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Abellan, Antonio, Julio Perez, Rogelio Pujol, Gerdt Sundström, Magnus Jegermalm, and Bo Malmberg. "Partner care, gender equality, and ageing in Spain and Sweden." International Journal of Ageing and Later Life 11, no. 1 (March 27, 2017): 69–89. http://dx.doi.org/10.3384/ijal.1652-8670.16-305.
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We used national surveys to study how older persons’ changing household patterns influence the gender balance of caregiving in two countries with distinct household structures and cultures, Spain and Sweden. In both countries, men and women provide care equally often for their partner in couple-only households. This has become the most common household type among older persons in Spain and prevails altogether in Sweden. This challenges the traditional dominance of young or middle-aged women as primary caregivers in Spain. In Sweden, many caregivers are old themselves. We focus attention to partners as caregivers and the consequences of changing household structures for caregiving, which may be on the way to gender equality in both countries, with implications for families and for the public services.
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Casado-Marín, David, Pilar García-Gómez, and Ángel López-Nicolás. "Informal care and labour force participation among middle-aged women in Spain." SERIEs 2, no. 1 (January 14, 2010): 1–29. http://dx.doi.org/10.1007/s13209-009-0008-5.
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GARCÍA, JESÚS ROGERO, MARÍA-EUGENIA PRIETO-FLORES, and MARK W. ROSENBERG. "Health services use by older people with disabilities in Spain: do formal and informal care matter?" Ageing and Society 28, no. 7 (October 2008): 959–78. http://dx.doi.org/10.1017/s0144686x08007381.
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ABSTRACTAs people grow older in late life, their need for help with the activities of daily living increases. In Spain, those who need such help constitute about 20 per cent of the population aged 65 or more years. Support may be from formal care, informal care or both, and the type has different consequences for care receivers and their social networks. The aim of this paper is to examine the relationship between informal and formal care and the use of health services among older people in Spain. Using a sample of 1,148 respondents aged 65 or more years from the Spanish National Health Survey of 2003, we analysed the association between the sources of care (formal, informal, both, or no care) and the frequency of three types of health-care utilisation: hospitalisation, emergency services and medical consultations. After controlling for sex, age, level of difficulty in the activities of daily living, self-perceived health status, and social class, it was found that older people with disabilities who received neither informal nor formal care were more likely to consult physicians than those who received informal care, but that there were no significant relationships between the type of care and health-services utilisation. The findings provide new information about the consequences of the different types of care of older people with disabilities, and suggest specifically that informal care substitutes for some tasks usually done by health professionals.
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Ruiz-Aragón, Jesús, Sergio Márquez-Peláez, Ray Gani, Piedad Alvarez, and Richard Guerrero-Luduena. "Cost-Effectiveness and Burden of Disease for Adjuvanted Quadrivalent Influenza Vaccines Compared to High-Dose Quadrivalent Influenza Vaccines in Elderly Patients in Spain." Vaccines 10, no. 2 (January 23, 2022): 176. http://dx.doi.org/10.3390/vaccines10020176.
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Influenza is a contagious respiratory disease that causes severe illness and death, particularly in elderly populations. Two enhanced formulations of quadrivalent influenza vaccine (QIV) are available in Spain. Adjuvanted QIV (aQIV) is available for those aged 65+ and high-dose QIV (HD-QIV) for those aged 60+. In this study, we used a health economic model to assess the costs and outcomes associated with using aQIV or HD-QIV in subjects aged 65+. Using aQIV instead of HD-QIV to vaccinate an estimated 5,126,343 elderly people results in reductions of 5405 symptomatic cases, 760 primary care visits, 171 emergency room visits, 442 hospitalizations, and 26 deaths in Spain each year. Life-years (LYs) and quality-adjusted LYs (QALYs) increases by 260 and 206, respectively, each year. Savings from a direct medical payer perspective are EUR 63.6 million, driven by the lower aQIV vaccine price and a minor advantage in effectiveness. From a societal perspective, savings increase to EUR 64.2 million. Results are supported by scenario and sensitivity analyses. When vaccine prices are assumed equal, aQIV remains dominant compared to HD-QIV. Potential savings are estimated at over EUR 61 million in vaccine costs alone. Therefore, aQIV provides a highly cost-effective alternative to HD-QIV for people aged 65+ in Spain.
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King, Michael, Irwin Nazareth, Gus Levy, Carl Walker, Richard Morris, Scott Weich, Juan Ángel Bellón-Saameño, et al. "Prevalence of common mental disorders in general practice attendees across Europe." British Journal of Psychiatry 192, no. 5 (May 2008): 362–67. http://dx.doi.org/10.1192/bjp.bp.107.039966.
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BackgroundThere is evidence that the prevalence of common mental disorders varies across Europe.AimsTo compare prevalence of common mental disorders in general practice attendees in six European countries.MethodUnselected attendees to general practices in the UK, Spain, Portugal, Slovenia, Estonia and The Netherlands were assessed for major depression, panic syndrome and other anxiety syndrome. Prevalence of DSM–IV major depression, other anxiety syndrome and panic syndrome was compared between the UK and other countries after taking account of differences in demographic factors and practice consultation rates.ResultsPrevalence was estimated in 2344 men and 4865 women. The highest prevalence for all disorders occurred in the UK and Spain, and lowest in Slovenia and The Netherlands. Men aged 30–50 and women aged 18–30 had the highest prevalence of major depression; men aged 40–60 had the highest prevalence of anxiety, and men and women aged 40–50 had the highest prevalence of panic syndrome. Demographic factors accounted for the variance between the UK and Spain but otherwise had little impact on the significance of observed country differences.ConclusionsThese results add to the evidence for real differences between European countries in prevalence of psychological disorders and show that the burden of care on general practitioners varies markedly between countries.
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Montserrat, Carme, Paulo Delgado, Marta Garcia-Molsosa, João M. S. Carvalho, and Joan Llosada-Gistau. "Young Teenagers’ Views Regarding Residential Care in Portugal and Spain: A Qualitative Study." Social Sciences 10, no. 2 (February 10, 2021): 66. http://dx.doi.org/10.3390/socsci10020066.
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Research on residential care has been well established in the literature. Nonetheless, research drawing from the actual experiences of adolescents is relatively scarce. A qualitative study was designed highlighting the voices of children, analysing their fostering experience, interpersonal relationships, their participation in daily decisions, and future aspirations. The sample included 33 early adolescents in residential care aged 12–14 in Portugal (n = 17) and Spain (n = 16). Results showed that there was agreement in terms of the importance given to education, their satisfaction with the material conditions of residential centre, and their dissatisfaction concerning matters of individuality, autonomy, participation, and socialization.
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VICENTE, D., M. MONTES, G. CILLA, E. G. PEREZ-YARZA, and E. PEREZ-TRALLERO. "Hospitalization for respiratory syncytial virus in the paediatric population in Spain." Epidemiology and Infection 131, no. 2 (October 2003): 867–72. http://dx.doi.org/10.1017/s0950268803008926.
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The aim of this population-based retrospective study was to determine the incidence of hospitalization for community-acquired, laboratory-confirmed respiratory syncytial virus (RSV) infection in an unselected paediatric population from southern Europe. The study was performed in an area with 15700 children aged less than 5 years attended by a single hospital. The presence of RSV in nasopharyngeal aspirates from children with acute respiratory infection treated in the hospital was investigated in four seasons (July 1996–June 2000). A total of 390 episodes of hospitalization for RSV infection were detected and 83·3% of the children were aged less than 1 year old. The annual hospitalization rate was 37/1000 for infants aged less than 6 months and 25/1000 for those aged less than 1 year. During the study period, 2·5% of the infants younger than 1 year and approximately 5% of those younger than 3 months were hospitalized for RSV infection. The mean length of hospital stay was 5·9 days. Seven per cent of the patients required admission to the intensive care unit and more than half of these children were aged less than 1 month. In Spain, community-acquired RSV infection is a highly frequent cause of hospitalization in young children, especially in those aged less than 1 year. Prevention of RSV infection, through the development of vaccines and/or other strategies, should be a public health priority.
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Alvarez-Peregrina, Cristina, Miguel Ángel Sánchez-Tena, Cristina Andreu-Vázquez, and Cesar Villa-Collar. "Visual Health and Academic Performance in School-Aged Children." International Journal of Environmental Research and Public Health 17, no. 7 (March 31, 2020): 2346. http://dx.doi.org/10.3390/ijerph17072346.
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Background: Academic performance at different educational levels has become a very important subject of study in local, national and international institutions. A visual system working properly is critical to improving academic performance. It is important to check children’s vision during the different stages of elementary school. Methods: A visual screening was carried out in elementary school children, aged between 6 and 12, across Spain. The screening included: the collection of demographic data, surveys of children and families about their vision habits and a basic optometric screening to detect visual problems. Results: Children with bad academic performance had worse visual health than those with good academic performance. Conclusions: It would be highly recommendable to introduce policies that ensure the early detection of visual disorders in schools and primary care in order to improve the academic performance of elementary students.
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Vegue Parra, Eva, Jose Manuel Hernández Garre, and Paloma Echevarría Pérez. "Benefits of Dog-Assisted Therapy in Patients with Dementia Residing in Aged Care Centers in Spain." International Journal of Environmental Research and Public Health 18, no. 4 (February 4, 2021): 1471. http://dx.doi.org/10.3390/ijerph18041471.
