1
|
Carrión-Valero F, Ribera-Osca JA, Martin-Moreno JM, Martin-Gorgojo A. Prevention of tobacco use in an adolescent population through a multi-personal intervention model. Tob Prev Cessat 2023; 9:37. [PMID: 38111804 PMCID: PMC10726255 DOI: 10.18332/tpc/175065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Revised: 11/09/2023] [Accepted: 11/09/2023] [Indexed: 12/20/2023]
Abstract
INTRODUCTION The study aimed to assess the impact of a new intervention proposal involving students, teachers, and parents on smoking prevalence in secondary school adolescents. METHODS A quasi-experimental study was conducted, in which the response to a preventive multi-personal intervention model (intervention) against tobacco consumption was compared with a standard anti-smoking activity carried out by the local government administration (control). The study was carried out during the 2017-2018 academic year. The study population included 306 students (intervention 151, control 155) with a mean age of 13.4 years. The model involved the parents, the students (aged 15-17 years), and the teachers. The primary outcome was the change in smoking status one year after the intervention. RESULTS The percentage of non-smokers increased from 84.1% to 88.7% in the intervention group and remained almost unchanged among controls (89.3% vs 89.9%). After one year, there was an increase in the prevalence of non-smokers of 4.6% and a decrease in the prevalence of smokers of 4.7% among students who received the multi-personal intervention, whereas changes among controls were almost negligible (there was in fact a slight increase in the prevalence of smokers of 0.9%). The students who received the intervention smoked less or quit smoking more than those in the control group (OR=0.135; 95% CI: 0.019-0.973, p=0.047). CONCLUSIONS The multi-personal model developed in the study with the participation of teachers and parents focused on students was feasible, and effectively reduced the prevalence of smoking among high school adolescents.
Collapse
Affiliation(s)
- Francisco Carrión-Valero
- Pneumology Department, Clinical University Hospital of Valencia, Valencia, Spain
- Department of Medicine, Universitat de València, Valencia, Spain
| | | | - Jose M. Martin-Moreno
- Preventive Medicine and Public Health Department, Universitat de València, Valencia, Spain
| | | |
Collapse
|
2
|
Martin-Moreno JM, Yared W, Medeiros R. The Madrid 2023 Declaration 'For a Tobacco-Free Generation'. Tob Prev Cessat 2023; 9:38. [PMID: 38111803 PMCID: PMC10726251 DOI: 10.18332/tpc/173031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 09/28/2023] [Indexed: 12/20/2023]
Affiliation(s)
- Jose M Martin-Moreno
- European Conference on Tobacco or Health 2023 Scientific Committee
- Spanish Association Against Cancer, Madrid, Spain
- Department of Preventive Medicine and Public Health and INCLIVA, University of Valencia, Valencia, Spain
| | - Wendy Yared
- European Conference on Tobacco or Health 2023 Scientific Committee
- Association of European Cancer Leagues, Brussels, Belgium
| | - Rui Medeiros
- European Conference on Tobacco or Health 2023 Scientific Committee
- Association of European Cancer Leagues, Brussels, Belgium
- Portuguese League Against Cancer - North /Molecular Oncology and Viral Pathology Group, Research Center of IPO Porto, Porto, Portugal
| | | |
Collapse
|
3
|
Vila-Candel R, Martin-Arribas A, Castro-Sánchez E, Escuriet R, Martin-Moreno JM. Perinatal Outcomes at Birth in Women Infected and Non-Infected with SARS-CoV-2: A Retrospective Study. Healthcare (Basel) 2023; 11:2833. [PMID: 37957979 PMCID: PMC10648606 DOI: 10.3390/healthcare11212833] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Revised: 10/24/2023] [Accepted: 10/25/2023] [Indexed: 11/15/2023] Open
Abstract
BACKGROUND Coronavirus disease 2019 (COVID-19) was declared as a pandemic and public health emergency on 11 March 2020 by the World Health Organization. Different clinical trials on the efficacy of mRNA vaccination have excluded pregnant women, leading to a lack of empirical evidence on the efficacy of the vaccine in this population. The aim of the study was to examine the association between severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection at birth and adverse perinatal outcomes in infected and non-infected women from a university hospital in Spain. METHODS The data were obtained from electronic health records from 1 March 2020 to 28 February 2022. A bivariate descriptive analysis was performed, comparing women with and without confirmed SARS-CoV-2 infection during pregnancy using the chi-square test. A multivariate logistic regression was complementarily conducted to determine whether SARS-CoV-2 infection increases the risk of adverse obstetric and perinatal outcomes. RESULTS A total of 2676 women were divided into two groups: non-infected with SARS-CoV-2 (n = 2624) and infected with SARS-CoV-2 (n = 52). Infected women were primarily multiparous (p < 0.03) and had received an incomplete vaccination regimen (p < 0.001). A greater incidence of premature rupture of membranes (p < 0.04) was observed among the non-infected women. Pertaining to perinatal outcomes, there was a notable rise in NICU admissions (p < 0.014), coupled with an extended duration of stay (p < 0.04), for neonates born to infected mothers in comparison to their non-infected counterparts. CONCLUSION Although SARS-CoV-2 infection may pose significant risks to pregnant women and their infants, adverse obstetrical/puerperal outcomes do not significantly differ between women infected and non-infected to SARS-CoV-2 in our study. NICU admissions were higher for neonates born to infected mothers. Additionally, coronavirus disease 2019 vaccination during pregnancy is not associated with severe adverse perinatal outcomes.
Collapse
Affiliation(s)
- Rafael Vila-Candel
- Sciences Faculty, Universidad Internacional de Valencia-VIU, 46002 Valencia, Spain
- Department of Obstetrics and Gynecology, Hospital Universitario de la Ribera, 46600 Alzira, Spain
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
| | - Anna Martin-Arribas
- Ghenders Research Group, School of Health Sciences Blanquerna, Universitat Ramon Lull, 08025 Barcelona, Spain
| | - Enrique Castro-Sánchez
- College of Business, Arts, and Social Sciences, Brunel University London, Uxbridge UB8 3PH, UK
- Health Protection Research Unit, Healthcare-Associated Infections and Antimicrobial Resistance, Imperial College London, London SW7 2BX, UK
- Research Group on Global Health and Human Development, University of the Balearic Islands, 07122 Palma de Mallorca, Spain
| | - Ramón Escuriet
- Ghenders Research Group, School of Health Sciences Blanquerna, Universitat Ramon Lull, 08025 Barcelona, Spain
- Catalan Health Service, Government of Barcelona, 08014 Barcelona, Spain
| | - Jose M Martin-Moreno
- Department of Preventive Medicine and Public Health, Universitat de València, 46010 Valencia, Spain
- Biomedical Research Institute INCLIVA, Clinic University Hospital, 46010 Valencia, Spain
| |
Collapse
|
4
|
Martin-Moreno JM, Martin-Gorgojo A. "The Role of Vitamin D in Cancer Prevention": Some New Clues on a Fascinating Subject. Nutrients 2023; 15:nu15112560. [PMID: 37299523 DOI: 10.3390/nu15112560] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 05/25/2023] [Indexed: 06/12/2023] Open
Abstract
Increasing evidence from experimental animal nutrition studies suggests that vitamin D may potentially influence apoptosis and tumor-associated angiogenesis, reduce the initiation of carcinogenesis, and delay the multiplication and proliferation of tumor cells [...].
Collapse
Affiliation(s)
- Jose M Martin-Moreno
- Department of Preventive Medicine and Public Health, Universitat de Valencia, 46010 Valencia, Spain
- Biomedical Research Institute INCLIVA, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain
| | | |
Collapse
|
5
|
Ruiz-García A, Pallarés-Carratalá V, Turégano-Yedro M, Torres F, Sapena V, Martin-Gorgojo A, Martin-Moreno JM. Vitamin D Supplementation and Its Impact on Mortality and Cardiovascular Outcomes: Systematic Review and Meta-Analysis of 80 Randomized Clinical Trials. Nutrients 2023; 15:nu15081810. [PMID: 37111028 PMCID: PMC10146299 DOI: 10.3390/nu15081810] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [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: 03/08/2023] [Revised: 04/01/2023] [Accepted: 04/05/2023] [Indexed: 04/29/2023] Open
Abstract
BACKGROUND The impact of vitamin D supplementation on cardiovascular outcomes and mortality risk reduction remains unclear due to conflicting study findings. METHODS We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs), published between 1983 and 2022, that reported the effect of vitamin D supplementation in adults versus placebo or no treatment on all-cause mortality (ACM), cardiovascular mortality (CVM), non-cardiovascular mortality (non-CVM), and cardiovascular morbidities. Only studies with a follow-up period longer than one year were included. The primary outcomes were ACM and CVM. Secondary outcomes were non-CVM, myocardial infarction, stroke, heart failure, and major or extended adverse cardiovascular events. Subgroup analyses were performed according to low-, fair- and good-quality RCTs. RESULTS Eighty RCTs were assessed, including 82,210 participants receiving vitamin D supplementation and 80,921 receiving placebo or no treatment. The participants' mean (SD) age was 66.1 (11.2) years, and 68.6% were female. Vitamin D supplementation was associated with a lower risk of ACM (OR: 0.95 [95%CI 0.91-0.99] p = 0.013), was close to statistical significance for a lower risk of non-CVM (OR: 0.94 [95%CI 0.87-1.00] p = 0.055), and was not statistically associated with a lower risk of any cardiovascular morbi-mortality outcome. Meta-analysis of low-quality RCTs showed no association with cardiovascular or non-cardiovascular morbi-mortality outcomes. CONCLUSIONS The emerging results of our meta-analysis present evidence that vitamin D supplementation appears to decrease the risk of ACM (especially convincing in the fair- and good-quality RCTs), while not showing a decrease in the specific cardiovascular morbidity and mortality risk. Thus, we conclude that further research is warranted in this area, with well-planned and executed studies as the basis for more robust recommendations.
