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1
Bartoll-Roca, Xavier, and Albert Julià. "Empirically revisiting a social class scheme for mental health in Barcelona, Spain." International Journal of Social Economics 48, no. 7 (March 19, 2021): 965–81. http://dx.doi.org/10.1108/ijse-10-2020-0694.
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PurposeSocial inequalities in mental health can be captured by occupational situation and social class stratification. This study analyzes the adequacy of a classification of work and employment conditions and an adaptation of the Goldthorpe social class scheme in relation to mental health in Barcelona, Spain.Design/methodology/approachMultiple correspondence analysis (MCA) and hierarchical cluster analysis (CA) on working and employment conditions were used to empirically construct distinctive working groups. Through 2 logistic regression models, we contrasted the association between mental health and (1) the cluster of employment and working conditions (with 4 categories: insiders, instrumental, precarious and peripheral workers), and (2) a standard Spanish version of the Goldthorpe social class scheme. The performance of the 2 models was assessed with Akaike and Bayesian information criteria. The analyses were carried out using the Barcelona Health Survey (2016) including the labor force population from 22 to 64 years of age.FindingsWide inequalities were found in mental health with both class schemes. The empirical class scheme was more effective than the Goldthorpe social class scheme in explaining mental health inequalities. In particular, precarious and peripheral workers in the MCA-CA analysis, together with unemployed workers, emerged as distinctive social groups apparently masked within the lower social class in the standard scheme. When using the standard scheme, the authors recommend widening the scope at the bottom of the social class categories while shrinking it at the top as well as considering unemployed persons as a separate category to better represent mental health inequalities.Social implicationsThe working poor appear to report at least as much poor mental health as unemployed persons. Policies aimed at more inclusive work should consider job quality improvements to improve the mental well-being of the labor force.Originality/valueOur study examines the utility of social classes to explain mental health inequalities by comparing an empirically based social class to the Spanish adaptation of the Goldthorpe classification.
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Metawala, Prachi, Kathrin Golda-Pongratz, and Clara Irazábal. "Revisiting Engels’ ‘housing question’: Work and housing conditions of immigrant platform delivery riders in Barcelona." Human Geography 14, no. 2 (May 14, 2021): 243–57. http://dx.doi.org/10.1177/19427786211010131.
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In his 1872 The housing question, Friedrich Engels addressed the housing problems faced by the proletarian migrant workers in major industrial centres. He asserted that they could only be solved by first resolving their harsh working conditions in the capitalist mode of mass production. Presently, with transnational migrant flows to urban centres and the mass acceptance of the digital platform economy, the housing question manifests itself, among other expressions, in the case of immigrants working in this digital contract-based market. While the platform economy provides immigrants with quick access into a host country’s labour market, the income insecurity and high risks associated with such work put them in a state of precariousness. Through the framework of Engels’ proposed action lines and analysis of observations and interviews with immigrant riders working for the food delivery platforms Glovo and Deliveroo, the paper highlights the negative impacts that this contemporary capitalist model of work, the municipal housing plan and the ongoing Covid-19 crisis have on the immigrant riders’ residential and working conditions in Barcelona, Spain, a city facing a severe rental housing shortage. Lastly, it suggests that, while the social market economy in Spain can be reformed to ameliorate the negative impacts of the platform economy on immigrant riders, bridging the gap between immigrant housing provision and employment inclusion would need to consider decent labour and housing as rights for residents, immigrants included, asserting the currency of Engels’ ideas.
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Bernat, Ignasi, and David Whyte. "Postfascism in Spain: The Struggle for Catalonia." Critical Sociology 46, no. 4-5 (September 11, 2019): 761–76. http://dx.doi.org/10.1177/0896920519867132.
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The thousands of Spanish National Police and Guardia Civil sent to Barcelona in order to prevent the referendum legislated by the Catalan Parliament on 6 and 7 September 2017 raised major questions about the fragility of Spanish democracy. The subsequent display of police violence on 1 October and the imprisonment and criminalisation of political opponents for the archaic offences of ‘rebellion’ and ‘sedition’ looked even less ‘democratic’. Indeed, those events in Catalonia constitute a remarkable moment in recent European history. This article uses the literature on ‘postfascism’ (developed in this journal and elsewhere) to analyse this remarkable moment and develop its social connections to the parallel re-emergence of fascist violence on the streets and the appearance of fascist symbolism in mainstream politics in Spain. The literature on postfascism identifies contemporary fascism as a specifically cultural phenomenon, but generally fails to identify how the conditions that sustain the far right originate inside the state. In order to capture this historical turn more concretely as a process in which state institutions and processes of statecraft are intimately involved, we argue that the Spanish state is postfascist. The article offers a brief critique of the way the concept of postfascism has been deployed, and, through an empirical reading of the historical development of Spanish state institutions, it proposes a modified frame that can be used to understand the situation in Catalonia.
