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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introducci&#243;n</span><p id="par0005" class="elsevierStylePara elsevierViewall">Las desigualdades sociales en la etapa inicial de desarrollo infantil son uno de los principales factores contribuyentes a las desigualdades en la vida adulta y&#44; en consecuencia&#44; a la creaci&#243;n de un c&#237;rculo de desventaja intergeneracional<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>&#46; La Comisi&#243;n de Determinantes Sociales de la Salud de la Organizaci&#243;n Mundial de la Salud<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> puso el &#233;nfasis en la etapa precoz del desarrollo <span class="elsevierStyleItalic">&#40;early child development&#41;</span><a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> como parte fundamental de las v&#237;as y los mecanismos por los que se producen y perpet&#250;an las desigualdades sociales en la poblaci&#243;n adulta&#46; Este hecho determina la importancia de recoger los determinantes sociales de forma sistem&#225;tica en los estudios de salud infantil y en la adolescencia&#46; Por otra parte&#44; se ha demostrado que cuanto m&#225;s precoces sean las intervenciones para disminuir las desigualdades sociales en salud mayor es la probabilidad de que sean m&#225;s coste-efectivas<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Los indicadores utilizados para medir la posici&#243;n socioecon&#243;mica de la poblaci&#243;n adulta pueden ser insuficientes para abordar los determinantes sociales de la salud e identificar desigualdades en los menores&#46; Actualmente&#44; la situaci&#243;n de crisis econ&#243;mica&#44; los cambios en la estructura familiar&#44; los cambios sociales o los flujos migratorios&#44; entre otros factores&#44; perfilan una nueva realidad que puede afectar a la salud de la poblaci&#243;n infantil y adolescente en nuestro pa&#237;s&#46; Si bien las desigualdades seg&#250;n el g&#233;nero&#44; la etnia o el origen afectan de forma general a toda la poblaci&#243;n&#44; en la infantil adquieren un car&#225;cter singular al representar el momento en el cual se generan e incorporan los roles sociales de g&#233;nero o las diferencias derivadas del origen &#233;tnico&#46; Este hecho representa una oportunidad &#250;nica para promover la equidad desde el inicio del desarrollo infantil y durante la adolescencia<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">El estudio de las desigualdades sociales en salud de la poblaci&#243;n infantil y adolescente representa un reto por la dificultad conceptual y metodol&#243;gica para medir la posici&#243;n socioecon&#243;mica en estos grupos de edad&#46;&#160;El modelo conceptual de capital social&#44; humano y financiero propuesto por Coleman<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> ha sido el marco explicativo desde el que se ha estudiado la posici&#243;n socioecon&#243;mica de la poblaci&#243;n adolescente y su relaci&#243;n con la salud&#46; Entwisle y Astone<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> recomendaron medir los ingresos familiares &#40;capital financiero&#41;&#44; la educaci&#243;n de la madre &#40;capital humano&#41; y la estructura familiar y del hogar &#40;capital social&#41;&#46; Otros autores<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> desarrollaron esta idea y sugirieron incluir preguntas espec&#237;ficas sobre la raza y la etnia&#46; Habitualmente&#44; en los estudios de salud infantil son los padres quienes declaran la informaci&#243;n sobre los indicadores de posici&#243;n socioecon&#243;mica&#44; mientras que en los adolescentes son ellos mismos los que la aportan&#46; La dificultad metodol&#243;gica para obtener informaci&#243;n de los adolescentes&#44; la controversia sobre la adecuaci&#243;n de emplear a los padres como &#171;proxis&#187; y los sesgos de no respuesta diferencial entre los grupos socioecon&#243;micos han motivado la creaci&#243;n y la aplicaci&#243;n de otras escalas de medida&#44; como es la escala de poder adquisitivo familiar <span class="elsevierStyleItalic">&#40;Family Affluence Scale&#41;</span><a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a>&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">En Espa&#241;a&#44; las desigualdades sociales en salud se han descrito ampliamente en poblaci&#243;n adulta<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a>&#44; mientras que los estudios en poblaci&#243;n infantil y adolescente son m&#225;s escasos&#46; Por otro lado&#44; tampoco hay una recomendaci&#243;n sobre c&#243;mo medir las desigualdades sociales en salud infantil y juvenil en Espa&#241;a&#44; y las propuestas internacionales existentes se basan en contextos y situaciones diferentes a los de Espa&#241;a&#46; Con la intenci&#243;n de facilitar la elaboraci&#243;n de una propuesta de medici&#243;n de posici&#243;n socioecon&#243;mica para la poblaci&#243;n infantil y adolescente espa&#241;ola&#44; nos proponemos revisar los indicadores que se est&#225;n utilizando en este tipo de estudios y la magnitud de las desigualdades descritas para los distintos indicadores&#44; resultados en salud y grupos de edad&#46; El objetivo es recopilar y describir los estudios publicados en Espa&#241;a sobre desigualdades sociales en salud en poblaci&#243;n infantil y adolescente&#44; con especial &#233;nfasis en los indicadores de desigualdad utilizados&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">M&#233;todos</span><p id="par0025" class="elsevierStylePara elsevierViewall">En julio de 2012 se realiz&#243; una revisi&#243;n sistem&#225;tica de la literatura cient&#237;fica publicada desde el a&#241;o 2000 hasta junio de 2012 en las bases de datos bibliogr&#225;ficas MEDLINE&#47;PubMed&#44; MEDES&#44; SCOPUS y <span class="elsevierStyleItalic">The Cochrane Library</span>&#46;</p><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Inclusi&#243;n de art&#237;culos</span><p id="par0030" class="elsevierStylePara elsevierViewall">Los criterios de inclusi&#243;n de los estudios fueron&#58; muestras de poblaci&#243;n infantil o adolescente espa&#241;olas &#40;hasta los 18 a&#241;os de edad&#41;&#59; redactados en ingl&#233;s&#44; catal&#225;n o espa&#241;ol&#59; y que aportaran datos sobre la relaci&#243;n entre determinantes sociales y alg&#250;n par&#225;metro de salud&#46; Se consideraron los siguientes determinantes individuales&#58; educaci&#243;n&#44; ocupaci&#243;n&#44; ingresos&#44; capital financiero&#44; inmigraci&#243;n&#44; religi&#243;n&#44; g&#233;nero&#44; tipo de familia y hacinamiento&#46; Los determinantes grupales considerados fueron el tipo de colegio&#44; los &#237;ndices de desarrollo regional y el tama&#241;o del municipio&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Se excluyeron los estudios descriptivos de aplicaci&#243;n de las medidas de posici&#243;n socioecon&#243;mica como variables de ajuste y que no permit&#237;an observar el efecto independiente de estas medidas sobre la salud&#44; ya que no se mostraban las correspondientes medidas de asociaci&#243;n&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">La estrategia de b&#250;squeda se muestra en el Anexo 1&#46; Se buscaron los t&#233;rminos en los diferentes campos &#40;t&#237;tulo&#44; resumen&#44; palabras clave o descriptores&#41;&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">La b&#250;squeda obtuvo 889 referencias en PubMed&#44; 703 en MEDES&#44; 621 en SCOPUS y 45 en la Cochrane Library&#44; de las cuales 111 se detectaron como duplicadas mediante el gestor de base de datos <span class="elsevierStyleItalic">Reference Manager</span>&#46;&#160;Dos evaluadores &#40;LR y LFR&#41; revisaron los 2147 res&#250;menes de forma independiente de acuerdo con los criterios definidos&#46; En caso de duda se revis&#243; el texto del art&#237;culo completo&#46; Las discrepancias se resolvieron por consenso&#46; Mediante la lectura de los res&#250;menes se excluyeron 2071 art&#237;culos que no cumpl&#237;an los criterios de inclusi&#243;n o que eran estudios duplicados no detectados previamente&#46; Se incluyeron cuatro art&#237;culos m&#225;s aportados por el grupo de autores y que se consider&#243; que cumpl&#237;an los criterios de inclusi&#243;n y no hab&#237;an aparecido en la b&#250;squeda<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">10&#8211;13</span></a>&#46; Tres revisores &#40;LR&#44; XGC y