Pub Date : 2026-01-16DOI: 10.1016/j.aprim.2025.103425
Andrés Carrascosa Gil , Miriam Gabella Martín , María del Camino Salazar Lozano , Eduardo Tamayo Gómez , Jesús Rico Feijoo , César Aldecoa Álvarez de Santullano
Objective
The primary aim of the study was to investigate the long-term symptom progression of long COVID. The secondary objective was to assess whether any treatment had an impact on symptom evolution.
Internal Medicine Department, Río Hortega University Hospital (Valladolid).
Participants
40 patients with long COVID (cases) and 40 volunteers (controls) of the same age and sex as the cases, who had experienced acute COVID-19 without developing long COVID.
Main measurements
Scales, indices, and questionnaires were sent by post to evaluate the main symptoms of long COVID. The following were assessed: fatigue (MFIS), emotional disorders (HADS), sleep disturbances (PSQI), cognitive impairments (MFE-30), dyspnea (mMRC), physical exercise (GPAQ), quality of life (SF-36), and pain (CPGS). The cases were reassessed after three years.
Results
After three years, cases showed an improvement in dyspnea (mMRC), which decreased from 1.38 to 1.10 (p = 0.014). Ten cases reported having followed aerobic and/or anaerobic physical exercise as treatment, and it was observed that their pain severity (CPGS) improved from 2.7 to 1.3 (p = 0.039). In the remaining measurements, variations among cases did not reach statistical significance.
Conclusions
After three years of follow-up, patients with long COVID continued to have similar symptom scores to their initial assessments, and worse than those of the control group. Aerobic and/or anaerobic physical exercise may contribute to partially improving symptom evolution.
{"title":"Seguimiento sintomatológico a largo plazo de pacientes con síndrome de COVID persistente","authors":"Andrés Carrascosa Gil , Miriam Gabella Martín , María del Camino Salazar Lozano , Eduardo Tamayo Gómez , Jesús Rico Feijoo , César Aldecoa Álvarez de Santullano","doi":"10.1016/j.aprim.2025.103425","DOIUrl":"10.1016/j.aprim.2025.103425","url":null,"abstract":"<div><h3>Objective</h3><div>The primary aim of the study was to investigate the long-term symptom progression of long COVID. The secondary objective was to assess whether any treatment had an impact on symptom evolution.</div></div><div><h3>Design</h3><div>Longitudinal, prospective, observational, uncontrolled study.</div></div><div><h3>Setting</h3><div>Internal Medicine Department, Río Hortega University Hospital (Valladolid).</div></div><div><h3>Participants</h3><div>40 patients with long COVID (cases) and 40 volunteers (controls) of the same age and sex as the cases, who had experienced acute COVID-19 without developing long COVID.</div></div><div><h3>Main measurements</h3><div>Scales, indices, and questionnaires were sent by post to evaluate the main symptoms of long COVID. The following were assessed: fatigue (MFIS), emotional disorders (HADS), sleep disturbances (PSQI), cognitive impairments (MFE-30), dyspnea (mMRC), physical exercise (GPAQ), quality of life (SF-36), and pain (CPGS). The cases were reassessed after three years.</div></div><div><h3>Results</h3><div>After three years, cases showed an improvement in dyspnea (mMRC), which decreased from 1.38 to 1.10 (p<!--> <!-->=<!--> <!-->0.014). Ten cases reported having followed aerobic and/or anaerobic physical exercise as treatment, and it was observed that their pain severity (CPGS) improved from 2.7 to 1.3 (p<!--> <!-->=<!--> <!-->0.039). In the remaining measurements, variations among cases did not reach statistical significance.</div></div><div><h3>Conclusions</h3><div>After three years of follow-up, patients with long COVID continued to have similar symptom scores to their initial assessments, and worse than those of the control group. Aerobic and/or anaerobic physical exercise may contribute to partially improving symptom evolution.</div><div>.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103425"},"PeriodicalIF":1.6,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145982017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-16DOI: 10.1016/j.aprim.2025.103381
Séfora Rua , Carlos Cardoso , Inês Silva
Objective
To assess the knowledge women of reproductive age have about contraceptive methods and identify factors influencing both knowledge and method selection.
Design
Descriptive, analytical, cross-sectional, observational study, conducted between November 2024 and April 2025.
