Browsing by Author "Chang, Fu Yu"

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Apoyo sociofamiliar y funcionalidad del adulto mayor, una revisión sistemática
(Universidad de Cuenca, 2022-02-15) Loja Morocho, Jessica Vanessa; Chang, Fu Yu
Background: A fundamental pillar in the health of the elderly is its functionality, where socio-family support plays an important role. Objective: To determine the association between socio-family support and the functionality of the elderly. Methodology: Systematic review of 18 studies based on specific domains and STROBE criteria, from 2015 to 2020 in English and Spanish, whose databases were Pubmed, Scopus and Science Direct, using MesH terms and Boolean operators. The highlighted information was synthesized in personalized tables. Results: Prevalence of socio-family support between 17.8% and 97.14%, identifying 4 types: social support, social participation, family support and socio family support. Functionality was described as basic activities of daily living (BADL) and instrumental activities (IADL), finding high prevalences of BADL and IADL 86.6% and 86.3% respectively, and low prevalences of 4.27% and 10.3 %. Socio-family support and functionality had a significant association in most studies, identifying in 4 studies that the lack of socio-family support is a risk factor for functional deterioration with an OR greater than one and a 95% CI. Conclusions: There is a significant relationship between socio-family support and the functionality of the elderly, its absence is a risk factor for functional deterioration. Limitations: The methodological heterogeneity of the studies found, the lack of statistical data and accessibility to information by economic items.
COVID-19: la multiplicidad de la pandemia del 2020 en el sur del Ecuador
(Universidad de Cuenca, 2021-09-14) Chang, Fu Yu; Suárez Ontaneda, Maka
This thesis explores the reality of the COVID-19 pandemic in 2020 in a rural area of southern Ecuador. Combining ethnographic and biomedical data, participant observation, and through my own experience as a front-line physician during the pandemic, this thesis analyzes the multiplicity of COVID-19, understanding it beyond its biomedical reality and showing historical inequities in public care systems. In conversation with medical anthropology and science and technology studies, this thesis uses three approaches: a) it describes the production of statistical data through digital infrastructures, showing that they are not neutral. At the same time, it illustrates the connections between the data and the measures taken in the management of the pandemic; b) it relates the management of the pandemic to the inability to respond to disasters due to historical deficiencies in the public health system; and c) it details the improvisations that both professional and non-professional caregivers have had to devise to care for their patients.
El rol productivo de las mujeres en el Cantón Guachapala y su impacto en la salud de sus niños y niñas menores de 5 años en el año 2015 - 2016
(Universidad de Cuenca, 2017-11-11) Chang, Fu Yu; Pila Guzmán, Paola Viviana
Objective: To collect data and understand the impact of women’s out-of-home employment on the health of their children under 5 years of age in Guachapala, Ecuador. Methodology: This is a mixed study conducted in Guachapala during the years 2015-2016 in which we evaluated growth and development of 266 children under 5 years of age. We performed association tests with socioeconomic factors of their mothers, mother’s productive role, family functionality and structure. The study was complemented by in-depth interviews with mothers from which we did a qualitative analysis in order to corroborate the quantitative results. Results: The paid productive role of women outside of their households had no significant association with the health of their children under 5 years old (OR 1.540, p: 0.082). The mothers in the study performed an average of 129 hours of productive activity a week, many of such activities were overlapped. Dysfunctional families are 7.44 times more likely to have children with growth and developmental deficits (p <0.05). The productive rol of the women in dysfunctional families tend to be overloaded and precarious. Conclusions: The results indicate the need to use a gender approach in the health strategies in order to achieve the well being of children under 5 years of age. An approach with a fair inclusion of women in the work force, an adequate distribution of in-home chores, and involvement in family economic responsibilities will improve the woman’s self-esteem and functionality of their families resulting in better health outcomes of their children