<?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>2007-7459</journal-id>
<journal-title><![CDATA[Horizonte sanitario]]></journal-title>
<abbrev-journal-title><![CDATA[Horiz. sanitario]]></abbrev-journal-title>
<issn>2007-7459</issn>
<publisher>
<publisher-name><![CDATA[Universidad Juárez Autónoma de Tabasco, División Académica de Ciencias de la Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-74592025000100318</article-id>
<article-id pub-id-type="doi">10.19136/hs.a24.1.6078</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Autoestima en adolescentes embarazadas y su asociación con la funcionalidad familiar y el apoyo social]]></article-title>
<article-title xml:lang="en"><![CDATA[Self-esteem in pregnant adolescents and its relationship with family functionality and social support]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez Cruz]]></surname>
<given-names><![CDATA[Carlos Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Cruz]]></surname>
<given-names><![CDATA[Yamileth Yurithzi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Mariano]]></surname>
<given-names><![CDATA[José Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendoza Mojica]]></surname>
<given-names><![CDATA[Sheila Adriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cano Estrada]]></surname>
<given-names><![CDATA[Edith Araceli]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Autónoma del estado de Hidalgo Escuela Superior de Tlahuelilpan ]]></institution>
<addr-line><![CDATA[Tlahuelilpan Hidalgo]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma del estado de Hidalgo Escuela Superior de Tlahuelilpan ]]></institution>
<addr-line><![CDATA[Tlahuelilpan Hidalgo]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Juárez de México  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Autónoma del estado de Hidalgo Escuela Superior de Tlahuelilpan ]]></institution>
<addr-line><![CDATA[Tlahuelilpan Hidalgo]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Autónoma del estado de Hidalgo Escuela Superior de Tlahuelilpan ]]></institution>
<addr-line><![CDATA[Tlahuelilpan Hidalgo]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<volume>24</volume>
<numero>1</numero>
<fpage>318</fpage>
<lpage>331</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-74592025000100318&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-74592025000100318&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-74592025000100318&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo:  Identificar la asociación entre la funcionalidad familiar y el apoyo social con el nivel de autoestima de adolescentes embarazadas en una comunidad rural del Valle del Mezquital en el estado de Hidalgo, México.  Materiales y métodos:  Estudio analítico y transversal con un muestreo no probabilístico por disposición. Se trabajó con una muestra de 150 adolescentes embarazadas pertenecientes al municipio de Tezontepec de Aldama, a quienes se les aplicó el instrumento APGAR familiar, la escala de autoestima de Rosemberg y la escala de apoyo social. Se comparó el nivel de autoestima con la funcionalidad familiar y apoyo social utilizando X2 de Pearson. Para evaluar la asociación de variables se utilizaron modelos de regresión logística ajustados por variables confusoras.  Resultados:  En el estudio predominaron las adolescentes que viven con sus parejas, que se dedican al hogar y que ya tenían un hijo. Se encontraron diferencias significativas (p&lt;0.05) entre el nivel de autoestima de las adolescentes que reciben apoyo regularmente, con las que no reciben apoyo; así como entre las adolescentes sin disfuncionalidad familiar y con disfuncionalidad familiar. Finalmente, se encontró que las adolescentes sin apoyo social regular tienen más posibilidades de tener una baja autoestima (RM=4.8 IC=1.97-12.10) y de manera similar, aquellas adolescentes con algún grado de disfuncionalidad familiar tienen más posibilidades de presentar baja autoestima (RM=3.74, IC=1.37-10.88).  Conclusiones:  Un ambiente familiar disfuncional y la falta de apoyo social se asocian directamente a una baja autoestima en adolescentes embarazadas, por lo que es necesario implementar intervenciones de apoyo para incrementar los vínculos sociales y familiares, y así mejorar la confianza en general de la adolescente y su salud mental, para sobrellevar el embarazo y la maternidad de forma saludable.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objetive:  To identify the association between family functionality and social support with the level of self-esteem of pregnant adolescents in a rural community of the Mezquital Valley in the state of Hidalgo, Mexico.  Materials and methods:  Analytical and cross-sectional study with non-probability sampling by disposition. We worked with a sample of 150 pregnant adolescents belonging to the municipality of Tezontepec de Aldama, to whom the family APGAR instrument, the Rosemberg self-esteem scale and the social support scale were administered. The level of self-esteem was compared with family functionality and social support using Pearson's Chi2. To evaluate the association of variables, logistic regression models adjusted for confounding variables were used.  Results:  The study was dominated by adolescents who live with their partners, who are dedicated to the home and who already had a child. Significant differences (p &lt; 0.05) were found between the level of self-esteem of adolescents who receive support regularly and those who do not receive support; as well as between adolescents without family dysfunction and those with family dysfunction. Finally, it was found that adolescents without regular social support are more likely to have low self-esteem (RM=4.8 CI=1.97-12.10) and similarly, those adolescents with some degree of family dysfunction are more likely to have low self-esteem (RM=3.74, CI=1.37-10.88).  Conclusions:  A dysfunctional family environment and lack of social support are directly associated with low self-esteem in pregnant adolescents. Therefore, it is necessary to implement support interventions to increase social and family ties, and thus improve the adolescent's overall confidence and mental health, to cope with pregnancy and motherhood in a healthy way.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Adolescente]]></kwd>
<kwd lng="es"><![CDATA[Embarazo]]></kwd>
<kwd lng="es"><![CDATA[Salud mental]]></kwd>
<kwd lng="es"><![CDATA[Apoyo social]]></kwd>
<kwd lng="es"><![CDATA[Familia]]></kwd>
<kwd lng="en"><![CDATA[Adolescent, pregnancy]]></kwd>
<kwd lng="en"><![CDATA[mental health]]></kwd>
<kwd lng="en"><![CDATA[social support]]></kwd>
<kwd lng="en"><![CDATA[family]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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