Setting
Community and primary healthcare level in Portugal, particularly in the central region.
Participants
490 women aged 15–49 living in Portugal. Inclusion: menstruated. Recruitment was via social media and health centers. No dropouts were recorded.
Main measures
Knowledge of contraceptive methods, method usage and influencing factors, assessed via a structured, validated questionnaire.
Results
The most known methods were the pill and male condom. Only 24.3% correctly identified the most effective methods. Regarding STI protection, 91.6% answered correctly. Most used methods were the pill and male condom. Safety and effectiveness were the most valued criteria. Medical advice was highly influential. Statistically significant associations were found between sociodemographic factors and knowledge/choice.
Conclusions
Despite high general knowledge, gaps remain regarding effectiveness. Educational strategies and counseling, especially during family planning consultations, are essential to improve contraceptive literacy and reduce unplanned pregnancies.
{"title":"Contraceptive methods: Knowledge and factors influencing their choice among women of reproductive age—A cross-sectional study in Portugal","authors":"Séfora Rua , Carlos Cardoso , Inês Silva","doi":"10.1016/j.aprim.2025.103381","DOIUrl":"10.1016/j.aprim.2025.103381","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the knowledge women of reproductive age have about contraceptive methods and identify factors influencing both knowledge and method selection.</div></div><div><h3>Design</h3><div>Descriptive, analytical, cross-sectional, observational study, conducted between November 2024 and April 2025.</div></div><div><h3>Setting</h3><div>Community and primary healthcare level in Portugal, particularly in the central region.</div></div><div><h3>Participants</h3><div>490 women aged 15–49 living in Portugal. Inclusion: menstruated. Recruitment was via social media and health centers. No dropouts were recorded.</div></div><div><h3>Main measures</h3><div>Knowledge of contraceptive methods, method usage and influencing factors, assessed via a structured, validated questionnaire.</div></div><div><h3>Results</h3><div>The most known methods were the pill and male condom. Only 24.3% correctly identified the most effective methods. Regarding STI protection, 91.6% answered correctly. Most used methods were the pill and male condom. Safety and effectiveness were the most valued criteria. Medical advice was highly influential. Statistically significant associations were found between sociodemographic factors and knowledge/choice.</div></div><div><h3>Conclusions</h3><div>Despite high general knowledge, gaps remain regarding effectiveness. Educational strategies and counseling, especially during family planning consultations, are essential to improve contraceptive literacy and reduce unplanned pregnancies.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 4","pages":"Article 103381"},"PeriodicalIF":1.6,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145981927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-16DOI: 10.1016/j.aprim.2025.103374
Miguel Ángel Ayuga-Luque , Dolores Torres-Enamorado , Rosa Casado-Mejía
Objective
To determine whether chemsex, by itself, constitutes a sexual risk factor among men who have sex with men (MSM), particularly concerning condomless sex and sexually transmitted infections (STIs).
Design
Scoping review conducted according to PRISMA-ScR guidelines.
Data sources
PubMed®, WOS®, Scopus®, CINAHL®, CUIDEN®, and BV-SSPA were searched between December 2023 and January 2024 using terms such as «Sexual and Gender Minorities», «Chemsex», «Sexual Behavior», and «Sexually Transmitted Diseases».
Study selection
A total of 1,168 records were identified. After removing duplicates and applying eligibility criteria, 19 studies were included. All required an explicit definition of chemsex and direct analysis of its association with condomless sex and/or STI acquisition.
Data extraction
Three reviewers independently extracted data. Variables included study type, chemsex as independent or dependent variable, condom use, HIV/STI screening, PrEP use, and STI prevalence.
Results
Chemsex was associated with increased condomless sex (up to 79%) and higher STI rates (e.g., gonorrhea: 57.4% in chemsexers vs. 39.1%). PrEP use was more common among chemsexers but not clearly linked to lower STI incidence. Confidence intervals and sensitivity analyses were inconsistently reported across studies.
Conclusions
Chemsex is a high-risk sexual practice among MSM, strongly associated with condomless sex and increased STI prevalence. Primary care should implement targeted strategies for prevention, early detection, and sexual health education in this population.
