Revista espanola de salud publica最新文献

[The unremitting threat: enterovirus D68, acute flaccid myelitis, and epidemiological surveillance].

Revista espanola de salud publica Pub Date : 2025-04-03

Cristina Guijarro-Castro, María Cabrerizo Sanz, Josefa Masa Calles

引用次数: 0

[Artificial intelligence in Public Health: opportunities, ethical challenges and future perspectives].

Revista espanola de salud publica Pub Date : 2025-03-26

Sergio Castaño Castaño

{"title":"[Artificial intelligence in Public Health: opportunities, ethical challenges and future perspectives].","authors":"Sergio Castaño Castaño","doi":"","DOIUrl":"","url":null,"abstract":"Artificial Intelligence (AI) is transforming Public Health by providing innovative tools to address complex global challenges. Its ability to analyze large volumes of data in real time enhances epidemiological surveillance, optimizes healthcare resource management, and personalizes preventive interventions. These applications have proven valuable in situations such as pandemics, where AI algorithms have contributed to outbreak prediction, efficient resource allocation, and the design of targeted strategies. However, the adoption of AI also raises significant ethical and regulatory challenges. Issues such as data privacy, algorithmic transparency, and biases in models highlight the need for robust regulatory frameworks to ensure its ethical and equitable use. Furthermore, the lack of training among Public Health professionals and the digital literacy of communities limit the potential impact of these technologies. This article examines the practical applications, ethical challenges, and strategies needed for the responsible adoption of AI in Public Health. It emphasizes the importance of training, interdisciplinary collaboration, and continuous research to ensure that AI becomes a transformative tool contributing to global well-being. If implemented ethically and sustainably, AI can play a crucial role in promoting equity and quality in Public Health systems.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[The role of the National Polio Laboratory and the network of Sub-National Laboratories in the eradication of poliomyelitis in Spain].

Revista espanola de salud publica Pub Date : 2025-03-21

María Cabrerizo, Mª Dolores Fernández-García

{"title":"[The role of the National Polio Laboratory and the network of Sub-National Laboratories in the eradication of poliomyelitis in Spain].","authors":"María Cabrerizo, Mª Dolores Fernández-García","doi":"","DOIUrl":"","url":null,"abstract":"The aim of this paper was to describe the activities carried out by the National Poliovirus Laboratory (LNP) and the Spanish Acute Flaccid Paralysis (AFP) Surveillance Network. The LNP coordinates the network since 1998 and is responsible for the characterization of polioviruses (PV) and other enteroviruses (EV) detected, using cell culture and molecular methods. It is annually accredited by WHO and represents Spain in the World Health Organization European Polio Laboratory Network. In addition to the reported AFP cases, the network has analyzed since its creation an average of 9,000 clinical samples annually for EV, with a 7% of positive results. Two surveillance periods can be distinguished in Spain: from 1998 to 2004, when vaccine PV could be detected due to the use of the oral polio vaccine, and from 2005 onwards, when only three cases of imported vaccine-derived poliovirus have been identified following the introduction of the inactivated polio vaccine. In addition, between 70% and 85% of the EV samples received at the LNP are successfully genotyped. The work carried out by the lab network has contributed to the epidemiological and clinical surveillance and research of these infections, as well as to the rapid detection and characterization of imported poliomyelitis cases. This has facilitated the timely implementation of appropriate measures to prevent PV transmission and circulation in our country, in alignment with the Global Polio Eradication Initiative.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Association between cardiorespiratory fitness and mortality risk in the chilean population].

Revista espanola de salud publica Pub Date : 2025-03-20

Jaime Vásquez-Gómez, Yeny Concha-Cisternas, Solange Parra-Soto, Daniel Reyes-Molina, Felipe Díaz-Toro, Fanny Petermann-Rocha, Carlos Celis-Morales

{"title":"[Association between cardiorespiratory fitness and mortality risk in the chilean population].","authors":"Jaime Vásquez-Gómez, Yeny Concha-Cisternas, Solange Parra-Soto, Daniel Reyes-Molina, Felipe Díaz-Toro, Fanny Petermann-Rocha, Carlos Celis-Morales","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Cardiorespiratory fitness reduces the risk of cardiometabolic diseases, cancer and mortality. The aim of this paper was to evaluate the relationship between equation-estimated cardiorespiratory fitness and all-cause mortality in the Chilean population of both genders according to data from the 2009-2010 National Health Survey (NHS).Methods: Data from 4,749 participants from the 2009-2010 NHS were analysed after 10.9 years of follow-up. Fitness was estimated with the Myers et al. equation and classified into quintiles. All-cause mortality records were obtained from the Chilean Civil Registry and Identification until 2020. Cox regression models adjusted for confounding variables (demographics, nutritional status, lifestyle and comorbidities) were used to assess the association between fitness and mortality.Results: During the 10.9 years (IQR: 10.8; 11.4) of follow-up 506 (10.6%) people died. Compared to the lowest fitness quintile (<7 METs) those classified in the highest quintile (>12 METs) had a 95% lower risk of mortality (HR: 0.05; 95% CI: 0.03, 0.09) and the risk of mortality was 28% lower for every 1-METs increase in fitness (HR: 0.72 95% CI: 0.69, 0.75). All these associations were independent of confounders.Conclusions: We conclude that a higher level of fitness is associated with a lower risk of mortality independent of confounding factors in the Chilean population after 10.9 years of follow-up.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Association of Physical Activity, Mental Health and Contextual Factors with Problematic Internet Use in Adolescents from Barcelona: A Cross-sectional Study].

