Abstract:
BACKGROUND:Patient delay was investigated in a cohort of TB patients identified from May 1996 until April 1997 in 13 Autonomous Regions in Spain. The study covered almost 67% of the total Spanish population. METHODS:Data were collected from clinical records. Using unconditional logistic regression with two different cut-off points to define 'patient delay' (the median and 75th percentile), the association between patient delay and different factors was estimated. RESULTS:A total of 7,037 cases were included. Median and 75th percentile delays were 22 and 57 days respectively. Factors associated with patient delay greater than the median (p<0.05) were: non-respiratory symptoms of TB and age over 14 years, although the effect of age was not linear. Furthermore, an interaction was observed between intravenous drug user (IDU) and HIV status, in that, whereas patient delay was greater in IDUs than in non-IDUs among cases whose HIV status was either negative or unknown, among HIV-positive patients no such IDU-related differences were in evidence. Factors associated with extreme patient delay (greater than the 75th percentile) were essentially the same, but the above-described interaction disappeared, with IDU status showing no direct effect. In addition, likelihood of extreme patient delay increased in the case of alcoholism and female gender and decreased in the case of chronic renal failure, corticoid treatment, prison inmates and residents of old age homes. CONCLUSION:Although there is a universally enjoyed right to health care in Spain, some groups of TB patients could nevertheless be experiencing problems in seeking medical attention.
journal_name
Eur J Public Healthjournal_title
European journal of public healthauthors
Díez M,Bleda MJ,Alcaide J,Caloto T,Castells C,Cardenal JI,Domínguez A,Gayoso P,Gutiérrez G,Huerta C,López MJ,Moreno T,Muñoz F,Navarro C,Picó M,Pozo F,Quirós JR,Robles F,Sánchez JM,Vanaclocha H,Vega T,Multicentredoi
10.1093/eurpub/14.2.151subject
Has Abstractpub_date
2004-06-01 00:00:00pages
151-5issue
2eissn
1101-1262issn
1464-360Xjournal_volume
14pub_type
杂志文章,多中心研究abstract:Background:Mental health problems in the perinatal period are common. We examined associations between different categories of migrant status and region of origin in relation to mental health during pregnancy and at 2 months post-partum. Methods:We analyzed data from the French nationally representative Etude Longitud...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cky008
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:The Italian 180/1978 reform abolishing asylums is one of the most contested mental health programs ever implemented. It aimed to shift care of mental illness into the community improving outcomes and reducing expenditure. It was a model for successive deinstitutionalization initiatives across Europe and Nort...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa011
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:In the Netherlands, managed competition between health plans has been introduced. For Dutch health plans this implies that they need to collect data about their own performance and that of the care providers they contract. To that end, Consumer Assessment of Health Plan Surveys (CAHPS) instruments have recen...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckl023
更新日期:2006-12-01 00:00:00
abstract:BACKGROUND:Unhealthy behaviours often occur in combination. In this study the relationship between education and lifestyle, defined as a cluster of risk behaviours, has been analysed with the purpose to assess socio-economic changes in multiple risk behaviour over time. METHODS:Cross-sectional data from the Belgian He...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckp185
更新日期:2010-12-01 00:00:00
abstract::The optimal way to display constituent levels (e.g. tar) on tobacco packaging has not received adequate attention but has important policy implications. Adult smokers and non-smokers (n = 836) were surveyed in France using Computer Assisted Personal Interviewing to assess perceptions of constituent levels displayed nu...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckq087
更新日期:2011-06-01 00:00:00
abstract:INTRODUCTION:People with severe mental illness have increased risk for premature mortality and thus a shorter life expectancy. Relative death rates are used to show the excess mortality among patients with mental health disorder but cannot be used for the comparisons by country, region and time. METHODS:A population-b...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckv245
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:The purpose was to examine the association between aspects of alienation and symptom load among adolescents. Furthermore an integrated purpose was to construct and validate an index of alienation. METHODS:Cross-sectional data from 5205 school children aged 11-15 years from a random sample of schools in Denm...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckn105
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:The EUROMED CANCER Network project aims to support non-EU Mediterranean countries in the development of cancer early detection and screening policies. METHODS:Through a structured questionnaire information from 15 countries (Albania, Algeria, Bosnia and Herzegovina (BiH), Croatia, Egypt, Jordan, UN Interim ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckv107
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:When resources are limited, occupational health survey participants are usually invited to consultations based on an occupational health provider's subjective considerations. This study aimed to find health survey participants at risk of long-term (i.e., ≥ 42 consecutive days) sickness absence (LTSA) for con...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa246
更新日期:2021-01-07 00:00:00
abstract:BACKGROUND:Population data, such as mortality and morbidity statistics, are essential for many reasons, including giving context for research, supporting action on health determinants, formulation of evidence-based policy for health care and outcome evaluation. However, when considering children, it is difficult to fin...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa052
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:The aim of this study was to assess the evidence regarding economic evaluations of worksite health promotion programs in Europe. METHODS:Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, the literature search, study selection, data extraction and quality appraisal ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cky269
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:The use of health status measures to assess health-related quality of life is not widespread. The objectives of this study were to assess the prevalence, characteristics and severity of oral impacts on health using the Child-Oral Impact on Daily Performance (Child-OIDP). METHODS:The survey was conducted on ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckp179
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:Turkey initiated the 'Health Transformation Programme' (HTP) in 2003 to align its health care system with the European Union and OECD countries. This study investigates the impact of these reforms on the efficiency of public hospitals. Our study would contribute to the existing literature with a comprehensiv...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckr163