{"title":"Chemsex y riesgo sexual en hombres que tienen sexo con hombres: una revisión de alcance","authors":"Miguel Ángel Ayuga-Luque , Dolores Torres-Enamorado , Rosa Casado-Mejía","doi":"10.1016/j.aprim.2025.103374","DOIUrl":"10.1016/j.aprim.2025.103374","url":null,"abstract":"<div><h3>Objective</h3><div>To determine whether chemsex, by itself, constitutes a sexual risk factor among men who have sex with men (MSM), particularly concerning condomless sex and sexually transmitted infections (STIs).</div></div><div><h3>Design</h3><div>Scoping review conducted according to PRISMA-ScR guidelines.</div></div><div><h3>Data sources</h3><div>PubMed®, WOS®, Scopus®, CINAHL®, CUIDEN®, and BV-SSPA were searched between December 2023 and January 2024 using terms such as «Sexual and Gender Minorities», «Chemsex», «Sexual Behavior», and «Sexually Transmitted Diseases».</div></div><div><h3>Study selection</h3><div>A total of 1,168 records were identified. After removing duplicates and applying eligibility criteria, 19 studies were included. All required an explicit definition of chemsex and direct analysis of its association with condomless sex and/or STI acquisition.</div></div><div><h3>Data extraction</h3><div>Three reviewers independently extracted data. Variables included study type, chemsex as independent or dependent variable, condom use, HIV/STI screening, PrEP use, and STI prevalence.</div></div><div><h3>Results</h3><div>Chemsex was associated with increased condomless sex (up to 79%) and higher STI rates (e.g., gonorrhea: 57.4% in chemsexers vs. 39.1%). PrEP use was more common among chemsexers but not clearly linked to lower STI incidence. Confidence intervals and sensitivity analyses were inconsistently reported across studies.</div></div><div><h3>Conclusions</h3><div>Chemsex is a high-risk sexual practice among MSM, strongly associated with condomless sex and increased STI prevalence. Primary care should implement targeted strategies for prevention, early detection, and sexual health education in this population.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 2","pages":"Article 103374"},"PeriodicalIF":1.6,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-15DOI: 10.1016/j.aprim.2025.103441
Muhammet Damar , Andrew David Pinto , Benita Hosseini , Thiago Gomes da Trindade , Ömer Aydın , Fatih Safa Erenay , Ümit Cali
Objective
To reveal the intellectual framework, research trends, and gaps, and evaluate effective health literacy tools in the field of primary healthcare services.
Analysis was conducted using records indexed in the Web of Science database.
Participants
A total of 1869 researchers from 823 institutions across 54 countries contributed to the 33 journals included in the dataset.
Interventions
Development of a bibliometric map and topic model in health literacy within primary healthcare. Bibliometric analysis was performed on review and research articles retrieved as of July 27, 2025. For each article, data on the journal, publication year, title, abstract, keywords, authors, affiliations, countries, cited sources, cited first authors, and references were collected. Latent Dirichlet Allocation topic modeling was applied to uncover thematic structures and trends in the research field.
Main measurements
Thematic structures, research trends, and knowledge gaps were measured through bibliometric indicators such as co-authorship networks, citation analysis, and topic modeling outputs.
Results
Emerging topics included health equity and sustainability, medication adherence, aging, management of lifestyle factors such as physical activity and diet, management of chronic diseases, physician-patient communication, sustainable learning, sociodemographic impact, rural health interventions, responses to pandemics akin to COVID-19, and the roles of health institutions, policymakers, and leadership.
Conclusions
Our findings highlight that health literacy is a multifaceted concept that not only enables healthier living and disease management but also prevents various severe health conditions, improving overall life quality and satisfaction with health services. The importance of sustained health literacy initiatives, effective communication, and the vested interests of both patients and healthcare professionals are highlighted, underscoring the need for ongoing commitment in this area.
