Pub Date : 2024-10-15DOI: 10.1016/j.aprim.2023.102839
Angelina Dois Castellón , Tomás Inostroza Ortega
In Chile, suicide is a public health problem. The National Suicide Prevention Program has influenced the stabilization of suicide rates and considers as one of its components the training of primary care professionals in addressing suicidal behavior. It has been shown that the way in which professionals approach the phenomenon has a high influence on the implementation of preventive measures. The objective of this qualitative descriptive study. is to explore the beliefs of primary care professionals regarding people with suicidal behavior. It was developed in 3 family health centers in Santiago de Chile with fourteen health professionals participants. Semi-structured interviews were carried out. The data were analyzed according to the procedures proposed by Grounded Theory. The beliefs of the participating professionals regarding suicidal behavior are grouped into (1) validation of suicidal behavior and (2) suicidal behavior should not be judged. A frequent ambivalence of the participants between these 2 elements stands out, which makes it difficult for them to consider a single professional position regarding suicide. The beliefs reflect a relativization of the value of life, and ambivalent beliefs regarding the voluntary end of life, based on value judgments regarding suicide. The results can serve to guide future training for health teams in addressing suicidal behaviors.
{"title":"Creencias de profesionales de Atención Primaria frente a personas con conductas suicidas: un estudio cualitativo","authors":"Angelina Dois Castellón , Tomás Inostroza Ortega","doi":"10.1016/j.aprim.2023.102839","DOIUrl":"10.1016/j.aprim.2023.102839","url":null,"abstract":"<div><div>In Chile, suicide is a public health problem. The National Suicide Prevention Program has influenced the stabilization of suicide rates and considers as one of its components the training of primary care professionals in addressing suicidal behavior. It has been shown that the way in which professionals approach the phenomenon has a high influence on the implementation of preventive measures. The objective of this qualitative descriptive study. is to explore the beliefs of primary care professionals regarding people with suicidal behavior. It was developed in 3<!--> <!-->family health centers in Santiago de Chile with fourteen health professionals participants. Semi-structured interviews were carried out. The data were analyzed according to the procedures proposed by Grounded Theory. The beliefs of the participating professionals regarding suicidal behavior are grouped into (1) validation of suicidal behavior and (2) suicidal behavior should not be judged. A frequent ambivalence of the participants between these 2<!--> <!-->elements stands out, which makes it difficult for them to consider a single professional position regarding suicide. The beliefs reflect a relativization of the value of life, and ambivalent beliefs regarding the voluntary end of life, based on value judgments regarding suicide. The results can serve to guide future training for health teams in addressing suicidal behaviors.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"Article 102839"},"PeriodicalIF":1.8,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442764","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}
{"title":"Primary care referral causes and final neurodevelopmental diagnosis: Do they match?","authors":"Joana Carvalho Queirós , Francisca Villas-Boas , Mariana Cruz da Silva , Catarina Prior , Inês Vaz Matos","doi":"10.1016/j.aprim.2023.102832","DOIUrl":"10.1016/j.aprim.2023.102832","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 2","pages":"Article 102832"},"PeriodicalIF":1.8,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402079","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 : 2024-10-04DOI: 10.1016/j.aprim.2024.103092
Jannett Padilla López , Karina Lizbeth Ortega Covarrubias , Carolina Quiñones Villalobos , Carlos Alberto Prado Aguilar , Juan Manuel Márquez Romero , Alicia Alanis Ocádiz
Objective
To identify the association between the transtheoretical model (TTM) and physical activity (PA) carried out in free time in patients with arterial hypertension in the central region of Mexico.
Design
Comparative cross-sectional study.
Site
The study was carried out in the Family Medicine Unit No. 1 (UFM 1) of the Mexican Social Security Institute in Aguascalientes, Mexico.
Participants
Four hundred thirty-five adults aged 40 to 70 with arterial hypertension who attended the outpatient clinic at UFM 1 were included.
Interventions
The Global Physical Activity Questionnaire and the Stages of Change algorithm from the TTM were applied.
Main measurements
A descriptive, bivariate analysis and ordinal logistic regression were performed to evaluate the association between TTM stages and PA.
Results
As patients progress through the stages of change, their weekly PA increased. Individuals in the action, maintenance and consolidation stages were significantly more likely to perform higher levels of exercise: 20 times more likely in the action stage with an ordinal odds ratio (OR) of 20.07 (CI 95%: 10,52-38,25), 24 times more in the maintenance stage with OR 24 (CI 95%: 12,79-47,63) and 40 times more in the consolidation stage with OR 40,35 (IC 95%: 19,25-84,59).
