Atencion Primaria最新文献

{"title":"Conocimiento y actitudes sobre la vacuna del VPH en padres y madres de una institución educativa vulnerable del Perú","authors":"Shirley Anicia Aliaga Pichardo, Mercedes Acosta-Román, Gianmarco Garcia Curo","doi":"10.1016/j.aprim.2025.103390","DOIUrl":"10.1016/j.aprim.2025.103390","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103390"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079888","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":"Trends in health literacy discussions within primary health care research: A topic analysis using machine learning techniques","authors":"Muhammet Damar ,&nbsp;Andrew David Pinto ,&nbsp;Benita Hosseini ,&nbsp;Thiago Gomes da Trindade ,&nbsp;Ömer Aydın ,&nbsp;Fatih Safa Erenay ,&nbsp;Ümit Cali","doi":"10.1016/j.aprim.2025.103441","DOIUrl":"10.1016/j.aprim.2025.103441","url":null,"abstract":"<div><h3>Objective</h3><div>To reveal the intellectual framework, research trends, and gaps, and evaluate effective health literacy tools in the field of primary healthcare services.</div></div><div><h3>Design</h3><div>Observational, machine learning-based bibliometric study.</div></div><div><h3>Site</h3><div>Analysis was conducted using records indexed in the Web of Science database.</div></div><div><h3>Participants</h3><div>A total of 1869 researchers from 823 institutions across 54 countries contributed to the 33 journals included in the dataset.</div></div><div><h3>Interventions</h3><div>Development of a bibliometric map and topic model in health literacy within primary healthcare. Bibliometric analysis was performed on review and research articles retrieved as of July 27, 2025. For each article, data on the journal, publication year, title, abstract, keywords, authors, affiliations, countries, cited sources, cited first authors, and references were collected. Latent Dirichlet Allocation topic modeling was applied to uncover thematic structures and trends in the research field.</div></div><div><h3>Main measurements</h3><div>Thematic structures, research trends, and knowledge gaps were measured through bibliometric indicators such as co-authorship networks, citation analysis, and topic modeling outputs.</div></div><div><h3>Results</h3><div>Emerging topics included health equity and sustainability, medication adherence, aging, management of lifestyle factors such as physical activity and diet, management of chronic diseases, physician-patient communication, sustainable learning, sociodemographic impact, rural health interventions, responses to pandemics akin to COVID-19, and the roles of health institutions, policymakers, and leadership.</div></div><div><h3>Conclusions</h3><div>Our findings highlight that health literacy is a multifaceted concept that not only enables healthier living and disease management but also prevents various severe health conditions, improving overall life quality and satisfaction with health services. The importance of sustained health literacy initiatives, effective communication, and the vested interests of both patients and healthcare professionals are highlighted, underscoring the need for ongoing commitment in this area.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103441"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145981526","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":"Disparidades en salud y determinantes legislativos en América Latina: análisis comparativo multivariado de la esperanza de vida, la mortalidad infantil y la inmunización en Chile, Colombia y Honduras (2011-2019)","authors":"Camilo Andrés Estupiñan Ruiz ,&nbsp;Cristian Correa-Arrieta ,&nbsp;Jeisson Andrés Hincapié-Carvajal","doi":"10.1016/j.aprim.2025.103428","DOIUrl":"10.1016/j.aprim.2025.103428","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the evolution of health indicators and their relationship with legal frameworks and health policies in Chile, Colombia, and Honduras between 2011 and 2019.</div></div><div><h3>Design</h3><div>Retrospective ecological study of time series, with multivariate and comparative analysis.</div></div><div><h3>Setting</h3><div>Secondary national-level data from PAHO and WHO.</div></div><div><h3>Participants</h3><div>General population, represented through indicators of life expectancy, infant mortality, and vaccination coverage.</div></div><div><h3>Interventions</h3><div>Review of laws, plans, and public health policies in force, including financing regulations and vaccination programs.</div></div><div><h3>Main measurements</h3><div>Life expectancy at birth (years), infant mortality rate (per 1,000 live births), coverage of three doses of pneumococcal conjugate vaccine (PCV3, %), legal framework and health policies.</div></div><div><h3>Analysis</h3><div>MANOVA for multivariate differences, multiple linear regression adjusted by country and year, Pearson correlation, and assumption diagnostics.</div></div><div><h3>Results</h3><div>Significant heterogeneity was found among countries (Pillai's trace<!--> <!-->=<!--> <!-->1.0653; p &lt; 0.001). In 2019, Chile showed the highest life expectancy (79.9 years) and the lowest infant mortality (7.04/1,000), while Honduras recorded the worst indicators (71.3 years; 18.8/1,000). PCV3 coverage was high and homogeneous (&gt;90%) in all three countries. The correlation between life expectancy and infant mortality was very strong and inverse (r<!--> <!-->=<!--> <!-->–0.943; p &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Health disparities are explained by interactions among economic, institutional, and legislative factors. Reducing them requires strengthening the legal framework, increasing public health expenditure, and promoting international cooperation.