[Travel time and participation in breast cancer screening in a region with high population dispersion].


OBJECTIVE:To analyze the association between travel time and participation in a breast cancer screening program adjusted for contextual variables in the province of Segovia (Spain). METHODS:We performed an ecological study using the following data sources: the Breast Cancer Early Detection Program of the Primary Care Management of Segovia, the Population and Housing Census for 2001 and the municipal register for 2006-2007. The study period comprised January 2006 to December 2007. Dependent variables consisted of the municipal participation rate and the desired level of municipal participation (greater than or equal to 70%). The key independent variable was travel time from the municipality to the mammography unit. Covariables consisted of the municipalities' demographic and socioeconomic factors. We performed univariate and multivariate Poisson regression analyses of the participation rate, and logistic regression of the desired participation level. RESULTS:The sample was composed of 178 municipalities. The mean participation rate was 75.2%. The desired level of participation (≥ 70%) was achieved in 119 municipalities (67%). In the multivariate Poisson and logistic regression analyses, longer travel time was associated with a lower participation rate and with lower participation after adjustment was made for geographic density, age, socioeconomic status and dependency ratio, with a relative risk index of 0.88 (95% CI: 0.81-0.96) and an odds ratio of 0.22 (95% CI: 0.1-0.47), respectively. CONCLUSION:Travel time to the mammography unit may help to explain participation in breast cancer screening programs.


Gac Sanit


Gaceta sanitaria


Borda A,Sanz B,Otero L,Blasco T,García-Gómez FJ,de Andrés F




Has Abstract


2011-03-01 00:00:00














  • [Health care support for cancer patients who died in their homes in Mallorca].

    abstract::The conditions of death are studied in a sample of oncological patients who died at home. By interviewing people, relatives or not, who assumed the main responsibility for the patient's care, information was gathered about different aspects of the patient's life in its terminal period. In this study, information was c...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Pons Sureda O,Catalán Fernández G,Avellà Mestre A,Recober Martínez A,Carbonero Malberti JM,Garau Llinás I

    更新日期:1990-03-01 00:00:00

  • [Reference values of the Spanish version of the SF-12v2 for the diabetic population].

    abstract:OBJECTIVE:Perceived health status questionnaires provide important information for health outcomes research. Reference measures are required to interpret the health-related quality of life questionnaires belonging to the short form (SF) health survey family. Previous studies have provided these reference measures for t...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Monteagudo Piqueras O,Hernando Arizaleta L,Palomar Rodríguez JA

    更新日期:2009-11-01 00:00:00

  • [Seniors' knowledge of and attitudes to advance directive documents].

    abstract:OBJECTIVES:The aim of this study was to determine seniors' knowledge of and attitudes toward advance directive documents. METHODS:We carried out a cross-sectional descriptive study in a primary care setting in the provinces of Albacete and Guadalajara, Spain (n = 464). RESULTS:A total of 86.2% (95% CI: 83.0-89.5) of ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Andrés-Pretel F,Navarro Bravo B,Párraga Martínez I,de la Torre García MA,Jiménez Del Val MD,López-Torres Hidalgo J

    更新日期:2012-11-01 00:00:00

  • [Health among the elderly].

    abstract::We explore gender, class and geographical inequalities in health of the population aged over 65 years in Spain. We gathered data from the 1997 National Health Survey, 1999 hospital discharge data, 1998 mortality data from vital statistics, and from the 1999 National Survey on Disabilities. Health related behaviors (to...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Gonzalo E,Pasarín MI

    更新日期:2004-05-01 00:00:00

  • Access to sterile syringes among young drug injectors in Madrid and Barcelona and its association with risk behaviour.

    abstract:BACKGROUND AND OBJECTIVE:To evaluate access to sterile syringes and its association with injection risk behaviour in Madrid and Barcelona. MATERIALS AND METHODS:Cross-sectional community study by computer-assisted personal interview in 465 young heroin injectors between 2001 and 2003. RESULTS:Some 4.2% had not obtain...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Bravo MJ,Royuela L,Barrio G,Brugal MT,Domingo A,de la Fuente L,Itínere Project Group.