目的揭示初级卫生保健服务领域的知识框架、研究趋势和差距，评价有效的卫生素养工具。设计观察性的、基于机器学习的文献计量学研究。SiteAnalysis使用Web of Science数据库中索引的记录进行。参与者来自54个国家的823个机构的1869名研究人员为数据集中的33种期刊做出了贡献。干预措施：在初级卫生保健中建立健康素养的文献计量图和主题模型。对截至2025年7月27日检索到的综述和研究文章进行文献计量分析。每篇文章的数据包括期刊、出版年份、标题、摘要、关键词、作者、隶属机构、国家、引用来源、引用第一作者和参考文献。利用潜在狄利克雷分配主题模型揭示研究领域的主题结构和趋势。主要测量方法通过文献计量指标，如合著者网络、引文分析和主题建模输出，测量主题结构、研究趋势和知识差距。新出现的主题包括卫生公平和可持续性、药物依从性、老龄化、身体活动和饮食等生活方式因素的管理、慢性病的管理、医患沟通、可持续学习、社会人口影响、农村卫生干预、应对COVID-19等大流行以及卫生机构、政策制定者和领导层的作用。结论我们的研究结果强调，健康素养是一个多方面的概念，它不仅能促进更健康的生活和疾病管理，还能预防各种严重的健康状况，提高整体生活质量和对卫生服务的满意度。强调了持续的卫生知识普及倡议、有效的沟通以及患者和保健专业人员的既得利益的重要性，强调了在这一领域不断作出承诺的必要性。
{"title":"Trends in health literacy discussions within primary health care research: A topic analysis using machine learning techniques","authors":"Muhammet Damar , Andrew David Pinto , Benita Hosseini , Thiago Gomes da Trindade , Ömer Aydın , Fatih Safa Erenay , Ümit Cali","doi":"10.1016/j.aprim.2025.103441","DOIUrl":"10.1016/j.aprim.2025.103441","url":null,"abstract":"<div><h3>Objective</h3><div>To reveal the intellectual framework, research trends, and gaps, and evaluate effective health literacy tools in the field of primary healthcare services.</div></div><div><h3>Design</h3><div>Observational, machine learning-based bibliometric study.</div></div><div><h3>Site</h3><div>Analysis was conducted using records indexed in the Web of Science database.</div></div><div><h3>Participants</h3><div>A total of 1869 researchers from 823 institutions across 54 countries contributed to the 33 journals included in the dataset.</div></div><div><h3>Interventions</h3><div>Development of a bibliometric map and topic model in health literacy within primary healthcare. Bibliometric analysis was performed on review and research articles retrieved as of July 27, 2025. For each article, data on the journal, publication year, title, abstract, keywords, authors, affiliations, countries, cited sources, cited first authors, and references were collected. Latent Dirichlet Allocation topic modeling was applied to uncover thematic structures and trends in the research field.</div></div><div><h3>Main measurements</h3><div>Thematic structures, research trends, and knowledge gaps were measured through bibliometric indicators such as co-authorship networks, citation analysis, and topic modeling outputs.</div></div><div><h3>Results</h3><div>Emerging topics included health equity and sustainability, medication adherence, aging, management of lifestyle factors such as physical activity and diet, management of chronic diseases, physician-patient communication, sustainable learning, sociodemographic impact, rural health interventions, responses to pandemics akin to COVID-19, and the roles of health institutions, policymakers, and leadership.</div></div><div><h3>Conclusions</h3><div>Our findings highlight that health literacy is a multifaceted concept that not only enables healthier living and disease management but also prevents various severe health conditions, improving overall life quality and satisfaction with health services. The importance of sustained health literacy initiatives, effective communication, and the vested interests of both patients and healthcare professionals are highlighted, underscoring the need for ongoing commitment in this area.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103441"},"PeriodicalIF":1.6,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145981526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-15DOI: 10.1016/j.aprim.2025.103430
Hawa Dahir Mahamoud , Abdisalam Hassan Muse
{"title":"Prevalence and associated factors of preeclampsia/eclampsia among pregnant women in Borama Regional Hospital, Somaliland: A cross-sectional study","authors":"Hawa Dahir Mahamoud , Abdisalam Hassan Muse","doi":"10.1016/j.aprim.2025.103430","DOIUrl":"10.1016/j.aprim.2025.103430","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103430"},"PeriodicalIF":1.6,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145982018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To compare the evolution of health indicators and their relationship with legal frameworks and health policies in Chile, Colombia, and Honduras between 2011 and 2019.
Design
Retrospective ecological study of time series, with multivariate and comparative analysis.
Setting
Secondary national-level data from PAHO and WHO.
Participants
General population, represented through indicators of life expectancy, infant mortality, and vaccination coverage.
Interventions
Review of laws, plans, and public health policies in force, including financing regulations and vaccination programs.
