Gaceta Sanitaria最新文献

{"title":"The influence of COVID-19 on the practice of physical activity in the European Union countries","authors":"Diego Álvarez-Lourido ,&nbsp;José Luis Paniza-Prados ,&nbsp;Antonio Álvarez-Sousa","doi":"10.1016/j.gaceta.2024.102436","DOIUrl":"10.1016/j.gaceta.2024.102436","url":null,"abstract":"<div><h3>Objective</h3><div>Analyze how pandemics contribute to the increase in social inequalities in the health sector.</div></div><div><h3>Method</h3><div>Data are taken from Eurobarometer 97.3. We use the Generalized Structural Equation Model (GSEM) methodology for this analysis.</div></div><div><h3>Results</h3><div>People with lower socio-economic status, considered to be of lower social class, living in areas with worse infrastructure for practicing physical activity, and in countries with high levels of social inequality, are less likely to engage in leisure time physical activity. In addition, these individuals are more likely to interrupt physical activity practices as a result of COVID-19. In contrast, people of higher socio-economic status, considered to be of upper class, living in contexts where there are opportunities for physical activity, and in countries with low levels of social inequality, are more likely/ to belong to the group of those who increased the frequency of practicing physical activity in free time/ to have increased the frequency of their leisure time physical activity.</div></div><div><h3>Conclusions</h3><div>There are widespread inequalities in leisure time physical activity linked to personal variables (social status and subjective social class) and contextual variables (infrastructures and Gini Index) that were significantly aggravated with the COVID-19 pandemic.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102436"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Desinformación sobre lactancia materna en contra de los derechos de la infancia y de las mujeres","authors":"María Dalli Almiñana","doi":"10.1016/j.gaceta.2025.102498","DOIUrl":"10.1016/j.gaceta.2025.102498","url":null,"abstract":"<div><div>A whole generation of breastfeeding mothers received advice about breastfeeding decades ago that was not based on scientific evidence: “breastfeed only every three hours”, “you will run out of milk”, “give them a bottle of formula with cereal and they will sleep better”. Although the World Health Organization and different scientific and professional societies currently have updated recommendations that contradict these myths, many breastfeeding mothers continue to receive this type of advice from health professionals that puts breastfeeding at risk and thus children continuing to receive the benefits that it entails. This text argues that these situations constitute a case of misinformation that violates the rights of patients, the best interests of the child and the reproductive rights of women. Therefore, it also argues that public authorities must promote professional training on breastfeeding as part of their obligations to protect human rights.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102498"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"El riesgo autopercibido de padecer cáncer en España: un estudio transversal","authors":"Antonio Yanes-Roldán,&nbsp;Mario López-Salas,&nbsp;Belén Fernández Sánchez","doi":"10.1016/j.gaceta.2025.102496","DOIUrl":"10.1016/j.gaceta.2025.102496","url":null,"abstract":"<div><h3>Objective</h3><div>To identify the variables that influence the most the self-perceived risk of developing cancer and to explore the main reasons associated with the degree of self-perceived risk.</div></div><div><h3>Method</h3><div>A cross-sectional study was carried out using a questionnaire designed ad hoc, between February and September 2020. A total of 4769 responses were collected by telephone from men and women over 18 years of age residing in Spain, with a response rate of 29.6%. A descriptive analysis and a binary logistic regression model were performed using the self-perceived risk of developing cancer as the dependent variable.</div></div><div><h3>Results</h3><div>More than 60% of the participating population believe they have a very high or high risk of being diagnosed at some point in their lives. Having experienced cancer either firsthand or through close family members substantially increased the probability of having a very high or high risk of developing the disease (aOR: 3.243, 95% <span>C</span>I: 2.284-4.605, and aOR: 3.950, 95%CI: 3.316-4.706, respectively). In addition, other sociodemographic and attitudinal variables have been shown to influence the self-perceived risk of developing cancer.