Collapse
Affiliation(s)
- Antonio Ruiz-García
- Lipids and Cardiovascular Prevention Unit, Pinto University Health Center, 28320 Madrid, Spain
- Department of Medicine, European University of Madrid, 28670 Madrid, Spain
| | - Vicente Pallarés-Carratalá
- Health Surveillance Unit, Castellón Mutual Insurance Union, 12003 Castellón, Spain
- Department of Medicine, Universitat Jaume I, 12006 Castellón, Spain
| | | | - Ferran Torres
- Biostatistics Unit, Medical School, Universitat Autònoma de Barcelona Bellaterra, 08193 Barcelona, Spain
| | - Víctor Sapena
- Biostatistics Unit, Medical School, Universitat Autònoma de Barcelona Bellaterra, 08193 Barcelona, Spain
| | | | - Jose M Martin-Moreno
- Department of Preventive Medicine and Public Health, University of Valencia, 46010 Valencia, Spain
- Biomedical Research Institute INCLIVA, Clinic University Hospital, 46010 Valencia, Spain
| |
Collapse
|
6
|
Mena-Tudela D, Soriano-Vidal FJ, Vila-Candel R, Quesada JA, Martínez-Porcar C, Martin-Moreno JM. Is Early Initiation of Maternal Lactation a Significant Determinant for Continuing Exclusive Breastfeeding up to 6 Months? Int J Environ Res Public Health 2023; 20:3184. [PMID: 36833878 PMCID: PMC9966801 DOI: 10.3390/ijerph20043184] [Citation(s) in RCA: 1] [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] [Subscribe] [Scholar Register] [Received: 12/17/2022] [Revised: 02/09/2023] [Accepted: 02/10/2023] [Indexed: 06/01/2023]
Abstract
BACKGROUND The World Health Organization (WHO) recommends early initiation of breastfeeding (EIBF) within the first hour after birth. However, certain perinatal factors, namely caesarean section, may prevent this goal from being achieved. The aim of our study was to examine the relationship between EIBF (maternal lactation in the first hours and degree of latching before hospital discharge) and the maintenance of exclusive breastfeeding (MBF) up to the recommended 6 months of age (as advocated by the WHO). METHODS This observational, retrospective cohort study included a random sample of all births between 2018 and 2019, characterising the moment of breastfeeding initiation after birth and the infant's level of breast latch (measured by LATCH assessment tool) prior to hospital discharge. Data were collected from electronic medical records and from follow-up health checks of infants up to 6 months postpartum. RESULTS We included 342 women and their newborns. EIBF occurred most often after vaginal (p < 0.001) and spontaneous births with spontaneous amniorrhexis (p = 0.002). LATCH score <9 points was associated with a 1.4-fold relative risk of abandoning MBF (95%CI: 1.2-1.7) compared with a score of 9-10 points. CONCLUSIONS Although we were unable to find a significant association between EIBF in the first 2 h after birth and MBF at 6 months postpartum, low LATCH scores prior to discharge were associated with low MBF, indicating the importance of reinforcing the education and preparation efforts of mothers in the first days after delivery, prior to the establishment of an infant feeding routine upon returning home.
Collapse
Affiliation(s)
- Desirée Mena-Tudela
- Department of Nursing, Universitat Jaume I, 12071 Castellón de la Plana, Spain
| | - Francisco Javier Soriano-Vidal
- Department of Nursing, Universitat de València, 46007 Valencia, Spain
- Department of Obstetrics and Gynaecology, Xàtiva-Oninyent Health Department, 46800 Xàtiva, Spain
| | - Rafael Vila-Candel
- Department of Nursing, Universitat de València, 46007 Valencia, Spain
- Department of Obstetrics and Gynaecology, Hospital Universitario de la Ribera, 46600 Alzira, Spain
| | - José Antonio Quesada
- Department of Clinical Medicine, Universidad Miguel Hernández, 03202 Elche, Spain
- Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 03550 Alicante, Spain
| | - Cristina Martínez-Porcar
- Department of Obstetrics and Gynaecology, Hospital Universitario de la Ribera, 46600 Alzira, Spain
| | - Jose M. Martin-Moreno
- Department of Preventive Medicine and Public Health, Universitat de València, 46010 Valencia, Spain
- Biomedical Research Institute INCLIVA, Clinic University Hospital, 46010 Valencia, Spain
| |
Collapse
|
7
|
Kuhlmann E, Brînzac MG, Czabanowska K, Falkenbach M, Ungureanu MI, Valiotis G, Zapata T, Martin-Moreno JM. Violence against healthcare workers is a political problem and a public health issue: a call to action. Eur J Public Health 2023; 33:4-5. [PMID: 36508506 PMCID: PMC9897982 DOI: 10.1093/eurpub/ckac180] [Citation(s) in RCA: 12] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Affiliation(s)
- Ellen Kuhlmann
- Clinic for Rheumatology and Immunology, Hannover Medical School, Hannover, Germany.,EUPHA Health Workforce Research Section, European Public Health Association, Utrecht, Netherlands
| | - Monica Georgiana Brînzac
- Department of Public Health, Faculty of Political, Administrative and Communication Sciences, Babeș-Bolyai University, 3 Cluj Napoca, Romania.,EUPHAnxt, European Public Health Association, Utrecht, Netherlands
| | - Katarzyna Czabanowska
- Department of International Health, Care and Public Health Research Institute (CAPHRI), University of Maastricht, Maastricht, Netherlands
| | - Michelle Falkenbach
- European Observatory on Health Systems and Policies, Brussels, Belgium.,Department of Public and Ecosystem Health, Cornell University, Ithaca, New York, USA
| | - Marius-Ionut Ungureanu
- Department of Public Health, Faculty of Political, Administrative and Communication Sciences, Babeș-Bolyai University, 3 Cluj Napoca, Romania.,Center for Health Workforce Research and Policy, Faculty of Political, Administrative and Communication Sciences, Babeș-Bolyai University, Cluj Napoca, Romania
| | | | - Tomas Zapata
- World Health Organisation Regional Office for Europe, Copenhagen, Denmark
| | - Jose M Martin-Moreno
- Department of Preventive Medicine and Public Health, INCLIVA, University of Valencia, Valencia, Spain
| |
Collapse
|
8
|
Ribera-Osca JA, Carrion-Valero F, Martin-Gorgojo V, Rando-Matos Y, Martin-Cantera C, Martin-Moreno JM. Characteristics of tobacco use among secondary school students: a cross-sectional study in a school in Valencia, Spain. Front Public Health 2023; 11:1069294. [PMID: 37206875 PMCID: PMC10189142 DOI: 10.3389/fpubh.2023.1069294] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [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: 10/13/2022] [Accepted: 04/05/2023] [Indexed: 05/21/2023] Open
Abstract
Introduction Cigarette smoking is a significant public health problem, and it is essential to work actively with young people to limit the incorporation of this addiction. This study aimed to identify characteristics associated with tobacco use in adolescents in a real setting. Methods Epidemiologic, cross-sectional study including secondary school students aged 12-17 years in the 1st, 2nd, and 3rd grades of "Joan Fuster High School" in the city of Sueca, Valencia (Spain). An anonymous, self-administered questionnaire was used to collect data on demographics, cigarette smoking history, alcohol consumption, nicotine dependence, and exposure to parental cigarette smoking. Results The final sample of individuals surveyed included 306 students (50.6% females) with a median age of 13 years. The prevalence of cigarette smoking was 11.8% (13.5% in females and 9.9% in males). The mean age of cigarette smoking onset was 12.7 ± 1.6 years. Ninety-three students (30.4%) were repeaters, and 114 (37.3%) reported alcohol consumption. Significant factors associated with tobacco use were being a repeater (odds ratio [OR] 4.19, 95% confidence interval [CI] 1.75-10.55, p = 0.002), alcohol consumption (OR 4.06, 95% CI 1.75-10.15, p = 0.002) and parental cigarette smoking (OR 3.76, 95% CI 1.52-10.74, p = 0.007). Discussion An operational profile of features associated with tobacco consumption was identified in the presence of parental cigarette smoking, alcohol consumption, and poor academic performance. Consideration of these factors could be useful in the operational design of cigarette smoking cessation interventions for young people in a context where there is a great need for better prevention and control of cigarette smoking.
Collapse
Affiliation(s)
| | - Francisco Carrion-Valero
- Pneumology Department, Hospital Clínico Universitario, Valencia, Spain
- Medicine Department, Universitat de València, Valencia, Spain
- Biomedical Research Institute INCLIVA, Hospital Clínico Universitario, Valencia, Spain
| | - Victor Martin-Gorgojo
- Biomedical Research Institute INCLIVA, Hospital Clínico Universitario, Valencia, Spain
- Orthopaedic Surgery and Traumatology Department, Hospital Clínico Universitario, Valencia, Spain
| | - Yolanda Rando-Matos
- Primary Health Center Florida Nord, Direcció d'Atenció Primària Costa de Ponent, Catalan Health Institute, L’Hospitalet de Llobregat, Barcelona, Spain
| | - Carlos Martin-Cantera
- Research Support Unit, Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Barcelona, Spain
| | - Jose M. Martin-Moreno
- Medicine Department, Universitat de València, Valencia, Spain
- Department of Preventive Medicine and Public Health, Universitat de València, Valencia, Spain
- *Correspondence: Jose M. Martin-Moreno,
| |
Collapse
|
9
|
Henn M, Martin-Gorgojo V, Martin-Moreno JM. Vitamin D in Cancer Prevention: Gaps in Current Knowledge and Room for Hope. Nutrients 2022; 14:4512. [PMID: 36364774 PMCID: PMC9657468 DOI: 10.3390/nu14214512] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [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] [Received: 08/30/2022] [Revised: 10/20/2022] [Accepted: 10/21/2022] [Indexed: 08/03/2023] Open
Abstract
Intensive epigenome and transcriptome analyses have unveiled numerous biological mechanisms, including the regulation of cell differentiation, proliferation, and induced apoptosis in neoplastic cells, as well as the modulation of the antineoplastic action of the immune system, which plausibly explains the observed population-based relationship between low vitamin D status and increased cancer risk. However, large randomized clinical trials involving cholecalciferol supplementation have so far failed to show the potential of such interventions in cancer prevention. In this article, we attempt to reconcile the supposed contradiction of these findings by undertaking a thorough review of the literature, including an assessment of the limitations in the design, conduct, and analysis of the studies conducted thus far. We examine the long-standing dilemma of whether the beneficial effects of vitamin D levels increase significantly above a critical threshold or if the conjecture is valid that an increase in available cholecalciferol translates directly into an increase in calcitriol activity. In addition, we try to shed light on the high interindividual epigenetic and transcriptomic variability in response to cholecalciferol supplementation. Moreover, we critically review the standards of interpretation of the available study results and propose criteria that could allow us to reach sound conclusions in this field. Finally, we advocate for options tailored to individual vitamin D needs, combined with a comprehensive intervention that favors prevention through a healthy environment and responsible health behaviors.
