Revista espanola de salud publica最新文献

{"title":"[Influence of adherence to a mediterranean diet and nutritional status on ovarian reserve].","authors":"Laura Martín-Manchado, Laura Prieto-Huecas, Clara Ángela Piera-Jordán, Verónica Serrano De la Cruz-Delgado, María Belén García-Velert, Cristina Tordera-Terrades, Ana Zaragoza-Martí","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Currently, esterility affects between 15% and 20% of couples of fertile age. Female reproductive success is mainly determined by age and ovarian reserve (OR). Recent studies highlight the influence of modifiable factors such as dietary habits and nutritional status on OR. In this regard, the Mediterranean Diet (MD) is postulated as a standard of healthy eating. Therefore, the objective of this paper was to analyze the influence of adherence to DM and nutritional status on the OR of infertile women.</p><p><strong>Methods: </strong>A descriptive cross-sectional study was carried out, lasting one year, between February 2022 and February 2023, in a sample of forty-five female patients who attended the Gynaecology-Esterility consultation at the Marina Salud Hospital in Denia (Spain) due to genital desire older than one year. An exploratory descriptive analysis based on univariate statistics was performed.</p><p><strong>Results: </strong>The mean age of the sample (n=45) was 31.84 (±3.99) years, with an average BMI of 26.27 (±6.08) kg/m2, with 44.4% (n=20) having excess body weight. The RO was measured based on AMH, with an average value of 2.32 (±1.59) ng/ml and RFA, with an average of 19.80 (±14.13) antral follicles. A statistically significant association was found between low adherence to DM and lower anti-Müllerian hormone (AMH; p=0.025) levels. In addition, an association was found between low consumption of vegetables (p=0.044), excessive consumption of red meat (p=0.027) and carbonated beverages (p=0.015) with insufficient AMH levels, indicative of low OR. Low fruit consumption was also found to be associated with low oestradiol levels (p=0.045). Statistically significant associations were also found reflecting the influence of nutritional status on OR.</p><p><strong>Conclusions: </strong>One of the main factors conditioning the success of ART (assisted reproductive technology) is the woman's OR. The most widely used parameter to assess OR is AMH. Lifestyle and diet are modifiable factors that can influence OR. High adherence to DM and consumption of vegetables is associated with higher levels of AMH; however, high intake of red meat and carbonated beverages is associated with lower levels. Nutritional status, adherence to DM and dietary habits influence the status of OR, so it would be advisable to promote programmes to improve the population's diet in order to improve reproductive health.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140208751","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":"[MINICHAL and items predictors of worst quality of life in men with arterial hypertension].","authors":"Mónica Diosdado Figueiredo","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Systemic arterial hypertension is the most important modificable risk factor for morbidity and mortality and a Public Health problem. The objective was to estímate ítems of worse quality of life (Qol) in both domains of the MINICHAL questionarie and the associated variables.</p><p><strong>Methods: </strong>An observational study of prevalence in men was carried out. Sociodemographic, comorbidity, clinical, examination, control and serum parameters variables were collected. The following questionnaires were applied: MINICHAL, International Physical Activity Questionnaire, International Score of Prostatic Symptomatology and International Index of Erectile Function. Apart from the usual descriptive ones, a bivariate and a multivariate logistic regression were performed, determining Odds Ratio values with a 95% confidence interval.</p><p><strong>Results: </strong>262 hypertensive patients were analyzed, of which 42% reported worse quality of life in the mental state dimensión compared to 47.3% in the somatic manifestacions dimensión. The multivariate logistic regression analysis showed as outstanding predictor variables: Metabolic Syndrome in the chest pain item without making any effort; the presence of filling symptoms in the item urinate more often; pathological cardiopulmonary auscultation in the item numbness or tingling in some part of the body; the presence of erectile dysfunction in the item difficulty falling asleep.</p><p><strong>Conclusions: </strong>All the items of the MINICHAL questionnaire that assess the Somatic Manifestations dimension have a very negative impact on the quality of life of patients, and only the difficulty falling asleep item in the Mental State dimension.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140186791","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":"[Emotional eating in university students: a cross-sectional and comparative study in the Iberian Peninsula].","authors":"Elena Sosa-Cordobés, Maria-Carminda Soares Morais, Pedro Lopes-Ferreira, Miriam Sánchez-Alcón, Almudena Garrido-Fernández, Francisca María García-Padilla","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Although the lack of progress in reducing obesity is a global problem, different places have different contributing factors. One of the factors currently contributing to the increasing prevalence of obesity is emotional eating. The aim of this paper was to describe and compare the level of emotional eating and to analyse which variables and to what extent they affected the other variables.