    更新日期:2008-03-01 00:00:00

  • [Critique of conventional wisdom. The World Health Organization's report «WHO Health Systems: improving performance» and its relevance in Spain].

    abstract::This article provides a critical review of the World Health Organization's (WHO) report, WHO Health Systems: improving performance. The political context in which the report was presented, the ideological suppositions underlying the report's evaluation of the efficiency and efficacy of the health systems, their degree...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Navarro V

    更新日期:2001-09-01 00:00:00

  • [Trihalomethane and haloacetic acid concentrations in drinking water and their estimated intake during pregnancy in the INMA cohort (Guipúzcoa, Spain)].

    abstract:OBJECTIVES:To report trihalomethane (THM) and haloacetic acid (HAA) concentrations in drinking water, assess variations in these concentrations depending on source and over time, and estimate individual intake during pregnancy. METHODS:Water taken from 33 representative points of the water supply network of the 25 mun...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Santa Marina L,Ayerdi M,Lertxundi A,Basterretxea M,Goñi F,Iñaki Alvare J,Arranz L,Blarduni E,María Ibarluzea J

    更新日期:2010-07-01 00:00:00

  • [Cost analysis and potential savings related to the use of preoperative tests in the hospitals of the Canary Islands [Spain]].

    abstract:OBJECTIVE:To estimate the potential cost savings that might take place in the Canary Islands Health Service (CHS) through the appropriate scientific use of preoperative tests, using information obtained from five public university hospitals. METHODS:A questionnaire was completed by 55 anesthesiologists, representing 6...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: López-Bastida J,Serrano-Aguilar P,Duque-González B,Talavera-Déniz A

    更新日期:2003-03-01 00:00:00

  • Understanding Urban Health Inequalities: Methods and Design of the Heart Health Hoods Qualitative Project.

    abstract:OBJECTIVE:Qualitative methods may help to understand features related to health urban inequalities as a way to include citizens' perceptions of their neighbourhoods in relation to their health-related behaviours. The aim of this article is to describe the methods and design of a qualitative urban health study. METHODS...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Rivera Navarro J,Franco Tejero M,Conde Espejo P,Sandín Vázquez M,Gutiérrez Sastre M,Cebrecos A,Sainz Muñoz A,Gittelsohn J

    更新日期:2019-01-01 00:00:00

  • [Barriers to the normalization of telemedicine in a healthcare system model based on purchasing of healthcare services using providers' contracts].

    abstract:OBJECTIVE:Despite the clear political will to promote telemedicine and the large number of initiatives, the incorporation of this modality in clinical practice remains limited. The objective of this study was to identify the barriers perceived by key professionals who actively participate in the design and implementati...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Roig F,Saigí F

    更新日期:2011-09-01 00:00:00

  • [Implementation of telemedicine programs in Spain: experience of the main actors involved in the decision-making process].

    abstract:OBJECTIVE:To identify the main benefits and risks related to the implementation of telemedicine programs in Spain, based on the experience of the actors influencing the decision-making process. PARTICIPANTS AND METHODS:We performed a qualitative study based on audiotaped semi-structured telephone interviews. Eleven in...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Mahtani Chugani V,Martín Fernández RL,Soto Pedre E,Yanes López V,Serrano Aguilar P

    更新日期:2009-05-01 00:00:00

  • [Fall prevention in older people and their families: a qualitative synthesis].

    abstract:OBJECTIVE:To analyse and synthesize the evidence on fall prevention of people older than 65 years and their family care providers METHOD: Qualitative synthesis, which is a part of a convergent systematic integrative review. Forty-one qualitative studies were retained for full text scrutiny. Nine studies on family care ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,评审


    authors: de la Cuesta-Benjumea C,Arredondo-González CP,Lidón-Cerezuela B,Abad-Corpa E

    更新日期:2020-10-22 00:00:00

  • [Assessment of the effectiveness of a proactive and integrated healthcare programme for chronic complex patients].

    abstract:OBJECTIVE:To assess the effectiveness of a proactive and integrated care programme to adjust the use of health resources by chronic complex patients (CCP) identified as potential high consumers according to a predictive model based on prior use and morbidity. METHODS:Randomized controlled clinical trial with three par...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,随机对照试验


    authors: Coderch J,Pérez-Berruezo X,Sánchez-Pérez I,Sánchez E,Ibern P,Pérez M,Carreras M,Inoriza JM

    更新日期:2018-01-01 00:00:00

  • [Economic evaluation and budget impact analysis of the Endeavor drug-eluting stent in Spain].