Collapse
Affiliation(s)
- Matthias Henn
- Department of Preventive Medicine and Public Health, University of Navarra-IdiSNA (Instituto de Investigación Sanitaria de Navarra), 31008 Pamplona, Spain
- Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA
| | - Victor Martin-Gorgojo
- Biomedical Research Institute INCLIVA, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain
- Orthopedic Surgery and Traumatology Department, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain
| | - Jose M. Martin-Moreno
- Biomedical Research Institute INCLIVA, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain
- Department of Preventive Medicine and Public Health, Universitat de Valencia, 46010 Valencia, Spain
| |
Collapse
|
10
|
Pallares-Carratala V, Carratala-Munuera C, Lopez-Pineda A, Quesada JA, Gil-Guillen V, Orozco-Beltran D, Alfonso-Sanchez JL, Navarro-Perez J, Martin-Moreno JM. Characterizing Diagnostic Inertia in Arterial Hypertension With a Gender Perspective in Primary Care. Front Cardiovasc Med 2022; 9:874764. [PMID: 35783866 PMCID: PMC9246269 DOI: 10.3389/fcvm.2022.874764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Accepted: 05/24/2022] [Indexed: 11/15/2022] Open
Abstract
Background and Objectives Substantial evidence shows that diagnostic inertia leads to failure to achieve screening and diagnosis objectives for arterial hypertension (AHT). In addition, different studies suggest that the results may differ between men and women. This study aimed to evaluate the differences in diagnostic inertia in women and men attending public primary care centers, to identify potential gender biases in the clinical management of AHT. Study Design/Materials and Methods Cross-sectional descriptive and analytical estimates were obtained nested on an epidemiological ambispective cohort study of patients aged ≥30 years who attended public primary care centers in a Spanish region in the period 2008–2012, belonging to the ESCARVAL-RISK cohort. We applied a consistent operational definition of diagnostic inertia to a registry- reflected population group of 44,221 patients with diagnosed hypertension or meeting the criteria for diagnosis (51.2% women), with a mean age of 63.4 years (62.4 years in men and 64.4 years in women). Results Of the total population, 95.5% had a diagnosis of hypertension registered in their electronic health record. Another 1,968 patients met the inclusion criteria for diagnostic inertia of hypertension, representing 4.5% of the total population (5% of men and 3.9% of women). The factors significantly associated with inertia were younger age, normal body mass index, elevated total cholesterol, coexistence of diabetes and dyslipidemia, and treatment with oral antidiabetic drugs. Lower inertia was associated with age over 50 years, higher body mass index, normal total cholesterol, no diabetes or dyslipidemia, and treatment with lipid-lowering, antiplatelet, and anticoagulant drugs. The only gender difference in the association of factors with diagnostic inertia was found in waist circumference. Conclusion In the ESCARVAL-RISK study population presenting registered AHT or meeting the functional diagnostic criteria for AHT, diagnostic inertia appears to be greater in men than in women.
Collapse
Affiliation(s)
- Vicente Pallares-Carratala
- Health Surveillance Unit, Castellon Mutual Insurance Union, Castellón, Spain
- Department of Medicine, Jaume I University, Castellón, Spain
| | | | | | | | | | | | - Jose L. Alfonso-Sanchez
- Department of Preventive Medicine and Public Health, School of Medicine, University of Valencia, Valencia, Spain
- Preventive Medicine Department, General Hospital of Valencia, Valencia, Spain
| | - Jorge Navarro-Perez
- Biomedical Research Institute INCLIVA, Clinic University Hospital of Valencia, University of Valencia, Valencia, Spain
| | - Jose M. Martin-Moreno
- Department of Preventive Medicine and Public Health, School of Medicine, University of Valencia, Valencia, Spain
- Biomedical Research Institute INCLIVA, Clinic University Hospital of Valencia, University of Valencia, Valencia, Spain
- *Correspondence: Jose M. Martin-Moreno
| |
Collapse
|
11
|
Lopes H, McCallum A, Martin-Moreno JM, Middleton J. Invest in Primary Health Care and Public Health for the Pandemic and Beyond: An ASPHER Statement. Public Health Rev 2022; 43:1604875. [PMID: 35707729 PMCID: PMC9189921 DOI: 10.3389/phrs.2022.1604875] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Accepted: 04/28/2022] [Indexed: 11/24/2022] Open
Affiliation(s)
- Henrique Lopes
- Public Health Unit, Health Sciences Institute, Catholic University of Portugal, Lisboa, Portugal
- *Correspondence: Henrique Lopes,
| | - Alison McCallum
- Centre for Population Health Sciences, Usher Institute, University of Edinburgh, Edinburgh, United Kingdom
| | - Jose M. Martin-Moreno
- Department of Preventive Medicine and Public Health, Medical School and INCLIVA, University of Valencia, Valencia, Spain
| | | |
Collapse
|
12
|
Martin-Moreno JM, Alegre-Martinez A, Martin-Gorgojo V, Alfonso-Sanchez JL, Torres F, Pallares-Carratala V. Predictive Models for Forecasting Public Health Scenarios: Practical Experiences Applied during the First Wave of the COVID-19 Pandemic. Int J Environ Res Public Health 2022; 19:ijerph19095546. [PMID: 35564940 PMCID: PMC9101183 DOI: 10.3390/ijerph19095546] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/20/2022] [Revised: 04/29/2022] [Accepted: 04/29/2022] [Indexed: 01/01/2023]
Abstract
Background: Forecasting the behavior of epidemic outbreaks is vital in public health. This makes it possible to anticipate the planning and organization of the health system, as well as possible restrictive or preventive measures. During the COVID-19 pandemic, this need for prediction has been crucial. This paper attempts to characterize the alternative models that were applied in the first wave of this pandemic context, trying to shed light that could help to understand them for future practical applications. Methods: A systematic literature search was performed in standardized bibliographic repertoires, using keywords and Boolean operators to refine the findings, and selecting articles according to the main PRISMA 2020 statement recommendations. Results: After identifying models used throughout the first wave of this pandemic (between March and June 2020), we begin by examining standard data-driven epidemiological models, including studies applying models such as SIR (Susceptible-Infected-Recovered), SQUIDER, SEIR, time-dependent SIR, and other alternatives. For data-driven methods, we identify experiences using autoregressive integrated moving average (ARIMA), evolutionary genetic programming machine learning, short-term memory (LSTM), and global epidemic and mobility models. Conclusions: The COVID-19 pandemic has led to intensive and evolving use of alternative infectious disease prediction models. At this point it is not easy to decide which prediction method is the best in a generic way. Moreover, although models such as the LSTM emerge as remarkably versatile and useful, the practical applicability of the alternatives depends on the specific context of the underlying variable and on the information of the target to be prioritized. In addition, the robustness of the assessment is conditioned by heterogeneity in the quality of information sources and differences in the characteristics of disease control interventions. Further comprehensive comparison of the performance of models in comparable situations, assessing their predictive validity, is needed. This will help determine the most reliable and practical methods for application in future outbreaks and eventual pandemics.
Collapse
Affiliation(s)
- Jose M. Martin-Moreno
- Department of Preventive Medicine and Public Health, Universitat de Valencia, 46010 Valencia, Spain;
- Biomedical Research Institute INCLIVA, Clinic University Hospital, 46010 Valencia, Spain;
- Correspondence:
| | - Antoni Alegre-Martinez
- Biomedical Sciences Department, Faculty of Health Sciences, Cardenal Herrera CEU University, 46115 Valencia, Spain;
| | - Victor Martin-Gorgojo
- Biomedical Research Institute INCLIVA, Clinic University Hospital, 46010 Valencia, Spain;
- Orthopedic Surgery and Traumatology Department, Clinic University Hospital, 46010 Valencia, Spain
| | - Jose Luis Alfonso-Sanchez
- Department of Preventive Medicine and Public Health, Universitat de Valencia, 46010 Valencia, Spain;
- Preventive Medicine Service, General Hospital, 46014 Valencia, Spain
| | - Ferran Torres
- Biostatistics Unit, Medical School, Universitat Autonoma de Barcelona, 08193 Barcelona, Spain;
| | - Vicente Pallares-Carratala
- Health Surveillance Unit, Castellon Mutual Insurance Union, 12004 Castellon, Spain;
- Department of Medicine, Jaume I University, 12071 Castellon, Spain
| |
Collapse
|
13
|
Wandschneider L, Namer Y, Davidovitch N, Nitzan D, Otok R, Leighton L, Signorelli C, Middleton J, Martin-Moreno JM, Chambaud L, Lopes H, Razum O. The Role of Europe’s Schools of Public Health in Times of War: ASPHER Statement on the War Against Ukraine. Public Health Rev 2022; 43:1604880. [PMID: 35371592 PMCID: PMC8966375 DOI: 10.3389/phrs.2022.1604880] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Accepted: 03/02/2022] [Indexed: 11/13/2022] Open
Affiliation(s)
- Lisa Wandschneider
- Department of Epidemiology and International Public Health, School of Public Health, Bielefeld University, Bielefeld, Germany
| | - Yudit Namer
- Department of Epidemiology and International Public Health, School of Public Health, Bielefeld University, Bielefeld, Germany
| | - Nadav Davidovitch
- School of Public Health, Ben-Gurion University of the Negev, Be’er Sheva, Israel
| | - Dorit Nitzan
- School of Public Health, Ben-Gurion University of the Negev, Be’er Sheva, Israel
| | - Robert Otok
- The Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
| | - Lore Leighton
- The Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
| | - Carlo Signorelli
- The Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
| | - John Middleton
- The Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
| | - Jose M. Martin-Moreno
- ASPHER Honours’ Committee, Brussels, Belgium
- Department of Preventive Medicine and Public Health, Medical School and INCLIVA, University of Valencia, Valencia, Spain
| | | | - Henrique Lopes
- Public Health Unit, Institute of Health Sciences, Catholic University of Portugal, Lisbon, Portugal
| | - Oliver Razum
- Department of Epidemiology and International Public Health, School of Public Health, Bielefeld University, Bielefeld, Germany
- *Correspondence: Oliver Razum,
| |
Collapse
|
14
|
Affiliation(s)
- Henrique Lopes
- Public Health Unit of the Institute of Health Sciences, Catholic University of Portugal
| | - Alison McCallum
- Centre for Population Health Sciences, Usher Institute, University of Edinburgh
| | | | - John Middleton
- Wolverhampton University
- Association of Schools of Public Health in the European Region (ASPHER)
| |
Collapse
|
15
|
Soriano-Maldonado C, Lopez-Pineda A, Orozco-Beltran D, Quesada JA, Alfonso-Sanchez JL, Pallarés-Carratalá V, Navarro-Perez J, Gil-Guillen VF, Martin-Moreno JM, Carratala-Munuera C. Gender Differences in the Diagnosis of Dyslipidemia: ESCARVAL-GENERO. Int J Environ Res Public Health 2021; 18:12419. [PMID: 34886144 PMCID: PMC8657273 DOI: 10.3390/ijerph182312419] [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] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Revised: 11/16/2021] [Accepted: 11/23/2021] [Indexed: 01/03/2023]
Abstract
Evidence shows that objectives for detecting and controlling dyslipidemia are not being effectively met, and outcomes differ between men and women. This study aimed to assess gender-related differences in diagnostic inertia around dyslipidemia. This ambispective, epidemiological, cohort registry study included adults who presented to public primary health care centers in a Spanish region from 2008 to 2012, with dyslipidemia and without cardiovascular disease. Diagnostic inertia was defined as the registry of abnormal diagnostic parameters-but no diagnosis-on the person's health record in a window of six months from inclusion. A total of 58,970 patients were included (53.7% women) with a mean age of 58.4 years in women and 57.9 years in men. The 6358 (20.1%) women and 4312 (15.8%) men presenting diagnostic inertia had a similar profile, although in women the magnitude of the association with younger age was larger. Hypertension showed a larger association with diagnostic inertia in women than in men (prevalence ratio 1.81 vs. 1.56). The overall prevalence of diagnostic inertia in dyslipidemia is high, especially in women. Both men and women have a higher risk of cardiovascular morbidity and mortality.
