Pub Date : 2024-10-28DOI: 10.1016/j.aprim.2024.103109
Deiby Luz Pertuz-Guzmán , Linda María Chams-Chams , Nydia Nina Valencia-Jiménez , Jorge Arrieta-Díaz , Jaime Luna-Carrascal
The aim was to determine the possible association between food insecurity and the sociodemographic conditions of families in the rural area of Pueblo Nuevo, Córdoba, Colombia. It was a cross-sectional study using surveys to collect sociodemographic and food insecurity data in a rural area of Pueblo Nuevo, Córdoba, Colombia in which 391 families were surveyed to obtain relevant information. The Latin American and Caribbean Food Security Scale (ELCSA) survey was applied to evaluate the food security of the families. A descriptive analysis of qualitative and quantitative variables, and polyserial correlations to establish relationships between food insecurity and sociodemographic variables was held. Only 5 families (1%) showed adequate food security (AFS), while 235 families were in the severe food insecurity (SFI) category. Positive correlations were observed between types of food security and educational level (P < 0.023), family income (P < 0.001), and household size (P = 0.002). A high prevalence of food insecurity was evident in the studied families, influenced by household size, lack of income, and low educational levels.
该研究旨在确定哥伦比亚科尔多瓦省 Pueblo Nuevo 农村地区家庭的粮食不安全状况与社会人口状况之间可能存在的关联。这是一项横断面研究，通过调查收集哥伦比亚科尔多瓦省 Pueblo Nuevo 农村地区 391 个家庭的社会人口和粮食不安全数据，以获得相关信息。调查采用了拉丁美洲和加勒比食品安全量表 (ELCSA) 来评估这些家庭的食品安全状况。对定性和定量变量进行了描述性分析，并进行了多序列相关分析，以确定粮食不安全与社会人口变量之间的关系。只有 5 个家庭（1%）表现出足够的粮食保障（AFS），而 235 个家庭属于严重粮食不安全（SFI）类别。粮食安全类型与受教育程度呈正相关（P＜0.05）。
{"title":"Comprendiendo la inseguridad alimentaria en familias rurales: un estudio de caso en Pueblo Nuevo (Córdoba, Colombia)","authors":"Deiby Luz Pertuz-Guzmán , Linda María Chams-Chams , Nydia Nina Valencia-Jiménez , Jorge Arrieta-Díaz , Jaime Luna-Carrascal","doi":"10.1016/j.aprim.2024.103109","DOIUrl":"10.1016/j.aprim.2024.103109","url":null,"abstract":"<div><div>The aim was to determine the possible association between food insecurity and the sociodemographic conditions of families in the rural area of Pueblo Nuevo, Córdoba, Colombia. It was a cross-sectional study using surveys to collect sociodemographic and food insecurity data in a rural area of Pueblo Nuevo, Córdoba, Colombia in which 391 families were surveyed to obtain relevant information. The Latin American and Caribbean Food Security Scale (ELCSA) survey was applied to evaluate the food security of the families. A descriptive analysis of qualitative and quantitative variables, and polyserial correlations to establish relationships between food insecurity and sociodemographic variables was held. Only 5 families (1%) showed adequate food security (AFS), while 235 families were in the severe food insecurity (SFI) category. Positive correlations were observed between types of food security and educational level (<em>P</em> <!--><<!--> <!-->0.023), family income (<em>P</em> <!--><<!--> <!-->0.001), and household size (<em>P</em> <!-->=<!--> <!-->0.002). A high prevalence of food insecurity was evident in the studied families, influenced by household size, lack of income, and low educational levels.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 4","pages":"Article 103109"},"PeriodicalIF":1.8,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-25DOI: 10.1016/j.aprim.2024.103110
Ana María Sáez-Benito Suescun , Liliane Mahulea , Laura Gracia Valen , Loreto Sáez-Benito Suescun , Grupo de trabajo Centro de Salud La Jota/Farmacias Comunitarias del Área de Salud La Jota , M. Lourdes Clemente Jiménez
Objective
To assess the feasibility of a collaborative programme among community pharmacies and the health care centre of the area.
Design
Qualitative study.
Site
The collaboration program was implemented at the La Jota Health Care Center and community pharmacies in La Jota.
Participants
The respective professionals from the Health Care Center and the community pharmacies.
