Revista espanola de salud publica最新文献_第10页

[Frequency of use of Primary Care and hospital services of the Andalusian Health Service by its user population with Down syndrome in 2022]. [2022年患有唐氏综合症的安达卢西亚保健服务使用者使用初级保健和医院服务的频率]。

IF 0.8

Revista espanola de salud publica Pub Date : 2025-08-29

Pedro Morera Pérez, Sebastián Tornero Patricio, Mª Dolores Muñoyerro Muñiz, María Robledo Jiménez, María José Ferrer Higueras, Sandra González Pérez

{"title":"[Frequency of use of Primary Care and hospital services of the Andalusian Health Service by its user population with Down syndrome in 2022].","authors":"Pedro Morera Pérez, Sebastián Tornero Patricio, Mª Dolores Muñoyerro Muñiz, María Robledo Jiménez, María José Ferrer Higueras, Sandra González Pérez","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Down Syndrome (DS) causes an increase in morbidity due to different organs and systems failures that, together with the increase in life expectancy, cause an increase in the use of health services. The aim of this study was to describe the use of Andalusian Health Service (AHS) resources by DS people in the year 2022.Methods: An observational, cross-sectional study, with quantitative methodology, of the use of health services of people with DS who used the AHS during the year 2022 was carried out.Results: The number of people with DS who used AHS during 2022 was 6,851 (8.2/10,000 AHS users); 49.8% of them were women. A total of 89,836 primary care consultations and 21,776 hospital outpatient consultations by DS were carried, which represents an average attendance per person with DS of 13.1 and 3.2 consultations, respectively. The most frequent outpatient consultations of people with DS were in Pediatrics (17.1%), Ophthalmology (11.4%) and Otorhinolaryngology (7.1%) specialities. During 2022, there were a total of 908 hospitalizations in people with DS (frequency of 13.3/100 users). The most frequent cause of admission were respiratory diseases.Conclusions: The analysis of the frequentation of health services by people with DS provides relevant information for the planning of public health resources in terms of specialised training, multidisciplinary teams, design of protocols and referral circuits, as well as design of public policies.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984498","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 Inclusion of Sex and Gender Perspective in the Clinical Practice Guidelines]. [在临床实践指南中纳入性别和性别观点]。

IF 0.8

Revista espanola de salud publica Pub Date : 2025-08-28

Ana M González Ramos, Patricia Gavín Benavent, Soledad Isern de Val

{"title":"[The Inclusion of Sex and Gender Perspective in the Clinical Practice Guidelines].","authors":"Ana M González Ramos, Patricia Gavín Benavent, Soledad Isern de Val","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The aim of this study was to identify the exclusion and/or types of inclusion of a sex and gender perspective in clinical practice guidelines (CPGs) in order to highlight the lack of this perspective, derived from historically male-centered model of knowledge, which is changing due to the awareness of addressing health differences between people.Methods: A systematic search tool for web documents (scraping) was applied to analyze the CPGs catalogue of the National Health System (by GuíaSalud) automatically and free of researcher bias. Scraping was able to search key words and contextualize them within the document. A quantitative and qualitative analysis was carried out on the output databases.Results: From 21 CPGs reviewed, 11 did not incorporate evidence on differences or similarities between men and women. Those that included some evidence did so in different ways: 2 excluded men, 1 included examples of sex, gender and intersectionality, 3 included sex or gender evidence, 3 used gender marked language, and 1 showed intersectionality without a sex/gender focus in its wording.Conclusions: The 10 guidelines with sex and gender inclusion differ in what they consider important to evidence on health variations of the population related to sex, gender and intersectionality. Significantly, the inclusion of sex and gender seems to respond to the fact that the guide poses a relevant research question.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984384","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

[Prevalence of hypovitaminosis D in pregnant women in the Hospital of Sagunto area (Valencia): PrevitaD Study]. [瓦伦西亚Sagunto地区医院孕妇维生素D缺乏症患病率：前期研究]。

IF 0.8

Revista espanola de salud publica Pub Date : 2025-08-27

Roberto José Gironés Soriano, César Victoria Gomis, Gonzalo Llop Furquet, Victoria Simón García, Miriam Rubio Igual, Clara Garrido Navarro, Jorge Ballester Carbonell, David Fuster Molina, Andrea Martínez Massa, Sara Anika Smith Ballester, Antonio Marín Montes