Collapse
Affiliation(s)
- Cristina Soriano-Maldonado
- Clinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Spain; (C.S.-M.); (A.L.-P.); (D.O.-B.); (V.F.G.-G.); (C.C.-M.)
| | - Adriana Lopez-Pineda
- Clinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Spain; (C.S.-M.); (A.L.-P.); (D.O.-B.); (V.F.G.-G.); (C.C.-M.)
| | - Domingo Orozco-Beltran
- Clinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Spain; (C.S.-M.); (A.L.-P.); (D.O.-B.); (V.F.G.-G.); (C.C.-M.)
| | - Jose A. Quesada
- Clinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Spain; (C.S.-M.); (A.L.-P.); (D.O.-B.); (V.F.G.-G.); (C.C.-M.)
| | - Jose L. Alfonso-Sanchez
- Department of Preventive Medicine and Public Health, School of Medicine, University of Valencia, 46010 Valencia, Spain; (J.L.A.-S.); (J.M.M.-M.)
- Preventive Medicine Service, General University Hospital Consortium, 46014 Valencia, Spain
| | - Vicente Pallarés-Carratalá
- Health Surveillance Unit, Castellon Mutual Insurance Union, 12004 Castellon, Spain;
- Department of Medicine, Jaume I University, 12071 Castellon, Spain
| | - Jorge Navarro-Perez
- Biomedical Research Institute INCLIVA, Hospital Clinico Universitario de Valencia, University of Valencia, 46010 Valencia, Spain;
- Ciber of Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, 28029 Madrid, Spain
| | - Vicente F. Gil-Guillen
- Clinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Spain; (C.S.-M.); (A.L.-P.); (D.O.-B.); (V.F.G.-G.); (C.C.-M.)
| | - Jose M. Martin-Moreno
- Department of Preventive Medicine and Public Health, School of Medicine, University of Valencia, 46010 Valencia, Spain; (J.L.A.-S.); (J.M.M.-M.)
- Biomedical Research Institute INCLIVA, Hospital Clinico Universitario de Valencia, University of Valencia, 46010 Valencia, Spain;
| | - Concepción Carratala-Munuera
- Clinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Spain; (C.S.-M.); (A.L.-P.); (D.O.-B.); (V.F.G.-G.); (C.C.-M.)
| |
Collapse
|
16
|
Blazquez J, Galeotti M, Martin-Moreno JM. Green recovery packages for a post-Covid-19 world: A lesson from the collapse of Spanish wind farms in the past financial crisis. Renew Sustain Energy Rev 2021; 151:111570. [PMID: 36570067 PMCID: PMC9760084 DOI: 10.1016/j.rser.2021.111570] [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] [Figures] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Revised: 06/28/2021] [Accepted: 08/04/2021] [Indexed: 06/17/2023]
Abstract
Governments are implementing massive stimulus fiscal packages to mitigate the economic crisis caused by the coronavirus disease. If policymakers want to stimulate the economy through renewable energy investments, policies must focus on financing as the key priority. This is the lesson we draw from the Spanish wind farms in the past financial crisis. Using an economic approach to the drivers of external finance within the backdrop of Spanish windfarms, this work employs a dataset of 318 projects commissioned throughout 2006-2013. The main conclusion from this study is that the financial crisis of 2008 changed the behaviour of Spanish financial institutions towards renewable projects. The pre-crisis period was a time when costly ventures were prone to a higher debt leverage. Post-crisis times, however, punished these types of projects by curbing their access to financial resources.
Collapse
Affiliation(s)
- Jorge Blazquez
- Oxford Institute for Energy Studies, 57 Woodstock Road, Oxford, OX2 6FA, United Kingdom
| | - Marzio Galeotti
- Department of Environmental Science and Policy, University of Milan, Via Celoria 2, 20122, Milan, Italy
- Fondazione Eni Enrico Mattei, Corso Magenta 63, 20123, Milan, Italy
| | - Jose M Martin-Moreno
- Departamento de Fundamentos del Análisis Económico and Rede/ECOBAS, Facultad de CC.EE., Universidad de Vigo, Campus Universitario Lagoas-Marcosende, 36310, Vigo, Spain
| |
Collapse
|
17
|
Wong BLH, Delgrange M, Nathan NL, Luévano CD, Martin-Moreno JM, Otok R, Tulchinsky TH, Middleton JD. The Association of Schools of Public Health in the European Region Statement on the Erosion of Public Health Systems. Public Health Rev 2021; 42:1604112. [PMID: 34692180 PMCID: PMC8386754 DOI: 10.3389/phrs.2021.1604112] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Accepted: 04/09/2021] [Indexed: 11/13/2022] Open
Affiliation(s)
- Brian L H Wong
- MRC Unit for Lifelong Health and Ageing at UCL, Department of Population Science and Experimental Medicine, Institute of Cardiovascular Science, London, United Kingdom.,COVID-19 Task Force, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
| | - Marine Delgrange
- Department of Health Policy, London School of Economics and Political Science, London, United Kingdom.,Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, University of London, London, United Kingdom
| | - Naomi L Nathan
- COVID-19 Task Force, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
| | | | - Jose M Martin-Moreno
- COVID-19 Task Force, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium.,Department of Preventive Medicine and INCLIVA, University of Valencia, Valencia, Spain.,Honours Committee, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
| | - Robert Otok
- COVID-19 Task Force, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium.,Secretariat, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
| | - Ted H Tulchinsky
- COVID-19 Task Force, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium.,Braun School of Public Health and Community Medicine, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel
| | - John D Middleton
- COVID-19 Task Force, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium.,Executive Board, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
| |
Collapse
|
18
|
Peixoto VR, Reid J, Lopes H, Prikazsky V, Siepmann I, Martin-Moreno JM, Middleton J. ASPHER Statement: Déjà vu? Planning for the Covid-19 Third Wave and Planning for the Winter 2021-22. Int J Public Health 2021; 66:1604361. [PMID: 34497482 PMCID: PMC8420808 DOI: 10.3389/ijph.2021.1604361] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Accepted: 08/04/2021] [Indexed: 11/13/2022] Open
Affiliation(s)
- Vasco Ricoca Peixoto
- NOVA National School of Public Health, Public Health Research Centre, Universidade NOVA de Lisboa, Lisbon, Portugal.,Comprehensive Health Research Centre, Universidade Nova de Lisboa, Lisbon, Portugal
| | - John Reid
- Department of Public Health and Wellbeing, Chester University, Chester, United Kingdom
| | - Henrique Lopes
- Unit of Public Health, Healthcare Sciences Institute, Universidade Católica, Lisbon, Portugal
| | | | | | - Jose M Martin-Moreno
- Medical School and INCLIVA-Clinical Hospital, University of Valencia, Valencia, Spain
| | - John Middleton
- Department of Public Health, Wolverhampton University, Wolverhampton, United Kingdom
| | | |
Collapse
|
19
|
White TM, Cash-Gibson L, Martin-Moreno JM, Matesanz R, Crespo J, Alfonso-Sanchez JL, Villapol S, El-Mohandes A, Lazarus JV. COVID-SCORE Spain: Public perceptions of key government COVID-19 control measures. Eur J Public Health 2021; 31:1095-1102. [PMID: 33872348 PMCID: PMC8083190 DOI: 10.1093/eurpub/ckab066] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Spain was initially one of the countries most affected by the COVID-19 pandemic. In June 2020, the COVID-SCORE-10 study reported that the Spanish public's perception of their government's response to the pandemic was low. This study examines these perceptions in greater detail. METHODS We employed an ordered logistic regression analysis using COVID-SCORE-10 data to examine the Spanish public's perception of ten key aspects of their government's COVID-19 control measures. These included support for daily needs, mental and general health services, communication, information and coordination, which were examined by gender, age, education level, having been affected by COVID-19, and trust in government´s success in addressing unexpected health threats. RESULTS ´Trust in the government´ showed the greatest odds of positive perception for the ten measures studied. Odds of positive perception of communication significantly varied by gender, education level, and having been affected by COVID-19, whereas for information and coordination of disease control, odds significantly varied by gender and having been affected by COVID-19. Odds of positive perception for access to mental health services significantly varied by gender and education level. Age was not significant. CONCLUSION Public perception of the government's pandemic response in Spain varied by socio-demographic and individual variables, particularly by reported trust in the government. Fostering public trust during health threats may improve perception of response efforts. Future efforts should tailor interventions that consider gender, education level, and whether people have been affected by COVID-19.
Collapse
Affiliation(s)
- Trenton M White
- Barcelona Institute for Global Health (ISGlobal), Hospital Clinic, University of Barcelona, Barcelona, Spain
| | - Lucinda Cash-Gibson
- Barcelona Institute for Global Health (ISGlobal), Hospital Clinic, University of Barcelona, Barcelona, Spain
| | - Jose M Martin-Moreno
- Department of Preventive Medicine and INCLIVA, University of Valencia, Valencia, Spain
| | - Rafeal Matesanz
- Founder and Former Director of the Spanish National Transplant Organization (ONT), Spain
| | - Javier Crespo
- Gastroenterology and Hepatology Unit, University Hospital Marqués de Valdecilla, University of Cantabria, Santander, Spain
| | - Jose L Alfonso-Sanchez
- Department of Preventive Medicine and Hospital General, University of Valencia, Valencia, Spain
| | - Sonia Villapol
- Department of Neurosurgery & Center for Neuroregeneration, Houston Methodist Research Institute, Houston, Texas, USA
| | - Ayman El-Mohandes
- City University of New York (CUNY) Graduate School of Public Health & Health Policy, New York, USA
| | - Jeffrey V Lazarus
- Barcelona Institute for Global Health (ISGlobal), Hospital Clinic, University of Barcelona, Barcelona, Spain
- Corresponding author: Prof Jeffrey V Lazarus, Barcelona Institute for Global Health (ISGlobal), Hospital Clinic, University of Barcelona, Barcelona, Spain, E-mail: , Tel: +34 608 703 573
| |
Collapse
|
20
|
Wong BLH, Green MS, Reid J, Martin-Moreno JM, Davidovitch N, Chambaud L, Leighton L, Sheek-Hussein M, Dhonkal R, Otok R, Middleton JD. Toward 'Vaccine Internationalism': The Need for an Equitable and Coordinated Global Vaccination Approach to Effectively Combat COVID-19. Int J Public Health 2021; 66:1604077. [PMID: 34335150 PMCID: PMC8284863 DOI: 10.3389/ijph.2021.1604077] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Accepted: 03/15/2021] [Indexed: 11/13/2022] Open
Affiliation(s)
- Brian L. H. Wong
- MRC Unit for Lifelong Health and Ageing at UCL, University College London, London, United Kingdom
- Vaccination Group, COVID-19 Task Force, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
| | - Manfred S. Green
- Vaccination Group, COVID-19 Task Force, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
- School of Public Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Mount Carmel, Israel
| | - John Reid
- Vaccination Group, COVID-19 Task Force, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
- Department of Public Health and Wellbeing, University of Chester, Chester, United Kingdom
| | - Jose M. Martin-Moreno
- Vaccination Group, COVID-19 Task Force, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
- Department of Preventive Medicine and INCLIVA, University of Valencia, Valencia, Spain
- Honours Committee, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
| | - Nadav Davidovitch
- Vaccination Group, COVID-19 Task Force, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
- Department of Health Systems Management, Ben-Gurion University of the Negev, Beersheba, Israel
| | - Laurent Chambaud
- Vaccination Group, COVID-19 Task Force, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
- École des Hautes Etudes en Santé Publique, Rennes, France
| | - Lore Leighton
- Secretariat, Vaccination Group, COVID-19 Task Force, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
| | - Mohamud Sheek-Hussein
- Vaccination Group, COVID-19 Task Force, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
- College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates
| | - Ranjeet Dhonkal
- Vaccination Group, COVID-19 Task Force, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
- Department of Health Sciences, Faculty of Life Sciences, Hamburg University of Applied Sciences, Hamburg, Germany
| | - Robert Otok
- Secretariat, Vaccination Group, COVID-19 Task Force, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
| | - John D. Middleton
- Vaccination Group, COVID-19 Task Force, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
- Executive Board, Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
| |
Collapse
|
21
|
Martin-Moreno JM, Lessof S. Predictions of cancer mortality in Europe in 2021: room for hope in the shadow of COVID-19? Ann Oncol 2021; 32:425-426. [PMID: 33626376 PMCID: PMC8970709 DOI: 10.1016/j.annonc.2021.02.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Accepted: 02/02/2021] [Indexed: 12/20/2022] Open
Affiliation(s)
- J M Martin-Moreno
- Department of Preventive Medicine & INCLIVA Clinical Hospital, University of Valencia, Valencia, Spain.