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Riaño, Yvonne, Christina Mittmasser, and Laure Sandoz. "Spatial Mobility Capital: A Valuable Resource for the Social Mobility of Border-Crossing Migrant Entrepreneurs?" Societies 12, no. 3 (May 5, 2022): 77. http://dx.doi.org/10.3390/soc12030077.
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Spatial mobility is considered a valuable resource for social mobility. Yet, we still have an insufficient understanding of the extent to which and under what conditions geographical movement across national borders represents an asset for social advancement. Addressing this research gap, we offer a theoretical contribution to the fields of transnationalism, migration/mobility, and social geography. We focus on 86 cross-border migrant entrepreneurs who live in Barcelona (Spain), Cúcuta (Colombia), and Zurich (Switzerland), and combine geographical and mental maps, biographical interviews, ethnographic observations, and participatory Minga workshops. Our results show significant inequality in opportunity among the studied entrepreneurs and reveal different geographies of risk and uncertainty for their cross-border mobilities. We theoretically propose that the ability to use spatial mobility as a resource for social mobility depends largely on three intersecting factors: the entrepreneur’s social position, his or her location in geographical space, and his or her strategies. Moreover, we have formulated the concept of spatial mobility capital to define the necessary conditions for spatial mobility to become a valuable resource for social advancement: individuals must be in control of their spatial mobilities, such mobilities need to match their socio-economic needs and personal aspirations, and they must be able to move safely.
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Pedrini, E., F. Collazos Sanchez, A. Qureshi, S. Valero, M. Ramos, H. W. Revollo, and C. A. Delgadillo. "Prevalence of Major Depression in Barcelona Primary Care Settings: A Comparative Study Between Latinos and Native Born Patients." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70902-2.
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Introduction:Immigration to Spain is a recent but rapidly growing fenomena. The prevalence of psychiatric disorders in the immigrants relative to natives is an inconclusive theme, given that several studies have found contradictory results.This study presents sociodemographic characteristics and the prevalence of mood disorders (detected with MINI) of 842 adults (411 Latinos and 431 Natives), attending primary care in the greater Barcelona metropolitan area.Results:Most of the sample was female (n=591; 70.2%), the mean age was 34.7 (±9.8) years, range 18-65. Significant (p< 0,001) differences were found between the two groups in: scholarization, housing, work status, income and percived social network.The prevalence of actual major depresssive disorder (MDD) was 12.7% in the total sample, with a higer prevalence in the Latinos (n=68; 16.5%) than Natives (n=39; 9.0%); p=0.001 X2=10.57.There was no difference in total prevalences of other mood disorders between the two groups. Analysis -through logistic regression- of only those patients with complete data, (n=613; 307 Latinos and 306 Natives) showed that the probability of MDD was higer in Latinos than in Native patients (OR= 2.4; 95% CI= 1.5-4.0). After adjusting for gender and all the significantly different variables, the higer risk of MDD in Latinos disappeared (OR= 1.3; 95% CI= 0.7-2.4).Conclusions:From these data we can conlude that the relation between immigrant status and depression is not direct but rather mediated by disadvantaged social conditions. In further similar studies social variables should be considered.
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Ferrer-Ortiz, Carles, Oriol Marquet, Laia Mojica, and Guillem Vich. "Barcelona under the 15-Minute City Lens: Mapping the Accessibility and Proximity Potential Based on Pedestrian Travel Times." Smart Cities 5, no. 1 (February 11, 2022): 146–61. http://dx.doi.org/10.3390/smartcities5010010.
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Many academics, urban planners and policymakers subscribe to the benefits of implementing the concept of the 15-Minute City (FMC) in metropolises across the globe. Despite the interest raised by the concept, and other variants of chrono-urbanism, to date, only a few studies have evaluated cities from the FMC perspective. Most studies on the subject also lack a proper well-defined methodology that can properly assess FMC conditions. In this context, this study contributes to the development of an appropriate FMC-measuring method by using network analysis for services and activities in the City of Barcelona (Catalonia, northeastern Spain). By using network analyst and basing our analysis on cadastral parcels, this study is able to detail the overall accessibility conditions of the city and its urban social functions based on the FMC perspective. The resulting spatial synthetic index is enhanced with the creation of partial indexes measuring the impact of education, provisioning, entertainment, public and non-motorized transport, and care facilities. The results show that most residents of this dense and compact city live in areas with proximity to services, that can clearly be labeled as FMC, although there are some shortfalls in peripheral areas. Results validate the FMC methodology as a viable method to highlight spatial inequalities at the microscale level, a valuable tool for the development of effective planning policies.
