title: [Predictors of Family Dysfunction among Adolescent Students].
abstract: OBJECTIVE
  Determination of family dysfunction predictors in adolescent students of Cartagena, Colombia.
  
  
  METHODS
  A cross-sectional analytical research was conducted by means of a probabilistic sample per conglomerate of high-school students. Participation of students between 13 and 17 years was requested. Family dysfunction was identified through the family APGAR scale. Predictors were adjusted by binary logistic regression.
  
  
  RESULTS
  A total of 1,730 students agreed to participate, mean age was 14.7 years (SD=1.2), and 52.7% were girls. The family APGAR scale showed a Cronbach alpha of 0.78. A group of 896 students (51.8%) reported family dysfunction. Predictors of family dysfunction were: clinically significant depressive symptoms (OR=3.61; IC 95%: 2.31-5.63), low religiosity (OR=1.73; CI 95%: 1.41-2.13), non-nuclear family (OR=1.71, CI 95% 1.71-2.09) (OR=1.73, 95% CI 1.41-2.13), non-nuclear family (OR=1.71, 95%: CI 1.41-2.09), consumption of any illegal substance in their lives (OR=1.67, CI 95%: 1.15-2.13), residents of depressed neighborhoods (OR = 1.49; CI 95%: 1.19-1.87), and poor academic performance (OR=1.43; CI 95%: 1.15-1.76).
  
  
  CONCLUSIONS
  Clinically significant depressive symptoms, low religiosity and non-nuclear family are the main predictors of family dysfunction among adolescent students in Cartagena, Colombia. The association is possibly bidirectional.
authors.affiliation: Enfermera, maestra en Enfermería con énfasis en Salud Familiar, doctoranda en Ciencias de la Educación, profesora asociada, Facultad de Enfermería, Universidad de Cartagena, Cartagena, Colombia. Electronic address: egomezb@unicartagena.edu.co.
authors.forename: Edna Margarita
authors.initials: EM
authors.lastname: Gómez-Bustamante
authors.affiliation: Enfermera, maestra en Salud Pública, profesora auxiliar, Facultad de Enfermería, Universidad de Cartagena. Grupo de cuidado a la salud de los colectivos, Cartagena, Colombia.
authors.forename: Irma
authors.initials: I
authors.lastname: Castillo-Ávila
authors.affiliation: Enfermera, maestra en Salud Pública, doctoranda en Salud Pública, profesora titular, Facultad de Enfermería, Universidad de Cartagena, Cartagena, Colombia.
authors.forename: Zuleima
authors.initials: Z
authors.lastname: Cogollo
keywords: Familia; Family; adolescent; adolescente; cross-sectional study; estudiantes; estudio transversal; family relations; relaciones familiares; students