Atencion Primaria最新文献

英文中文

Conocimiento y actitudes sobre la vacuna del VPH en padres y madres de una institución educativa vulnerable del Perú 秘鲁弱势教育机构的家长对HPV疫苗的知识和态度

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-03-01 Epub Date: 2026-01-27 DOI: 10.1016/j.aprim.2025.103390

Shirley Anicia Aliaga Pichardo, Mercedes Acosta-Román, Gianmarco Garcia Curo

引用次数: 0

Trends in health literacy discussions within primary health care research: A topic analysis using machine learning techniques 初级卫生保健研究中卫生素养讨论的趋势：使用机器学习技术的主题分析

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-03-01 Epub Date: 2026-01-15 DOI: 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.

Design

Observational, machine learning-based bibliometric study.

Site

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。

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引用次数: 0

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) 拉丁美洲的健康差距和政策决定因素：智利、哥伦比亚和洪都拉斯的预期寿命、婴儿死亡率和免疫接种的多变量比较分析（2011-2019年）

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-03-01 Epub Date: 2026-01-14 DOI: 10.1016/j.aprim.2025.103428

Camilo Andrés Estupiñan Ruiz , Cristian Correa-Arrieta , Jeisson Andrés Hincapié-Carvajal

Objective

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。

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引用次数: 0

Prevalence and associated factors of preeclampsia/eclampsia among pregnant women in Borama Regional Hospital, Somaliland: A cross-sectional study 索马里兰Borama地区医院孕妇子痫前期/子痫患病率及相关因素：一项横断面研究

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-03-01 Epub Date: 2026-01-15 DOI: 10.1016/j.aprim.2025.103430

Hawa Dahir Mahamoud , Abdisalam Hassan Muse

引用次数: 0

Detection of an outbreak of Mediterranean spotted fever in Primary Care 在初级保健中发现地中海斑疹热暴发。

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-03-01 Epub Date: 2026-01-21 DOI: 10.1016/j.aprim.2025.103345

Marina Satorres Pérez , Cristian García Molina , Clara Isabel Pérez Ortiz

引用次数: 0

Seguimiento sintomatológico a largo plazo de pacientes con síndrome de COVID persistente 对持续性2019冠状病毒病患者的长期症状监测

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-03-01 Epub Date: 2026-01-16 DOI: 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.

Design

Longitudinal, prospective, observational, uncontrolled study.

Setting

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.

目的探讨长期COVID患者的长期症状进展情况。次要目的是评估任何治疗是否对症状演变有影响。设计：纵向、前瞻性、观察性、非对照研究。设置Río霍特加大学医院（巴利亚多利德）内科。参与者40例长冠状病毒感染者（病例）和40例与病例年龄和性别相同的志愿者（对照组），均经历过COVID-19急性期，未发生长冠状病毒感染。主要测量方法邮寄量表、指标和问卷，对长冠肺炎的主要症状进行评估。评估如下：疲劳（MFIS）、情绪障碍（HADS）、睡眠障碍（PSQI）、认知障碍（MFE-30）、呼吸困难（mMRC）、体育锻炼（GPAQ）、生活质量（SF-36）和疼痛（CPGS）。这些病例在三年后被重新评估。结果3年后患者呼吸困难（mMRC）由1.38降至1.10 （p = 0.014）。10例患者接受有氧和/或无氧体育锻炼治疗，疼痛严重程度（CPGS）从2.7改善到1.3 （p = 0.039）。在其余的测量中，病例之间的差异没有达到统计学意义。结论经过3年的随访，长冠患者的症状评分与初始评估相似，但低于对照组。有氧和/或无氧体育锻炼可能有助于部分改善症状的演变。

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引用次数: 0

Características sociodemográficas e indicadores de preferencia de la población demandante de Manifestaciones Anticipadas de Voluntad 要求提前表示意愿的人口的社会人口特征和偏好指标

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-03-01 Epub Date: 2026-01-14 DOI: 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.