</p><p><strong>Methods: </strong>A descriptive cross-sectional study was conducted in students from 3 universities of the Iberian Peninsula (n=1,654) between October 2019 and June 2020. Data were collected through an online self-report questionnaire which included sociodemographic and anthropometric data and validated questionnaires such as: the Emotional Eaters Questionnaire, the ShortForm-36 and the Hospital Anxiety and Depression Questionnaire. Stratified random sampling was performed by faculty, degree, and class groups. For descriptive results, means, standard deviation and relative frequencies of variables were calculated. Student's t-test, chi-square and ANOVA were used to compare means. Simple and multiple linear regressions were performed for both samples.</p><p><strong>Results: </strong>The mean emotional eating score was 8.77±5.66 for spanish students and 10.02±6.19 for portuguese students, with a difference of 3.62 (<0.001). In Spain, the dependent variable that most affected emotional eating was quality of life (13.8% variance [<0.001]), while in Portugal it was anxiety (10.1% variance [<0.001]).</p><p><strong>Conclusions: </strong>Statistically significant differences are found in the level of emotional eating between populations. In addition, there is dissimilarity in the variables influencing the principal in both countries. These findings imply that they should be considered in the design of future research or health interventions.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140186815","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":"[Unwanted loneliness in Spain: a problem for the management of Public Health and family care].","authors":"José Manuel Jiménez Rodríguez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In Spain, the advances in medicine and pharmacology, technology, etc., together with the low birth rates (a product of various social phenomena that occurred during the 20th century), cause an unprecedented population aging, a situation that extends to the rest of the countries. Europeans. This circumstance leads to an increase in the number of elderly people in a situation of dependency, entailing challenges such as the increase in chronic diseases and palliative stages, the management of informal care, the economic cost of formal care and unwanted loneliness (SND). , among other. Regarding this last challenge, and its consequences, it can be said that: it is a silent problem of a new order that affects more and more people in Spain, Europe and the world; It represents a source of suffering for those who suffer from it and a limitation of the right to participate in society; causes negative consequences for health and emotional well-being; It is associated with certain social and economic costs. Today it is estimated that in our country 13.4% of people suffer from SND, that those who suffer from it have been in this situation for approximately six years and that 22.9% experience this feeling of loneliness throughout the day. Likewise, in Europe as a whole, around thirty million people frequently feel lonely. Considering the sex variable, it is women who suffer from this problem with the highest prevalence (14.8% in the case of women and 12.1% in the case of men). Among the factors associated with this trend is life expectancy at birth. It should be said in this regard that, in recent decades, our country has experienced an increase in life expectancy by almost five years, being greater in the case of women. By 2022 this increase amounts to 83.08 years (women=85.7/men=80.3), a fact that places Spain in tenth place in the classification of the 194 countries that publish their life expectancy.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140186792","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":"[COVID-19 readmissions during the first three epidemic periods in Orihuela, Spain: incidence, risk factors and letality].","authors":"Nuria Roig-Sánchez, Alberto Talaya Peñalver, Noemí Poveda Ruiz, Alfonso Del Pozo, Ana María Hernández Campillo, Alicia Pérez Bernabéu, Belén Martínez-López, Inmaculada González-Cuello, María García-López, Emilio Borrajo Brunete, Philip Wikman-Jorgensen, Jara Llenas-García","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Readmission for COVID-19 is associated with high mortality, saturation of health services, and high costs. This study aimed to assess the incidence and risk factors of readmissions in COVID-19 patients in a regional hospital of Spain from February 2020 to March 2021.</p><p><strong>Methods: </strong>A retrospective cohort study describing the characteristics of adult patients readmitted within thirty days of discharge after being infected with SARS-CoV-2 was carried out. Readmission associated risk factors were analysed using a binary logistic regression model.</p><p><strong>Results: </strong>Of the 967 patients who survived their first COVID-19 admission, 70 (7.2%) were readmitted within thirty days. Of these, 34.3% presented pneumonia progression, 15.7% functional deterioration, and 12.9% other infections. The mortality rate during readmission was 28.6%. There were no statistically significant differences in the cumulative incidence of readmissions between the epidemic periods (p=0.241). Factors independently associated with readmission were: diabetes mellitus (aOR 1.96, 95%CI 1.07-3.57, p=0.030); acute kidney failure (aOR 2.69, 95%CI 1.43-5.07, p=0.002); not being a candidate for intensive care (aOR 7.68, 95% CI 4.28-13.80, p<0.001); and not being prescribed corticosteroids at discharge (aOR 2.15, 95% CI 1.04-4.44; p=0.039).</p><p><strong>Conclusions: </strong>A substantial proportion of patients admitted due to COVID-19 are readmitted, and they carry a high letality. Diabetes mellitus, acute kidney failure, not being a candidate for ICU admission, and not being prescribed corticosteroids on discharge are independently associated with an increased risk of readmission.