</div></div><div><h3>Conclusions</h3><div>Close experiences with cancer, either one's own or someone else's, have a significant impact on the higher perception of risk of suffering from the disease. Other variables related to lifestyle or sociodemographic profile that increase the probability that this perception is higher. Therefore, these findings highlight the importance of reinforcing public policies in the field of primary and secondary prevention in order to improve the perception of cancer risk in less aware people.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102496"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143921670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estrategias para organizar la investigación y la atención en salud mental de poblaciones migrantes","authors":"Irene Falgas-Bague ,&nbsp;Helena Llonch Valsells ,&nbsp;Maria Juan Corbella ,&nbsp;Francisco Collazos ,&nbsp;Andrea Fernandez-Rodriguez","doi":"10.1016/j.gaceta.2025.102454","DOIUrl":"10.1016/j.gaceta.2025.102454","url":null,"abstract":"<div><div>The mental health challenges faced by the migrant population in Spain are analyzed, emphasizing the gaps of our healthcare system to addresses their specific needs. Among these challenges are a high prevalence of mental disorders, increased exposure to mental health determinants, differences in the expression of distress, and behaviors related to access and demand for services. Proposals are presented to improve healthcare at multiple levels: 1) fostering of high-impact research, 2) providing rigorous culturally humility training for healthcare professionals and for the integration of community mental health agents, and 3) establishing reference care units as an organizational shift to enhance care and promote public health policies. In conclusion, urgent action through public health policies is necessary to ensure the best care for all.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102454"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mutualismo administrativo: el debate que ya no puede seguir ignorándose","authors":"José Ramón Repullo Labrador","doi":"10.1016/j.gaceta.2025.102492","DOIUrl":"10.1016/j.gaceta.2025.102492","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102492"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rejections and retractions for ethical concerns in Gaceta Sanitaria, 2024","authors":"Cristina Candal-Pedreira,&nbsp;Alberto Lana,&nbsp;Ferrán Catalá-López,&nbsp;Salvador Peiró,&nbsp;on behalf of Gaceta Sanitaria Editorial Board","doi":"10.1016/j.gaceta.2024.102446","DOIUrl":"10.1016/j.gaceta.2024.102446","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102446"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143049222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educational inequalities in cardiovascular mortality in Spanish regions (2016-2021)","authors":"Enrique Pérez-Miguel,&nbsp;Sergi Trias-Llimós","doi":"10.1016/j.gaceta.2025.102458","DOIUrl":"10.1016/j.gaceta.2025.102458","url":null,"abstract":"<div><h3>Objective</h3><div>Cardiovascular diseases (CVD) are the leading cause of death in low-mortality countries, but subpopulation level differences exist. This study assesses educational inequalities in CVD mortality by sex in Spanish regions (2016-2021).</div></div><div><h3>Method</h3><div>Age-standardised mortality rates by sex, region and education were estimated using individual-level mortality data from individuals aged ≥35 years residing in Spain provided by the Spanish National Statistics Institute. The Relative and the Slope Indexes of Inequality (RII and SII) were estimated to assess educational inequalities.</div></div><div><h3>Results</h3><div>For the whole Spain, RII was 1.79 (IC95%: 1.42-2.26) for women and 1.59 (IC95%: 1.33-1.91) for men, with differences across regions. The greatest inequalities were found in the Balearic and Canary Islands, and the lowest in La Rioja.</div></div><div><h3>Conclusions</h3><div>Continued efforts monitoring and tackling cardiovascular morbidity and its determinants are needed at the national and regional level to further contribute to reducing cardiovascular mortality levels and inequalities therein.