Joan Sales-Favà, Adriana Freitas Ramírez, Robert Langarita Rivas, Puri Molina Puyo, Anna Mompart Penina, Eneko Barbería Marcalain, Alexandre Xifró Collsamata
{"title":"[The accuracy of the causes of death with judicial intervention in Catalonia in the period 2015-2020. Effect of declaration through IML-Web application].","authors":"Joan Sales-Favà, Adriana Freitas Ramírez, Robert Langarita Rivas, Puri Molina Puyo, Anna Mompart Penina, Eneko Barbería Marcalain, Alexandre Xifró Collsamata","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>On January first, 2020, the Institutes of Legal Medicine and Forensic Sciences (IMLCF) began to inform the causes of death directly to the National Statistics Institute (INE) through a web application (IML-Web). The objective of this study was to evaluate the impact of the implementation of this application on the quality of the data collected.</p><p><strong>Methods: </strong>A descriptive study using deaths data with judicial intervention that occurred in Catalonia was carried out. The data of the period 2015-2018 and 2019 was compared with 2020. The percentages, with confidence intervals, of the causes of death that were not specific, according to different classifications, were calculated on the total of cases by period and territory.</p><p><strong>Results: </strong>The total percentage of non-specific deaths had decreased, not significantly, by 1.6 points between the period 2015-2018 and 2020. The same indicator between 2019 and 2020 had decreased by 13.4 points. The percentage of non-specific deaths from external causes showed significant drops between both periods and 2020. In general, the indicators displayed territorial differences.</p><p><strong>Conclusions: </strong>The roll-out of the IML-Web implies, compared to 2019, an improvement in the quality of the data. On the other hand, compared to the period 2015-2018, the data show a similar level of quality. Generally, it is assessed that the information provided by IMLCF of Catalonia through the IML-Web is accurate, but still has room for improvement.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139731252","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}
Isabel M Velasco-Gijón, Ana Polo-Oliver, Lucía Gutiérrez-Ramírez, Ángel Arias-Arias, Antonio Tejera-Muñoz
{"title":"[Survey to know the perception of sexual education in adolescents].","authors":"Isabel M Velasco-Gijón, Ana Polo-Oliver, Lucía Gutiérrez-Ramírez, Ángel Arias-Arias, Antonio Tejera-Muñoz","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Sex education is essential for an accurate approach of sexuality in adolescents, being more effective when it is carried out at early ages. This study aimed to estimate the sexual health knowledge and the information in this regard perceived by adolescents, as well as where it came from.</p><p><strong>Methods: </strong>A cross-sectional observational study was performed in students from two public high schools in Castilla-La Mancha who were surveyed about sexual knowledge. Comparisons were made by using the Student's t test or Mann Whitney U test, the Chi-square test (or Fisher's exact test) depending on the variables.</p><p><strong>Results: </strong>248 students were included (68.1% from Madridejos and 31.9% from Herencia) with a mean age of 14.67±1.1 years. The 47.2% were women. Only 4.8% of the participants affirm to talk about sexuality with their parents. The 56% declared had consumed pornographic content, with a mean first access age of 12.8±1 years. Significant statistically differences were found between the information received in schools and in the familiar surroundings, being alcohol and drug intake, sexually transmitted infections (STI), and contraceptive methods more frequently treated at the educational centers. A 25% of the surveyed students who reported having performed sexual relations stated not having used condom. Approximately, half of the participants did not perceive a high risk of getting STIs (HIV, herpes and chlamydia) in the case of having sex without condom.</p><p><strong>Conclusions: </strong>There is a lack of sexual knowledge in adolescents, perceiving a noteworthy heterogeneity in the offered information depending on it is received in high school or in familiar surroundings.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708935","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}
Francisco Rivas Ruiz, María Padilla Ruiz, Ángeles Pérez Aisa, Joaquín Peláez Cherino, Antonio Lara Blanquer, Alberto Jiménez Puente
{"title":"[Hospital emergencies due to alcohol consumption in times of COVID-19 on the Costa del Sol (Spain)].","authors":"Francisco Rivas Ruiz, María Padilla Ruiz, Ángeles Pérez Aisa, Joaquín Peláez Cherino, Antonio Lara Blanquer, Alberto Jiménez Puente","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Alcohol consumption is a Public Health problem that impacts the health, social and economic spheres. The objectives of this study were to describe the characteristics of alcohol-related emergencies (ARI) in an area of high recreational tourism, and the implications of the COVID-19 pandemic on this activity.</p><p><strong>Methods: </strong>A descriptive cross-sectional study of the period of ARI emergency activity in the Costa del Sol Hospital Area during the years 2019-2021 was carried out. A stratified descriptive analysis was performed according to the COVID-19 pandemic period, including the calculation of the incidence of ARI emergencies attended daily. Descriptive analysis was performed evaluating differences between the three periods using the Chi-Square test for qualitative variables, and the Kruskal-Wallis test for quantitative variables.