1
|
Caira-Chuquineyra B, Fernandez-Guzman D, Meza-Gómez A, Luque-Mamani BM, Medina-Carpio SL, Mamani-García CS, Romani-Peña M, Díaz-Vélez C. Prevalence and factors associated with adolescent pregnancy among sexually active adolescent girls in Peru: Evidence from Demographic and Family Health Survey, 2015-2019. F1000Res 2023; 11:566. [PMID: 38524252 PMCID: PMC10958153 DOI: 10.12688/f1000research.108837.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/26/2023] [Indexed: 03/26/2024] Open
Abstract
Background The objective of this study was to estimate the prevalence of adolescent pregnancy among sexually active adolescents, and identify the factors associated with this problem. Methods A population-based analytical cross-sectional study was conducted using pooled data from the Demographic and Family Health Surveys of Peru, 2015-2019. A total sample of 8850 adolescent girls aged 12 to 19 years who reported a history of sexual intercourse were included. To identify factors related to adolescent pregnancy, the study employed adjusted prevalence ratios (aPR) with 95% confidence intervals (95% CI). The aPR were obtained from a multivariable logistic regression model. Results The prevalence of adolescent pregnancy among sexually active adolescents in Peru was 30.9% (95%CI: 29.4-32.4%). In the multivariable analysis; being 17-19 years (aPR: 1.48; 95%CI:1.33-1.64), being married or cohabitant (aPR: 4.01; 95%CI: 3.48-4.61) and belonging to the Quechua ethnicity group (aPR: 1.16; 95%CI: 1.07-1.25), were associated with a higher prevalence. Conversely, the following factors were associated with a lower prevalence of pregnancy: being employed (aPR: 0.81; 95%CI: 0.76-0.86), being currently studying (aPR: 0.43; 95%CI: 0.38-0.49), belonging to the second (aPR: 0.91; 95%CI: 0.85-0.97), third (aPR: 0.81; 95%CI: 0.74-0.89), fourth (aPR: 0.79; 95%CI: 0.69-0.91) and fifth (aPR: 0.59; 95%CI: 0.47-0.75) wealth quintile, initiating sexual relations in middle adolescente (aPR: 0.76; 95%CI: 0.69-0.83) or late adolescence (aPR: 0.40; 95%CI: 0.35-0.46), perceiving a future pregnancy as a problem (aPR: 0.77; 95%CI: 0.72-0.83) and having knowledge of the moment in the cycle when pregnancy can occur (aPR: 0.84; 95%CI: 0.77-0.92). Conclusions Approximately three out of ten adolescents who initiated a sexual life had at least one pregnancy. Age, marital status, employment, education, wealth, ethnicity, age at first intercourse, knowledge of when in the cycle she may become pregnant, and perception of future pregnancy were associated with adolescent pregnancy. To decrease the prevalence of teenage pregnancy in Peru, it is imperative to enhance national policies concerning family planning and provide comprehensive sex education targeted at adolescents.
Collapse
Affiliation(s)
- Brenda Caira-Chuquineyra
- Facultad de Medicina, Universidad Nacional de San Agustin de Arequipa, Arequipa, Arequipa, 04001, Peru
| | - Daniel Fernandez-Guzman
- Escuela Profesional de Medicina Humana, Universidad Nacional de San Antonio Abad del Cusco, Cusco, 0800, Peru
| | - Adria Meza-Gómez
- Facultad de Medicina, Universidad Nacional de San Agustin de Arequipa, Arequipa, Arequipa, 04001, Peru
| | | | - Shawny Luz Medina-Carpio
- Facultad de Medicina, Universidad Nacional de San Agustin de Arequipa, Arequipa, Arequipa, 04001, Peru
| | - Carlos S. Mamani-García
- Facultad de Medicina, Universidad Nacional de San Agustin de Arequipa, Arequipa, Arequipa, 04001, Peru
| | - Marilia Romani-Peña
- Facultad de Medicina, Universidad Nacional de San Agustin de Arequipa, Arequipa, Arequipa, 04001, Peru
| | - Cristian Díaz-Vélez
- Universidad Privada Antenor Orrego, Trujillo, 13007, Peru
- Instituto de Evaluación de Tecnologías en Salud e Investigación, Lima, Lima, 15001, Peru
| |
Collapse
|
2
|
Calderon-Ramirez PM, Fernandez-Guzman D, Caira-Chuquineyra B, Mamani-García CS, Medina HM, Diaz-Arocutipa C. Exercise-based training programs for patients with chronic Chagas cardiomyopathy: A systematic review and meta-analysis. Int J Cardiol Heart Vasc 2023; 48:101256. [PMID: 37794957 PMCID: PMC10545933 DOI: 10.1016/j.ijcha.2023.101256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 08/08/2023] [Accepted: 08/14/2023] [Indexed: 10/06/2023]
Abstract
