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Valmayor S, González K, López MJ, Lacera P, Giménez P, Rumín-Caparrós A, Pasarín MI, Henderson E, Díez E. Evaluation of a smoke-free beaches intervention in Barcelona: a quasi-experimental study. Tob Control 2023:tc-2022-057873. [PMID: 37402576 DOI: 10.1136/tc-2022-057873] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Accepted: 06/06/2023] [Indexed: 07/06/2023]
Abstract
BACKGROUND We aim to assess the effect of a smoke-free beaches (SFB) intervention in Barcelona on smoking during the 2021 bathing season. METHODS Quasi-experimental pre-post design (pre-intervention period: 15-28 May; post-intervention period: 29 May-12 September). Based on users' profiles and location, four beaches were assigned to the intervention group (IG) and five to the comparison group (CG). The intervention involved: a mayoral decree (29 May), a communication campaign and beach on-site information. We established two 3 m × 3 m transects per beach from the coastline to the promenade. Trained teams collected smoking-related information in the transects through observations and surveys to beach users. Outcomes are as follows: percentage of people reporting witnessing smoking behaviours the last fortnight and percentage of people observed smoking. We calculated and compared prevalence ratios (PRs) with adjusted Poisson regressions. RESULTS 3751 interviews (1721 IG; 2030 CG) and 1108 observations (498 IG, 610 CG) were carried out. SFB were associated with a significant reduction in the percentage of people reporting witnessing smoking (IG (pre: 87.2%; post: 49.7%); CG (pre: 86.2%; post: 74.1%); PR (95% CI): 0.7 (0.6 to 0.8)); and in the users observed smoking in the beach (IG (pre: 3.8%; post: 3.0%); CG (pre: 2.3%; post: 9.9%); PR (95% CI): 0.3 (0.3 to 0.4)). Satisfaction scores were 8.3 (IG) and 8.1 (CG) out of 10. CONCLUSION An SFB intervention is an effective and well-accepted measure to reduce smoking and smokers' visibility. Smoke-free measures should be extended to beaches and other non-regulated outdoor areas.
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Affiliation(s)
- Sara Valmayor
- Agència de Salut Pública de Barcelona, Barcelona, Spain
| | | | - Maria J López
- Agència de Salut Pública de Barcelona, Barcelona, Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
- Institut d'Investigació Biomèdica Sant Pau, Barcelona, Spain
| | - Patricia Lacera
- BCASA, Barcelona Cicle de l'Aigua, SA, Barcelona, Spain
- Medi Ambient i Serveis Urbans - Ecologia Urbana, Barcelona, Spain
| | - Patricia Giménez
- BCASA, Barcelona Cicle de l'Aigua, SA, Barcelona, Spain
- Medi Ambient i Serveis Urbans - Ecologia Urbana, Barcelona, Spain
| | - Aitor Rumín-Caparrós
- BCASA, Barcelona Cicle de l'Aigua, SA, Barcelona, Spain
- Medi Ambient i Serveis Urbans - Ecologia Urbana, Barcelona, Spain
| | - Maria Isabel Pasarín
- Agència de Salut Pública de Barcelona, Barcelona, Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
- Institut d'Investigació Biomèdica Sant Pau, Barcelona, Spain
| | - Elisabet Henderson
- Agència de Salut Pública de Barcelona, Barcelona, Spain
- Institut d'Investigació Biomèdica Sant Pau, Barcelona, Spain
| | - Elia Díez
- Agència de Salut Pública de Barcelona, Barcelona, Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
- Institut d'Investigació Biomèdica Sant Pau, Barcelona, Spain
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Bartoll-Roca X, Marí-Dell'Olmo M, Gotsens M, Palència L, Pérez K, Díez E, Borrell C. Neighbourhood income inequalities in mental health in Barcelona 2001-2016: a Bayesian smoothed estimate. Gac Sanit 2022; 36:534-539. [PMID: 35644735 DOI: 10.1016/j.gaceta.2022.03.007] [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] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Revised: 03/17/2022] [Accepted: 03/21/2022] [Indexed: 12/14/2022]
Abstract
OBJECTIVE Obtaining reliable health estimates at the small area level (such as neighbourhoods) using survey data usually poses the problem of small sample sizes. To overcome this limitation, we explored smoothing techniques in order to estimate poor mental health prevalence at the neighbourhood level and analyse its profile by income in Barcelona city (Spain). METHOD A Bayesian smoothing model with a logit-normal transformation was applied to four repeated cross-sectional waves of the Barcelona health survey for 2001, 2006, 2011 and 2016. Mental health status was identified from the 12-item General Health Questionnaire. Income inequalities were analysed with neighbourhood income in quantiles for each year and trends in the pooled analysis. RESULTS The prevalence of poor mental health ranged from 14.6% in 2001 to 18.9% in 2016. The yearly difference between neighbourhoods was 12.4% in 2001, 16.7% in 2006, 14.2% in 2011, and 20.0% in 2016. The odds ratio and 95% credible interval (95%CI) of experiencing poor mental health was 1.40 times higher (95%CI: 1.02-1.91) in less advantaged neighbourhoods than in more advantaged neighbourhoods in 2001, 1.61 times higher (95%CI: 1.01-2.59) in 2006 and 2.31 times higher (95%CI: 1.57-3.40) in 2016. CONCLUSIONS This study shows that the Bayesian smoothed techniques allows detection of inequalities in health in neighbourhoods and monitoring of interventions against them. In Barcelona, mental health problems are more prevalent in low-income neighbourhoods and raised in 2016.
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Affiliation(s)
- Xavier Bartoll-Roca
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Spain; Institut d'Investigació Biomèdica Sant Pau (IIB-Sant Pau), Barcelona, Spain.
| | - Marc Marí-Dell'Olmo
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Spain; Institut d'Investigació Biomèdica Sant Pau (IIB-Sant Pau), Barcelona, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - Mercè Gotsens
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Spain; Institut d'Investigació Biomèdica Sant Pau (IIB-Sant Pau), Barcelona, Spain
| | - Laia Palència
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Spain; Institut d'Investigació Biomèdica Sant Pau (IIB-Sant Pau), Barcelona, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - Katherine Pérez
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Spain; Institut d'Investigació Biomèdica Sant Pau (IIB-Sant Pau), Barcelona, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - Elia Díez
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Spain; Institut d'Investigació Biomèdica Sant Pau (IIB-Sant Pau), Barcelona, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - Carme Borrell
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Spain; Institut d'Investigació Biomèdica Sant Pau (IIB-Sant Pau), Barcelona, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Departament de Ciències Experimentals i de la Salut, Facultat de Ciències de la Salut i de la Vida, Universitat Pompeu Fabra, Barcelona, Spain
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Daban F, Garcia-Subirats I, Porthé V, López M, de-Eyto B, Pasarín MI, Borrell C, Artazcoz L, Pérez A, Díez E. Improving mental health and wellbeing in elderly people isolated at home due to architectural barriers: A community health intervention. Aten Primaria 2021; 53:102020. [PMID: 33774346 PMCID: PMC8039551 DOI: 10.1016/j.aprim.2021.102020] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Revised: 10/26/2020] [Accepted: 11/13/2020] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVES To explore the health effects of a community health intervention on older people who are isolated at home due to mobility problems or architectural barriers, to identify associated characteristics and to assess participants' satisfaction. DESIGN Quasi-experimental before-after study. SETTING Five low-income neighbourhoods of Barcelona during 2010-15. PARTICIPANTS 147 participants, aged ≥59, living in isolation due to mobility problems or architectural barriers were interviewed before the intervention and after 6 months. INTERVENTION Primary Health Care teams, public health and social workers, and other community agents carried out a community health intervention, consisting of weekly outings, facilitated by volunteers. MEASUREMENTS We assessed self-rated health, mental health using the General Health Questionnaire (GHQ-12), and quality of life through the EuroQol scale. Satisfaction with the programme was evaluated using a set of questions. We analysed pre and post data with McNemar tests and fitted lineal and Poisson regression models. RESULTS At 6 months, participants showed improvements in self-rated health and mental health and a reduction of anxiety. Improvements were greater among women, those who had not left home for ≥4 months, those with lower educational level, and those who had made ≥9 outings. Self-rated health [aRR: 1.29(1.04-1.62)] and mental health improvements [β: 2.92(1.64-4.2)] remained significant in the multivariate models. Mean satisfaction was 9.3 out of 10. CONCLUSION This community health intervention appears to improve several health outcomes in isolated elderly people, especially among the most vulnerable groups. Replications of this type of intervention could work in similar contexts.
