Gaceta SanitariaPub Date : 2024-01-01DOI: 10.1016/j.gaceta.2024.102386
Chiara Dello Iacono , Miguel Requena , Mikolaj Stanek
{"title":"Social inequalities, advanced maternal age, and birth weight. Evidence from a population-based study in Spain","authors":"Chiara Dello Iacono , Miguel Requena , Mikolaj Stanek","doi":"10.1016/j.gaceta.2024.102386","DOIUrl":"https://doi.org/10.1016/j.gaceta.2024.102386","url":null,"abstract":"<div><h3>Objective</h3><p>To examine whether advanced maternal age (≥40 years) is linked to an increased likelihood of low or high birth weight among native and foreign-born mothers giving birth in Spain.</p></div><div><h3>Method</h3><p>A cross-sectional study was conducted using a novel database provided by the Spanish National Statistics Office which links the 2011 Census with information on individual births (2011-2015) from the Vital Statistics (Natural Movement of the Population). First, multinomial logistic regression models were used to estimate the potential association between maternal age and the likelihood of having a baby with low or high birth weight. Second, average adjusted predictions of giving birth to children with low, high, and adequate weight for the origin and the maternal age at birth were also calculated.</p></div><div><h3>Results</h3><p>Findings indicate that women with advanced maternal age showed an increased probability of giving birth to low birth weight infants. Conversely, mothers aged below <<!--> <!-->30 years had an elevated risk for high birth weight infants. When considering maternal migratory status, the findings were mixed. On one hand, foreign-born mothers showed a higher likelihood of delivering infants with high birth weight; on the other, they displayed a lower risk of low birth weight among newborns in comparison to Spanish natives.</p></div><div><h3>Conclusions</h3><p>The study addresses two key aspects. First, it highlights the increased risk of low birth weight in mothers delivering at an advanced age. Second, it emphasizes the importance of accounting for maternal migratory status when investigating the association between age at birth and birth weight outcomes among immigrant mothers.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102386"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000335/pdfft?md5=acd7c4eaeb99480de601e7cc325e4fde&pid=1-s2.0-S0213911124000335-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140542779","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}
Gaceta SanitariaPub Date : 2024-01-01DOI: 10.1016/j.gaceta.2024.102385
Adriana Goñi-Sarriés , Guillermo Pírez , Nora Yárnoz-Goñi , Francisca Lahortiga-Ramos , Álvaro Iruin , Azucena Díez-Suárez , Iñaki Zorrilla , Leticia Morata-Sampaio , M. Jesús Oliver , Ana González-Pinto , Almudena Sánchez-Villegas
{"title":"SESSAMO, follow-up of secondary students to assess mental health and obesity: a cohort study","authors":"Adriana Goñi-Sarriés , Guillermo Pírez , Nora Yárnoz-Goñi , Francisca Lahortiga-Ramos , Álvaro Iruin , Azucena Díez-Suárez , Iñaki Zorrilla , Leticia Morata-Sampaio , M. Jesús Oliver , Ana González-Pinto , Almudena Sánchez-Villegas","doi":"10.1016/j.gaceta.2024.102385","DOIUrl":"https://doi.org/10.1016/j.gaceta.2024.102385","url":null,"abstract":"<div><p>During last decades, a departure from health-related lifestyles has been observed among adolescents. Evidence reports that healthy lifestyles could be predictors of better mental health status. The aims of the SESSAMO Project are: 1) to assess the association between lifestyles and physical and mental health; 2) to assess how self-concept and stressful life events can modulate these associations; and 3) to establish the role of social determinants in the lifestyle and in adolescents’ health. The SESSAMO Project is a prospective cohort carried out in Spain. Students aged 14-16 years (2nd-4th ESO) and their parents are invited to participate. Baseline data are collected through on-line, validated, self-administered questionnaires through a digital platform. Information on lifestyles, stressful life events and self-concept are collected. Screening of depression, anxiety, eating disorders, suicide risk, psychotic experiences and COVID impact is assessed. Every three years, up to age of 25, participants will be contacted again to update relevant information.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102385"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000323/pdfft?md5=7e3c698778dfb6acee8aa6551877aabb&pid=1-s2.0-S0213911124000323-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140548894","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":"Efecto de la fragilidad en el consumo de recursos sanitarios en ancianos con cáncer","authors":"Rosario Moreno-Carmona , Mateu Serra-Prat , Júlia Serra-Colomer , Társila Ferro , Àngel Lavado","doi":"10.1016/j.gaceta.2024.102360","DOIUrl":"https://doi.org/10.1016/j.gaceta.2024.102360","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the effect of frailty on health resource use in aged population with cancer.