Gaceta Sanitaria最新文献

{"title":"Validación psicométrica de la Escala de Malestar Psicológico Kessler 10 (K-10) en personas mayores en España","authors":"Esteban Sánchez-Moreno ,&nbsp;Lorena P. Gallardo-Peralta ,&nbsp;José Luis Gálvez-Nieto","doi":"10.1016/j.gaceta.2025.102452","DOIUrl":"10.1016/j.gaceta.2025.102452","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the psychometric properties of validity and reliability of the Kessler-10 Psychological Distress Scale (K-10) in a sample of Spanish older adults.</div></div><div><h3>Method</h3><div>An observational, analytical cross-sectional study was conducted for instrument validation between May and June 2022. The sample consisted of 887 individuals aged 65 and over. To assess the psychometric properties, reliability was evaluated using standardized Cronbach's alpha and McDonald's omega coefficients, while construct validity was examined through exploratory and confirmatory factor analyses. Convergent validity was assessed using Pearson's correlation coefficients (using the 5-item Geriatric Depression Scale [GDS-5]). The unidimensional factor structure proposed in the original development of the scale was analyzed.</div></div><div><h3>Results</h3><div>Exploratory factor analysis yielded a one-factor structure explaining 67.48% of the total variance. Confirmatory factor analysis confirmed the unidimensional structure of the scale [weighted least squares mean and variance adjusted, WLSMV-χ² (df<!--> <!-->=<!--> <!-->35)<!--> <!-->=<!--> <!-->125.083; comparative fit index, CFI<!--> <!-->=<!--> <!-->0.951; Tucker-Lewis index, TLI<!--> <!-->=<!--> <!-->0.938; root mean square error of approximation, RMSEA<!--> <!-->=<!--> <!-->0.066 (confidence interval: 0.052–0.081)]. The correlation with GDS-5 scores supported the existence of convergent validity (r<!--> <!-->=<!--> <!-->0.599; p &lt;<!--> <!-->0.001). Adequate reliability coefficients were obtained for the general factor (α<!--> <!-->=<!--> <!-->0.944; ɷ<!--> <!-->=<!--> <!-->0.945).</div></div><div><h3>Conclusions</h3><div>The K-10 scale showed adequate levels of validity and reliability in the sample. The results obtained suggest that it is a suitable instrument for assessing non-specific psychological distress in older adults. Its brevity and ease of administration make the scale particularly suitable for epidemiological research and/or screening.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102452"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429845","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":"Guideline for the economic evaluation of medicines: a proposal by the Spanish National Health System's Advisory Committee for Pharmaceutical Financing","authors":"Marta Trapero-Bertran ,&nbsp;Juan Oliva ,&nbsp;Ferrán Catalá-López ,&nbsp;Lidia García-Pérez ,&nbsp;Lluís Segú ,&nbsp;Emilio Jesús Alegre-del-Rey ,&nbsp;Ana Clopés ,&nbsp;Félix Lobo ,&nbsp;Ana Ortega ,&nbsp;Jaume Puig-Junoy","doi":"10.1016/j.gaceta.2025.102448","DOIUrl":"10.1016/j.gaceta.2025.102448","url":null,"abstract":"<div><div>In 2023, the General Directorate of Pharmacy of the Ministry of Health commissioned the Advisory Committee on the Financing of Pharmaceuticals for the National Health System (CAPF, <em>Comité Asesor para la Financiación de la Prestación Farmacéutica del Sistema Nacional de Salud</em>) to produce a guideline for the evaluation of the efficiency of medicines. The aim of this methodological note is to present their main points. The guideline includes 17 dimensions that an economic evaluation of medicines must encompass, the design of a reference case, and a checklist for evaluating the methodological quality and reporting. This guideline should serve as a foundational document for reforming the health technologies evaluation processes of the Ministry of Health. The guideline can also assist researchers, public health professionals, health technology companies and decision makers in assessing the validity of findings and conclusions from health economic evaluations.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102448"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143527108","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":"Immigration status and depression in Spain: analysis of the European Health Interview Surveys of 2014 and 2020","authors":"Luisa N. Borrell ,&nbsp;Julia Díez ,&nbsp;Sara Yago-González ,&nbsp;Nerea Lanborena ,&nbsp;Elena Rodríguez-Álvarez","doi":"10.1016/j.gaceta.2024.102445","DOIUrl":"10.1016/j.gaceta.2024.102445","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;We examined the association between immigration status and depression in a nationally representative sample of adults in Spain. In addition, we assessed whether this association differed by sex/gender and social support.