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(1) Background: Currently, the scientific evidence on the benefits of assisted therapy with dogs in dementia is not clear. In this study, we want to evaluate such benefits through a randomized controlled clinical trial in multiple centers across the country. (2) Methods: The participants were people over 65 years old with dementia, residing in senior centers in Spain (n = 334). The experimental group underwent assisted therapy with dogs based on the Comprehensive Cognitive Activation Program in Dementia, for 8 months, with weekly sessions of 45 min. Data were collected at the commencement, middle, and end of the program, to evaluate the aspects using the Mini-Examination Cognitive, the modified Bartell Index, the Cornell Scale for Depression in Dementia and the Neuropsychiatric Inventory. (3) Results: The results show significant improvements in the experimental group versus the control group in the affective (T1 = p 0.000; T2 = p 0.000) and behavioral (T1 = p 0.005; T2 = p 0.000) aspects, with the affective aspect displaying greater progress in participants with additional depressive (p = 0.022) or anxiety (p = 0.000) disorders, shorter institutionalization periods (r = −0.222, p = 0.004), and those undergoing complementary psychotherapy (p = 0.033) or alternative therapy (p = 0.011). (4) Conclusions: Dog therapy is effective in improving the affective and behavioral aspects of institutionalized patients with dementia.
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de Nooijer, Kim, Lara Pivodic, Luc Deliens, Guido Miccinesi, Tomas Vega Alonso, Sarah Moreels, and Lieve Van den Block. "Primary palliative care for older people in three European countries: a mortality follow-back quality study." BMJ Supportive & Palliative Care 10, no. 4 (October 16, 2019): 462–68. http://dx.doi.org/10.1136/bmjspcare-2019-001967.
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BackgroundMany older people with serious chronic illnesses experience complex health problems for which palliative care is indicated. We aimed to examine the quality of primary palliative care for people aged 65–84 years and those 85 years and older who died non-suddenly in three European countries.MethodsThis is a nationwide representative mortality follow-back study. General practitioners (GPs) belonging to epidemiological surveillance networks in Belgium (BE), Italy (IT) and Spain (ES) (2013–2015) registered weekly all deaths in their practices. We included deaths of people aged 65 and excluded sudden deaths judged by GPs. We applied a validated set of quality indicators.ResultsGPs registered 3496 deaths, of which 2329 were non-sudden (1126 aged 65–84, 1203 aged 85+). GPs in BE (reference category) reported higher scores than IT across almost all indicators. Differences with ES were not consistent. The score in BE particularly differed from IT on GP–patient communication (aged 65–84: 61% in BE vs 20% in IT (OR=0.12, 95% CI 0.07 to 0.20) aged 85+: 47% in BE vs 9% in IT (OR=0.09, 95% CI 0.05 to 0.16)). Between BE and ES, we identified a large difference in involvement of palliative care services (aged 65–84: 62% in BE vs 89% in ES (OR=4.81, 95% CI 2.41 to 9.61) aged 85+: 61% in BE vs 77% in ES (OR=3.1, 95% CI 1.71 to 5.53)).ConclusionsConsiderable country differences were identified in the quality of primary palliative care for older people. The data suggest room for improvement across all countries, particularly regarding pain measurement, GP–patient communication and multidisciplinary meetings.
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Sánchez-Recio, Raquel, Cristina García-Ael, and Gabriela Topa. "Influence of Gender Determinants on Informal Care and Health Service Utilization in Spain: Ten Years after the Approval of the Equality Law." Administrative Sciences 11, no. 2 (April 12, 2021): 42. http://dx.doi.org/10.3390/admsci11020042.
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The existence of gender inequalities in health, in the use of health services, and in the development of informal care has been demonstrated throughout scientific literature. In Spain, a law was passed in 2007 to promote effective equality between men and women. Despite this, different studies have shown that the previous gender inequalities are still present in Spanish society. For all these reasons, the objective of this paper is to study the differences by sex in informal care and in the use of emergency care, and to identify the existence of gender inequalities in Spain 10 years after the adoption of the aforementioned equality law. In this case, we development a cross-sectional study based on the 2017 Spanish National Health Survey of the Spanish population aged 16 and over. To analyze the influence of gender determinants on informal care and emergency care utilization, logistic regressions were performed, model 1 was adjusted for age, and model 2 was further adjusted too by the variables of the Andersen care demand model. The results showed that informal care and the use of the emergency care continues to be higher in women than in men. Informal care in women was related to a higher level of education. In emergency care, the older the age, the lower the probability of utilization, and living in a rural municipality was related to a higher probability of utilization for both sexes. Finally, we concluded that there is still a need for studies that analyze gender inequalities in different contexts, such as the informal care and the use of health services. This is especially relevant in Spain, where economic changes have led to a change in roles, mainly for women, and new management strategies are needed to achieve equity in care and effective equality between men and women.
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Rodríguez-Álvarez, Elena, Nerea Lanborena, and Luisa N. Borrell. "Health Services Access Inequalities Between Native and Immigrant in a Southern European Region." International Journal of Health Services 49, no. 1 (November 2, 2018): 108–26. http://dx.doi.org/10.1177/0020731418809858.
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With the economic crisis in Spain, austerity measures were applied. However, it is unknown how these measures have affected the pattern of use of health services for the immigrant population. Thus, the objective of this study was to examine the inequalities in access to different levels of health care services according to place of birth. We used data from the 2014 Foreign Immigrant Population Survey (n = 1,908) and the Basque Health Survey 2013 for the native population (n = 4,232) for adults aged 16–59 years residing in the Basque Country, Spain. Log-binomial regression was used to quantify the association between country of origin and use of different levels of care in men and in women. We found a higher probability of using general practitioner (GP) services in immigrant women (PR: 1.19; 95% CI: 1.12–1.26) and men (PR: 1.11; 95% CI: 1.01–1.23) than in natives. This was also true for emergency services with immigrant women (PR: 1.97; 95% CI: 1.43–2.69) and men (PR: 1.50; 95% CI: 1.01–2.25). However, for specialized medicine services, there was no association. This study suggests the importance of guaranteeing access to health care to the entire population. Hence policies to eliminate barriers to health care are essential to ensure health for all.
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Peña, Ana L. Noreña, and Juan G. Rojas. "Ethical aspects of children’s perceptions of information-giving in care." Nursing Ethics 21, no. 2 (May 23, 2013): 245–56. http://dx.doi.org/10.1177/0969733013484483.
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The aim of this study was to identify key aspects in the exchange of information and to determine how nurses communicate news to hospitalised children. For this study, we applied the critical incident technique with 30 children aged between 8 and 14 years. Data were collected in paediatric units in a hospital in Alicante (Spain) using participant observation and semi-structured interviews. The analysis yielded three main categories: the children’s reaction to the information, nursing staff behaviour as a key aspect in the exchange of information and communication of news as well as children’s experience. This article emphasises the need to promote children’s consent and participation in nursing interventions. An analysis of these aspects will verify whether children’s rights are being respected and taken into account in order to promote children’s well-being and adaptation to hospitalisation.
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Rodriguez-Alvarez, Elena, Nerea Lanborena, and Luisa N. Borrell. "Place of Birth Inequalities in Dental Care Use before and after the Economic Crisis in Spain." International Journal of Environmental Research and Public Health 16, no. 10 (May 14, 2019): 1691. http://dx.doi.org/10.3390/ijerph16101691.
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This study evaluates inequalities in the use of dental services according to place of birth before and after the economic crisis in Spain. A cross-sectional study was performed in adults aged 18 to 65 years in Spain. We used data from three Spanish National Health Surveys for the years 2006 (before the crisis), 2014, and 2017 (after the crisis). Log-binomial regression was used to quantify the association between place of birth and use of dental care services before and after controlling for the selected covariates. In 2006, we found a greater probability of not using dental care services in immigrants from Asia (PR: 1.36, 95% CI: 1.10–1.67) and Africa (PR: 1.16, 95% CI: 1.05–1.28) compared to the natives. For 2014, the probability of not using dental care services was greater for all immigrants relative to natives, with the greatest probability for those from Africa (PR: 1.71, 95% CI: 1.46–2.01) and Asia (PR: 1.3, 95% CI: 1.23–1.47). The associations for 2017 were weaker in magnitude than the ones observed for 2014, although stronger than for 2006. This study suggests that the economic recovery did not have the same impact for natives and immigrants regardless of regions of origin, given the observed inequalities in use of dental services.
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Ruiz-Fernández, María Dolores, Cristina Alarcón-Ortega, María Isabel Ventura-Miranda, Ángela María Ortega-Galán, Andrea Alcaráz-Córdoba, Antonia Berenguel-Marínez, and María Jesús Lirola-Manzano. "Burnout in Specialized Care Nurses during the First COVID-19 Outbreak in Spain." Healthcare 10, no. 7 (July 11, 2022): 1282. http://dx.doi.org/10.3390/healthcare10071282.