</p></div><div><h3>Method</h3><p>Population-based cohort study with retrospective data collection and follow-up from January 2018 to December 2019 in people ≥65 years with cancer.</p></div><div><h3>Results</h3><p>Overall, 996 individuals were included, with a prevalence of frailty of 22.1%. Mortality at 2 years was 14.1% in the frail and 9.0% in the non-frail (<em>p</em> <!-->=<!--> <!-->0.028). Independently of age and sex, frailty increased the number of urgent hospitalizations (168%) and planned hospitalizations (64%), visits to the emergency room (111%), outpatient consultations (59%), day hospital sessions (30%) and visits to primary care (114%).</p></div><div><h3>Conclusions</h3><p>Frailty is more prevalent, determines a poorer prognostic and is associated with higher health resource use in aged population with cancer.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102360"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000074/pdfft?md5=d2cd523f88d229bdcd73ef9adc080531&pid=1-s2.0-S0213911124000074-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066912","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}
Gaceta SanitariaPub Date : 2024-01-01DOI: 10.1016/j.gaceta.2024.102408
Miguel A. Pérez-Sastré , Carmen García-Peña , Luciana Ramos-Lira , Luis Ortiz-Hernández
{"title":"Social capital as a moderator of the relationship between violent community environment and psychological distress","authors":"Miguel A. Pérez-Sastré , Carmen García-Peña , Luciana Ramos-Lira , Luis Ortiz-Hernández","doi":"10.1016/j.gaceta.2024.102408","DOIUrl":"10.1016/j.gaceta.2024.102408","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the modifying effect of social capital on the relationship between living in violent communities and the presence of psychological distress in adolescents and youth in Mexico.</p></div><div><h3>Method</h3><p>The analysis of the Social Cohesion Survey for the Prevention of Violence and Crime (ECOPRED, by its acronym in Spanish) was conducted. The analytic sample consisted of 39,639 participants aged 12 to 29 years. Community violence and social capital were measured at the census tract level using the average answers of a household's head sample. These environmental variables were independent of the experiences of the participants. Social capital variables included structural (social ties, recreational participation, collaborative participation, and social cohesion), and cognitive (trust in neighbors) dimensions. Multilevel structural equation models were used.</p></div><div><h3>Results</h3><p>Recreational participation, collaborative participation, and social cohesion modified the relationship between community environments and psychological distress. In females who lived in places with less recreational participation or less social cohesion, the higher the social disorder, the higher the psychological distress. A similar relationship between vandalism and psychological distress was identified, but only in males who lived in places with less collaborative participation, and in females with less social cohesion.</p></div><div><h3>Conclusions</h3><p>Our results suggest that dimensions of the structural social capital (organization and interest in the community and its members) were the ones that had the buffering effect of the exposure to disordered community environments on psychological distress.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102408"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000608/pdfft?md5=435b862f46ca10e3fb2cc45e3bc1c006&pid=1-s2.0-S0213911124000608-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473854","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}
Gaceta SanitariaPub Date : 2024-01-01DOI: 10.1016/j.gaceta.2024.102413
Ana Blanco-Ferreiro , Leonor Varela-Lema , Julia Rey-Brandariz , Cristina Candal-Pedreira , Alberto Ruano-Ravina , Ana Teijeiro , María José López , Carla Guerra-Tort , Nerea Mourino , Mónica Pérez-Ríos
{"title":"La valoración de la exposición al humo ambiental de tabaco en las encuestas de salud de España","authors":"Ana Blanco-Ferreiro , Leonor Varela-Lema , Julia Rey-Brandariz , Cristina Candal-Pedreira , Alberto Ruano-Ravina , Ana Teijeiro , María José López , Carla Guerra-Tort , Nerea Mourino , Mónica Pérez-Ríos","doi":"10.1016/j.gaceta.2024.102413","DOIUrl":"10.1016/j.gaceta.2024.102413","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the questions used to assess exposure to secondhand smoke (SHS) in Spanish health surveys.</p></div><div><h3>Method</h3><p>Extraction and analysis of the literals of the questions on SHS in the health surveys in Spain identified on the website of the Ministry of Health, the National Plan on Drugs and Health Departments of the autonomous communities.</p></div><div><h3>Results</h3><p>Three nationwide surveys assessed SHS exposure, with variability in questions, responses, and recall periods. Catalonia in 2022, and Galicia and the Basque Country in 2018, assessed exposure in detail.</p></div><div><h3>Conclusions</h3><p>Questions assessing self-reported exposure to SHS are survey-dependent. There is a need for a set of questions to assess exposure in a homogeneous way in health surveys.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102413"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000657/pdfft?md5=62914936bc10448c18ee66020cefc594&pid=1-s2.0-S0213911124000657-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141732399","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}