Background We assessed the effects of exercise-based training programs (EBTP) in patients with chronic Chagas cardiomyopathy (CCC) through a systematic review and meta-analysis. Methods We conducted a search in Pubmed/Medline, Embase, Scopus, Web of Science, Cochrane Library, Virtual Health Library, and SciELO until January 2023. Randomized controlled trials (RCTs) and non-randomized intervention studies (NRIS) investigating the effects of EBTP in CCC patients were included. The primary outcomes were all-cause mortality, cardiovascular mortality, and health-related quality of life (HRQoL), and the secondary outcomes were exercise capacity by peak VO2, heart failure-related hospital admissions (HFRHA), and left ventricular ejection fraction (LVEF). Results The search strategy yielded 3617 studies. After removing duplicates and screening, eight studies (3 RCTs and 5 NRIS) involving 222 patients were included. Seven studies were conducted in Brazil. The age range was from 30 to 71 years, and 47.1% were male. Data on mortality, HRQoL, LVEF, and HFRHA were scarcely reported. The meta-analysis pooling four studies showed that the peak VO2 was significantly higher (mean difference 4.45, 95% confidence interval 3.50 to 5.39 mL/kg/min, I2 = 0%) in the EBTP group compared to the control group. Conclusion The evidence available was limited and heterogeneous. While EBTP has shown to improve HRQoL and exercise capacity, there is no conclusive information about the other proposed outcomes. These positive effects present an opportunity to provide treatment to CCC patients in low- and middle-income countries. Further studies are needed to ascertain the effects of EBTP on hard outcomes in this population.Registration number: CRD42022334060.
Collapse
Affiliation(s)
| | | | | | | | - Héctor M. Medina
- Division of Cardiology, Fundacion CardioInfantil-La Cardio, Bogota, Colombia
| | - Carlos Diaz-Arocutipa
- Unidad de Revisiones Sistemáticas y Meta-análisis (URSIGET), Vicerrectorado de Investigación, Universidad San Ignacio de Loyola, Lima, Peru
| |
Collapse
|
3
|
Yamunaque-Carranza M, Medina-Ramirez SA, Mamani-García CS, Caira-Chuquineyra B, Fernandez-Guzman D, Urrunaga-Pastor D, Bendezu-Quispe G. Factors Associated with Adequate Breastfeeding: Evidence from the Peruvian Demographic and Health Survey, 2019. Int J Environ Res Public Health 2022; 19:13607. [PMID: 36294187 PMCID: PMC9602776 DOI: 10.3390/ijerph192013607] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Revised: 10/12/2022] [Accepted: 10/13/2022] [Indexed: 06/16/2023]
Abstract
OBJECTIVE To assess the factors associated with adequate breastfeeding (ABF) among Peruvian mothers during 2019. MATERIALS AND METHODS We performed a secondary analysis of the 2019 Demographic and Family Health Survey (ENDES) database of Peru. ABF was defined based on the recommendations of the World Health Organization, which defined it as starting breastfeeding within the first hour of life and continuing with exclusive breastfeeding for up to 6 months. To determine the factors associated with ABF, a Poisson generalized linear models with log-link function was used. Adjusted prevalence ratios (aPR) with their respective 95% confidence intervals (95% CI) were calculated. RESULTS A prevalence of ABF of 48.1% was identified among 11,157 women who reported at least one child in the last five years. Most of them were young (68.6%) and lived in urban areas (65.5%). Furthermore, being unemployed (aPR:1.02; 95% CI:1.00-1.04); residing on the coast, except for Metropolitan Lima (aPR:1.08; 95% CI:1.04-1.11), the highlands (aPR:1.14; 95% CI:1.11-1.18), and the jungle (aPR:1.20; 95% CI: 1.16-1.24); having had a vaginal delivery (aPR:1.30; 95% CI:1.27-1.05); and having two children (aPR:1.03; 95% CI:1.01-1.05) or three or more children (aPR:1.03; 95% CI:1.01-1.05) were associated with a higher frequency of ABF. CONCLUSIONS One out of two women between 18-59 with children performed ABF. The factors associated with ABF were the current occupation, region of residence, type of delivery, and parity. Health policies and strategies should be implemented, considering our results, to promote maternal counseling by health personnel in order to increase the prevalence of ABF in the Peruvian population.