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Affiliation(s)
- Ferran Daban
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Institut d'Investigació Biomèdica de Sant Pau, Barcelona, Spain; Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain.
| | - Irene Garcia-Subirats
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Institut d'Investigació Biomèdica de Sant Pau, Barcelona, Spain
| | - Victoria Porthé
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - MªJosé López
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Institut d'Investigació Biomèdica de Sant Pau, Barcelona, Spain
| | | | - M Isabel Pasarín
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Institut d'Investigació Biomèdica de Sant Pau, Barcelona, Spain; Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain
| | - Carme Borrell
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Institut d'Investigació Biomèdica de Sant Pau, Barcelona, Spain; Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain
| | - Lucía Artazcoz
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Institut d'Investigació Biomèdica de Sant Pau, Barcelona, Spain; Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain
| | - Anna Pérez
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Institut d'Investigació Biomèdica de Sant Pau, Barcelona, Spain
| | - Elia Díez
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Institut d'Investigació Biomèdica de Sant Pau, Barcelona, Spain; Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain
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Porthé V, García-Subirats I, Ariza C, Villalbí JR, Bartroli M, Júarez O, Díez E. Community-Based Interventions to Reduce Alcohol Consumption and Alcohol-Related Harm in Adults. J Community Health 2020; 46:565-576. [PMID: 32770477 DOI: 10.1007/s10900-020-00898-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
Alcohol consumption was associated with 3 million deaths worldwide in 2016. Although community action has proven to be effective and has become a priority area of the global strategy to reduce alcohol consumption, there is a gap in the knowledge of community interventions to reduce alcohol use among adults. This study aims to analyze the evidence on effective community-based interventions to reduce alcohol consumption and harm among adults and to identify their components and underlying theories. Search strategy involved five databases (January 2000-March 2020). We included multicomponent, evaluated, and community interventions addressing to adults in urban settings of high-income countries. Furthermore, two conceptual frameworks were adapted to identify the social determinants of alcohol related harms and modifiable factors through community interventions. The initial search yielded 164 articles. The final sample included eight primary studies. Six of them were effective and shared three components (community mobilization; law enforcement and media campaigns), they combined approaches at individual and environmental levels addressing structural determinants of health and some cultural aspects related to consumption. Health outcomes focused mainly on reducing consumption, modifying patterns and acute effects on health. Few studies addressed social problems arising from harmful consumption. This review has identified several effective community-based interventions to reduce harmful use of alcohol among adults as well as some mechanisms and theories supporting them. It also provides a framework to guide new designs, with potential evidence of factors, as well as possible combinations of methods to improve health at community level across different settings and contexts.
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Affiliation(s)
- Victoria Porthé
- Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Avenida Monforte de Lemos, 3-5 (Pabellón 11. Planta 0), 28029, Madrid, Spain.
- Agència de Salut Pública de Barcelona, Pl. Lesseps, 1, 08023, Barcelona, Spain.
| | - Irene García-Subirats
- Agència de Salut Pública de Barcelona, Pl. Lesseps, 1, 08023, Barcelona, Spain
- Institut d'Investigació Biomèdica de Sant Pau, Carrer de Sant Quintí, 77, 08041, Barcelona, Spain
| | - Carles Ariza
- Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Avenida Monforte de Lemos, 3-5 (Pabellón 11. Planta 0), 28029, Madrid, Spain
- Agència de Salut Pública de Barcelona, Pl. Lesseps, 1, 08023, Barcelona, Spain
- Institut d'Investigació Biomèdica de Sant Pau, Carrer de Sant Quintí, 77, 08041, Barcelona, Spain
| | - Joan Ramón Villalbí
- Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Avenida Monforte de Lemos, 3-5 (Pabellón 11. Planta 0), 28029, Madrid, Spain
- Agència de Salut Pública de Barcelona, Pl. Lesseps, 1, 08023, Barcelona, Spain
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Doctor Aiguader 88, 08003, Barcelona, Spain
- Institut d'Investigació Biomèdica de Sant Pau, Carrer de Sant Quintí, 77, 08041, Barcelona, Spain
| | - Montse Bartroli
- Agència de Salut Pública de Barcelona, Pl. Lesseps, 1, 08023, Barcelona, Spain
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Doctor Aiguader 88, 08003, Barcelona, Spain
- Institut d'Investigació Biomèdica de Sant Pau, Carrer de Sant Quintí, 77, 08041, Barcelona, Spain
| | - Olga Júarez
- Agència de Salut Pública de Barcelona, Pl. Lesseps, 1, 08023, Barcelona, Spain
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Doctor Aiguader 88, 08003, Barcelona, Spain
- Institut d'Investigació Biomèdica de Sant Pau, Carrer de Sant Quintí, 77, 08041, Barcelona, Spain
| | - Elia Díez
- Agència de Salut Pública de Barcelona, Pl. Lesseps, 1, 08023, Barcelona, Spain
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Doctor Aiguader 88, 08003, Barcelona, Spain
- Institut d'Investigació Biomèdica de Sant Pau, Carrer de Sant Quintí, 77, 08041, Barcelona, Spain
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Daban F, Pasarín MI, Borrell C, Artazcoz L, Pérez A, Fernández A, Porthé V, Díez E. Barcelona Salut als Barris: Twelve years' experience of tackling social health inequalities through community-based interventions. Gac Sanit 2020; 35:282-288. [PMID: 32527681 DOI: 10.1016/j.gaceta.2020.02.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2019] [Revised: 02/06/2020] [Accepted: 02/07/2020] [Indexed: 10/24/2022]
Abstract
Community health can reduce inequalities in health and improve the health of the most disadvantaged populations. In 2007, Barcelona Salut als Barris (Barcelona Health in the Neighbourhoods) was launched, a community health programme to reduce social inequalities in health. In 2018, this programme reached the 25 most disadvantaged neighbourhoods of the city. This article shares the lessons learned after 12 years of work. The programme was initially funded by a research grant and the funds were maintained during the economic crisis and were tripled when the programme became a political priority in the last municipal government. During the 12-year period, partnerships with stakeholders were generally stable and productive. Maximum community participation was obtained in the detection of health assets and needs and in action plans. During 2018, Barcelona Salut als Barris worked with more than 460 agents that co-produced 183 interventions involving more than 13,600 people. Most of the interventions assessed showed improvements in the health of participants, which could help to reduce health inequalities. The greatest difficulties were: a) citizen participation, b) the sustainability of working groups over the years, c) conflicts of interest, d) the sustainability of interventions, e) reaching certain minority groups and f) evaluation. The increase in resources in the last period contributed to the maturity and expansion of the programme. Key factors in its scope and results were political will, strong technical capacity and methodology, strong intersectoral partnerships and continued community work.
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Affiliation(s)
- Ferran Daban
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Institut d'Investigació Biomèdica Sant Pau, Barcelona, Spain; Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain.
| | - M Isabel Pasarín
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Institut d'Investigació Biomèdica Sant Pau, Barcelona, Spain; Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Spain
| | - Carme Borrell
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Institut d'Investigació Biomèdica Sant Pau, Barcelona, Spain; Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Spain
| | - Lucía Artazcoz
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Institut d'Investigació Biomèdica Sant Pau, Barcelona, Spain; Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Spain
| | - Anna Pérez
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Institut d'Investigació Biomèdica Sant Pau, Barcelona, Spain
| | - Ana Fernández
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Institut d'Investigació Biomèdica Sant Pau, Barcelona, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Spain
| | - Victoria Porthé
- Agència de Salut Pública de Barcelona, Barcelona, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Spain
| | - Elia Díez
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Institut d'Investigació Biomèdica Sant Pau, Barcelona, Spain; Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Spain
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Chaves M, Sánchez-González L, Díez E, Pérez H, Vizán A. Experimental assessment of quality in injection parts using a fuzzy system with adaptive membership functions. Neurocomputing 2020. [DOI: 10.1016/j.neucom.2019.06.108] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Borrell C, Pasarín MI, Díez E, Pérez K, Malmusi D, Pérez G, Artazcoz L. [Health inequalities as a political priority in Barcelona]. Gac Sanit 2019; 34:69-76. [PMID: 31288951 DOI: 10.1016/j.gaceta.2019.04.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/09/2019] [Revised: 04/11/2019] [Accepted: 04/12/2019] [Indexed: 10/26/2022]
Abstract
There is a wealth of information and research on health inequalities in Barcelona, but this issue has not been clearly prioritised on the political agenda. The arrival in government of a new left-wing party (Barcelona en Comú) in 2015, gave an important boost to the political agenda to reduce inequalities and health inequalities. The aim of this review is to describe the progress made in relation to health inequalities in these four years and especially in the areas involving public health. With respect to evidence and communication on health inequalities, the progress made is presented in the Barcelona annual health report and the creation of the Observatory on Health, Inequalities and Impacts of Municipal Policies. The policies presented refer to different municipal strategies, the Health Plan, the promotion of the Barcelona Health in the Neighbourhoods programme and the Plan for Tackling Inequalities in the Barcelona Public Health Agency. The combination of political will, technical capacity and the drive of citizens have facilitated progress in the city of Barcelona in policies to reduce social inequalities in health.