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Background: One of the most outstanding consequences of the pandemic is the impact it had on the mental health of nurses caring for patients with COVID-19 in specialised services. Aim: The aim was to analyse the burnout levels of nursing professionals during the COVID-19 pandemic in specialised care and their relationship with variables of the socio-occupational context. Method: This was a quantitative, descriptive, observational, cross-sectional study, which included a sample of 355 nursing professionals. The instrument used was a questionnaire (Maslach Burnout Inventory Human Services Survey (MBI-HSS)). Results: A mean score of 27.44 (SD = 12.01) was obtained in the subscale “Emotional exhaustion”; in “Depersonalisation”, the mean score was 7.26 (SD = 6.00); and, finally, in “Personal fulfilment”, the mean score was 38.27 (SD = 7.04). Statistically significant differences were found in the subscale “Emotional exhaustion”, which is higher in women than in men. The subscale “Personal Accomplishment” was higher in the age group 51–65 years. Regarding the “Depersonalisation” subscale, statistically significant differences were found with respect to the years of experience in the current service, which is higher in the group aged 39 years or more. Conclusion: Intervention programmes are required in healthcare systems to improve the emotional well-being of nursing professionals.
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Fernández-García, Olga, María Dolores Gil-Llario, and Rafael Ballester-Arnal. "Sexual Health among Youth in Residential Care in Spain: Knowledge, Attitudes and Behaviors." International Journal of Environmental Research and Public Health 19, no. 19 (October 10, 2022): 12948. http://dx.doi.org/10.3390/ijerph191912948.
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Adolescents in the child welfare system often face multiple maladaptive experiences that predispose them to worse sexual health outcomes. This study aims to (1) describe the sexual health of adolescents in Spanish residential care by exploring their sexual knowledge, attitudes toward sexuality, and sexual behaviors and (2) to find out whether there are certain characteristics that make a subgroup particularly vulnerable to engaging in risky sexual behaviors. A total of 346 adolescents recruited from 47 Spanish residential care facilities (34.1% girls, 65.9% boys) aged between 11 and 19 years old completed some self-report instruments. Descriptive analyses and tests to prove gender and age differences were conducted. Their knowledge of sexuality was lower than observed in the general adolescent population, their attitudes more negative, and their tendency to engage in risky sexual behaviors higher. Girls made very infrequent use of condoms, while boys had more sexist attitudes and made habitual use of withdrawal. Although more than 20% of them had experienced sexual exchange activities before the age of 13 until 17, they did not use condoms systematically. The low level of knowledge, the early initiation of sexual exchange activities, and the scarce use of protection methods, together with sexist attitudes, place this group in a situation of great vulnerability, increasing the risk of unwanted pregnancies, sexually transmitted infections, and even teen dating violence.
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Pérez-Rodrigo, Aranceta Bartrina, Serra Majem, Moreno, and Delgado Rubio. "Epidemiology of Obesity in Spain. Dietary Guidelines and Strategies for Prevention." International Journal for Vitamin and Nutrition Research 76, no. 4 (July 1, 2006): 163–71. http://dx.doi.org/10.1024/0300-9831.76.4.163.
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Obesity is considered a major Public Health issue in most developed countries nowadays for its wide spread across population groups, as well as its contribution to the development of chronic diseases, particularly cardiovascular diseases and diabetes. Available population data in Spain from the SEEDO’2000 study show a prevalence of obesity (BMI ≥ 30 kg/m²) of 14,5% in adults aged 25–60 years, estimates based on individual measurement of body weight and height. Obesity rates are higher among women aged 45 years and older, low social class, living in semi-urban places. Geographical distribution of the problem shows a trend for higher rates towards the South- SouthEast of the country, i.e. Andalucía, Murcia and the Canary Islands. Population data for Spanish children and young people based on the enKid study – cross-sectional study on a random national sample of the population aged 2–24 years – estimate a prevalence of obesity of 13,9% for the whole group. Geographical distribution draws a similar pattern to that described for adults. Higher peaks of the problem are identified between 9–13 years among boys from a low socioeconomical background. The analysis of determinants of obesity in Spanish children and young people show that overweight and obesity is related to absence of breastfeeding, low consumption of fruit and vegetables; high consumption of cakes and buns, softdrinks and butchery products, low physical activity levels and a positive association with time spent watching TV. The joint consensus document produced by the Spanish Association of Pediatrics (AEP), Spanish Society of Community Nutrition (SENC) and Spanish Society for the Study of Obesity (SEEDO) considers a global strategy for the prevention of obesity from early stages in life. The important role of the family and the school setting as well as the responsibility of the Health Administration and Pediatric care in the prevention of obesity is highlighted in the document.
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LA PARRA, DANIEL, and MIGUEL ANGEL MATEO. "Health status and access to health care of British nationals living on the Costa Blanca, Spain." Ageing and Society 28, no. 1 (January 2008): 85–102. http://dx.doi.org/10.1017/s0144686x07006563.
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ABSTRACTThe aims of this paper are to review the health status of British nationals living on the Costa Blanca in the Province of Alicante, Spain, and to examine their access to health-care services. A sample of 155 of those that spent over three months a year in the area was interviewed. The results for those aged 45 or more years have been compared with those of the Health Survey for England 2003, the British Household Panel Survey 2004, the National Health Survey for Spain 2003, and the Spanish Household Panel Survey 2000. British nationals resident on the Costa Blanca appear to have a similar health profile to the Spanish and the British populations, and score higher than Spaniards and the British home population on some indicators: they have, for example, fewer mobility problems and a more positive perception of their state of health. These findings are consistent with the ‘healthy migrant hypothesis’. The Valencia Region Health Service provides health-care services to 62 per cent of this population. The total number of British residents' visits to a general practitioner is approximately the same as that of their Spanish neighbours. As for admissions to hospital, British residents on the Costa Blanca show trends similar to the population of the United Kingdom. The use of private health-care is relatively high, compared to the Spanish and the British populations.
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Reig-Garcia, Gloria, Rosa Suñer-Soler, Susana Mantas-Jiménez, Anna Bonmatí-Tomas, Maria Carmen Malagón-Aguilera, Cristina Bosch-Farré, Sandra Gelabert-Viella, and Dolors Juvinyà-Canal. "Assessing Nurses’ Satisfaction with Continuity of Care and the Case Management Model as an Indicator of Quality of Care in Spain." International Journal of Environmental Research and Public Health 18, no. 12 (June 19, 2021): 6609. http://dx.doi.org/10.3390/ijerph18126609.
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Chronic diseases are treated and cared for in different healthcare settings. Continuity of care and the case management model facilitate the integration of processes and care levels. However, there is little evidence regarding the satisfaction of nurses with this model. The purpose of this study was to examine nurses’ satisfaction with continuity of care and the case management model. A cross-sectional study was conducted. An ad hoc questionnaire was administrated to 437 Spanish nurses from the three health care settings that responded. This included items on socio-demographics, employment relationship, and satisfaction with continuity of care and case management. Descriptive analysis and linear regression models were performed. In total, 96.1% of the nurses expressed a high level of satisfaction with continuity of care and 80.7% with the case management model. Nurses in a primary care setting reported the greatest satisfaction with the case management model (B = 0.146, 95% CI = 0.139–0.694, p = 0.003). The nurses’ higher perception of patient satisfaction was associated with greater satisfaction with continuity of care (B = 0.466, 95% CI = −0.367–0.533, p < 0.000). Nurses identified the case management model as an optimal facilitator of continuity of care. While satisfaction with continuity is high, strategies are needed to improve it in primary care centers and aged care homes.
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Stankunas, Mindaugas, Mark Avery, Jutta Lindert, Ian Edwards, Mirko Di Rosa, Francisco Torres-Gonzalez, Elisabeth Ioannidi-Kapolou, Henrique Barros, and Joaquim Soares. "Healthcare and aging: do European Union countries differ?" International Journal of Health Care Quality Assurance 29, no. 8 (October 10, 2016): 895–906. http://dx.doi.org/10.1108/ijhcqa-09-2015-0110.
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Purpose The purpose of this paper is to evaluate socio-economic inequalities in the use, accessibility and satisfaction with health services amongst 60-84 year old people from seven European urban communities. Design/methodology/approach Data for this study were collected in 2009. The target population was people aged 60-84 years from Stuttgart (Germany), Athens (Greece), Ancona (Italy), Kaunas (Lithuania), Porto (Portugal), Granada (Spain) and Stockholm (Sweden). The total sample comprised 4,467 respondents with a mean response rate across these countries of 45.2 per cent. Findings The study demonstrated that the majority of respondents had contact with a health care provider within the last 12 months. The highest percentages were reported by respondents from Spain (97.8 per cent) and Portugal (97.7 per cent). The results suggest that 13.0 per cent of respondents had refrained from seeking care services. The highest rates were amongst seniors from Lithuania (24.0 per cent), Germany (16.2 per cent) and Portugal (15.4 per cent). Logistic regression suggests that seniors who refrained from seeking health care was statistically significant associated with those with higher levels of education (odds ratios (OR)=1.21; 95 per cent confidence intervals (CI)=1.01-1.25) and financial strain (OR=1.26; 95 per cent CI=1.16-1.37). Furthermore, the majority of respondents were satisfied with health care services. Originality/value The findings from the “Elder Abuse: a multinational prevalence survey” study indicate the existence of significant variations in use, accessibility and satisfaction with health services by country and for socio-economic factors related to organizing and financing of care systems.
