Revista espanola de salud publica最新文献

[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

[The mediating role of family and friends in tobacco and alcohol consumption and physical activity practice among spanish adolescents].

Revista espanola de salud publica Pub Date : 2025-02-03

Esther Gargallo-Ibort, Mª Luz Urraca-Martínez, Josep María Dalmau-Torres, Raúl Jiménez Boraita

{"title":"[The mediating role of family and friends in tobacco and alcohol consumption and physical activity practice among spanish adolescents].","authors":"Esther Gargallo-Ibort, Mª Luz Urraca-Martínez, Josep María Dalmau-Torres, Raúl Jiménez Boraita","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Adolescence represents a critical period for the establishment of healthy habits, with family and peer influence playing an essential role. This study aimed to examine the relationship between family and peer influence on various lifestyle behaviors in adolescents, specifically smoking, physical activity, and alcohol consumption.Methods: The study was conducted on a sample of 173 secondary school adolescents, utilizing the maximum likelihood estimation method. Additionally, the structural model was analyzed using multi-group structural equation modeling and path analysis to assess the influence of family and peers on adolescent behaviors. Model fit was verified: comparative fit index (CFI); normalized fit index (NFI); and root mean square error of approximation (REMSEA). The data were analyzed with the Amos 24 program. In addition, the generalizability coefficient (G) was calculated using an optimization plan with three projections (SAGT v1.0).Results: Peers were found to have the strongest influence on both healthy lifestyle habits and risk behaviors. Support from friends was the dimension that had the greatest impact on the practice of healthy behaviors, especially physical activity (0.630), while the perception of satisfaction with peers had the least impact. With regard to the family, the dimension that had the least dominance in adolescent behavior was dialogue, and the most, satisfaction with family relationships. Furthermore, during early adolescence, the family context had a greater influence on the acquisition of life habits, in contrast to middle adolescence, where the influence of peers was more relevant.Conclusions: Interventions aimed at promoting healthy habits among children and adolescents should consider the role of both family and peers as critical components in the development of effective health promotion and prevention strategies.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257596","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

[Nicotine pouches (white snus), another obstacle to tobacco control that should be known and addressed].

Revista espanola de salud publica Pub Date : 2025-01-30

Josep M Suelves, Araceli Valverde, Manuel Armayones

引用次数: 0

[A comparative study of autonomous communities' legislation on accreditation of Research Ethics Committees as part of the principle of good governance].

Revista espanola de salud publica Pub Date : 2025-01-27

Berta Martín Jiménez, Miguel Ángel Ramiro Avilés

{"title":"[A comparative study of autonomous communities' legislation on accreditation of Research Ethics Committees as part of the principle of good governance].","authors":"Berta Martín Jiménez, Miguel Ángel Ramiro Avilés","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Following a consultation received at the Legal Clinic of the University of Alcalá, it was necessary to determine whether or not a Research Ethics Committee was accredited. This led us to consider the need to determine whether the autonomous communities had reformed their legislation to establish the accreditation procedure for Research Ethics Committees, therefore adapting their legislation to Act 14/2007.Methods: An analysis of the european, national and regional legislation regulating biomedical research in Spain was carried out to determine what the accreditation procedure for Research Ethics Committees was like in each autonomous community and whether it conformed to the provisions of Act 14/2007.Results: Most of the autonomous communities had not reformed their legislation to establish the accreditation procedure for Research Ethics Committees, especially if they were part of universities, which could affect the principle of good administration.Conclusions: The principle of good administration could be affected by the fact that most of the autonomous communities do not adequately regulate the procedure for setting up and accrediting Research Ethics Committees, especially those linked to universities, which undermines the guarantees that these bodies provide for clinical biomedical research and generates legal uncertainty.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070641","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

[Determination of the post-pandemic self-perceived health level in the adult population of Eastern Andalusia: A cross-sectional study].

Revista espanola de salud publica Pub Date : 2025-01-24

Crescencio Pérez-Murillo, María Francisca Avilés-Gómez

{"title":"[Determination of the post-pandemic self-perceived health level in the adult population of Eastern Andalusia: A cross-sectional study].","authors":"Crescencio Pérez-Murillo, María Francisca Avilés-Gómez","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The appearance of the SARS-CoV-2 virus led to the adoption of extreme health measures aimed at containing or minimizing the effects of the pandemic it produced. These measures had a significant impact on people's physical and mental health, causing a drastic decrease in the health-related quality of life by losing one of its fundamental pillars, social health. With this study, we aimed to assess the self-perceived health status after the end of the COVID-19 pandemic.Methods: A cross-sectional and observational study design was developed. Participants included the entire adult population over eighteen years of age residing in the provinces of Granada, Almería and/or Jaén as of January 1, 2023 until February 20, 2023. Each participant was administered the validated 36-item Short Form Health Survey (SF-36) to measure their self-perceived level of health. A descriptive analysis of all the variables included in the study was conducted using the statistical software SPSS v.22.Results: The mean score obtained in the SF-36 questionnaire was 132.39±19.55 basis points; corresponding to a self-perceived level of good health. It had been observed that the confinement and other measures adopted during the pandemic led to a decrease in the self-perceived level of health, taking more than three years to return to pre-pandemic health levels.Conclusions: The study of the population's self-perceived level of health aims to improve the health system and, in turn, to increase the mental, social and physical well-being of the population, avoiding the after-effects of the COVID-19 pandemic in the coming years.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070645","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

[Humanitarian emergency in the Canary Islands: a comprehensive challenge to the health and social system]. [加那利群岛的人道主义紧急情况：对保健和社会系统的全面挑战]。

Revista espanola de salud publica Pub Date : 2024-12-20

Javier Fagundo-Rivera, Juan Gómez-Salgado, Pablo Fernández-León

引用次数: 0