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Affiliation(s)
- Carme Borrell
- Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, España; Departamento de Ciencias Experimentales y de la Salud, Universitat Pompeu Fabra, Barcelona, España.
| | - M Isabel Pasarín
- Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, España; Departamento de Ciencias Experimentales y de la Salud, Universitat Pompeu Fabra, Barcelona, España
| | - Elia Díez
- Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, España; Departamento de Ciencias Experimentales y de la Salud, Universitat Pompeu Fabra, Barcelona, España
| | - Katherine Pérez
- Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, España
| | - Davide Malmusi
- CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, España; Direcció de Serveis de Salut, Ajuntament de Barcelona, Barcelona, España
| | - Glòria Pérez
- Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, España; Departamento de Ciencias Experimentales y de la Salud, Universitat Pompeu Fabra, Barcelona, España
| | - Lucía Artazcoz
- Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, España; Departamento de Ciencias Experimentales y de la Salud, Universitat Pompeu Fabra, Barcelona, España
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Pérez G, Gotsens M, Palència L, Marí-Dell'Olmo M, Domínguez-Berjón MF, Rodríguez-Sanz M, Puig V, Bartoll X, Gandarillas A, Martín U, Bacigalupe A, Díez E, Ruiz M, Esnaola S, Calvo M, Sánchez P, Luque Fernández MÁ, Borrell C. [Erratum to: Study protocol on the effect of the economic crisis on mortality and reproductive health and health inequalities in Spain]. Gac Sanit 2019; 33:496. [PMID: 31176463 DOI: 10.1016/j.gaceta.2019.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- Glòria Pérez
- Servei de Sistemes d'Informació Sanitària, Agència de Salut Pública de Barcelona, Barcelona, España; Departamento de Ciencias Experimentales y de la Salud, Universitat Pompeu Fabra, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Instituto de Investigación Biomédica Sant Pau, Barcelona, España.
| | - Mercè Gotsens
- Servei de Sistemes d'Informació Sanitària, Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Instituto de Investigación Biomédica Sant Pau, Barcelona, España
| | - Laia Palència
- Servei de Sistemes d'Informació Sanitària, Agència de Salut Pública de Barcelona, Barcelona, España; Instituto de Investigación Biomédica Sant Pau, Barcelona, España
| | - Marc Marí-Dell'Olmo
- Servei de Sistemes d'Informació Sanitària, Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Instituto de Investigación Biomédica Sant Pau, Barcelona, España; Universitat Rovira i Virgili, Tarragona, España
| | - M Felicitas Domínguez-Berjón
- Servicio de Informes de Salud y Estudios, Dirección General de Salud Pública, Consejería de Sanidad, Comunidad de Madrid, Madrid, España
| | - Maica Rodríguez-Sanz
- Àrea de Recerca i Docencia, Agència de Salut Pública de Barcelona, Barcelona, España
| | - Vanessa Puig
- Servei de Sistemes d'Informació Sanitària, Agència de Salut Pública de Barcelona, Barcelona, España
| | - Xavier Bartoll
- Servei de Sistemes d'Informació Sanitària, Agència de Salut Pública de Barcelona, Barcelona, España
| | - Ana Gandarillas
- Servicio de Epidemiología, Dirección General de Salud Pública, Consejería de Sanidad, Comunidad de Madrid, Madrid, España
| | - Unai Martín
- Departamento de Sociología 2, Universidad del País Vasco UPV/EHU, Leioa, Bizkaia, España; Grupo de Investigación en Determinantes Sociales de la Salud y Cambio Demográfico-OPIK, Leoia, Bizkaia, España
| | - Amaia Bacigalupe
- Departamento de Sociología 2, Universidad del País Vasco UPV/EHU, Leioa, Bizkaia, España; Grupo de Investigación en Determinantes Sociales de la Salud y Cambio Demográfico-OPIK, Leoia, Bizkaia, España
| | - Elia Díez
- Servei de Programes d'Intervencions Preventives, Agència de Salut Pública de Barcelona, Barcelona, España
| | - Miguel Ruiz
- Consejería de Salud, Junta de Andalucía, Sevilla, España
| | | | | | - Pablo Sánchez
- Observatorio de Salud y Medio Ambiente de Andalucía (OSMAN), Escuela Andaluza de Salud Pública, Granada, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España
| | - Miguel Ángel Luque Fernández
- Faculty of Epidemiology and Population Health, Department of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Carme Borrell
- Gerencia, Agència de Salut Pública de Barcelona, Barcelona, España
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Perez G, Gotsens M, Cevallos-García C, Felicitas Domínguez-Berjón M, Díez E, Bacigalupe A, Palència L, León-Gómez BB, Luque-Fernández MA, Marí-DelĺOlmo M, Martin U, Puig-Barrachina V, Rodríguez-Sanz M, Ruiz M. The impact of the economic recession on inequalities in induced abortion in the main cities of Spain. Eur J Public Health 2018; 29:279-281. [DOI: 10.1093/eurpub/cky250] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Gloria Perez
- Agència de Salut Pública de Barcelona, Barcelona, Spain
- Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain
- CIBER de Epidemiología y Salud Pública, Madrid, Spain
- Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, Barcelona, Spain
| | - Mercè Gotsens
- Agència de Salut Pública de Barcelona, Barcelona, Spain
- Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain
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10
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González-Marín P, Puig-Barrachina V, Cortès-Franch I, Bartoll X, Artazcoz L, Malmusi D, Clotet E, Daban F, Díez E, Cardona À, Borrell C. Social and material determinants of health in participants in an active labor market program in Barcelona. Arch Public Health 2018; 76:65. [PMID: 30386597 PMCID: PMC6201487 DOI: 10.1186/s13690-018-0310-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Accepted: 08/30/2018] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND Unemployment affects the physical and mental health of affected individuals, which can be explained by its direct effect on worsening finances due to the lack of income as well as by its negative psychosocial effects. "Employment in the Neighborhoods" return to work program was implemented in Barcelona specifically in the neighborhoods characterized with a greater economic deprivation and by high unemployment to improve personal and occupational abilities and skills of the participants to reintegrate them into the workforce. The aim of this study is to determine the association between the lack of economic resources and psychosocial factors with respect to mental health and self-rated health in unemployed persons participating in the program "Employment in the Neighborhoods". METHODS Cross-sectional study. Data collected from a self-administered questionnaire. Generalized linear models were constructed, adjusted by age and social class, to estimate prevalence ratios and analyze any possible association between economic resources, psychosocial factors and poor self-rated health and mental health. RESULTS Nine hundred forty-eight persons of 2763 participants in the "Employment in the Neighborhoods" program completed the questionnaire. 46.9% were women. 72.5% of women and 61.9% of men were at risk of poor mental health and 25.5% of women and 21.1% of men reported poor self-rated health. Low self-esteem [women: PR 1.88 95%CI (1.24-2.84); men: PR 2.51 95%CI (1.57-4.02)] and medium social support [2.01 (1.30-3.09)], in men, and low social support [1.74 (1.13-2.68)] in women are associated with worsening of self-rated health. In men, low self-esteem [1.40 (1.19-1.64)] and delay in paying bills [1.38 (1.17-1.64)] were associated with the risk of poor mental health; in women were associated low self-esteem [1.27 (1.11-1.44)] and received a non-contributory allowance [1.37 (1.09-1.74)]. CONCLUSIONS Economic resources, self-esteem and social support are necessary for good general and mental health among unemployed persons. The high prevalence of poor mental health among persons participating in the active labor market program "Employment in the Neighborhoods" could be due to a substantial deficit in these factors.
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Affiliation(s)
- Patricia González-Marín
- 1Agència de Salut Pública de Barcelona, Plaça Lesseps, 1, Barcelona, Spain
- 2Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Avenida Monforte de Lemos, 3-5 (Pabellón 11. Planta 0), Madrid, Spain
| | | | - Imma Cortès-Franch
- 1Agència de Salut Pública de Barcelona, Plaça Lesseps, 1, Barcelona, Spain
- 2Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Avenida Monforte de Lemos, 3-5 (Pabellón 11. Planta 0), Madrid, Spain
- Institut d'Investigació Biomèdica (IIB Sant Pau), Barcelona, Spain
- 4Departament de Pediatria, Obstetrícia i Ginecologia, i de Medicina Preventiva, Facultat de Medicina, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Xavier Bartoll
- 1Agència de Salut Pública de Barcelona, Plaça Lesseps, 1, Barcelona, Spain
- Institut d'Investigació Biomèdica (IIB Sant Pau), Barcelona, Spain
| | - Lucía Artazcoz
- 1Agència de Salut Pública de Barcelona, Plaça Lesseps, 1, Barcelona, Spain
- 2Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Avenida Monforte de Lemos, 3-5 (Pabellón 11. Planta 0), Madrid, Spain
- Institut d'Investigació Biomèdica (IIB Sant Pau), Barcelona, Spain
- 5Universitat Pompeu Fabra, Barcelona, Spain
| | - Davide Malmusi
- 2Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Avenida Monforte de Lemos, 3-5 (Pabellón 11. Planta 0), Madrid, Spain
- 6Àrea de Drets Socials, Ajuntament de Barcelona, Carrer València, 344, 4a planta, Barcelona, Spain
| | - Eva Clotet
- 7Barcelona Activa, Carrer de la Llacuna, 162-164 Barcelona, Spain
| | - Ferran Daban
- 1Agència de Salut Pública de Barcelona, Plaça Lesseps, 1, Barcelona, Spain
- 5Universitat Pompeu Fabra, Barcelona, Spain
| | - Elia Díez
- 1Agència de Salut Pública de Barcelona, Plaça Lesseps, 1, Barcelona, Spain
- 2Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Avenida Monforte de Lemos, 3-5 (Pabellón 11. Planta 0), Madrid, Spain
- Institut d'Investigació Biomèdica (IIB Sant Pau), Barcelona, Spain
| | - Àfrica Cardona
- 7Barcelona Activa, Carrer de la Llacuna, 162-164 Barcelona, Spain
| | - Carme Borrell
- 1Agència de Salut Pública de Barcelona, Plaça Lesseps, 1, Barcelona, Spain
- 2Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Avenida Monforte de Lemos, 3-5 (Pabellón 11. Planta 0), Madrid, Spain
- Institut d'Investigació Biomèdica (IIB Sant Pau), Barcelona, Spain
- 5Universitat Pompeu Fabra, Barcelona, Spain
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Jacques-Aviñó C, Andrés AD, Roldán L, Fernández-Quevedo M, Olalla PGD, Díez E, Romaní O, Caylà JA. Male sex workers: between safe sex and risk. Ethnography in a gay sauna in Barcelona, Spain. Cien Saude Colet 2018; 24:4707-4716. [PMID: 31778520 DOI: 10.1590/1413-812320182412.27842017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2017] [Accepted: 05/11/2018] [Indexed: 12/26/2022] Open
Abstract
This ethnography was conducted in Barcelona, a city that provides different gay leisure resources, such as gay saunas. We aimed to analyze from studies on gender and masculinities, how sexuality, perception of HIV infection and other sexually transmitted infections (STIs), and preventive measures are articulated in gay sauna male sex workers (MSW). Ten in-depth interviews and observation were conducted between 2012 and 2016. Safe sex practices are more frequent with clients, while risk practices are carried out more with non-commercial partners. Sexual orientation plays an important role. Homosexuals assume riskier practices in sex work than heterosexuals. Drug use or lack of support networks were associated with higher social vulnerability and risk behaviors. Contracting HIV still creates fear, while having other STIs is perceived as part of a man's sexual life. The MSW affirms masculinity with concurrent sexual partners, breadwinner, and on the other hand, questions a heteronormative model. Interventions for the prevention of HIV and STIs in this group should consider social determinants such as inferior work alternatives and the provision of more significant social support.
