia , México/epidemiologia , Prevalência , Estudos Prospectivos , Fatores de Risco , Distribuição por Sexo , Adulto JovemRESUMO
Recent investigations show that the smoking prevalence among asthmatic adolescents is higher than among healthy adolescents, and the causes that lead these asthmatic adolescents to smoke are unclear. We investigated the association between family structure, parental smoking, smoking friends, and smoking in asthmatic adolescents (n = 6,487). After adjusting for sex and age, logistic regression analyses showed that nonintact family structure, parental smoking, and smoking friends are associated with smoking in adolescents with and without asthma. Asthmatic adolescents who reside in the household of a nonintact family have a 1.90 times greater risk of smoking compared with those who live with both biological parents. It is important that parents who have children with asthma be made aware that the presence of smokers in the home and adolescent fraternization with smoking friends not only favor the worsening of asthma, but also induce the habit of smoking.