Methods
A collaboration program was agreed between the Health Care Center and the pharmacies of La Jota health area. The design of the Program was carried out following the steps of the theoretical framework for the development of Intervention Mapping Pharmaceutical Professional Services. The programme was implemented on March, 2021.
Results
Since the beginning of the program, a total of 16690 electronic prescription renewal messages have been sent. Pharmacists have made 421 visa renewal applications and 394 drug related problems have been notified. The health care centre has sent periodical notifications to community pharmacies for its dissemination among the patients. Satisfaction of all participants is high and the program has been feasible and sustainable in La Jota health area.
Conclusions
This program contributes to solve the serious problems of saturation of primary care, with a high satisfaction of all the agents involved and with an economic investment of zero euros, so it could be implemented in other Basic Health Areas.
目的：评估社区药房与该地区医疗中心合作计划的可行性：评估社区药房与该地区医疗保健中心合作计划的可行性：设计：定性研究。地点：合作计划在拉霍塔医疗保健中心和拉霍塔社区药房实施：参与人员：医疗保健中心和社区药房的相关专业人员：方法：医疗保健中心和 La Jota 健康区的药房商定了一项合作计划。该计划的设计遵循了 "药品专业服务干预映射 "理论框架的发展步骤。该计划于 2021 年 3 月开始实施：自计划开始实施以来，共发送了 16690 条电子处方更新信息。药剂师提出了 421 份续签申请，并通报了 394 个与药物有关的问题。医疗保健中心定期向社区药房发送通知，以便在患者中传播。所有参与者的满意度都很高，该计划在拉霍塔卫生保健区是可行的、可持续的：该计划有助于解决初级保健饱和的严重问题，所有参与人员的满意度都很高，经济投资为零欧元，因此可以在其他基本保健地区实施。
{"title":"Programa de colaboración Centro de Salud La Jota y farmacéuticos comunitarios del Área de Salud La Jota","authors":"Ana María Sáez-Benito Suescun , Liliane Mahulea , Laura Gracia Valen , Loreto Sáez-Benito Suescun , Grupo de trabajo Centro de Salud La Jota/Farmacias Comunitarias del Área de Salud La Jota , M. Lourdes Clemente Jiménez","doi":"10.1016/j.aprim.2024.103110","DOIUrl":"10.1016/j.aprim.2024.103110","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the feasibility of a collaborative programme among community pharmacies and the health care centre of the area.</div></div><div><h3>Design</h3><div>Qualitative study.</div></div><div><h3>Site</h3><div>The collaboration program was implemented at the La Jota Health Care Center and community pharmacies in La Jota.</div></div><div><h3>Participants</h3><div>The respective professionals from the Health Care Center and the community pharmacies.</div></div><div><h3>Methods</h3><div>A collaboration program was agreed between the Health Care Center and the pharmacies of La Jota health area. The design of the Program was carried out following the steps of the theoretical framework for the development of Intervention Mapping Pharmaceutical Professional Services. The programme was implemented on March, 2021.</div></div><div><h3>Results</h3><div>Since the beginning of the program, a total of 16690 electronic prescription renewal messages have been sent. Pharmacists have made 421 visa renewal applications and 394 drug related problems have been notified. The health care centre has sent periodical notifications to community pharmacies for its dissemination among the patients. Satisfaction of all participants is high and the program has been feasible and sustainable in La Jota health area.</div></div><div><h3>Conclusions</h3><div>This program contributes to solve the serious problems of saturation of primary care, with a high satisfaction of all the agents involved and with an economic investment of zero euros, so it could be implemented in other Basic Health Areas.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 4","pages":"Article 103110"},"PeriodicalIF":1.8,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-25DOI: 10.1016/j.aprim.2024.103116
Cesar Garcia-Balaguera , Mery Gireth Vargas , David Guzmán , Sandra Patricia Ruiz Rodriguez
{"title":"Delays and inequalities in breast cancer in Meta Colombia (2017–2023): A cross-sectional study","authors":"Cesar Garcia-Balaguera , Mery Gireth Vargas , David Guzmán , Sandra Patricia Ruiz Rodriguez","doi":"10.1016/j.aprim.2024.103116","DOIUrl":"10.1016/j.aprim.2024.103116","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"Article 103116"},"PeriodicalIF":1.8,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-24DOI: 10.1016/j.aprim.2024.103108
Núria Gutiérrez Jiménez , Eva Satué-Gracia , Joan Carles Contel , Josep Basora Gallisà , Jordi Amblàs-Novellas
Objective
To evaluate the feasibility, reliability and validity of the VIG-express questionnaire.