Conclusions
The strong association between the stages of change and PA reveals the importance of applying the TTM to achieve success in programs to promote healthy habits by designing strategies that suit each subject.
目的确定墨西哥中部地区动脉高血压患者的跨理论模型（TTM）与空闲时间体育锻炼（PA）之间的关联：设计：横断面比较研究。地点：研究在墨西哥阿瓜斯卡连特斯的墨西哥社会保障局第一家庭医学科（UFM1）进行：研究对象：435 名年龄在 40 岁至 70 岁之间、患有动脉高血压的成年人，他们都在 UFM1 的门诊就诊：干预措施：采用全球体力活动调查问卷和 TTM 变化阶段算法：主要测量指标：采用描述性分析、双变量分析和序数逻辑回归评估 TTM 阶段与 PA 之间的关系：结果：随着患者在各个改变阶段的进展，他们每周的 PA 也在增加。处于行动阶段、维持阶段和巩固阶段的患者更有可能进行更高水平的运动：行动阶段的运动量是维持阶段的20倍，OR值为20.07（CI95%：10,52-38,25）；维持阶段的运动量是行动阶段的24倍，OR值为24（CI95%：12,79-47,63）；巩固阶段的运动量是行动阶段的40倍，OR值为40,35（IC95%：19,25-84,59）：变化阶段与 PA 之间的密切联系揭示了应用 TTM 的重要性，即通过设计适合每个受试者的策略，在促进健康习惯的计划中取得成功。
{"title":"Modelo transteórico y su asociación con la actividad física en pacientes con hipertensión arterial","authors":"Jannett Padilla López , Karina Lizbeth Ortega Covarrubias , Carolina Quiñones Villalobos , Carlos Alberto Prado Aguilar , Juan Manuel Márquez Romero , Alicia Alanis Ocádiz","doi":"10.1016/j.aprim.2024.103092","DOIUrl":"10.1016/j.aprim.2024.103092","url":null,"abstract":"<div><h3>Objective</h3><div>To identify the association between the transtheoretical model (TTM) and physical activity (PA) carried out in free time in patients with arterial hypertension in the central region of Mexico.</div></div><div><h3>Design</h3><div>Comparative cross-sectional study.</div></div><div><h3>Site</h3><div>The study was carried out in the Family Medicine Unit No.<!--> <!-->1 (UFM<!--> <!-->1) of the Mexican Social Security Institute in Aguascalientes, Mexico.</div></div><div><h3>Participants</h3><div>Four hundred thirty-five adults aged 40 to 70 with arterial hypertension who attended the outpatient clinic at UFM<!--> <!-->1 were included.</div></div><div><h3>Interventions</h3><div>The Global Physical Activity Questionnaire and the Stages of Change algorithm from the TTM were applied.</div></div><div><h3>Main measurements</h3><div>A descriptive, bivariate analysis and ordinal logistic regression were performed to evaluate the association between TTM stages and PA.</div></div><div><h3>Results</h3><div>As patients progress through the stages of change, their weekly PA increased. Individuals in the action, maintenance and consolidation stages were significantly more likely to perform higher levels of exercise: 20 times more likely in the action stage with an ordinal odds ratio (OR) of 20.07 (CI<!--> <!-->95%: 10,52-38,25), 24 times more in the maintenance stage with OR 24 (CI<!--> <!-->95%: 12,79-47,63) and 40 times more in the consolidation stage with OR 40,35 (IC<!--> <!-->95%: 19,25-84,59).</div></div><div><h3>Conclusions</h3><div>The strong association between the stages of change and PA reveals the importance of applying the TTM to achieve success in programs to promote healthy habits by designing strategies that suit each subject.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"Article 103092"},"PeriodicalIF":1.8,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378560","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 : 2024-10-04DOI: 10.1016/j.aprim.2024.102872
José Manuel Jiménez Rodríguez
{"title":"Eutanasia en Andalucía: aproximación al posicionamiento de los trabajadores sociales de atención primaria respecto del médico responsable","authors":"José Manuel Jiménez Rodríguez","doi":"10.1016/j.aprim.2024.102872","DOIUrl":"10.1016/j.aprim.2024.102872","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 1","pages":"Article 102872"},"PeriodicalIF":1.8,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378646","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 : 2024-10-01DOI: 10.1016/j.aprim.2023.102840
Objective
To estimate the economic cost of GBV from the perspective of a women survivor who sought help from two identified programs (Makueni GBVRC and Life Bloom Services International [LBSI]).