LFR&#41; revisaron 80 art&#237;culos&#46; Despu&#233;s de la revisi&#243;n se excluyeron ocho estudios m&#225;s por acuerdo de los tres revisores &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46; Finalmente&#44; se incluyeron 72 art&#237;culos&#46; La posterior recogida de los datos y su an&#225;lisis fueron realizados por los mismos tres revisores&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Recogida de datos</span><p id="par0050" class="elsevierStylePara elsevierViewall">Para cada estudio se recab&#243; la siguiente informaci&#243;n&#58; a&#241;o de publicaci&#243;n&#44; revista&#44; dise&#241;o del estudio&#44; &#225;mbito geogr&#225;fico&#44; fuente de datos &#40;registro&#44; encuesta de salud&#44; encuesta espec&#237;fica&#44; historia cl&#237;nica&#44; etc&#46;&#41;&#44; tama&#241;o muestral&#44; edades incluidas&#44; determinantes sociales&#44; papel de los determinantes en el art&#237;culo &#40;principal o como variable de ajuste&#41;&#44; variables de resultado y tipo de an&#225;lisis&#46; Los resultados obtenidos y las limitaciones de los estudios se recogieron mediante tablas de evidencia&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Se evalu&#243; el riesgo de sesgo mediante un &#237;ndice de 10 puntos adaptado de la gu&#237;a STROBE<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a> y de los criterios para estudios observacionales de la Agency for Healthcare Review and Quality &#40;AHRQ&#41; de Estados Unidos<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> &#40;Anexo 2&#41;&#46; Todos los autores participaron en la evaluaci&#243;n de los art&#237;culos&#46; Cada art&#237;culo se revis&#243; por duplicado y se le asign&#243; la media de la evaluaci&#243;n de los dos revisores correspondientes&#46; Se categoriz&#243; la puntuaci&#243;n de la siguiente manera&#58; riesgo alto &#40;&#60;7 puntos&#41;&#44; riesgo medio &#40;entre 7 y 8 puntos&#41; y riesgo bajo &#40;&#62;8 puntos&#41;&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">An&#225;lisis</span><p id="par0060" class="elsevierStylePara elsevierViewall">Se describieron las caracter&#237;sticas de los estudios incluidos y los determinantes utilizados&#46; Para la revisi&#243;n de los resultados&#44; los estudios se clasificaron seg&#250;n el &#225;mbito tem&#225;tico de la&#40;s&#41; variable&#40;s&#41; dependiente&#40;s&#41;&#46; As&#237;&#44; los estudios que analizaban m&#225;s de una variable de salud fueron incluidos en m&#225;s de una categor&#237;a&#46; Debido a la heterogeneidad de los dise&#241;os y las definiciones de los determinantes sociales&#44; se realiz&#243; una s&#237;ntesis narrativa de los resultados&#44; que se categorizaron como&#58; desigualdades consistentes y gradiente social seg&#250;n el indicador analizado &#40;&#43;&#43;&#41;&#44; cuando en la mayor&#237;a de los estudios se hab&#237;an encontrado resultados similares en este sentido&#59; resultados variables con al menos alg&#250;n resultado que muestra desigualdades entre categor&#237;as extremas de determinantes sociales &#40;&#43;&#41;&#59; dudoso o no desigualdades &#40;-&#41;&#59; y falta de datos &#40;no disponible &#91;ND&#93;&#41;&#46;</p></span></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Resultados</span><p id="par0065" class="elsevierStylePara elsevierViewall">Las caracter&#237;sticas de los 72 art&#237;culos incluidos se describen en la <a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a> &#40;la lista completa de los estudios incluidos est&#225; disponible solicit&#225;ndola a los autores&#41;&#46; El 83&#37; de los estudios son de dise&#241;o transversal y s&#243;lo cinco son longitudinales&#46; La fuente de datos m&#225;s utilizada es un cuestionario ad hoc para el estudio&#46; El grupo de edad m&#225;s estudiado es el de 13-15 a&#241;os &#40;82&#37; de los estudios&#41;&#44; seguido de los escolares de 6-12 a&#241;os de edad&#46; Las edades m&#225;s tempranas son las menos evaluadas&#46; De los estudios incluidos&#44; s&#243;lo 39 tienen entre sus objetivos estudiar las desigualdades en salud infantil&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0070" class="elsevierStylePara elsevierViewall">Los estudios con indicadores individuales predominan sobre los que utilizan determinantes sociales grupales &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#46; El nivel de educaci&#243;n &#40;34 estudios&#41;&#44; la clase social basada en la ocupaci&#243;n &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>32&#41; y el g&#233;nero &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>24&#41; son los determinantes m&#225;s analizados individualmente&#44; y el tama&#241;o del municipio &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>17&#41; para los grupos&#46; En los estudios que analizan la educaci&#243;n se midi&#243; el nivel de estudios s&#243;lo de la madre en el 12&#37; de los art&#237;culos&#44; de la madre y del padre en el 26&#37;&#44; y el m&#225;s alto del padre o la madre en el 32&#37;&#46; En el 75&#37; de los trabajos que estudian la ocupaci&#243;n se usaron los criterios propuestos por la Sociedad Espa&#241;ola de Epidemiolog&#237;a o alguna de las aproximaciones emp&#237;ricas desarrolladas en los &#250;ltimos a&#241;os<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a> para definir la variable &#171;clase social&#187;&#44; y en todos los casos se consider&#243; tanto la ocupaci&#243;n del padre como la de la madre &#40;bien por separado o la m&#225;s favorecida de las dos&#41;&#46; De los 39 art&#237;culos centrados en el estudio de las desigualdades&#44; la mayor&#237;a analiza m&#225;s de un determinante social&#46; Entre ellos&#44; aproximadamente el 10&#37; no define c&#243;mo se han medido la educaci&#243;n o la ocupaci&#243;n&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0075" class="elsevierStylePara elsevierViewall">Los aspectos de salud m&#225;s estudiados son la obesidad&#44; la calidad de vida y la salud percibida&#44; y la salud dental &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a>&#41;&#46; Se detectan desigualdades sociales en todos los temas estudiados&#44; en especial desigualdades de g&#233;nero&#44; con la excepci&#243;n de la cobertura vacunal y el uso de servicios sanitarios&#46; El estatus migratorio es el indicador con que se aprecian menos desigualdades&#44; aunque el 44&#37; de los estudios que lo utilizan tienen alto riesgo de sesgo&#46; Las desigualdades seg&#250;n educaci&#243;n u ocupaci&#243;n son muy parecidas&#44; con excepci&#243;n de la obesidad&#44; que se asocia m&#225;s a la educaci&#243;n&#46; En el estudio de &#225;mbito estatal Enkid<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a>&#44; realizado en ni&#241;os de 2 a 13 a&#241;os de edad&#44; aquellos con un nivel educativo materno bajo presentan una <span class="elsevierStyleItalic">odds ratio</span> &#40;OR&#41; de obesidad de 1&#44;25 &#40;intervalo de confianza del 95&#37; &#91;IC95&#37;&#93;&#58; 1&#44;03-1&#44;67&#41; en comparaci&#243;n con los de nivel educativo superior&#46; La salud dental es el aspecto en el cual se han descrito las desigualdades m&#225;s concordantes&#44; y estos estudios presentan un bajo riesgo de sesgo&#46; Se detectan desigualdades con todos los indicadores en salud bucodental y en utilizaci&#243;n de servicios dentales&#44; con excepci&#243;n de las comunidades aut&#243;nomas con Programa de Asistencia Dental Infantil &#40;PADI&#41;&#46; En los preescolares&#44; por ejemplo&#44; se detectan desigualdades en visitas al dentista tanto por clase social &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;41&#44; IC95&#37;&#58; 0&#44;19-0&#44;86&#44; en clase baja frente a alta&#41; como por nivel de estudios maternos &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;62&#44; IC95&#37;&#58; 1&#44;13-2&#44;32&#44; en universitarios frente a no universitarios&#41;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a>&#46; Varios estudios detectan que nacer en familias socioecon&#243;micamente favorecidas se asocia a m&#225;s prevalencia de s&#237;ntomas respiratorios y al&#233;rgicos<a class="elsevierStyleCrossRefs" href="#bib0095"><span class="elsevierStyleSup">19&#8211;21</span></a>&#46; As&#237; como el riesgo de sesgo var&#237;a seg&#250;n el determinante social analizado&#44; &#233;ste tambi&#233;n var&#237;a seg&#250;n los efectos en salud&#44; y es especialmente alto en los que analizan el uso de servicios sanitarios &#40;57&#37;&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0080" class="elsevierStylePara elsevierViewall">Los estudios con datos espec&#237;ficos para preescolares son los m&#225;s escasos &#40;N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8&#41; y tienen un riesgo de sesgo m&#225;s alto &#40;<a class="elsevierStyleCrossRef" href="#tbl0020">tabla 4</a>&#41;&#46; La salud dental y la actividad f&#237;sica muestran desigualdades sociales tanto en preescolares como en escolares y adolescentes&#46; Un solo estudio&#44; con alto riesgo de sesgo&#44; presenta datos espec&#237;ficos de desigualdades en obesidad en preescolares<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">22</span></a>&#46; En el estudio nacional AVENA<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">23</span></a>&#44; los chicos adolescentes con madres con estudios primarios ven m&#225;s la televisi&#243;n &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44;16&#44; IC95&#37;&#58; 1&#44;38-3&#44;38&#41;&#46; Se han detectado varios aspectos de salud de los que no hay datos para ciertos grupos de edad&#44; como la salud mental en los preescolares y los escolares o el uso de servicios en los adolescentes&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Discusi&#243;n</span><p id="par0085" class="elsevierStylePara elsevierViewall">Los estudios sobre desigualdades sociales en salud infantil y adolescente en Espa&#241;a utilizan una gran variabilidad de definiciones de determinantes sociales&#44; la gran mayor&#237;a son estudios transversales y pocos presentan datos para poblaci&#243;n preescolar&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Varios de los art&#237;culos incluidos no indican c&#243;mo se han medido&#44; definido o categorizado los determinantes sociales&#44; como es el caso de casi todos los estudios que analizan la inmigraci&#243;n y la etnia&#46; As&#237;&#44; resulta dif&#237;cil valorar la calidad de la medida&#44; comparar resultados entre estudios o determinar qu&#233; indicador es m&#225;s sensible para discriminar las desigualdades en distintos aspectos de salud o en cada grupo de edad&#46; La variabilidad en los indicadores de posici&#243;n socioecon&#243;mica en poblaci&#243;n infantil es a&#250;n mayor que en la poblaci&#243;n adulta&#44; debido a que es posible usar datos del padre&#44; de la madre&#44; el mayor de los dos o una combinaci&#243;n de ambos&#46; Seg&#250;n esta revisi&#243;n&#44; el indicador m&#225;s utilizado es la ocupaci&#243;n m&#225;s favorecida del padre o la madre&#46; En un estudio con datos de salud dental&#44; Zurriaga et al&#46;<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">24</span></a> describieron que la ocupaci&#243;n m&#225;s favorecida del padre o la madre clasificaba a muchos ni&#241;os en la clase m&#225;s favorecida&#44; disminuyendo la capacidad de discriminaci&#243;n del indicador&#46; La utilizaci&#243;n de la clase social basada en la ocupaci&#243;n s&#243;lo de la madre clasificaba a m&#225;s de la mitad de los ni&#241;os en la categor&#237;a de &#171;miscel&#225;nea&#187;&#46; La combinaci&#243;n de la clase social del padre y la madre mediante un an&#225;lisis de correspondencia permit&#237;a detectar m&#225;s desigualdades en salud&#44; en especial entre la clase media y la m&#225;s favorecida&#46; Por ejemplo&#44; en comparaci&#243;n con los de clase social alta&#44; la OR de padecer caries fue de 1&#44;86 &#40;IC95&#37;&#58; 1&#44;16-2&#44;98&#41; en los de clase social media y de 2&#44;12 &#40;IC95&#37;&#58; 1&#44;37-3&#44;29&#41; en los de clase social baja cuando se utilizaba el &#237;ndice combinado de padre y madre seg&#250;n el an&#225;lisis de correspondencia&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">En general se han detectado desigualdades sociales y con gradiente social de forma muy concordante en salud dental&#44; con todos los indicadores utilizados y en todas las edades&#46; Las encuestas nacionales de salud han sido de gran utilidad para aportar estos datos<a class="elsevierStyleCrossRefs" href="#bib0125"><span class="elsevierStyleSup">25&#8211;27</span></a> y han dado lugar a estudios con bajo riesgo de sesgo&#46; Aunque se han detectado muchos estudios sobre determinantes sociales de la obesidad&#44; la evidencia que aportan es limitada porque bastantes de ellos tienen un alto riesgo de sesgo&#44; bien sea por no indicar c&#243;mo se ha definido el nivel socioecon&#243;mico<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">17&#44;28</span></a>&#44; porque la validez externa es muy limitada<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">29</span></a> o porque los an&#225;lisis estad&#237;sticos resultan pobres<a class="elsevierStyleCrossRefs" href="#bib0150"><span class="elsevierStyleSup">30&#44;31</span></a>&#46; S&#243;lo tres estudios presentan datos de desigualdades en obesidad espec&#237;ficos para poblaci&#243;n escolar<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">31&#44;32</span></a> o preescolar<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">22</span></a>&#46; La calidad de vida y la salud percibida han mostrado principalmente desigualdades de g&#233;nero&#44; aunque este factor casi siempre se incluye como variable &#171;sexo&#187;&#44; sin analizar la perspectiva de g&#233;nero en la infancia&#46; El uso de servicios sanitarios&#44; excluyendo el dentista&#44; en general no ha mostrado desigualdades&#46; Este hecho se debe probablemente a la no cobertura total de los servicios dentales en el Sistema Nacional de Salud&#44; y contrasta con la poblaci&#243;n adulta espa&#241;ola&#44; en la cual s&#237; se han descrito desigualdades en la utilizaci&#243;n de servicios sanitarios m&#225;s all&#225; de los dentistas<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">33</span></a>&#46; La utilizaci&#243;n de servicios s&#243;lo present&#243; desigualdades seg&#250;n la etnia y el estatus migratorio&#44; aunque el uso de estas variables requerir&#237;a una revisi&#243;n m&#225;s exhaustiva y cuatro de los cinco estudios en que se analizan tienen un alto riesgo de sesgo&#46; En otros casos&#44; como en la presencia de s&#237;ntomas respiratorios y al&#233;rgicos&#44; algunos estudios muestran que los menores de familias m&#225;s desfavorecidas presentan mejores resultados en comparaci&#243;n con los de familias con mejor posici&#243;n socioecon&#243;mica<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">34</span></a>&#46; El an&#225;lisis del riesgo de sesgo de los estudios ha permitido describir el grado de evidencia por los diferentes efectos en salud&#44; los determinantes utilizados o los grupos de edad&#46; As&#237;&#44; algunos resultados deber&#237;an tomarse con precauci&#243;n debido al alto riesgo de sesgo de algunos de los estudios&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Ciertas desigualdades en salud pueden variar en diferentes etapas de la infancia y la adolescencia&#44; por lo que es importante estudiarlas en los distintos grupos de edad&#46; En esta revisi&#243;n se han detectado aspectos de salud para los que no hay datos sobre desigualdades en algunos grupos de edad&#46; Los estudios incluidos tienden a describir s&#243;lo un grupo de edad&#44; o a no presentar resultados estratificados por edad&#44; por lo que no ha sido posible analizar la hip&#243;tesis de la nivelaci&#243;n <span class="elsevierStyleItalic">&#40;equalization&#41;</span> durante la adolescencia asociada al proceso de socializaci&#243;n escolar descrita por algunos autores<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">35&#44;36</span></a>&#46; Por ejemplo&#44; con la Encuesta Nacional de Salud de Espa&#241;a habitualmente s&#243;lo es posible analizar la muestra de menores en su conjunto&#44; debido al reducido tama&#241;o muestral&#46; La relativa falta de estudios en los grupos de menor edad podr&#237;a estar relacionada con la falta de experiencia y la poca cobertura de la educaci&#243;n p&#250;blica a estas edades&#44; lo cual dificulta llevar a cabo estudios comunitarios en estos menores&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Finalmente&#44; aunque el marco conceptual en que se ha basado la b&#250;squeda bibliogr&#225;fica es amplio&#44; e intentando seguir el modelo propuesto por Coleman<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>&#44; se ha dado prioridad en los criterios de inclusi&#243;n a los determinantes basados en el capital financiero y