Maestría en Salud Pública
URI permanente para esta colecciónhttps://hdl.handle.net/20.500.13053/383
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Examinando Maestría en Salud Pública por Autor "Arellano Sacramento, César"
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Publicación Acceso abierto Determinantes sociales de la salud relacionadas a deserción académica por embarazo en mujeres ENDES 2023(Universidad Privada Norbert Wiener, 2025-09-08) Alfaro Ollachica, Jiancarlo Jesús; Arellano Sacramento, CésarObjective: To determine the relationship between the social determinants of health and academic dropout due to pregnancy in women ENDES, 2023. Materials and methods: Correlational, non-experimental, cross-sectional study, multivariate analysis through the review of the ENDES 2023 Dataset. The population being women between 12 and 24 years old from the national scope of Peru according to ENDES 2023. A robust variance Poisson Proportions ratio was used. The variable of interest (second variable) was "Reason why you stopped attending school" (pregnancy/non-pregnancy). The first variable being Social determinants of health (with the dimensions Human Biology, Environment, Lifestyles and Health Care, Health Systems). The sample number was 4132. Results: 22.4% of women stopped studying due to pregnancy. Speaking another language (35.35%), considering oneself white (19.49%) and black (19.12%) decrease the possibility of dropping out of school due to pregnancy. While being under 18 years of age (25.91%), having had 1 to 3 births in the last 3 years (59.53%), having a higher education level (50.08%) and secondary education level (142.31%), having an age at which sexual relations began under 18 years (60.25%), not living with one's partner (109.85%), living with one's partner (80.88%), being married (65.13%), having health insurance coverage (36.05%), and having a socioeconomic status of rich/richer (16.70%) increase the possibility of dropping out of school due to pregnancy. Conclusion: Statistical significance was found in all four factors.Publicación Acceso abierto Factores asociados a embarazo no deseado en embarazadas de entre 12 a 49 años ENDES Perú 2022(Universidad Privada Norbert Wiener, 2024-09-10) Mayhuasca Rosales, Yessica Ruth; Arellano Sacramento, CésarObjetivo: Determinar la relación entre factores asociados a embarazo no deseado en embarazadas de entre 12 a 49 años ENDES 2022 Perú. Materiales y método: Estudio hipotético deductivo, cuantitativo, aplicada, no experimental, Transversales. Correlacional. Se consideró como población mujeres entre 12 a 49 años del ámbito nacional, en el área urbana y rural, en los 24 departamentos del país y en la Provincia Constitucional del Callao, según ENDES 2022. La variable dependiente fue embarazo no deseado (deseado/no deseado) y distintas variables independientes (agrupados en factor sociodemográfico, cultural, salud). Resultados: Fueron estadísticamente significativos, número de nacimientos en los últimos tres años, el estado civil de la mujer (conviviente, casada), región, nivel educativo (superior); etnicidad y número total de hijos vivos incluido el embarazo actual. No siendo significativo edad, nivel educativo secundaria, riqueza, divorciada/separada, duración del embarazo, seguro de salud, tipo de lugar de residencia no fueron significativos. Conclusión: Existe relación entre factores asociados a embarazo no deseado en embarazadas de entre 12 a 49 años en los tres factores sociodemográfico, cultural, salud.Publicación Acceso abierto Factores asociados al perfil multidrogorresistente de Escherichia coli aisladas de muestras de orina en pacientes adultos de un Hospital de Policía 2023-2024, Lima(Universidad Privada Norbert Wiener, 2026-04-27) Mayta Palomino, Franklin Joan; Arellano Sacramento, CésarObjetivo: Determinar los factores asociados al perfil multidrogorresistente de Escherichia coli aislada de muestras de orina en pacientes adultos de un Hospital de Policía, 2023-2024, Lima. Materiales y métodos: Se realizó un estudio observacional, analítico y transversal. La muestra estuvo conformada por 277 pacientes adultos de 18 años a más con urocultivo positivo exclusivamente para Escherichia coli. La información fue obtenida a partir de historias clínicas, cumpliendo los criterios de inclusión y exclusión establecidos. En el análisis multivariado se empleó un modelo de regresión de Poisson con varianza robusta para estimar razones de prevalencia crudas y ajustadas, con un nivel de significancia de 0,05 y un intervalo de confianza del 95%. Resultados: La frecuencia de E. coli con perfil multidrogorresistente fue de 84,5%. En el análisis multivariado se encontró asociación estadísticamente significativa entre la multidrogorresistencia e ITU anterior (RP ajustada=4,19; IC95%: 1,99–8,83), la diabetes (RP ajustada=1,19; IC95%: 1,07–1,32), la presencia de cálculos renales (RP ajustada=1,16; IC95%: 1,03–1,29). No se evidenció asociación estadísticamente significativa con la edad (p > 0,05). Conclusiones: El perfil multidrogorresistente de E. coli aislada de muestras de orina en pacientes adultos del Hospital PNP Augusto B. Leguía se encontró asociado significativamente