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Pérez Pico, Ana María, Esther Mingorance Álvarez, Julia Villar Rodríguez, and Raquel Mayordomo Acevedo. "Differences in Hygiene Habits among Children Aged 8 to 11 Years by Type of Schooling." Children 9, no. 2 (January 19, 2022): 129. http://dx.doi.org/10.3390/children9020129.
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Personal hygiene is one of the basic activities in the care of our body. Parents are responsible for their children’s hygiene to prevent infections and keep them healthy. However, children must acquire hygiene habits correctly and independently. This study examines the sociodemographic profile, hygiene habits and knowledge, and level of autonomy of children who are starting to perform their personal care autonomously to identify the areas in which their habits could be improved. A descriptive cross-sectional study was conducted concerning 125 children aged 8–11 years attending schools in northern Extremadura, Spain. The children were surveyed with the HICORIN® questionnaire and the resulting data were statistically processed with SPSS 22.0 (IBM, Armonk, NY, USA). The majority of participating children required help to perform personal hygiene activities. Children in preferential schooling (PS) require less help than children in mainstream schooling (MS) but have less knowledge about personal hygiene. Different habits were observed in the frequency and time of day for performing personal hygiene between groups (p-values < 0.005). In general, more than 80% of children aged 8 to 11 years are not autonomous in some aspect of their personal hygiene, and they are not all familiar with personal hygiene. Because of this, it is necessary to conduct theory and practical workshops with children who must acquire correct personal hygiene habits autonomously to prevent infection and promote health.
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CILLA, G., E. OÑATE, E. G. PEREZ-YARZA, M. MONTES, D. VICENTE, and E. PEREZ-TRALLERO. "Hospitalization rates for human metapneumovirus infection among 0- to 3-year-olds in Gipuzkoa (Basque Country), Spain." Epidemiology and Infection 137, no. 1 (April 18, 2008): 66–72. http://dx.doi.org/10.1017/s0950268808000666.
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SUMMARYNumerous studies have been published on human metapneumovirus (HMPV) infection, but few have been population based. The main aim of this study was to estimate the incidence rate of hospitalization for community-acquired HMPV infection in infants and children aged <3 years. Between July 2004 and June 2007, 796 episodes (742 patients) of community-acquired acute respiratory infection were hospitalized. HMPV was detected in 90 episodes (11·3%). Fifty-nine episodes occurred in infants aged <1 year. The mean length of hospital stay was 6·2 days (range 2–31 days). Thirteen children required admission to the intensive care unit. Viral co-infections were detected in 46 episodes (51·1%). The incidence rate of hospitalization per 1000 inhabitants was 2·6 (95% CI 2·1–3·2), lower than that for respiratory syncytial virus, but higher than that observed for the influenza and parainfluenza viruses. HMPV is a major respiratory pathogen that leads to a high hospitalization rate.
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Palomeras-Vilches, Anna, Eva Viñals-Mayolas, Concepció Bou-Mias, MªÀngels Jordà-Castro, MªÀngels Agüero-Martínez, Montserrat Busquets-Barceló, Georgina Pujol-Busquets, et al. "Adherence to the Mediterranean Diet and Bone Fracture Risk in Middle-Aged Women: A Case Control Study." Nutrients 11, no. 10 (October 18, 2019): 2508. http://dx.doi.org/10.3390/nu11102508.
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The prevention of bone mass loss and related complications associated with osteoporosis is a significant public health issue. The Mediterranean diet (MD) is favorably associated with bone health, a potentially modifiable risk factor. The objective of this research was to determine MD adherence in a sample of women with and without osteoporosis. In this observational case-control study of 139 women (64 women with and 75 without osteoporosis) conducted in a primary-care health center in Girona (Spain), MD adherence, lifestyle, physical exercise, tobacco and alcohol consumption, pathological antecedents, and FRAX index scores were analyzed. Logistic multilinear regression modeling to explore the relationship between the MD and bone fracture risk indicated that better MD adherence was associated with a lower bone risk fracture. Non-pharmacological preventive strategies to reduce bone fracture risk were also reviewed to explore the role of lifestyle and diet in bone mass maintenance and bone fracture prevention.
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Olazarán, Javier, Luis Agüera-Ortiz, Josep María Argimón, Catherine Reed, Antonio Ciudad, Paula Andrade, and Tatiana Dilla. "Costs and quality of life in community-dwelling patients with Alzheimer's disease in Spain: results from the GERAS II observational study." International Psychogeriatrics 29, no. 12 (July 19, 2017): 2081–93. http://dx.doi.org/10.1017/s1041610217001211.
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ABSTRACTBackground:Country-specific data on resource use and costs associated with Alzheimer's disease (AD) help inform governments about the increasing need for medical and financial support as the disease increases in prevalence.Methods:GERAS II, a prospective observational study, assessed resource use, costs, and health-related quality of life (HRQoL) among patients with AD and their caregivers in Spain. Community-dwelling patients aged ≥55 years with probable AD, and their primary caregivers, were recruited by study investigators during routine clinical practice and assessed as having mild, moderate, or moderately severe/severe (MS/S) AD dementia based on patient Mini-Mental State Examination scores. Costs of AD were calculated by applying costs to resource-use data obtained in caregiver interviews using the Resource Utilization in Dementia instrument. Total societal costs included patients’ health and social care costs and caregiver informal care costs. Baseline results are presented.Results:Total mean monthly societal costs/patient (2013 values) were €1514 for mild (n = 116), €2082 for moderate (n = 118), and €2818 for MS/S AD dementia (n = 146) (p value <0.001 between groups). Caregiver informal care costs comprised most of the total societal costs and differed significantly between groups (€1050, €1239, €1580, respectively; p value = 0.013), whereas patient healthcare costs did not. Across AD dementia severity groups, patient HRQoL (measured by proxy) decreased significantly (p value <0.001), caregiver subjective burden significantly increased (p value <0.001) and caregiver HRQoL was similar.Conclusions:Societal costs associated with AD in Spain were largely attributable to caregiver informal care costs and increased with increasing AD dementia severity.
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Rodilla, Enrique, Ana Molinero, Teresa Gijón-Conde, Salvador Tous, José A. Fornós, Inés Mera, Fernando Martínez, et al. "May Measurement Month 2018: an analysis of blood pressure screening results from Spain." European Heart Journal Supplements 22, Supplement_H (August 1, 2020): H119—H121. http://dx.doi.org/10.1093/eurheartj/suaa044.
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Abstract Elevated blood pressure (BP) is the single most important contributing risk factor to the global disease burden, leading to over 10 million deaths each year. In Spain, hypertension (HTN) affects around 20% of the adult population and remains the greatest attributable cause of cardiovascular mortality. May Measurement Month (MMM) is a worldwide initiative aimed at increasing awareness of HTN and to improve the lack of screening programmes worldwide. An opportunistic cross-sectional survey of volunteers aged 18 and over was carried out in May 2018. Blood pressure measurement, the definition of HTN and statistical analysis followed the standard MMM protocol. Anthropometric data and responses to questionnaires on demographic, lifestyle, and environmental factors were obtained as additional information. Screening sites mainly in community pharmacies, universities, primary care centres, HTN units, and cardiovascular departments in hospitals were set up across Spain as part of this initiative. In total, 7646 individuals (63.5% female) were screened during MMM18. After multiple imputation, 40.0% had HTN, of whom 74.4% were aware of their diagnosis and 69.6% were taking antihypertensive medication. Of individuals not receiving antihypertensive medication, 16.9% were hypertensive. Of individuals receiving antihypertensive medication, 36.4% had uncontrolled BP. MMM18 almost doubled the number of participants of MMM17 and was the largest BP screening campaign ever undertaken in Spain, showing that in the absence of systematic screening programmes for HTN, MMM can identify a great number of individuals at risk, increasing their awareness and attracting the interest of the healthcare system in Spain.
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Cabrero-García, Julio, Rocío Juliá-Sanchis, and Miguel Richart-Martínez. "Association of the global activity limitation indicator with specific measures of disability in adults aged below 65." European Journal of Public Health 30, no. 6 (May 14, 2020): 1225–30. http://dx.doi.org/10.1093/eurpub/ckaa066.
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Abstract Background Summary health measures as the global activity limitation indicator (GALI) or self-rated health (SRH) allow to quantify and monitor the health of the population. The GALI is widely used in the European Union; however, evidence of its construct validity is still limited. We examine whether the GALI reflects disability in specific living contexts such as self-care, domestic life and work activity, whether it does so consistently across gender and age and its added value concerning SRH. Methods We used the subsample of adults aged 16–64 years (N = 15 934) from the 2009 European Health Interview Survey in Spain and analyzed the data with logistic regression models using the GALI and SRH as response variables. Results The GALI was strongly and significantly associated with the three measures of disability: self-care (OR = 22.8, 95% CI: 15.9–32.7), domestic life (OR = 16.3, 95% CI: 13.6–19.5) and work activity (e.g. impossibility to work: OR = 41.9, 95% CI: 30.3–57.8; prolonged sick leave: OR = 10.7, 95% CI: 9–12.7). There were significant interactions with age on all three disability measures and with the gender on one (domestic life), although they were small. SRH was also strongly associated with all three disability measures, but to a lesser extent than the GALI. Conclusions The GALI reflects well and better than SRH, disability in self-care, domestic life and work activity. It is unknown whether the GALI performs equally in other living contexts such as social relations and community life.