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Parés, Marc, Ismael Blanco, and Charlotte Fernández. "Facing the Great Recession in Deprived Urban Areas: How Civic Capacity Contributes to Neighborhood Resilience." City & Community 17, no. 1 (March 2018): 65–86. http://dx.doi.org/10.1111/cico.12287.
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Research suggests that some communities are more resilient than others in the face of the same external stress. Both the local effects of and local responses to the 2008 financial collapse and economic recession have been geographically variegated. Drawing upon two case studies in the Metropolitan Region of Barcelona (Spain), this paper aims to understand why some historically deprived neighborhoods are proving more resilient than others in facing the effects of the Great Recession. We conclude that neighborhood resilience, strongly influenced by the precrash context and by socially produced conditions of vulnerability, operates in each community according to at least three context–specific and interdependent factors: built environment, social capital, and civic capacity. We focus on civic capacity—understood as neighborhood ability to mobilize different sectors of the community to act in a coordinated fashion around matters of community–wide importance—and demonstrate that it is a significant resource contributing to neighborhood resilience.
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Rodrigo-Baños, Virginia, Marta del Moral-Pairada, and Luis González-de Paz. "A Comprehensive Assessment of Informal Caregivers of Patients in a Primary Healthcare Home-Care Program." International Journal of Environmental Research and Public Health 18, no. 21 (November 4, 2021): 11588. http://dx.doi.org/10.3390/ijerph182111588.
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Studies of the characteristics of informal caregivers and associated factors have focused on care-receiver disease or caregiver social and psychological traits; however, an integral description may provide better understanding of informal caregivers’ problems. A multicenter cross-sectional study in primary healthcare centers was performed in Barcelona (Spain). Participants were a random sample of informal caregivers of patients in a home-care program. Primary outcomes were health-related quality of life and caregiver burden, and related factors were sociodemographic data, clinical and risk factors, social support and social characteristics, use of healthcare services, and care receivers’ status. In total, 104 informal caregivers were included (mean age 68.25 years); 81.73% were female, 54.81% were retired, 58.65% had high comorbidity, and 48.08% of care receivers had severe dependence. Adjusted multivariate regression models showed health-related quality of life and the caregivers’ burden were affected by comorbidity, age, time of care, and dependency of care receiver, while social support and depression also showed relative importance. Aging, chronic diseases, and comorbidity should be included when explaining informal caregivers’ health status and wellbeing. The effectiveness of interventions to support informal caregivers should comprehensively evaluate caregivers when designing programs, centering interventions on informal caregivers and not care receivers’ conditions.
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Sekulova, Filka, Isabelle Anguelovski, Lucia Argüelles, and Joana Conill. "A ‘fertile soil’ for sustainability-related community initiatives: A new analytical framework." Environment and Planning A: Economy and Space 49, no. 10 (August 4, 2017): 2362–82. http://dx.doi.org/10.1177/0308518x17722167.
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One of the unique and emerging responses to the current ecological, social, political and economic crises has been the emergence of community initiatives in a range of formulas and geographical contexts. We explore their emergence and evolution beyond the analysis of a single fixed set of factors that are expected to contribute to their initiation and growth. Upon reviewing the trajectories of various initiatives in the region of Barcelona (Spain), we argue that the metaphor of the fertile soil provides a useful framework to describe or explain the messy process of emergence and evolution of grassroots and community projects. Fertile soil is understood here as a particular quality of the social texture, characterized by richness, diversity, unknowns but also – by multiple tensions and contradictions. Yet it is not only the diversity of factors but the quality of their mutual relatedness that ‘makes’ the soil fertile for the emergence of new groups and the continuation of existing ones. Importantly, the seemingly messy social base in which community initiatives emerge is nourished by their inner and outer contradictions. Likewise, the space opened by dealing with conflicting rationalities creates the conditions for new and more resilient strategies and structures to emerge. As community initiatives get established, the ‘fertile dilemmas’ they frequently face become a key driver of their evolutionary context, contributing to the emergence of new social imaginaries and ways of producing social change.
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Gutiérrez, José David. "Resistencias desde la periferia: población Rrom en España." Áreas. Revista Internacional de Ciencias Sociales, no. 40 (December 30, 2020): 67–76. http://dx.doi.org/10.6018/areas.402721.
