<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1996-3696</journal-id>
<journal-title><![CDATA[Revista del Instituto de Medicina Tropical]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Inst. Med. Trop.]]></abbrev-journal-title>
<issn>1996-3696</issn>
<publisher>
<publisher-name><![CDATA[Instituto de Medicina Tropical]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1996-36962026000100041</article-id>
<article-id pub-id-type="doi">10.18004/imt/2026.21.1.41</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Influencia del Nivel Educativo de los Padres en los Indicadores de Salud Infantil en Santa Rosa del Aguaray]]></article-title>
<article-title xml:lang="en"><![CDATA[Influence of Parents' Educational Level on Child Health Indicators in Santa Rosa del Aguaray]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Insfran Rojas]]></surname>
<given-names><![CDATA[Sannie Paola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maldonado Galeano]]></surname>
<given-names><![CDATA[María Paz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Florentín Coronel]]></surname>
<given-names><![CDATA[Denisse Abigail]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Brítez Augusto]]></surname>
<given-names><![CDATA[Julio María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carmona Giménez]]></surname>
<given-names><![CDATA[Tiago César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Verón Otero]]></surname>
<given-names><![CDATA[Gricel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zarza Cabrera]]></surname>
<given-names><![CDATA[Mario Isaac]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Páez Centurión]]></surname>
<given-names><![CDATA[Elias Gabriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González González]]></surname>
<given-names><![CDATA[Nancy Jaqueline]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escobar Jara]]></surname>
<given-names><![CDATA[Erika Jazmín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cazal Paez]]></surname>
<given-names><![CDATA[Hellen Stefany]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortellado]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinola Cabrera]]></surname>
<given-names><![CDATA[Silvio Ramon]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivas Gutter]]></surname>
<given-names><![CDATA[Helen Judith]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Avalos Ibarrola]]></surname>
<given-names><![CDATA[Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanabria-Báez]]></surname>
<given-names><![CDATA[Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[Santa Rosa del Aguaray ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Superior San Patricio de Irlanda del Norte Dirección de Investigación ]]></institution>
<addr-line><![CDATA[Santa Rosa del Aguaray ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2026</year>
</pub-date>
<volume>21</volume>
<numero>1</numero>
<fpage>41</fpage>
<lpage>50</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1996-36962026000100041&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1996-36962026000100041&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1996-36962026000100041&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Introducción: La salud infantil constituye un pilar fundamental para el desarrollo socioeconómico de una comunidad, y los determinantes sociales, particularmente la educación de los padres, ejercen un efecto independiente y de gran alcance en la salud de los niños al influir en la nutrición, la inmunización y la utilización de los servicios de salud. Objetivo: Analizar la influencia del nivel educativo de los padres en los indicadores de salud de sus hijos. Métodos: Estudio cuantitativo, analítico y transversal. La muestra quedó conformada por 272 padres o tutores de niños menores de 5 años residentes en el distrito de Santa Rosa del Aguaray durante el año 2025, seleccionados mediante un muestreo no probabilístico de tipo consecutivo. Resultados: El cumplimiento del esquema vacunal fue del 88,9% a nivel global, sin diferencias estadísticamente significativas por estrato educativo (p=0,052). En cuanto al estado nutricional, la prevalencia de talla baja fue homogénea entre los grupos de primaria (11,5%), secundaria (15,2%) y terciaria (11,9%; p=0,238). Sin embargo, la desnutrición aguda (emaciación) mostró una marcada disparidad descriptiva, afectando al 15,4% del estrato con educación primaria frente a solo un 4,5% en los niveles secundario y terciario (p=0,118). La utilización de servicios preventivos reveló una asociación altamente significativa (p=0,002): el ausentismo clínico (0 consultas anuales) afectó al 26,9% del grupo con educación primaria y disminuyó al 9,0% en el nivel terciario, mientras que la alta frecuencia de controles (3 o más visitas) fue superior en el estrato universitario (34,3% vs. 19,2%). Conclusiones: El nivel educativo de los padres no demostró una influencia lineal sobre la inmunización o la desnutrición crónica en este contexto, pero emerge como un determinante crítico e independiente de la proactividad en la búsqueda de asistencia médica preventiva y la alfabetización en salud, reduciendo de forma significativa el ausentismo en el control del niño sano.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Introduction: Child health is a fundamental pillar of a community's socioeconomic development, and social determinants, particularly parental education, exert an independent and far-reaching effect on children's health by influencing nutrition, immunization, and the use of health services. Objective: To analyze the influence of parental educational level on their children's health indicators. Methods: A quantitative, analytical, cross-sectional study. The sample consisted of 272 parents or guardians of children under 5 years of age residing in the district of Santa Rosa del Aguaray during the year 2025, selected through non-probabilistic consecutive sampling. Results: Overall vaccination compliance was 88.9%, showing no statistically significant differences by educational level (p=0.052). Regarding nutritional status, stunting prevalence was homogeneous among primary (11.5%), secondary (15.2%), and tertiary (11.9%; p=0.238) education groups. However, acute malnutrition (wasting) showed a marked descriptive disparity, affecting 15.4% of the primary education stratum compared to only 4.5% in the secondary and tertiary levels (p=0.118). Preventive service utilization revealed a highly significant association (p=0.002): clinical absenteeism (0 annual visits) affected 26.9% of the primary education group and decreased to 9.0% in the tertiary level, while a high frequency of checkups (3 or more visits) was superior in the university stratum (34.3% vs. 19.2%). Conclusions: Parental educational level did not show a linear influence on immunization or chronic malnutrition in this context; however, it emerges as a critical and independent determinant of proactivity in seeking preventive medical care and health literacy, significantly reducing absenteeism in well-child checkups.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Salud infantil]]></kwd>
<kwd lng="es"><![CDATA[Educación parental]]></kwd>
<kwd lng="es"><![CDATA[Estado nutricional]]></kwd>
<kwd lng="es"><![CDATA[Vacunación]]></kwd>
<kwd lng="es"><![CDATA[Determinantes sociales de la salud]]></kwd>
<kwd lng="en"><![CDATA[Child health]]></kwd>
<kwd lng="en"><![CDATA[Parental education]]></kwd>
<kwd lng="en"><![CDATA[Vaccination]]></kwd>
<kwd lng="en"><![CDATA[Nutritional status]]></kwd>
<kwd lng="en"><![CDATA[Social determinants of health]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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