Design
Descriptive, observational, cross-sectional and multicenter study.
Setting
Catalonia.
Participants
24 professionals from 18 centers: 10 from Primary Care, 5 from hospitals acute, 2 intermediate care and 3 residential.
Main measurements
For the feasibility analysis, the administration time -mean and standard deviation (SD)-. The questionnaire was administered twice to the same patient by the same professional (intraobserver agreement), or by two different professionals (interobserver agreement), evaluating the intraclass correlation coefficient (ICC). Discriminant validity was calculated by comparing the responses of subgroup with higher fragility (percentile > 75) and subgroup with lower fragility (percentile < 25), for each item of the questionnaire.
Results
195 questionnaires were administered, 59 repeatedly, in a group of elderly (mean age of 79 years) and fragile (mean score of 0.33 in the Fragile Index-VIG). The average administration time was 6.52 minutes (DE: 6.02). The concordance in the degree of fragility score obtained a ICC of 0.95 (intraobserver) and 0.72 (interobserver). In discriminant validity, the differences in response frequencies between the two subgroups ranged from 1.7 (oncological disease) to 67.1 (medication management), all of which were statistically significant (p < 0.05), with the sole exceptions of the presence of oncological and neurological diseases.
Conclusions
The VIG-express questionnaire appears to be a feasible, reliable and valid tool for rapid multidimensional/geriatric assessment.
{"title":"Factibilidad, fiabilidad y validez del cuestionario VIG-express como instrumento de valoración multidimensional/geriátrica rápida: estudio multicéntrico","authors":"Núria Gutiérrez Jiménez , Eva Satué-Gracia , Joan Carles Contel , Josep Basora Gallisà , Jordi Amblàs-Novellas","doi":"10.1016/j.aprim.2024.103108","DOIUrl":"10.1016/j.aprim.2024.103108","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the feasibility, reliability and validity of the VIG-express questionnaire.</div></div><div><h3>Design</h3><div>Descriptive, observational, cross-sectional and multicenter study.</div></div><div><h3>Setting</h3><div>Catalonia.</div></div><div><h3>Participants</h3><div>24 professionals from 18 centers: 10 from Primary Care, 5 from hospitals acute, 2 intermediate care and 3 residential.</div></div><div><h3>Main measurements</h3><div>For the feasibility analysis, the administration time -mean and standard deviation (SD)-. The questionnaire was administered twice to the same patient by the same professional (intraobserver agreement), or by two different professionals (interobserver agreement), evaluating the intraclass correlation coefficient (ICC). Discriminant validity was calculated by comparing the responses of subgroup with higher fragility (percentile ><!--> <!-->75) and subgroup with lower fragility (percentile <<!--> <!-->25), for each item of the questionnaire.</div></div><div><h3>Results</h3><div>195 questionnaires were administered, 59 repeatedly, in a group of elderly (mean age of 79 years) and fragile (mean score of 0.33 in the Fragile Index-VIG). The average administration time was 6.52<!--> <!-->minutes (DE: 6.02). The concordance in the degree of fragility score obtained a ICC of 0.95 (intraobserver) and 0.72 (interobserver). In discriminant validity, the differences in response frequencies between the two subgroups ranged from 1.7 (oncological disease) to 67.1 (medication management), all of which were statistically significant (p<!--> <!--><<!--> <!-->0.05), with the sole exceptions of the presence of oncological and neurological diseases.</div></div><div><h3>Conclusions</h3><div>The VIG-express questionnaire appears to be a feasible, reliable and valid tool for rapid multidimensional/geriatric assessment.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 4","pages":"Article 103108"},"PeriodicalIF":1.8,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-22DOI: 10.1016/j.aprim.2024.103107
Ana Pilar Javierre Miranda , Susana Martín Martín , José Javier Gómez Marco
{"title":"Vacunación gripe-COVID-19: juntos, pero no revueltos","authors":"Ana Pilar Javierre Miranda , Susana Martín Martín , José Javier Gómez Marco","doi":"10.1016/j.aprim.2024.103107","DOIUrl":"10.1016/j.aprim.2024.103107","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 11","pages":"Article 103107"},"PeriodicalIF":1.8,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-18DOI: 10.1016/j.aprim.2024.103007
Josue Rivadeneira , Luis Fuenmayor-González , Michelle Jácome-García , Nancy Flores-Lastra , Hugo Delgado , Tamara Otzen
Objective
To determine changes in the prevalence of dyslipidemias during the pre-COVID-19 and COVID-19 years in three regions of Ecuador.
