Recursos RSS

Violence against young women attending primary care services in Spain: prevalence and health consequences

Background. There are a significant number of studies assessing the negative health consequences of violence against women. However, a limited number of studies analyse the health consequences of violence committed against young women by different types of aggressors. Objectives. The goal of this study is to assess the prevalence of interpersonal violence against young women in Spain and analyse its impact on the physical and mental health of the victims. Methods. A total of 1076 women aged 18–25 years attending Spanish primary care services were selected. We estimated the prevalence of interpersonal violence and compared the health data and demographic characteristics of abused and non-abused young women, multi-logistic regression models were fitted. The Wald test was used to assess whether there were differences in the negative health consequences of intimate partner (IPV) versus non-IPV. Results. As many as 27.6% young women reported a history of abuse, of whom 42.7% had been assaulted by their partner, 41.1% by someone other than their partner and 16.2% both by their partner and another person. The distribution of social and demographic characteristics was similar for IPV and non-IPV victims. Young abused women were three times more likely to suffer psychological distress and have somatic complaints, and they were four times more likely to use medication as compared to non-abused women. Conclusion. Our results suggest that all forms of violence compromise young women’ ...

TipoComunicaciones/Informes/Artículos (individual)
Publicado en ODS2015-06-04

The impact of the Great Recession on mental health and its inequalities: the case of a Southern European region, 1997-2013

The impact of the Great Recession on mental health and its inequalities: the case of a Southern European region, 1997-2013 Background: Numerous studies have shown that macroeconomic changes have a great influence on health, prompting different concerns in recent literature about the effects of the current recession. The objetive of the study was to assess the changes in the mental health of the working-age population in the Basque Country (Spain) and its social inequalities following the onset of the 2008 recession, with special focus on the role of unemployment. Methods: Repeated cross-sectional study on the population aged 16-64, using four Basque Health Surveys (1997-2013). Age-adjusted prevalences of poor mental health and incremental prevalence ratios (working status and social class adjusted) between years were calculated. Absolute/relative measures of social inequalities were also calculated. Results: From 2008, there was a clear deterioration in the mental health, especially among men. Neither changes in employment status nor social class accounted for these changes. In men, the deterioration affected all working status categories, except the retired but significant changes occurred only among the employed. In women, poor mental health significantly increased among the unemployed. Students were also especially affected. Relative inequalities increased only in men. Conclusions: The Great Recession is being accompanied by adverse effects on mental health, which cannot be fully explained by the increase of unemployment. Public health professionals should closely monitor the medium and lon ...

Categoría:Crisis Económica
TipoComunicaciones/Informes/Artículos (individual)
Publicado en ODS2016-02-05

The impact of financial crisis on health systems in Europe: a review of practices during recession

A new set of six case studies, analysing the impact of the financial crisis on health systems and population health, has just been published. The countries covered (Estonia, Greece, Ireland, Latvia, Lithuania and Portugal) were affected relatively harder than most other European states. Each case study analyses how the severe fiscal pressures applied on the health budgets from 2008 onwards have pushed policy makers in these countries to respond in different ways.

Categoría:Servicios de salud

The effect of the late 2000s financial crisis on suicides in Spain: an interrupted time-series anlysis


Background: The current financial crisis is having a major impact on European economies, especially that of Spain. Past evidence suggests that adverse macro-economic conditions exacerbate mental illness, but evidence from the current crisis is limited. This study analyses the association between the financial crisis and suicide rates in Spain. Methods: An interrupted time-series analysis of national suicides data between 2005 and 2010 was used to establish whether there has been any deviation in the underlying trend in suicide rates associated with the financial crisis. Segmented regression with a seasonally adjusted quasi-Poisson model was used for the analysis.Stratified analyses were performed to establish whether the effect of the crisis on suicides varied by region, sex and age group. Results: The mean monthly suicide rate in Spain during the study period was 0.61 per 100 000 with an underlying trend of a 0.3% decrease per month. We found an 8.0% increase in the suicide rate above this underlying trend since the financial crisis (95% CI: 1.009–1.156; P = 0.03); this was robust to sensitivity analysis. A control analysis showed no change in deaths from accidental falls associated with the crisis. Stratified analyses suggested that the association between the crisis and suicide rates is greatest in the Mediterranean and Northern areas, in males and amongst those of working age. Conclusions: The financial crisis in Spain has been associated with a relative increase in ...

Categoría:Crisis Económica
TipoComunicaciones/Informes/Artículos (individual)
Publicado en ODS2013-10-21

Systematic review of parenting interventions in European countries aiming to reduce social inequalities in children’s health and development

Background: Early child development influences many aspects of wellbeing, health, competence in literacy andnumeracy, criminality, and social and economic participation throughout the life course. Children fromdisadvantaged groups have less possibilities of achieving full development. By providing a positive start for allchildren across the social gradient, improved developmental outcomes will be seen during later childhood andthroughout their lives. The objective of this systematic review was to identify interventions during early childhoodin countries from the World Health Organisation European Region in 1999–2013 which reduced inequalities inchildren’s health and development.Methods: A systematic review was carried out adhering to the PRISMA guidelines. The review examined universal,targeted and proportionate universalism interventions, programs and services using an electronic search strategy inPubMed and the International Bibliography of the Social Sciences [IBSS] databases. A further search was performedin the grey literature. Interventions were included only if they were aimed at children or their parents and hadbeen evaluated.Results: We identified 23 interventions in total: 6 in the PubMed data base, 5 in IBSS and 12 in grey literature. Allbut 1 intervention-delivered in Sweden-were carried out in the United Kingdom and the Republic of Ireland. Theseaimed to improve parenting abilities, however, some had additional components such as: day-care provision,improving hou ...