    abstract:OBJECTIVES:Endeavor is a drug-eluting stent (DES) with superior results to the bare metal stent (BMS) and similar efficacy to other DES in terms of revascularization. The aim of this study was to assess the costs and benefits of Endeavor, other DES, BMS and coronary artery bypass grafts (CABG) in Spain. METHODS:A Mark...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Moreu J,Cequier A,Brosa M,Rodríguez JM,Crespo C,Hernández JM,Vázquez N,Fernández F,Ruiz-Nodar JM,Brasseur P

    更新日期:2009-11-01 00:00:00

  • [Measurement of relative cost weights as an effect of the retrospective application of adjusted clinical groups in primary care].

    abstract:OBJECTIVE:The objective of the study is to obtain the cost's relative average weights of the assistance with the retrospective application of the Adjusted Clinical Groups (ACG's) in four teams of Primary Care with an attended population in the habitual clinical practice situation. METHODS:Descriptive study of retrospe...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,多中心研究


    authors: Sicras-Mainar A,Serrat-Tarrés J

    更新日期:2006-03-01 00:00:00

  • [Factors associated with latent tuberculosis infection in the contacts of tuberculosis patients].

    abstract:BACKGROUND:As tuberculosis control programs have reached acceptable levels in the identification and treatment of persons with active tuberculosis, the next step should be to develop methods of preventing new cases. Persons with latent tuberculosis infection (LTI) are considered to have a higher risk of developing acti...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Alsedà M,Godoy P

    更新日期:2004-03-01 00:00:00

  • [Compulsory vaccination programs in the light of legislation].

    abstract::The adequate development of immunization programs deals with the problem of obtaining a good vaccination coverage, an essential aspect for the control and eradication of the disease in the population. One way of facing this deals with the implementation of coercion measures. The present paper analyzes Spanish legislat...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: de la Mata Barranco I,de la Mata Barranco NJ

    更新日期:1990-09-01 00:00:00

  • Incentives and intrinsic motivation in healthcare.

    abstract:OBJECTIVE:It has been established in the literature that workers within public organisations are intrinsically motivated. This paper is an empirical study of the healthcare sector using methods of qualitative analysis research, which aims to answer the following hypotheses: 1) doctors are intrinsically motivated; 2) ec...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Berdud M,Cabasés JM,Nieto J

    更新日期:2016-01-01 00:00:00

  • [Healthcare promotion in primary care: if Hippocrates were alive today…].

    abstract::This article argues for the need to implement community healthcare promotion initiatives in medical practice. Some of the community initiatives introduced in primary care, as well as scientific evidence and associated implementation factors are described. The need for effective coordination between primary care and pu...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Cabeza E,March S,Cabezas C,Segura A

    更新日期:2016-11-01 00:00:00

  • [Representation of women in health-related scientific societies in Spain in 2014].

    abstract:OBJECTIVE:To describe the presence of women in the governance of health-related scientific societies in Spain today. METHODS:Spanish scientific societies were identified by vising the websites of the Ministry of Health, Social Services and Equality, and Fisterra. The sex of the president, executive officers and the bo...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Casado-Mejía R,Botello-Hermosa A

    更新日期:2015-05-01 00:00:00

  • [Burnout syndrome: prevalence and associated factors among workers in a district hospital].

    abstract:AIM:Burnout syndrome refers to a kind of occupational stress that can have psychosomatic, behavioral, emotional, familial, and social repercussions; it can also cause absenteeism and loss of efficacy at work. The aim of this study was to determine the prevalence of burnout among staff in a district hospital, as well as...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Pera G,Serra-Prat M

    更新日期:2002-11-01 00:00:00

  • [Evaluation of the quality of attention given to the chronically handicapped patient at a health center].

    abstract::This study was carried out with the aim of evaluating the handicapped care quality in a Primary Health Care Centre. This was a two phase evaluation (both of a year): first evaluation with 4 quality indicators and 142 patients; and the reevaluation with 10 quality indicators and 203 patients. We used explicits and norm...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Espinosa Almendro JM,Burgos Varo ML,López Vargas C,Muñoz Cobos F,Salazar Agulló JA

    更新日期:1993-11-01 00:00:00

  • [Universalization, parity and evolution of the demand of epidural analgesia in labor in Andalusia (Spain)].

