Revista de salud publica (Bogota, Colombia)最新文献

{"title":"[DASS-9: Toward a more efficient measure of emotional symptoms].","authors":"Carlos Iván Orellana, Ligia María Orellana","doi":"10.15446/rsap.V27n2.114528","DOIUrl":"10.15446/rsap.V27n2.114528","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the metric properties and practical benefits of the DASS-9, a shortened version of the well-known DASS-21, a scale for measuring emotional symptoms.</p><p><strong>Methods: </strong>Based on data from previous research with Salvadoran adult population, a 9-item scale was developed to measure emotional symptomatology.</p><p><strong>Results: </strong>The DASS-9 shows the expected triadic factorial structure (depression, anxiety, and stress), high levels of internal consistency (a > 0.86) and evidence of criterion-concurrent validity (i.e., correlations with daily disruption or fear of contagion) that emulate the results of the original research, but with a cutoff of almost 60% of the original items.</p><p><strong>Conclusions: </strong>The DASS-9 shows adequate psychometric properties and is a more efficient alternative for the study of emotional symptoms in Salvadoran population, and in Latin American population as well. The wide use of the DASS-21 in Latin America during the pandemic and the current high incidence of emotional problems globally, make it advisable to create shorter scales that strengthen interest and research on emotional symptomatology.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"27 2","pages":"114528"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12755209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Barriers and facilitators of two pilot projects of telemonitoring aimed at patients with diabetes <i>mellitus 2</i>].","authors":"Miranda M Ríos-Bolaños, Alide Salazar-Molina, Gabriela Nazar-Carter","doi":"10.15446/rsap.V27n2.118508","DOIUrl":"10.15446/rsap.V27n2.118508","url":null,"abstract":"<p><strong>Objective: </strong>To characterize the implementation process, barriers, and facilitators of two pilot telemonitoring projects targeting patients with type 2 diabetes <i>mellitus</i> from two family health centers, from the perspective of healthcare professionals participating in the program.</p><p><strong>Methods: </strong>This qualitative case study included 22 participants: health directors, managers, professionals, and technicians involved in the intervention. Data was collected through semi-structured interviews and document review. The information was analyzed using content and thematic analysis guided by the Consolidated Framework for Implementation Research. Ethical considerations outlined by E. Emanuel were followed.</p><p><strong>Results: </strong>The main barriers included lack of involvement in decision-making, poor planning, process complexity, limited resources, poor connectivity, insufficient integration between electronic devices, and an unfriendly platform. Facilitators were centered on positive attitudes toward the intervention and the perceived usefulness for managing chronic conditions.</p><p><strong>Conclusions: </strong>The primary barriers identified were related to the management of the implementation process and technological aspects, while the most notable facilitators were attitudinal. This information could serve as a reference for future studies aiming to implement digital tools in various healthcare settings.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"27 2","pages":"118508"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13095117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147794837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Frequency of some diseases that affect men's health of Andes, Antioquia].","authors":"Girlesa Jaramillo-Muñoz, Walter D Cardona-Maya, Jenniffer Puerta-Suárez","doi":"10.15446/rsap.V27n1.114072","DOIUrl":"10.15446/rsap.V27n1.114072","url":null,"abstract":"<p><strong>Objective: </strong>To describe the frequency of some diseases that affect the health of men living in the municipality of Andes.</p><p><strong>Materials and methods: </strong>A quantitative, retrospective study was conducted in which the frequency of some diseases reported by the health surveillance system of the Ministry of Health of Andes and the Sectional Secretariat of Health and Social Protection of Antioquia was described and compared.</p><p><strong>Results: </strong>A possible underreporting of the epidemiological data reported in the health surveillance system was observed, when comparing the results provided by the local authority with those provided by the departmental authority, which made it difficult to obtain conclusive results. However, in general, the main diseases that affect the health of men in Andes are, in order of frequency, diabetes, obesity, alcoholism, domestic violence, prostate cancer, human immunodeficiency virus infection, and <i>Neisseria gonorrhoeae</i> infection.