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El artículo analiza, a partir del caso de estudio de asentamientos chabolistas en Madrid y Barcelona, la población Rrom que ubicándose en la periferia de dichas ciudades malvive en condiciones de pobreza y exclusión social. Basándose en una investigación de corte cualitativo donde se aprecian similitudes en cuanto a los medios de subsistencia empleados por el colectivo, así cómo la movilidad constante tanto en España como en Europa, el artículo se interroga el papel que tienen las administraciones públicas a nivel local y regional en la búsqueda de soluciones que permitan una mayor inclusión social y mejoras en la calidad de vida. Mediante una comparativa de los asentamientos, esta investigación presenta la experiencia profesional desarrollada en asentamientos con altos niveles de exclusión social donde se pone de relieve, la necesidad de intervenir socialmente desde el Trabajo Social y además, bajo una armonización de protocolos de atención social a la población Rrom desde una perspectiva igualitaria dentro de la Unión Europea, debido sobre todo a las prácticas similares de subsistencia de la población y por compartir procesos de exclusión y pobreza desde origen. The article analyzes, based on the case study of shanty towns in Madrid and Barcelona, the Rrom population, which is located on the periphery of these cities, lives in conditions of poverty and social exclusion. Based on qualitative research where similarities can be seen in terms of livelihoods used by the collective, as well as constant mobility both in Spain and in Europe, the article questions the role of public administrations at local and regional level in the search for solutions that allow greater social inclusion and improvements in the quality of life. Through a comparison of the settlements, this research presents the professional experience developed in settlements with high levels of social exclusion where it is highlighted, the need to intervene socially from Social Work and also, under a harmonization of social care protocols to the Rrom population from an egalitarian perspective within the European Union, mainly due to the similar practices of subsistence of the population and for sharing processes of exclusion and poverty from origin.
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Wright, A. D. "The Religious Life in the Spain of Philip II and Philip III." Studies in Church History 22 (1985): 251–74. http://dx.doi.org/10.1017/s0424208400007993.
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From the vividly autobiographic Life of St Teresa famous images of conventual life in sixteenth-century Spain have been derived; both the dark impression of unreformed monastic existence and the heroic profile of reformed regulars. Before and after that era the social, not to say political prominence of certain figures, friars and nuns, in Spanish life is notorious, from the reigns of the Catholic Monarchs to that of Philip IV and beyond. Modern historical research has indeed highlighted the contribution to political and ecclesiastical development, to early Catholic reform above all, of key members of the regular clergy under the Catholic Monarchs. For monastics, as opposed to mendicants, in post-medieval Spain, the extensive and meticulous researches of Linage Conde have put all Iberian scholars in his debt. The fascinating origins of the essentially Iberian phenomenon of the Jeronymites have recently received new attention from J.R.L. Highfield, but further insights into the true condition of the religious life in the Iberian peninsula of the supposedly Golden Age are perhaps still possible, when unpublished material is consulted in the Roman archives and in those of Spain, such as Madrid, Simancas, Barcelona and Valencia. Considerations of space necessarily limit what can be suggested here, but the development of monastic life in Counter-Reformation Spain is arguably best considered in its extended not just in its stricter sense: for parallels and contrasts, as well as direct influences, were not confined by the normal distinctions between the eremitic and the monastic, the monastic and the mendicant, the old and the new orders, or even the male and female communities. Furthermore the intervention of Spanish royal authority in Portuguese affairs between 1580 and 1640, not least in ecclesiastical and regular life, provides a useful comparative basis for consideration of truly Iberian conditions.
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Rodrigo-Comino, Jesús, and José María Senciales-González. "A Regional Geography Approach to Understanding the Environmental Changes as a Consequence of the COVID-19 Lockdown in Highly Populated Spanish Cities." Applied Sciences 11, no. 7 (March 24, 2021): 2912. http://dx.doi.org/10.3390/app11072912.
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Spain has been highly impacted by the COVID-19 pandemic, which is reflected at different scales. From an economic point of view, lockdowns and the reduction of activities have damaged the country (e.g., complete lockdown from March 13 to June 21, 2020). However, it is not clear if the associated environmental impacts could be observed in 2020. Currently, studies on the effects of the lockdown (e.g., decrease in economic activities, transport and social communication) on specific parameters related to climate change, such as air temperature or air pollution, due to a drastic decrease in human activities are rare. They are focused on specific cities and short periods of time. Therefore, the main goal of our research will be to assess the records of air temperature and air quality during the whole of 2020 compared to references from previous years (30 years for air temperature and 10 for air quality). We paid attention to the possible effects of the reduction of activities (e.g., tourism and transport) in March, April and May and the different restrictions of each lockdown in Spain. To achieve this goal, five urban climate stations with long-term time series within the most populated cities of Spain were analyzed (Barcelona, Madrid, Málaga, Sevilla and Valencia). We conclude that it is possible to affirm that the impacts of the COVID-19 pandemic on the atmospheric conditions in 2020 are not clear and not strictly focused on the lockdown or reduction of activities in these urban areas. No evidence of a reduction in the annual air temperature was found, and only a minimum reduction of rates of pollutants was registered in the highly populated cities of Spain. Therefore, it is worth confirming that these changes could be affected by other factors, but on a global scale and not directly due to the COVID-19 pandemic. Considering recent studies on the relationships between air pollutants, temperature and the spreadability of COVID-19, green policies must be further imposed in urban cities, since temperatures do not stop increasing year by year.