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103428"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145982020","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":"Prevalence and associated factors of preeclampsia/eclampsia among pregnant women in Borama Regional Hospital, Somaliland: A cross-sectional study","authors":"Hawa Dahir Mahamoud ,&nbsp;Abdisalam Hassan Muse","doi":"10.1016/j.aprim.2025.103430","DOIUrl":"10.1016/j.aprim.2025.103430","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103430"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145982018","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":"Seguimiento sintomatológico a largo plazo de pacientes con síndrome de COVID persistente","authors":"Andrés Carrascosa Gil ,&nbsp;Miriam Gabella Martín ,&nbsp;María del Camino Salazar Lozano ,&nbsp;Eduardo Tamayo Gómez ,&nbsp;Jesús Rico Feijoo ,&nbsp;César Aldecoa Álvarez de Santullano","doi":"10.1016/j.aprim.2025.103425","DOIUrl":"10.1016/j.aprim.2025.103425","url":null,"abstract":"<div><h3>Objective</h3><div>The primary aim of the study was to investigate the long-term symptom progression of long COVID. The secondary objective was to assess whether any treatment had an impact on symptom evolution.</div></div><div><h3>Design</h3><div>Longitudinal, prospective, observational, uncontrolled study.</div></div><div><h3>Setting</h3><div>Internal Medicine Department, Río Hortega University Hospital (Valladolid).</div></div><div><h3>Participants</h3><div>40 patients with long COVID (cases) and 40 volunteers (controls) of the same age and sex as the cases, who had experienced acute COVID-19 without developing long COVID.</div></div><div><h3>Main measurements</h3><div>Scales, indices, and questionnaires were sent by post to evaluate the main symptoms of long COVID. The following were assessed: fatigue (MFIS), emotional disorders (HADS), sleep disturbances (PSQI), cognitive impairments (MFE-30), dyspnea (mMRC), physical exercise (GPAQ), quality of life (SF-36), and pain (CPGS). The cases were reassessed after three years.</div></div><div><h3>Results</h3><div>After three years, cases showed an improvement in dyspnea (mMRC), which decreased from 1.38 to 1.10 (p<!--> <!-->=<!--> <!-->0.014). Ten cases reported having followed aerobic and/or anaerobic physical exercise as treatment, and it was observed that their pain severity (CPGS) improved from 2.7 to 1.3 (p<!--> <!-->=<!--> <!-->0.039). In the remaining measurements, variations among cases did not reach statistical significance.</div></div><div><h3>Conclusions</h3><div>After three years of follow-up, patients with long COVID continued to have similar symptom scores to their initial assessments, and worse than those of the control group. Aerobic and/or anaerobic physical exercise may contribute to partially improving symptom evolution.</div><div>.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103425"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145982017","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":"Detection of an outbreak of Mediterranean spotted fever in Primary Care","authors":"Marina Satorres Pérez ,&nbsp;Cristian García Molina ,&nbsp;Clara Isabel Pérez Ortiz","doi":"10.1016/j.aprim.2025.103345","DOIUrl":"10.1016/j.aprim.2025.103345","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103345"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031725","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":"Salud pública y cáncer cervicouterino en América Latina: impacto del gasto y legislación en la prevención en tres países","authors":"Camilo Andrés Estupiñan Ruiz ,&nbsp;Rubén Darío Morales Doncel ,&nbsp;Jeisson Andrés Hincapié-Carvajal","doi":"10.1016/j.aprim.2025.103427","DOIUrl":"10.1016/j.aprim.2025.103427","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the association between public health expenditure, legal frameworks, and indicators of cervical cancer incidence, mortality, and female life expectancy in Chile, Colombia, and Nicaragua from 2012 to 2022.</div></div><div><h3>Design</h3><div>Descriptive and correlational ecological study based on nationally aggregated data.</div></div><div><h3>Setting</h3><div>Three Latin American countries with information from the Pan American Health Organization (PAHO).</div></div><div><h3>Participants</h3><div>General female population.</div></div><div><h3>Interventions</h3><div>Review of national health legislation and policies, including screening, vaccination, and financing mechanisms.</div></div><div><h3>Main measurements</h3><div>Public health expenditure (% GDP), female life expectancy at birth, and cervical cancer incidence and mortality rates per 100,000 women. Ten-year averages and Pearson correlation coefficients were calculated.</div></div><div><h3>Results</h3><div>In 2022, Chile showed the highest life expectancy (82.0<!--> <!-->years) and the lowest mortality (11.3/100,000) with spending of 8.9% of GDP. Colombia reached 79.6<!--> <!-->years of life expectancy, mortality of 12.7/100,000, and spending of 6.4%, while Nicaragua had the lowest investment (5.8%), lowest life expectancy (74.8<!--> <!-->years), and highest incidence (20.6) and mortality (11.5). Strong negative correlations were found between life expectancy and incidence (r<!--> <!-->=<!--> <!-->−0.97) and mortality (r<!--> <!-->=<!--> <!-->−0.81), but weak correlation with public spending (r<!--> <!-->≈<!--> <!-->−0.13).</div></div><div><h3>Conclusions</h3><div>The effectiveness of cervical cancer prevention programs depends less on investment volume than on legal strength and strategic direction. Strengthening legislation, prioritizing primary care, and expanding screening and vaccination are key to eliminating this preventable disease in Latin America.