Gaceta SanitariaPub Date : 2024-01-01Epub Date: 2023-01-02DOI: 10.1016/j.gaceta.2022.102268
Jesús J Sánchez-Barricarte, Amaia Sánchez-Arlegui
{"title":"Relationship between historical developments in the percentages of low birthweight and fetal mortality in Spain.","authors":"Jesús J Sánchez-Barricarte, Amaia Sánchez-Arlegui","doi":"10.1016/j.gaceta.2022.102268","DOIUrl":"10.1016/j.gaceta.2022.102268","url":null,"abstract":"<p><strong>Objective: </strong>To document the differences in low birthweight in different population subgroups and to analyze its possible relationship with fetal mortality rates in Spain.</p><p><strong>Method: </strong>We used the microdata on live births and stillbirths since 1975 to 2020 from the Spanish National Statistics Institute to examine differentials in delivering a low birthweight controlling for different sociodemographic variables and to determine the relationship between low birthweight and fetal mortality. No statistical analysis was necessary beyond the calculation of percentages and rates.</p><p><strong>Results: </strong>The data at our disposal for Spain confirm the historical increase in the incidence of low birthweight and allow us to link trends in low birthweight with a decrease in the fetal mortality rate. When fetal mortality is high, the incidence of low birthweight is low, given that a natural selection effect takes place.</p><p><strong>Conclusions: </strong>The surprising historical increase in the incidence of low birthweight in Spain can be explained by the improvement in mortality rates. As more fetuses of lower gestational age are born alive, cases of low birthweight also increase.</p>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":" ","pages":"102268"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10472556","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}
Gaceta SanitariaPub Date : 2023-12-22DOI: 10.1016/j.gaceta.2023.102318
Alejandro Chuquitarco-Morales, Daniel La Parra-Casado, J. Francisco Estévez-García
{"title":"Pobreza energética y salud en población gitana y en población general de España","authors":"Alejandro Chuquitarco-Morales, Daniel La Parra-Casado, J. Francisco Estévez-García","doi":"10.1016/j.gaceta.2023.102318","DOIUrl":"10.1016/j.gaceta.2023.102318","url":null,"abstract":"<div><h3>Objective</h3><p>To quantify energy poverty in Roma population and in general population in Spain, in 2016, as well as to observe the association of this phenomenon with self-rated health, adjusted according to the main socio-economic determinants.</p></div><div><h3>Method</h3><p>Energy poverty has been defined as the financial inability to keep a home warm, the presence of dampness in the dwelling and falling into arrears in utility bills, using data from two European surveys from Spain in 2016: the Survey on Income and Living Conditions (EU-SILC) and the Second Survey on Minorities and Discrimination (EU-MIDIS II). Hierarchical logistic regression models were estimated with self-rated health as the outcome variable, progressively adjusted according to demographic (gender and age), environmental (household temperature, humidity and arrears in utility bills) and socio-economic (level of education, marital status and employment status) variables.</p></div><div><h3>Results</h3><p>Our results show that 45% of the Roma population had moderate or high levels of energy poverty. The odds ratio (OR) of poor self-rated health was higher in the Roma population (OR: 3.11; 95% confidence interval [95% CI]: 2.59–3.74). The inability to maintain an adequate indoor temperature significantly increased the risk of poor health (OR: 2.10; 95% CI: 1.90–2.32). After adjusting according to demographic, environmental and socio-economic variables, no association was observed between the population of ascription and self-rated health.</p></div><div><h3>Conclusions</h3><p>Taking into account the main social determinants, including energy poverty indicators, being Roma is not associated with reporting poor health. This result points to the importance of tackling socio-economic factors, including energy poverty, to reduce health inequalities.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102318"},"PeriodicalIF":1.9,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911123000328/pdfft?md5=2eed1ca067a94a794056b063aa29ce47&pid=1-s2.0-S0213911123000328-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139025452","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}