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Ribelles, Alfredo, Carmen Galbis-Estrada, Maria A. Parras, Bárbara Vivar-Llopis, Carla Marco-Ramírez, and Manuel Diaz-Llopis. "Ocular Surface and Tear Film Changes in Older Women Working with Computers." BioMed Research International 2015 (2015): 1–10. http://dx.doi.org/10.1155/2015/467039.
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The aim of this work is to investigate changes in the ocular surface (OS) and tear film (TF) by means of questionnaire-based subjective symptoms, TF break-up time, Schirmer test, and TF analysis in women working with computers and to analyze the effects of the oral supplementation with antioxidants/omega 3 fatty acids (A/ω3) in the OS outcomes. Women aged 40–65 years (n=148) were recruited at the Administrative Offices of Valencia (Spain) and distributed into two age groups, 40–52 years (AGE1;n=87) and 53–65 years (AGE2;n=61), and then subdivided according to being (or not) computer users (CUG; NCUG) during the workday. Homogeneous subgroups were randomly assigned (or not) to the daily intake of three pills of A/ω3 for three months. At baseline and at the end of follow-up, personalized interviews and ocular examination were done. Reflex tear samples were collected from the inferior meniscus and processed for a multiplexed particle-based flow cytometry assay to measure proinflammatory molecules. Statistics were performed using the SPSS 15.0 program. The OS pathology was clinically evident in the AGE1-CUG (33%) versus the AGE2-CUG (64%) of women. Significantly higher interleukins-1βand -6 tear levels were found in the AGE1 versus the AGE2 women employees (P=0.006andP=0.001, resp.), as well as in the CUG versus the NCUG (P=0.001andP=0.000, resp.). Supplementation with A/ω3 positively influenced the OS pathology as manifested by the amelioration of the clinical signs/symptoms related to computer uses. Strategies involving a safe environment and oral micronutrient supplements may be managed within eye-care standards in older women.
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Martínez-Alés, Gonzalo, Arce Domingo-Relloso, José R. Arribas, Manuel Quintana-Díaz, and Miguel A. Hernán. "Critical Care Requirements Under Uncontrolled Transmission of SARS-CoV-2." American Journal of Public Health 111, no. 5 (May 2021): 923–26. http://dx.doi.org/10.2105/ajph.2020.306151.
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Objectives. To estimate the critical care bed capacity that would be required to admit all critical COVID-19 cases in a setting of unchecked SARS-CoV-2 transmission, both with and without elderly-specific protection measures. Methods. Using electronic health records of all 2432 COVID-19 patients hospitalized in a large hospital in Madrid, Spain, between February 28 and April 23, 2020, we estimated the number of critical care beds needed to admit all critical care patients. To mimic a hypothetical intervention that halves SARS-CoV-2 infections among the elderly, we randomly excluded 50% of patients aged 65 years and older. Results. Critical care requirements peaked at 49 beds per 100 000 on April 1—2 weeks after the start of a national lockdown. After randomly excluding 50% of elderly patients, the estimated peak was 39 beds per 100 000. Conclusions. Under unchecked SARS-CoV-2 transmission, peak critical care requirements in Madrid were at least fivefold higher than prepandemic capacity. Under a hypothetical intervention that halves infections among the elderly, critical care peak requirements would have exceeded the prepandemic capacity of most high-income countries. Public Health Implications. Pandemic control strategies that rely exclusively on protecting the elderly are likely to overwhelm health care systems.
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Ponce-Blandón, José Antonio, Tatiana Mérida-Martín, Maria del Mar Jiménez-Lasserrotte, Nerea Jiménez-Picón, Juana Macías-Seda, and Maria de las Mercedes Lomas-Campos. "Analysis of Prehospital Care of Migrants Who Arrive Intermittently at the Coasts of Southern Spain." International Journal of Environmental Research and Public Health 17, no. 6 (March 17, 2020): 1964. http://dx.doi.org/10.3390/ijerph17061964.
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Background: The aim of this study is to identify the sociodemographic characteristics and the most frequent diseases and nursing interventions carried out on migrants arriving by sea at southern Spain. Method: Cross-sectional, descriptive, and retrospective study based on the database of the Spanish Red Cross Intervention Activation System. All migrants who arrived on the coasts of a southern province during 2016 and were assisted by the Red Cross were included. Results: A total of 2027 people were registered, mostly males, aged between 18 and 40 years. Of these, 4.9% required healthcare, and 2.9% were referred to hospital. Highlighted diagnoses were headaches (15.6%), pregnancy (12.8%), and lower-limb wounds (6.4%), and outstanding nursing interventions were “care of wounds” (24.7%), “pain management” (21.9%), and “prenatal care” (15.2%). Statistically significant relationships were found between the diagnosed diseases and gender, geographic area of origin, and seasonal time of the year, as well as between nursing interventions performed and those three variables. Conclusions: Although in general, a good health condition was observed in most of the migrants treated, the most frequent health situations attended were related to dermatological, gynecological, and headache problems. The most performed nursing interventions were related to skin/wound care and promotion of physical comfort, requiring a low need for hospital transfers. Female gender, origin from sub-Saharan Africa and arrival in the summer period carry a greater risk of suffering health problems when migrants reach Spanish coasts.
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Riatto, Sabrina Gonçalves, Javier Montero, David Ribas Pérez, Antonio Castaño-Séiquer, and Abraham Dib. "Oral Health Status of Syrian Children in the Refugee Center of Melilla, Spain." International Journal of Dentistry 2018 (2018): 1–7. http://dx.doi.org/10.1155/2018/2637508.
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Introduction. Little is known about the state of oral health among immigrants from conflict zones, such as the refugee children from the Syrian Civil War. Aim. To determine the oral health status of Syrian immigrant children refugee at the Center for Temporary Stay of Immigrants in Melilla to plan prevention and care programs. Design. Using the criteria set by the World Health Organization, an exploration of the oral cavity of all Syrian children aged 5–13 living at that center was conducted in May 2015. All subjects were clinically evaluated by a calibrated and standardized examiner, accompanied by a dentist who registered the clinical variables, and translators. The sociodemographic and clinical variables were analyzed through a descriptive and analytical study, respectively. Results. The prevalence of caries in both the permanent and deciduous dentition was 75% and 50% in 6- and 12-year-olds, respectively. The dft was 3.2 ± 2.9 in 6-year-old children. At 12 years old, the DMFT was 1.6 ± 2.6 teeth, the DMFM was 1.1 ± 1.7 teeth, the SiC was 3.2, and the IR was 5%. Eighty-six percent of the examined sextants were periodontally healthy. Conclusions. The prevalence of caries was high in the sample population studied, confirming the need for a comprehensive primary oral health care program.
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Díez, Juan J., and Pedro Iglesias. "Malignant neoplasms in people with hypothyroidism in Spain: A population-based analysis." PLOS ONE 17, no. 10 (October 5, 2022): e0275568. http://dx.doi.org/10.1371/journal.pone.0275568.
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Purpose The objective of this study was to determine the association between hypothyroidism and overall and site-specific cancer in Spanish population. Methods A cross-sectional study was performed using the population-based database BDCAP (Base de Datos Clínicos de Atención Primaria, primary care clinical database) to analyze the relative risk of cancer in Spanish population with hypothyroidism. Results In a total of 2,414,165 patients diagnosed with hypothyroidism in BDCAP in 2019, the relative risk (OR) of cancer, compared to the non-hypothyroid population, was 1.73 (1.72–1.74) (P<0.0001). The higher risk was observed in both men (OR 2.15 [2.13–2.17]; P<0.0001) and women (OR 1.67 [1.636–1.68]; P<0.0001). However, hypothyroid persons aged 65 years or older had a reduced risk of cancer (OR 0.98 [0.97–0.98]; P<0.0001). In addition, hypothyroid patients aged 65 or over showed a decreased risk of cancers of the bladder, colorectal, gastric, pancreatic and prostate. Socioeconomic characteristics such as income level, municipality size, country of birth and employment situation had limited influence on the association between hypothyroidism and cancer. However, hypothyroid patients receiving replacement therapy exhibited higher cancer risk compared with patients without treatment (OR 1.30 [1.28–1.31]; P<0.0001). Conclusion Spanish hypothyroid patients of both genders have a risk of overall cancer higher than that found in non-hypothyroid population. However, people over 65 years have a reduced risk of various malignancies. This peculiarity of hypothyroidism should be considered by the health authorities.
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SINTES, X., M. NEBOT, C. IZQUIERDO, L. RUIZ, A. DOMÍNGUEZ, J. M. BAYAS, I. VERA, J. CARRATALÀ, and D. SOUSA. "Factors associated with pneumococcal and influenza vaccination in hospitalized people aged ⩾65 years." Epidemiology and Infection 139, no. 5 (August 9, 2010): 666–73. http://dx.doi.org/10.1017/s0950268810001846.