Design
A mixed method research design combining qualitative and quantitative approaches.
Site
Makueni GBVRC in Makueni County, overseen by the Makueni County government, and LBSI in Naivasha, Nakuru County, a non-profit organization devoted to serving local communities.
Participants
Study participants include women survivors of GBV, aged 18 and above, actively seeking services at Makueni GBVRC and LBSI.
Interventions
The study adopts a qualitative approach to delve into the intricate economic costs of GBV on survivors. Additionally, quantitative data analysis employs an accounting model to ascertain the financial implications.
Main measurements
The costs analyses were done from the perspective of the women survivors. An accounting model was utilized to evaluate the cost of GBV on selected survivors. Furthermore, the research explores the enduring consequences for survivors, including psychological trauma and susceptibility to stress-related diseases.
Results
The findings reveal substantial economic costs linked to GBV, adversely affecting survivors, their children, and society at large. These costs encompass direct expenditures on medical care, legal representation, and counseling, as well as indirect costs, such as lost productivity.
Conclusions
Beyond immediate and indirect costs, the study underscores the existence of opportunity costs—what survivors and affected children could attain in the absence of GBV.
{"title":"Estimating the economic impact of gender-based violence on women survivors: A comparative study of support program interventions in Makueni and Naivasha, Kenya","authors":"","doi":"10.1016/j.aprim.2023.102840","DOIUrl":"10.1016/j.aprim.2023.102840","url":null,"abstract":"<div><h3>Objective</h3><div>To estimate the economic cost of GBV from the perspective of a women survivor who sought help from two identified programs (Makueni GBVRC and Life Bloom Services International [LBSI]).</div></div><div><h3>Design</h3><div>A mixed method research design combining qualitative and quantitative approaches.</div></div><div><h3>Site</h3><div>Makueni GBVRC in Makueni County, overseen by the Makueni County government, and LBSI in Naivasha, Nakuru County, a non-profit organization devoted to serving local communities.</div></div><div><h3>Participants</h3><div>Study participants include women survivors of GBV, aged 18 and above, actively seeking services at Makueni GBVRC and LBSI.</div></div><div><h3>Interventions</h3><div>The study adopts a qualitative approach to delve into the intricate economic costs of GBV on survivors. Additionally, quantitative data analysis employs an accounting model to ascertain the financial implications.</div></div><div><h3>Main measurements</h3><div>The costs analyses were done from the perspective of the women survivors. An accounting model was utilized to evaluate the cost of GBV on selected survivors. Furthermore, the research explores the enduring consequences for survivors, including psychological trauma and susceptibility to stress-related diseases.</div></div><div><h3>Results</h3><div>The findings reveal substantial economic costs linked to GBV, adversely affecting survivors, their children, and society at large. These costs encompass direct expenditures on medical care, legal representation, and counseling, as well as indirect costs, such as lost productivity.</div></div><div><h3>Conclusions</h3><div>Beyond immediate and indirect costs, the study underscores the existence of opportunity costs—what survivors and affected children could attain in the absence of GBV.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 10","pages":"Article 102840"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032908","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}
The postpartum period represents a vulnerable time for women's mental health, especially for those with complications and prematurity. This study aims to explore the evolution of depression and anxiety levels during the 12 weeks postpartum in mothers of premature babies.
Design
Prospective study of two parallel cohorts.
Setting
Hospital Clínic of Barcelona.
Participants
Women with obstetric complications [premature rupture of membranes or preeclampsia] requiring hospitalization and preterm delivery (< 37 weeks of gestation); 2) Women without complications with term delivery.
Main measures
Validated questionnaires were administered to measure anxiety (State-Trait Anxiety Inventory, STAI) and depression (Edinburgh Postnatal Depression Scale, EPDS) during the first week, and at 6 and 12 weeks postpartum.
Results
182 women were analyzed: 90 with uncomplicated pregnancies and term deliveries, and 92 with complications requiring preterm delivery. During the follow-up, women with premature newborns showed a significantly unfavorable progression in depression (p < 0.001) and anxiety (p < 0.001) scores, as well as a higher proportion of abnormal scores on both scales (p < 0.001 and p = 0.004, respectively)
Conclusions
Women with preterm delivery show higher anxiety and depression levels than those with term delivery during the 12 weeks postpartum. It is essential to ensure a seamless transition between care levels to effectively address postpartum mental health.
