Abstract:
OBJECTIVE:The measurement of inequalities using composite indicators facilitates the prioritization and implementation of public health actions. The most commonly source of information used for this has been the Population and Housing Census of 2011 (PCH_2011).The objective of this study was to evaluate the use of PHC_2011 and develop a deprivation index (DI) by Basic Healthcare Area (BHA) and to analyse its association with mortality in Aragon. METHODS:Ecological study by BHA. Since PHC_2011 was a sample of the population it was validated by the Chi-square test for homogeneity. 26 socioeconomic indicators were calculated. Spearman correlation coefficients were used to evaluate the relationship between socioeconomic indicators and Standardized Mortality Ratios (SMR). Principal Component Analyses (PCA) were conducted using the indicators in which a significant correlation was found. Components with eigenvalues higher than 1 were extracted, and the rotated matrix (Varimax) was obtained. PCA from each component were conducted, extracting only one factor. BHA were grouped into, according to the deprivation index values. Mortality rates adjusted to the European Standard Population by age, sex and quartile were calculated. The most discriminant factor by quartiles was considered DI. A different DI for urban areas was obtained from the same variables. RESULTS:The validation of PHC sample detected 4 underrepresented BHA. 17 socioeconomic indicators were significatively correlated with SMR. From the first PCA, 3 components were obtained. The DI included %unemployment, %eventual workers, % insufficient education 16-64 years old and %foreigners. The % of variance explained by the DI was 59.7% and 73.8% in urban areas. In men, mortality in the quartile with the lowest deprivation (544,7 per 105; CI95%: 515,8-573,6) was significatively lower than in the most deprivated areas(618,7 per 105;CI95%:589,4-648,0). CONCLUSIONS:This new DI allows us to identify deprived BHA. This is a useful tool to bring to light health inequalities and to plan interventions according to population´s needs. OBJETIVO:La medición de las desigualdades mediante indicadores compuestos facilita la priorización y puesta en marcha de acciones de salud pública. La fuente de información más comúnmente utilizada para ello ha sido el Censo de Población y viviendas de 2011 (CPV_2011). El objetivo fue validar la utilización del CPV_2011 por Zona de Salud (ZBS) y construir un índice de privación (IP) por ZBS así como analizar su asociación con la mortalidad en Aragón. METODOS:Estudio ecológico por ZBS. El CPV_2011, con diseño muestral, se validó mediante un test de homogeneidad de Chi_cuadrado y se calcularon 26 indicadores socioeconómicos. Se obtuvo el coeficiente de correlación de Spearman entre indicadores socioeconómicos y Razones de Mortalidad Estandarizadas (REM). Se realizó un análisis de componentes principales (ACP) con los indicadores correlacionados significativamente, extrayendo los componentes con autovalores mayores a 1 y se obtuvo la matriz rotada (Varimax). Se realizaron ACP con las variables de cada componente extrayendo un único factor. Se agruparon las ZBS en cuartiles, según el factor calculando tasas de mortalidad ajustadas a población estándar europea por edad, sexo y cuartil. El factor que más discrimina por cuartiles se consideró IP y se recalculó para ZBS urbanas con idénticas variables. RESULTADOS:La validación de la muestra del CPV_2011, detectó cuatro ZBS infrarrepresentadas. 17 indicadores socioeconómicos se correlacionaron con REM. Del primer ACP se extrajeron 3 componentes, eligiendo como IP, el formado por %Desempleo, %Asalariados eventuales, %Instrucción Insuficiente 16-64 años y %Extranjeros. Las varianzas explicadas fueron 59,7% y 73,8% en el IP urbano. En hombres, la mortalidad en el cuartil menos privado (544,7 por 105; IC95%:515,8-573,6), fue inferior a la del más privado (618,7 por 105; IC95%:589,4,648,0). CONCLUSIONES:El IP permite identificar ZBS desfavorecidas constituyendo una herramienta para evidenciar desigualdades y planificar intervenciones según necesidades.