humano&#44; sin profundizar en el capital social&#46; Este hecho podr&#237;a representar una limitaci&#243;n importante en cuanto a la subestimaci&#243;n de la influencia en la salud de los constructos sociales&#46; Otras limitaciones del estudio son que no ha sido posible revisar la totalidad de las bases de datos espa&#241;olas e internacionales con publicaciones que quiz&#225; podr&#237;an incluirse en el estudio&#44; ni se ha contactado con los autores de los estudios para obtener datos adicionales&#44; en caso necesario&#44; debido a dificultades operativas&#46; Los efectos en salud que se han encontrado en esta revisi&#243;n vienen determinados por el criterio de b&#250;squeda utilizado&#44; por lo que puede ser que no se hayan incluido algunos estudios relacionados con otros efectos en salud&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">En conclusi&#243;n&#44; en Espa&#241;a hay pocos estudios centrados en desigualdades sociales en poblaci&#243;n infantil y adolescente&#44; en particular en edades preescolares y con dise&#241;os longitudinales&#46; Hay mucha heterogeneidad en los determinantes sociales utilizados&#44; y algunos no se definen o no siguen criterios est&#225;ndar&#46; A pesar de estas limitaciones se confirman las desigualdades sociales en algunos aspectos de salud&#44; como la salud dental&#44; la salud mental&#44; las conductas relacionadas con la salud o la obesidad&#46; Una propuesta sobre c&#243;mo medir las desigualdades sociales en salud infantil y juvenil en Espa&#241;a&#44; como se ha hecho para la poblaci&#243;n adulta<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">24</span></a>&#44; podr&#237;a mejorar la sensibilidad para detectarlas y facilitar&#237;a la comparaci&#243;n de resultados entre estudios&#46;<elsevierMultimedia ident="tb0005"></elsevierMultimedia></p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Editora responsable del art&#237;culo</span><p id="par0125" class="elsevierStylePara elsevierViewall">Carmen Vives-Cases&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Declaraciones de autor&#237;a</span><p id="par0130" class="elsevierStylePara elsevierViewall">L&#46; Font-Ribera&#44; M&#46;<span class="elsevierStyleSmallCaps">C</span>&#46; Dav&#243;-Blanes y L&#46; Rajmil desarrollaron el protocolo del estudio&#46; L&#46; Font-Ribera&#44; <span class="elsevierStyleSmallCaps">X</span>&#46; Garc&#237;a Continente y L&#46; Rajmil llevaron a cabo la revisi&#243;n de la literatura&#44; y todos los autores participaron en la evaluaci&#243;n del riesgo de sesgo de los estudios&#46; L&#46; Font-Ribera y L&#46; Rajmil escribieron el primer borrador del manuscrito&#46; Todos los autores participaron en la elaboraci&#243;n del manuscrito y aprobaron la versi&#243;n final&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Financiaci&#243;n</span><p id="par0135" class="elsevierStylePara elsevierViewall">Ninguna&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Conflictos de intereses</span><p id="par0140" class="elsevierStylePara elsevierViewall">Ninguno&#46;</p></span></span>"
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        "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0010">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El objetivo del trabajo es recopilar y describir los estudios realizados en Espa&#241;a sobre desigualdades sociales en salud infantil y adolescente&#44; con especial &#233;nfasis en los determinantes sociales&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0015">M&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En julio de 2012 se realiz&#243; una revisi&#243;n sistem&#225;tica en PubMed&#44; MEDES&#44; SCOPUS y COCHRANE&#46; Se incluyeron estudios sobre desigualdades sociales en salud infantil y adolescente espa&#241;ola publicados entre los a&#241;os 2000 y 2012&#46; Se revisaron por duplicado 2147 res&#250;menes y 80 art&#237;culos entre tres revisores y se evalu&#243; el riesgo de sesgo&#46; Se incluyeron 72 estudios&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0020">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El 83&#37; son estudios transversales y la edad m&#225;s estudiada es de los 13 a los 15 a&#241;os&#46; Se detectan m&#225;s de 20 determinantes sociales individuales o grupales&#44; y los m&#225;s analizados son el nivel educativo y la ocupaci&#243;n m&#225;s favorecida del padre o la madre&#46; En el 38&#37; de los estudios en que se analiza la educaci&#243;n o la ocupaci&#243;n no se indica la definici&#243;n del determinante&#46; Se detectan desigualdades sociales en salud dental con todos los indicadores y grupos de edad &#40;9&#37; de los estudios con alto riesgo de sesgo&#41;&#44; as&#237; como en obesidad&#44; actividad f&#237;sica y salud mental por algunos indicadores&#46; Faltan datos espec&#237;ficos en poblaci&#243;n escolar y preescolar&#46; El uso de servicios sanitarios&#44; excluyendo el dentista&#44; no muestra desigualdades&#46; Hay pocos estudios sobre inmigraci&#243;n y el 42&#37; presentan alto riesgo de sesgo&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0025">Conclusi&#243;n</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se ha detectado una gran diversidad en la medici&#243;n de los determinantes sociales y una falta de estudios especialmente en edades preescolares y con dise&#241;os longitudinales&#46; Se confirman las desigualdades sociales en algunos aspectos de salud&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0035">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To identify and describe studies on social inequalities in child and adolescent health conducted in Spain with special emphasis on social determinants&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0040">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">In July 2012&#44; we conducted a systematic review in the PubMed&#44; MEDES&#44; SCOPUS and COCHRANE databases&#46; We included studies on social inequalities in child and adolescent health in Spain published between 2000 and 2012&#46; A total of 2147 abstracts were reviewed by two researchers and 80 manuscripts were fully reviewed by three researchers&#46; Risk of bias was assessed&#46; Seventy-two articles were finally included&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0045">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A total of 83&#37; of the studies were cross-sectional and the most frequently studied age group consisted of 13-15-year-olds&#46; More than 20 individual or group determinants were identified&#46; The most frequently analyzed determinants were the most advantaged educational level and occupation of the mother or the father&#46; In 38&#37; of the studies analyzing education and occupation&#44; there was no definition of the determinant&#46; Social inequalities were detected in dental health with all determinants and in all age groups &#40;9&#37; of studies with a high risk of bias&#41;&#46; Social inequalities were also detected in obesity&#44; physical activity and mental health with some determinants&#46; Specific data were missing for younger children&#46; No social inequalities were found in the use of health services&#44; excluding dental care&#46; Few studies analyzed immigration and 42&#37; of them had a high risk of bias&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0050">Conclusion</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Wide diversity was found in the measurement of social determinants&#44; with a lack of studies in preschoolers and of studies with longitudinal designs&#46; The results of this study confirm social inequalities in some aspects of health&#46;</p>"