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Hrushka, Viktor V., Nataliya A. Horozhankina, Zoya V. Boyko, Maxim V. Korneyev, and Natalia A. Nebaba. "Transport infrastructure of Spain as a factor in tourism development." Journal of Geology, Geography and Geoecology 30, no. 3 (October 5, 2021): 429–40. http://dx.doi.org/10.15421/112139.
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This article considers features of functioning of a modern transport network. Transport is an important area of infrastructure supply for the population and the state economy, the key function of which is the movement of people and goods. The current transport complex is subject to contradictory trends: as an infrastructure industry, transport is located in a position dependent on the production of social goods, and as a special sector of the economy, transport has an important impact on the regional location of production capacity and participates in the process of reproduction part of the system of economic relations. The importance of transport infrastructure in the economy, its development and operating conditions are difficult to overestimate. After all, it is the basis of the supporting framework of territorial social systems of any level. On the current state, level and opportunities for the development of the transport infrastructure depends not only the social and economic growth of territorial economic systems, but also their spatial development. Tourism plays a significant role in the development of transport infrastructure. Europe is one of the most attractive regions for tourists in the world. In turn, Spain is one of the most popular destinations for tourists from around the world as well as for European tourists. Spain plays an important role in tourist traffic in Europe. This is facilitated by its efficient transport and geographical location, developed production infrastructure, as well as historical aspects. Spain is a key country of transit by air and sea with the Americas. The flat terrain promotes the development of road and rail passenger transport across the centre of the country. And given the attractiveness to tourists and direction of tourist flows to the regions of the country, the study of geographical features of transport infrastructure is quite relevant. The peculiarities of the functioning and formation of the transport infrastructure of Spain are considered. The geographical features of the development of the infrastructure of railway, road and sea and air transport of Spain are analyzed. As for the terminals in the regions of Spain, their number also corresponds to the number of airports. Therefore, the largest number of terminals is in the Canary Islands – 9 (all airports have one terminal, except Lanzarote). There are 8 terminals in the airports of Andalusia, where all airports except Malaga have one terminal, in Malaga there are three. The two Madrid airports have 6 terminals, but 5 of them are located at the country's main airport – Madrid-Barajas. Catalonia's airports have 5 terminals, two of which are located in Barcelona El Prat. There are 4 terminals in Galicia – one each in Vigo and La Coruna and two in Santiago de Compostela. There are 4 terminals in Galicia – one each in Vigo and La Coruna and two in Santiago de Compostela. In all other regions, the number of terminals is proportional to the number of airports. An assessment of the level of development of transport infrastructure for tourism in the regions of Spain was conducted. On the basis of quantitative indicators of the analysis of the transport infrastructure of Spain, a point assessment of the level of development of the transport infrastructure of the country’s regions for the needs of tourism was carried out. Administrative units are divided into 5 groups: with the highest, high, sufficient, medium and low level of development of transport infrastructure for tourism. Transport infrastructure is most developed in the tourist regions of the country – Catalonia, Andalusia, Madrid, the Canary and Balearic Islands.
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Puértolas-Gracia, Beatriz, María Gabriela Barbaglia, Mercè Gotsens, Oleguer Parés-Badell, María Teresa Brugal, Marta Torrens, Lara Treviño, et al. "Lifetime Dual Disorder Screening and Treatment Retention: A Pilot Cohort Study." Journal of Clinical Medicine 11, no. 13 (June 28, 2022): 3760. http://dx.doi.org/10.3390/jcm11133760.
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The coexistence of a substance use disorder and another mental disorder in the same individual has been called dual disorder or dual diagnosis. This study aimed to examine the prevalence of lifetime dual disorder in individuals with alcohol or cocaine use disorder and their retention in treatment. We conducted a pilot cohort study of individuals (n = 1356) with alcohol or cocaine use disorder admitted to treatment in the public outpatient services of Barcelona (Spain) from January 2015 to August 2017 (followed-up until February 2018). Descriptive statistics, Kaplan–Meier survival curves and a multivariable Cox regression model were estimated. The lifetime prevalence of screening positive for dual disorder was 74%. At 1 year of follow-up, >75% of the cohort remained in treatment. On multivariable analysis, the factors associated with treatment dropout were a positive screening for lifetime dual disorder (HR = 1.26; 95% CI = 1.00–1.60), alcohol use (HR = 1.35; 95% CI = 1.04–1.77), polysubstance use (alcohol or cocaine and cannabis use) (HR = 1.60; 95% CI = 1.03–2.49) and living alone (HR = 1.34; 95% CI = 1.04–1.72). Lifetime dual disorder is a prevalent issue among individuals with alcohol or cocaine use disorders and could influence their dropout from treatment in public outpatient drug dependence care centres, along with alcohol use, polysubstance use and social conditions, such as living alone. We need a large-scale study with prolonged follow-up to confirm these preliminary results.