journal_name
Rev Esp Salud Publicajournal_title
Revista espanola de salud publicaauthors
Compés Dea ML,Olivan Bellido E,Feja Solana C,Aguilar Palacio I,García-Carpintero Romero Del Hombrebueno G,Adiego Sancho Bsubject
Has Abstractpub_date
2018-12-10 00:00:00eissn
1135-5727issn
2173-9110journal_volume
92pub_type
杂志文章abstract:BACKGROUND:The Hospital Morbidity Survey (EMH) includes, at the moment, 85% of hospitals and 90% of discharges, and is the only national data source that allows to deepen with information about diagnostics, gender or age, in the study of hospitals as place of death. This work aims to analyze the presence of inhospital ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272008000600010
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVE:The partner notification is one of the main activities of epidemiological surveillance in Public Health. The primary objective was to estimate the compliance of the partner notification by health professionals who reported sexually transmitted diseases (HIV, Gonorrhoea, Syphilis and Chlamydia) during 2017 in ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2019-12-02 00:00:00
abstract:BACKGROUND:In order to move to a system in which formal medical-social care is a priority, in which the institutions play a greater role, it is advisable to analyze the different actual situations of those individuals who are dependent. The objective of this study consists of classifying the dependent Spanish populatio...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272006000400005
更新日期:2006-07-01 00:00:00
abstract::The eradication of polio in Spain is one of the most important health milestones of the twentieth century, not only for public health but also for the effect it had on scientific knowledge in our country, in the medical field. Knowledge of international literature by our epidemiologists and virologists, was important,...
journal_title:Revista espanola de salud publica
pub_type: 历史文章,杂志文章
doi:10.4321/S1135-57272013000500002
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:To ascertain the degree to which AIDS is officially reported in Catalunya. METHOD:The request for T CD4+ white blood cell counts and the prescribing of antiretroviral drugs in seven university hospitals in Catalunya from January 1, 1994 to June 31, 1994 were used as data-comparison sources. A case was consi...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1998-11-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to establish the prevalence of Chronic obstructive pulmonary disease [COPD] in a rural health area and its stratification according different risk factors. METHODS:A cross-sectional, observational study was performed in Yunquera de Henares (Guadalajara, Spain) in the year 2014. A qu...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2016-02-05 00:00:00
abstract:BACKGROUND:The high number of computer workers wearing contact lenses raises the question whether the sum of these two risk factors for eye health may cause a worsening of Computer Vision Syndrome. The aim of this review is to synthesize the knowledge about ocular and visual alterations related with computer use in con...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.4321/S1135-57272014000200004
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVE:The Basque Government (Spain) approved a population based Colorectal Cancer Screening Programme in 2008 with its base on Primary Healthcare. Since then, a coverage of 100% of the population and an average participation rate of 68.4% have been achieved. General Practitioners and nurses play a central role on i...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2021-01-26 00:00:00
abstract:OBJECTIVE:Despite knowing that the practice of physical activity can positively influence the health of older people, there are variables such as the risk of dependency and the level of self-esteem that can mediate people´s quality of life. The objective of this study was to know the relationship between the risk of de...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-08-27 00:00:00
abstract:BACKGROUND:In 1998, arsenic concentrations of more than 50 micrograms/l were detected in some drinking water supplies from underground sources in the Autonomous Community of Madrid, which is the maximum permissible concentration for drinking water in Spain. These two facts have meant the getting under way of a specific...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2001-09-01 00:00:00
abstract:BACKGROUND:The aim of this study was to evaluate the screening strategy (quantitative immunological test vs biochemical test) in a population-based screening program for colorectal cancer (CRC) in Catalonia. METHODS:The fourth round of a screening program for CRC with a fecal occult blood test was implemented in Hospi...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/S1135-57272011120000008
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:Anxiety, dissociative and somatoform disorders (WHO-e 300) are the second cause of Temporary Disability (TD) in Spain. This is the main reason that justifies the analysis of the variability among primary health care centers (PHC) of the Valencian Community in the prescription processes of Temporary Disabilit...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/S1135-57272012000100006
更新日期:2012-01-01 00:00:00
abstract::This article analyzes all of the food safety-related aspects related to the use of genetically modified organisms into agriculture and food. A discussion is provided as to the uncertainties related to the insertion of foreign genes into organisms, providing examples of unforeseen, undesirable effects and of instabilit...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.1590/s1135-57272005000200013
更新日期:2005-03-01 00:00:00
abstract:OBJECTIVE:One in four pregnant women has at least one fall during their pregnancy. The objective of this research was to develop a written educational material on fall prevention for pregnant women, promoting self-efficacy and the expectations of results based on the social cognitive theory. It was also intended to eva...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-01-21 00:00:00
