Disability and Determinants of Health People with Stroke, San Juan de Pasto

Authors

DOI:

https://doi.org/10.17533/udea.rfnsp.v38n1e336697

Keywords:

social determinants of health, participation social, disability evaluation, limitation of mobility, stroke, International classification of functioning, disability and health

Abstract

Objective: To establish the relationship between the Social Determinants of Health and the human functioning, considering the activity and participation components of people with Stroke at San Juan de Pasto city. Methods: The cohort study with an intentional sample of 98 people with Stroke, over 18 years, with a minimum of 6 months of evolution of the lesion, without cognitive or language deficit, users of health
institutions and specialized centers in the city of Pasto. It was used the instrument of Social Determinants of  Health and tool of evaluation activity limitations and participation restrictions. Results: the highest percentage of the population is male (54,1%), over 65 years of age, from strata 1 and 2 (78,6%), with a low level of education (they attended until preschool and incomplete primary —17,1 y 27,1%— respectively) they
do not report current labor activity (84.6%), nor economic income (51.1%). Significant correlations were found between the socioeconomic stratum, the housing condition and the consumption of medications, with the limitation in activity and restriction in participation (p<0.05). Conclusions: The results provide evidence regarding activity limitations, participation restrictions and social inequities in the population studied with
Stroke at San Juan de Pasto city. This information can be used to advance initiatives and public actions at the departmental level, emphasizing social conditions and multidimensional aspects of disability.
|Abstract
= 952 veces | PDF (ESPAÑOL (ESPAÑA))
= 459 veces| | HTML (ESPAÑOL (ESPAÑA))
= 8 veces|

Downloads

Download data is not yet available.

Author Biographies

Claudia Patricia Henao Lema, Autonomous University of Manizales

Doctorate in Research on disability. Autonomous University of Manizales, Caldas. Colombia.

Anyi Vanesa Arcos Rodríguez, Mariana University

Specialization in Hand and Upper Limb Rehabilitation. Mariana University, Nariño, Colombia.

References

(1). Organización Mundial de la Salud, Banco Mundial. Informe mundial sobre la discapacidad [internet]; 2011 [citado 2018 sep. 11]. Disponible en: https://www.who.int/disabilities/world_ report/2011/summary_es.pdf.

(2). Organización Mundial de la Salud, Organización Panamericana de la Salud, Ministerio de Trabajo y Asuntos Sociales, Secretaría General de Asuntos Sociales, Instituto de Migraciones y Servicios Sociales (imserso). Clasificación internacional del funcionamiento, de la discapacidad y de la salud. Madrid; 2001.

(3). Organización Panamericana de la Salud, Organización Mundial de la Salud. Implementación del modelo biopsicosocial para la atención de personas con discapacidad a nivel Nacional [internet]; 2011 [citado 2019 jun. 22]. https://www.paho.org/els/ index.php?option=com_docman&view=download&alias=1544- implementacion-del-modelo-biopsicosocial-para-la-atencion-integral-de-las-personas-con-discapaci-1&category_ slug=publicaciones-destacadas&Itemid=364

(4). Organización Panamericana de la Salud. Capítulo 2. Determinantes e inequidades en salud. En: Salud en las Américas, Edición de 2012: Volumen regional [internet]; 2012. pp. 12-59 [citado 2017 jun. 11]. Disponible en: https://www. paho.org/salud-en-las-americas-2012/index.php?option=com_ docman&view=download&category_slug=sa-2012%20 volumen-regional-18&alias=163-capitulo-2-determinantes-e-inequidades-salud%20163&Itemid=231&lang=es.

(5). Organización Mundial de la Salud. Determinantes sociales de la salud: resultados de la Conferencia Mundial sobre los determinantes sociales de la salud. (Río de Janeiro, Brasil, octubre de 2011). Río de Janeiro: oms [internet]; 2011 [citado 2019 jun. 2]. Disponible en: http://apps.who.int/gb/ebwha/pdf_ files/EB130/B130_15-sp.pdf.

(6). García Ramírez JA, Vélez Álvarez C. Determinantes sociales de la salud y la calidad de vida en población adulta de Manizales, Colombia. Revista Cubana de Salud Pública [internet]. 2017 [citado 2017 jun. 10]; 43(2):191-203. Disponible en: https://www. medigraphic.com/pdfs/recvubsalpub/csp-2017/csp172f.pdf.