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136158</p> <p id="par0195" class="elsevierStylePara elsevierViewall">&#35;3 &#171;Income&#187;&#91;MESH&#93; OR &#171;family income&#187;&#91;tiab&#93; OR &#171;socio-economic index&#42;&#187;&#91;tiab&#93; OR &#171;socioeconomic index&#42;&#187;&#91;tiab&#93; OR &#171;SES&#187;&#91;tiab&#93;&#8221; OR &#171;socio-economic status&#187;&#91;tiab&#93; 437</p> <p id="par0200" class="elsevierStylePara elsevierViewall">&#35;2 Dispar&#42;&#91;tiab&#93; OR Poverty&#91;MESH&#93; OR Poverty&#91;tiab&#93; OR &#171;Social gradient&#42;&#187;&#91;tiab&#93; OR &#171;social class&#187;&#91;MESH&#93; OR &#171;social class&#187;&#91;tiab&#93; OR &#171;Educational Status&#187;&#91;MESH&#93; OR &#171;level of education&#187;&#91;tiab&#93; OR &#171;parental education&#187;&#91;tiab&#93; OR &#171;maternal education&#187;&#91;tiab&#93; 134951</p> <p id="par0205" class="elsevierStylePara elsevierViewall">&#35;1 &#171;Social inequalit&#42;&#187;&#91;tiab&#93; OR &#171;Socioeconomic Factors&#187;&#91;MESH&#93; OR Socioeconomic&#91;tiab&#93; OR Inequ&#42;&#91;tiab&#93; OR &#171;Health Status Disparities&#187;&#91;MESH&#93; OR &#171;Healthcare Disparities&#187;&#91;MESH&#93; 334273<span class="elsevierStyleVsp" style="height:0.5px"></span><span class="elsevierStyleItalic">Estrategia MEDES</span><span class="elsevierStyleVsp" style="height:0.5px"></span></p> <p id="par0215" class="elsevierStylePara elsevierViewall">&#40;&#40;&#40;socioeconomic&#42;&#91;palabras&#95;clave&#93; OR socioeconomic&#42;&#91;resumen&#93; OR socioeconomic&#42;&#91;t&#237;tulo&#93;&#41; OR &#40;social&#91;palabras&#95;clave&#93; OR social&#91;resumen&#93; OR social&#91;t&#237;tulo&#93;&#41; OR &#40;familia&#91;palabras&#95;clave&#93; OR familia&#91;resumen&#93; OR familia&#91;t&#237;tulo&#93;&#41; OR &#40;fas&#91;palabras&#95;clave&#93; OR fas&#91;resumen&#93; OR fas&#91;t&#237;tulo&#93;&#41; OR &#40;hasc&#91;palabras&#95;clave&#93; OR hasc&#91;resumen&#93; OR hasc&#91;t&#237;tulo&#93;&#41; OR &#40;social&#91;palabras&#95;clave&#93; 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AND &#40;&#171;Health Services&#187; OR &#171;health perceived&#187; OR &#171;Health Status&#187; OR &#171;quality of life&#187; OR Indicator&#42; OR &#171;health-related quality of life&#187; OR Obesity OR Overweight OR Injuries OR Injur&#42; OR accidents OR asthma OR behavior&#42; OR oral OR dental OR Mortality&#41; AND &#40;child OR adolescen&#42; OR child&#42; OR teenage&#42; OR kid&#42; OR pediatr&#42; OR pediatr&#42; OR young&#41; AND Spain in title abstract keywords</p>"
            "etiqueta" => "Anexo 1"
            "titulo" => "Estrategias de b&#250;squeda bibliogr&#225;fica"
            "identificador" => "sec0070"
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          1 => array:4 [
            "apendice" => "<p id="par0240" class="elsevierStylePara elsevierViewall">&#205;ndice construido a partir de la gu&#237;a STROBE y los criterios para estudios observacionales de la Agency for Healthcare Review and Quality &#40;AHRQ&#41; de Estados Unidos&#46; Cada punto se punt&#250;a 0&#44; 0&#44;5 o 1&#46; La m&#225;xima puntuaci&#243;n es 10&#46; Si falta informaci&#243;n para poder evaluar alguno de los puntos&#44; se considera que no se cumple &#40;0&#41;&#46;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">&#40;1&#41;</span><p id="par0245" class="elsevierStylePara elsevierViewall">Objetivos claros &#40;en relaci&#243;n a los participantes&#44; la exposici&#243;n y los resultados en salud&#41;&#46;</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">&#40;2&#41;</span><p id="par0250" class="elsevierStylePara elsevierViewall">Poblaci&#243;n de estudio definida claramente&#46;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">&#40;3&#41;</span><p id="par0255" class="elsevierStylePara elsevierViewall">Muestra representativa de la poblaci&#243;n&#46;</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">&#40;4&#41;</span><p id="par0260" class="elsevierStylePara elsevierViewall">Tama&#241;o muestral suficiente para minimizar el error de tipo <span class="elsevierStyleSmallCaps">II</span>&#46;</p></li><li class="elsevierStyleListItem" id="lsti0025"><span class="elsevierStyleLabel">&#40;5&#41;</span><p id="par0265" class="elsevierStylePara elsevierViewall">Tasa de participaci&#243;n explicitada y superior al 60&#37;&#46;</p></li><li class="elsevierStyleListItem" id="lsti0030"><span class="elsevierStyleLabel">&#40;6&#41;</span><p id="par0270" class="elsevierStylePara elsevierViewall">Exposici&#243;n &#40;determinante social&#41; claramente definida y con medidas est&#225;ndar&#46;</p></li><li class="elsevierStyleListItem" id="lsti0035"><span class="elsevierStyleLabel">&#40;7&#41;</span><p id="par0275" class="elsevierStylePara elsevierViewall">Efecto en salud claramente definido y medido con un m&#233;todo est&#225;ndar y v&#225;lido&#46;</p></li><li class="elsevierStyleListItem" id="lsti0040"><span class="elsevierStyleLabel">&#40;8&#41;</span><p id="par0280" class="elsevierStylePara elsevierViewall">An&#225;lisis estad&#237;stico apropiado con evaluaci&#243;n de la confusi&#243;n&#46;</p></li><li class="elsevierStyleListItem" id="lsti0045"><span class="elsevierStyleLabel">&#40;9&#41;</span><p id="par0285" class="elsevierStylePara elsevierViewall">No se detecta ninguna limitaci&#243;n tan importante que anule la validez de los resultados&#46;</p></li><li class="elsevierStyleListItem" id="lsti0050"><span class="elsevierStyleLabel">&#40;10&#41;</span><p id="par0290" class="elsevierStylePara elsevierViewall">Conclusiones apoyadas por los resultados habiendo considerado posibles sesgos y limitaciones&#46;</p></li></ul></p> <p id="par0295" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Referencias</span><ul class="elsevierStyleList" id="lis0010"><li class="elsevierStyleListItem" id="lsti0055"><span class="elsevierStyleLabel">-</span><p id="par0305" class="elsevierStylePara elsevierViewall">STrengthening the Reporting of OBservational studies in Epidemiology &#40;STROBE&#41;&#46; Disponible en&#58; <a class="elsevierStyleInterRef" id="intr0005" href="http://www.strobe-statement.org/fileadmin/Strobe/uploads/checklists/STROBE_checklist_v4_combined.pdf">http&#58;&#47;&#47;www&#46;strobe-statement&#46;org&#47;fileadmin&#47;Strobe&#47;uploads&#47;checklists&#47;STROBE&#95;checklist&#95;v4&#95;combined&#46;pdf</a></p></li><li class="elsevierStyleListItem" id="lsti0060"><span class="elsevierStyleLabel">-</span><p id="par0310" class="elsevierStylePara elsevierViewall">Systems to Rate the Strength of Scientific Evidence&#46; Summary&#44; Evidence Report&#47;Technology Assessment&#58; Number 47&#46; AHRQ Publication No&#46; 02-E015&#44; March 2002&#46; Agency for Healthcare Research and Quality&#44; Rockville&#44; MD&#46; Disponible en&#58; <a class="elsevierStyleInterRef" id="intr0010" href="http://www.fda.gov/ohrms/dockets/dockets/04q0180/04q-0180-pdn0001-03-AHRQ-vol6.pdf">http&#58;&#47;&#47;www&#46;fda&#46;gov&#47;ohrms&#47;dockets&#47;dockets&#47;04q0180&#47;04q-0180-pdn0001-03-AHRQ-vol6&#46;pdf</a></p></li></ul></p>"
            "etiqueta" => "Anexo 2"
            "titulo" => "&#205;ndice para evaluar el riesgo de sesgo"
            "identificador" => "sec0075"
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Visitas&#44; muestras&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>M&#233;todos cualitativos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;1 mes&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;1 a&#241;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>2-5 a&#241;os&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>16-17 a&#241;os&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Desconocido&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;5&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;7&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Del padre&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Del padre y la madre&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;12&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;23&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>El m&#225;s alto del padre o la madre&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;15&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;12&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>No se especifica de qui&#233;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;5&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;2&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>No se detalla el criterio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;8&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;10&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Ocupaci&#243;n</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;43&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;48&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Criterio SEE&#47;Reino Unido&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;32&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;43&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>De la madre&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Del padre&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Del