abstract:BACKGROUND:the C-section rate has been criticized as a performance indicator for not considering that different hospitals manage deliveries with diverse risks. In this work we explore the characteristics of a new indicator restricted to low C-section risk deliveries. METHODS:retrospective cohort of all births (n=214,6...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.4321/S1135-57272014000300002
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:This a prospective study of the incidence, etiology and epidemiological profile of human brucellosis in the regions of Pallars Jussà y Sobirà (Lleida) for the 1995-1998 period. METHODS:Fifty-five patients diagnosed as having brucellosis were studied. Information was recorded regarding the gender, age, town ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract:BACKGROUND:Human immuno-deficiency virus (HIV) infection is one of the leading public health problems in our country. Preventive education has shown itself to be a useful tool for curtailing this disease. The objective of this study is that of assessing the effectiveness of a preventive intervention at the Secondary Sc...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:Childhood obesity is a global problem, sociodemographic and cultural factors influence its presence. An analysis of disparities in the prevalence of childhood obesity in Peru was made by sex and region in 2015. METHODS:Analysis of the information reported by the Sistema de Información del Estado Nutricional ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2016-09-13 00:00:00
abstract:BACKGROUND:Dance is essentially an artistic discipline, with the dancer being exposed, as in any other occupation, to occupational risk factors. This document aims at identifying the characteristics about Professional Dance and its impact on the dancer's health. METHODS:Bibliographical review of all the material index...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.1590/s1135-57272009000400004
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Mental health of caregivers is damaged by caregiving tasks. Studies are needed to determine the influence of several variables on the association between informal care and mental health. The aim of this paper is to analyse the effects of the time devoted to informal caregiving on the mental health of women a...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/S1135-57272011000300004
更新日期:2011-06-01 00:00:00
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journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2018-06-01 00:00:00
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journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272005000600008
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVE:Immune-mediated inflammatory diseases (IMID) are chronic and highly disabling diseases that share inflammatory sequences and immunological dysregulations. Considered as a disease in itself, the prevalence of IMID is virtually unknown. The aim of this study was to assess the prevalence of 10 selected UDI, incl...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2019-03-25 00:00:00
abstract:OBJECTIVE:To evaluate preventive interventions on alcohol consumption has been long recommended in Spain. The impact evaluation of structured programs and specific actions for the prevention and treatment of alcohol consumption (PAPTCA) would allow making better informed decisions on public health financing based on th...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-06-18 00:00:00
abstract::In 1993 the Ministry of Health of the Spanish Government appointed a Scientific Commission to analyze social inequalities in health in Spain, as well as to make recommendations for improving Spanish health, through the practical implementation of public policies to reduce existing inequalities. The present report is t...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract:BACKGROUND:A high proportion of those seeking help to quit smoking have psychiatric disorders. The aim of this work is to analyze the effectiveness of those group smoking cessation programs who are usually employed in Primary Care and to compare their results to those obtained with non psychiatric patients. METHODS:A ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.4321/S1135-57272013000600007
更新日期:2013-11-01 00:00:00
abstract::The evolution of epidemiology from a risk factor centred approach to a population epidemiology, focused in etiologic theories and more connected with the social and environmental context could support but not guarantee the implementation of public policies oriented to improve population health. In this article, we com...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272006000500005
更新日期:2006-09-01 00:00:00
abstract:OBJECTIVE:Stressful situations may have a negative effect on population's mental health, including impaired sleep quality. Thus, we analysed the effect on sleep during the confinement due to the COVID-19 outbreak, in a Galicia population sample, measuring subjective sleep satisfaction, and insomnia intensity and incide...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2021-01-11 00:00:00
abstract:BACKGROUND:The study consisted of two phases. The first phase involved analysis of the variability in the rates of changing doctor recorded in the Areas of Insalud in the first two years after Royal Decree 1575/93 came into effect, pinpointing some of the factors that might explain this variability. The second phase de...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1996-05-01 00:00:00
abstract::The results of the meningococcal vaccination campaign carried out in Cantabria in February-March 1997 are presented. In the short term, the campaign reduced the rate of incidence in the risk group from 21.33/100,000 in the previous 12 months, to zero in the 12 months following the campaign. In the medium term (2 and a...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00