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SUMMARYSocioeconomic factors and the patterns of use of health services associated with influenza and pneumococcal vaccination were studied in people aged ⩾65 years admitted to three general hospitals in Spain between 2005 and 2007. The following data were collected: age, sex, risk of pneumonia, educational level, social class, type of household, physician visits, length of time with the same general practitioner, and influenza and pneumococcal vaccination (23vPPV). Associations between variables were assessed using multivariate logistic regression analysis. In total, 1702 patients were included; 59·9% had received 23vPPV and 65·6% influenza vaccine. Older age (OR 1·04, P<0·001), living with a partner (OR 1·72, P=0·003) and influenza vaccination during the last year (OR 6·64, P<0·001) were associated with 23vPPV. Male sex (OR 1·44, P=0·005), older age (OR 1·02, P=0·009), moderate risk of pneumonia (OR 1·58, P=0·001), living with a partner (OR 1·52, P=0·015) and frequent physician visits during the last year (1–6 annuals visits (OR 2·65, P<0·001); >6 visits (OR 3·83, P<0·001)) were associated with influenza vaccination. Coordination between public health and primary-care services may be necessary to improve vaccine uptake.
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González-Gijón, Gracia, Nazaret Martínez-Heredia, Francisco Javier Jiménez Ríos, and Andrés Soriano Díaz. "Analysis of Ecological Values in Future Education Professionals in Andalusia (Spain)." Sustainability 13, no. 14 (July 15, 2021): 7934. http://dx.doi.org/10.3390/su13147934.
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This study shows the hierarchy of values presented by first-year teacher training students studying at public universities in Andalusia (Spain), emphasising the analysis of ecological values in relation to the gender variable. For this purpose, we used a survey-type methodology with a quantitative approach. Participants were selected by means of probability sampling by clusters. The sample was finally composed of 651 students, of whom 226 were men (34.7%) and 425 women (65.3%) aged between 18 and 49 (M = 20.20 and T.D. = 3.736). The results show a high valuation of non-material aspects related to affectivity, morality, the individual and ecology, followed by values related to the body and its care, the social, the material and the aesthetic, and finally, values related to the intellectual, the political and the religious. The results show the influence of gender in the identification of ecological values and the variables that make them up, where women have higher averages in most of the items. We can therefore conclude that the gender variable influences the choice of ecological values presented by university students.
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Dosil-Santamaria, Maria, Joana Jaureguizar, and Elena Bernaras. "Dating Violence in Adolescence: Comparison between Scholars and Adolescents in Residential Care." Sexes 3, no. 1 (January 10, 2022): 49–58. http://dx.doi.org/10.3390/sexes3010004.
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(1) Background: Dating violence (DV) among adolescents constitutes a serious problem, not only because of the magnitude of the phenomenon, but also because of the seriousness of the personal and social consequences derived from it. The objectives of this study were the following: to analyze the prevalence of DV among adolescents in residential care and in schools, according to sex, age and origin, and to analyze the prevalence of the types of violence and victimization, according to the residential care resource and the school. (2) Methods: The sample consisted of adolescents in residential care in the Autonomous Community of the Basque Country (Spain) (n = 271) and adolescents in schools (n = 268) aged between 12 and 17 years. (3) Results: The results showed a higher prevalence of DV in adolescents in residential care than that found in other studies with a normative sample. (4) Conclusions: These results support the need for work and research with these minors in residential care. It also gives an important weight to sociodemographic variables, such as age and sex, and also to the types of violence and victimization, i.e., variables to be taken into account in the intervention with adolescents. Future educational programs should consider DV prevention and children in residential care.
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Pardo-Seco, Jacobo, Narmeen Mallah, Luis Ricardo López-Pérez, Juan Manuel González-Pérez, Benigno Rosón, María Teresa Otero-Barrós, Carmen Durán-Parrondo, et al. "Evaluation of BNT162b2 Vaccine Effectiveness in Galicia, Northwest Spain." International Journal of Environmental Research and Public Health 19, no. 7 (March 29, 2022): 4039. http://dx.doi.org/10.3390/ijerph19074039.
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Investigating vaccine effectiveness (VE) in real-world conditions is crucial, especially its variation across different settings and populations. We undertook a test-negative control study in Galicia (Northwest Spain) to assess BNT162b2 effectiveness against acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection as well as COVID-19 associated hospitalization, intensive care unit (ICU) admission and mortality. A total of 44,401 positive and 817,025 negative SARS-CoV-2 test results belonging to adults were included. Adjusted odds ratios of vaccination and their 95% confidence interval (CI) were estimated using multivariate logistic-regression models. BNT162b2 showed high effectiveness in reducing SARS-CoV-2 infections in all age categories, reaching maximum VE ≥ 14 days after administering the second dose [18–64 years: VE = 92.9% (95%CI: 90.2–95.1); 65–79 years: VE = 85.8% (95%CI: 77.3–91.9), and ≥80 years: VE = 91.4% (95%CI: 87.9–94.1)]. BNT162b2 also demonstrated effectiveness in preventing COVID-19 hospitalization for all age categories, with VE more pronounced for those aged ≥80 years [VE = 60.0% (95%CI: 49.4–68.3)]. Moreover, there was a considerable reduction in ICU admission [VE = 88.0% (95%CI: 74.6–95.8)] and mortality [VE = 38.0% (95%CI: 15.9–55.4)] in the overall population. BNT162b2 showed substantial protection against SARS-CoV-2 infections and COVID-19 severity. Our findings would prove useful for systematic reviews and meta-analysis on COVID-19 VE.
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Domènech-Abella, Joan, Jaime Perales, Elvira Lara, Maria Victoria Moneta, Ana Izquierdo, Laura Alejandra Rico-Uribe, Jordi Mundó, and Josep Maria Haro. "Sociodemographic Factors Associated With Changes in Successful Aging in Spain: A Follow-Up Study." Journal of Aging and Health 30, no. 8 (June 16, 2017): 1244–62. http://dx.doi.org/10.1177/0898264317714327.
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Objective:Successful aging (SA) refers to maintaining well-being in old age. Several definitions or models of SA exist (biomedical, psychosocial, and mixed). We examined the longitudinal association between various SA models and sociodemographic factors, and analyzed the patterns of change within these models. Method: This was a nationally representative follow-up in Spain including 3,625 individuals aged ≥50 years. Some 1,970 individuals were interviewed after 3 years. Linear regression models were used to analyze the survey data. Results: Age, sex, and occupation predicted SA in the biomedical model, while marital status, educational level, and urbanicity predicted SA in the psychosocial model. The remaining models included different sets of these predictors as significant. In the psychosocial model, individuals tended to improve over time but this was not the case in the biomedical model. Conclusion: The biomedical and psychosocial components of SA need to be addressed specifically to achieve the best aging trajectories.
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Nouni-García, Rauf, Ángela Lara-López, Concepción Carratalá-Munuera, Vicente F. Gil-Guillén, Adriana López-Pineda, Domingo Orozco-Beltrán, and Jose A. Quesada. "Factors Associated with Colorectal Cancer Screening in Spain: Results of the 2017 National Health Survey." International Journal of Environmental Research and Public Health 19, no. 9 (April 29, 2022): 5460. http://dx.doi.org/10.3390/ijerph19095460.
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This study aimed to determine the CRC screening coverage of people aged between 50 and 69 years who were living in Spain in 2017 and describe the factors associated with not having had a faecal occult blood test (FOBT). A cross-sectional study was performed using data from the Spanish National Health Survey 2017. We analysed 7568 individuals between the ages of 50 and 69 years. The proportion of respondents between 50 and 69 years old who had had an FOBT was 29.0% (n = 2191). The three autonomous communities with the lowest proportion of respondents who had had an FOBT were Extremadura (8.7%, n = 16), Ceuta–Melilla (10.4%, n = 3), and Andalucia (14.1%, n = 186). The variables associated with not having had an FOBT were being 50–54 years old (PR = 1.09; 95% CI 1.04–1.14), having been born outside of Spain (PR = 1.11; 95% CI 1.06–1.16), not having been vaccinated against the flu (PR = 1.09; 95% CI 1.04–1.15), never having had a colonoscopy (PR = 1.49; 95% CI 1.40–1.59), not having had an ultrasound scan in the last year (PR = 1.09; 95% CI1.04–1.14), and not having seen a primary care physician in the last month (PR = 1.08; 95% CI1.04–1.12). The factors associated with not getting an FOBT were young age, having been born outside of Spain, not having been vaccinated against the flu in the last campaign, and not making frequent use of healthcare services.
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Pardo-Garcia, Isabel, Roberto Martinez-Lacoba, and Francisco Escribano-Sotos. "Socioeconomic Factors Related to Job Satisfaction among Formal Care Workers in Nursing Homes for Older Dependent Adults." International Journal of Environmental Research and Public Health 18, no. 4 (February 23, 2021): 2152. http://dx.doi.org/10.3390/ijerph18042152.
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Population ageing is increasing the demand for dependent care. Aged care nursing homes are facilities that provide formal care for dependent older persons. Determining the level of job satisfaction among workers in nursing homes and the associated factors is key to enhancing their well-being and the quality of care. A cross-sectional survey was administered online to nursing home workers (n = 256) in an inland region of Spain over the period from February to May 2017. The questionnaire collected data on sociodemographic variables and others related to training and job satisfaction. The results show that most of the care is delivered by women with a medium level of education. A total of 68% of workers had received formal training, although a significant percentage (65%) thought this was not useful. The highest level of satisfaction was found to be related to users and co-workers. Our factor analysis revealed that the satisfaction components are decision-making, working conditions—e.g., schedule—and the work environment—e.g., relationship with coworkers—. Length of service and working with highly dependent persons are negatively associated with these components. Working in social health care is negatively related to decision-making and working conditions. Training, in contrast, is positively associated with these components. Care is a job that requires appropriate training and preparation to provide quality assistance and to guarantee workers’ well-being.