Main measurements
Life expectancy at birth (years), infant mortality rate (per 1,000 live births), coverage of three doses of pneumococcal conjugate vaccine (PCV3, %), legal framework and health policies.
Analysis
MANOVA for multivariate differences, multiple linear regression adjusted by country and year, Pearson correlation, and assumption diagnostics.
Results
Significant heterogeneity was found among countries (Pillai's trace = 1.0653; p < 0.001). In 2019, Chile showed the highest life expectancy (79.9 years) and the lowest infant mortality (7.04/1,000), while Honduras recorded the worst indicators (71.3 years; 18.8/1,000). PCV3 coverage was high and homogeneous (>90%) in all three countries. The correlation between life expectancy and infant mortality was very strong and inverse (r = –0.943; p < 0.001).
Conclusions
Health disparities are explained by interactions among economic, institutional, and legislative factors. Reducing them requires strengthening the legal framework, increasing public health expenditure, and promoting international cooperation.
目的比较2011年至2019年智利、哥伦比亚和洪都拉斯健康指标的演变及其与法律框架和卫生政策的关系。设计回顾性生态学时间序列研究，采用多变量分析和比较分析。设置来自泛美卫生组织和世卫组织的二级国家级数据。参与者：一般人群，通过预期寿命、婴儿死亡率和疫苗接种覆盖率指标表示。干预措施审查现行法律、计划和公共卫生政策，包括融资条例和疫苗接种规划。主要衡量指标：出生时预期寿命（岁）、婴儿死亡率（每1,000名活产婴儿）、三剂肺炎球菌结合疫苗（PCV3, %）的覆盖率、法律框架和卫生政策。多元方差分析，国家和年份调整的多元线性回归，Pearson相关性和假设诊断。结果不同国家间存在显著的异质性（Pillai's trace = 1.0653; p < 0.001）。2019年，智利的预期寿命最高（79.9岁），婴儿死亡率最低（7.04/ 1000），而洪都拉斯的指标最差（71.3岁；18.8/ 1000）。在所有三个国家，PCV3的覆盖率都很高且均匀（90%）。预期寿命与婴儿死亡率之间的相关性非常强，呈负相关（r = -0.943; p < 0.001）。结论健康差异是经济、制度、立法等因素相互作用的结果。减少这些疾病需要加强法律框架、增加公共卫生支出和促进国际合作。
{"title":"Disparidades en salud y determinantes legislativos en América Latina: análisis comparativo multivariado de la esperanza de vida, la mortalidad infantil y la inmunización en Chile, Colombia y Honduras (2011-2019)","authors":"Camilo Andrés Estupiñan Ruiz , Cristian Correa-Arrieta , Jeisson Andrés Hincapié-Carvajal","doi":"10.1016/j.aprim.2025.103428","DOIUrl":"10.1016/j.aprim.2025.103428","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the evolution of health indicators and their relationship with legal frameworks and health policies in Chile, Colombia, and Honduras between 2011 and 2019.</div></div><div><h3>Design</h3><div>Retrospective ecological study of time series, with multivariate and comparative analysis.</div></div><div><h3>Setting</h3><div>Secondary national-level data from PAHO and WHO.</div></div><div><h3>Participants</h3><div>General population, represented through indicators of life expectancy, infant mortality, and vaccination coverage.</div></div><div><h3>Interventions</h3><div>Review of laws, plans, and public health policies in force, including financing regulations and vaccination programs.</div></div><div><h3>Main measurements</h3><div>Life expectancy at birth (years), infant mortality rate (per 1,000 live births), coverage of three doses of pneumococcal conjugate vaccine (PCV3, %), legal framework and health policies.</div></div><div><h3>Analysis</h3><div>MANOVA for multivariate differences, multiple linear regression adjusted by country and year, Pearson correlation, and assumption diagnostics.</div></div><div><h3>Results</h3><div>Significant heterogeneity was found among countries (Pillai's trace<!--> <!-->=<!--> <!-->1.0653; p < 0.001). In 2019, Chile showed the highest life expectancy (79.9 years) and the lowest infant mortality (7.04/1,000), while Honduras recorded the worst indicators (71.3 years; 18.8/1,000). PCV3 coverage was high and homogeneous (>90%) in all three countries. The correlation between life expectancy and infant mortality was very strong and inverse (r<!--> <!-->=<!--> <!-->–0.943; p < 0.001).</div></div><div><h3>Conclusions</h3><div>Health disparities are explained by interactions among economic, institutional, and legislative factors. Reducing them requires strengthening the legal framework, increasing public health expenditure, and promoting international cooperation.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103428"},"PeriodicalIF":1.6,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145982020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To assess the evidence on communication interventions designed to support women experiencing socioeconomic vulnerability in the context of perinatal care.