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Affiliation(s)
- Constanza Jacques-Aviñó
- Servicio de Epidemiología, Agència de Salut Pública de Barcelona. Plaza Lesseps 1. 08023 Barcelona España.
| | - Anna de Andrés
- Servicio de Epidemiología, Agència de Salut Pública de Barcelona. Plaza Lesseps 1. 08023 Barcelona España.
| | - Llanos Roldán
- Servicio de Epidemiología, Agència de Salut Pública de Barcelona. Plaza Lesseps 1. 08023 Barcelona España.
| | - Manuel Fernández-Quevedo
- Servicio de Epidemiología, Agència de Salut Pública de Barcelona. Plaza Lesseps 1. 08023 Barcelona España.
| | - Patricia García de Olalla
- Servicio de Epidemiología, Agència de Salut Pública de Barcelona. Plaza Lesseps 1. 08023 Barcelona España.
| | - Elia Díez
- Servicio de Epidemiología, Agència de Salut Pública de Barcelona. Plaza Lesseps 1. 08023 Barcelona España.
| | - Oriol Romaní
- Universitat Rovira i Virgili (URV), Tarragona, España
| | - Joan A Caylà
- Servicio de Epidemiología, Agència de Salut Pública de Barcelona. Plaza Lesseps 1. 08023 Barcelona España.
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Sánchez E, Daban F, García-Subirats I, Vázquez N, Pérez A, Díez E. Barcelona Health in the Neighbourhoods programme: the experience in Besòs-Maresme. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx187.068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- E Sánchez
- Public Health Agency of Barcelona, Barcelona, Spain
| | - F Daban
- Public Health Agency of Barcelona, Barcelona, Spain
| | | | - N Vázquez
- Public Health Agency of Barcelona, Barcelona, Spain
| | - A Pérez
- Public Health Agency of Barcelona, Barcelona, Spain
| | - E Díez
- Public Health Agency of Barcelona, Barcelona, Spain
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13
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Díez E, López MJ, Marí-Dell’Olmo M, Nebot L, Pérez G, Villalbi JR, Carreras R. Effects of a counselling intervention to improve contraception in deprived neighbourhoods: a randomized controlled trial. Eur J Public Health 2017; 28:10-15. [DOI: 10.1093/eurpub/ckx046] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Díez E, Gómez-Ariza C, Díez-Álamo A, Alonso M, Fernandez A. Encoding/retrieval dissociation of false recognition with transcranial direct current stimulation (tDCS) of the left temporal lobe. Brain Stimul 2017. [DOI: 10.1016/j.brs.2017.01.097] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Pérez G, Gotsens M, Palència L, Marí-Dell'Olmo M, Domínguez-Berjón MF, Rodríguez-Sanz M, Puig V, Bartoll X, Gandarillas A, Martín U, Bacigalupe A, Díez E, Ruiz M, Esnaola S, Calvo M, Sánchez P, Luque Fernández MÁ, Borrell C. Protocolo del estudio sobre el efecto de la crisis económica en la mortalidad, la salud reproductiva y las desigualdades en salud en España. Gaceta Sanitaria 2016; 30:472-476. [PMID: 27474486 DOI: 10.1016/j.gaceta.2016.05.018] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2016] [Revised: 04/27/2016] [Accepted: 05/02/2016] [Indexed: 11/18/2022]
Affiliation(s)
- Glòria Pérez
- Servei de Sistemes d'Informació Sanitària, Agència de Salut Pública de Barcelona, Barcelona, España; Departamento de Ciencias Experimentales y de la Salud, Universitat Pompeu Fabra, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Instituto de Investigación Biomédica Sant Pau, Barcelona, España.
| | - Mercè Gotsens
- Servei de Sistemes d'Informació Sanitària, Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Instituto de Investigación Biomédica Sant Pau, Barcelona, España
| | - Laia Palència
- Servei de Sistemes d'Informació Sanitària, Agència de Salut Pública de Barcelona, Barcelona, España; Instituto de Investigación Biomédica Sant Pau, Barcelona, España
| | - Marc Marí-Dell'Olmo
- Servei de Sistemes d'Informació Sanitària, Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Instituto de Investigación Biomédica Sant Pau, Barcelona, España; Universitat Rovira i Virgili, Tarragona, España
| | - M Felicitas Domínguez-Berjón
- Servicio de Informes de Salud y Estudios, Dirección General de Salud Pública, Consejería de Sanidad, Comunidad de Madrid, Madrid, España
| | - Maica Rodríguez-Sanz
- Area de Recerca i Docencia, Agència de Salut Pública de Barcelona, Barcelona, España
| | - Vanessa Puig
- Servei de Sistemes d'Informació Sanitària, Agència de Salut Pública de Barcelona, Barcelona, España
| | - Xavier Bartoll
- Servei de Sistemes d'Informació Sanitària, Agència de Salut Pública de Barcelona, Barcelona, España
| | - Ana Gandarillas
- Servicio de Epidemiología, Dirección General de Salud Pública, Consejería de Sanidad, Comunidad de Madrid, Madrid, España
| | - Unai Martín
- Departamento de Sociología 2, Universidad del País Vasco UPV/EHU, Leioa, Bizkaia, España; Grupo de Investigación en Determinantes Sociales de la Salud y Cambio Demográfico-OPIK, Leoia, Bizkaia, España
| | - Amaia Bacigalupe
- Departamento de Sociología 2, Universidad del País Vasco UPV/EHU, Leioa, Bizkaia, España; Grupo de Investigación en Determinantes Sociales de la Salud y Cambio Demográfico-OPIK, Leoia, Bizkaia, España
| | - Elia Díez
- Servei de Programes d'Intervencions Preventives, Agència de Salut Pública de Barcelona, Barcelona, España
| | - Miguel Ruiz
- Consejería de Salud, Junta de Andalucía, Sevilla, España
| | | | | | - Pablo Sánchez
- Observatorio de Salud y Medio Ambiente de Andalucía (OSMAN), Escuela Andaluza de Salud Pública, Granada, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España
| | - Miguel Ángel Luque Fernández
- Faculty of Epidemiology and Population Health, Department of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Carme Borrell
- Gerencia, Agència de Salut Pública de Barcelona, Barcelona, España
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16
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Retuerto M, Sierra L, Martín M, Moriano C, García A, Garijo M, Iniguez C, Lopez A, Άlvarez C, Díez E, Pérez T. AB0821 Evolution of The Values of Alkaline Phosphatase (ALP) in Patients Treated with Zoledronic Acid and Diagnosed with The Paget's Disease of Bone. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.5919] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Retuerto M, Sierra L, Moriano C, Martín M, García A, Garijo M, Iniguez C, Lopez A, Άlvarez C, Díez E, Pérez T. AB0790 Descriptive Study of Zoledronic Acid Treatment in A Hospital of Third Level. Our Experience. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.5970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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18
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Julià A, Carreira P, Blanco R, Martínez Taboada V, Carreño Pérez L, Pérez-Venegas J, Olivé À, Andreu J, Aguirre Zamorano M, Vela P, Nolla J, Marenco de la Fuente J, Zea A, Pego J, Freire M, Díez E, Aterido A, Alonso A, Lόpez-Lasanta M, Lόpez-Corbeto M, Tortosa R, Marsal S, Fernández-Nebro A. OP0233 Genome-Wide Pathway Analysis Reveals that VEGF Genetic Pathway Is Associated with Oral Ulcers in Systemic Lupus Erythematosus. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.3571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Jacques Aviñó C, García de Olalla P, Díez E, Martín S, Caylà JA. [Explanation of risky sexual behaviors in men who have sex with men]. Gac Sanit 2015; 29:252-7. [PMID: 25869152 DOI: 10.1016/j.gaceta.2015.03.002] [Citation(s) in RCA: 9] [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] [Subscribe] [Scholar Register] [Received: 12/22/2014] [Revised: 03/04/2015] [Accepted: 03/10/2015] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To explore views about risky sexual behaviors and perceptions of HIV, and to propose interventions for preventing HIV infections in a group of men who have sex with men. METHODS We performed a qualitative study in a sample of 13 men who have sex with men, who were participating in an HIV-seronegative cohort, and who we contacted via saunas for the gay community in Barcelona (Spain). We performed in-depth semi-structured interviews, followed by content analysis. RESULTS Risky sexual behaviors were associated with masculinity related to strong sexual needs, certain sexual exchange venues (such as saunas, private parties and clubs), drug use, and a desire to experiment with risk and one's own sexuality. HIV infection was perceived as a normalized disease, although becoming infected was still associated with shame and guilt. Proposed interventions included raising awareness of what it is like to live with HIV, generating greater social alarm, incorporating new technologies in prevention, and intensifying activity at gay venues. CONCLUSIONS The concept of masculinity plays a fundamental role in sexual practices among men who have sex with men. We suggest renewed innovation in preventive programs and incorporating the perception of risk and HIV infection from a gender perspective.