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140186813","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":"[Disability status and robbery victimization in Peruvian villagers].","authors":"J Jhonnel Alarco, María José Yllanes-Palomino","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>About 15% of the world's population has some degree of disability. Violence and crime primarily affect the Latin American region, especially Peru. This study aimed to determine the association between disability status and robbery victimization in Peruvian villagers in 2017.</p><p><strong>Methods: </strong>A cross-sectional study of secondary data analysis from the National Specialized Victimization Survey (ENEVIC) 2017 was conducted. The independent variable was disability status, and the dependent variable was robbery victimization; in addition, confounding variables were included. Poisson regression was performed to demonstrate the association, and prevalence ratios (PR) with their 95% confidence intervals (95%CI) were calculated.</p><p><strong>Results: </strong>Records of 32,199 Peruvians aged 18 years or older were included. People with disabilities were 24% less likely to be robbery victims than people without disabilities (PR=0.76; 95%CI: 0.61-0.95), adjusted for confounding variables. However, this association was only statistically significant in women, older adults, and the high socioeconomic stratum.</p><p><strong>Conclusions: </strong>In Peru, people with disabilities are less likely to be robbery victims than people without disabilities. However, only if they are women, older adults, and come from a high socioeconomic level. In the other population groups, the probabilities of suffering this victimization would be similar between people with and without disabilities.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140186814","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":"[Impact of self-reported periodontal status on oral health-related quality of life in adult population with Type 2 Diabetes from Mexico City].","authors":"José Armando Falcón-Flores, María Eugenia Jiménez-Corona, Sergio Flores-Hernández, Marisela Vázquez-Duran, Aida Jiménez-Corona","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Periodontitis ranks sixth as a type 2 diabetes (T2D) complication. According to its severity, it may cause pain, discomfort and tooth loss. The aim of this study was to evaluate the impact of self-reported periodontal status on the Oral Health Related Quality of Life (OHRQoL) of people with T2D.</p><p><strong>Methods: </strong>A cross-sectional study was conducted involving seventy-nine adults with T2D who visited the Metabolic Syndrome clinic at the Cosío Villegas National Institute of Respiratory Diseases in Mexico City between August and November 2010. The OHRQoL was evaluated with the shortened Oral Health Impact Profile (OHIP-EE14). Periodontitis was measured by self-report, probing depth (PD), and clinical attachment loss (CAL). The association between self-reported periodontal status and OHRQoL was evaluated with binomial regression models.</p><p><strong>Results: </strong>Mean age of the participants was 60,4 years (SD=9,6); diabetes duration was 10,1 years (SD=6,6). The OHRQoL was associated with self-perception of bad breath (RR=1,58; p=0,025), self-perception of poor gum health (RR=1,66; p=0,016), dissatisfaction with chewing ability (RR=2,22; p≤0,001), tooth loss due to mobility (RR=1,74; p=0,019), and presence of 20 teeth or less (RR=1,57; p=0,045).</p><p><strong>Conclusions: </strong>OHRQoL is associated with self-report of bad breath, poor gum health and dissatisfaction with chewing ability in people with T2D, which suggests that self-perceived oral conditions represent signs and symptoms of functional and psychological impairment related to severe periodontitis.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140186790","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":"[Caring for people living with HIV in the Colombian Health System: patients, caregivers and health workers perspectives].","authors":"Ingrid Yolercy Troche Gutierrez","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Health policies and programs for people living with HIV have been subordinated to current economic policies based on the neoliberal development model that shapes the current healthcare system. The study's objective was to analyze the influence of the Colombian health system on the care of people who lived with HIV enrolled in the Subsidized Regime through Benefit Plan Administrating Entities and treated in Neiva (Colombia).</p><p><strong>Methods: </strong>A qualitative study framed within the framework of the Critical Discourse Analysis was conducted. Nineteen people participated, including HIV patients, non-formal caregivers, and health workers. The participants were recruited from two Health Service Providers Institutions in the city of Neiva. In-depth interviews were conducted. Data were coded, categorized and organized in Excel for analysis.</p><p><strong>Results: </strong>The interpersonal relationship and the health system functioning were two phenomena that interfered with caring for people with HIV by favoring or imposing barriers to practices. Failures were found in the informative-educational process from the moment of diagnosis, stigmatization, and discrimination, particularly in non-HIV-specialized health institutions, and multiple barriers to access to health services. 55.5% of the patients expressed having been discriminated against by health personnel at some point since their diagnosis. 100% of the patients interviewed identified different types of barriers to health services, contextualized in improper treatment, untimely care and abuse of power; only 22.2% resorted to the filing of complaints, petition rights or guardianships to claim their right to health.</p><p><strong>Conclusions: </strong>Health care praxis is carried out regardless of patients' situation, forgetting that those from a lower socioeconomic level have greater structural vulnerability related to poverty. The lack of healthcare exacerbates health inequalities.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140112555","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}