Revista espanola de salud publica Pub Date : 2025-03-12

Marc Olivella-Cirici, Inés Nicolao-Usechi, Esther Sánchez-Ledesma, Gemma Serral, Catrina Clotas, Xavier Continente, Katherine Pérez, Gloria Pérez

{"title":"[Association of Physical Activity, Mental Health and Contextual Factors with Problematic Internet Use in Adolescents from Barcelona: A Cross-sectional Study].","authors":"Marc Olivella-Cirici, Inés Nicolao-Usechi, Esther Sánchez-Ledesma, Gemma Serral, Catrina Clotas, Xavier Continente, Katherine Pérez, Gloria Pérez","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Physical activity (PA) may be key to reducing problematic Internet use (PIU) among adolescents. Given that Internet usage patterns and PA participation can vary significantly across genders and different age groups, this study aims to analyze the association between PIU and PA, mental health and other contextual factors, in students aged thirteen to nineteen in Barcelona, by sex and age.Methods: A cross-sectional study using data from the 2021 FRESC Survey was carried out, which included 3,256 students in the city of Barcelona. The dependent variable was PIU, measured with the validated CIUS scale. Poisson regression was used to estimate crude and adjusted prevalence ratios (PRa) with 95% confidence intervals (IC95%).Results: In the group over sixteen years old, lower PIU was associated with regular PA in girls (PRa=0.62, IC95%=0.39-0.97) and in boys (PRa=0.51, IC95%=0.35-0.74). Lower PIU in girls under sixteen was associated with higher frequency of sports activities (PRa=0.53, IC95%=0.31-0.88). Poor mental health was associated with higher PIU across all groups (boys under sixteen, PRa=3.31, IC95%=2.42-4.51).Conclusions: PA is associated with lower PIU in all groups except boys under sixteen years old. Other factors associated with higher PIU includes poor mental health and poor family relationships. PA promotion programs with a gender perspective could be key to addressing PIU in adolescents.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Health outcomes of deprescribing proton pump inhibitors: study protocol].

Revista espanola de salud publica Pub Date : 2025-02-26

Amaya Echeverría Gorriti, Andrea Rodríguez Esquiroz, Patricia García González, Lorea Sanz Álvarez, Marta Marín Marín, Javier Gorricho Mendívil, Julen Fernández González, Mª Concepción Celaya Lecea, Ana Campillo Arregui, Rebeca Irisarri Garde, Javier Garjón Parra

{"title":"[Health outcomes of deprescribing proton pump inhibitors: study protocol].","authors":"Amaya Echeverría Gorriti, Andrea Rodríguez Esquiroz, Patricia García González, Lorea Sanz Álvarez, Marta Marín Marín, Javier Gorricho Mendívil, Julen Fernández González, Mª Concepción Celaya Lecea, Ana Campillo Arregui, Rebeca Irisarri Garde, Javier Garjón Parra","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Proton pump inhibitors (PPI) are one of the groups of drugs with the highest prevalence of use. However, in many cases they are used for the treatment of unapproved indications. For this reason, in Navarra a strategy was implemented to deprescribe PPI in those cases in which their use was not indicated. Subsequently, a project was designed in order to analyze the health outcomes of that PPI deprescription strategy.Methods: A retrospective cohort study will be developed to evaluate health outcomes obtained after the implementation of the PPI deprescription strategy. The primary outcome will be the time until a serious adverse event, defined as one that causes hospital admission or death. We will analyze whether there are differences between patients who stopped PPI treatment and those who maintained it.Conclusions: It is expected to obtain information on the health outcomes of the proton pump inhibitor deprescription strategy and information about the convenience of continuing it.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Cannabis and adolescents in Spain: use and consequences. State of play].

Revista espanola de salud publica Pub Date : 2025-02-20

Luisa M López Sánchez, Noelia Llorens Aleixandre, Luz León Muñoz, Alberto Domínguez Lázaro, Begoña Brime Beteta