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Affiliation(s)
- Constanza Jacques Aviñó
- Servei d'Epidemiologia, Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España.
| | - Patricia García de Olalla
- Servei d'Epidemiologia, Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España
| | - Elia Díez
- CIBER de Epidemiología y Salud Pública (CIBERESP), España; Servei de Programes i Intervencions Preventives, Agència de Salut Pública de Barcelona, Barcelona, España
| | - Silvia Martín
- Servei de Programes i Intervencions Preventives, Agència de Salut Pública de Barcelona, Barcelona, España
| | - Joan A Caylà
- Servei d'Epidemiologia, Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España
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20
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Morrison J, Pons-Vigués M, Díez E, Pasarin MI, Salas-Nicás S, Borrell C. Perceptions and beliefs of public policymakers in a Southern European city. Int J Equity Health 2015; 14:18. [PMID: 25890326 PMCID: PMC4343064 DOI: 10.1186/s12939-015-0143-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2014] [Accepted: 01/20/2015] [Indexed: 11/15/2022] Open
Abstract
Introduction Socio-economic inequalities in health are large in urban areas; however, local municipal governments may plan, manage and provide services and policies which can reduce these. The objective of this study was to describe the beliefs and perceptions of public policymakers in a European city, Barcelona. They are the key actors in designing and implementing urban public policies. Methods A qualitative research study describing policymakers’ beliefs on health inequalities. The study population were twelve policymakers. These were politicians or officers from the city council. Informant profiles were selected using a theoretical sample. Semi-structured individual interviews were performed to collect the data and a thematic content analysis was carried out. Results Politicians were aware of health inequalities in their city and identified diverse social causes. They viewed reducing inequalities as a priority for the city’s government. Officers were less knowledgeable and described less efforts in addressing health inequalities. It was stated by some that reducing inequalities in non-health sectors helped to reduce health inequalities indirectly and there was some collaboration between two sectors. The most frequent barriers encountered when implementing policies were funding and the cities’ limited authority. Conclusions Officers and policymakers had different levels of awareness and access to information on health and its socials determinants. Officers referred to specific causes of health inequalities and policies which related to their sectors and politicians were more familiar with upstream determinants and policies. Some participants explained that policies and programmes needed to be evaluated and very little intersectoral action was said to be carried out. More efforts should be made to provide all policymakers with information on the social determinants of health inequalities. Research on health inequalities and policy should engage with policymakers and promote health as a cross cutting issue in the city council in liaison with the third sector.
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Affiliation(s)
- Joana Morrison
- Department of Epidemiology and Public Health, University College London, London, UK. .,CIBER de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain. .,Agència de Salut Pública de Barcelona, Barcelona, Spain.
| | - Mariona Pons-Vigués
- Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain. .,Universitat de Girona, Girona, Spain.
| | - Elia Díez
- CIBER de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain. .,Agència de Salut Pública de Barcelona, Barcelona, Spain. .,Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain.
| | - Maria Isabel Pasarin
- CIBER de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain. .,Agència de Salut Pública de Barcelona, Barcelona, Spain. .,Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain.
| | | | - Carme Borrell
- CIBER de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain. .,Agència de Salut Pública de Barcelona, Barcelona, Spain. .,Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain. .,Universitat Pompeu Fabra, Barcelona, Spain.
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Díez E, Daban F, Pasarín M, Artazcoz L, Fuertes C, López MJ, Calzada N. Evaluación de un programa comunitario para reducir el aislamiento de personas mayores debido a barreras arquitectónicas. Gaceta Sanitaria 2014; 28:386-8. [DOI: 10.1016/j.gaceta.2014.04.013] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/29/2014] [Revised: 04/24/2014] [Accepted: 04/29/2014] [Indexed: 10/25/2022]
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Font-Ribera L, García-Continente X, Davó-Blanes MC, Ariza C, Díez E, García Calvente MDM, Maroto G, Suárez M, Rajmil L. El estudio de las desigualdades sociales en la salud infantil y adolescente en España. Gaceta Sanitaria 2014; 28:316-25. [DOI: 10.1016/j.gaceta.2013.12.009] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/06/2013] [Revised: 12/16/2013] [Accepted: 12/18/2013] [Indexed: 10/25/2022]
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Mehdipanah R, Rodríguez-Sanz M, Malmusi D, Muntaner C, Díez E, Bartoll X, Borrell C. The effects of an urban renewal project on health and health inequalities: a quasi-experimental study in Barcelona. J Epidemiol Community Health 2014; 68:811-7. [PMID: 24803086 DOI: 10.1136/jech-2013-203434] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND In the last decade, the Neighbourhoods Law in Catalonia (Spain) funded municipalities that presented urban renewal projects within disadvantaged neighbourhoods focusing on physical, social and economic improvements. The objective of the study was to evaluate the effects of this law on the health and health inequalities of residents in the intervened neighbourhoods in the city of Barcelona. METHODS A quasi-experimental predesign and postdesign was used to compare adult residents in five intervened neighbourhoods with eight non-intervened comparison neighbourhoods with similar socioeconomic characteristics. The Barcelona Health Survey was used for studying self-rated and mental health in pre (2001, 2006) and post (2011) years. Poisson regression models stratified by sex were used to compute prevalence ratios comparing 2011 with 2006, and later stratified by social class, to study health inequalities. RESULTS The intervened neighbourhoods had a significant decrease in poor self-rated health in both sexes while no significant changes occurred in the comparison group. When stratified by social class, a significant improvement was observed in poor self-rated health in the manual group of the intervened neighbourhoods in both sexes, resulting in a decrease in self-rated health inequalities. Similar results were observed in poor mental health of women, while in men, poor mental health worsens in both neighbourhood groups but mostly in the comparison group. CONCLUSIONS The Neighbourhoods Law had a positive effect on self-rated health and seems to prevent poor mental health increases in both sexes and especially among manual social classes.
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Affiliation(s)
- Roshanak Mehdipanah
- Agència de Salut Pública de Barcelona, Barcelona, Spain Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain
| | - Maica Rodríguez-Sanz
- Agència de Salut Pública de Barcelona, Barcelona, Spain Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain Ciber de Epidemiología y Salud Publica (CIBERESP), Barcelona, Spain
| | - Davide Malmusi
- Agència de Salut Pública de Barcelona, Barcelona, Spain Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain Ciber de Epidemiología y Salud Publica (CIBERESP), Barcelona, Spain
| | - Carles Muntaner
- Bloomberg Faculty of Nursing, Dalla Lana School of Public Health, University of Toronto, Canada Department of Health Care Management, Korea University, Seoul, South Korea
| | - Elia Díez
- Agència de Salut Pública de Barcelona, Barcelona, Spain Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain Ciber de Epidemiología y Salud Publica (CIBERESP), Barcelona, Spain
| | - Xavier Bartoll
- Agència de Salut Pública de Barcelona, Barcelona, Spain Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain
| | - Carme Borrell
- Agència de Salut Pública de Barcelona, Barcelona, Spain Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain Ciber de Epidemiología y Salud Publica (CIBERESP), Barcelona, Spain
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Pasarín MI, Díez E. Salud comunitaria: una actuación necesaria. Gaceta Sanitaria 2013; 27:477-8. [DOI: 10.1016/j.gaceta.2013.10.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/29/2013] [Revised: 09/25/2013] [Accepted: 10/07/2013] [Indexed: 11/29/2022]
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Ramos P, Isabel Pasarín M, Artazcoz L, Díez E, Juárez O, González I. Escuelas saludables y participativas: evaluación de una estrategia de salud pública. Gaceta Sanitaria 2013; 27:104-10. [DOI: 10.1016/j.gaceta.2012.04.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/12/2012] [Revised: 03/28/2012] [Accepted: 04/13/2012] [Indexed: 10/28/2022]
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Affiliation(s)
- Carme Borrell
- Agència de Salut Pública de Barcelona, Plaça Lesseps 1, Barcelona, Spain.