| | - S Lessof
- European Observatory on Health Systems and Policies, Brussels, Belgium
| |
Collapse
|
22
|
Burgess RA, Osborne RH, Yongabi KA, Greenhalgh T, Gurdasani D, Kang G, Falade AG, Odone A, Busse R, Martin-Moreno JM, Reicher S, McKee M. The COVID-19 vaccines rush: participatory community engagement matters more than ever. Lancet 2021; 397:8-10. [PMID: 33308484 PMCID: PMC7832461 DOI: 10.1016/s0140-6736(20)32642-8] [Citation(s) in RCA: 114] [Impact Index Per Article: 38.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Accepted: 11/26/2020] [Indexed: 01/19/2023]
Affiliation(s)
| | - Richard H Osborne
- Centre for Global Health and Equity, Swinburne University of Technology, Hawthorn, VIC, Australia
| | - Kenneth A Yongabi
- AU-ASRIC Afro-centric COVID-19 Working Group, Faculty of Health Sciences, Imo State University, Owerri, Nigeria
| | - Trisha Greenhalgh
- Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
| | - Deepti Gurdasani
- William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Gagandeep Kang
- Division of Gastrointestinal Sciences Christian Medical College, Vellore, TN, India
| | - Adegoke G Falade
- Department of Paediatrics, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Anna Odone
- Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Italy
| | - Reinhard Busse
- Department of Health Care Management, Technical University Berlin, Germany
| | - Jose M Martin-Moreno
- Department of Preventive Medicine and INCLIVA, University of Valencia, Valencia, Spain
| | - Stephen Reicher
- School of Psychology and Neuroscience, St Andrews University, Fife, UK
| | - Martin McKee
- Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK
| |
Collapse
|
23
|
Gurdasani D, Bear L, Bogaert D, Burgess RA, Busse R, Cacciola R, Charpak Y, Colbourn T, Drury J, Friston K, Gallo V, Goldman LR, Greenhalgh T, Hyde Z, Kuppalli K, Majumder MS, Martin-Moreno JM, McKee M, Michie S, Mossialos E, Nouri A, Pagel C, Pimenta D, Popescu S, Priesemann V, Rasmussen AL, Reicher S, Ricciardi W, Rice K, Silver J, Smith TC, Wenham C, West R, Yamey G, Yates C, Ziauddeen H. The UK needs a sustainable strategy for COVID-19. Lancet 2020; 396:1800-1801. [PMID: 33181080 PMCID: PMC7834725 DOI: 10.1016/s0140-6736(20)32350-3] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Accepted: 11/06/2020] [Indexed: 11/16/2022]
Affiliation(s)
| | - Laura Bear
- London School of Economics and Political Science, London, UK
| | | | | | | | - Roberto Cacciola
- Department of Surgical Sciences, Università Di Tor Vergata, Rome, Italy
| | - Yves Charpak
- Fondation Charpak, L'esprit des Sciences, Paris, France
| | | | | | | | - Valentina Gallo
- University of Groningen, Campus Fryslân, Leeuwarden, Netherlands
| | - Lynn R Goldman
- George Washington University Milken Institute School of Public Health, Washington, DC, USA
| | | | - Zoë Hyde
- University of Western Australia, Perth, WA, Australia
| | | | | | | | - Martin McKee
- London School of Hygiene & Tropical Medicine, London, UK
| | | | - Elias Mossialos
- London School of Economics and Political Science, London, UK
| | - Ali Nouri
- Federation of American Scientists, Washington, DC, USA
| | | | | | | | - Viola Priesemann
- Max Planck Institute for Dynamics and Self-Organization, Göttingen, Germany
| | | | | | | | - Ken Rice
- University of Edinburgh, Edinburgh, UK
| | | | | | - Clare Wenham
- London School of Economics and Political Science, London, UK
| | | | | | | | | |
Collapse
|
24
|
Martin-Moreno JM, Ruiz-Segovia N, Diaz-Rubio E. Behavioural and structural interventions in cancer prevention: towards the 2030 SDG horizon. Mol Oncol 2020; 15:801-808. [PMID: 32970894 PMCID: PMC7931131 DOI: 10.1002/1878-0261.12805] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Revised: 08/21/2020] [Accepted: 08/24/2020] [Indexed: 01/20/2023] Open
Abstract
Traditionally, the prevention of cancer (and other chronic diseases) has been considered primarily linked to personal responsibility, for which interventions must be based on health education information enabling individuals to make knowledge‐based decisions to improve their lifestyle. However, lifestyle is conditioned by environmental factors (including dimensions such as the context of economics, transport, urbanism, agriculture or education) that may render healthy behavioural choices either easier or, alternatively, impossible. This article reviews the conceptual underpinnings of the behavioural‐structural dichotomy. We believe that it is advisable to opt for multilevel strategies that take into account all the determinants of health, using structural and behavioural approaches, rather than only the latter, as has been done until now.
Collapse
Affiliation(s)
| | - Natalia Ruiz-Segovia
- Department of Prevention and Health Promotion, Asociacion Española Contra el Cancer, Madrid, Spain
| | | |
Collapse
|
25
|
Jachmann A, Klingberg K, Zapata-Garcia MC, Srivastava DS, Exadaktylos A, Martin-Moreno JM. Barriers in access to cancer treatment in Europe: a systematic review of the European Literature. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.1126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Within NCD`s, Cancer accounts for the 2nd most frequent cause after Cardiovascular diseases and in some European countries it´s the leading cause of premature deaths. One of the challenges within cancer therapy can be found in inequity in access to cancer treatment, because this causes worse health outcomes, which are attributable to the accessibility of health care and thus avoidable. The objective of the systematic review was to identify barriers in access to cancer treatment in Europe (inter-country) and within 6 European countries (intra-country): Spain, Germany, Switzerland, Finland, Bulgaria, UK.
Methods
To obtain data scientific (PubMed, CINAHL, Embase) and grey literature were searched using keywords relating to inequity in access to cancer therapy in Europe. Collected Abstracts of published articles in English between 01/2013 and 05/2018 were reviewed independently. Identified barriers in access to cancer therapy were grouped into 2 categories: patient and health system/provider factors, followed by thematic analysis for each category.
Results
Out of 786 unique articles, 14 were included in the systematic review. The most frequent cited barriers within Europe were patient socioeconomic status (n = 7, 50%), age (n = 4, 28.6%) and reimbursement and availability of cancer medicine (n = 4, 28.6%).
Conclusions
This review showed that different barriers in access to cancer therapy still exist in Europe and therefore demonstrated an urgent need for actions to reduce these disparities across all Europe. Additional to the known equity stratifiers the role of health system factors concerning different reimbursement processes and shortages in widely used cancer drugs was emphasized. The amount of available studies with main focus on barriers in access to cancer therapy in Europe varies by equity stratifier, cancer site and type of treatment and seems to be very limited, showing a need for future investigations upon this topic with possibly uniform scales.
Key messages
This review showed that different barriers in access to cancer therapy still exist in Europe and therefore demonstrated an urgent need for actions to reduce these disparities across all Europe. Additional to the known equity stratifiers the role of health system factors concerning different reimbursement processes and shortages in widely used cancer drugs was emphasized.
Collapse
Affiliation(s)
- A Jachmann
- Emergency Department, Bern University Hospital, Bern, Switzerland
- Department of Preventive Medicine and Public Health and Incl, University of Valencia, Valencia, Spain
| | - K Klingberg
- Emergency Department, Bern University Hospital, Bern, Switzerland
| | - M C Zapata-Garcia
- Department of Preventive Medicine and Public Health and Incl, University of Valencia, Valencia, Spain
- Centro de Investigacion Clinica, CIC Clinical Research Center, Medellín, Antioquia, Colombia
| | - D S Srivastava
- Emergency Department, Bern University Hospital, Bern, Switzerland
| | - A Exadaktylos
- Emergency Department, Bern University Hospital, Bern, Switzerland
| | - J M Martin-Moreno
- Department of Preventive Medicine and Public Health and Incl, University of Valencia, Valencia, Spain
| |
Collapse
|
26
|
Middleton J, Martin-Moreno JM, Barros H, Chambaud L, Signorelli C. ASPHER statement on the novel coronavirus disease (COVID-19) outbreak emergency. Int J Public Health 2020; 65:237-238. [PMID: 32227250 PMCID: PMC7103891 DOI: 10.1007/s00038-020-01362-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2020] [Accepted: 03/21/2020] [Indexed: 11/29/2022] Open
Affiliation(s)
- John Middleton
- Association of Schools of Public Health in the European Region - ASPHER, Brussels, Belgium.
| | | | - Henrique Barros
- Institute of Public Health, University of Porto, Porto, Portugal
| | | | - Carlo Signorelli
- School of Public Health, Vita-Salute San Raffaele University, Milan, Italy
| |
Collapse
|
27
|
Alfonso-Sánchez JL, Martin-Moreno JM, Martinez IM, Martinez AA. Epidemiological Study and Cost Analysis of Suicide in Spain: Over 100 Years of Evolution. Arch Suicide Res 2020; 24:S356-S369. [PMID: 31079554 DOI: 10.1080/13811118.2019.1612802] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
OBJECTIVE Society has changed during the last 100 years of evolution; however, some problems, such as suicide, remain. The objective here is to carry out a long-term epidemiological study in Spain, and to calculate the social and labor costs of 2016. METHOD Epidemiological data were obtained from official data obtained between 1906 - 2016. The calculation of the costs of suicides included the social costs and the costs of production losses (labor costs). The latter were obtained by the human capital method, taking into account the unemployment rate. The economic growth rate stood at 2.6% per year. RESULTS The suicide rate was between 4 and 8% per year. The evolution during these 100 years had three periods. Until 1940 it had slight increases, and then it decreased until 1980 and, subsequently, the rate increased until it reached almost 8% in 2016. The costs of the suicides were 2,167 million € of economic losses for society, or its equivalent of 607 € for suicide. CONCLUSIONS Public health policies aimed at the prevention of suicide should be increased, and supported by the economic costs they mean for society.
