Abstract:
OBJECTIVE:The European Commission recommends ensuring equity in cancer screening. The aim of this study was to find out if there were inequalities in access to cancer screening programmes in Spain. METHODS:A transversal study was carried out by means of a survey addressed to the people responsible for breast, colorectal (CRC) and cervical cancer screening programmes in the 19 Autonomous Communities (AC) of Spain in 2013 and 2020. Information was collected on organizational characteristics, inequalities in access and interventions to reduce them. A descriptive analysis was made by AC and time period, by calculating frequencies and percentages, depending on the type of programme (breast, CRC and cervix). RESULTS:In 2013, 14 ACs participated for the breast programme, 8 for the CRC and 7 for the cervical programme; and in 2020, 14, 13 and 11 ACs respectively. All breast programmes were population-based in both periods (14/14 in 2013 and 14/14 in 2020), as well as CRC ones (8/8 in 2013 and 13/13 in 2020), with an increase in cervical cancer programmes (0/7 en 2013 y 6/11 en 2020). In both periods, social groups not included in the target population and groups that were less involved were identified, with differences according to the type of programme. A total of 53 interventions were carried out to reduce inequalities in access (27 in breast, 22 in RCC and 4 in cervical), 66% of them aimed at specific social groups (35/53). CONCLUSIONS:Inequalities in access to cancer screening programmes in Spain are identified, as well as interventions to reduce them. OBJETIVO:La Comisión Europea recomienda asegurar la equidad en el cribado del cáncer. El objetivo de este estudio fue conocer si existían desigualdades en el acceso a los programas de cribado del cáncer en España. METODOS:Se realizó un estudio transversal mediante encuesta dirigida a las personas responsables de los programas de cribado del cáncer de mama, colorrectal (CCR) y cérvix de las diecinueve Comunidades Autónomas (CCAA) del Estado Español en 2013 y 2020. Se recogió información sobre características organizativas, desigualdades de acceso e intervenciones para reducirlas. Se hizo un análisis descriptivo por CCAA y periodo temporal, mediante el cálculo de frecuencias y porcentajes, en función del tipo de programa (mama, CCR y cérvix). RESULTADOS:En 2013 participaron catorce CCAA para el programa de mama, ocho para el de CCR y siete para el de cérvix, y en 2020, catorce, trece y once CCAA, respectivamente. Todos los programas de mama eran poblacionales en ambos periodos (14/14 en 2013 y 14/14 en 2020), así como los de CCR (8/8 en 2013 y 13/13 en 2020), con un aumento en el caso de los programas de cribado del cáncer de cérvix (0/7 en 2013 y 6/11 en 2020). Se identificaron en ambos periodos grupos sociales no incluidos en la población diana y grupos que, estando incluidos, participaban menos, con diferencias según el tipo de programa. Se realizaron un total de cincuenta y tres intervenciones para reducir desigualdades en el acceso (veintisiete en mama, veintidós en CCR y cuatro en cérvix), el 66% de ellas dirigidas a grupos sociales específicos (35/53). CONCLUSIONES:Se identifican desigualdades de acceso a los programas de cribado del cáncer en España, así como intervenciones para reducirlas.
journal_name
Rev Esp Salud Publicajournal_title
Revista espanola de salud publicaauthors
Molina-Barceló A,Moreno Salas J,Peiró-Pérez R,Arroyo G,Ibáñez Cabanell J,Vanaclocha Espí M,Binefa G,García M,Salas Trejo Dsubject
Has Abstractpub_date
2021-01-26 00:00:00eissn
1135-5727issn
2173-9110journal_volume
95pub_type
杂志文章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::The aim of this study is to Mortality show the protocol of analysis which was set out as part of the EMECAM Project, illustrating the application thereof to the effect of pollution has on the mortality in the city of Valencia. The response variables considered will be the daily deaths rate resulting from all causes, e...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,多中心研究
doi:
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVE:In Spain, the resources of the System for Autonomy and Attention to Dependency (SAAD) for the elderly are directed to intervene on dependency situations. They focus attention exclusively on physical and cognitive effects while the evidence and the main national and international entities indicate the need to ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-07-02 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: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 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_...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2018-12-10 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:BACKGROUND:To identify epidemiological aspects of the osteoporotic hip fractures (OHF) in the province of Zamora in 1993, and the basic and standardised accumulative incidence rates amongst the Spanish population. METHODS:215 OHF cases were studied in the province throughout 1993, 203 were admitted to hospital, 188 of...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1997-07-01 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 aim of this study was to analyze the impact on tobacco consumption among working population of the Law 42/2010, which amends smoking regulations in Spain. METHODS:Data were obtained from 413,473 Occupational Health check-ups, conducted between July of 2009 and June of 2011, in the Society for Prevention...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/S1135-57272012000200006
更新日期:2012-03-01 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:It is described an acute gastroenteritis outbreak of probable hydric transmission in Ontinyent (Valencia). It was declared on the 31st of January, 1992 and affected 3541 people according to the declaration done by the sanitary services who attended the patients. The clinical situation was characterized by th...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1995-03-01 00:00:00