padre y la madre&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;8&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;12&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>El m&#225;s alto del padre o la madre&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;21&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;28&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>No se especifica de qui&#233;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;2&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;2&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>No se detalla el criterio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;11&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Ingresos del hogar &#40;padre y madre&#41;</span><a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Capital financiero</span><a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Inmigraci&#243;n&#47;etnia</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Lugar de procedencia&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#40;13&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Etnia&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Lugar de procedencia y etnia&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">G&#233;nero</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Tipo de familia &#40;estructura familiar&#44; estado civil&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Hacinamiento</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="char" valign="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Escuela &#40;p&#250;blica&#44; privada o concertada&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">&#205;ndice de regi&#243;n</span><a class="elsevierStyleCrossRef" href="#tblfn0035"><span class="elsevierStyleSup">d</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#40;6&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#40;7&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Tama&#241;o de municipio</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">17&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#40;23&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;23&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Rural&#47;urbano&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;6&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;2&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>N&#176; habitantes<a class="elsevierStyleCrossRef" href="#tblfn0040"><span class="elsevierStyleSup">e</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;9&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;7&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Comunidad aut&#243;noma&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;2&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;5&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Regi&#243;n y n&#176; habitantes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;4&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;7&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab516060.png"
              ]
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          ]
          "notaPie" => array:5 [
            0 => array:3 [
              "identificador" => "tblfn0020"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0020">Los puntos de corte usados en todos los estudios son diferentes y un estudio analiza la variable como continua&#46;</p>"
            ]
            1 => array:3 [
              "identificador" => "tblfn0025"
              "etiqueta" => "b"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0025">Los principales indicadores de capital financiero son la <span class="elsevierStyleItalic">Family Affluence Scale</span> &#40;FAS&#41; y el dinero de bolsillo semanal disponible&#46;</p>"
            ]
            2 => array:3 [
              "identificador" => "tblfn0030"
              "etiqueta" => "c"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0030">Musulm&#225;n o no musulm&#225;n a partir del nombre&#46;</p>"
            ]
            3 => array:3 [
              "identificador" => "tblfn0035"
              "etiqueta" => "d"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0035">Los principales indicadores de regi&#243;n son el &#205;ndice de Capacidad Econ&#243;mica Familiar &#40;ICEF&#41;&#44; el &#205;ndice Sint&#233;tico de Desigualdad Social &#40;ISDS&#41;&#44; la implantaci&#243;n del Programa de Asistencia Dental Infantil &#40;PADI&#41;&#44; el porcentaje de paro&#44; el porcentaje de estudios y el producto interior bruto nominal&#46;</p>"
            ]
            4 => array:3 [
              "identificador" => "tblfn0040"
              "etiqueta" => "e"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0040">N&#250;mero de habitantes seg&#250;n varias categor&#237;as &#40;puntos de corte diferentes&#41;&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Determinantes sociales individuales y grupales analizados en los art&#237;culos revisados</p>"
        ]
      ]
      3 => array:7 [
        "identificador" => "tbl0015"
        "etiqueta" => "Tabla 3"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">ND&#58; no disponible &#40;falta de datos&#41;&#46;</p><p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">&#43;&#43;&#58; desigualdades concordantes y gradiente social seg&#250;n el indicador analizado&#46;</p><p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">&#43;&#58; resultados variables con al menos alg&#250;n estudio que muestra desigualdades entre categor&#237;as extremas de determinante social&#46;</p><p id="spar0095" class="elsevierStyleSimplePara elsevierViewall">-&#58; resultados no concordantes o no se detectan desigualdades&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Educaci&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Ocupaci&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Inmigraci&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">G&#233;nero&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Obesidad y sobrepeso&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;&#43;Riesgo sesgo alto&#58; 4&#47;9<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>44&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">17&#44;28&#44;29&#44;32&#44;37&#8211;41</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58;<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>-Riesgo sesgo alto&#58; 1&#47;7<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>14&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0110"><span class="elsevierStyleSup">22&#44;30&#44;37&#8211;41</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; -Riesgo sesgo alto&#58; 0&#47;1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudio&#58; ref&#46; <a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">38</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;&#43;Riesgo sesgo alto&#58; 2&#47;6<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>33&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0110"><span class="elsevierStyleSup">22&#44;28&#44;30&#44;31&#44;37&#44;38</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>12Riesgo sesgo alto&#58; 5&#47;12<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>42&#37;Rango de edad&#58; 2-18 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Calidad de vida y salud percibida&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; -Riesgo sesgo alto&#58; 0&#47;8<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">10&#44;12&#44;13&#44;37&#44;42&#8211;45</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; -Riesgo sesgo alto&#58; 1&#47;6<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>17&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">12&#44;37&#44;44&#44;45&#8211;47</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 1&#47;3<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>33&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0220"><span class="elsevierStyleSup">44&#44;48&#44;49</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;&#43;Riesgo sesgo alto&#58; 0&#47;4<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0185"><span class="elsevierStyleSup">37&#44;42&#44;47&#44;49</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>13Riesgo sesgo alto&#58; 2&#47;12<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>17&#37;Rango de edad&#58; 5-18 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Salud