Collapse
|
28
|
Mendonça RD, Carvalho NC, Martin-Moreno JM, Pimenta AM, Lopes ACS, Gea A, Martinez-Gonzalez MA, Bes-Rastrollo M. Total polyphenol intake, polyphenol subtypes and incidence of cardiovascular disease: The SUN cohort study. Nutr Metab Cardiovasc Dis 2019; 29:69-78. [PMID: 30459074 DOI: 10.1016/j.numecd.2018.09.012] [Citation(s) in RCA: 61] [Impact Index Per Article: 12.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2018] [Revised: 08/27/2018] [Accepted: 09/25/2018] [Indexed: 11/17/2022]
Abstract
BACKGROUND AND AIMS Polyphenol-rich diets have been associated with reduced risk of cardiovascular disease (CVD). However, few prospective epidemiological studies have examined the relationship between classes of ingested polyphenols and risk of CVD. Our aim was to evaluate the association between polyphenol intake and risk of major cardiovascular events in a prospective Spanish cohort. METHODS AND RESULTS We included 17,065 university graduates (60.7% women, mean age: 37.2 years, age range: 20-89) followed-up for a mean of 10.1 years. Polyphenol intake was assessed at baseline using a validated semi-quantitative 136-item food frequency questionnaire and matching food consumption data with the Phenol-Explorer database. Cox proportional hazards models were used to estimate the adjusted hazard ratios (HR) and 95% confidence intervals (95% CI) for incident cardiovascular events (myocardial infarction, stroke or cardiovascular death). Cherries, chocolate, coffee, apples, and olives were the major sources of variability in polyphenol intake. Participants with higher flavonoids intake (fifth quintile) had a 47% lower incidence of cardiovascular events compared to those in the lowest quintile (HR: 0.53, 95% CI: 0.29-0.98; P for trend = 0.09) after adjusting for potential confounders. The results were non-significant for other polyphenol types. CONCLUSION The intake of flavonoids showed an inverse association with risk of cardiovascular events in a prospective cohort of Spanish middle-aged adult university graduates. REGISTRATION NUMBER FOR CLINICAL TRIALS NCT02669602 in Clinical Trials.
Collapse
Affiliation(s)
- R D Mendonça
- University of Navarra, Preventive Medicine and Public Health, Pamplona, Spain; Departament Nutrition, Universidade Federal de Minas Gerais, Brazil; CAPES Foundation, Ministry of Education of Brazil, Brasília, Brazil
| | - N C Carvalho
- Department of Food and Nutrition, University of Campinas, Brazil
| | - J M Martin-Moreno
- University of Navarra, Preventive Medicine and Public Health, Pamplona, Spain; Department of Preventive Medicine & INCLIVA, University of Valencia, Spain
| | - A M Pimenta
- University of Navarra, Preventive Medicine and Public Health, Pamplona, Spain; Department of Maternal-Child Nursing and Public Health, Universidade Federal de Minas Gerais, Brazil
| | - A C S Lopes
- Departament Nutrition, Universidade Federal de Minas Gerais, Brazil
| | - A Gea
- University of Navarra, Preventive Medicine and Public Health, Pamplona, Spain; Navarra's Health Research Institute (IDISNA), Pamplona, Spain; CIBERobn, Institute of Health Carlos III, Madrid, Spain
| | - M A Martinez-Gonzalez
- University of Navarra, Preventive Medicine and Public Health, Pamplona, Spain; Navarra's Health Research Institute (IDISNA), Pamplona, Spain; CIBERobn, Institute of Health Carlos III, Madrid, Spain; Harvard TH-Chan School of Public Health, Department of Nutrition, Boston, MA, USA
| | - M Bes-Rastrollo
- University of Navarra, Preventive Medicine and Public Health, Pamplona, Spain; Navarra's Health Research Institute (IDISNA), Pamplona, Spain; CIBERobn, Institute of Health Carlos III, Madrid, Spain.
| |
Collapse
|
29
|
Orozco-Beltran D, Gil-Guillen VF, Redon J, Martin-Moreno JM, Pallares-Carratala V, Navarro-Perez J, Valls-Roca F, Sanchis-Domenech C, Fernandez-Gimenez A, Perez-Navarro A, Bertomeu-Martinez V, Bertomeu-Gonzalez V, Cordero A, de la Torre MP, Trillo JL, Carratala-Munuera C, Pita-Fernandez S, Uso R, Durazo-Arvizu R, Cooper R, Sanz G, Castellano JM, Ascaso JF, Carmena R, Tellez-Plaza M. Correction: Lipid profile, cardiovascular disease and mortality in a Mediterranean high-risk population: The ESCARVAL-RISK study. PLoS One 2018; 13:e0205047. [PMID: 30261062 PMCID: PMC6160173 DOI: 10.1371/journal.pone.0205047] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
[This corrects the article DOI: 10.1371/journal.pone.0186196.].
Collapse
|
30
|
Navarro-Pérez J, Orozco-Beltran D, Gil-Guillen V, Pallares V, Valls F, Fernandez A, Perez-Navarro AM, Sanchis C, Dominguez-Lucas A, Martin-Moreno JM, Redon J, Tellez-Plaza M. Mortality and cardiovascular disease burden of uncontrolled diabetes in a registry-based cohort: the ESCARVAL-risk study. BMC Cardiovasc Disord 2018; 18:180. [PMID: 30176799 PMCID: PMC6122181 DOI: 10.1186/s12872-018-0914-1] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2018] [Accepted: 08/22/2018] [Indexed: 01/05/2023] Open
Abstract
Background Despite the epidemiological evidence about the relationship between diabetes, mortality and cardiovascular disease, information about the population impact of uncontrolled diabetes is scarce. We aimed to estimate the attributable risk associated with HbA1c levels for all-cause mortality and cardiovascular hospitalization. Methods Prospective study of subjects with diabetes mellitus using electronic health records from the universal public health system in the Valencian Community, Spain 2008–2012. We included 19,140 men and women aged 30 years or older with diabetes who underwent routine health examinations in primary care. Results A total of 11,003 (57%) patients had uncontrolled diabetes defined as HbA1c ≥6.5%, and, among those, 5325 participants had HbA1c ≥7.5%. During an average follow-up time of 3.3 years, 499 deaths, 912 hospitalizations for coronary heart disease (CHD) and 786 hospitalizations for stroke were recorded. We observed a linear and increasingly positive dose-response of HbA1c levels and CHD hospitalization. The relative risk for all-cause mortality and CHD and stroke hospitalization comparing patients with and without uncontrolled diabetes was 1.29 (95 CI 1.08,1.55), 1.38 (95 CI 1.20,1.59) and 1.05 (95 CI 0.91, 1.21), respectively. The population attributable risk (PAR) associated with uncontrolled diabetes was 13.6% (95% CI; 4.0–23.9) for all-cause mortality, 17.9% (95% CI; 10.5–25.2) for CHD and 2.7% (95% CI; − 5.5-10.8) for stroke hospitalization. Conclusions In a large general-practice cohort of patients with diabetes, uncontrolled glucose levels were associated with a substantial mortality and cardiovascular disease burden.
Collapse
Affiliation(s)
- Jorge Navarro-Pérez
- Biomedical Research Institute INCLIVA, Hospital Clinico Universitario de Valencia, University of Valencia, Valencia, Spain.,Ciber of Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain
| | - Domingo Orozco-Beltran
- Department of Clinical Medicine, University Miguel Hernandez of San Juan de Alicante, San Juan de Alicante, Spain
| | - Vicente Gil-Guillen
- Department of Clinical Medicine, University Miguel Hernandez of San Juan de Alicante, San Juan de Alicante, Spain
| | - Vicente Pallares
- Department of Medicine, University Jaume I of Castellón, Unión de Mutuas de Castellón, Castellón de la Plana, Spain
| | - Francisco Valls
- Health Center of Beniganim, Valencia. HTA Working Group SEMERGEN, Valencia, Spain
| | | | | | | | - Alejandro Dominguez-Lucas
- Biomedical Research Institute INCLIVA, Hospital Clinico Universitario de Valencia, University of Valencia, Valencia, Spain
| | - Jose M Martin-Moreno
- Department of Preventive Medicine and Public Health, School of Medicine, University of Valencia, Valencia, Spain
| | - Josep Redon
- Biomedical Research Institute INCLIVA, Hospital Clinico Universitario de Valencia, University of Valencia, Valencia, Spain. .,CIBERObn, Instituto de Salud Carlos III, Madrid, Spain. .,Hypertension Clinic, Clinical Hospital of Valencia, Avda Blasco Ibañez, 17, 46010, Valencia, Spain.
| | - Maria Tellez-Plaza
- Biomedical Research Institute INCLIVA, Hospital Clinico Universitario de Valencia, University of Valencia, Valencia, Spain.,Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA
| | | |
Collapse
|
31
|
Orozco-Beltran D, Gil-Guillen VF, Redon J, Martin-Moreno JM, Pallares-Carratala V, Navarro-Perez J, Valls-Roca F, Sanchis-Domenech C, Fernandez-Gimenez A, Perez-Navarro A, Bertomeu-Martinez V, Bertomeu-Gonzalez V, Cordero A, Pascual de la Torre M, Trillo JL, Carratala-Munuera C, Pita-Fernandez S, Uso R, Durazo-Arvizu R, Cooper R, Sanz G, Castellano JM, Ascaso JF, Carmena R, Tellez-Plaza M. Lipid profile, cardiovascular disease and mortality in a Mediterranean high-risk population: The ESCARVAL-RISK study. PLoS One 2017; 12:e0186196. [PMID: 29045483 PMCID: PMC5646809 DOI: 10.1371/journal.pone.0186196] [Citation(s) in RCA: 56] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2017] [Accepted: 09/27/2017] [Indexed: 12/17/2022] Open
Abstract
INTRODUCTION The potential impact of targeting different components of an adverse lipid profile in populations with multiple cardiovascular risk factors is not completely clear. This study aims to assess the association between different components of the standard lipid profile with all-cause mortality and hospitalization due to cardiovascular events in a high-risk population. METHODS This prospective registry included high risk adults over 30 years old free of cardiovascular disease (2008-2012). Diagnosis of hypertension, dyslipidemia or diabetes mellitus was inclusion criterion. Lipid biomarkers were evaluated. Primary endpoints were all-cause mortality and hospital admission due to coronary heart disease or stroke. We estimated adjusted rate ratios (aRR), absolute risk differences and population attributable risk associated with adverse lipid profiles. RESULTS 51,462 subjects were included with a mean age of 62.6 years (47.6% men). During an average follow-up of 3.2 years, 919 deaths, 1666 hospitalizations for coronary heart disease and 1510 hospitalizations for stroke were recorded. The parameters that showed an increased rate for total mortality, coronary heart disease and stroke hospitalization were, respectively, low HDL-Cholesterol: aRR 1.25, 1.29 and 1.23; high Total/HDL-Cholesterol: aRR 1.22, 1.38 and 1.25; and high Triglycerides/HDL-Cholesterol: aRR 1.21, 1.30, 1.09. The parameters that showed highest population attributable risk (%) were, respectively, low HDL-Cholesterol: 7.70, 11.42, 8.40; high Total/HDL-Cholesterol: 6.55, 12.47, 8.73; and high Triglycerides/HDL-Cholesterol: 8.94, 15.09, 6.92. CONCLUSIONS In a population with cardiovascular risk factors, HDL-cholesterol, Total/HDL-cholesterol and triglycerides/HDL-cholesterol ratios were associated with a higher population attributable risk for cardiovascular disease compared to other common biomarkers.