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Merylovа, Іryna, Hryhorii Nevhomonnyi, Olexandr Rechyts, and Iryna Turhan. "ECOLOGICAL URBAN REGENERATION OF DEPRESSIVE TERRITORIES LARGE CITIES." Urban development and spatial planning, no. 80 (May 30, 2022): 283–94. http://dx.doi.org/10.32347/2076-815x.2022.80.283-294.
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Large cities are multifaceted organisms. They are arena of social and urban conflicts. In current conditions of technological development and improvement of the urban environment quality, local authorities are increasingly reorganize industrial areas.
The relevance of the article is determined by the global trend of finding new forms of renovation of depressed areas, which are explored quite well and reflected in the general vector of policy of developed countries. According to the research, it is ecological and urban forms of renovation that can ensure the efficient use of resources and create quality conditions to improve the living standard of population.
The purpose of the article is to establish ecological and urban forms of renovation of industrial areas.
The article substantiates the term "ecological and urban renovation", which main principle is to open new opportunities for depressed areas and buildings in order to improve the ecological and urban situation of the environment. Methods and approaches to the ecological and urban planning form of renovation of depressed areas are described. This allows adapting industrial architecture to modern urban conditions with a numerous architectural techniques.
The study examines foreign experience of redevelopment of industrial territories in Barcelona (Spain), Berlin (Germany), London (UK), Paris (France), Copenhagen (Denmark). The analysis of global practice shows that the most successful examples of ecological and urban transformation of industrial areas are implemented through the principle of landscape design and methods of integrating elements of industrial heritage into public space.
Consequently, by means of landscape design, the art space as a new phenomenon in the urban environment is created, which improves the aesthetic perception of the architectural city image. The experience has shown that industrial areas, which are located within the city, should be used for recreational and commercial facilities or residential real estate, whereas the areas near the city could be used for high-tech and environmentally-friendly industries.
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Pásaro Fernández, Paula, Sara López de Hierro Martínez, Cristina Beorlegui Bueno, Patricia Romero López, Miguel Municio González-Quijano, Montse Vergara-Duarte, Raimundo Mateos, Jorge Cuevas, and Luís Cordeiro. "460 - Unmet needs and loneliness perception among elderly people with chronic diseases." International Psychogeriatrics 32, S1 (October 2020): 181. http://dx.doi.org/10.1017/s1041610220003129.
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Introduction:Unwanted loneliness is a public health issue due to its high prevalence among elderly people (20-40%) and its relation with morbidity and mortality. There is no clear strategy for addressing this problem given the diversity of needs and resources people with feelings of loneliness have.Objective:Identify the needs and resources of elderly people with chronic conditions and feelings of loneliness by comparing the patient’s outlook with that of their primary healthcare professional.Methods:Observational, cross-sectional, descriptive pilot study using theoretical convenience sampling at 5 health facilities in Barcelona (Spain), performed between October and May 2020. Of 159 people selected, 42 were identified to have feelings of loneliness (UCLA < 30) who agreed to participate in the study and their care needs were analysed using the Camberwell Assessment of Need for the Elderly (CANE) questionnaire. A descriptive and comparative analysis (Kappa coefficient and discrepancy percentage) of needs was performed using the outlook of the patients and their healthcare professionals. Data was analysed using SAS assuming a 5% significance level. A qualitative analysis was also performed to understand the relation between the feeling of loneliness and needs across 24 care areas (environmental, social, psychological, and physical). The study was approved by the IDIAP Jordi Gol Healthcare Ethics Committee (19/138-P).Findings:The needs perceived focused on physical health, distress, companionship, and relationships (30% to 41.7%). Professionals showed a severe lack of knowledge regarding housing, home care, relationships, and social services (22% to 48%). The qualitative analysis revealed the relation between the feeling of loneliness and the irreversible losses of those close to the patient, along with insufficient support and understanding during the aging process, and feelings of abandonment and guilt. Meanwhile, other notable aspects include the need of independence and resistance towards starting activities requiring commitment and travel. Caring for others and mobility and sensory restrictions act as extra barriers.Conclusions:This study enables the needs of people with feelings of loneliness to be identified. Discrepancies between them and their healthcare professionals were recorded, in turn providing direction regarding which areas need to be improved when designing patient-focused primary healthcare approaches.
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Zueras, Pilar, and Elisenda Rentería. "Disease-free life expectancy has not improved in Spain." Perspectives Demogràfiques, January 27, 2021, 1–4. http://dx.doi.org/10.46710/ced.pd.eng.22.