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103427"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145982016","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":"Características sociodemográficas e indicadores de preferencia de la población demandante de Manifestaciones Anticipadas de Voluntad","authors":"María Victoria Castañeyra Góngora,&nbsp;Xenia Cabrera Rodríguez","doi":"10.1016/j.aprim.2025.103431","DOIUrl":"10.1016/j.aprim.2025.103431","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the sociodemographic characteristics, preferences, and satisfaction levels of individuals who registered their Advance Directive (Manifestación Anticipada de Voluntad, MAV) in Lanzarote.</div></div><div><h3>Design</h3><div>Observational, descriptive, prospective, and cross-sectional study.Setting. Advance Directive Office of Lanzarote, University Hospital Doctor José Molina Orosa (Canary Health Service).</div></div><div><h3>Participants</h3><div>Individuals aged 18 years or older who registered their MAV between January and December 2024.</div></div><div><h3>Main measurements</h3><div>Sociodemographic variables, motivations for completing the MAV, stated preferences, and level of satisfaction.</div></div><div><h3>Results</h3><div>A total of 527 users were analyzed (67.2% women; mean age 59.5<!--> <!-->±<!--> <!-->14.3 years). Most had secondary or higher education (65.7%) and reported no religious affiliation (78.7%). The main motivation was the desire to exercise personal autonomy (38.5%), followed by the wish not to be a burden (33.2%). Organ donation was indicated by 73.2% of participants, and 86.7% accepted euthanasia in the context of moderate dementia. Significant associations were found between educational level and acceptance of euthanasia (χ²(6)<!--> <!-->=<!--> <!-->39.27; p&lt;<!--> <!-->0.001), and between the motivation for completing the MAV and both sex (χ²(4)<!--> <!-->=<!--> <!-->11.70; p<!--> <!-->=<!--> <!-->0.020) and religion (χ²(20)<!--> <!-->=<!--> <!-->463.49; p&lt;<!--> <!-->0.001). Overall, 99.1% reported being satisfied with the care received.</div></div><div><h3>Conclusions</h3><div>The predominant profile was that of a Spanish woman, middle-aged or older, with higher education. Autonomy at the end of life emerged as the main motivation, with differences observed according to sex and religious beliefs. The findings highlight the need to strengthen professional training and communication strategies to promote the use of Advance Directives.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103431"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145957832","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":"Actitudes, conocimientos y necesidades formativas en dolor crónico: encuesta nacional a médicas y médicos de familia socios de SemFYC","authors":"Marian Fernández-Luco ,&nbsp;Victoria García Espinosa ,&nbsp;Mayte Serrat ,&nbsp;Ma Rosario Elcuaz Viscarret ,&nbsp;Daniela Blanco-Echezuría ,&nbsp;María Muñoa-Capron-Manieux","doi":"10.1016/j.aprim.2025.103436","DOIUrl":"10.1016/j.aprim.2025.103436","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze knowledge, attitudes, and training needs regarding chronic pain among family physicians who are members of SemFYC.</div></div><div><h3>Design</h3><div>Cross-sectional descriptive study using an anonymous, self-administered online survey.</div></div><div><h3>Setting</h3><div>Primary care at the national level.</div></div><div><h3>Participants</h3><div>700 semFYC members, family physicians or residents. Non-probabilistic convenience sampling was used.</div></div><div><h3>Main measurements</h3><div>Questionnaire including sociodemographic variables, professional attitudes (items on clinical practices and self-reported perceptions), knowledge of pain neurophysiology (Spanish R-NPQ questionnaire), and perceived training needs.</div></div><div><h3>Results</h3><div>69.3% prescribe minor opioids for chronic musculoskeletal pain and, if unresponsive, 34.9% would opt for major opioids. 32.2% request early X-ray for nonspecific low back pain. More than 90% recommend non-pharmacological strategies. 58% perceive having few tools for managing persistent pain, and over 94% demand specific training. The R-NPQ questionnaire revealed significant knowledge gaps, particularly in key items. In the multivariate analysis, lower scores were associated with older age. By professional experience, family medicine residents (MIR) tended to order more imaging tests and explain less about pain physiology.</div></div><div><h3>Conclusions</h3><div>Substantial training gaps and discrepancies between theoretical knowledge and clinical practice were observed, especially among residents. These findings underscore the need to implement systematic educational strategies, based on the biopsychosocial model, to improve training and the management of chronic pain in primary care.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103436"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031779","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":"La prescripción de medicamentos en los equipos de atención primaria: el reto de la multidisciplinariedad y la seguridad del paciente","authors":"Lourdes Luzón-Oliver ,&nbsp;María Pilar Astier-Peña","doi":"10.1016/j.aprim.2026.103449","DOIUrl":"10.1016/j.aprim.2026.103449","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103449"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079887","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}