Collapse
Affiliation(s)
- Domingo Orozco-Beltran
- Catedra de Medicina de Familia, Miguel Hernandez University, San Juan de Alicante, Spain
- * E-mail:
| | - Vicente F. Gil-Guillen
- Catedra de Medicina de Familia, Miguel Hernandez University, San Juan de Alicante, Spain
| | - Josep Redon
- Department of Internal Medicine, Hospital Clinico de Valencia, Valencia, Spain
- INCLIVA Research Institute, Valencia, Spain
- CIBERObn, ISCIII, Madrid, Spain
| | - Jose M. Martin-Moreno
- Department of Preventive Medicine and Public Health, University of Valencia Medical School. Valencia, Spain
| | - Vicente Pallares-Carratala
- Health Surveillance Department, Mutual Society of Castellon. Department of Medicine. Jaume I University. Castellon, Spain
| | - Jorge Navarro-Perez
- Department of Internal Medicine, Hospital Clinico de Valencia, Valencia, Spain
- INCLIVA Research Institute, Valencia, Spain
- Department of Medicine, University of Valencia, Valencia, Spain
| | | | | | | | | | - Vicente Bertomeu-Martinez
- Department of Cardiology, Hospital Universitario San Juan de Alicante, San Juan de Alicante, Spain
- Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Spain
| | - Vicente Bertomeu-Gonzalez
- Department of Cardiology, Hospital Universitario San Juan de Alicante, San Juan de Alicante, Spain
- Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Spain
| | - Alberto Cordero
- Department of Cardiology, Hospital Universitario San Juan de Alicante, San Juan de Alicante, Spain
- Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Spain
| | | | - Jose L. Trillo
- Department of Pharmacy, Hospital Clinico de Valencia, Valencia, Spain
| | | | - Salvador Pita-Fernandez
- Clinical Epidemiology and Biostatistics Unit, Complexo Hospitalario Universitario A Coruña (CHUAC), SERGAS, Universidad de A Coruña, A Coruña, Spain
| | - Ruth Uso
- Pharmacy Management. Conselleria de Sanitat. Valencia, Spain
| | - Ramon Durazo-Arvizu
- Department of Public Health Sciences, Stritch School of Medicine, Loyola University Chicago, Maywood, IL, United States of America
| | - Richard Cooper
- Department of Public Health Sciences, Stritch School of Medicine, Loyola University Chicago, Maywood, IL, United States of America
| | - Gines Sanz
- National Cardiovascular Research Center. Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain
| | - Jose M. Castellano
- National Cardiovascular Research Center. Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain
- HM Hospitales, Hospital Universitario HM Monteprincipe, Madrid, Spain
| | - Juan F. Ascaso
- Service of Endocrinology and Nutrition, Hospital Clínico de Valencia. University of Valencia, Valencia, Spain
- INCLIVA Research Institute. Ciber de Diabetes y Enfermedades Metabólicas (CIBERDEM), Carlos III. Valencia, Spain
| | - Rafael Carmena
- Service of Endocrinology and Nutrition, Hospital Clínico de Valencia. University of Valencia, Valencia, Spain
- INCLIVA Research Institute. Ciber de Diabetes y Enfermedades Metabólicas (CIBERDEM), Carlos III. Valencia, Spain
| | - Maria Tellez-Plaza
- Institute for Biomedical Research. Hospital Clinic de Valencia, Valencia, Spain
- Department of Environmental Health Sciences, Johns Hopkins University Bloomberg School of Public Health, Baltimore, United States of America
| | | |
Collapse
|
32
|
Mollar-Maseres JB, Aranaz-Andrés JM, Martin-Moreno JM, Miralles-Bueno JJ, Requena-Puche J, Martínez-Morel HR, Luján-Tolosa MM. [Adverse events related to medication in hospitals from the Valencian Community. EPIDEA Study 2005-2013]. Rev Esp Quimioter 2017; 30:319-326. [PMID: 28722391] [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] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
OBJECTIVE To determine the prevalence of Adverse Events related to Medication (AEM) in hospitals of the Valencian Community in the 2005-2013 study period, and to describe the associated risk factors and their impact. METHODS This study is based on data and methodology of the Study of Prevalence of Adverse Events in hospitals (EPIDEA), since its inception in 2005 until 2013. AEM produced in each year were analyzed. RESULTS We identified 344 AEM that occurred in 337 patients, among 35,103 patients studied, giving a prevalence of patients with AEM of 0.96% (IC95% 0.89-1.07). The most prevalent intrinsic risk factors for AEM were hypertension, diabetes and cancer. The most prevalent extrinsic risk factors were peripheral venous catheter, urinary catheter and central venous catheter. Therapeutic groups most frequently involved were systemic antibiotics, cardiovascular drugs and antineoplastics. The 61.17% of AEM was classified as moderate, followed by 27.18% as mild and 11.65% as severe. The 33.99% of EAM caused increase of the patient's stay and 39.90% of EAM caused the re-entry of patient. The 58.5% of AEM were avoidable. Mild AEM were avoidable in 46.3%, moderate AEM were avoidable in 60.3% and severe AEM were in 75% (p = 0.013). CONCLUSIONS The prevalence of patients with AEM in hospitals of the Community of Valencia for the period 2005- 2013 was 0.96%. More than half of AEM were preventable, and preventability increases significantly with the severity of the event.
Collapse
Affiliation(s)
- J B Mollar-Maseres
- Juan Bautista Mollar Maseres, Servicio de Medicina Preventiva. Pasillo E-F, planta 7. Hospital Universitario Politécnico La Fe. Avinguda de Fernando Abril Martorell, nº 106, 46026 Valencia. Spain.
| | | | | | | | | | | | | |
Collapse
|
33
|
Abstract
Given the broad scope and intersectoral nature of public health structures and practices, there are inherent difficulties in defining which services fall under the public health remit and in assessing their capacity and performance. The aim of this study is to analyze how public health functions and practice have been defined and operationalized in different countries and regions around the world, with a specific focus on assessment tools that have been developed to evaluate the performance of essential public health functions, services, and operations. Our review has identified nearly 100 countries that have carried out assessments, using diverse analytical and methodological approaches. The assessment processes have evolved quite differently according to administrative arrangements and resource availability, but some key contextual factors emerge that seem to favor policy-oriented follow-up. These include local ownership of the assessment process, policymakers' commitment to reform, and expert technical advice for implementation.
Collapse
Affiliation(s)
- Jose M Martin-Moreno
- Department of Preventive Medicine and Public Health, University of Valencia Medical School, 46010 Valencia, Spain; ,
| | - Meggan Harris
- Department of Preventive Medicine and Public Health, University of Valencia Medical School, 46010 Valencia, Spain; ,
| | - Elke Jakubowski
- World Health Organization Regional Office for Europe, DK-2100 Copenhagen, Denmark; ,
| | - Hans Kluge
- World Health Organization Regional Office for Europe, DK-2100 Copenhagen, Denmark; ,
| |
Collapse
|
34
|
Schüz J, Espina C, Villain P, Herrero R, Leon ME, Minozzi S, Romieu I, Segnan N, Wardle J, Wiseman M, Belardelli F, Bettcher D, Cavalli F, Galea G, Lenoir G, Martin-Moreno JM, Nicula FA, Olsen JH, Patnick J, Primic-Zakelj M, Puska P, van Leeuwen FE, Wiestler O, Zatonski W. European Code against Cancer 4th Edition: 12 ways to reduce your cancer risk. Cancer Epidemiol 2015; 39 Suppl 1:S1-10. [PMID: 26164654 DOI: 10.1016/j.canep.2015.05.009] [Citation(s) in RCA: 137] [Impact Index Per Article: 15.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2015] [Revised: 05/08/2015] [Accepted: 05/11/2015] [Indexed: 12/15/2022]
Abstract
This overview describes the principles of the 4th edition of the European Code against Cancer and provides an introduction to the 12 recommendations to reduce cancer risk. Among the 504.6 million inhabitants of the member states of the European Union (EU28), there are annually 2.64 million new cancer cases and 1.28 million deaths from cancer. It is estimated that this cancer burden could be reduced by up to one half if scientific knowledge on causes of cancer could be translated into successful prevention. The Code is a preventive tool aimed to reduce the cancer burden by informing people how to avoid or reduce carcinogenic exposures, adopt behaviours to reduce the cancer risk, or to participate in organised intervention programmes. The Code should also form a base to guide national health policies in cancer prevention. The 12 recommendations are: not smoking or using other tobacco products; avoiding second-hand smoke; being a healthy body weight; encouraging physical activity; having a healthy diet; limiting alcohol consumption, with not drinking alcohol being better for cancer prevention; avoiding too much exposure to ultraviolet radiation; avoiding cancer-causing agents at the workplace; reducing exposure to high levels of radon; encouraging breastfeeding; limiting the use of hormone replacement therapy; participating in organised vaccination programmes against hepatitis B for newborns and human papillomavirus for girls; and participating in organised screening programmes for bowel cancer, breast cancer, and cervical cancer.