{"title":"[Cannabis and adolescents in Spain: use and consequences. State of play].","authors":"Luisa M López Sánchez, Noelia Llorens Aleixandre, Luz León Muñoz, Alberto Domínguez Lázaro, Begoña Brime Beteta","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The use and abuse of cannabis produces lifelong socio-health consequences. However, there is a great movement towards its legalization. The purpose of this study was to assess the evolution of the prevalence of drug use in the young population in Spain, as well as the impact it currently has on our social and health care system.Methods: A national observational descriptive study was carried out in students aged fourteen-eighteen years living in Spain. The data sources used were: ESTUDES survey; Evolutionary data from Intelligence Center against Terrorism and Organized Crime (CITCO) on THC content in cannabis plants and resin; State Information System on Drugs and Addictions (SEIDA) indicators: Admissions to treatment and Hospital emergencies related to the consumption of psychoactive substances. The data obtained were processed with the statistical program SPSS version 28.0 (Armonk, NY: IBM Corp). Continuous variables were described using measures of central tendency and dispersion, while categorical variables were described using absolute frequencies and percentages. To compare independent means, Student's t-test was applied and for the comparison of categorical variables, the chi-square statistical test was used; in both cases differences with p<0.001 were considered significant.Results: In the last year, 21.8% of the students consumed cannabis. A total of 92.3% of the admissions to treatment were for this substance. Cannabis was present in 57.3% of emergencies related to illegal drug use.Conclusions: As is the case in Europe, cannabis continues to be the illegal drug most widely consumed by young people in our country; it is responsible for most of the social and health adverse consequences of the consumption of illegal substances in young people.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Health care for women in situation of prostitution: systematized narrative review]. [为卖淫妇女提供保健服务：系统化叙事审查]。

Revista espanola de salud publica Pub Date : 2025-02-18

Dayanne Zoily Pantoja-Maldonado, Elisabet Torrubia-Pérez, Georgina Casanova-Garrigós, Aleksandra Swieszek

{"title":"[Health care for women in situation of prostitution: systematized narrative review].","authors":"Dayanne Zoily Pantoja-Maldonado, Elisabet Torrubia-Pérez, Georgina Casanova-Garrigós, Aleksandra Swieszek","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The context in which women in prostitution find themselves makes them more susceptible to suffering violence of multiple characteristics, including the violation of the right to health of many of them, conditioned by prejudices related to venereal diseases, common administrative irregularity or the inherent stigma. The objective of this work was to identify the main challenges of health care for women in prostitution.Methods: A systematic narrative review was carried out by searching the Scielo, PubMed, Dialnet and Cuiden databases for primary studies published between 2018 and 2023. The literature search was carried out by peer review between the months of January and March 2023.Results: A total of 19 articles were selected, highlighting the thematic lines: access to the Health System; prevalence and risk factors for HIV and other STIs; HIV prevention and use of PrEP; and comprehensive and biopsychosocial care for the health problems of women in prostitution.Conclusions: Health care for women in prostitution generally focuses on sexual and reproductive health, but health care should cover their health more broadly, given that they have significant needs in the area of mental health, exposure to violence, and hygiene and health conditions. Self-care practices are essential for women themselves to take an active role in prevention and health promotion.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Access to unfunded vaccination and associated socioeconomic factors in a cohort of infants from a health area of the Region of Murcia (Spain)].

Revista espanola de salud publica Pub Date : 2025-02-14

Yolanda Molina-Salas, Francisco José Romera-Guirado, Mª Del Carmen Sánchez-Marín, Rosario Navarro-Guerrero, María Jesús Romera-Guirado, Jaime Jesús Pérez-Martín

{"title":"[Access to unfunded vaccination and associated socioeconomic factors in a cohort of infants from a health area of the Region of Murcia (Spain)].","authors":"Yolanda Molina-Salas, Francisco José Romera-Guirado, Mª Del Carmen Sánchez-Marín, Rosario Navarro-Guerrero, María Jesús Romera-Guirado, Jaime Jesús Pérez-Martín","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The vaccines that are not funded by the government could create some inequities among the infants, because some of them do not have as many chances to get that immunization as others. The objective of this paper was to calculate the optional vaccinations coverage in vaccines that are not funded by the government, like meningococcal B and rotavirus, in infants less than twelve months and also to analyse the socioeconomic factors related to the administration.Methods: An analytical observational study was carried out in two basic health areas of the Region of Murcia in 2022. The cohort consisted of 297 infants born in 2017 selected from a health card. Sociodemographic and socioeconomic data were obtained through an ad hoc questionnaire carried out by telephone to parents and/or tutors. The infant's vaccination status was verified in the Regional Vaccine Registry and OMIap primary care registry. Non-funded vaccine coverage rates and the association with these variables were calculated. The statistical analysis was performed with the SPSS 21.0 program. The odds ratio (OR) with its 95% confidence intervals (CI) were calculated using binary logistic regression and multiple logistic regression to independently evaluate the association of variables.Results: The vaccination coverage against MenB was 49.4% (at least one dose before twelve months) and rotavirus was 56.7% (complete regimen). The variable that was most independently associated with unfunded vaccination was the Spanish nationality of the parents, OR=11.8 (95% CI=5.0 to 28.2), p<0.001 for MenB and OR=7.3 (95% CI=3.5 to 15.1), p<0.001 for rotavirus.Conclusions: Vaccination coverage against MenB and rotavirus is significantly associated with the socioeconomic factors studied in parents or guardians.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Healthy Hospital: implementation of a pilot project to promote wellness in a healthcare center].

Revista espanola de salud publica Pub Date : 2025-02-10

Claudia Ruíz-Huerta García de Viedma, Gema Vega González, Carmen Ferrer Arnedo, Natalia Cuenca Viñas, Carmen Ruíz Castro, Ana M Palmar Santos

引用次数: 0