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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Analizar las diferencias entre ni&#241;os espa&#241;oles de etnia gitana e inmigrantes extranjeros ingresados en centros de protecci&#243;n&#44; respecto a las caracter&#237;sticas del maltrato&#44; los factores familiares y el estado de salud&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se revisaron los expedientes sociosanitarios de 83 ni&#241;os gitanos espa&#241;oles y 105 ni&#241;os inmigrantes que ingresaron desde enero de 1994 hasta diciembre de 2003 por maltratos en centros de protecci&#243;n del Instituto Aragon&#233;s de Servicios Sociales &#40;IASS&#41;&#46; El maltrato&#44; sus tipos e indicadores se definieron y evaluaron seg&#250;n gu&#237;as elaboradas por el IASS&#46; Los factores familiares de riesgo sociosanitario asociados con el maltrato se determinaron seg&#250;n estudios nacionales&#46; El estado de salud se evalu&#243; seg&#250;n los protocolos elaborados por el IASS&#46; Se realiz&#243; un estudio estad&#237;stico descriptivo y comparativo&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En los ni&#241;os gitanos espa&#241;oles predomina el grupo de edad de 0-5 a&#241;os&#44; mientras que en los inmigrantes es m&#225;s frecuente el grupo de 12-17 a&#241;os&#46; En los ni&#241;os gitanos espa&#241;oles es tambi&#233;n m&#225;s frecuente la situaci&#243;n de negligencia f&#237;sica&#44; emocional y&#47;o abandono &#40;p &#60; 0&#44;001&#41; y la pertenencia a familias con problemas de delincuencia &#40;odds ratio &#91;OR&#93; &#61; 16&#44;5&#59; intervalo de confianza &#91;IC&#93; del 95&#37;&#44; 6&#44;7-40&#44;7&#41;&#44; toxicoman&#237;a o alcoholismo &#40;OR &#61; 8&#44;8&#59; IC del 95&#37;&#44; 3&#44;7-21&#44;0&#41; y multiproblem&#225;ticas &#40;OR &#61; 9&#44;3&#59; IC del 95&#37;&#44; 3&#44;8-22&#44;8&#41;&#46; En los ni&#241;os gitanos es m&#225;s frecuente tambi&#233;n la presencia de trastornos neurol&#243;gicos&#44; enfermedades discapacitantes&#44; inmunizaciones ausentes o incompletas y enfermedades dermatol&#243;gicas&#46; Por su parte&#44; los ni&#241;os inmigrantes presentaron una frecuencia superior de maltrato f&#237;sico&#44; psicol&#243;gico y&#47;o sexual &#40;p &#60; 0&#44;001&#41;&#44; as&#237; como una procedencia de familias monoparentales &#40;OR &#61; 7&#44;9&#59; IC del 95&#37;&#44; 2&#44;2-27&#44;7&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Conocer las diferencias entre estos 2 grupos de ni&#241;os maltratados puede ser de utilidad para los profesionales de los servicios sociales comunitarios responsables de desarrollar estrategias de intervenci&#243;n para la prevenci&#243;n y la detecci&#243;n precoz del maltrato&#44; y para los responsables de la salud de estos menores mientras permanecen en un centro de protecci&#243;n&#46;</p>"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To determine whether there are differences between Spanish gypsy and foreign immigrant children admitted to protection centers in the characteristics of the maltreatment&#44; social and familial factors linked to maltreatment&#44; and health status&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The social and health reports of 83 Spanish gypsy and 105 foreign immigrant children admitted to protection centers of the Aragonese Institute for Social Services &#40;Instituto Aragon&#233;s de Servicios Sociales &#91;IASS&#93;&#41; because of maltreatment from January 1994 to December 2003 were reviewed&#46; Maltreatment&#44; its types&#44; and warning signs were defined and assessed according to the guidelines drawn up by the IASS&#46; The social and familial risk factors associated with maltreatment were determined according to national studies&#46; Health status was assessed following protocols used by the IASS&#46; A descriptive and comparative statistical study was performed&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The Spanish gypsy children were mostly in the age group of 0-5 years&#44; while foreign immigrants were mostly in the age group of 12-17 years&#46; Spanish gypsy children showed a greater frequency of physical and emotional neglect and&#47;or abandonment &#40;p &#60; 0&#46;001&#41; and were more likely to have families with problems of crime &#40;odds ratio &#91;OR&#93; &#61; 16&#46;5&#59; 95&#37; confidence interval &#91;95&#37;CI&#93;&#44; 6&#46;7-40&#46;7&#41;&#44; drug&#47;alcohol abuse &#40;OR &#61; 8&#46;8&#59; 95&#37;CI&#44; 3&#46;7-21&#41; and families with more than one social and health risk factor &#40;OR &#61; 9&#46;3&#59; 95&#37;CI&#44; 3&#46;8-22&#46;8&#41;&#46; Spanish gypsy children showed a greater frequency of neurological disorders&#44; disabling diseases&#44; absent or incomplete immunizations&#44; and dermatologic diseases&#46; Foreign immigrant children showed a greater frequency of physical and psychological and&#47;or sexual abuse &#40;p &#60; 0&#46;001&#41; and were more likely to live in a single parent family &#40;OR &#61; 7&#46;9&#59; 95&#37;CI&#44; 2&#46;2-27&#46;7&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Identifying the differences between these two groups of maltreated children could be useful for professionals working in the community social services in charge of developing intervention strategies for the prevention and early detection of maltreatment&#44; as well as for professionals in charge of the health of these children during their stay in a protection center&#46;</p>"
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