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The COVID-19 pandemic has put a stop to the continuous progression in life expectancy at birth, in which Spain was one of the world leaders. Although this downward effect is a result of the present conjuncture and it is hoped that recovery will be swift in the coming years, this situation has led us to consider the evolution prior to the pandemic. It is true that the increase in number of years of life has been progressive and steady but, in recent years, these gains have not implied improved health among the older population. Disability-free life expectancy at the age of 65 has been very stable over time, but the figures are less encouraging when the presence of diseases and chronic conditions are taken into account. In this issue of Demographic Perspectives, we investigate whether there have been gains or losses in years of disease-free life for men and women at the age of 65 in Spain and by autonomous community (AC) in the years 2006, 2012, and 2017. The results indicate that increased life expectancy will also mean that people will live more time with diagnosed diseases unless the present trend is reversed. The most common ailments and conditions include hypertension, chronic back pain, diabetes, and heart disease. The differences between men and women tend to converge in years of life in good health, mainly as a result of a lengthening of time lived in poor health among men.Cabré, A. (1995) “Notes sobre la Transició familiar”. Transcription of the lecture presented at the seminar “Família i canvi social” for the United Nations Association of Spain, Barcelona, 1994. Papers de Demografia, Nº 96
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Cernadas, Andrés, and Ángela Fernández. "Healthcare inequities and barriers to access for homeless individuals: a qualitative study in Barcelona (Spain)." International Journal for Equity in Health 20, no. 1 (March 20, 2021). http://dx.doi.org/10.1186/s12939-021-01409-2.
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Abstract Background In Spain, homeless individuals have lower perceived quality of health than the rest of the population and their life expectancy is 30 years lower than the national average. While the Spanish health system provides universal access and coverage, homeless individuals do not access or use public care enough to maintain their health. The objective of this study is to determine if homeless individuals can access public health services in conditions of equality with the rest of the population, as established in healthcare legislation, and to better understand the causes of observed inequalities or inequities of access. Methods A detailed qualitative study was carried out in the city of Barcelona (Spain) from October 2019 to February 2020. A total of nine open and in-depth interviews were done with homeless individuals along with seven semi-structured interviews with key informants and two focus groups. One group was composed of eight individuals who were living on the street at the time and the other consisted of eight individuals working in healthcare and social assistance. Results The participants indicated that homeless individuals tend to only access healthcare services when they are seriously ill or have suffered some kind of injury. Once there, they tend to encounter significant barriers that might be 1) administrative; 2) personal, based on belief that that will be poorly attended, discriminated against, or unable to afford treatment; or 3) medical-professional, when health professionals, who understand the lifestyle of this population and their low follow-through with treatments, tend towards minimalist interventions that lack the dedication they would apply to other groups of patients. Conclusions The conclusions derived from this study convey the infrequent use of health services by homeless individuals for reasons attributable to the population itself, to healthcare workers and to the entire healthcare system. Accordingly, to reduce inequities of access to these services, recommendations to healthcare service providers include adapting facilities to provide more adequate care for this population; increasing sensitivity/awareness among healthcare workers; developing in situ care systems in places where the homeless population is most concentrated; and establishing healthcare collaboration agreements with entities that work with this population.
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De La Mora, Lorena, Montserrat Laguno, Elisa De Lazzari, Ainoa Ugarte, Lorna Leal, Berta Torres, Ana González-Cordón, et al. "Vulnerability Conditions in a Cohort of Men Who Have Sex with Men Who Engage in Chemsex in Barcelona City: a Cross-Sectional Study." Sexuality Research and Social Policy, March 3, 2022. http://dx.doi.org/10.1007/s13178-022-00702-1.
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Abstract Introduction Chemsex is a dynamic phenomenon with cultural variation. There is limited information about its prevalence and specific characteristics in our geographical area. Methods In this cross-sectional study of a series of gay, bisexual, and other men who have sex with men (gbMSM) who engaged in chemsex and were attending the Hospital Clinic of Barcelona, Spain, between March 2018 and May 2019, we aimed to identify potential vulnerabilities and describe the profiles of individuals who engaged in chemsex in our site. Baseline clinical and epidemiological characteristics related to HIV, HCV, STIs, sexual practices, and drug consumption were evaluated. A sub-analysis considering vulnerability conditions was completed. Results We included 161 participants: 67% were migrants and 48% were Latin American. A total of 150 participants were people living with HIV (PLWH), and 13% had a detectable HIV viral load (VL). The prevalence of HCV infection was 37%. Slamming practice was reported by 20% of the participants. Migrants from Latin America were younger, had a lower percentage of university education, and more frequently had detectable HIV-VLs and syphilis. HCV-positive participants reported more injecting drug use, versatile fisting practices, and syphilis. Slam users consumed more methamphetamine and mephedrone, had significantly higher HIV-VLs when detectable, and reported less sober sex. Conclusion and Policy Implications We identified certain baseline characteristics of our chemsex cohort that may confer a profile of greater vulnerability, which must be addressed in a personalized way when attempting damage reduction and a global approach to the practice of chemsex at our site. Access to specialized and interdisciplinary services with cultural competence in the complexity of the phenomenon should be guaranteed to these individuals for better management.