Collapse
Affiliation(s)
- Joachim Schüz
- International Agency for Research on Cancer (IARC), Lyon, France.
| | - Carolina Espina
- International Agency for Research on Cancer (IARC), Lyon, France
| | - Patricia Villain
- International Agency for Research on Cancer (IARC), Lyon, France
| | - Rolando Herrero
- International Agency for Research on Cancer (IARC), Lyon, France
| | - Maria E Leon
- International Agency for Research on Cancer (IARC), Lyon, France
| | - Silvia Minozzi
- CPO Piedmont, University Hospital "Città della Salute e della Scienza", Turin, Italy
| | - Isabelle Romieu
- International Agency for Research on Cancer (IARC), Lyon, France
| | - Nereo Segnan
- CPO Piedmont, University Hospital "Città della Salute e della Scienza", Turin, Italy
| | | | | | | | | | - Franco Cavalli
- Oncology Institute of Southern Switzerland, Bellinzona, Switzerland
| | - Gauden Galea
- World Health Organization Regional Office for Europe, Copenhagen, Denmark
| | | | | | | | - Jørgen H Olsen
- Danish Cancer Society Research Center, Copenhagen, Denmark
| | | | | | - Pekka Puska
- National Institute for Health and Welfare, Helsinki, Finland
| | | | - Otmar Wiestler
- German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - Witold Zatonski
- Maria Skoldowska-Curie Cancer Center and Institute of Oncology, Warsaw, Poland
| |
Collapse
|
35
|
Abstract
The prospect of achieving truly personalised medicine (or precision medicine) has raised patients’ hopes and piqued researchers’ curiosity, prompting the development of new -omics fields and attracting interest from the health technology industry. However, to ensure that new advances are incorporated equitably without diverting scarce resources from essential services and underserved populations, European institutions must forge a common policy that balances investments with returns and competition with coordination.
Collapse
|
36
|
Martin-Moreno JM, Llinás G, Martínez-Hernández J. Response to "MacIntyre et al., 2014: Respiratory protection for healthcare workers treating Ebola virus disease (EVD): are facemasks sufficient to meet occupational health and safety obligations?". Int J Nurs Stud 2014; 51:1693. [PMID: 25457270 DOI: 10.1016/j.ijnurstu.2014.10.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2014] [Accepted: 10/07/2014] [Indexed: 11/28/2022]
Affiliation(s)
- Jose M Martin-Moreno
- University of Valencia Medical School, Valencia, Spain; University Clinical Hospital, Valencia, Spain.
| | | | | |
Collapse
|
37
|
Affiliation(s)
- Jose M Martin-Moreno
- Preventive Medicine and Public Health, University of Valencia, 46010 Valencia, Spain.
| | - Walter Ricciardi
- European Public Health Association and Catholic University of the Sacred Heart, Rome, Italy
| | - Vesna Bjegovic-Mikanovic
- Association of Schools of Public Health in the European Region and University of Belgrade, Institute of Social Medicine, Belgrade, Serbia
| | | | - Martin McKee
- European Public Health Association and European Centre on Health of Societies in Transition, London School of Hygiene and Tropical Medicine, London, UK
| |
Collapse
|
38
|
Vila-Candel R, Martin-Moreno JM, Alamar S, Soriano-Vidal FJ, Naranjo de la Puerta FG, Murillo M. Can we improve the birth weight prediction? The effect of normal BMI using a multivariate model. NUTR HOSP 2014; 31:1345-51. [PMID: 25726232 DOI: 10.3305/nh.2015.31.3.8150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVE The construction of a predictive model that improves the estimation of the fetal weight (EFW). STUDY DESIGN a comparative, descriptive study. One hundred forty pregnant women were recruited at two-stage sample in health department in Spain. They were classified in four groups depending on the pre-gestational BMI. Fetal weight at term was estimated by ultrasound at 33-35 weeks (EFW40w) by one gynecologist. A regression model was created with the variables that reacted to the newborn's weight, symphysis-fundal height (SFH), EFW40w, gestational age (GA), ferritin level and cigarettes smoked. RESULTS A multivariate model was created for the NW group to estimate the fetal weight (EFWme), resulting in R2=0.727 (p<0.001). The differences of the averages obtained between EFW40w and EFWme, with the newborn's weight were significant (p<0.001). EFWme underestimates birth weight by 0.07 g (mean error 0.53%), and EFW40w overestimates it by 300.89 g (mean error 10.12%). In order to evaluate the predictive model and verify the predictions we used the Bland-Altman analysis. The average error in estimating the birth weight with EFWme was 1.94% underestimating the result, whereas the ultrasound error overestimated the result 10.93%. CONCLUSION The multivariate model created for the NW group improves the accuracy of the ultrasound.
Collapse
Affiliation(s)
- R Vila-Candel
- PhD, Midwifery, Hospital Universitario de la Ribera, Spain. Director of Department of Nursing, Universidad Católica de Valencia..
| | - J M Martin-Moreno
- MD, PhD, DrPH is a Full Professor at the Department of Preventive Medicine and Public Health, Universitat de Valencia, Spain. Director, Programme Management World Health Organization-EUROPE..
| | - S Alamar
- PhD, Senior Nursing Lecturer, Universidad Católica de Valencia, Spain..
| | - F J Soriano-Vidal
- Midwifery, Hospital LLuis Alcanyis, Spain. Senior Nursing Lecturer, Universidad Católica de Valencia..
| | - F G Naranjo de la Puerta
- MD, PhD, Director of Department of Obstetric and Gynaecology, Hospital Universitario de la Ribera, Spain. Associate Professor at Universidad Católica de Valencia..
| | - M Murillo
- Nursing, MSc, Senior Nursing Lecturer, Universidad Católica de Valencia, Spain..
| |
Collapse
|
39
|
Jakubowski E, Martin-Moreno JM, Donaldson L. Public health leadership. Eur J Public Health 2014. [DOI: 10.1093/eurpub/cku164.005] [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: 11/13/2022] Open
|
40
|
Affiliation(s)
- Jose M Martin-Moreno
- Department of Preventive Medicine and Public Health, University of Valencia, 46010 Valencia, Spain.
| | - Gilberto Llinás
- Department of Preventive Medicine and Public Health, University of Valencia, 46010 Valencia, Spain
| | | |
Collapse
|
41
|
Affiliation(s)
| | | | | | - Daniel La Parra
- Departamento de Sociología II, Universidad de Alicante, Spain
| | - Carles Muntaner
- Bloomberg Faculty of Nursing, Dalla Lana School of Public Health and Department of Psychiatry University of Toronto, Toronto, Canada
| | | | - Jose M Martin-Moreno
- Deparment of Preventive Medicine and Public Health, University of Valencia, Valencia, Spain
| | - Martin McKee
- London School of Hygiene and Tropical Medicine, London WC1H 9SH, UK
| |
Collapse
|
42
|
|
43
|
Martin-Moreno JM, Anttila A, von Karsa L, Alfonso-Sanchez JL, Gorgojo L. Cancer screening and health system resilience: keys to protecting and bolstering preventive services during a financial crisis. Eur J Cancer 2012; 48:2212-8. [PMID: 22424881 DOI: 10.1016/j.ejca.2012.02.060] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2012] [Accepted: 02/20/2012] [Indexed: 01/20/2023]
Abstract
The aim of this paper is to elucidate the rationale for sustaining and expanding cost-effective, population-based screening services for breast, cervical and colorectal cancers in the context of the current financial crisis. Our objective is not only to promote optimal delivery of high-quality secondary cancer prevention services, but also to underline the importance of strengthening comprehensive cancer control, and with it, health system response to the complex care challenges posed by all chronic diseases. We focus primarily on issues surrounding planning, organisation, implementation and resources, arguing that given the growing cancer burden, policymakers have ample justification for establishing and expanding population-based programmes that are well-organised, well-resourced and well-executed. In a broader economic context of rescue packages, deficits and cutbacks to government entitlements, health professionals must intensify their advocacy for the protection of vital preventive health services by fighting for quality services with clear benefits for population health outcomes.
Collapse
Affiliation(s)
- Jose M Martin-Moreno
- University of Valencia, Department of Preventive Medicine and Public Health, Av. Blasco Ibañez 15, 46010 Valencia, Spain.
| | | | | | | | | |
Collapse
|
44
|
Martin-Moreno JM, Apfel F, Sanchez JLA, Galea G, Jakab Z. The social nature of chronic noncommunicable diseases and how to tackle them through communication technology, training, and outreach. J Health Commun 2011; 16 Suppl 2:94-106. [PMID: 21916717 DOI: 10.1080/10810730.2011.596915] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
As world leaders prepare for the United Nations High Level Meeting on Noncommunicable Diseases, to take place in September 2011, international organizations, nongovernmental organizations, and economic and business fora have created new alliances and initiatives to accelerate research, advocacy, and political commitment. This article argues that the time is propitious to reflect on the social nature of the most common behavioral noncommunicable disease determinants, including tobacco and alcohol use, physical inactivity, and unhealthy diet. Evidence is presented related to the fact that these diseases are profoundly rooted in social and community ties and points to the need for a modern communication strategy to serve as a linchpin of any successful action to address these public health threats. Several proposals, aimed at promoting health literacy, strengthening health workforce skills, capturing the power of new media and technologies, and targeting vulnerable groups, are discussed.
Collapse
|
45
|
Morales-Suarez-Varela MM, Riera-Fortuny C, Mansego ML, Martinez-Triguero ML, Chaves FJ, Martin-Moreno JM, Bañuls C, Hernandez-Mijares A. Association between AT C573T polymorphism and cardiovascular risk factors in myocardial infarction. Cardiovasc Pathol 2011; 20:156-61. [DOI: 10.1016/j.carpath.2010.04.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/02/2009] [Revised: 03/15/2010] [Accepted: 04/12/2010] [Indexed: 10/19/2022] Open
|
46
|
Morales-Suárez-Varela MM, Mansego ML, Vicedo-Cabrera AM, Pineda-Alonso M, Llopis-González A, Martin-Moreno JM, Martín-Escudero JC, Chaves FJ. Inefficient arterial hypertension control in patients with metabolic syndrome and its link to renin–angiotensin–aldosterone system polymorphisms. Hypertens Res 2011; 34:758-66. [DOI: 10.1038/hr.2011.37] [Citation(s) in RCA: 12] [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: 01/02/2023]
|
47
|
|
48
|
Renehan AG, Soerjomataram I, Martin-Moreno JM, Coebergh JW. Foreword: Implementing cancer prevention in Europe. Eur J Cancer 2011; 46:2523-4. [PMID: 20843481 DOI: 10.1016/j.ejca.2010.07.042] [Citation(s) in RCA: 6] [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: 07/15/2010] [Accepted: 07/22/2010] [Indexed: 11/28/2022]
Abstract
The understanding of risk factors underpinning the aetiology of many common cancers is well established, yet the conversion of this knowledge into prevention lags considerably behind. The title of this Special Issue - Implementing cancer prevention in Europe - captures the central theme within; namely, the translation of cancer epidemiology into public health policy. The Special Issue is supported by focused evidence-based case studies of how these processes might be best taken forward.
Collapse
Affiliation(s)
- Andrew G Renehan
- Department of Surgery, The Christie NHS Foundation Trust, School of Cancer and Enabling Sciences, University of Manchester, UK.
| | | | | | | |
Collapse
|
49
|
|
50
|
Martin-Moreno JM, Alfonso-Sanchez JL, Harris M, Lopez-Valcarcel BG. The effects of the financial crisis on primary prevention of cancer. Eur J Cancer 2010; 46:2525-33. [DOI: 10.1016/j.ejca.2010.07.048] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2010] [Revised: 04/26/2010] [Accepted: 07/29/2010] [Indexed: 11/24/2022]
|