dental&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;&#43;&#47;&#43;Riesgo sesgo alto&#58; 0&#47;5<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18&#44;25&#44;27&#44;50&#44;51</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;&#43;&#47;&#43;Riesgo sesgo alto&#58; 1&#47;6<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>17&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18&#44;24&#44;26&#44;52&#8211;54</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58;<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>-Riesgo sesgo alto&#58; 1&#47;5<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>20&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18&#44;26&#44;51&#44;52&#44;55</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 0&#47;2<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18&#44;52</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>12Riesgo sesgo alto&#58; 1&#47;11<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>9&#37;Rango de edad&#58; 0-18 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Actividad f&#237;sica y dieta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 3&#47;7<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>43&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">23&#44;28&#44;56&#8211;60</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 2&#47;4<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>50&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">23&#44;56&#44;59&#44;60</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58;<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>-Riesgo sesgo alto&#58; 1&#47;2<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>50&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0305"><span class="elsevierStyleSup">61&#44;62</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 1&#47;3<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>33&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">23&#44;28&#44;63</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>10Riesgo sesgo alto&#58; 5&#47;10<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>50&#37;Rango de edad&#58; 0-18 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Uso de servicios&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; -Riesgo sesgo alto&#58; 1&#47;3<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>33&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0220"><span class="elsevierStyleSup">44&#44;45&#44;64</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; -Riesgo sesgo alto&#58; 1&#47;4<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>25&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0220"><span class="elsevierStyleSup">44&#44;45&#44;65&#44;66</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 4&#47;5<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>80&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0220"><span class="elsevierStyleSup">44&#44;48&#44;64&#44;66</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; -Riesgo sesgo alto&#58; 1&#47;1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>100&#37;Estudio&#58; ref&#46; <a class="elsevierStyleCrossRef" href="#bib0320"><span class="elsevierStyleSup">64</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>7Riesgo sesgo alto&#58; 4&#47;7<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>57&#37;Rango de edad&#58; 0-14 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Otras conductas &#40;tabaco&#44; etc&#46;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 0&#47;1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudio&#58; ref&#46; <a class="elsevierStyleCrossRef" href="#bib0335"><span class="elsevierStyleSup">67</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 0&#47;1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudio&#58; ref&#46; <a class="elsevierStyleCrossRef" href="#bib0340"><span class="elsevierStyleSup">68</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; -Riesgo sesgo alto&#58; 1&#47;1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>100&#37;Estudio&#58; ref&#46; <a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">69</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;&#43;&#47;&#43;Riesgo sesgo alto&#58; 2&#47;6<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>66&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0335"><span class="elsevierStyleSup">67&#44;69&#8211;73</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>7Riesgo sesgo alto&#58; 2&#47;7<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>29&#37;Rango de edad&#58; 3-18 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Salud respiratoria y alergias&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; NDRiesgo sesgo alto&#58; -&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58;<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>-Riesgo sesgo alto&#58; 0&#47;3<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0095"><span class="elsevierStyleSup">19&#44;21&#44;74</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; NDRiesgo sesgo alto&#58; -&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 0&#47;3<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0375"><span class="elsevierStyleSup">75&#8211;77</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>6Riesgo sesgo alto<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Rango de edad&#58; 0-15 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Salud mental&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 0&#47;2<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0215"><span class="elsevierStyleSup">43&#44;78</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;&#43;Riesgo sesgo alto&#58; 0&#47;1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudio&#58; ref&#46; <a class="elsevierStyleCrossRef" href="#bib0390"><span class="elsevierStyleSup">78</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; NDRiesgo sesgo alto&#58; -&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 0&#47;1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudio&#58; ref&#46;<a class="elsevierStyleCrossRef" href="#bib0395"><span class="elsevierStyleSup">79</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3Riesgo sesgo alto<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Rango de edad&#58; 4-18 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Vacunas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; -Riesgo sesgo alto&#58; 0&#47;2<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0400"><span class="elsevierStyleSup">80&#44;81</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; -Riesgo sesgo alto&#58; 0&#47;1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudio&#58; ref&#46; <a class="elsevierStyleCrossRef" href="#bib0400"><span class="elsevierStyleSup">80</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; -Riesgo sesgo alto&#58; 0&#47;1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudio&#58; ref&#46; <a class="elsevierStyleCrossRef" href="#bib0400"><span class="elsevierStyleSup">80</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; -Riesgo sesgo alto&#58; 0&#47;1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudio&#58; ref&#46;<a class="elsevierStyleCrossRef" href="#bib0405"><span class="elsevierStyleSup">81</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2Riesgo sesgo alto<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Rango de edad&#58; 0-16 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>32Riesgo sesgo alto&#58; 8&#47;32<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>25&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>28Riesgo sesgo alto&#58; 5&#47;28<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>18&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>16Riesgo sesgo alto&#58; 7&#47;16<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>44&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>22Riesgo sesgo alto&#58; 5&#47;22<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>23&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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        "descripcion" => array:1 [
          "es" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Magnitud de las desigualdades sociales en salud infantil y de adolescentes&#44; y riesgo de sesgo de los estudios de la revisi&#243;n&#44; seg&#250;n las variables de salud y los determinantes sociales m&#225;s comunes</p>"
        ]
      ]
      4 => array:7 [