Design
Cross-sectional study.
Site
Quito, Guayaquil, and El Coca.
Participants
Adults with cholesterol, HDL, LDL, and triglyceride levels at primary care centers from January 2017 to December 2022.
Interventions
Not applicable.
Main measurements
Data were obtained from five BIODIMED primary care centers. Cholesterol, HDL, LDL, and triglyceride levels were classified according to the ATP III guidelines. Dyslipidemia was considered present when one or more parameters exceeded specific thresholds. Sociodemographic variables and the year of examination were included as independent variables.
Results
The study analyzed 110,521 participants’ laboratory results, where 65.3% were males and an average age of 38 ± 12 years. The study spanned the Andean (72.4%), Coast (15.4%), and Amazonic region (12.3%). Pre-pandemic exams constituted 60.9% of the sample. The prevalence of dyslipidemia increased gradually from 43.1% in 2017 to 64.1% in 2022. Cholesterol levels, HDL, and LDL exhibited changes during the pandemic, with an increased risk of hypercholesterolemia, low HDL, and high LDL.
Conclusions
During the COVID-19 pandemic, a notable increase in the prevalence of dyslipidemias, including hypercholesterolemia, high triglycerides, and high LDL, was determined across three regions in Ecuador.
{"title":"Impact of COVID-19 on the prevalence of dyslipidemia in Ecuador: A cross-sectional study between 2017 and 2022","authors":"Josue Rivadeneira , Luis Fuenmayor-González , Michelle Jácome-García , Nancy Flores-Lastra , Hugo Delgado , Tamara Otzen","doi":"10.1016/j.aprim.2024.103007","DOIUrl":"10.1016/j.aprim.2024.103007","url":null,"abstract":"<div><h3>Objective</h3><div>To determine changes in the prevalence of dyslipidemias during the pre-COVID-19 and COVID-19 years in three regions of Ecuador.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Site</h3><div>Quito, Guayaquil, and El Coca.</div></div><div><h3>Participants</h3><div>Adults with cholesterol, HDL, LDL, and triglyceride levels at primary care centers from January 2017 to December 2022.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main measurements</h3><div>Data were obtained from five BIODIMED primary care centers. Cholesterol, HDL, LDL, and triglyceride levels were classified according to the ATP III guidelines. Dyslipidemia was considered present when one or more parameters exceeded specific thresholds. Sociodemographic variables and the year of examination were included as independent variables.</div></div><div><h3>Results</h3><div>The study analyzed 110,521 participants’ laboratory results, where 65.3% were males and an average age of 38<!--> <!-->±<!--> <!-->12 years. The study spanned the Andean (72.4%), Coast (15.4%), and Amazonic region (12.3%). Pre-pandemic exams constituted 60.9% of the sample. The prevalence of dyslipidemia increased gradually from 43.1% in 2017 to 64.1% in 2022. Cholesterol levels, HDL, and LDL exhibited changes during the pandemic, with an increased risk of hypercholesterolemia, low HDL, and high LDL.</div></div><div><h3>Conclusions</h3><div>During the COVID-19 pandemic, a notable increase in the prevalence of dyslipidemias, including hypercholesterolemia, high triglycerides, and high LDL, was determined across three regions in Ecuador.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 4","pages":"Article 103007"},"PeriodicalIF":1.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-16DOI: 10.1016/j.aprim.2024.102991
Paula Ramos Floro , Rosario Salas
{"title":"Desafíos y oportunidades: la telemedicina en la práctica sanitaria actual","authors":"Paula Ramos Floro , Rosario Salas","doi":"10.1016/j.aprim.2024.102991","DOIUrl":"10.1016/j.aprim.2024.102991","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 1","pages":"Article 102991"},"PeriodicalIF":1.8,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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