目的分析兰萨罗特州登记了预先指示（Manifestación predicada de Voluntad， MAV）的个人的社会人口学特征、偏好和满意度。设计：观察性、描述性、前瞻性和横断面研究。兰萨罗特预先指示办公室，大学医院jossore Molina Orosa医生（加那利卫生服务）。参与者：在2024年1月至12月期间注册了MAV的18岁或以上的个人。主要测量指标：社会人口学变量、完成MAV的动机、陈述的偏好和满意度。结果共分析527例患者，其中女性67.2%，平均年龄59.5±14.3岁。大多数人受过中等或高等教育（65.7%），没有宗教信仰（78.7%）。主要动机是希望行使个人自主权（38.5%），其次是希望不成为负担（33.2%）。73.2%的参与者表示器官捐赠，86.7%的参与者在中度痴呆的情况下接受安乐死。受教育程度与接受安乐死有显著相关性(χ2(6) = 39.27；p< 0.001)，完成MAV的动机与两性之间的差异(χ2(4) = 11.70；P = 0.020)、宗教信仰(χ2(20) = 463.49；术中,0.001)。总体而言，99.1%的人对所接受的护理感到满意。结论以西班牙女性为主，中老年，受过高等教育。在生命结束时的自主成为主要动机，根据性别和宗教信仰的不同，可以观察到差异。研究结果强调需要加强专业培训和沟通策略，以促进预先指示的使用。

{"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":"2026-03-01","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}

引用次数: 0

Actitudes, conocimientos y necesidades formativas en dolor crónico: encuesta nacional a médicas y médicos de familia socios de SemFYC 慢性疼痛的态度、知识和培训需求：semfyc家庭医生成员的全国调查。

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-03-01 Epub Date: 2026-01-21 DOI: 10.1016/j.aprim.2025.103436

Marian Fernández-Luco , Victoria García Espinosa , Mayte Serrat , Ma Rosario Elcuaz Viscarret , Daniela Blanco-Echezuría , María Muñoa-Capron-Manieux

Objective

To analyze knowledge, attitudes, and training needs regarding chronic pain among family physicians who are members of SemFYC.

Design

Cross-sectional descriptive study using an anonymous, self-administered online survey.

Setting

Primary care at the national level.

Participants

700 semFYC members, family physicians or residents. Non-probabilistic convenience sampling was used.

Main measurements

Questionnaire including sociodemographic variables, professional attitudes (items on clinical practices and self-reported perceptions), knowledge of pain neurophysiology (Spanish R-NPQ questionnaire), and perceived training needs.

Results

69.3% prescribe minor opioids for chronic musculoskeletal pain and, if unresponsive, 34.9% would opt for major opioids. 32.2% request early X-ray for nonspecific low back pain. More than 90% recommend non-pharmacological strategies. 58% perceive having few tools for managing persistent pain, and over 94% demand specific training. The R-NPQ questionnaire revealed significant knowledge gaps, particularly in key items. In the multivariate analysis, lower scores were associated with older age. By professional experience, family medicine residents (MIR) tended to order more imaging tests and explain less about pain physiology.

Conclusions

Substantial training gaps and discrepancies between theoretical knowledge and clinical practice were observed, especially among residents. These findings underscore the need to implement systematic educational strategies, based on the biopsychosocial model, to improve training and the management of chronic pain in primary care.

目的：分析SemFYC成员家庭医生对慢性疼痛的知识、态度和培训需求。设计：采用匿名、自我管理的在线调查进行横断面描述性研究。环境：国家一级的初级保健。参与者：700名semFYC会员、家庭医生或住院医师。采用非概率方便抽样。主要测量方法：包括社会人口学变量、专业态度（临床实践和自述感知项目）、疼痛神经生理学知识（西班牙R-NPQ问卷）和感知培训需求的问卷。结果：69.3%的患者在治疗慢性肌肉骨骼疼痛时会使用小剂量阿片类药物，如果没有反应，34.9%的患者会选择大剂量阿片类药物。32.2%的患者要求对非特异性腰痛进行早期x光检查。超过90%的人推荐非药物治疗。58%的人认为治疗持续性疼痛的工具很少，超过94%的人需要专门的培训。R-NPQ问卷显示了显著的知识差距，特别是在关键项目上。在多变量分析中，得分越低，年龄越大。根据专业经验，家庭医学住院医师（MIR）倾向于要求更多的影像学检查，而对疼痛生理学的解释较少。结论：住院医师的理论知识与临床实践存在较大的培训差距和差异。这些发现强调需要实施基于生物心理社会模型的系统教育策略，以改善初级保健中慢性疼痛的培训和管理。