{"title":"[Risk factors for the acquisition of Sexually Transmitted Infections in sex workers: a systematic review].","authors":"Aarón Jiménez-Morón, César Hueso-Montoro, Rafael Caparros-González, María Ángeles Pérez-Morente","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Sexually Transmitted Infections (STI), as their name suggests, are infections caused by more than thirty different bacteria, viruses, and parasites and are transmitted through sexual contact, including vaginal, anal, or oral intercourse, although some sexually transmitted infections can also transmitted from mother to child during pregnancy, childbirth and lactation. According to World Health Organization, one of the main populations at risk for acquiring these diseases are sex workers and their clients. Due to the high prevalence, the characteristics and behaviors that favor the development of these diseases are analyzed. The main objective of this paper was to analyze the risk factors in the acquisition of sexually transmitted diseases in the population of sex workers.</p><p><strong>Methods: </strong>A literature search was conducted in Scopus, Pubmed, CINAHL, Medline, LILACS and IBECS, of observational, longitudinal and mixed methods studies conducted in sex workers and published between January 2011 and March 2021, with a final sample of fourty-three articles. The mixed methods assessment tool (MMAT) was used to assess the methodological quality of the papers.</p><p><strong>Results: </strong>After analyzing the literature, eleven groups of risk factors related to the acquisition of sexually transmitted diseases were obtained, these being economic factors, factors related to sexual practices, drug use, sex work, education, health problems, country of origin and mobility, partner, age, violence and other factors not belonging to the previous categories.</p><p><strong>Conclusions: </strong>Sex workers have numerous characteristics and behaviors that make them vulnerable to sexually transmitted infections. Of note are years of prostitution, drug use, number of partners and condom use, which are key factors for future prevention and intervention strategies, as well as research.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140112558","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}

{"title":"[Mental health literacy in spanish adolescents and its relationship with sociodemographic characteristics].","authors":"Isaac Daniel Amado-Rodríguez, Rocío Casañas, Laia Mas-Expósito, Lluís Lalucat-Jo, Juan Francisco Roldan-Merino, Mª Isabel Fernandez-San-Martín","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Different studies identify mental health literacy as a protective factor for developing a mental health problem. The aim of this paper was to determine the degree of mental health literacy of the adolescent population of Barcelona, and its relationship with socio-demographic and educational variables.</p><p><strong>Methods: </strong>A cross-sectional study was carried out in Barcelona during the 2017-2018 academic year. A total of 1,032 young people between thirteen and seventeen years of age participated. The following variables were collected: sex, age, nationality, socioeconomic status (RDHpc) and average school grade. The aim was to determine the degree of mental health literacy (knowledge, stigma and help-seeking) of the adolescent population of Barcelona, and its relationship with socio-demographic and educational variables. Multiple linear regression analysis was performed adjusting for the effect of sociodemographic variables on the score of each scale.</p><p><strong>Results: </strong>The mean score (standard deviation) of the EMHL test was 7.28 (1.27) and 4.24 (1.14) respectively, with higher scores obtained by girls, high RDHpc, excellent score and Spanish nationality. The greatest difference in EMHL scores, adjusting for the rest of the variables, corresponded to adolescents with an excellent mean score and a high RDHpc index (with respect to the baseline category, beta=0.72 and 0.52 respectively). The mean stigma score was 27.6 (4.47) for CAMI and 8.83 (3.36) for RIBS. The variables related to a greater difference in score with respect to the baseline category and adjusted for the rest of the variables were: gender (boy=1.54) and academic grade (excellent=-2.38) for CAMI, and nationality (foreign=0.82) and academic grade (excellent=-1.30) for RIBS. The mean RIBS score was 8.83 (3.36) with the largest difference in score from baseline being foreign nationality (beta=0.82) and having a grade of excellent (1.30). Help-seeking was higher in parents and friends, with differences according to gender and nationality.</p><p><strong>Conclusions: </strong>The level of mental health literacy is medium-low. While gender, nationality and educational attainment are the factors that are related to knowledge and stigma, socio-economic status is only related to mental health literacy.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140112557","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}