{"title":"[Prevalence of hypovitaminosis D in pregnant women in the Hospital of Sagunto area (Valencia): PrevitaD Study].","authors":"Roberto José Gironés Soriano, César Victoria Gomis, Gonzalo Llop Furquet, Victoria Simón García, Miriam Rubio Igual, Clara Garrido Navarro, Jorge Ballester Carbonell, David Fuster Molina, Andrea Martínez Massa, Sara Anika Smith Ballester, Antonio Marín Montes","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The aim of this paper was to estimate the prevalence of vitamin D deficiency in our healthcare area to implement strategies aimed at reducing its frequency.Methods: A descriptive prospective study was conducted, including 701 pregnant women who were managed in the healthcare area of Sagunto. 25-hydroxyvitamin D levels in blood were determined during the first trimester of pregnancy, and women with suboptimal vitamin D levels were treated. Demographic characteristics of participating women were analyzed to identify factors associated with vitamin D deficiency. A descriptive statistical analysis was performed for all the variables.Results: Mean vitamin D levels in the overall population were 19.6 ng/ml. Of them, 52.5% had levels <20 ng/ml, requiring oral vitamin D supplementation, while 97% of women of African origin had suboptimal levels. Pregnant women with obesity or overweight and those aged <25 years old (62% and 71%, respectively) showed inadequate levels of vitamin D to a greater extent than women without overweight or ≥25 years old. Samples collected in winter and spring had lower levels of vitamin D compared to those from other seasons.Conclusions: In our study, we observe high rates of vitamin D deficiency in the first trimester of pregnancy, with suboptimal levels in four out of ten women. Additionally, we identify different factors associated with vitamin D levels, which shows risk groups of deficiency.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984335","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

[Development and implementation of a computerised registry for the assessment and monitoring of cancer patients]. [开发和实施评估和监测癌症患者的计算机化登记]。

IF 0.8

Revista espanola de salud publica Pub Date : 2025-08-21

Miguel Ángel Sánchez-Lozano, Ana María Márquez Padilla, Juan Serrano Montilla, Adolfo Romero Arana, María Jesús Morcillo Gil, Silvia Jiménez Jurado, Marco Bullones Subirats

{"title":"[Development and implementation of a computerised registry for the assessment and monitoring of cancer patients].","authors":"Miguel Ángel Sánchez-Lozano, Ana María Márquez Padilla, Juan Serrano Montilla, Adolfo Romero Arana, María Jesús Morcillo Gil, Silvia Jiménez Jurado, Marco Bullones Subirats","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The Intercentre Clinical Management Unit (UGCI) of the Regional and Virgen de la Victoria University Hospitals in Malaga, in collaboration with the Biomedical Research Institute of Malaga (IBIMA Bionand) and the University of Malaga (UMA), has developed its own system of records that allows the procedure to be carried out in a simple and intuitive way, by means of a user-friendly interface that includes the basic needs according to Virginia Henderson, and a series of assessment tests (Pfeiffer, Braden, etc.) with drop-down menus and one-click answers, which facilitates the work of nursing assessment and provides data for subsequent monitoring of patients, both in the nursing office and in the emergency room or in the Day Hospital.Methods: The programming methodology followed has been an iterative development, which focuses on the repetition of phases where in each iteration a functional version of the same is obtained, which allows each version to be improved, using the programming language C#. This process has been carried out with the information provided by the nursing team of the CMU.Results: An adaptive, user-friendly system compatible with the medical section of Galen® has been developed. From the launch of the programme to the submission of this manuscript, 471 first assessments have been carried out. The most common Nursing Diagnosis was Poor knowledge (00126).Conclusions: The progressive implementation of this registry system will allow better care for oncology patients, improving waiting times and delays in appointments, as well as the quality of care, by having a computerised database that will allow us both to know our patients better and to plan and implement improvement strategies based on the advanced study of these data.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984478","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

[Predictive factors of survival in people with Cystic fibrosis from a Spanish registry of rare diseases]. [来自西班牙罕见疾病登记处的囊性纤维化患者生存的预测因素]。

IF 0.8

Revista espanola de salud publica Pub Date : 2025-08-19

Senay Rueda-Nieto, Pedro Mondejar-Lopez, María-Pilar Mira-Escolano, Ana Cutillas-Tolín, Luis Alberto Maceda-Roldán, Julián Jesús Arense-Gonzalo, Joaquín A Palomar-Rodríguez

