Ítem
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Mental health of internally displaced preschool children: a cross-sectional study conducted in Bogotá, Colombia
dc.contributor.advisor | Restrepo-Espinosa, Maria Helena | |
dc.contributor.advisor | Flink, Ilse J. E. | |
dc.creator | Flink, Ilse J. E. | |
dc.creator | Restrepo-Espinosa, Maria Helena | |
dc.creator | Blanco, Diana | |
dc.creator | Ortegon, Mónica M. | |
dc.creator | Enriquez, Carolina L. | |
dc.creator | Beirens, Tinneke | |
dc.creator.degree | Especialista en Pediatría | |
dc.date.accessioned | 2013-02-01T22:24:46Z | |
dc.date.available | 2013-02-01T22:24:46Z | |
dc.date.created | 2012-11-26 | |
dc.date.issued | 2012 | |
dc.description | A causa de los conflictos armados, como el de Colombia, se han desplazado por la fuerza a millones de personas, entre ellas una importante parte de la población infantil. Este estudio tuvo como objetivo evaluar la salud mental de los niños desplazados internos en edad preescolar en Bogotá Colombia, e identificar los determinantes de la salud mental en estos niños. Métodos: Estudio transversal realizado entre 279 niños que asisten a cuatro jardines infantiles en un barrio marginal de Bogotá. La salud mental infantil se evaluó con el instrumento validado de Comportamiento Infantil (CBCL) 1,5-5 años, aplicados a padres y cuidadores. Se realizo un análisis univariado y multivariado de regresión logística para evaluar la asociación entre el desplazamiento y la salud mental de los niños y para identificar las relaciones con la salud mental en los niños desplazados. Resultados: los Niños desplazados (n = 90) se identificaron con más frecuencia sobre los puntos de corte límite para las escalas CBCL que los no desplazados (n = 189) (por ejemplo, problemas totales 46,7 vs 22,8%;p \ 0,001). La asociación entre el desplazamiento y la presencia de problemas CBCL totales se mantuvo después del ajuste por factores socio-demográficos (OR Ajustado 3.3 del 95%: 1,5; 6,9). Donde la salud mental del cuidador explica en parte la asociación. En los niños desplazados, la salud mental del cuidador (p \ 0,01) y el funcionamiento familiar (p \ 0,01) se asociaron independientemente con la salud mental de los niños. La exposición a eventos traumáticos y el apoyo social también se asociaron con la salud mental del niño, sin embargo, las asociaciones no fueron independientes. Conclusión: En este barrio marginal de Bogotá, los niños en edad preescolar registrados como desplazados internos presentan peor salud mental que los no desplazados. El funcionamiento familiar y la salud mental del cuidador fueron fuerte e independientemente asociados con la salud mental de los niños y niñas desplazados. | spa |
dc.description.abstract | Purpose Ongoing armed conflicts, like the one inColombia, have forcibly displaced millions of peopleincluding many young children. This study aimed to assessthe mental health of internally displaced preschoolers inBogota´ Colombia and to identify correlates of mentalhealth in these children. Methods Cross-sectional study conducted among 279children attending four kindergartens in a deprived neighbourhoodin Bogota´. Child mental health was assessed withthe Child Behaviour Checklist (CBCL) 1. 5–5 years, aparent-report. Univariate analyses and multivariate logisticregressions were performed to assess the associationbetween displacement and child mental health and toidentify correlates of mental health in displaced children. Results Displaced children (n = 90) more often met borderlinecut-off scores for the CBCL scales than non-displacedchildren (n = 189) (e. g. total problems 46. 7 vs. 22. 8 %; p\0. 001). The association between displacement andpresence of CBCL total problems remained after adjustmentfor socio-demographic factors (AdjustedOR3. 3, 95 %CI 1. 5; 6. 9). Caretaker’s mental health partly explained the association. In displaced children, caretaker’s mental health(p\0. 01) and family functioning (p\0. 01) were independentlyassociated with child mental health. Exposure to traumaticevents and social support was also associated with childmental health; however, associations were not independent. Conclusion In this deprived neighbourhood in Bogota´, preschool children registered as internally displaced presentedworse mental health than non-displaced peers. Familyfunctioning and caretaker’s mental health were strongly andindependently associated with displaced children’s mentalhealth. | eng |
dc.description.sponsorship | Erasmus University Medical Centre | spa |
dc.description.sponsorship | Universidad del Rosario | spa |
dc.format.mimetype | application/pdf | |
dc.format.tipo | Documento | spa |
dc.identifier.doi | https://doi.org/10.48713/10336_4166 | |
dc.identifier.uri | http://repository.urosario.edu.co/handle/10336/4166 | |
dc.language.iso | spa | |
dc.publisher | Universidad del Rosario | spa |
dc.publisher.department | Facultad de medicina | spa |
dc.publisher.program | Especialización en Pediatría | spa |
dc.rights.accesRights | info:eu-repo/semantics/openAccess | |
dc.rights.acceso | Abierto (Texto completo) | spa |
dc.rights.cc | Atribución-NoComercial-SinDerivadas 2.5 Colombia | spa |
dc.rights.licencia | EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARÁGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. | spa |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/2.5/co/ | |
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dc.source.instname | instname:Universidad del Rosario | spa |
dc.source.reponame | reponame:Repositorio Institucional EdocUR | spa |
dc.subject | salud infantil | spa |
dc.subject | salud mental | spa |
dc.subject | conflicto armado | spa |
dc.subject | inequidad | spa |
dc.subject | violencia | spa |
dc.subject | Pobreza | spa |
dc.subject | desplazamiento forzado | spa |
dc.subject.keyword | Child health | eng |
dc.subject.keyword | Mental health | eng |
dc.subject.keyword | Armed conflict | eng |
dc.subject.keyword | Inequalities | eng |
dc.subject.keyword | Violence | eng |
dc.subject.keyword | Poverty | eng |
dc.subject.lemb | Conflicto armado::Aspectos Psicológicos | spa |
dc.subject.lemb | Desplazados por la violencia::Investigaciones | spa |
dc.subject.lemb | Desplazamiento forzado | spa |
dc.subject.lemb | Psiquiatría infantil::Investigaciones | spa |
dc.subject.lemb | Salud mental infantil::Investigaciones | spa |
dc.title | Mental health of internally displaced preschool children: a cross-sectional study conducted in Bogotá, Colombia | spa |
dc.type | masterThesis | eng |
dc.type.hasVersion | info:eu-repo/semantics/acceptedVersion | |
dc.type.spa | Trabajo de grado | spa |
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