</p><p><strong>Discussion: </strong>In Colombia, most sexual health services are focused on women, and men play a secondary role. Diseases such as diabetes, obesity and alcoholism, as well as domestic violence, malignant prostate tumors, HIV and <i>N. gonorrhoeae</i> infection affect men's health, but can also have an impact on sexual health.</p><p><strong>Conclusion: </strong>Diabetes and obesity are the main health problems that affect men in Andes and can also affect their sexual health, so special health strategies are required for men's care.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"27 1","pages":"114072"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12755207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Overweight, obesity and factors associated with health in hypertensive afro-descendants living in a Quilombola community in BrazilSobrepeso, obesidad y factores asociados a la salud en afrodescendientes hipertensos residentes en una comunidad Quilombola en Brasil].","authors":"Helder Caldas Torres, Randson Souza Rosa, Jean Carlos Zambrano Contreras, José de Bessa, Rita Narriman Silva de Oliveira Boery, Isleide Santana Cardoso Santos, Wilkslam Alves de Araújo, Diego Pires Cruz, Edison Vitório de Souza, Ronney Pereira Cabral","doi":"10.15446/rsap.V27n1.109946","DOIUrl":"10.15446/rsap.V27n1.109946","url":null,"abstract":"<p><strong>Objective: </strong>To analyze overweight, obesity and factors associated with health in hypertensive Afro-descendants living in a quilombola community.</p><p><strong>Methods: </strong>This is an epidemiological, census, cross-sectional, community-based study carried out with 303 residents of a quilombola community.</p><p><strong>Results: </strong>The results with 303 hypertensive Afro-descendants, mostly women, identified the main cardiovascular risk factors with emphasis on menopause, family history of cardiovascular problems, sedentary lifestyle and type 2 diabetes. Significant differences were observed between men and women in the levels of total cholesterol, HDL and LDL. Logistic regression analysis indicated that female sex, and high levels of total cholesterol were associated with a higher body mass index (BMI). These findings provide important insights into cardiovascular risk factors in hypertensive African Americans, highlighting the importance of early identification and management of these factors for the prevention of cardiovascular disease in this population.</p><p><strong>Conclusions: </strong>The context of the study reinforces the need for preventive and interventionist strategies to combat overweight and obesity in quilombola communities. Knowledge of cardiovascular risks and associated factors is essential for the implementation of effective interventions and contributes as a tool to direct health actions and social policies in quilombola communities and other vulnerable populations.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"27 1","pages":"109946"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147794825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The health-environment perspective as a tool for ecopharmacovigilance].","authors":"Diego Mauricio Quijano-Prieto, José Gilberto Orozco-Díaz","doi":"10.15446/rsap.V27n1.111296","DOIUrl":"10.15446/rsap.V27n1.111296","url":null,"abstract":"<p><p>Environmental pollution by pharmaceutical is an emerging environmental issue and a public health concern. Active pharmaceutical ingredients have been detected in various ecosystems, where they have caused negative impacts, and considering their bioactive properties, they are considered potentially harmful to several species. Ecopharmacovigilance is concerned with the detection, evaluation, understanding, and prevention of adverse effects related to the presence of pharmaceuticals in the environment. This essay analyzes ecopharmacovigilance through a parallel with the book Silent spring, highlighting gaps in knowledge and addressing them with an approach that focuses on social aspects of health-disease-care problems. The present document points out that the current approach to ecopharmacovigilance loses sight of the determining role of social relationships, and focuses on the short-term, the study of isolated factors, and the search for immediate causes. There is a need for a theoretical rethinking of the problem is referred to, where the multiple ecosocial relationships are highlighted. Currently, the society has the possibility of knowing, rethinking, and taking action regarding how humans deal with each other and nature, in relation to health-disease-care issues.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"27 1","pages":"111296"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12755206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Obstetric violence from the perception and experiences of women in labor, Valledupar, Colombia].","authors":"Margareth Corzo-Contreras, Esther P Polo-Payares, María C Murgas-Quintero, Luz A Hurtado-Luján, Belkis V Cuesta-Morato","doi":"10.15446/rsap.V26n6.115923","DOIUrl":"10.15446/rsap.V26n6.115923","url":null,"abstract":"<p><p>Obstetric violence has been defined by Latin American legislatures as all actions or omissions that health personnel exercise on the body and reproductive processes of women, consisting of dehumanizing treatment, abuse of medicalization, pathologization and affecting their childbirth experience.