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Ruiz-Muñoz D, Pérez G, Garcia-Subirats I, Díez E. Social and Economic Inequalities in the Use of Contraception Among Women in Spain. J Womens Health (Larchmt) 2011; 20:403-11. [DOI: 10.1089/jwh.2010.2004] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Dolores Ruiz-Muñoz
- Health Information Systems Service, Barcelona Public Health Agency, Barcelona, Spain
- CIBER in Epidemiology and Public Health (CIBERESP), Spain
- Institute of Biomedical Research (IIB Sant Pau), Barcelona, Spain
| | - Gloria Pérez
- Health Information Systems Service, Barcelona Public Health Agency, Barcelona, Spain
- CIBER in Epidemiology and Public Health (CIBERESP), Spain
- Institute of Biomedical Research (IIB Sant Pau), Barcelona, Spain
- Pompeu Fabra University, Barcelona, Spain
| | - Irene Garcia-Subirats
- Health Information Systems Service, Barcelona Public Health Agency, Barcelona, Spain
- Institute of Biomedical Research (IIB Sant Pau), Barcelona, Spain
| | - Elia Díez
- CIBER in Epidemiology and Public Health (CIBERESP), Spain
- Institute of Biomedical Research (IIB Sant Pau), Barcelona, Spain
- Pompeu Fabra University, Barcelona, Spain
- Preventive Interventions and Programs Service, Barcelona Public Health Agency, Barcelona, Spain
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Rajmil L, Díez E, Peiró R. [Social inequalities in child health. SESPAS report 2010]. Gac Sanit 2010; 24 Suppl 1:42-8. [PMID: 21075492 DOI: 10.1016/j.gaceta.2010.09.012] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/05/2010] [Revised: 08/02/2010] [Accepted: 08/02/2010] [Indexed: 11/28/2022]
Abstract
There is considerable evidence of the impact of poverty and social exclusion on child health. In the last few years, interest has grown in the concept of social gradients in health, according to social position, family educational level, gender, and ethnic background. Several cohort studies have demonstrated an association between maternal socioeconomic position during the prenatal period and adult health. The Commission on Social Determinants of Health of the World Health Organization proposed closing the health gap in a generation by giving a major role to early child development. Family educational level and academic achievement are fundamental determinants of health inequalities. There is scarce empirical evidence on the effectiveness of interventions to reduce child health inequalities. Most of the interventions in children and adolescents aim to change individual behavior, and very few have been critically evaluated. The present manuscript provides a review of initiatives and recent interventions aimed at reducing social inequalities, as well as a checklist to be taken into account in interventions on health promotion and disease prevention in schools from the perspective of social and gender inequalities. Strategies for data collection, research and health and educational policies are proposed.
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Affiliation(s)
- Luis Rajmil
- Agència d'Informació, Avaluació i Qualitat en Salut (AIAQS), Barcelona, España.
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Santamariña-Rubio E, Pérez K, Ricart I, Rodríguez-Sanz M, Rodríguez-Martos A, Brugal MT, Borrell C, Ariza C, Díez E, Beneyto VM, Nebot M, Ramos P, Suelves JM. Substance use among road traffic casualties admitted to emergency departments. Inj Prev 2010; 15:87-94. [PMID: 19346420 DOI: 10.1136/ip.2008.019679] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVE To describe the prevalence of recent psychoactive substance use and associated factors among road traffic casualties admitted to emergency departments. METHODS A cross-sectional study was carried out, including adults injured in road traffic crashes admitted to the emergency department (ED) of eight hospitals in Catalonia (Spain), during three cross-sections, each of 4 days duration (2005-2006). Information sources were an interview, an oral fluid specimen and the patient's clinical record. Dependent variables were presence of alcohol, cannabis, cocaine, ecstasy, opiates or benzodiazepines. Independent variables were socioeconomic characteristics and circumstances of the injuries and admission. Prevalence and exact 95% confidence intervals were estimated for men and women. Bivariate analyses and multivariate binomial regression modelling were carried out to study factors associated with substance use in male drivers and pedestrians. RESULTS The prevalence of substance use was higher in men (n = 226) than in women (n = 161) for any substance (34.4% and 16.2%), any illegal substance (19.3% and 7.6%), alcohol (18.5% and 9.2%) and cannabis (17.0% and 3.8%), respectively. In male drivers and pedestrians, alcohol use was associated with being in the 25-30-year age group, being injured at night and the weekend, and arriving at the ED by ambulance; cannabis use was only associated with being in the 18-30-year age group. CONCLUSIONS A high prevalence of recent psychoactive substance use, especially alcohol, cannabis and cocaine, was observed in all age groups. The results indicate the need to screen for substance use and to give simple advice to casualties at EDs.
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Pérez K, Santamariña-Rubio E, Rodríguez-Martos A, Brugal MT, Ricart I, Suelves JM, de la Torre R, Pujadas M, Ariza C, Díez E, Nebot M, Ramos P, Martinez Beneyto V, Plasència A. Substance use among non-fatally injured patients attended at emergency departments in Spain. Drug Alcohol Depend 2009; 105:194-201. [PMID: 19674852 DOI: 10.1016/j.drugalcdep.2009.06.023] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2008] [Revised: 06/24/2009] [Accepted: 06/26/2009] [Indexed: 11/25/2022]
Abstract
AIMS To describe the prevalence of recent use of alcohol, medication, and illegal drugs among patients who attended emergency departments (EDs) as a result of suffering an injury due to any external mechanism and to identify factors associated with alcohol and drug use. METHODS A cross-sectional study was conducted in eight university hospitals in Spain. Participants were adult patients admitted to a trauma ED. Oral fluid was used to test for psychoactive substances analyzed by gas chromatography-mass spectrometry. Socio-demographic data and information on circumstances of the injury were collected through interviews. RESULTS The analysis included 1579 patients admitted to the EDs (56.4% men). Among young people (< 40 years), 21.4% of men and 8.5% of women were positive for any illegal substance, primarily cannabinoids or cocaine; 24.7% of men and 14.8% of women were positive for alcohol. Among patients > or = 40 years, 7.4% of men and 1.6% of women were positive for any illegal substance, and 16.3% and 11.0% respectively for alcohol. Prevalence of substance detected varied across mechanism of injury, gender and age group. Night-time injury was associated with substance use. CONCLUSIONS A high proportion of injured patients who were treated in an EDs tested positive for psychoactive drugs. Routine testing at trauma departments would maximize the identification of patients who may benefit from referral to specialized addiction treatment centers, or brief interventions.
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Affiliation(s)
- Katherine Pérez
- Agència de Salut Pública de Barcelona, Pl Lesseps 1, E08023 Barcelona, Spain.
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Ramos P, Díez E, Pérez K, Rodriguez-Martos A, Brugal MT, Villalbí JR. Young people's perceptions of traffic injury risks, prevention and enforcement measures: a qualitative study. Accid Anal Prev 2008; 40:1313-1319. [PMID: 18606261 DOI: 10.1016/j.aap.2008.02.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2007] [Revised: 12/05/2007] [Accepted: 02/07/2008] [Indexed: 05/26/2023]
Abstract
The purpose of this qualitative study is to investigate young people's perceptions, in Barcelona, Spain, about the evolution, magnitude, causes and determinants of traffic crashes, to describe their opinions on road safety regulations, and to explore their suggestions and proposals. Interviews were conducted with 43 key informants and 12 focus groups involving 98 participants. Discussion guides were designed to get insight on perceptions of relevance and trends in road traffic injuries, determinants of these, regulations and enforcement, as well as to gather their own ideas for reducing traffic injuries. Young people are aware that traffic injuries are a relevant and increasingly serious problem. The main determinants identified are: driving under the influence of drugs and alcohol, fatigue, night driving, unsafe infrastructures, age of drivers and lack of public transport alternatives. Young people admit that fines, speed cameras and alcohol breath testing reduce risky driving. They prefer community work to fines. They have a poor image of public administrations in charge of prevention of traffic injuries. They demand information on traffic regulations and politicians' decisions, and a considerable increase in weekend and night time public transport. Effectiveness of interventions to reduce traffic injuries can be improved by taking the recipients' perceptions into account.
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Affiliation(s)
- Pilar Ramos
- Agència de Salut Pública de Barcelona, Pl Lesseps 1, Barcelona, Spain.
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San Fabián J, Díez E, García de la Vega JM, Suardíaz R. Approximating correlation effects in multiconfigurational self-consistent field calculations of spin-spin coupling constants. J Chem Phys 2008; 128:084108. [PMID: 18315034 DOI: 10.1063/1.2834210] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- J San Fabián
- Departamento de Química Física Aplicada, Facultad de Ciencias, Universidad Autónoma de Madrid, E-28049 Madrid, Spain.
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Abstract
Mohs micrographic surgery is a surgical technique that allows the excision in successive layers of cutaneous malignancies with the higher cure rates. At the same time, this surgical technique offers the maximal preservation of normal tissue. That is possible because Mohs surgery provides the advantage of microscopically controlled tumor-free borders in each stage guiding the surgeon in the tumor persistence until the complete surgical excision. Mohs micrographic surgery is a precise treatment for penile neoplasms and its utility is justified because the removal of a substantial surgical margin of normal tissue is obviated. MoHs micrographic surgery is indicated in the treatment of penile verrucous carcinoma due to the significant risk of loco-regional recurrence after conventional surgery. Although infrequent, other penile neoplasms that can benefit from Mohs micrographic surgery are: basal cell carcinoma, extrammamary Paget's disease, in situ melanoma and granular cell tumor.
