1427 Persistence of Malnutrition in School Children in Urban-Rural Region of the South of SãO Paulo City

Abstract

Posters 705(CF) using their narratives, of social life, careers, illness and the heath service. Their stories and the challenges they have faced within the clinical area can enable health professionals to enhance practice in regards to their specific care. Aim of the study:To explore the transition from child to young adult for individuals with CF and interpret this using their personal stories . Methods:The methodology undertaken has drawn upon the values of social phenomenological which enable a balance to be drawn between the person and society.Methods: I used individual life story interviews (McAdams 2001) which were semi-structured the participants were 2 young men and 6 young women from the age of 16 to 23 yrs. Narrative analysis was used to explore the findings. Results:The topics which arose from life stories including family, school, relationships, work, and the impact of the illness (Kehily 2007). Conclusion / discussion: Themes identified wereTransition from: Child to Adult /Dependency to Independency and Back to Dependency /Wellness to Illness/ Service User Child to Service User Adult and these were discussed in the light of the specific issues of transition for young people with CF as they strive for independence.Practical relevance: Specific skills are required to support young people with CF as they transfer to adult services and beyond. Objectives: Child abuse is one of the major public health problems worldwide. This study was aimed to assess the proportion of child abuse and to identify factors associated with child abuse as reported by mothers in Karachi, Pakistan. Methods:A cross-sectional study was conducted in primary care clinics affiliated with a tertiary care teaching hospital of private sector in Karachi, Pakistan. After taking consent, 412 mothers were interviewed by trained data collectors. Pre-tested questionnaire was used consisting of: sociodemographics, mother's marital life satisfaction, mother's perception about home environment and violence against herself and her children. Multivariate analysis was calculated to identify independent factors associated with child abuse.Results: Over one-quarter (25.5%) of children were abused physically and 17.9% abused psychologically. In all, 32.5% of children had experienced at least one or the other form of abuse. Abuse was reported more among children whose mothers had no/ less years of schooling (p=0.02), father being smoker (p=0.04), mother being violated (p< 0.001), mother being not satisfied with her marital life (p< 0.001), mother being reported home environment as stressful (p=0.02) and child being a female (p< 0.001). In final multivariate analysis, factors found to be independently associated with child abuse were mothers who were violencde by their husband (AOR=4.2; 95% CI: 2.2-7.9) and child being female (AOR=8.7; 95% CI: 4.5-16.8). Conclusion:This study revealed that one-third of the children were physically and/ or psychologically abused. Further studies are required to explore this important health issue in more detail. Objec...