Collapse
Affiliation(s)
- Mariela Yamunaque-Carranza
- Facultad de Medicina Humana, Universidad de San Martín de Porres, Chiclayo 14012, Peru
- Sociedad Científica de Estudiantes de Medicina Veritas (SCIEMVE), Chiclayo 14012, Peru
| | - Sebastian A. Medina-Ramirez
- Departamento de Ciencias Básicas, Facultad de Medicina Humana, Universidad Peruana Unión (UPeU), Lima 15464, Peru
| | - Carlos S. Mamani-García
- Facultad de Medicina, Universidad Nacional de San Agustín de Arequipa, Arequipa 04001, Peru
- Sociedad Científica de Estudiantes de Medicina Agustinos (SOCIEMA), Arequipa 04001, Peru
| | - Brenda Caira-Chuquineyra
- Facultad de Medicina, Universidad Nacional de San Agustín de Arequipa, Arequipa 04001, Peru
- Sociedad Científica de Estudiantes de Medicina Agustinos (SOCIEMA), Arequipa 04001, Peru
- Grupo Peruano de Investigación Epidemiológica, Unidad para la Generación y Síntesis de Evidencias en Salud, Universidad San Ignacio de Loyola, Lima 15074, Peru
| | - Daniel Fernandez-Guzman
- Grupo Peruano de Investigación Epidemiológica, Unidad para la Generación y Síntesis de Evidencias en Salud, Universidad San Ignacio de Loyola, Lima 15074, Peru
- Escuela Profesional de Medicina Humana, Universidad Nacional de San Antonio Abad del Cusco, Cusco 08000, Peru
| | - Diego Urrunaga-Pastor
- Facultad de Ciencias de la Salud, Universidad Científica del Sur, Carrera de Medicina Humana, Lima 15067, Peru
| | - Guido Bendezu-Quispe
- Centro de Investigación Epidemiológica en Salud Global, Universidad Privada Norbert Wiener, Lima 15046, Peru
| |
Collapse
|
4
|
Toro-Huamanchumo CJ, Benites-Meza JK, Mamani-García CS, Bustamante-Paytan D, Gracia-Ramos AE, Diaz-Vélez C, Barboza JJ. Efficacy of Colchicine in the Treatment of COVID-19 Patients: A Systematic Review and Meta-Analysis. J Clin Med 2022; 11:2615. [PMID: 35566737 PMCID: PMC9105993 DOI: 10.3390/jcm11092615] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Revised: 04/26/2022] [Accepted: 04/27/2022] [Indexed: 12/20/2022] Open
Abstract
OBJECTIVE We assessed the efficacy of colchicine in COVID-19 patients through a systematic review. METHODS Six databases were searched until March 2022 for studies assessing colchicine versus control in hospitalized patients with COVID-19. The primary outcome was mortality, and secondary outcome was length of hospitalization. Inverse variance and random effect meta-analyses were performed. The strength of evidence was assessed using GRADE. RESULTS Nine studies (five randomized clinical trials (RCTs) and four non-randomized studies of intervention (NRSI); n = 13,478). Colchicine did not reduce mortality in comparison with the standard of care in RCTs (RR 0.99; 95%CI 0.90 to 1.10; p = 0.90); however, it did reduce mortality in NRSI studies (RR 0.45; 95%CI 0.26 to 0.77; p = 0.02). In the analysis of RCTs, colchicine did not reduce the length of hospitalization in comparison with the standard of care (MD: -2.25 days; 95%CI: -9.34 to 4.84; p = 0.15). Most studies were scored as having a high risk of bias. Quality of evidence was very low for primary and secondary outcomes. CONCLUSION Colchicine did not reduce the mortality and length of hospitalization in comparison with the standard of care in hospitalized patients with COVID-19. The published evidence is insufficient and of very low quality to recommend treatment in patients with COVID-19.
Collapse
Affiliation(s)
| | - Jerry K. Benites-Meza
- Sociedad Científica de Estudiantes de Medicina de la Universidad Nacional de Trujillo, Trujillo 13011, Peru;
| | | | | | - Abraham Edgar Gracia-Ramos
- National Medical Center “La Raza”, Department of Internal Medicine, General Hospital, Instituto Mexicano del Seguro Social, Mexico City 06720, Mexico;
| | - Cristian Diaz-Vélez
- Universidad Privada Antenor Orrego, Trujillo 13007, Peru;
- Instituto de Evaluación de Tecnologías en Salud e Investigación, Essalud, Lima 14072, Peru
| | - Joshuan J. Barboza
- Universidad Señor de Sipan, Chiclayo 14000, Peru
- Tau-Relaped Group, Trujillo 13007, Peru
| |
Collapse
|
5
|
Rodriguez-Morales AJ, Mamani-García CS, Nuñez-Lupaca JN, León-Figueroa DA, Olarte-Durand M, Yrene-Cubas RA, Ticona DM, Abanto-Urbano S. COVID-19 and mucormycosis in Latin America - An emerging concern. Travel Med Infect Dis 2021; 44:102156. [PMID: 34454089 PMCID: PMC8386102 DOI: 10.1016/j.tmaid.2021.102156] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Accepted: 08/24/2021] [Indexed: 12/15/2022]
Affiliation(s)
- Alfonso J Rodriguez-Morales
- Grupo de Investigacion Biomedicina, Faculty of Medicine, Fundacion Universitaria Autonoma de las Americas, Pereira, Risaralda, Colombia; Master of Clinical Epidemiology and Biostatistics, Universidad Cientifica del Sur, Lima, Peru; School of Medicine, Universidad Privada Franz Tamayo (UNIFRANZ), Cochabamba, Bolivia.