Design
Systematic review based on narrative synthesis.
Data sources
Web of Science Core Collection, MEDLINE (PubMed), CINAHL (Ebsco), and The Cochrane Library.
Study selection
Following PRISMA guidelines, peer-reviewed qualitative, quantitative, and mixed-method studies published between 2013 and 2023 in English, Spanish, Dutch, French, or Turkish were included. Research from all care settings was eligible, except for studies conducted in low-income countries according to the Human Development Index.
Data extraction
Data extraction was performed at least two team members. Studies were analyzed through narrative synthesis. Methodological quality was assessed using the Critical Appraisal Tools developed by the Centre for Evidence-Based Management (CEBMa).
Results
Twelve studies met the inclusion criteria. Interventions included telehealth, home visits, peer-led initiatives, and tailored approaches such as Brief Interpersonal Psychotherapy and Motivational Interviewing. These interventions showed positive effects on breastfeeding, psychosocial well-being, maternal and neonatal health, and satisfaction with care, although outcomes varied in significance. Study quality ranged from moderate to high.
Conclusions
Although the evidence is limited, the findings suggest that communication interventions may improve perinatal care for women facing socioeconomic vulnerability. Further robust research is recommended.
Systematic review registration
The protocol for this review was registered in PROSPERO (registration number: CRD42023406466).
目的评估围产期护理中社会经济弱势妇女沟通干预的证据。基于叙事综合的系统评价。数据来源：web of Science Core Collection， MEDLINE (PubMed), CINAHL （Ebsco）和Cochrane Library。研究选择遵循PRISMA指南，纳入了2013年至2023年间以英语、西班牙语、荷兰语、法语或土耳其语发表的同行评议的定性、定量和混合方法研究。除了在低收入国家根据人类发展指数进行的研究外，所有护理机构的研究都符合条件。数据提取数据提取至少由两名团队成员执行。研究通过叙事综合进行分析。采用循证管理中心（CEBMa）开发的关键评估工具评估方法学质量。结果12项研究符合纳入标准。干预措施包括远程医疗、家访、同伴领导的倡议，以及量身定制的方法，如简短的人际心理治疗和动机性访谈。这些干预措施对母乳喂养、社会心理健康、孕产妇和新生儿健康以及对护理的满意度产生了积极影响，尽管结果的显著性有所不同。研究质量从中等到高不等。结论虽然证据有限，但研究结果表明，沟通干预可以改善面临社会经济弱势妇女的围产期护理。建议进行进一步有力的研究。系统综述注册本综述的方案已在PROSPERO注册（注册号：CRD42023406466）。
{"title":"Communicating effectively with women experiencing socioeconomic vulnerability during the perinatal period: A systematic review","authors":"Ayse Akalin , Florence D’haenens , Joeri Vermeulen , Sandra Tricas-Sauras","doi":"10.1016/j.aprim.2025.103400","DOIUrl":"10.1016/j.aprim.2025.103400","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the evidence on communication interventions designed to support women experiencing socioeconomic vulnerability in the context of perinatal care.</div></div><div><h3>Design</h3><div>Systematic review based on narrative synthesis.</div></div><div><h3>Data sources</h3><div>Web of Science Core Collection, MEDLINE (PubMed), CINAHL (Ebsco), and The Cochrane Library.</div></div><div><h3>Study selection</h3><div>Following PRISMA guidelines, peer-reviewed qualitative, quantitative, and mixed-method studies published between 2013 and 2023 in English, Spanish, Dutch, French, or Turkish were included. Research from all care settings was eligible, except for studies conducted in low-income countries according to the Human Development Index.</div></div><div><h3>Data extraction</h3><div>Data extraction was performed at least two team members. Studies were analyzed through narrative synthesis. Methodological quality was assessed using the Critical Appraisal Tools developed by the Centre for Evidence-Based Management (CEBMa).</div></div><div><h3>Results</h3><div>Twelve studies met the inclusion criteria. Interventions included telehealth, home visits, peer-led initiatives, and tailored approaches such as Brief Interpersonal Psychotherapy and Motivational Interviewing. These interventions showed positive effects on breastfeeding, psychosocial well-being, maternal and neonatal health, and satisfaction with care, although outcomes varied in significance. Study quality ranged from moderate to high.</div></div><div><h3>Conclusions</h3><div>Although the evidence is limited, the findings suggest that communication interventions may improve perinatal care for women facing socioeconomic vulnerability. Further robust research is recommended.</div></div><div><h3>Systematic review registration</h3><div>The protocol for this review was registered in PROSPERO (registration number: CRD42023406466).</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 2","pages":"Article 103400"},"PeriodicalIF":1.6,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-14DOI: 10.1016/j.aprim.2025.103431
María Victoria Castañeyra Góngora, Xenia Cabrera Rodríguez
Objective
To analyze the sociodemographic characteristics, preferences, and satisfaction levels of individuals who registered their Advance Directive (Manifestación Anticipada de Voluntad, MAV) in Lanzarote.
