[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














  • [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

  • [Intermediate hospital care for subacute elderly patients as an alternative to prolonged acute hospitalization].

    abstract:OBJECTIVE:We evaluated the rapid discharge of older patients with reactivated chronic diseases from an acute general hospital to an intermediate care hospital. METHODS:A cohort study was carried out. Compliance with predefined quality standards and patient selection were evaluated. RESULTS:Sixty-eight patients (mean ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Inzitari M,Espinosa Serralta L,Pérez Bocanegra MC,Roquè Fíguls M,Argimón Pallàs JM,Farré Calpe J

    更新日期:2012-03-01 00:00:00

  • The parliamentary political agenda: a tool for policy analysis of diabetes priorities in Spain.

    abstract:OBJECTIVE:To analyze the political agenda on diabetes in Spain under democracy by considering the frequency and content of initiatives in the Spanish parliament. METHODS:A systematic search of parliamentary interventions (1979-2010) reported on the Spanish Congress of Deputies' web page was carried out using the key w...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Agudelo-Suárez AA,Ruiz-Cantero MT,González-Zapata LI,Restrepo-Medrano JC,Ortiz-Barreda GM

    更新日期:2012-11-01 00:00:00

  • [Inequality in access to health care services. Policy recommendations aimed at achieving equity].

    abstract::This article reveals the presence of inequalities in access to health care that may be considered unfair and avoidable. These inequalities are related to coverage of clinical needs, to the financial problems faced by families in completing medical treatments, or to disparities in waiting times and the use of services ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Urbanos-Garrido R

    更新日期:2016-11-01 00:00:00

  • [Health record linkage: Andalusian health population database].

    abstract:OBJECTIVE:To describe the development of an information system that connects data from multiple health records to improve assistance to patients, health services administration, management, evaluation, and inspection, as well as public health and research. METHOD:Deterministic connection of pseudonymized data from a p...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Muñoyerro-Muñiz D,Goicoechea-Salazar JA,García-León FJ,Laguna-Téllez A,Larrocha-Mata D,Cardero-Rivas M

    更新日期:2020-01-01 00:00:00

  • Systematic review of the prevalence of gastric intestinal metaplasia and its area-level association with smoking.

    abstract:OBJECTIVES:We aimed to show an area-level association between the frequency of intestinal metaplasia (IM) in Helicobacter pylori-infected patients and tobacco consumption. METHODS:We systematically reviewed the literature to retrieve data on the prevalence of IM in different countries and performed an ecological analy...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,评审


    authors: Peleteiro B,Bastos J,Barros H,Lunet N

    更新日期:2008-05-01 00:00:00

  • [Management of surgical waiting lists by health centers and health professionals].

    abstract::Waiting lists for non-urgent medical care, in diagnostic or therapeutic procedures, occur mainly in public health systems such as those found in Spain and many other European countries. If waiting lists are moderate they can be useful in the process of managing these patients and are accepted by health professionals a...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Martí J

    更新日期:2002-09-01 00:00:00

  • [Health-related quality of life in women working in the fishing industry measured through the Short-Form 36 questionnaire].

    abstract:OBJECTIVE:To determine health-related quality of life (HRQoL) measured with the 36-item Short-Form (SF-36) questionnaire in women workers in the fishing industry, compared with norm-based values in the reference population and other similar samples of persons with musculoskeletal disorders. METHOD:A cross-sectional st...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Rodríguez-Romero B,Pita-Fernández S,Pertega Díaz S,Chouza-Insua M

    更新日期:2013-09-01 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

  • [Gender and health in the daily press].

    abstract::To have a better understanding on the role of the press in the communication of gender and health issues, the content of the five most spread newspapers in Spain was studied (El País, ABC, El Mundo, La Vanguardia and El Periódico de Catalunya) for five years (1997-2001) and the electronic version of The New York Times...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Revuelta G,Alonso I,Tomás S,Guerrero M,Rohlfs I

    更新日期:2004-05-01 00:00:00

  • Employee reactions to the use of management control systems in hospitals: motivation vs. threat.

    abstract:OBJECTIVE:Management control systems (such as budgets or balanced scorecards) are formal procedures used by managers to promote employee behavior aligned with organisational objectives. Employees may react to these control systems by either becoming more motivated or perceiving them as a threat. The aim of this paper i...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Lopez-Valeiras E,Gomez-Conde J,Lunkes RJ

    更新日期:2018-01-01 00:00:00

  • [Health technology assessment in public health interventions: is prevention better than cure?].