{"title":"Progresión posparto de los niveles de ansiedad y depresión en madres de recién nacidos prematuros","authors":"Yolanda Giménez , Francesc Fatjó , Aida Mallorquí , Alba Sanvicente , Francesc Figueras , Angela Arranz","doi":"10.1016/j.aprim.2024.103085","DOIUrl":"10.1016/j.aprim.2024.103085","url":null,"abstract":"<div><h3>Objective</h3><div>The postpartum period represents a vulnerable time for women's mental health, especially for those with complications and prematurity. This study aims to explore the evolution of depression and anxiety levels during the 12 weeks postpartum in mothers of premature babies.</div></div><div><h3>Design</h3><div>Prospective study of two parallel cohorts.</div></div><div><h3>Setting</h3><div>Hospital Clínic of Barcelona.</div></div><div><h3>Participants</h3><div>Women with obstetric complications [premature rupture of membranes or preeclampsia] requiring hospitalization and preterm delivery (< 37 weeks of gestation); 2) Women without complications with term delivery.</div></div><div><h3>Main measures</h3><div>Validated questionnaires were administered to measure anxiety (State-Trait Anxiety Inventory, STAI) and depression (Edinburgh Postnatal Depression Scale, EPDS) during the first week, and at 6 and 12 weeks postpartum.</div></div><div><h3>Results</h3><div>182 women were analyzed: 90 with uncomplicated pregnancies and term deliveries, and 92 with complications requiring preterm delivery. During the follow-up, women with premature newborns showed a significantly unfavorable progression in depression (p <<!--> <!-->0.001) and anxiety (p <<!--> <!-->0.001) scores, as well as a higher proportion of abnormal scores on both scales (p <<!--> <!-->0.001 and p<!--> <!-->=<!--> <!-->0.004, respectively)</div></div><div><h3>Conclusions</h3><div>Women with preterm delivery show higher anxiety and depression levels than those with term delivery during the 12 weeks postpartum. It is essential to ensure a seamless transition between care levels to effectively address postpartum mental health.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"Article 103085"},"PeriodicalIF":1.8,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142319328","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 : 2024-09-25DOI: 10.1016/j.aprim.2024.102992
Ana María Cebrián Cuenca , Javier Escalada
The prevalence of overweight and obesity has been increasing in recent decades, worldwide and in all age groups, including children and adolescents. In Spain, the prevalence of overweight and obesity is high and is expected to increase in the coming years. The World Atlas of Obesity suggests that in 2035 the prevalence of obesity in Spain will be high or very high, both in adults and children, following the worldwide trend. The prevalence of diabetes and obesity in Spain is higher in older people, especially those aged 65 and over. In the case of Spanish children and adolescents, there seems to be a stabilization in the rates of overweight and obesity, with the exception of the group of girls aged 10-15 years, where a gradual increase has been observed in the last 10 years.
{"title":"Prevalencia de obesidad y diabetes en España. Evolución en los últimos 10 años","authors":"Ana María Cebrián Cuenca , Javier Escalada","doi":"10.1016/j.aprim.2024.102992","DOIUrl":"10.1016/j.aprim.2024.102992","url":null,"abstract":"<div><div>The prevalence of overweight and obesity has been increasing in recent decades, worldwide and in all age groups, including children and adolescents. In Spain, the prevalence of overweight and obesity is high and is expected to increase in the coming years. The <em>World Atlas of Obesity</em> suggests that in 2035 the prevalence of obesity in Spain will be high or very high, both in adults and children, following the worldwide trend. The prevalence of diabetes and obesity in Spain is higher in older people, especially those aged 65 and over. In the case of Spanish children and adolescents, there seems to be a stabilization in the rates of overweight and obesity, with the exception of the group of girls aged 10-15 years, where a gradual increase has been observed in the last 10 years.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"Article 102992"},"PeriodicalIF":1.8,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142319329","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 : 2024-09-24DOI: 10.1016/j.aprim.2024.103089
Andrés Martínez-Arias , Lluís Valerio , Xavier Vallès , Sílvia Roure Díez , Laura Soldevila Langa , Primary Health Mpox Study Group, Èlia Fernandez Pedregal , Àgueda Hernàndez Rodríguez , Mar Isnard-Blanchard , Josep Maria Bonet Simó , Núria Prat Gil , Anna Cirera , Bonaventura Clotet , Emili Gené Tous
Main aim
In July 2022, an extensive outbreak of Mpox (monkeypox) was considered by WHO as a Public Health Emergency. The objective of this study is to describe the obtained results from a Mpox case detection program in a semi-urban healthcare area where approximately 420 Primary Care physicians work.
