Julia Bolívar Muñoz

La salud de las personas adultas afectadas por un proceso de desahucio

OBJECTIVE To analyze perceived health status and other health-related indicators in the adult population in Granada (Spain) undergoing an eviction process from their homes, whether rented or owned, in comparison with health indicators in the general adult population in Andalusia. METHODS A cross-sectional survey was administered by trained staff. The survey included instruments from the Andalusian Health Survey 2011 for measuring variables related to physical and mental health, as well as health-related habits. We compared the results with those obtained from the Andalusian general population through the Andalusian Health Survey. A bivariate analysis using the χ2 test and a multivariate logistic regression analysis were conducted. RESULTS We obtained a total sample of 205 people in the process of eviction. A total of 59.5% (n=122) were women, and 40.5% (n=83) were men. Participants were more likely to have poor health (odds ratio [OR]: 12.63, 95% confidence interval [95%CI]: 8.74-18.27), have cardiovascular diseases (OR: 3.08; 95%CI: 1.54- 6.16), or to smoke (OR: 1.68; 95% CI: 1.21-2.33) compared with the Andalusian general population. Most of the health indicators analyzed showed a worse outcome for women undergoing an eviction process. CONCLUSIONS Our results suggest that, in the current context of economic crisis, people undergoing a process of eviction in Granada and its metropolitan area show poorer health than the Andalusian general population. Further research is needed on health and evictions from different methodological approaches, for a better understanding of the topic.

Influencia de las características individuales y de las condiciones laborales en la gravedad de las lesiones por accidente de trabajo registradas en Andalucía en 2003

Fundamento. El estudio de la gravedad de las lesiones por accidente de trabajo es clave para el establecimiento de planes de prevencion. El objetivo de este trabajo es conocer la distribucion de las lesiones registradas por accidente de trabajo con baja segun: a) las caracteristicas del trabajador/ora; b) las del centro de trabajo y; c) las condiciones de empleo y del puesto de trabajo; y analizar la gravedad de las lesiones registradas segun estas caracteristicas en hombres y mujeres en Andalucia. Metodos. Se utilizaron los datos del registro de lesiones por accidente de trabajo con incapacidad laboral durante 2003 en Andalucia. Variable dependiente: grado real de la lesion; variables independientes: las caracteristicas del/a trabajador/a, de la empresa y las del propio accidente. Se realizo un analisis bivariante y multivariante para estimar la probabilidad de lesion grave, muy grave o mortal asociada al resto de variables mediante la razon de odds (OR) y su intervalo de confianza. Resultados. El 82,4% de las lesiones se produjeron en hombres y el 17,6% en mujeres, de las cuales el 78,1% eran trabajadoras manuales no cualificadas, frente al 44,9% de los hombres. En hombres de clase I se encontro una probabilidad mayor de presentar lesiones mas graves (OR = 1,67; IC 95% = 1,17-2,38). Conclusiones. La gravedad de las lesiones se relaciona con el sexo, la edad y el tipo de lesion. En los hombres tambien se asocia con la situacion profesional, la clase social, el lugar del accidente, la plantilla del centro y el realizar un trabajo que no es el suyo y en las mujeres con el sector de actividad.

Indicadores contextuales para evaluar los determinantes sociales de la salud y la crisis económica española

OBJECTIVE To provide indicators to assess the impact on health, its social determinants and health inequalities from a social context and the recent economic recession in Spain and its autonomous regions. METHODS Based on the Spanish conceptual framework for determinants of social inequalities in health, we identified indicators sequentially from key documents, Web of Science, and organisations with official statistics. The information collected resulted in a large directory of indicators which was reviewed by an expert panel. We then selected a set of these indicators according to geographical (availability of data according to autonomous regions) and temporal (from at least 2006 to 2012) criteria. RESULTS We identified 203 contextual indicators related to social determinants of health and selected 96 (47%) based on the above criteria; 16% of the identified indicators did not satisfy the geographical criteria and 35% did not satisfy the temporal criteria. At least 80% of the indicators related to dependence and healthcare services were excluded. The final selection of indicators covered all areas for social determinants of health, and 62% of these were not available on the Internet. Around 40% of the indicators were extracted from sources related to the Spanish Statistics Institute. CONCLUSIONS We have provided an extensive directory of contextual indicators on social determinants of health and a database to facilitate assessment of the impact of the economic recession on health and health inequalities in Spain and its autonomous regions.

Gaceta Sanitaria se suma a la iniciativa REWARD para mejorar la investigación biomédica y reducir el desperdicio en ciencia

Gaceta Sanitaria se ha adherido recientemente a la iniciativa REWARD (REduce research Waste And Reward Diligence [Reducción del desperdicio de investigación y recompensa de la diligencia])1. La iniciativa ha sido liderada por la revista The Lancet desde 20152, justificada por el hecho de que el desperdicio en la investigación científica es alarmante desde una perspectiva ética y económica. Se ha estimado que el 85% de la investigación se desperdicia, bien sea porque se plantean las preguntas equivocadas, porque está mal diseñada o porque no se ha difundido adecuadamente3. Gaceta

Indicadores contextuales para evaluar los determinantes sociales de la salud y la crisis económica española = Contextual indicators to assess social determinants of health and the Spanish economic recession

OBJECTIVE To provide indicators to assess the impact on health, its social determinants and health inequalities from a social context and the recent economic recession in Spain and its autonomous regions. METHODS Based on the Spanish conceptual framework for determinants of social inequalities in health, we identified indicators sequentially from key documents, Web of Science, and organisations with official statistics. The information collected resulted in a large directory of indicators which was reviewed by an expert panel. We then selected a set of these indicators according to geographical (availability of data according to autonomous regions) and temporal (from at least 2006 to 2012) criteria. RESULTS We identified 203 contextual indicators related to social determinants of health and selected 96 (47%) based on the above criteria; 16% of the identified indicators did not satisfy the geographical criteria and 35% did not satisfy the temporal criteria. At least 80% of the indicators related to dependence and healthcare services were excluded. The final selection of indicators covered all areas for social determinants of health, and 62% of these were not available on the Internet. Around 40% of the indicators were extracted from sources related to the Spanish Statistics Institute. CONCLUSIONS We have provided an extensive directory of contextual indicators on social determinants of health and a database to facilitate assessment of the impact of the economic recession on health and health inequalities in Spain and its autonomous regions.