    abstract::Medical activities are increasingly performed with preventive purposes, as part of community programs for secondary prevention but also as part of many clinical activities. However, there are few evaluations of preventive and health promotion activities and, in general, these evaluations only assess aspects of efficac...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Espallargues M,Pons JM,Almazán C,de Solà-Morales O

    更新日期:2011-06-01 00:00:00

  • [Advertising of drugs: risk or benefits?].

    abstract::It is obvious how important is the role of the physicians on drugs consumption. On account of their intermediary in the procurement and consumption of medicines, the prescriber is the main focus of manufacturers' promotional activities aiming at increasing sales and profits although these activities often are disguise...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Barros JA

    更新日期:1996-03-01 00:00:00

  • Women's socioeconomic factors associated to the choice of contraceptive method in Spain.

    abstract:OBJECTIVE:To describe the influence of socioeconomic characteristics on the choice of the contraceptive method used among women in Spain in 2006. METHODS:This is a cross-sectional study of women aged 15-49 who reported the contraceptive method used during the first sexual intercourse (n = 3352) and during the 4 weeks ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Ruiz-Muñoz D,Pérez G

    更新日期:2013-01-01 00:00:00

  • [Comprehensive care program for sexual violence victims in Escuintla, Guatemala].

    abstract::We implemented a comprehensive care program for sexual violence victims in six municipalities of Escuintla. Sexual violence victims received both medical and psychological care. Clinical and epidemiological information relevant to the sexual violence event was collected. Samples were taken for sexually transmitted inf...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Agustí C,Sabidó M,Guzmán K,Pedroza MI,Casabona J

    更新日期:2012-07-01 00:00:00

  • [The advertising message of drugs advertisements in Spanish medical journals].

    abstract:OBJECTIVE:To describe the characteristics of advertising in Spanish medical journals and to analyze the advertising message in drug advertisements. METHODS:Six issues of 4 Spanish medical journals published in 2001 were reviewed to identify the number of advertisements and their characteristics. The journals selected ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Riera EJ,de la Fuente DO,Rodrígueza RM

    更新日期:2007-09-01 00:00:00

  • The local burden of emotional disorders. An analysis based on a large health survey in Catalonia (Spain).

    abstract:OBJECTIVE:Mental health conditions are associated with a significant burden on individuals. Using data from a large population health survey, the present study aimed to quantify the burden of emotional disorders (depression and anxiety) on health-related quality of life (HRQoL) in the region of Catalonia (Spain) for ev...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Sabes-Figuera R,Knapp M,Bendeck M,Mompart-Penina A,Salvador-Carulla L

    更新日期:2012-01-01 00:00:00

  • [Estimation of the variances of the variables in the Barcelona health survey].

    abstract::Variance estimation of surveys with complex sampling designs (stratified or multistage design) is biased if design effects are not taken into account. In this article we estimate the variance of some of the variables included in the 1986 health interview survey of Barcelona (survey of 2,205 households--clusters--that ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Murillo Fort C,Guillén Estany M

    更新日期:1989-05-01 00:00:00

  • [Gender-based violence against immigrant and Spanish women: scale of the problem, responses and current policies].

    abstract:OBJECTIVE:To compare the prevalence of gender-based violence among immigrant and Spanish women. To describe their responses to this problem and the possible differences. To identify specific interventions to deal with gender-based violence in immigrant women in Spain. METHODS:We performed a cross-sectional survey thro...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Vives-Cases C,Gil-González D,Plazaola-Castaño J,Montero-Piñar MI,Ruiz-Pérez I,Escribà-Agüir V,Ortiz-Barreda G,Torrubiano-Domínguez J,G6 para el Estudio de la Violencia de Género en España.

    更新日期:2009-12-01 00:00:00

  • [Health services supply and the economic crisis: either we fund goods and services according to their value or we become bankrupt. SESPAS report 2014].

    abstract::Health policy has reacted to the financial crisis by overemphasising measures targeted at reducing unit costs, increasing barriers to access (waiting lists) or closing premises. It is too soon for scientific assessment of the impact of this reshaping of supply on equity, quality and safety, and on individual and popul...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Bernal-Delgado E,Campillo-Artero C,García-Armesto S

    更新日期:2014-06-01 00:00:00

  • Evaluation of new medicines in Spain and comparison with other European countries.

    abstract:OBJECTIVE:To compare the use of health technology assessment (HTA) as a tool to support pricing and reimbursement (P&R) of new medicines in Spain with England, Sweden, France and Germany. METHOD:For each country, the literature is used to identify the purpose and timing of the P&R decision, the HTA and decision-making...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Epstein D,Espín J

    更新日期:2020-01-01 00:00:00

  • [Distribution of the duration of nonoccupational sick leave by medical diagnosis (Catalonia, Spain, 2006-2008)].

