<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732022000200149</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v38i2.13091</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Risco familiar, classificação socioeconómica e multimorbilidade em medicina geral e familiar em Portugal]]></article-title>
<article-title xml:lang="en"><![CDATA[Family risk, socioeconomic classification and multimorbidity in general and family medicine in Portugal]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bispo]]></surname>
<given-names><![CDATA[Renato Marques]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santiago]]></surname>
<given-names><![CDATA[Luiz Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rosendo]]></surname>
<given-names><![CDATA[Inês]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Simões]]></surname>
<given-names><![CDATA[José Augusto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ULS Guarda  ]]></institution>
<addr-line><![CDATA[Guarda ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade de Coimbra Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,ACeS Baixo Mondego USF Topázio ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade de Coimbra Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,USF Coimbra Centro  ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidade de Coimbra Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Universidade da Beira Interior Faculdade de Ciências da Saúde ]]></institution>
<addr-line><![CDATA[Covilhã ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>04</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>04</month>
<year>2022</year>
</pub-date>
<volume>38</volume>
<numero>2</numero>
<fpage>149</fpage>
<lpage>156</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732022000200149&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732022000200149&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732022000200149&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivos:  Perceber se a avaliação familiar está preenchida e atualizada, conhecer o risco familiar e a associação deste e da classificação socioeconómica da família e multimorbilidade com os tipos de famílias estudados no ficheiro de um médico de medicina geral e familiar.  Materiais e Métodos:  Estudo observacional transversal numa amostra aleatória representativa dos processos familiares de um médico de família no Centro de Portugal. Recolheram-se dados sobre a escala de risco familiar de Garcia Gonzalez, o Índice de GRAFFAR, o tipo de agregado familiar, o número de patologias crónicas classificadas pela Classificação Internacional de Problemas em Cuidados de Saúde Primários-2, o nível académico mais elevado dos membros da família, a existência ou não de isenção de taxas moderadoras por insuficiência económica e o número de elementos na família.  Resultados: Foram estudados 145 agregados familiares com uma média de 2,94 elementos por agregado. As variáveis que apresentaram diferenças estatisticamente significativas entre os diferentes tipos de famílias foram: o nível socioeconómico, a escolaridade, a escala de risco familiar de Garcia Gonzalez, o número de elementos por agregado familiar e o número de patologias presentes.  Discussão: Não possuindo dados de outros estudos com os quais comparar os presentes, as famílias que apresentaram maior risco foram as alargadas, unitárias e monoparentais, já as famílias reconstruídas e nucleares apresentaram melhores indicadores para risco mais baixo. Torna-se importante alargar este estudo para conhecer melhor a epidemiologia das famílias num contexto geográfico mais alargado.  Conclusão: O elevado risco familiar esteve associado ao tipo de família, ao nível socioeconómico e à maior multimorbilidade familiar.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  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.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Família]]></kwd>
<kwd lng="pt"><![CDATA[Risco]]></kwd>
<kwd lng="pt"><![CDATA[Multimorbilidade]]></kwd>
<kwd lng="pt"><![CDATA[Medicina familiar]]></kwd>
<kwd lng="pt"><![CDATA[Agregado familiar]]></kwd>
<kwd lng="pt"><![CDATA[Tipos de família]]></kwd>
<kwd lng="en"><![CDATA[Family]]></kwd>
<kwd lng="en"><![CDATA[Risk]]></kwd>
<kwd lng="en"><![CDATA[Multimorbidity]]></kwd>
<kwd lng="en"><![CDATA[Family medicine]]></kwd>
<kwd lng="en"><![CDATA[Household]]></kwd>
<kwd lng="en"><![CDATA[Types of family]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Allen]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A definição Europeia de Medicina Geral e Familiar (Clínica Geral/Medicina Familiar)]]></article-title>
<source><![CDATA[Rev Port Clin Geral]]></source>
<year>2005</year>
<volume>21</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>511-6</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Engel]]></surname>
<given-names><![CDATA[GL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The need for a new medical model a challenge for biomedicine]]></article-title>
<source><![CDATA[Psychodyn Psychiatry]]></source>
<year>2012</year>
<volume>40</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>377-96</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[AV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[O médico de família ideal: perspectiva do utente]]></article-title>
<source><![CDATA[Rev Port Clin Geral]]></source>
<year>2008</year>
<volume>24</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>555-64</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ribeiro]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Família, saúde e doença: o que diz a investigação]]></article-title>
<source><![CDATA[Rev Port Clin Geral]]></source>
<year>2007</year>
<volume>23</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>299-306</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Magalhães]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Terapia familiar em cuidados de saúde primários: a experiência do Centro de Saúde de Sete Rios]]></article-title>
<source><![CDATA[Rev Port Clin Geral]]></source>
<year>2001</year>
<volume>17</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>151-8</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Neto]]></surname>
<given-names><![CDATA[IG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A conferência familiar como instrumento de apoio à família em cuidados paliativos]]></article-title>
<source><![CDATA[Rev Port Clin Geral]]></source>
<year>2003</year>
<volume>19</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>68-74</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Castelo Branco]]></surname>
<given-names><![CDATA[AE]]></given-names>
</name>
</person-group>
<source><![CDATA[A relação entre os diferentes tipos de família e a prevalência de doença mental nos indivíduos que compõem essa família]]></source>
<year>2013</year>
<publisher-loc><![CDATA[Coimbra ]]></publisher-loc>
<publisher-name><![CDATA[Faculdade de Medicina da Universidade de Coimbra]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[MI]]></given-names>
</name>
</person-group>
<source><![CDATA[Promoção do autocuidado nas famílias com crianças e adolescentes com doença crónica]]></source>
<year>2014</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[Escola Superior de Enfermagem de Lisboa]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Braga]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complexidade em medicina geral e familiar]]></article-title>
<source><![CDATA[Rev Port Med Geral Fam]]></source>
<year>2013</year>
<volume>29</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>82-4</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rebelo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A doença crónica, o doente crónico e a sua família: repercussão psicossocial da diabetes]]></article-title>
<source><![CDATA[Acta Med Port]]></source>
<year>1992</year>
<volume>5</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>383-7</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rebelo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[A família em medicina geral e familiar: conceitos e práticas]]></source>
<year>2018</year>
<publisher-loc><![CDATA[Coimbra ]]></publisher-loc>
<publisher-name><![CDATA[Almedina]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Santiago]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Auto perceção do desempenho da medicina centrada na pessoa em medicina geral e familiar: criação de um instrumento de medição]]></article-title>
<source><![CDATA[Acta Med Port]]></source>
<year>2020</year>
<volume>33</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>407-14</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="book">
<collab>Instituto Nacional de Estatística</collab>
<source><![CDATA[Censos: resultados definitivos (Portugal - 2011)]]></source>
<year>2012</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[INE]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Amaro]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Escala de Graffar adaptada]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
</person-group>
<source><![CDATA[Currículos funcionais (Vol. II)]]></source>
<year>1996</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[Instituto de Inovação Educacional]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