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FERNÁNDEZ-CARRO, CELIA. "Ageing at home, co-residence or institutionalisation? Preferred care and residential arrangements of older adults in Spain." Ageing and Society 36, no. 3 (December 17, 2014): 586–612. http://dx.doi.org/10.1017/s0144686x1400138x.
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ABSTRACTThis paper examines the opinions of Spanish older people regarding the ideal living situation in later life – living in their own home, co-residing in a relative's home or institutionalisation – differentiating between two hypothetical situations: healthy ageing and frailty. Data are drawn from the Instituto de Mayores y Servicios Sociales (Institute of Older People and Social Services; IMSERSO) survey Encuesta de Mayores 2010 (Older People Survey 2010), comprising 2,535 individuals aged 65 and over living in private dwellings. The results confirm that residential preferences vary depending on expected health conditions. Remaining in one's own home is preferred when older people foresee a healthy old age, whilst co-residence at a relative's home turns into the favoured solution if older people have to face some physical or cognitive limitation. The particularities of the Spanish context regarding family-oriented values about care responsibilities and the structural deficiency in the provision of formal support, in addition to other socio-demographic, psychological and attitudinal aspects, were explanatory factors of the lower desirability for ageing at home in the case of frailty. The findings question the uniform image of ‘ageing in place’ as a preference, inviting reflections on the need to distinguish between later-life stages and national contexts.
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RODRÍGUEZ-MARTÍN, BEATRIZ, MARÍA MARTÍNEZ-ANDRÉS, BEATRIZ CERVERA-MONTEAGUDO, BLANCA NOTARIO-PACHECO, and VICENTE MARTÍNEZ-VIZCAÍNO. "Preconceptions about institutionalisation at public nursing homes in Spain: views of residents and family members." Ageing and Society 34, no. 4 (November 1, 2012): 547–68. http://dx.doi.org/10.1017/s0144686x12001146.
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ABSTRACTThe aim of this article was to ascertain nursing home residents' preconceptions about institutionalisation and analyse the causes and circumstances of and the justification for their admission. Grounded theory was used to design and analyse a qualitative study based on in-depth interviews in a theoretical sampling of 20 persons aged over 65 years with no cognitive impairment, and eight proxy informants of residents with cognitive impairment, institutionalised at a public nursing home in Spain. Our analysis revealed that preconceptions about nursing homes differ between residents and relatives, and are strongly influenced by the views held by society about such centres and by previous experiences. Regarding the causes and circumstances underlying nursing home placement, while the principal cause of institutionalisation among residents with cognitive impairment was the ineffectiveness of informal care systems, in the case of residents without cognitive impairment reasons tended to revolve around two main themes: social causes (loneliness, not be a burden to the others, household-related, comfort and absence of relatives in the vicinity), and limitations in physical functioning, with the former predominating. This study shows society's perception of such centres and the circumstances surrounding admission. These points of view are useful for analysing why informal care systems prove inadequate, and are crucial for designing programmes targeted at acceptance and successful adaptation to institutionalisation when this becomes necessary.
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Marín Zuluaga, Dairo Javier, José Antonio Gil Montoya, and Tiril Willumsen. "Effectiveness of a training program for the nursing staff on the oral health of institutionalised aged. Randomised trial." Acta Odontológica Colombiana 9, no. 1 (January 1, 2019): 58–70. http://dx.doi.org/10.15446/aoc.v9n1.76124.
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Background: it has been suggested that nursing-staff’ should be educated in maintaining the oral health (OH) of institutionalised elder people. Objective: this work aimed for measuring the effectiveness of a 3-hour oral health training-programme (OHTP) provided to nursing-staff by assessing the residents’ OH gains. Materials and methods: this was a one-year longitudinal-controlled-interventional study evaluated via a nursing-staff’ questionnaire and residents’ oral examinations. Managers of 30 nursing homes in Granada, Spain, were contacted and offered three oral examinations for their residents and an OHTP for the nursing-staff; nine of them consequently agreed to participate for all consenting people. 269 residents were examined at baseline and 12 months. After the baseline examination, the nursing homes were randomised into an intervention or control group; the OHTP was then carried out on the intervention group. Results: the residents’ denture hygiene (p=0.03) and wearing of dentures at night (p=0.003) improved significantly in the intervention group; caries prevalence increased in both groups. Conclusions: the OHTP was effective for improving caregivers’ knowledge and OH care routines, but the improvements were not enough to improve residents’ overall OH.
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Cabañero-Martínez, María José, Andreu Nolasco, Inmaculada Melchor, Manuel Fernández-Alcántara, and Julio Cabrero-García. "Place of death and associated factors: a population-based study using death certificate data." European Journal of Public Health 29, no. 4 (January 2, 2019): 608–15. http://dx.doi.org/10.1093/eurpub/cky267.
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Abstract Background Although studies suggest that most people prefer to die at home, not enough is known about place of death patterns by cause of death considering sociodemographic factors. The objective of this study was to determine the place of death in the population and to analyze the sociodemographic variables and causes of death associated with home as the place of death. Methods Cross-sectional population-based study. All death certificate data on the residents in Spain aged 15 or over who died in Spain between 2012 and 2015 were included. We employed multinomial logistic regression to explore the relation between place of death, sociodemographic variables and cause of death classified according to the International Classification of Diseases, 10th revision, and to conditions needing palliative care. Results Over half of all deaths occurred in hospital (57.4%), representing double the frequency of deaths that occurred at home. All the sociodemographic variables (sex, educational level, urbanization level, marital status, age and country of birth) were associated with place of death, although age presented the strongest association. Cause of death was the main predictor with heart disease, neurodegenerative disease, Alzheimer’s disease, dementia and senility accounting for the highest percentages of home deaths. Conclusions Most people die in hospital. Cause of death presented a stronger association with place of death than sociodemographic variables; of these latter, age, urbanization level and marital status were the main predictors. These results will prove useful in planning end-of-life care that is more closely tailored to people’s circumstances and needs.
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Vas, Jorge, Koldo Santos-Rey, Reyes Navarro-Pablo, Manuela Modesto, Inmaculada Aguilar, M. Ángeles Campos, José Francisco Aguilar-Velasco, et al. "Acupuncture for Fibromyalgia in Primary Care: A Randomised Controlled Trial." Acupuncture in Medicine 34, no. 4 (August 2016): 257–66. http://dx.doi.org/10.1136/acupmed-2015-010950.
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Objectives To evaluate the efficacy of an individualised acupuncture protocol for patients with fibromyalgia. Methods Randomised controlled multicentre trial, blinded to participants and to data analysts. Conducted in three primary care centres in southern Spain. A total of 164 participants aged over 17 years and diagnosed with fibromyalgia were enrolled in this trial; 153 participants completed the study. Participants were randomly assigned to either the real intervention (individualised acupuncture, IA) or the sham intervention (sham acupuncture, SA). In both the IA and SA groups, one session per week (lasting 20 min) was provided, in addition to usual pharmacological treatment. The primary outcome was change in pain intensity at 10 weeks. Results Intention-to-treat analysis revealed that the decrease in pain intensity at 10 weeks was greater (p=0.001) in the IA group (−41.0%, 95% CI −47.2% to −34.8%) than in the SA group (−27.1%, 95% CI −33.2% to −20.9%). During the follow-up period, significant differences (p<0.01) in favour of the IA group persisted at 12 months (IA: −19.9%, 95% CI −24.6% to −15.1%; vs SA: −6.2%, 95% CI −11.2% to −1.2%). Conclusions Individualised acupuncture treatment in primary care in patients with fibromyalgia proved efficacious in terms of pain relief, compared with placebo treatment. The effect persisted at 1 year, and its side effects were mild and infrequent. Therefore, the use of individualised acupuncture in patients with fibromyalgia is recommended. Trial Registration Number ISRCTN60217348.
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Torres-Collado, Laura, Manuela García de la Hera, Laura María Compañ-Gabucio, Alejandro Oncina-Cánovas, Sandra González-Palacios, Leyre Notario-Barandiaran, and Jesús Vioque. "Self-reported health status and mortality from all-causes of death, cardiovascular disease and cancer in an older adult population in Spain." PLOS ONE 17, no. 1 (January 21, 2022): e0261782. http://dx.doi.org/10.1371/journal.pone.0261782.
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Aim To assess the association between self-reported health (SRH) and mortality from all-causes, cardiovascular disease (CVD) and cancer, in adults 65 years and older in Spain. Methods We analysed data of 894 adults (504 women, 390 men) aged 65 years and above from two population-based studies, the EUREYE-Spain study and the Valencia Nutritional Survey (VNS). SRH was assessed at baseline using a single question which is widely used in epidemiological studies: “Overall, how would you consider your health at present?” and the response options were: 1. Very good, 2. Good, 3. Fair, 4. Poor, 5. Very poor. Deaths were ascertained during a 12-year follow-up period, and we used Cox proportional hazards regression models to obtain adjusted hazard ratios (HR). Results During the 12 years of follow-up (8566.2 person-years), we observed 400 deaths, 158 (39.5%) due to CVD and 89 (22.3%) due to cancer. Fair and poor/very poor SRH were significantly associated with higher all-cause mortality after 12-years of follow-up, HR = 1.29 (95% CI, 1.03–1.61) and HR 1.53 (95% CI, 1.09–2.15), respectively. We observed evidence of higher CVD mortality among those who reported fair and poor/very poor SRH, although the association was attenuated and lost statistical significance in the fully adjusted models. Conclusion This study suggests that a poor SRH status is associated with a higher all-cause mortality risk among older adults in Spain. Checking SHR status may be useful to plan health care in older adults.