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Ferrer-Torres, Antonia, and Lydia Giménez-Llort. "Sounds of Silence in Times of COVID-19: Distress and Loss of Cardiac Coherence in People With Misophonia Caused by Real, Imagined or Evoked Triggering Sounds." Frontiers in Psychiatry 12 (June 30, 2021). http://dx.doi.org/10.3389/fpsyt.2021.638949.
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The extreme, unprecedented situations in the current COVID-19 pandemic are risk factors for psychosocial stress for the entire population. However, strict confinement had a particular impact on people suffering from misophonia and their families. Misophonia is a condition in which hearing certain sounds triggers intense anger, disgust and even severe autonomic nervous system responses. This prospective cohort study examined the impact of strict confinement (Spain, March 14–June 21, 2020) on a sample of 24 people (16 women and eight men) who had been diagnosed with moderate to extreme misophonia and were regularly attending a medical psychology center in Barcelona. The 3-month period of confinement caused general emotional maladjustment, distress, and a transitory crisis. Long-term biomonitoring of their heart variability rate (HRV) enabled to identify a significant increase in physiological arousal after the confinement period, which had already been recorded in a loss of cardiac coherence under basal rest/relaxation conditions. Certain auditory stimuli triggered adverse responses, lowered HRV scores, and an increased stress level and heart rate. Loss of cardiac coherence in their responses to these auditory stimuli (triggering mouth, nose and other sounds), as well as to non-triggering mouth, nose and other sounds was increased when compared to two assessments performed during the previous year. Despite the limited sample size, sex differences were observed in the incidence. Loss of cardiac coherence worsened with the severity of the misophonia. Most importantly, imagined or evoked triggering sounds, as well as real ones, were enough to cause the aversive responses, as displayed by the increased loss of cardiac coherence with respect to the at-rest basal level. A semi-structured interview revealed the exceptional nature of the situations, increased hyper-sensorial sensitivity, fear of being infected with or dying from COVID-19, the patients' coping strategies, and the difficulties and constraints they faced. Finally, the article gives recommendations for better management of misophonia. Improved knowledge of this disorder would help address the current lack of health and social care, hopefully preventing this shortfall's impact on social and affective relationships, which are particulary important for well-being now and in the coming periods of physical distancing measures.
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Romeo, Marina, Montserrat Yepes-Baldó, Miguel Ángel Soria, and Maria Jayme. "Impact of the COVID-19 Pandemic on Higher Education: Characterizing the Psychosocial Context of the Positive and Negative Affective States Using Classification and Regression Trees." Frontiers in Psychology 12 (September 1, 2021). http://dx.doi.org/10.3389/fpsyg.2021.714397.
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Our aim is to analyze the extent to which the psychosocial aspects can characterize the affective states of the teachers, administrative staff, and undergraduate and postgraduate students during the quarantine. A questionnaire was answered by 1,328 people from the community of the Universitat de Barcelona (UB), Spain. The survey was partially designed ad hoc, collecting indicators related to sociodemographic variables, the impact of COVID on the subjects or in their personal context, the psychosocial context of coexistence and perceived social support, characteristics related to the physical context during the quarantine, and labor conditions. Additionally, it included two validated instruments: the Survey Work-Home Interaction–Nijmegen for Spanish Speaking Countries (SWING-SSC) validated in Spanish and PANAS, the Positive and Negative Affect Schedule. Classification and Regression Trees (CART) were performed to identify which variables better characterize the participants' level of positive and negative affective states. Results according to groups showed that students are the ones who have suffered the most as a result of this situation (temporary employment regulation, higher scores in negative work-home and home-work interaction, lower scores in positive home-work interaction, and negative effects of teleworking). Additionally, they reported a higher mean score in interpersonal conflict and worse scores with regard to negative affective states. Based on sex, women were the ones whose environment was shown to be more frequently affected by the pandemic and who exhibited more negative effects of teleworking. In general terms, participants with the highest scores in negative affective states were those who perceived an increase in conflict and a high negative effect from work spilling over into their personal lives. On the contrary, participants with the highest levels of positive affective states were those with medium to low levels of negative home-work interaction, over 42.5 years old, and with medium to high levels of positive work-home interaction. Our results aim to help higher education to reflect on the need to adapt to this new reality, since the institutions that keep pace with evolving trends will be able to better attract, retain, and engage all the members of the university community in the years ahead.