        "identificador" => "tbl0020"
        "etiqueta" => "Tabla 4"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0105" class="elsevierStyleSimplePara elsevierViewall">ND&#58; no disponible &#40;falta de datos&#41;&#46;</p><p id="spar0110" class="elsevierStyleSimplePara elsevierViewall">&#43;&#43;&#58; desigualdades concordantes y gradiente social seg&#250;n el indicador analizado&#46;</p><p id="spar0115" class="elsevierStyleSimplePara elsevierViewall">&#43;&#58; resultados variables con al menos alg&#250;n estudio que muestra desigualdades entre categor&#237;as extremas de determinante social&#46;</p><p id="spar0120" class="elsevierStyleSimplePara elsevierViewall">-&#58; resultados no concordantes o no se detectan desigualdades&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Preescolares &#40;&#60;6 a&#241;os&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Escolares &#40;6-12 a&#241;os&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Adolescentes &#40;13-18 a&#241;os&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Obesidad y sobrepeso&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; -Riesgo sesgo alto&#58; 1&#47;1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>100&#37;Estudio&#58; ref&#46; <a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">22</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 1&#47;2<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>50&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">31&#44;32</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 0&#47;7<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">31&#44;37&#8211;40&#44;82</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Calidad de vida y salud percibida&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58;<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>-Riesgo sesgo alto&#58; 1&#47;2<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>50&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0230"><span class="elsevierStyleSup">46&#44;83</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58;<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>-Riesgo sesgo alto&#58; 0&#47;4<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudios&#58; refs&#46;<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">10&#44;12&#44;37&#44;49</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Salud dental&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 0&#47;1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudio&#58; ref&#46; <a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 0&#47;4<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0250"><span class="elsevierStyleSup">50&#44;52&#8211;55</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58;<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>-Riesgo sesgo alto&#58; 0&#47;4<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0260"><span class="elsevierStyleSup">52&#8211;55</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Actividad f&#237;sica y dieta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 1&#47;1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>100&#37;Estudio&#58; ref&#46; <a class="elsevierStyleCrossRef" href="#bib0305"><span class="elsevierStyleSup">61</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 1&#47;1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>100&#37;Estudio&#58; ref&#46; <a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">56</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 2&#47;5<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>40&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">23&#44;57&#44;60&#44;62&#44;63</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Uso de servicios&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 2&#47;2<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>100&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0320"><span class="elsevierStyleSup">64&#44;66</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 0&#47;1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudio&#58; ref&#46; <a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">45</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Otras conductas &#40;tabaco&#44; etc&#46;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 0&#47;1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudio&#58; ref&#46; <a class="elsevierStyleCrossRef" href="#bib0335"><span class="elsevierStyleSup">67</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58;<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>-Riesgo sesgo alto&#58; 2&#47;6<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>33&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">68&#8211;73</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Salud respiratoria y alergias&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 0&#47;2<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0105"><span class="elsevierStyleSup">21&#44;75</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 0&#47;2<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0370"><span class="elsevierStyleSup">74&#44;76</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; &#43;Riesgo sesgo alto&#58; 0&#47;2<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudios&#58; refs&#46; <a class="elsevierStyleCrossRefs" href="#bib0095"><span class="elsevierStyleSup">19&#44;20</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Salud mental&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; -Riesgo sesgo alto&#58; 0&#47;1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#37;Estudio&#58; ref&#46; <a class="elsevierStyleCrossRef" href="#bib0390"><span class="elsevierStyleSup">78</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Vacunas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Magnitud&#58; ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Riesgo de sesgo alto&#58; 4&#47;8<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>50&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Riesgo de sesgo alto&#58; 3&#47;12<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>25&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Riesgo de sesgo alto&#58; 4&#47;29<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>14&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab516062.png"
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        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0100" class="elsevierStyleSimplePara elsevierViewall">Magnitud de las desigualdades sociales en salud infantil y de adolescentes&#44; y riesgo de sesgo de los estudios de la revisi&#243;n que muestran resultados espec&#237;ficos por grupos de edad</p>"
        ]
      ]
      5 => array:5 [
        "identificador" => "tb0005"
        "tipo" => "MULTIMEDIATEXTO"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "texto" => array:1 [
          "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">&#191;Qu&#233; se sabe sobre el tema&#63;</span><p id="par0115" class="elsevierStylePara elsevierViewall">Las desigualdades sociales en salud se producen desde el inicio de la vida y repercuten en las desigualdades sociales y la salud durante la vida adulta&#46; Sin embargo&#44; su estudio es poco extendido y requiere aspectos metodol&#243;gicos espec&#237;ficos&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">&#191;Qu&#233; a&#241;ade el estudio realizado a la literatura&#63;</span><p id="par0120" class="elsevierStylePara elsevierViewall">Se detecta una falta de homogenizaci&#243;n en la medici&#243;n de los determinantes sociales en poblaci&#243;n infantil y adolescente espa&#241;ola&#46; La magnitud de las desigualdades en salud var&#237;a seg&#250;n el determinante y el grupo de edad&#46;</p></span></span>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:83 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A life-course approach to chronic disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46; Kuh"
                            1 => "Y&#46; Ben-Shlomo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1997"
                        "editorial" => "Oxford University Press&#59;"
                        "editorialLocalizacion" => "Oxford"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Closing the gap in a generation&#58; health equity through action on the social determinants of health"
                      "autores" => array:1 [
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