(7). Gómez E, Restrepo D, Echavarría J. La discapacidad desde los enfoques de derechos y capacidades y su relación con la salud pública. Rev. Gerencia y Políticas de Salud [internet]. 2018 [citado 2019 sep. 11]; 17(35):6-19. Disponible en: http://www. scielo.org.co/pdf/rgps/v17n35/1657-7027-rgps-17-35-93.pdf. doi: https://doi.org/10.11144/Javeriana.rgps17-35.dedc.

(8). Khaku A, Dulebohn S. Cerebrovascular Disease (Stroke). StatPearls [internet]. 2017 [citado 2017 jun. 11]; Treasure Island, fl: Disponible en: https://www.ncbi.nlm.nih.gov/books/ NBK430927/.

(9). Santana MTM, Chun RYS. Language and functionality of post-stroke adults: Evaluation based on International Classification of Functioning, Disability and Health (icf). CoDAS [internet]. 2017 [citado 2017 jun. 27]; 29(1):1-8. Disponible en: http:// www.scielo.br/scielo.php?script=sci_arttext&pid=S2317- 17822017000100306&lng=pt&tlng=pt. doi: http://dx.doi. org/10.1590/2317-1782/20172015284.

(10). Prynn JE, Kuper H. Perspectives on disability and non-communicable diseases in low- and middle-income countries, with a focus on stroke and dementia. Int J Environ Res Public Health [internet]. 2019 [citado 2017 jun. 27]; 16(3488):1-11. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/ PMC6766001/pdf/ijerph-16-03488.pdf. doi: http://dx.doi. org/10.3390/ijerph16183488.

(11). Kalavina R, Chisati E, Mlenzana N, et al. The challenges and experiences of stroke patients and their spouses in Blantyre, Malawi. Malawi Med J [internet]. 2019 [citado 2019 sep. 10]; 31(2):112-7. Disponible en: https://www.ajol.info/index. php/mmj/article/view/187712. doi: http://dx.doi.org/10.4314/ mmj.v31i2.2.

(12). Kwon S-Y, Hong S-E, Kim E-J, et al. Monitoring of functioning status in subjects with chronic stroke in South Korea using whodas ii. Ann Rehabil Med [internet]. 2016 [citado 2018 oct. 18]; 40(1):111-9. Disponible en: https://www.ncbi.nlm.nih.gov/ pmc/articles/PMC4775743/. doi: http://dx.doi.org/10.5535/ arm.2016.40.1.111.

(13). Bettger JP, Xin Zhao, Bushnell C, et al. The association between socioeconomic status and disability after stroke: Findings from the Adherence eValuation After Ischemic stroke Longitudinal (avail) registry. bmc Public Health. [internet]. 2014 [citado 2017 jun. 28]; 14(1):281-8. Disponible en: https://www.ncbi.nlm.nih. gov/pubmed/24666657. doi: http://dx.doi.org/10.1186/1471- 2458-14-281.

(14). Pradilla G, Vesga B, León-Sarmiento F, et al. Estudio neuroepidemiológico nacional (epineuro) colombiano. Rev. Panam. Salud Pública. [internet]. 2003 [citado 2017 jul. 1]; 14(2):104-11. Disponible en: https://www.scielosp.org/article/ rpsp/2003.v14n2/104-111/.

(15). Pantoja M. Comportamiento epidemiológico del evento cerebro vascular en pacientes que egresan de la Fundación Hospital San Pedro –Pasto – Nariño en el periodo comprendido entre 2006-2007. Rev. Unimar. 2008 [internet]. [citado 2017 jul. 1]; 55:15-19. Disponible en: https://issuu.com/jdiazunimar/docs/ revista_unimar55.

(16). Mukaka M. Statistics Corner: A guide to appropriate use of Correlation coefficient in medical research. Malawi Med J [internet]. 2012 [citado 2016 ago. 26]; 24(3):69-71. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3576830/ pdf/MMJ2403-0069.pdf.