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Klerks, Michelle, Sergio Roman, Maria Jose Bernal, Juan Francisco Haro-Vicente, and Luis Manuel Sanchez-Siles. "Complementary Feeding Practices and Parental Pressure to Eat among Spanish Infants and Toddlers: A Cross-Sectional Study." International Journal of Environmental Research and Public Health 18, no. 4 (February 18, 2021): 1982. http://dx.doi.org/10.3390/ijerph18041982.
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The introduction of complementary foods is a crucial stage in the development and determination of infants’ health status in both the short and longer-term. This study describes complementary feeding practices among infants and toddlers in Spain. Also, relationships among sample characteristics (both parents and their child), feeding practices (timing, type of complementary food), and parental pressure to eat were explored. Cognitive interviewing with 18 parents was used to refine the survey questions. Responses from a national random sample of 630 parents, who were responsible for feeding their infants and toddlers aged 3–18 months, were obtained. Solids, often cereals and/or fruits first, were introduced at a median age of five months. Fish and eggs were introduced around the age of nine and ten months. Almost all children were fed with home-prepared foods at least once per week (93%), and in 36% of the cases, salt was added. Interestingly, higher levels of parental pressure to eat were found in female infants, younger parents, parents with a full-time job, the southern regions of Spain, and in infants who were not fed with home-prepared foods. Our insights underline the importance of clear feeding recommendations that can support health care professionals in promoting effective strategies to improve parental feeding practices.
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Roset-Salla, Margarita, Joana Ramon-Cabot, Jordi Salabarnada-Torras, Guillem Pera, and Albert Dalmau. "Educational intervention to improve adherence to the Mediterranean diet among parents and their children aged 1–2 years. EniM clinical trial." Public Health Nutrition 19, no. 6 (August 10, 2015): 1131–44. http://dx.doi.org/10.1017/s1368980015002219.
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AbstractObjectiveThe objective of the present study was to evaluate the effectiveness of an educational programme on healthy alimentation, carried out in day-care centres and aimed at the parents of children from 1 to 2 years of age, regarding the acquisition of healthy eating habits among themselves and their children.DesignWe performed a multicentre, multidisciplinary, randomized controlled study in a community setting.SettingThe EniM study (nutritional intervention study among children from Mataró) was performed in twelve day-care centres in Mataró (Spain). Centres were randomized into a control group (CG) and an intervention group (IG). IG received four or five educational workshops on diet, CG did not have workshops.SubjectsChildren, not exclusively breast-fed, from 1 to 2 years of age, in the participating day-care centres and the persons responsible for their alimentation (mother or father).ResultsThirty-five per cent of the IG did not attend the minimum of three workshops and were excluded. The CG included seventy-four children and seventy-two parents and the IG seventy-five children and sixty-seven parents. Both groups were comparable at baseline. Basal adherence to the Mediterranean diet was 56·4 % in parents (Gerber index) and 7·7 points in children (Kidmed test). At 8 months, Mediterranean diet adherence had improved in the IG by 5·8 points in the Gerber index (P=0·01) and 0·6 points in the Kidmed test (P=0·02) compared with the CG.ConclusionsThis educational intervention performed in parents at the key period of incorporation of a 1–2-year-old child to the family table showed significant increases in adherence of the parents to the Mediterranean diet, suggesting future improvement in different indicators of health and an expected influence on the diet of their children.
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Aparicio-Sarmiento, Alba, Olga Rodríguez-Ferrán, María Teresa Martínez-Romero, Antonio Cejudo, Fernando Santonja, and Pilar Sainz de Baranda. "Back Pain and Knowledge of Back Care Related to Physical Activity in 12 to 17 Year Old Adolescents from the Region of Murcia (Spain)." Sustainability 11, no. 19 (September 25, 2019): 5249. http://dx.doi.org/10.3390/su11195249.
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Knowledge on back care is important to prevent back problems. The purpose of this study was to a) describe back pain and knowledge on back care related to physical activity in adolescents and b) determine the association between these two factors. This was a cross-sectional study. A total of 276 students (aged from 12 to 17 years old), from three Spanish public secondary schools, had to complete a survey about back pain and another one about their knowledge on back care related to physical activity. The results showed a mean score of 2.54 ± 1.85 (out of 10), and 90.58% of students failed the knowledge test. Those who suffered from back pain in the week before scored higher (2.91 ± 1.66) than non-sufferers (2.42 ± 1.90), with statistically significant differences (Z = −2.109; p = 0.035; r = 0.127), although with no academically relevant differences. Finally, despite the relationship between a higher mean score in the knowledge test and back pain within the previous week, it has been found that there was not a significant association because most of the students got very low scores in the knowledge test. It also shows an important lack of knowledge about physical activity for back care in adolescents.
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Piulachs, Xavier, Ramon Alemany, and Montserrat Guillen. "Emergency care usage and longevity have opposite effects on health insurance rates." Kybernetes 46, no. 1 (January 9, 2017): 102–13. http://dx.doi.org/10.1108/k-06-2016-0149.
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Purpose This paper aimed to study the price of health insurance for individuals aged 65 years and over. Design/methodology/approach A sample of private health policyholders in Spain is analysed. Joint models are estimated for men and women, separately. A log-linear model of the transformed cumulated number of claims associated with emergency room occupation, ambulance use and hospitalization is estimated, together with a proportional hazard survival model. Findings The association between the longitudinal process of severe medical care and the survival time process is positive and highly significant for both men and women. An increase in the price of health insurance because of the effect of a larger number of emergency care demand events is slightly offset by the decrease in expected longevity. Research limitations/implications The effect of an increase in the number of claims is small compared to the reduction in survival, so age still plays a central role in ratemaking. Practical implications High rates of health insurance for elderly insureds should be compensated with younger insureds in the portfolio. Social implications Affordable health insurance premiums for elderly people are difficult to obtain only with strict actuarial principles. Originality/value The proposed methodology allows dynamic rates to be designed, so that the price of health insurance can change as new usage information becomes available.
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Montserrat, Carme, Joan Llosada-Gistau, Marta Garcia-Molsosa, and Ferran Casas. "The Subjective Well-Being of Children in Residential Care: Has It Changed in Recent Years?" Social Sciences 11, no. 1 (January 14, 2022): 25. http://dx.doi.org/10.3390/socsci11010025.
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The subjective well-being of children in residential care is a relevant issue given the practical implications for improving the lives of these children who live in contexts of vulnerability. The question addressed in this respect was: “How does this well-being change over the years”? Thus, the aim of this study was to compare the subjective well-being displayed by adolescents aged 11–14 in residential care in Catalonia (north-eastern Spain) in 2014 to that displayed by adolescents in residential care in 2020. To this end, 572 responses to a questionnaire adapted from the Children’s Worlds project (364 from 2014 and 208 from 2020) were analysed with respect to the life satisfaction items. In both 2014 and 2020, the questionnaires had the same wording, and data were disaggregated by gender. No significant differences in means were observed between most of the life satisfaction items in 2014 and 2020, with the exception of satisfaction with friends and classmates and the area where you live, with lower means for these items in 2020. There is a discussion of the possible influence of COVID-19 on these results, while the overall stability of these children’s subjective well-being over the years is highlighted.
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Riberio, Oscar, Laetitia Teixeira, Lia Araujo, and Constança Paúl. "CAREGIVER SUPPORT RATIO IN EUROPE." Innovation in Aging 3, Supplement_1 (November 2019): S138. http://dx.doi.org/10.1093/geroni/igz038.500.
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Abstract The caregiver support ratio (CSR) has been defined as the number of potential caregivers aged between 45 and 64 (the most common caregiving age range) for each person aged 80 and over (subgroup of older adults most at risk of needing long term services and support). In 2010, for the USA, this number was calculated to be 7 to 1, a ratio that was projected to shrink to 4 to 1 in 2030, and to 3 to 1 in 2015 according to the AARP Public Policy Institute. In this study we used data from CENSUS HUB to calculate the CSR in Europe considering a total of 27 countries. Main results revealed that a group of Mediterranean countries (Italy, Greece, Spain and Portugal), along with France, Belgium and Sweden have the lowest CSR (5 to 1); on the other hand, the countries with the highest CSR are Slovakia (9 to 1), and Ireland, Poland, Cyprus and Malta (8 to 1). In average, for the 27 countries, the estimated number of caregivers per frail older person today is 6 to 1. These findings reveal important differences between countries and may inform EU policy decisions regarding long-term care (LTC). Given that informal care forms a cornerstone of all LTC systems in Europe, and that this continent faces a rapidly increasing number of people in very advanced age with extended years of disability living at home, estimating the CSR for the next decades is of crucial importance.