</p><p><strong>Objective: </strong>To make visible from the women's voices their perception of the violation of sexual and reproductive rights generated by obstetric violence.</p><p><strong>Methodology: </strong>Qualitative, descriptive exploratory study. Intentional sample of 30 women who met the inclusion criteria, users of health institutions in Valledupar, Colombia, between 2020-2021; in-depth interview and oral accounts were used, theoretical and emergent categorization. Theoretical sample with saturation principle, internal and external validation by triangulation and consideration of ethical aspects.</p><p><strong>Results: </strong>The participants' narratives show their perception of actions that violate their rights reflected in expressions that are interpreted in the light of the recommendations of the World Health Organization (WHO), respected childbirth, as abuse of medicalization and non-recommended routines, in addition to reflecting hegemonic and non-therapeutic relationships, silencing and invasion of their corporeality and risks to their health and that of their child.</p><p><strong>Conclusion: </strong>Submission, lack of warmth, experienced in a moment of vulnerability of women, produces in their psychological sphere the memory of their deliveries as negative experiences.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"26 6","pages":"115923"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Narratives of suicidal behavior in female students at a public university in Mexico].","authors":"Nancy Araceli Méndez-Romero","doi":"10.15446/rsap.V26n6.116184","DOIUrl":"10.15446/rsap.V26n6.116184","url":null,"abstract":"<p><strong>Introduction: </strong>Suicidal behavior includes different phases: ideation, planning and suicide attempt. In Mexico, suicide represents the third and fourth cause of death in women aged 10 to 14 and 15 to 24, respectively.</p><p><strong>Objective: </strong>To analyze the experiences of suicidal ideation and attempts of women who are studying at a public university in the state of Mexico (Mexico).</p><p><strong>Methods: </strong>Qualitative research carried out from June 2023 to May 2024. An intentional sample of five women selected according to certain criteria was obtained: being of legal age, having a moderate to high risk of suicide on the Plutchik Suicide Risk Scale, having received orientation for mental health care, a strategy used to obtain personal statements about suicidal behavior. The information collected was systematized in Atlas ti, three categories were obtained which were analyzed with a gender focus on health.</p><p><strong>Results: </strong>It was identified that the study participants have attempted suicide at some time and that suicidal ideation and attempts occurred from early stages, causing persistent psychoemotional discomfort. The experiences of suicidal behavior are linked to the demand for traditional gender roles, as well as such as living in environments of violence and/or lack of support.</p><p><strong>Conclusions: </strong>The university needs to strengthen academic and solidarity support activities, as well as carry out suicide prevention actions, identifying conditions of violence or others that affect female students. Cases at risk need to be identified and referred to specialized services.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"26 6","pages":"116184"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Epidemiological surveillance of bacterial agents causing foodborne diseases in northern Chile, 2016-2022].","authors":"Mirko J Ortiz-Álvarez, Edgardo R Santander-Pulgar, Alejandra K Allendes-Siles, Marcelo A Vicencio-Ahumada","doi":"10.15446/rsap.V26n6.111847","DOIUrl":"10.15446/rsap.V26n6.111847","url":null,"abstract":"<p><strong>Objective: </strong>To describe the bacteria reported in matrices related to foodborne diseases (FBDs) in the Tarapacá region (Chile).</p><p><strong>Materials and methods: </strong>A descriptive study was conducted on the total number of notifications reported by the surveillance system in Tarapacá from 2016 to 2022. The analyzed variables included the causative bacteria, the implicated food, the surveillance program, and the temporal distribution of the reported bacteria during this period.</p><p><strong>Results: </strong>During the analyzed period, 184 strains of different bacteria <i>(Salmonella spp., Staphylococcus aureus, Listeria monocytogenes, Vibrio parahaemolyticus, Vibrio cholerae,</i> and <i>Bacillus cereus)</i> were reported. Meat products and prepared dishes, together with seafood products, were the most frequently detected with bacterial contamination. The regional food surveillance program reported all the aforementioned bacteria and had the highest number of notifications, followed by imports. More bacteria were reported in food than in water. 