abstract:BACKGROUND:There are recommendations to prevent falls. Our goal is to determine, in older people, the knowledge and adherence to these recommendations, and to analyze the demographic characteristics and associated morbidity. METHODS:Observational study of prevalence and crossed association. The target population are o...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2010-07-01 00:00:00
abstract:BACKGROUND:Most patient classification systems have been designed in the United States for the purpose of availing of a tool providing a means of gauging the use of resources. This study was aimed at calculating the mean relative weights (MRW's) for the cost of care at several primary care health facilities as compared...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272006000100006
更新日期:2006-01-01 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:BACKGROUND:Knowing Influenza absenteeism in the educational environment. Making health education in the same medium. METHODS:Among other actions carried out in the pandemic plan, the absences were monitored by flu-like symptoms in children from kindergarten, primary and secondary public schools and reached epidemiolog...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272010000500019
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Little is known today about the characteristics of individuals diagnosed with fibromyalgia, their degree of disability and the health system response system response to this condition. The objectives of this work include: to establish the sociodemographic, clinical and psychosocial profile of male and female...
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:BACKGROUND:Nutritional evaluation during pre-menopause and menopause plays an important role in assessing the changes taking place in a woman's body, a comparison being drawn in this study between the parameters body fat and body fat-muscle ratio (BFMR) estimated by impedancemetry and the body mass index (BMI) for defi...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2002-11-01 00:00:00
abstract:BACKGROUND:The prevalence of disability shows a high geographical variability and the identification of factors that could explain these variations can be useful to the heath and social welfare planning. Here the analysis of disability variations among autonomous regions in Spain is made taking into account individual ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:The implementation of an information system on prescription drug plan that includes the pharmacological classification and the composition of the drugs. In addition to economic data, makes it possible to analyze prescriptions from a pharmacotherapeutic and economic perspective and, accordingly, carry out adm...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1995-05-01 00:00:00
abstract::This study reviews the motivations of companies to set out a policy for controlling smoking, the economic benefits for the company resulting from such a policy and the costs, broken down by European Union countries. The literature on the costs of implementing a policy related to smoking at the workplace is reviewed. T...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2003-01-01 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:BACKGROUND:The gradual increase of women in the health professions does not correspond with her presence in positions of power. Given that professional colleges have an essential role in the representation and professional regulation, arises as an aim to describe the presence of women in the managerial structures of th...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.4321/S1135-57272015000600010
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:The use of tools such as disease registries poses a problem in the case of rare diseases. This study is aimed at describing the current situation concerning rare disease registries in Spain. METHODS:The information provided by two Spanish health registries directories prepared by the Spanish Health Assessme...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272006000300005
更新日期:2006-05-01 00:00:00
abstract:BACKGROUND:To Study the incidence of coronary heart disease (CHD) and all-cause mortality in a cohort of men followed during 28 years, and their association with serum cholesterol, systolic blood pressure, glycemia, cigarette smoking and body mass index measured at baseline. METHODS:A cohort of 1,059 men aged 30 to 59...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272004000200009
更新日期:2004-03-01 00:00:00
abstract:BACKGROUND:There are different scales in Spanish for cognitive and behavioral assessment of patients with severe dementia. The objective of this study was to select those scales that are more accessible, useful and with better psychometric properties, both for clinical practice and for research. METHODS:Literature rev...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:
更新日期:2020-09-21 00:00:00
abstract:OBJECTIVE:Food advertising to attract children has always been the order of the day for industries. In recent years, due to the epidemic of childhood obesity in developed countries, legislation is increasingly strict in this regard. The purpose of this study is to compare the products targeted in their labeling to chil...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2019-02-28 00:00:00
abstract:BACKGROUND:Calcium supplements and vitamin D are involved in current debates of health, as cardiovascular safety of calcium, and correction of vitamin levels. The aim is to review the possibilities of making better use of supplements marketed in Spain, depending on their availability, information and related epidemiolo...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.4321/S1135-57272012000500002
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:The purpose of this work is to analyze the fertility of the hydatid cysts from ovine, animal species of great epidemiological interest in the hydatid disease, and the ability of the gerbil (Meriones unguiculatus) as model experimental for the study "in vivo" of this hidatyd disease as preliminary phase of th...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1997-09-01 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