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102458"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ensayos clínicos no comerciales con medicamentos en España: dos problemas por solucionar","authors":"Rafael Dal-Ré","doi":"10.1016/j.gaceta.2025.102470","DOIUrl":"10.1016/j.gaceta.2025.102470","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102470"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Genicular artery embolization for knee osteoarthritis: a systematic review with meta-analysis and cost-analysis","authors":"Aránzazu Hernández-Yumar ,&nbsp;Yadira González-Hernández ,&nbsp;Tasmania del Pino-Sedeño ,&nbsp;Cristina Valcárcel-Nazco ,&nbsp;Aythami de Armas-Castellano ,&nbsp;Estefanía Herrera-Ramos ,&nbsp;Julián Portero Navarro ,&nbsp;Montserrat Carmona-Rodríguez ,&nbsp;María Ximena Rojas-Reyes ,&nbsp;María M. Trujillo-Martín","doi":"10.1016/j.gaceta.2025.102459","DOIUrl":"10.1016/j.gaceta.2025.102459","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the effectiveness, safety, and cost-effectiveness of genicular artery embolization (GAE) for the treatment of mild or moderate knee osteoarthritis (KO) refractory to standard treatment, and/or severe KO in individuals not eligible for surgery.</div></div><div><h3>Method</h3><div>We conducted a systematic review with meta-analysis, supplemented by a cost-analysis, comparing GAE and standard treatment, from the perspective of the Spanish National Health System (NHS) over a one-year time horizon. The health improvement required for GAE to be deemed cost-effective was quantified, considering a willingness-to-pay threshold of 25 000 €/quality-adjusted life year (QALY).</div></div><div><h3>Results</h3><div>We included two randomized controlled trials in our analysis. Pain estimates showed inconsistent results, and no significant effects were observed for overall function, health-related quality of life, or changes in the need for pain management medication. No serious complications or major adverse events were observed. GRADE quality of evidence ranged from moderate to low. No economic evaluations were identified. Our cost-analysis revealed that GAE would result in an incremental cost of € 3432.37 per patient, requiring a health improvement of 0.137 QALY per patient to be deemed a cost-effective technology.</div></div><div><h3>Conclusions</h3><div>In summary, based on moderate to low-certainty evidence, it remains inconclusive whether there is any difference between GAE and standard treatment for KO. However, the use of GAE would increase the costs. Larger randomized controlled trials are needed to determine the effects of using GAE for chronic pain secondary to KO and, consequently, to ascertain whether this technology could potentially become cost-effective from the NHS perspective.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102459"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of glucagon-like peptide-1 receptor agonists with acute pancreatitis and biliary disease in individuals with diabetes and obesity: a propensity-weighted, population-based cohort study","authors":"Celia Robles Cabanillas ,&nbsp;Isabel Hurtado Navarro ,&nbsp;Aníbal García-Sempere ,&nbsp;Fran Llopis-Cardona ,&nbsp;Francisco Sánchez-Sáez ,&nbsp;Clara Rodríguez-Bernal ,&nbsp;Gabriel Sanfélix-Gimeno","doi":"10.1016/j.gaceta.2024.102444","DOIUrl":"10.1016/j.gaceta.2024.102444","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the risk of acute pancreatitis and biliary disease in patients treated with glucagon-like peptide-1 receptor agonists (GLP-1 RA).</div></div><div><h3>Method</h3><div>Population-based, propensity-weighted, new user, active comparator design study including patients with diabetes and obesity initiating treatment with GLP-1 RA or the comparator group sodium-glucose cotransporter 2 inhibitors (SGLT-2i) in the region of Valencia from 2015 to 2021.</div></div><div><h3>Results</h3><div>In adjusted, per protocol main analysis, no risk differences were found for acute pancreatitis (HR: 0.56; 95%CI: 0.17-1.91) nor for biliary disease (HR: 1.12; IC95%: 0.79, 1.58). Secondary analyses yielded similar results.</div></div><div><h3>Conclusions</h3><div>Despite we did not observe increased risk of gastrointestinal events in GLP-1 RA vs SGLT-2i patients, adherence to approved indications and close monitoring of potential adverse events are warranted to ensure patient safety.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102444"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}