2019 had the highest number of reported bacteria (68 strains). <i>Salmonella spp.</i> and <i>Staphylococcus aureus</i> were reported every year. <i>Salmonella spp.</i> and Vibrio parahaemolyticus had the highest number of notifications, 34.8% and 22.8%, respectively. During the period analyzed 184 strains of different bacteria (Salmonella spp, <i>Staphylococcus aureus, Listeria monocytogenes, Vibrio parahaemolyticus, Vibrio cholerae</i> and <i>Bacillus cereus)</i> were reported. Meat products and prepared dishes, together with fishery products, contain the most bacterial detections. The regional food surveillance program has reported all the above-mentioned bacteria and has the most notifications, followed by imports. More bacteria were reported in food than in water. The year 2019 had the highest number of bacteria reported (68 strains). Salmonella spp and <i>Staphylococcus</i> aureus were the bacteria reported every year. <i>Salmonella spp</i> and <i>Vibrio parahemolyticus</i> had the highest number of notifications, with 34.8% and 22.8%, respectively.</p><p><strong>Conclusion: </strong>The information obtained through active transparency from the Regional Ministerial Secretariat of Health of Tarapacá and the Public Health Institute allowed for the identification of the most prevalent and frequent bacteria. It was also determined that the regional and import surveillance programs need to be strengthened, and that meat products, along with seafood products, require closer monitoring.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"26 6","pages":"111847"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Geographic information systems tools to delimit areas in Chilean family health centers. Concepts from practice].","authors":"Sandra Soto-Provoste, Angela Rebolledo-Poblete, Greys González-González","doi":"10.15446/rsap.V26n5.116376","DOIUrl":"10.15446/rsap.V26n5.116376","url":null,"abstract":"<p><p>The use of geographic information systems (SIG) in health planning has proven to be essential, especially when considering factors such as mobility, transportation, and urban growth. Unregulated urban growth tends to concentrate and segregate services, leaving the most needy populations on the periphery without adequate access to healthcare. The analysis of geospatial information and its integration into health planning not only improves the distribution of services but also facilitates decision-making based on a more comprehensive understanding of the territory. Implementing GIS strategies can contribute to better equity in healthcare and more inclusive and effective urban planning. An essay presents reflections on using GIS in a city of southern Chile.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"26 5","pages":"116376"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Anthropometric indices, physical activity and eating patterns in nutrition and dietetics students in Colombia].","authors":"Maritza Sora-Gutiérrez, Gloria C Deossa-Restrepo, Cristian D Santa, Difariney González","doi":"10.15446/rsap.V26n4.114092","DOIUrl":"10.15446/rsap.V26n4.114092","url":null,"abstract":"<p><strong>Objective: </strong>To analyze changes in body composition (Body Mass Index and Waist/Height Index), physical activity and eating patterns in Nutrition and Dietetics students from Colombian universities, between 2017 and 2018.</p><p><strong>Materials and methods: </strong>Study longitudinal descriptive. With secondary data corresponding to the multicenter study of Nutrition and Dietetics students from universities in Colombia and Mexico. Sample of 228 students from Colombian universities, between 18 and 31 years old, evaluated at two moments with a difference of one year. It included sociodemographic, anthropometric, physical activity and food consumption variables. Descriptive statistics and inferential analysis were applied. Eating patterns were deter-mined by confirmatory factor analysis.</p><p><strong>Results: </strong>The Body Mass Index and the Waist/Height Index presented statistically significant differences between evaluations 1 and 2 (p<0.05), with increased cardiovascular risk; without significant differences in physical activity between the two evaluations (p>0.05). Three dietary patterns were determined: a) cardioprotective, b) high in sugar and c) high in fat, with no changes between evaluations.</p><p><strong>Conclusion: </strong>The present study showed critical aspects in the nutrition, body composition and physical activity of the students, which are maintained or worsen over time, despite the progress in their academic training in the area of food, dietetics and health.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"26 4","pages":"114092"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}