(17). Vélez Álvarez C, Vidarte Claros J, Hormaza M, et al. Determinantes Sociales de la Salud y discapacidad, Tunja 2012. Archivos de Medicina [internet]. 2014 [citado 2017 abr. 30]; 14(1):51-63. Disponible en: http://repositoriocdpd.net:8080/ handle/123456789/1124.

(18). Arcos, V. Benavides, V. Validez de contenido de una herramienta de evaluación desde Actividad y Participación en personas con enfermedad cerebro vascular. Unimar [internet]. 2015 [citado 2017 sep. 30]; 1(1):205-14. Disponible en: http://editorial. umariana.edu.co/revistas/index.php/libroseditorialunimar/ article/view/966.

(19). Asociación Médica Mundial. Declaración de Helsinki. En: Pautas éticas internacionales para la investigación y experimentación biomédica en seres humanos. Ginebra: Consejo de Organizaciones Internacionales de las Ciencias Médicas (cioms); 1993.

(20). Colombia, Ministerio de salud, República de. Resolución 008430, por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud (1993 oct. 4).

(21). Cayo L. Discapacidad, derecho y políticas de inclusión. Madrid, España: Cermi; 2010.

(22). Sacco RL, Kasner SE, Broderick JP, et al. An updated definition of stroke for the 21st century: A statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke [internet]. 2013 [citado 2018 oct. 9]; 44(7):2064-89. Disponible en: https://www.ahajournals. org/doi/pdf/10.1161/str.0b013e318296aeca. doi: http://dx.doi. org/10.1161/STR.0b013e318296aeca.

(23). Colombia, Ministerio de Salud y Protección Social. Plan Decenal de Salud Pública (2012-2021). Bogotá; 2013.

(24). Castelblanco M, Cerquera L, Vélez C, et al. Caracterización de los determinantes sociales de la salud y los componentes de la discapacidad en la ciudad de Manizales, Colombia. Divers.: Perspect. Psicol [internet]. 2014 [citado 2019 sep. 12]; 10(1):87-102. Disponible en: http://www.scielo.org.co/scielo. php?script=sci_arttext&pid=S1794-99982014000100007&lng= en&nrm=iso.

(25). Organización Mundial de la Salud. Determinantes sociales de la salud [internet]; 2015 [citado 2017 abr. 30]. Disponible en: https://www.who.int/social_determinants/es/.

(26). Ting T, Chun J, Hung R. Creative arts-based therapies for stroke survivors: A qualitative systematic review. Front. Psychol [internet]. 2018; 12(9):1-12. [citado 2018 oct. 9]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6158307/ pdf/fpsyg-09-01646.pdf. doi: http://dx.doi.org/10.3389/ fpsyg.2018.01646.

(27). Rodríguez E, García L, Gómez M, et al. Prevalencia de enfermedades cardiovasculares y de factores de riesgo cardiovascular en mayores de 65 años de un área urbana: estudio deriva. Aten primaria. [internet]. 2013 [citado 2016 oct. 9]; 45(7):349-57. Disponible en: https://www.sciencedirect.com/ science/article/pii/S0212656713000486?via%3Dihub. doi: http://dx.doi.org/10.1016/j.aprim.2013.01.012.

(28). Ramos M., Carvalho I, Layane T, et al. Quality of life after stroke: Impact of clinical and sociodemographic factors. Clinics

[internet]. 2018 [citado 2018 oct. 16]; 73(1):1-7. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6152181/ pdf/cln-73-418.pdf. doi: http://dx.doi.org/10.6061/clinics/2017/ e418.

(29). Costa TF, Macêdo-Costa KNF, Martins KP, et al. Perfil de indivíduos com sequela de acidente vascular encefálico. Cultura de los Cuidados [internet]. 2015 [citado 2019 sep. 11]; 19(42):137- 46. Disponible en: http://rua.ua.es/dspace/handle/10045/49336. doi: http://dx.doi.org/10.14198/cuid.2015.42.12.

