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Revista Portuguesa de Medicina Geral e Familiar

Print version ISSN 2182-5173

Abstract

BISPO, Renato Marques; SANTIAGO, Luiz Miguel; ROSENDO, Inês  and  SIMOES, José Augusto. Family risk, socioeconomic classification and multimorbidity in general and family medicine in Portugal. Rev Port Med Geral Fam [online]. 2022, vol.38, n.2, pp.149-156.  Epub Apr 30, 2022. ISSN 2182-5173.  https://doi.org/10.32385/rpmgf.v38i2.13091.

Aim of the study:

To know, epidemiologically, the families and their risk, as well as to see if the family assessment was carried out and updated, checking if the lowest classification was associated with the highest comorbidity in a general practitioner list of patients in Central Portugal.

Materials and Methods:

Cross-sectional observational study in a representative sample with a 95% confidence interval and a margin of error of 5% of family procedures of a family doctor in Central Portugal. The following data were collected: value of the Garcia Gonzalez family risk scale, the GRAFFAR scale, the type of household, the number of chronic pathologies classified by International Classification of Primary Care-2 (ICPC-2), the highest academic level of the members of the family, the existence or not of user fees waiver due to economic insufficiency and the number of elements in the family.

Results:

One hundred and forty-five households were studied with an average of 2.94 elements per household. The variables that showed statistically significant differences between the different types of families were: the Garcia Gonzalez family risk scale, the number of elements per household, and the number of pathologies present.

Discussion:

Without having data from other studies with which to compare those present, the families that presented the highest risk were the extended, unitary, and single-parent ones, while the reconstructed and nuclear families presented better indicators for lower risk. It is important to expand this study to understand better the epidemiology of families in a broader geographical context.

Conclusion:

It was noticed that the high family risk was associated with the type of family, socioeconomic level, and greater family comorbidity.

Keywords : Family; Risk; Multimorbidity; Family medicine; Household; Types of family.

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