</p><p><strong>Results: </strong>During the study period, 479,204 hospital emergencies were recorded, of which 0.51% were identified as ARI emergencies, with an average of 2.2 per day. This figure ranged from 2.7 emergencies per day during Normality, 1 during Confinement and 2.1 during new normality. The rate of ARI emergencies for the period evaluated was 16.5 per 10,000 inhabitants/year.</p><p><strong>Conclusions: </strong>The patients treated for alcohol consumption in our series have a typical profile in terms of age (adult) and sex (male), although with a high relative weight of foreign patients. Restrictions due to confinement during the COVID-19 pandemic have a positive impact on the emergency care of ARI patients, although correlated with a generalised decrease in non-COVID-19 related care activity.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708932","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}
Rafael Ataz Campillo, Jonathan Kiwitt Cárdenas, Alberto Manuel Torres Cantero, Mª Dolores Parra Muñoz
{"title":"[Approach to Childhood Obesity in Spain. A comparison among autonomies].","authors":"Rafael Ataz Campillo, Jonathan Kiwitt Cárdenas, Alberto Manuel Torres Cantero, Mª Dolores Parra Muñoz","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Childhood obesity represents a serious public health problem and given its multifactorial nature and its consequences; it is necessary to carry out an effective approach. The Spanish system of autonomies, with delegated powers, could accentuate inequality in its approach. The objective of the study was to know the existence or not of these inequalities.</p><p><strong>Methods: </strong>A descriptive cross-sectional study was carried out between the months of February-April 2022, in which the approach to childhood obesity was compared among the seventeen communities and two autonomous cities, through the analysis of the following indicators: pediatric staff, pediatric nursing, nutrition personnel and their legal recognition, the existence of comprehensive plans and health expenditure on childhood obesity. The search for information has been carried out through a bibliographic review and a request for access to public information to the corresponding regional councils. It were performed ratios of paediatricians and nurses per 1,000 inhabitants and health expenditure per inhabitant were calculated.</p><p><strong>Results: </strong>It was observed that in Spain paediatricians have a ratio according to international recommendations (1.21), but not general and paediatric nursing (with a ratio of 0.65, which is equivalent to approximately 1,544 inhabitants for each nurse), and nutrition professionals. Among autonomies there were large variations for the three categories. Comprehensive plans were outdated or absent altogether, as well as the periodic analysis of obesity expenditure.</p><p><strong>Conclusions: </strong>The approach to childhood obesity seems to vary considerably among autonomies according to the analysed indicators. Thus, it would be advisable to lead all efforts to homogenize it, to improve care quality and prevention and treatment choices in all national regions.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708931","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}
Aina Huguet-Torres, Miquel Bennasar-Veny, Enrique Castro-Sánchez, Aina M Yáñez
{"title":"[Sociodemographic and environmental factors associated with mask use during the COVID-19 pandemic].","authors":"Aina Huguet-Torres, Miquel Bennasar-Veny, Enrique Castro-Sánchez, Aina M Yáñez","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>During COVID-19 pandemic, prevention measures were implemented to mitigate the community transmission of SARS-CoV-2. Compliance with these measures was influenced by several sociodemographic and environmental factors. However, literature addressing compliance with these prevention measures among the general population remains limited. The study aimed to assess the association of sociodemographic and environmental factors and mask usage during close contact situations.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with a sample of 1,778 individuals identified through close contact tracing of individuals diagnosed with SARS-CoV-2 by the COVID-19 Coordination Center of Mallorca, from February to June 2021. A descriptive analysis was conducted, and a logistic regression model was utilized to evaluate factors associated with mask non-compliance.</p><p><strong>Results: </strong>The mean age of the participants was 42.8±17.4 years, with 53.6% being female. Among close contacts, 60.8% (95% CI: 57.8-62.3) did not use masks during their contact. No significant differences were observed between genders or across age groups (p=0.497 and p=0.536, respectively). Factors linked to mask non-compliance included the home setting, indoor spaces without ventilation, and closer physical distances (p<0.001).</p><p><strong>Conclusions: </strong>Our findings indicate that mask adherence was notably lower among close contacts exposed to higher risk. In future public health crises, interventions should be developed to raise awareness about risks and promote adherence to preventive and control measures.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708934","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}