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;We used de-identified data from the European Health Interview Survey conducted in Spain in 2014 (n&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;21,226) and 2020 (n&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;20,136). Our study outcomes were self-reported diagnosis of depression and antidepressant use. We fitted Poisson regression models to quantify the association between immigration status and each outcome, before and after adjusting for age, sex/gender, marital status, educational level, employment status, smoking status, healthcare use, social support, and self-rated health. We obtained prevalence ratios (PR) and 95% confidence intervals (95%CI). We also tested interaction terms to evaluate whether the associations of interest differed by survey year and further by sex/gender and with social support.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;In 2014 and 2020, we observed a lower prevalence of depression among immigrant adults than among native Spanish adults (adjusted PR&lt;sub&gt;2014&lt;/sub&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.53, 95%CI: 0.40- 0.70; PR&lt;sub&gt;2020&lt;/sub&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.71, 95%CI: 0.55-0.91). However, for antidepressant use, this association was significant only in 2014 (adjusted PR&lt;sub&gt;2014&lt;/sub&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.36, 95%CI: 0.24-0.55). Although the association of immigration status with antidepressant use differed with survey year, these associations did not change with sex/gender or social support.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Our findings call attention to depression and mental health-related outcomes in Spain, regardless of immigration status, sex/gender or social support.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objetivo&lt;/h3&gt;&lt;div&gt;Examinamos la asociación entre el estado migratorio y la depresión en una muestra representativa de ámbito nacional de adultos en España. Además, evaluamos si esta asociación difiere según el sexo/género y el apoyo social.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Método&lt;/h3&gt;&lt;div&gt;Utilizamos datos anonimizados de la Encuesta Europea de Salud realizada en España en 2014 (n&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;21.226) y en 2020 (n&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;20.136). Los resultados de nuestro estudio fueron el diagnóstico autoinformado de depresión y el uso de antidepresivos. Usamos modelos de regresión de Poisson para cuantificar la asociación entre el estado migratorio y cada resultado, antes y después de ajustar por edad, sexo/género, estado civil, nivel educativo, situación laboral, tabaquismo, uso de atención médica, apoyo social y salud autopercibida. Obtuvimos razones de prevalencia (RP) e intervalos de confianza del 95% (IC95%). También examinamos términos de interacción para evaluar si las asociaciones de interés diferían según el año de la encuesta, y además según el sexo/género y el apoyo social.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Resultados&lt;/h3","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102445"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076780","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":"La escandalosa carencia de información sanitaria en residencias de mayores","authors":"María Victoria Zunzunegui ,&nbsp;Fernando J. García López","doi":"10.1016/j.gaceta.2025.102453","DOIUrl":"10.1016/j.gaceta.2025.102453","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102453"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429846","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":"John Leonard McKnight, November 22,1931-November 2, 2024","authors":"John R. Ashton ,&nbsp;Maggi Morris","doi":"10.1016/j.gaceta.2024.102441","DOIUrl":"10.1016/j.gaceta.2024.102441","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102441"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018943","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":"Evaluación de resultados del Programa ARGOS: prevención de alcohol, tabaco y cannabis en adolescentes","authors":"Mario Díaz Cutillas ,&nbsp;Irene Espí Ballester ,&nbsp;Ana B. Villar Lorenzo ,&nbsp;Consuelo Puerta Ortuño ,&nbsp;Sylvia López Davis ,&nbsp;Olga Monteagudo Piqueras ,&nbsp;Berta A. Medina Infante","doi":"10.1016/j.gaceta.2025.102484","DOIUrl":"10.1016/j.gaceta.2025.102484","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the impact of the ARGOS Community-Educational Program on reducing alcohol, tobacco, and cannabis use, resisting peer pressure to consume, and on increasing the perception of risk associated with consumption among 3<!