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Díez E, Boixeda P. Frey's Syndrome in Childhood. Actas Dermo-Sifiliográficas (English Edition) 2007. [DOI: 10.1016/s1578-2190(07)70389-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Díez E, Boixeda P. Síndrome de Frey en la infancia. Actas Dermo-Sifiliográficas 2007; 98:45-6. [PMID: 17374333 DOI: 10.1016/s0001-7310(07)70008-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
Frey's syndrome, also known as auriculotemporal syndrome is characterized by recurrent episodes of facial flushing and/or sweating along the distribution of the auriculotemporal nerve, that occurs in response to gustatory stimuli. The disorder is rare in children. We report a 4-year-old girl with flushing without hyperhidrosis in the left cheek on eating.
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Affiliation(s)
- E Díez
- Servicio de Dermatología, Hospital General Universitario de Guadalajara, Guadalajara, Universidad de Alcalá de Henares, España.
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Affiliation(s)
- Elia Díez
- Agència de Salut Pública de Barcelona, Barcelona, Spain
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Nebot M, Tomás Z, López MJ, Ariza C, Díez E, Borrell C, Villalbí JR. Cambios en el consumo de tabaco en la población general en Barcelona, 1983-2000. Aten Primaria 2004. [DOI: 10.1157/13069031] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Abstract
The objective of this study is to compile, describe and assess interventions to reduce health inequalities developed in Spain by administrations, NGO or other entities. The search was organized in three settings: governmental strategies, interventions, and among the latter, those particularly addressing excluded social groups. Administration actions and policies were investigated through formal surveys addressed to regional governments (17 regions and 2 cities). Production of information by gender and socio-economic level (SEL), plans and programs, as well as interventions was explored. Key informants were consulted and scientific literature was reviewed in order to identify interventions. Médicos del Mundo and Cáritas, two of the main national NGO were consulted. Fourteen administrations responded. In general, health information includes sex analysis, few administrations analyse by gender or SEL and six study inequalities in the general population. Most administrations produce specific information by pathologies (HIV/AIDS.) or social groups (women.). They mention intervention experiences applied to territories or vulnerable groups, evaluated through process indicators. In the period 1995-2002, 722 papers on inequalities in Spain have been published. Among them, 28 are interventions and 9 have been evaluated, mainly with quasi-experimental designs. Large NGO, sometimes with public funding, work with excluded populations through outreach programs. Most Spanish health information does not include yet inequalities analysis, although it is growing steadily. Publication of inequalities studies has increased sharply, but intervention publications are rare and evaluated interventions are extremely scarce. Administrations and NGO work in interventions mainly addressed to excluded populations.
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Affiliation(s)
- Elia Díez
- Agència de Salut Pública de Barcelona, Spain.
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Nebot M, Tomás Z, López MJ, Ariza C, Díez E, Borrell C, Villalbí JR. Cambios en el consumo de tabaco en la población general en Barcelona, 1983–2000. Aten Primaria 2004; 34:457-62. [PMID: 15563782 PMCID: PMC7688694 DOI: 10.1016/s0212-6567(04)79530-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Abstract
OBJECTIVES To analyze the prevalence trends for smoking and its determinants in the general population of Barcelona from 1983 to 2000. DESIGN Time series study. SETTING Health survey based on home interviews of a representative sample of the general population of Barcelona. PARTICIPANTS In the years 1983, 1992, and 2000 we interviewed 3134, 5004, and 10,000 persons, respectively. MAIN OUTCOME MEASURES AND RESULTS Between 1983 and 2000 daily tobacco use showed a steady tendency to decrease among men, with a prevalence that decreased from 54.6% to 38.3%, while in women, smoking increased between 1983 and 1992 (from 20.9% to 25.4%) but remained stable in 2000 (24.5%). The proportion of smokers who said they wanted to quit increased in both sexes from 1992 (54.2%) to 2000 (65.7%). During this period the proportion of smokers who said their doctor had advised them to quit increased from 36.1% to 48.1%. The trends for both sexes showed that consumption of tobacco products was greater among less privileged socioeconomic groups. CONCLUSIONS The results of this study confirm the decrease in the prevalence of daily consumption of tobacco products and the increase in smokers who would like to quit, in parallel with the increase in advice from physicians to quit. However, the trends among younger groups remained stable, a finding that makes it necessary to intensify efforts aimed at this population group.
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Affiliation(s)
- M Nebot
- Servei d'Avaluació i Métodes, Agència de Salut Pública de Barcelona, España.
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Ariza C, Nebot M, Villalbí JR, Díez E, Tomás Z, Valmayor S. [Trends in tobacco, alcohol and cannabis consumption among secondary school pupils in Barcelona, Spain (1987-1999)]. Gac Sanit 2003; 17:190-5. [PMID: 12841980 DOI: 10.1016/s0213-9111(03)71727-0] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To describe trends in tobacco, alcohol, and cannabis consumption among secondary school pupils in Barcelona between 1987 and 1999. METHODS Cross-sectional surveys administered to representative samples of pupils in the second year of secondary school between 1987 and 1999. The questionnaires were anonymous and self-completed. We present data from 5013 secondary school pupils from Barcelona who participated in one of the five surveys. RESULTS Regular smoking (daily and weekly) showed a uniform decrease between 1987 and 1996. The results of the last survey (1999) showed an increase over those the 1996 survey, ranging from 13.4% for regular smoking to 38.7% for experimental smoking. Between 1987 and 1999, the percentage of schoolchildren who reported drinking at least half a glass of alcohol at some time showed an overall decrease of 14.0%. No differences in sex were found in problematic alcohol consumption, while a higher proportion of girls (14.0%) than boys (10.5%) reported getting drunk at some time. Whereas in 1996, 6.9% of the population studied had smoked cannabis at some time, in 1999 this proportion was 7.3%, with no differences between sexes. CONCLUSIONS During the study period regular smoking increased, alcohol consumption decreased and cannabis consumption tended to level-off. Differences between boys and girls tended to disappear.
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Affiliation(s)
- C Ariza
- Institut de Medicina i Salut, Agència de Salut de Barcelona. España.
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Arenas J, Fernández-iñarea J, Rodríguez-mon C, Duplá B, Díez E, González-garcía A. Cribado con doppler de las arterias uterinas para la predicción de complicaciones de la gestación. Clínica e Investigación en Ginecología y Obstetricia 2003. [DOI: 10.1016/s0210-573x(03)77255-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Mingot JM, Espeso EA, Díez E, Peñalva MA. Ambient pH signaling regulates nuclear localization of the Aspergillus nidulans PacC transcription factor. Mol Cell Biol 2001; 21:1688-99. [PMID: 11238906 PMCID: PMC86715 DOI: 10.1128/mcb.21.5.1688-1699.2001] [Citation(s) in RCA: 56] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
The Aspergillus nidulans zinc finger transcription factor PacC is activated by proteolytic processing in response to ambient alkaline pH. The pH-regulated step is the transition of full-length PacC from a closed to an open, protease-accessible conformation. Here we show that in the absence of ambient pH signaling, the C-terminal negative-acting domain prevents the nuclear localization of full-length closed PacC. In contrast, the processed PacC form is almost exclusively nuclear at any ambient pH. In the presence of ambient pH signaling, the fraction of PacC that is in the open conformation but has not yet been processed localizes to the nucleus. Therefore, ambient alkaline pH leads to an increase in nuclear PacC by promoting the proteolytic elimination of the negative-acting domain to yield the processed form and by increasing the proportion of full-length protein that is in the open conformation. These findings explain why mutations resulting in commitment of PacC to processing irrespective of ambient pH lead to permanent PacC activation and alkalinity mimicry. A nuclear import signal that targets Escherichia coli beta-galactosidase to the nucleus has been located to the PacC zinc finger region. A mutation abolishing DNA binding does not prevent nuclear localization of the processed form, showing that PacC processing does not lead to nuclear localization by passive diffusion of the protein made possible by the reduction in size, followed by retention in the nucleus after DNA binding.
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Affiliation(s)
- J M Mingot
- Centro de Investigaciones Biológicas CSIC, Madrid 28006, Spain
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Kowalewski VJ, Contreras RH, Díez E, Casanueva J, Esteban AL, Galache MP. Solvent effects on oxygen-17 chemical shifts in methyl formate: linear solvation shift relationships. J Magn Reson 2001; 148:1-10. [PMID: 11133270 DOI: 10.1006/jmre.2000.2200] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
A multiple linear regression analysis has been carried out using the Kamlet-Abboud-Taft solvatochromic parameters in order to quantify the solvent effects on the (17)O chemical shifts of methyl formate (MF). The influence of the solvents upon the carbonyl oxygen chemical shifts is smaller for MF than for N-methylformamide (NMF). The influence (in parts per million) of the solvent polarity-polarizability reduces from -21.9pi* in amides to -9.6pi* in MF. The influence of the solvent hydrogen-bond-donor acidities reduces from -42.0alpha in formamides to -16.9alpha in MF. The solvent effects upon the dicoordinated oxygen chemical shifts of MF are smaller in magnitude and opposite in direction, i.e., 4.8pi* and 2.6alpha, than those for the carbonyl oxygen. (17)O hydration shifts have been calculated for the NMF + (H(2)O)(6) and MF + (H(2)O)(5) complexes by the ab initio GIAO method at the 6-311 + G** level. The hydration shifts calculated for the carbonyl oxygens of NMF and MF and for the dicoordinated oxygen of MF, -102.4, -64.7, and 17.6 ppm, respectively, show the same trend as the corresponding empirical hydration shifts, -101.7, -42.0, and 14.2 ppm.