(30). Arowoiya AI, Elloker T, Karachi F, et al. Using the World Health Organization’s Disability Assessment Schedule (2) to assess disability in community-dwelling stroke patients. S Afr J Physiother [internet]. 2017 [citado 2018 oct. 19]; 73(1):1-7. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC6093092/pdf/SAJP-73-343.pdf. doi: https://doi. org/10.4102/sajp.v73i1.343

(31). Bērziņa G, Smilškalne B, Vētra A, et al. Living in Latvia after stroke: The association between functional, social and personal factors and the level of self-perceived disability — a cross-sectional study. bmj Open [internet]. 2016 [citado 2018 oct. 19]; 6(6):1-11. Disponible en: https://www.ncbi.nlm.nih.gov/ pmc/articles/PMC4932322/pdf/bmjopen-2015-010327.pdf. doi: http://dx.doi.org/10.1136/bmjopen-2015-010327.

(32). Departamento Administrativo Nacional de Estadística. Informe de conjuntura económica regional. Departamento de Nariño; 2016.

(33). Meyer MJ, Pereira S, McClure A, et al. A systematic review of studies reporting multivariable models to predict functional outcomes after post-stroke inpatient rehabilitation. Disabil Rehabil [internet]. 2015 [citado 2018 oct. 20]; 37(15):1316-23. Disponible en: https://www.tandfonline.com/doi/full/10.3109/09 638288.2014.963706. doi: http://dx.doi.org/10.3109/0963828 8.2014.963706.

(34). Herazo Y, Domínguez R. Correlación entre pobreza extrema y discapacidad en los departamentos de Colombia. Cienc. Innov. Salud [internet]. 2013 [citado 2018 nov. 13]; 1(1):11- 17. Disponible en: http://revistas.unisimon.edu.co/index. php/innovacionsalud/article/view/79. doi: https://doi. org/10.17081/innosa.1.1.79.

(35). Álvarez R, Morales P. Salud pública y medicina preventiva. México: El Manual Moderno; 2018.

(36). Colombia, Departamento Nacional de Planeación (dnp), Consejo Nacional de Política Económica y Social (conpes). conpes Social 116 de 2013, Política Pública Nacional de Discapacidad e Inclusión Social. Bogotá: dnp; 2013.

Downloads

Published

2020-02-13

How to Cite

1.
Henao Lema CP, Arcos Rodríguez AV. Disability and Determinants of Health People with Stroke, San Juan de Pasto. Rev. Fac. Nac. Salud Pública [Internet]. 2020 Feb. 13 [cited 2025 Jan. 31];38(1):1-15. Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/336697

Issue

Vol. 38 No. 1 (2020): Enero-Abril

Section

Salud de la persona con discapacidad

License

Copyright (c) 2020 Facultad Nacional de Salud Pública

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The contents of the articles are the responsibility of the authors

The editorial committee has editorial independence from the National School of Public Health "Héctor Abad Gómez" of the University of Antioquia.

The editorial committee is not responsible for aspects related to copying, plagiarism or fraud that may appear in the articles published in it.

When you are going to reproduce and disclose photographs or personal data in printed or digital format, informed consent is required. Therefore, this requirement is required of the author at the time of receipt of the manuscript.

Authors are responsible for obtaining the necessary permissions to reproduce any material protected by reproduction rights.

The authors preserve the moral rights and assign the economic rights that will correspond to the University of Antioquia, to publish it, distribute electronic copies, include them in indexing services, directories or national and international databases in Open Access, under the Creative Commons Attribution license -Not Commercial-Share Equal 4.0 International Commercial (CC BY-NC-SA) which allows others to distribute, remix, retouch, and create from the work in a non-commercial way, as long as the respective credit and license are granted. new creations under the same conditions.

The authors will sign the declaration of transfer of economic rights to the University of Antioquia, after the acceptance of the manuscript.

The editorial committee reserves the right to reject the articles whose authors do not offer satisfactory explanations about the contribution of each author, to meet the criteria of authorship in the submission letter. All authors must meet the four criteria of authorship according to ICMJE: "a) .- That there is a substantial contribution to the conception or design of the article or to the acquisition, analysis or interpretation of the data. b) That they have participated in the design of the research work or in the critical review of its intellectual content. c) .- That has been intervened in the approval of the final version that will be published.d). That they have the capacity to respond to all aspects of the article in order to ensure that issues related to the accuracy or integrity of any part of the work are adequately investigated and resolved. "

Crossref
Scopus
Google Scholar
Europe PMC