{"title":"Actitudes, conocimientos y necesidades formativas en dolor crónico: encuesta nacional a médicas y médicos de familia socios de SemFYC","authors":"Marian Fernández-Luco , Victoria García Espinosa , Mayte Serrat , Ma Rosario Elcuaz Viscarret , Daniela Blanco-Echezuría , María Muñoa-Capron-Manieux","doi":"10.1016/j.aprim.2025.103436","DOIUrl":"10.1016/j.aprim.2025.103436","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze knowledge, attitudes, and training needs regarding chronic pain among family physicians who are members of SemFYC.</div></div><div><h3>Design</h3><div>Cross-sectional descriptive study using an anonymous, self-administered online survey.</div></div><div><h3>Setting</h3><div>Primary care at the national level.</div></div><div><h3>Participants</h3><div>700 semFYC members, family physicians or residents. Non-probabilistic convenience sampling was used.</div></div><div><h3>Main measurements</h3><div>Questionnaire including sociodemographic variables, professional attitudes (items on clinical practices and self-reported perceptions), knowledge of pain neurophysiology (Spanish R-NPQ questionnaire), and perceived training needs.</div></div><div><h3>Results</h3><div>69.3% prescribe minor opioids for chronic musculoskeletal pain and, if unresponsive, 34.9% would opt for major opioids. 32.2% request early X-ray for nonspecific low back pain. More than 90% recommend non-pharmacological strategies. 58% perceive having few tools for managing persistent pain, and over 94% demand specific training. The R-NPQ questionnaire revealed significant knowledge gaps, particularly in key items. In the multivariate analysis, lower scores were associated with older age. By professional experience, family medicine residents (MIR) tended to order more imaging tests and explain less about pain physiology.</div></div><div><h3>Conclusions</h3><div>Substantial training gaps and discrepancies between theoretical knowledge and clinical practice were observed, especially among residents. These findings underscore the need to implement systematic educational strategies, based on the biopsychosocial model, to improve training and the management of chronic pain in primary care.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103436"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031779","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}

引用次数: 0

Salud pública y cáncer cervicouterino en América Latina: impacto del gasto y legislación en la prevención en tres países 拉丁美洲的公共卫生和宫颈癌：支出和立法对三个国家预防工作的影响

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-03-01 Epub Date: 2026-01-14 DOI: 10.1016/j.aprim.2025.103427

Camilo Andrés Estupiñan Ruiz , Rubén Darío Morales Doncel , Jeisson Andrés Hincapié-Carvajal

Objective

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.

目的评估2012年至2022年智利、哥伦比亚和尼加拉瓜的公共卫生支出、法律框架、宫颈癌发病率、死亡率和女性预期寿命指标之间的关系。设计基于全国汇总数据的描述性和相关性生态学研究。设置三个拉丁美洲国家，提供来自泛美卫生组织的信息。参与者：一般女性人群。干预措施审查国家卫生立法和政策，包括筛查、疫苗接种和筹资机制。主要衡量指标：公共卫生支出（国内生产总值百分比）、女性出生时预期寿命、每10万名妇女的宫颈癌发病率和死亡率。计算十年平均值和Pearson相关系数。结果2022年，智利人均预期寿命最高（82.0岁），死亡率最低（11.3/10万），支出占GDP的8.9%。哥伦比亚的预期寿命为79.6岁，死亡率为12.7/10万，支出为6.4%，而尼加拉瓜的投资最低（5.8%），预期寿命最低（74.8岁），发病率最高（20.6岁），死亡率最高（11.5岁）。预期寿命与发病率（r = - 0.97）和死亡率（r = - 0.81）呈显著负相关，但与公共支出呈弱相关（r≈- 0.13）。结论宫颈癌预防项目的有效性主要取决于法律力量和战略方向，而不是投资规模。加强立法、优先考虑初级保健以及扩大筛查和疫苗接种是在拉丁美洲消除这一可预防疾病的关键。

{"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 (82.0years) and the lowest mortality (11.3/100,000) with spending of 8.9% of GDP. Colombia reached 79.6years 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 (74.8years), 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":"2026-03-01","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}

引用次数: 0

La prescripción de medicamentos en los equipos de atención primaria: el reto de la multidisciplinariedad y la seguridad del paciente 初级保健小组开药：多学科和患者安全的挑战

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-03-01 Epub Date: 2026-01-27 DOI: 10.1016/j.aprim.2026.103449

Lourdes Luzón-Oliver , María Pilar Astier-Peña

引用次数: 0

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