--> <!-->rd ESO and 4<!--> <!-->th ESO students in the Region of Murcia who received the intervention during 1<!--> <!-->st ESO and 2<!--> <!-->nd ESO.</div></div><div><h3>Method</h3><div>A quasi-experimental study with 2031 students (53.1% from 3<!--> <!-->rd ESO and 46.9% from 4<!--> <!-->th ESO), divided into an intervention group (IG) and a comparison group (CG). Data collected in October 2020 and April 2021 were analyzed using t-tests and logistic regression adjusted by inverse probability weighting and educational centers.</div></div><div><h3>Results</h3><div>In April, in 3<!--> <!-->rd ESO, the IG showed a lower probability of lifetime alcohol (OR: 0.62) and cannabis use (OR: 0.34) compared to the CG, as well as a 15.1% higher prevalence of resistance to peer pressure to consume cannabis. In October, in 4<!--> <!-->th ESO, the moderately positive impact persisted, but by April, it had disappeared, with no clear effect on students who participated in the intervention.</div></div><div><h3>Conclusions</h3><div>The ARGOS Community-Educational Program had a limited impact on alcohol, tobacco, and cannabis use, resistance to peer pressure, and increased risk perception, particularly in 3<!--> <!-->rd ESO and the early stages of 4<!--> <!-->th ESO. Reinforcing the program with preventive interventions to consolidate and enhance its impact is deemed necessary.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102484"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785382","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":"Sedentarismo e inactividad física según sexo, edad y nivel socioeconómico en el País Vasco. Estudio transversal","authors":"Marta Ijalba Martínez ,&nbsp;Antonio Moreno Llamas ,&nbsp;Unai Martín Roncero","doi":"10.1016/j.gaceta.2024.102443","DOIUrl":"10.1016/j.gaceta.2024.102443","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the prevalence of sedentarism and physical inactivity according to sex, age, and socioeconomic level in the Basque Country.</div></div><div><h3>Method</h3><div>A cross-sectional study was conducted based on the 2018 Basque Autonomous Community Health Survey (n<!--> <!-->=<!--> <!-->7814 adults). Crude prevalences of sedentarism and physical inactivity, overall and by age group, were calculated, as well as the existence of a socioeconomic pattern was assessed through robust Poisson regression models.</div></div><div><h3>Results</h3><div>The overall prevalence of sedentarism was around 32% in sexes, reaching 60% in the age group older than 85 years and 45% in young people aged 18 to 29 years. The prevalence of physical inactivity was 22% in men (15% in the youngest and 37% in the oldest) and 29.5% in women (17% in the youngest and 64% in the oldest). Differences were found in the prevalences of sedentarism and physical inactivity according to socioeconomic level, with people of higher social class being more sedentary, and people with lower educational level being more inactive.</div></div><div><h3>Conclusions</h3><div>In the context of the study, there is a different pattern in terms of physical activity and sedentary lifestyle according to socioeconomic level and life cycle.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102443"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143238439","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":"Juntas directivas, comités y revisores","authors":"","doi":"10.1016/S0213-9111(24)00077-3","DOIUrl":"10.1016/S0213-9111(24)00077-3","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Pages I-VI"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000773/pdfft?md5=7319e98bc3a3cba6a943407d55d74b65&pid=1-s2.0-S0213911124000773-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142228916","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":"Mesas espontáneas/Tabelas espontâneas","authors":"","doi":"10.1016/S0213-9111(24)00079-7","DOIUrl":"10.1016/S0213-9111(24)00079-7","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Pages S6-S57"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000797/pdfft?md5=a906855ccb2b94a801d45fdf2498345c&pid=1-s2.0-S0213911124000797-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142229094","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":"Comunicaciones orales rápidas/Comunicações orais rápidas","authors":"","doi":"10.1016/S0213-9111(24)00081-5","DOIUrl":"10.1016/S0213-9111(24)00081-5","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Pages S178-S265"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000815/pdfft?md5=c6ba5149c80fa6e3dd261f7e828ef31e&pid=1-s2.0-S0213911124000815-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142229122","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}