a algunos factores del estudio, entre ellos a ITU anterior, diabetes y presencia de cálculos en el riñón. Mientras que, la edad no mostró asociación estadística significativa en el modelo ajustado.Publicación Acceso abierto Factores relacionados con la prevención del dengue en un distrito de Lima - Perú, 2021(Universidad Privada Norbert Wiener, 2021-12-04) Carhuamaca Avalos, Angela Cecilia; Arellano Sacramento, CésarObjectives: To determine the factors associated with the prevention of dengue. Methods: The study was of a non-experimental design, quantitative approach, cross-correlational, correlational scope. The interview technique (interview guide instrument) was used, nonprobabilistic sampling. It was carried out in a final sample of 111 families. The dependent variable was “Dengue prevention”. The independent variables were diverse, being grouped according to "sociodemographic", "cultural", "clinical" factors. the instrument for the dependent variable was validated by expert judgment, pilot test and reliability, originally consisting of 25 items with five response alternatives (Always, Almost always, Sometimes, Almost never, Never). The final instrument was 20 items and a Cronbach's alpha of 0.628. Result: The majority had between 18 and 49 (68.5%; 76), were women (64.9%; 72), cohabiting marital status (43.2%; 48), Secondary educational level (46.8%; 52), SIS Health Insurance (54.1%; 60). The study found significance between carrying out preventive actions with a secondary educational level (p = 0.020), time delay in collecting water up to 5 minutes (p = 0.039), time delay in collecting water for other activities up to 5 minutes (p = 0.023), not having availability of water sources all day (p = 0.012). No significance was found with any of the variables of cultural or clinical factors. The model found statistical significance with Higher University Educational Level (adjusted OR: 0.11; 95% CI: 0.02 - 0.69). Conclusion: In people with a Higher University Educational level, their non-dengue prevention acts decreased by 0.11 times compared to having “Primary less”, adjusted for the rest of the variables. It is recommended that the responsible health entity, together with the corresponding municipality, carry out campaigns to strengthen good practices for the control and eradication of the Dengue vector, taking into account the variables related in the study.Publicación Acceso abierto Relación entre comportamiento espontaneo y edad en bebes de 9 – 12 meses Endes Perú 2020(Universidad Privada Norbert Wiener, 2022-08-26) Díaz Goicochea, Luis; Arellano Sacramento, CésarObjective: To determine the relationship between spontaneous behavior and age in babies aged 9-12 months ENDES 2020. Materials and method: quantitative, correlational, nonexperimental, cross-sectional. The ENDES 2020 database was used. Inclusion and exclusion criteria were applied to obtain a working basis. We only worked with variables available in the databases. Result: For 9-month-old children, the most frequent behavior was sitting without support and holding their heads (33.1%). At 10 months it was taking a few steps holding on to something (32.22%). At 11 months it was taking a few steps holding on to something (34.0%). At 12 months it was standing up without help (27.6%). A significant difference was found with comprehensive health insurance, natural region, mother tongue, ethnicity, place of residence, wealth index and spontaneous behavior. Only difference was found with two interactions and behavior. As children age, they comply with more complex behaviors.Publicación Acceso abierto Trastornos mentales y resiliencia en contexto Covid-19 en pacientes del puesto de salud San Pedro de Casta-Huarochiri, 2021(Universidad Privada Norbert Wiener, 2022-06-24) Ortega Alarcon, Carmen Elizabeth; Arellano Sacramento, CésarObjective: To determine the relationship between mental disorders and resilience in the COVID19 context in patients at the San Pedro de Casta-Huarochirí Health Post. Materials and method: quantitative, correlational, non-experimental, cross-correlational study. The sample was patients treated in outpatient clinic at the San Pedro de Casta-Huarochirí Health Post in the period of Dec 2021 and January 2022; 200 patients were chosen non-probabilistically. The Self-reporting questionnaire or Self Reporting Questionnaire (S.R.Q.18) and the Connor-Davidson resilience scale were used. The data collection technique was a survey. Result: 59.5% were female, 27% were between 18 and 33 years old, 42.5% were married, 75% had secondary school, 93.5% were independent. Only 1.5% had a diagnosis of COVID-19. Most of the patients presented high resilience (46.5%). Most of the patients had a low probability of mental disorders in Depression - Anxiety, Psychosis, Epilepsy, Alcoholism (99%, 88%, 99%, 96.5%, respectively). Significance was found between Depression - Anxiety, Epilepsy, Alcoholism and resilience (p=0.048, p=0.048, p=0.007, respectively). No significance was found between psychosis and resilience (p=0.884). Conclusion: Statistical significance was found only between resilience and the dimensions Depression - Anxiety, Epilepsy, Alcoholism.