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:This study investigates patterns of food shopping and availability of fruit and vegetables and snack foods in a northern European (Central England) and southern European region (Southern France). METHODS:Two studies were conducted in England (Nottingham) and France (Montpellier): (i) Cross-sectional populat...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckm037
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:The aim of this study was to compare influenza vaccination coverage rates in Austria and Croatia, countries with missing data in the Eurosurveillance and European Centre for Disease Prevention and Control reports. In addition, we assessed demographic factors of GPs and patients and calculated associations re...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckw006
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:This study analysed the socio-economic factors that influence a smoker's decision to consume smuggled cigarettes when faced with the rising costs of legal cigarettes. We hope our findings will help public health authorities create policies that simultaneously discourage consumption of smuggled cigarettes and...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckn115
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Physical activity among adolescents and its implications for health status is of increasing concern. We examined trends in physical activity and participation in sports clubs among Icelandic adolescents. METHODS:Cross-sectional survey data were used to determine levels of vigorous physical activity and part...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckn004
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:Incidence of newly diagnosed HIV infections among injecting drug users (IDUs) in Helsinki rose from 0 per 100,000 inhabitants in 1997 to 2.9 in 1998 and to 11.1 in 1999. Thereafter incidence declined to 2.1 in 2003. METHODS:Data were collected from interviews with HIV-positive IDUs who attended the Universi...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckl252
更新日期:2007-08-01 00:00:00
abstract:Background:The numbers of migrants living in Europe are growing rapidly, and has become essential to assess their access to primary health care (PHC). Avoidable Hospitalization (AH) rates can reflect differences across migrant and ethnic minority groups in the performance of PHC. We aimed to conduct a systematic review...
journal_title:European journal of public health
pub_type: 杂志文章,评审
doi:10.1093/eurpub/ckx113
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:Although many previous epidemiological studies have reported the incidence of diseases, mortality rate and economic losses after natural disasters, none of these studies has been comprehensive enough. Our aim was to establish a synthetic evaluation model (SEM) that can be used to analyze flood hazards. METH...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckl067
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:Adolescent alcohol use varies across Europe. Differences in use might be due to variations in social drinking norms. These norms become apparent, e.g. in different proportions of alcohol drinking types per country. This study's purpose is to cluster European countries according to prevalence rates of alcohol...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckw033
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:Health is substantially worse in less educated people, and extended education might potentially improve their health. A prerequisite for a beneficial health effect of education is that the effect is absolute. An absolute effect of education means that the health effect comes about independently of any effect...
journal_title:European journal of public health
pub_type: 杂志文章,meta分析
doi:10.1093/eurpub/cku243
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:This study has been carried out in order to explore the effect of the growing appearance of IPV in television news items on deaths by this cause. METHODS:Ecological study based on 340 deaths by intimate partner violence (IPV) and 3733 television news items covering this topic on Spanish television channels ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckp086
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:The study was carried out in order to examine the effect of unemployment on the incidence of disability pension in Iceland by examining changes in this relationship from 1992 to 2007. METHODS:The annual incidence of disability pension for the period 1992-2007 was calculated. Correlations and significance te...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckq186
更新日期:2012-02-01 00:00:00
abstract:Background:Carrier screening for autosomal recessive disorders aims to facilitate reproductive decision-making by identifying couples with a 1-in-4 risk in every pregnancy of having an affected child. Except for a few countries or regions, carrier screening is not widely offered and is mostly ancestry-based. Technologi...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckw110
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:In this paper, we investigate cross-sectional and prospective relationships between various socioeconomic indicators and different health behaviours among boys and girls at ages 13-21, and whether socioeconomic status (SES) is related to changes in health behaviour over time. METHODS:The study is based on a...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cki051
更新日期:2006-02-01 00:00:00
abstract:BACKGROUND:We document the health-related quality of life (HRQoL) of people living in the Gaza Strip 6 months after 27 December 2008 to 18 January 2009, Israeli attack. METHODS:Cross-sectional survey 6 months after the Israeli attack. Households were selected by cluster sampling in two stages: a random sample of enume...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckr131
更新日期:2012-10-01 00:00:00
abstract:Background:Measuring homophobia at country level is important to guide public health policy as reductions in stigma are associated with improved health outcomes among gay men and other men who have sex with men. Methods: We developed a Homophobic Climate Index incorporating institutional and social components of homoph...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cky023
更新日期:2018-10-01 00:00:00
abstract::The spread of the written word, facilitated by the introduction of the printing press, was an information revolution with profound implications for European society. Now, a second information revolution is underway, a digital transformation that is shaping the way Europeans live and interact with each other and the wo...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckz160
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:We conducted a systematic review and meta-analysis from published cohort studies to examine the association of adult height and all-cause mortality and to further explore the dose-response association. METHODS:PubMed, The Cochrane Library, The Ovid, CNKI, CQVIP and Wanfang databases were searched for articl...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa213
更新日期:2020-11-25 00:00:00