Paula Gras Valenti, José Sánchez Payá, Juan Carlos Rodríguez Díaz, Pere Llorens Soriano, Esperanza Merino Lucas, Pablo Chico Sánchez
{"title":"[Positioning proposal on the recommendations for the use of masks in health centers after the cessation of the mandatory use in Spain].","authors":"Paula Gras Valenti, José Sánchez Payá, Juan Carlos Rodríguez Díaz, Pere Llorens Soriano, Esperanza Merino Lucas, Pablo Chico Sánchez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Since the beginning of the COVID-19 pandemic in March 2020, the use of masks has been a fundamental pillar for controlling the transmission of SARS-CoV-2 in different areas. Its mandatory nature has been regulated by different regulations, and its effectiveness in reducing the transmission of SARS-CoV-2 and other respiratory viruses has been strongly proven. In this regard, the beneficial impact stands out in healthcare centers where it has been shown to reduce the transmission of respiratory infections, both in patients and healthcare professionals. This document proposes recommendations for the use of masks in health centers at the current time when we find ourselves with an end to the mandatory use of masks in Spain. They are aimed at healthcare professionals, patients and companions/visitors and aim to protect them from acquiring acute respiratory infections as a result of the complex relationships established in the healthcare field.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708933","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}
Sonia Fernández Conde, Daniel Cifo Arcos, Laura Sánchez-Cambronero Cejudo, Carmen Olmedo Lucerón, Ana Fernández Dueñas, Elena Cantero Gudino, Aurora Limia Sánchez
{"title":"[Updated cost of vaccinating throughout life in Spain in 2023].","authors":"Sonia Fernández Conde, Daniel Cifo Arcos, Laura Sánchez-Cambronero Cejudo, Carmen Olmedo Lucerón, Ana Fernández Dueñas, Elena Cantero Gudino, Aurora Limia Sánchez","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Four modifications were introduced in the Lifetime Vaccination Schedule of the Interterritorial Council of the National Health System (CISNS) in 2023.The aim of this study was to estimate the cost of vaccinating a healthy person and people with certain risk conditions throughout life in Spain and to compare with a previous estimation from 2019.</p><p><strong>Methods: </strong>A descriptive study of the cost of administering the vaccines included in the Lifetime Vaccination Schedule for the year 2023 and in the schedule for risk groups was carried out.</p><p><strong>Results: </strong>The estimated cost to immunize a healthy person throughout life in 2023 is 1,541.56€ for a woman and 1,498.18€ for a men, which corresponds to an increase of 125% compared to the cost in 2019. The risk conditions with the highest cost are asplenia and complement deficiency and primary immunodeficiencies, with a cost of 3,159.82 euros and 2,566 euros respectively on average. The cost of vaccinating the whole healthy population in Spain in a year is around 565M€. Moreover, the cost of vaccinating the new-borns cohort of 2023 was estimated at 500M€.</p><p><strong>Conclusions: </strong>Despite the cost increase in 2023, immunization is still a very cheap intervention, considering the economic impact of immunopreventable diseases in the society. The relative low cost of immunization throughout life makes this health intervention useful and worthwhile.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"97 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139418938","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":"[Campaigns aimed at children of the target population for colorectal cancer screening].","authors":"Jose A Martínez","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"97 ","pages":"e1-e2"},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138833848","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}
Ainhoa Ruiz-Azarola, Daniela E Miranda Rojas, Jeny Aguilera-Cruz, Elena Mª Gras-García, Mariano Hernán García, Ana Pereira Iglesia, Juan Román Mora Barrios, Jennifer Mary Popay
{"title":"[Once upon a time there was a place where we learned to listen. The Other Front line_voices for social justice].","authors":"Ainhoa Ruiz-Azarola, Daniela E Miranda Rojas, Jeny Aguilera-Cruz, Elena Mª Gras-García, Mariano Hernán García, Ana Pereira Iglesia, Juan Román Mora Barrios, Jennifer Mary Popay","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Government responses to the COVID-19 pandemic generated a new wave of social inequalities for communities around the world living in unjust circumstances . Lockdowns and health measures overlooked housing conditions, transitions to virtual schooling, ignoring homes and families without the technological infrastructure and skills to access education, as well as overlooking the availability of an economic remainder. informal employment. The experiences of various communities around the world, from racialized/ethnic communities, homeless, migrants, elderly to young populations, were not reflected in the knowledge that guided the Government's responses; in fact, their experiences were involuntarily silenced . As a result of all this, it was necessary to create alliances with communities that lived in vulnerable conditions and that bore the great burden of the pandemic, to ensure that their voices were included in Public Health policies and practices.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"97 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138833851","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}