{"title":"[Predictive factors of survival in people with Cystic fibrosis from a Spanish registry of rare diseases].","authors":"Senay Rueda-Nieto, Pedro Mondejar-Lopez, María-Pilar Mira-Escolano, Ana Cutillas-Tolín, Luis Alberto Maceda-Roldán, Julián Jesús Arense-Gonzalo, Joaquín A Palomar-Rodríguez","doi":"","DOIUrl":"","url":null,"abstract":"Objective: In Spain, several studies describe the population with cystic fibrosis (CF) and analyze mortality trends, but few determine factors that influence survival. The objective of this study was to analyze survival in people with CF included in a population-based registry of rare diseases and determine factors that influence it.Methods: An observational study was carried out in people with a confirmed diagnosis of CF until December 31, 2018 registered in the Rare Diseases Information System of the Region of Murcia (SIERrm). The Kaplan-Meier method and the log-rank test were used to estimate and compare survival curves, and the Cox proportional hazards model was used to calculate survival predictors.Results: Of 192 patients registered in SIERrm on the date of the study, 39 died, with the median age of survival being 26 years. The high-risk genotype (HR: 5.8 [95%CI: 1.97-16.94]), pancreatic insufficiency (HR: 5.4 [95%CI: 1.24-23.48]), colonization chronic by Pseudomonas aeruginosa (HR: 6.8 [95%CI: 1.21-38.54]), CF-related liver disease (HR: 5.0 (95%CI: 1.61-15.61]), and bone abnormalities (HR: 6.4 [95%CI: 1.91-21.61]) were associated with decreased survival (p<0.05). Adjusting the model for genotype, the association with high-risk genotype, CF-related liver disease, and bone changes remained (p<0.05).Conclusions: Population registries are useful to identify patients at risk of serious disease due to their genetic and clinical characteristics, who may benefit from specific treatments and health resources that influence factors that reduce survival.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984292","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

[Therapeutic exercise recommendations for primary headaches treatment: A qualitative approach on the headache units in Catalonia]. [对原发性头痛治疗的治疗性运动建议：加泰罗尼亚头痛单位的定性方法]。

IF 0.8

Revista espanola de salud publica Pub Date : 2025-07-30

Jordi Padrós-Augé, Gemma V Espí-López, Marta Pi-Martín, Cristian Justribó-Manion, Rafel Donat-Roca

{"title":"[Therapeutic exercise recommendations for primary headaches treatment: A qualitative approach on the headache units in Catalonia].","authors":"Jordi Padrós-Augé, Gemma V Espí-López, Marta Pi-Martín, Cristian Justribó-Manion, Rafel Donat-Roca","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Therapeutic exercise (TE) is a fundamental component of preventive treatment for chronic primary headaches, as outlined in clinical practice guidelines. Its implementation requires human, structural, and material resources. Currently, headache units and monographic consultations (HUM) are multidisciplinary teams focused on managing chronic headaches, high-frequency episodic headaches, and the most complex cases. The aim of this paper was to assess the status of TE recommendations in HUM, identifying modalities, resources, adherence, barriers, facilitators, and opportunities for improvement in its implementation.Methods: Qualitative data were collected through semi-structured interviews with twenty-seven healthcare professionals from ten HUM in Catalonia (Spain) between March and November 2024, using chain sampling. Data were analyzed through inductive thematic analysis.Results: All participants (100%) recommended TE, highlighting moderate-intensity aerobic exercise as the preferred modality, particularly for chronic migraine. Currently, implementation is limited to verbal recommendations and informational leaflets. The main barriers identified were headache frequency, painful comorbidities, and a lack of tailored programs. Facilitators included prior positive exercise experience and professional supervision, highlighting the role of physiotherapist in this field.Conclusions: TE is considered essential in headache management; however, there are significant shortcomings in resources for its implementation and monitoring. Incorporating physiotherapists and technological support could enhance the application of these recommendations.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984400","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

[Readability, comprehensibility and acceptability of the materials of the Cervical Cancer Population Screening Program in Asturias: a mixed methodology study]. [阿斯图里亚斯宫颈癌人群筛查项目材料的可读性、可理解性和可接受性：一项混合方法研究]。

IF 0.8

Revista espanola de salud publica Pub Date : 2025-07-23

Sergio Álvarez-Rodríguez, Mª Azucena Fariñas Cabrero, Jose María Blanco González, Ana Fernández-Feito