    abstract:OBJECTIVE:Assess whether the universalization of epidural analgesia supplied in hospitals of the Andalusia Public Health Service (SSPA) has ended up with the inequalities shown in previous studies regarding to their demand: the percentage of women who rejected epidural analgesia was higher among the users having low ed...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: García-de-Diego JM,Serrano-Del-Rosal R

    更新日期:2019-01-01 00:00:00

  • [Validation of the Job Content Questionnaire in hospital nursing staff].

    abstract:OBJECTIVE:The aim of this study was to determine the reliability and construct validity of the three dimensions of the Job Content Questionnaire (JCQ): demand, control and job support among hospital nursing staff. METHODS:The minimun reduced version of the JCQ was used, which include three dimensions: psychological de...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Escribà-Agüir V,Más Pons R,Flores Reus E

    更新日期:2001-03-01 00:00:00

  • [Quality of hospital discharge reports in terms of current legislation and expert recommendations].

    abstract:OBJECTIVE:To determine the quality of hospital discharge reports (HDRs) taking into account current legislation and the conclusions of the consensus on hospital discharge reports in medical specialities in 11 community hospitals in Andalusia (Spain). MATERIAL AND METHODS:A cross-sectional study of 1,708 HDRs was carri...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Zambrana-García JL,Rivas-Ruiz F,en nombre del Grupo para el Análisis de la Calidad del Informe de Alta Hospitalaria en los Hospitales de Alta Resolución de Andalucía.

    更新日期:2013-09-01 00:00:00

  • [What would a person in a medical uniform know about communities? Dialogue on community health and its many varied forms. SESPAS Report 2018].

    abstract::Terms such as community or community health are used more and more frequently and in multiple contexts. As healthcare workers, we acknowledge the need to reflect upon these concepts in order to shed light on the different meanings we bestow on community health. This dialogue approaches the notion of the community exam...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Aragón Martín B,Ruiz Peralta E,García Blanco D,Caravantes Vidriales R

    更新日期:2018-10-01 00:00:00

  • [Risk behaviors for HIV transmission among the recent clients of a syringe-exchange program in Madrid, 1993].

    abstract:OBJECTIVE:To determine the prevalence of the major risk behavior in HIV transmission (syringe sharing and failure to use condoms) and associated factors among drug injectors recruited for a syringe exchange program (PIJ) in the city of Madrid. METHODS:Cross-section study. All the information was obtained in 1993 throu...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Bravo Portela MJ,Barrio Anta G,de la Fuente de Hoz L,Colomo Gómez C,Royuela Morales L,Estébanez Estébanez P

    更新日期:1996-11-01 00:00:00

  • [Contraception in the Roma population living in two low-income neighborhoods of Barcelona (Spain)].

    abstract:OBJECTIVE:To describe the knowledge and use of contraceptive methods and health services in the Roma population (Kale/Spanish Gitanos) of two low-income neighbourhoods of Barcelona (2011-2015). METHOD:Mixed. Community setting. 1) Descriptive cross-sectional study. We interviewed with a questionnaire a sample of reside...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Asensio A,Nebot L,Estruga L,Perez G,Diez È

    更新日期:2019-01-01 00:00:00

  • [Malnutrition and cognitive development if infants in rural marginalized areas in Mexico].

    abstract:OBJECTIVE:To analyze the relationship between nutritional status measured by anthropometry and the mental, psychomotor and language development of infants in marginalized rural areas of Mexico. METHOD:Cross-sectional study with 576 infants aged from 7 to 26 months in four rural locations. Variables consisted of measur...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Carrasco Quintero Mdel R,Ortiz Hernández L,Roldán Amaro JA,Chávez Villasana A

    更新日期:2016-07-01 00:00:00

  • [Cost-effectiveness analysis of self-monitoring of blood glucose in type 2 diabetics].

    abstract:OBJECTIVE:Compare the cost-effectiveness of self-monitoring of blood glucose (MBG) with your non-use. DESIGN:Descriptive and retrospective study covering the period 1995-97 in the 597 type-2 diabetes patients: 286 practicing MBG on a stable basis and 311 not doing so. All are registered in seven health districts in th...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Clua Espuny JL,Puig Junoy J,Queralt Tomás ML,Palau Galindo A

    更新日期:2000-11-01 00:00:00