Design
Observational, descriptive, prospective, and cross-sectional study.Setting. Advance Directive Office of Lanzarote, University Hospital Doctor José Molina Orosa (Canary Health Service).
Participants
Individuals aged 18 years or older who registered their MAV between January and December 2024.
Main measurements
Sociodemographic variables, motivations for completing the MAV, stated preferences, and level of satisfaction.
Results
A total of 527 users were analyzed (67.2% women; mean age 59.5 ± 14.3 years). Most had secondary or higher education (65.7%) and reported no religious affiliation (78.7%). The main motivation was the desire to exercise personal autonomy (38.5%), followed by the wish not to be a burden (33.2%). Organ donation was indicated by 73.2% of participants, and 86.7% accepted euthanasia in the context of moderate dementia. Significant associations were found between educational level and acceptance of euthanasia (χ2(6) = 39.27; p< 0.001), and between the motivation for completing the MAV and both sex (χ2(4) = 11.70; p = 0.020) and religion (χ2(20) = 463.49; p< 0.001). Overall, 99.1% reported being satisfied with the care received.
Conclusions
The predominant profile was that of a Spanish woman, middle-aged or older, with higher education. Autonomy at the end of life emerged as the main motivation, with differences observed according to sex and religious beliefs. The findings highlight the need to strengthen professional training and communication strategies to promote the use of Advance Directives.
{"title":"Características sociodemográficas e indicadores de preferencia de la población demandante de Manifestaciones Anticipadas de Voluntad","authors":"María Victoria Castañeyra Góngora, Xenia Cabrera Rodríguez","doi":"10.1016/j.aprim.2025.103431","DOIUrl":"10.1016/j.aprim.2025.103431","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the sociodemographic characteristics, preferences, and satisfaction levels of individuals who registered their Advance Directive (Manifestación Anticipada de Voluntad, MAV) in Lanzarote.</div></div><div><h3>Design</h3><div>Observational, descriptive, prospective, and cross-sectional study.Setting. Advance Directive Office of Lanzarote, University Hospital Doctor José Molina Orosa (Canary Health Service).</div></div><div><h3>Participants</h3><div>Individuals aged 18 years or older who registered their MAV between January and December 2024.</div></div><div><h3>Main measurements</h3><div>Sociodemographic variables, motivations for completing the MAV, stated preferences, and level of satisfaction.</div></div><div><h3>Results</h3><div>A total of 527 users were analyzed (67.2% women; mean age 59.5<!--> <!-->±<!--> <!-->14.3 years). Most had secondary or higher education (65.7%) and reported no religious affiliation (78.7%). The main motivation was the desire to exercise personal autonomy (38.5%), followed by the wish not to be a burden (33.2%). Organ donation was indicated by 73.2% of participants, and 86.7% accepted euthanasia in the context of moderate dementia. Significant associations were found between educational level and acceptance of euthanasia (χ<sup>2</sup>(6)<!--> <!-->=<!--> <!-->39.27; p<<!--> <!-->0.001), and between the motivation for completing the MAV and both sex (χ<sup>2</sup>(4)<!--> <!-->=<!--> <!-->11.70; p<!--> <!-->=<!--> <!-->0.020) and religion (χ<sup>2</sup>(20)<!--> <!-->=<!--> <!-->463.49; p<<!--> <!-->0.001). Overall, 99.1% reported being satisfied with the care received.</div></div><div><h3>Conclusions</h3><div>The predominant profile was that of a Spanish woman, middle-aged or older, with higher education. Autonomy at the end of life emerged as the main motivation, with differences observed according to sex and religious beliefs. The findings highlight the need to strengthen professional training and communication strategies to promote the use of Advance Directives.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103431"},"PeriodicalIF":1.6,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145957832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To assess the association between public health expenditure, legal frameworks, and indicators of cervical cancer incidence, mortality, and female life expectancy in Chile, Colombia, and Nicaragua from 2012 to 2022.