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Macarrón R, Mensah L, Cid C, Carranza C, Benson N, Pope AJ, Díez E. A homogeneous method to measure aminoacyl-tRNA synthetase aminoacylation activity using scintillation proximity assay technology. Anal Biochem 2000; 284:183-90. [PMID: 10964400 DOI: 10.1006/abio.2000.4665] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
A new method to measure the aminoacylation of tRNA based upon the use of the scintillation proximity assay (SPA) technology has been developed. The assay detects incorporation of radiolabeled amino acids into cognate tRNA, catalyzed by a specific aminoacyl-tRNA synthetase (aaRS). Under acidic conditions, uncoated yttrium silicate SPA beads were found to bind tRNA aggregates, while the radiolabeled amino acid substrate remains in solution, resulting in good signal discrimination of these two species in the absence of any separation steps. The usefulness of this approach was demonstrated by measurement of steady-state kinetic constants and inhibitor binding constants for a range of aaRS enzymes in comparison with data from standard, trichloroacetic acid-precipitation-based assays. In all cases, the data were quantitatively comparable. Although the radioisotopic counting efficiency of the SPA method was less than that of standard liquid scintillation counting, the statistical performance (i.e., signal to background, variability, stability) of the SPA assays was at least equivalent to the separation-based methods. The assay was also shown to work well in miniaturized 384-well microtiter plate formats, resulting in considerable reagent savings. In summary, a new method to characterize aaRS activity is described that is faster and more amenable to high-throughput screening than traditional methods.
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Affiliation(s)
- R Macarrón
- Department of Molecular Screening Technologies, SmithKline Beecham S. A. Centro de Investigación Básica, Tres Cantos, Spain.
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47
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Fajardo I, Díez E, Rodríguez-Nieto S, Rodríguez-Caso C, Quesada AR, Sánchez-Jiménez F, Medina MA. Effects of genistein and 2-methoxyestradiol on matrix metalloproteinases and their inhibitors secreted by Ehrlich ascites tumor cells. Anticancer Res 2000; 20:1691-4. [PMID: 10928093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
BACKGROUND Ehrlich ascites tumor is an experimental tumor model very suitable for performing comparative studies relating its growth in vitro and in vivo. We used this tumor model to study the potential modulatory effects of genistein and 2-methoxyestradiol, two anti-angiogenic compounds, on the proteolytic balance MMP/TIMP. Ehrlich cells grown in vitro secreted MMP-9, MMP-2 and two TIMPs; the treatment with either of the anti-angiogenic compounds here tested stimulated all these activities, but the increase in TIMPs activities of genistein-treated cells were higher than those of MMPs, thus inducing a decrease in the proteolytic balance. On the other hand, Ehrlich cells growing in vivo did not produce any detectable TIMP activity, but accumulated MMP-9 and MMP-2 during tumor growth. Both compounds induced significant decrease of MMPs activity when tumor cells were actively proliferating. It was concluded that both genistein and 2-methoxyestradiol could shift the proteolytic balance MMP/TIMP towards antiproteolysis in media or ascitic fluid conditioned by actively growing Ehrlich cells.
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Affiliation(s)
- I Fajardo
- Departamento de Biología Molecular y Bioquímica, Facultad de Ciencias, Universidad de Málaga, Spain
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48
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Espeso EA, Roncal T, Díez E, Rainbow L, Bignell E, Alvaro J, Suárez T, Denison SH, Tilburn J, Arst HN, Peñalva MA. On how a transcription factor can avoid its proteolytic activation in the absence of signal transduction. EMBO J 2000; 19:719-28. [PMID: 10675341 PMCID: PMC305610 DOI: 10.1093/emboj/19.4.719] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
In response to alkaline ambient pH, the Aspergillus nidulans PacC transcription factor mediating pH regulation of gene expression is activated by proteolytic removal of a negative-acting C-terminal domain. We demonstrate interactions involving the approximately 150 C-terminal PacC residues and two regions located immediately downstream of the DNA binding domain. Our data indicate two full-length PacC conformations whose relative amounts depend upon ambient pH: one 'open' and accessible for processing, the other 'closed' and inaccessible. The location of essential determinants for proteolytic processing within the two more upstream interacting regions probably explains why the interactions prevent processing, whereas the direct involvement of the C-terminal region in processing-preventing interactions explains why C-terminal truncating mutations result in alkalinity mimicry and pH-independent processing. A mutant PacC deficient in pH signal response and consequent processing behaves as though locked in the 'closed' form. Single-residue substitutions, obtained as mutations bypassing the need for pH signal transduction, identify crucial residues in each of the three interactive regions and overcome the processing deficiency in the 'permanently closed' mutant.
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Affiliation(s)
- E A Espeso
- Departamento de Microbiología Molecular, Centro de Investigaciones Biológicas del CSIC, Velázquez 144, Madrid 28006, USA
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49
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Juárez O, Díez E, Barniol J, Villamarín F, Nebot M, Villalbí JR. [Preventive behaviors for the sexual transmission of AIDS, other infections, and pregnancy in high-school students]. Aten Primaria 1999; 24:194-202. [PMID: 10547909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/14/2023] Open
Abstract
OBJECTIVES To describe preventive behaviors and behavioral intentions related to AIDS sexual transmission, other sexually transmitted diseases and unwanted pregnancies among 10th grade Barcelona students. DESIGN Cross-sectional study. Stratified random sample from Barcelona secondary schools in 1996. SETTING Secondary schools. PARTICIPANTS 981 students at 35 10th grade classrooms. MAIN RESULTS 82% of the students are 15-16 years old. 58% are girls. 16% have had sexual intercourse (boys 18% and girls 14%); among those, 43% of males and 30% of females have had only once sexual intercourse. 78% use always or almost always a condom. 22% of boys and 44% of girls have refused at least an opportunity of unprotected intercourse. Boys feel more confident to buy, carry on and use a condom, however girls feel more confident in convincing their partner and refusing unprotected sex. Among those with sexual experience, partner opinion predicts condom use (boys OR = 30.8 and girls OR = 8.8), as well as partner use (boys OR = 14.2 and girls OR = 15.4). Intention to use condoms with a regular partner is related to the perception of youth normative behaviors (boys OR = 10.9 and girls OR = 4.4) and friends opinion (boys OR = 6.2 and girls OR = 5.4). Condom use with a non regular partner is related also to the perception that its use avoids infections and unwanted pregnancies (boys OR = 9.9 and girls OR = 8.0). Intention to refuse unprotected sex relates, in both genders, to youth normative behaviors and self-efficacy to refuse unprotected intercourse. CONCLUSIONS 16% of the 10th grade students have had a sexual intercourse. Only half part of them use always condom, although it is the contraceptive method more frequently used. Condom use relates mainly to partners opinions and their current use. Intentions to use condoms are associated also to friends opinion and youth social norm perception. Intention to use a condom with non regular partners aims avoiding diseases and unwanted pregnancies.
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Affiliation(s)
- O Juárez
- Centre d'Estudis per a la Prevenció de la Sida, Universidad Autónoma de Barcelona
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50
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Jones DR, González-García A, Díez E, Martinez-A C, Carrera AC, Meŕida I. The identification of phosphatidylinositol 3,5-bisphosphate in T-lymphocytes and its regulation by interleukin-2. J Biol Chem 1999; 274:18407-13. [PMID: 10373447 DOI: 10.1074/jbc.274.26.18407] [Citation(s) in RCA: 46] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
In recent times 3-phosphoinositides have emerged as important regulators of cell metabolism, survival, and proliferation. During the last year, the phospholipid phosphatidylinositol 3, 5-bisphosphate (PtdIns3,5P2) was identified in yeast, fibroblasts, SV40-transformed kidney (COS-7) cells, and platelets. The discovery of this novel phospholipid has increased the complexity of the metabolism relating to the generation of biologically active inositol-containing lipids. We describe here the identification of PtdIns3,5P2 in the CTLL-2 mouse T-lymphocyte cell line using two in vivo radiolabeling protocols. Treatment of the cells with UV radiation led to an increase in the cellular content of PtdIns3,5P2. In contrast, preincubation of the cells with wortmannin or treatment with hypertonic medium (high concentration sorbitol) led to the opposite effect. Herein we demonstrate that interleukin-2 (IL-2), the growth factor required for CTLL-2 cell proliferation, was able to increase the level of PtdIns3,5P2 with similar kinetics to that of the formation of phosphatidylinositol 3,4-bisphosphate (PtdIns3, 4P2). An increase in this novel 3-phosphorylated lipid in response to IL-2 seems to be a general property of this cytokine because a similar result was obtained when the pre-B cell line BaF/3 expressing the high affinity IL-2 receptor was used. Using a constitutively active regulatory subunit of type I phosphatidylinositol 3-kinase and cells expressing a deletion of the serine-rich domain of the IL-2 receptor beta chain, which is required for IL-2-stimulated type I phosphatidylinositol 3-kinase activation, we demonstrate that IL-2-induced generation of PtdIns3, 5P2 is related to the activation of this enzyme. The results show for the first time the identification of PtdIns3,5P2 in both T- and B-lymphocytes and indicate its positive regulation by the mitogen IL-2.
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Affiliation(s)
- D R Jones
- Department of Immunology and Oncology, Centro Nacional de Biotecnología, Consejo Superior de Investigaciones Científicas, Cantoblanco, 28049 Madrid, Spain
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