    abstract::We present a simple and practical tool that allows the usual distribution of the duration of non-occupational sick leave to be determined by medical diagnosis. A total of 2,646,352 episodes of medically certified sick leave, registered by the Catalan Institute of Medical Evaluations for the period 2006-2008, were foll...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Delclós J,Gimeno D,Torá I,Martínez JM,Manzanera R,Jardí J,Alberti C,G Benavides F

    更新日期:2013-01-01 00:00:00

  • [Socioeconomic inequalities in the provision and uptake of prenatal care].

    abstract:OBJECTIVE:To describe socioeconomic inequalities in the provision and uptake of prenatal care among women in Barcelona (Spain) between 1994 and 2003. METHODS:Cross-sectional study of women in Barcelona who delivered a child without birth defects. Information was obtained from hospital medical records and a personal in...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Cano-Serral G,Rodríguez-Sanz M,Borrell C,Pérez Mdel M,Salvador J

    更新日期:2006-01-01 00:00:00

  • [Influence of nosocomial infection on mortality in an intensive care unit].

    abstract:OBJECTIVE:To evaluate the association between nosocomial infections (NI) and the mortality of Intensive Care Unit (ICU) patients, adjusting for the effect on mortality of other predictive variables. METHODS:Prospective study on 944 concurrent patients admitted for at least 24 hours in the ICU of a tertiary level hospi...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Díaz Molina C,Martínez de la Concha D,Salcedo Leal I,Masa Calles J,De Irala Estévez J,Fernández-Crehuet Navajas R

    更新日期:1998-01-01 00:00:00

  • Second primary gastric cancers in a region with an overall high risk of gastric cancer.

    abstract:OBJECTIVE:To compare the incidence rates of gastric cancer among cancer survivors with those in the general population, and estimate the probability of a gastric second primary cancer being diagnosed 10 years after any other first primary cancer. METHOD:A cohort of first primary cancers (other than gastric) diagnosed ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Morais S,Antunes L,Bento MJ,Lunet N

    更新日期:2020-01-01 00:00:00

  • [Health promotion and prevention in the economic crisis: the role of the health sector. SESPAS report 2014].

    abstract::This article reviews trends in lifestyle factors and identifies priorities in the fields of prevention and health promotion in the current economic recession. Several information sources were used, including a survey of 30 public health and primary care experts. Between 2006 and 2012, no significant changes in lifesty...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Márquez-Calderón S,Villegas-Portero R,Gosalbes Soler V,Martínez-Pecino F

    更新日期:2014-06-01 00:00:00

  • [Training in community health: challenges, threats and opportunities. SESPAS Report 2018].

    abstract::Incorporating community health teaching in the undergraduate nursing and medicine curriculum and postgraduate training programmes contributes to enhance the quality, rigour and sustainability of health-promoting community interventions. In this article, we discuss the failure of Spanish Medical Universities to include...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Valls Pérez B,Calderón Larrañaga S,March Cerdà JC,Oltra Rodríguez E

    更新日期:2018-10-01 00:00:00

  • [Predicting individual risk of high healthcare cost to identify complex chronic patients].

    abstract:OBJECTIVE:To develop a predictive model for the risk of high consumption of healthcare resources, and assess the ability of the model to identify complex chronic patients. METHODS:A cross-sectional study was performed within a healthcare management organization by using individual data from 2 consecutive years (88,795...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


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

    更新日期:2014-07-01 00:00:00

  • [Trends in socioeconomic inequalities in mortality over a twenty-two-year period in the city of Barcelona (Spain)].

    abstract:OBJECTIVE:To analyze the trend in socioeconomic inequalities in all-cause mortality in Barcelona from 1983 to 2004. METHODS:We performed an ecological study of trends over 4 cross-sections (1983-1988, 1989-1994, 1995-1999 and 2000-2004), with the basic health area (BHA) as the unit of analysis. The study population co...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Dalmau-Bueno A,García-Altés A,Marí-Dell'Olmo M,Pérez K,Kunst AE,Borrell C

    更新日期:2010-01-01 00:00:00

  • [Dependency levels and health care services' utilization in psychiatric hospitals in Aragon (Spain)].

    abstract:OBJECTIVES:To determine the characteristics of patients living in psychiatric hospitals in Aragon, to assess their dependency levels, and to analyze health care services' utilization by these patients. METHODS:We performed a cross-sectional study between July 1 and November 31. The questionnaire used was the Resident ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: de Miguel M,Torrijos M,Abad JM,Lou ML

    更新日期:2004-05-01 00:00:00