| | - Carlos S Mamani-García
- Facultad de Medicina Humana, Universidad Nacional de San Agustín de Arequipa, Arequipa, Peru; Sociedad Científica de Estudiantes de Medicina Agustinos (SOCIEMA), Arequipa, Peru
| | - Janeth N Nuñez-Lupaca
- Facultad de Medicina Humana, Universidad Nacional Jorge Basadre Grohomann, Tacna, Peru; Sociedad Científica Basadrina de Estudiantes de Medicina Humana (SOCIBEMH), Tacna, Peru
| | - Darwin A León-Figueroa
- Facultad de Medicina Humana, Universidad de San Martín de Porres, Chiclayo, Peru; Sociedad Científica Médico Estudiantil Peruana, Lima, Peru; Sociedad Científica de Estudiantes de Medicina Veritas (SCIEMVE), Chiclayo, Peru
| | - Mely Olarte-Durand
- Sociedad Científica Médico Estudiantil Peruana, Lima, Peru; Facultad de Medicina Humana, Universidad Peruana Unión, Lima, Peru; Sociedad Científica de Estudiantes de Medicina (SOCEM UPEU), Lima, Peru
| | - Robinson A Yrene-Cubas
- Facultad de Medicina Humana, Universidad Científica del Sur, Lima, Peru; Sociedad Científica de Estudiantes de Medicina de la Universidad Científica del Sur (SCIEM UCSUR), Lima, Peru
| | - Diana M Ticona
- Centro de Investigación de Estudiantes de Medicina, Universidad Privada de Tacna, Tacna, Peru
| | - Sebastian Abanto-Urbano
- Facultad de Medicina, Universidad Nacional Federico Villarreal, Lima, Peru; Sociedad Científica de Estudiantes de Medicina Villarrealinos (SOCEMVI), Lima, Peru
| |
Collapse
|
6
|
Taylor L, Mamani-García CS, Gutiérrez-Pingo A, Benites-Meza JK, Chambergo-Michilot D, Gálvez-Díaz NDC, Barboza JJ. Infección metastásica por Staphylococcus aureus en neonatos: a propósito de un caso. RB 2021. [DOI: 10.21931/rb/2021.06.03.25] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Metastatic infection as an infrequent complication of Staphylococcus aureus bacteremia in neonates is challenging due to the limited literature. To report the clinical case of a premature neonate who developed a metastatic infection as a complication of S. aureus bacteremia. We present the case of a premature neonate admitted to the Neonatal Intensive Care Unit, diagnosed with bacterial sepsis, neonatal respiratory distress syndrome, and involvement by premature rupture of the membrane. A patch catheter was inserted, and he was successfully treated for E. coli bacteremia. He was re-admitted for late sepsis due to infection with multi-sensitive S. aureus in a patch catheter. An abscess appears on the front of the chest due to S. aureus, confirming metastatic infection. The abscess was drained with a favorable resolution of the clinical picture. In neonates submitted to invasive procedures, it is essential to monitor the clinical evolution and early identification of metastatic infection after Staphylococcus aureus bacteremia and provide early treatment to avoid sequelae.
Collapse
Affiliation(s)
| | - Carlos S. Mamani-García
- Facultad de Medicina, Universidad Nacional de San Agustín, Arequipa, Perú. Sociedad Científica de Estudiantes de Medicina Agustinos (SOCIEMA), Universidad Nacional de San Agustín, Arequipa, Perú
| | - Alexandra Gutiérrez-Pingo
- Escuela de Medicina, Universidad Nacional del Santa, Nuevo Chimbote-Ancash, Perú Sociedad Científica de Estudiantes de Medicina de la Universidad Nacional del Santa (SOCEMUNS), Universidad Nacional del Santa, Nuevo Chimbote-Ancash, Perú
| | - Jerry K. Benites-Meza
- Facultad de Medicina, Universidad Nacional de Trujillo, Trujillo, Perú Sociedad Científica de Estudiantes de Medicina de la Universidad Nacional de Trujillo (SOCEMUNT), Universidad Nacional de Trujillo, Trujillo, Perú
| | - Diego Chambergo-Michilot
- Facultad de Medicina, Universidad Científica del Sur, Lima, Perú Tau-Relaped Group, Trujillo, Perú
| | | | - Joshuan J. Barboza
- Tau-Relaped Group, Trujillo, Perú Escuela de Medicina, Universidad Señor de Sipán, Chiclayo, Perú
| |
Collapse
|