{"title":"[Readability, comprehensibility and acceptability of the materials of the Cervical Cancer Population Screening Program in Asturias: a mixed methodology study].","authors":"Sergio Álvarez-Rodríguez, Mª Azucena Fariñas Cabrero, Jose María Blanco González, Ana Fernández-Feito","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The implementation of the Cervical Cancer Population Screening Programme involves sending an invitation letter and a leaflet to the target population. The objective of this paper was to evaluate the readability, comprehensibility and acceptability of the letter and leaflet of the Cervical Cancer Population Screening Programme in Asturias.Methods: A mixed methods study was conducted in fifty-four women living in Asturias between 2021-2022. The INFLESZ 1.0 was used to measure readability and the Cloze test combined with multiple-choice questions was used to assess comprehension. Semi-structured interviews and focus groups were used to evaluate acceptability and understanding.Results: The leaflet presented normal readability. The general comprehension of the materials (letter and leaflet) was good, however, some terms such as screening were deemed confusing. The leaflet was perceived as interesting, very detailed and comprehensive. The main themes were: 1) the process of reporting on the program and its outcomes; 2) women's knowledge of screening programs and human papillomavirus were improvable; 3) the letter and leaflet were understandable; 4) what the format of the letter and leaflet should look like; and 5) factors related to participation in the programme.Conclusions: The target population's assessment of the letter and the leaflet is positive, and no problems of legibility, comprehension or acceptance were detected. However, it is important to review some terms that can generate confusion. The population perceived that the information received from the screening programs is highly valuable.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984420","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

[Choices at the end of life: opinion and attitude of health staff in comparison with the general population]. [生命终结时的选择：卫生工作人员与一般人群的意见和态度]。

IF 0.8

Revista espanola de salud publica Pub Date : 2025-07-16

Yanira Aranda Rubio, Beatriz Corrales González

引用次数: 0

[How to advance in community orientation in Primary Care: from isolated action to community action process]. [如何在初级保健中推进社区导向：从孤立行动到社区行动过程]。

IF 0.8

Revista espanola de salud publica Pub Date : 2025-07-09

Montserrat Niclos-Esteve, Ana Ocaña Ortiz, Ana Egea-Ronda, Joan J Paredes-Carbonell

引用次数: 0

[Trends in cancer mortality among young adults aged 20-49 years in Spain: 1999-2022]. [西班牙20-49岁年轻人癌症死亡率趋势：1999-2022]。

IF 0.8

Revista espanola de salud publica Pub Date : 2025-07-02

Beatriz Erro Iturri, Enrique Gutiérrez González, Patricia Alejandra Santágueda Balader, Pilar Soler Crespo, Elena Vanessa Martínez Sánchez, María Dolores Perea Aceituno, María José Sierra Moros

{"title":"[Trends in cancer mortality among young adults aged 20-49 years in Spain: 1999-2022].","authors":"Beatriz Erro Iturri, Enrique Gutiérrez González, Patricia Alejandra Santágueda Balader, Pilar Soler Crespo, Elena Vanessa Martínez Sánchez, María Dolores Perea Aceituno, María José Sierra Moros","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Cancer is one of the main causes of death in Spain. However, data on cancer mortality in the young adult population are scarce. The aim of this study was to analyze the development of cancer mortality among adults aged 20-49 between 1999-2022 in Spain, according to sex, age, region and tumor group.Methods: Cancer deaths (ICD-10: C00-C97) from the mortality registry of the National Institute of Statistics, among population aged 20-49 between 1999-2022 were selected. Crude and age-adjusted rates were calculated. Temporal trends were analyzed using joinpoint models.Results: The age-adjusted cancer mortality rate (AACMR) decreased significantly in both sexes, with a further descrease in men (from 47 to 17.7 deaths per 100,000) than in women (from 34 to 20.8 per 100,000). The decrease was greater in the group aged 40-49 years-old. Among men, no turning point was observed (annual percentage change [APC]: -4.4%), whereas in women a change in trend was observed in 2003 (APC: -1.1% to -2.4%). Statistically significant differences by region were observed in first five-year period (1999-2003), with higher AACMR in northern Spain, diminishing these differences in last five-year period (2018-2022). The tumors with larger decrease of AACMR were those of oral cavity and pharynx in men (-72.8%) and those of ill-defined sites in women (-56.8%).Conclusions: Cancer mortality in population aged 20-49 decreased in Spain between 1999-2022 with differences according to sex, age, region and tumor group. The most notable decrease occurred in men and in the group aged 40-49.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984356","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