TipoRevisiones Bibliográficas
Publicado en ODS2014-11-12

Social and health policies or interventions to tackle health inequalities in European cities: a scoping review


Background: Health inequalities can be tackled with appropriate health and social policies, involving all community groups and governments, from local to global. The objective of this study was to carry out a scoping review on social and health policies or interventions to tackle health inequalities in European cities published in scientific journals. Methods Scoping review. The search was done in "PubMed" and the "Sociological Abstracts" database and was limited to articles published between 1995 and 2011. The inclusion criteria were: interventions had to take place in European cities and they had to state the reduction of health inequalities among their objectives. Results A total of 54 papers were included, of which 35.2% used an experimental design, and 74.1% were carried out in the United Kingdom. The whole city was the setting in 27.8% of them and 44.4% were based on promoting healthy behaviours. Adults and children were the most frequent target population and half of the interventions had a universal approach and the other half a selective one. Half of the interventions were evaluated and showed positive results. Conclusions Although health behaviours are not the main determinants of health inequalities, the majority of the selected documents were based on e

TipoComunicaciones/Informes/Artículos (individual)
Archivo1471-2458-14-198.pdf (469 views)
Publicado en ODS2014-02-25

Review of social determinants and the health divide in the WHO European Region


La Región Europea de la OMS ha vivido notables avances en salud, aunque persisten las desigualdades tanto entre países como dentro de ellos. Gracias a la publicación del informe de 2008 de la Comisión sobre Determinantes Sociales de la Salud ahora se conoce más sobre el alcance y las causas sociales de estas desigualdades. Este informe es una revisión de las inequidades en salud a través de los 53 estados miembros de la Región europea y se encargó de apoyar el desarrollo del nuevo marco de la política europea para la salud y el bienestar, Salud 2020. Está basado en la evidencia global y recomienda políticas para reducir las desigualdades en salud y la brecha de salud en todos los países, incluidos aquellos que tienen ingresos más bajos. El informe se divide en cuatros parte. En la Parte I constan los antecedentes y el contexto de la revisión y se establecen los principios de las recomendaciones y razones para abordar cuatro grandes temas: las etapas del curso de vida, la sociedad en general, el contexto macrosocial y la gobernanza. La Parte II resume la evidencia actual sobre la brecha de salud entre los países de la Región, describiendo las desigualdades en salud y sus determinantes sociales. La parte III hace propuestas basadas en la evidencia. Y por último, en la Parte IV se describen los problemas de implementación y se ofrece orientación y un resumen de las principales conclusiones y recomendaciones de la revisión.

Public health aspects of migrant health: a review of the evidence on health status for undocumented migrants in the European Region.

Undocumented migrants are people within a country without the necessary documents and permits. They are considered at higher risk for health problems because of their irregular status and the consequences of economic and social marginalization. A systematic review found 122 documents that suggested policies and interventions to improve health care access and delivery for undocumented migrants. Undocumented migrants mostly have only access to emergency care across Europe, and even in the countries where they are fully entitled to health care, formal and informal barriers hinder their access. This raises concerns for both public health and migrant care. On the basis of findings, policy options are suggested regarding data collection, research, entitlement to health care, information and communication, training and intersectoral approaches.

TipoComunicaciones/Informes/Artículos (individual)
Publicado en ODS2015-10-07

Preventing and addressing intimate partner violence against migrant and ethnic minority women: the role of the health sector.

Preventing and addressing intimate partner violence against migrant and ethnic minority women: the role of the health sector. Violence against women is an extreme manifestation of gender inequality in society and a serious violation of fundamental human rights. Intimate partner violence (IPV) is the most common type of such violence and takes place within couples. IPV can lead to death, physical injury, functional impairment, mental health problems, negative health behaviour, chronic conditions and reproductive health problems. Institutional discrimination, lack of access to or knowledge of services, and cultural differences can prevent women who are not only experiencing IPV but also migrants or members of ethnic minorities from seeking help. This policy brief aims to provide input into the role of the health sector in preventing and addressing IPV among migrant women and those of ethnic minorities. It describes the scope of the problem, presenting key evidence, and makes recommendations for health policy and health systems, health facilities and health service providers.

TipoComunicaciones/Informes/Artículos (colecciones)
Publicado en ODS2015-02-25

Patterns of health risk behaviors among job-seekers: a latent class analysis.

Patterns of health risk behaviors among job-seekers: a latent class analysis. OBJECTIVES: To examine the patterning of four behavior-related health risk factors (tobacco smoking, risky alcohol drinking, overweight, and physical inactivity) among job-seekers and to investigate socio-demographic and health-related predictors of patterning.METHODS:The sample of 3,684 female and 4,221 male job-seekers was proactively recruited at three job agencies in northeastern Germany in 2008/09. Participants provided data on socio-demographics, substance use, body mass index, physical activity and self-rated health. Latent class analyses (LCA) and multinomial logistic regression analyses were applied to identify health risk patterns and possible predictors of patterning, respectively.RESULTS:Forty-three percent of the female and 58% of the male participants had two or more health risk factors. LCA revealed three similar patterns for women and men: Substance use (tobacco smoking, risky drinking), Non-exercising overweight (physical inactivity, overweight/obesity) and Health-conscious (non-smoking, low-risk drinking, under-/normal weight, physical activity). Age, education, marital status, life-time unemployment and self-rated health were significantly associated with patterning in both genders.CONCLUSIONS:Our results may help to define target populations for improving health behaviors among job-seekers.

Categoría:Clase Social
TipoComunicaciones/Informes/Artículos (individual)
Publicado en ODS2015-04-15