Design
Descriptive and correlational ecological study based on nationally aggregated data.
Setting
Three Latin American countries with information from the Pan American Health Organization (PAHO).
Participants
General female population.
Interventions
Review of national health legislation and policies, including screening, vaccination, and financing mechanisms.
Main measurements
Public health expenditure (% GDP), female life expectancy at birth, and cervical cancer incidence and mortality rates per 100,000 women. Ten-year averages and Pearson correlation coefficients were calculated.
Results
In 2022, Chile showed the highest life expectancy (82.0 years) and the lowest mortality (11.3/100,000) with spending of 8.9% of GDP. Colombia reached 79.6 years of life expectancy, mortality of 12.7/100,000, and spending of 6.4%, while Nicaragua had the lowest investment (5.8%), lowest life expectancy (74.8 years), and highest incidence (20.6) and mortality (11.5). Strong negative correlations were found between life expectancy and incidence (r = −0.97) and mortality (r = −0.81), but weak correlation with public spending (r ≈ −0.13).
Conclusions
The effectiveness of cervical cancer prevention programs depends less on investment volume than on legal strength and strategic direction. Strengthening legislation, prioritizing primary care, and expanding screening and vaccination are key to eliminating this preventable disease in Latin America.
{"title":"Salud pública y cáncer cervicouterino en América Latina: impacto del gasto y legislación en la prevención en tres países","authors":"Camilo Andrés Estupiñan Ruiz , Rubén Darío Morales Doncel , Jeisson Andrés Hincapié-Carvajal","doi":"10.1016/j.aprim.2025.103427","DOIUrl":"10.1016/j.aprim.2025.103427","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the association between public health expenditure, legal frameworks, and indicators of cervical cancer incidence, mortality, and female life expectancy in Chile, Colombia, and Nicaragua from 2012 to 2022.</div></div><div><h3>Design</h3><div>Descriptive and correlational ecological study based on nationally aggregated data.</div></div><div><h3>Setting</h3><div>Three Latin American countries with information from the Pan American Health Organization (PAHO).</div></div><div><h3>Participants</h3><div>General female population.</div></div><div><h3>Interventions</h3><div>Review of national health legislation and policies, including screening, vaccination, and financing mechanisms.</div></div><div><h3>Main measurements</h3><div>Public health expenditure (% GDP), female life expectancy at birth, and cervical cancer incidence and mortality rates per 100,000 women. Ten-year averages and Pearson correlation coefficients were calculated.</div></div><div><h3>Results</h3><div>In 2022, Chile showed the highest life expectancy (82.0<!--> <!-->years) and the lowest mortality (11.3/100,000) with spending of 8.9% of GDP. Colombia reached 79.6<!--> <!-->years of life expectancy, mortality of 12.7/100,000, and spending of 6.4%, while Nicaragua had the lowest investment (5.8%), lowest life expectancy (74.8<!--> <!-->years), and highest incidence (20.6) and mortality (11.5). Strong negative correlations were found between life expectancy and incidence (r<!--> <!-->=<!--> <!-->−0.97) and mortality (r<!--> <!-->=<!--> <!-->−0.81), but weak correlation with public spending (r<!--> <!-->≈<!--> <!-->−0.13).</div></div><div><h3>Conclusions</h3><div>The effectiveness of cervical cancer prevention programs depends less on investment volume than on legal strength and strategic direction. Strengthening legislation, prioritizing primary care, and expanding screening and vaccination are key to eliminating this preventable disease in Latin America.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103427"},"PeriodicalIF":1.6,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145982016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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