Design
An observational prospective study performed between June 01, 2022 and December 31, 2023.
Setting
The Northern Metropolitan area of Barcelona, with 1400.000 hab (Catalonia, Spain).
Methods
An unified Mpox management procedure was agreed, including a prior online training of Primary Care professionals, to individually assess all Mpox suspected cases from a clinical and epidemiological perspective.
Participants
All patients who met clinical and/or epidemiological criteria of Mpox.
Data collection
Age, gender, risk classification (suspected/probable), cluster-linked (yes/no), high-risk sexual contact (yes/no), general symptoms, genital lesion and final diagnostic.
Results
A total of 68 suspected Mpox cases were included, from which 16 (26.6%) were Mpox confirmed by PCR. Up to 13 (81.2%) were male and, among them, 12 (75%) men who have sex with men (MSM). The series, however, included two minors and three women. Among MSM, 3 (18.7%) were HIV positive and 3 had no regular access to the Public Healthcare system. Among discarded patients, any infectious disease was diagnosed in 55% of cases.
Conclusions
In spite of the short series, this Primary Care community-based study identified a sub-population group showing a different profile of Mpox cases compared to other published series (lower HIV prevalence, higher representativeness of heterosexual transmission and hard to reach population).
{"title":"Mpox cases finding: Evaluation of a Primary Care detection program in the Northern Metropolitan area from Barcelona (Spain)","authors":"Andrés Martínez-Arias , Lluís Valerio , Xavier Vallès , Sílvia Roure Díez , Laura Soldevila Langa , Primary Health Mpox Study Group, Èlia Fernandez Pedregal , Àgueda Hernàndez Rodríguez , Mar Isnard-Blanchard , Josep Maria Bonet Simó , Núria Prat Gil , Anna Cirera , Bonaventura Clotet , Emili Gené Tous","doi":"10.1016/j.aprim.2024.103089","DOIUrl":"10.1016/j.aprim.2024.103089","url":null,"abstract":"<div><h3>Main aim</h3><div>In July 2022, an extensive outbreak of Mpox (monkeypox) was considered by WHO as a Public Health Emergency. The objective of this study is to describe the obtained results from a Mpox case detection program in a semi-urban healthcare area where approximately 420 Primary Care physicians work.</div></div><div><h3>Design</h3><div>An observational prospective study performed between June 01, 2022 and December 31, 2023.</div></div><div><h3>Setting</h3><div>The Northern Metropolitan area of Barcelona, with 1400.000<!--> <!-->hab (Catalonia, Spain).</div></div><div><h3>Methods</h3><div>An unified Mpox management procedure was agreed, including a prior online training of Primary Care professionals, to individually assess all Mpox suspected cases from a clinical and epidemiological perspective.</div></div><div><h3>Participants</h3><div>All patients who met clinical and/or epidemiological criteria of Mpox.</div></div><div><h3>Data collection</h3><div>Age, gender, risk classification (suspected/probable), cluster-linked (yes/no), high-risk sexual contact (yes/no), general symptoms, genital lesion and final diagnostic.</div></div><div><h3>Results</h3><div>A total of 68 suspected Mpox cases were included, from which 16 (26.6%) were Mpox confirmed by PCR. Up to 13 (81.2%) were male and, among them, 12 (75%) men who have sex with men (MSM). The series, however, included two minors and three women. Among MSM, 3 (18.7%) were HIV positive and 3 had no regular access to the Public Healthcare system. Among discarded patients, any infectious disease was diagnosed in 55% of cases.</div></div><div><h3>Conclusions</h3><div>In spite of the short series, this Primary Care community-based study identified a sub-population group showing a different profile of Mpox cases compared to other published series (lower HIV prevalence, higher representativeness of heterosexual transmission and hard to reach population).</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"Article 103089"},"PeriodicalIF":1.8,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724002312/pdfft?md5=b302613c8b22954ea4e8da7ffb49be64&pid=1-s2.0-S0212656724002312-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142314357","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 : 2024-09-20DOI: 10.1016/j.aprim.2024.103081
Francisco Jean Gomes de Sousa , Edgar Amatuzzi , Andressa Teoli Nunciaroni , Jaime Alonso Caravaca-Morera , Claudia Regina Ribeiro , Adriana Lemos
Objective
To describe the practices and knowledge of Nursing Technicians and Community Health Agents of Primary Health Care for the transgender population.
Design
Descriptive research with a qualitative approach.
Site
The study was developed in a digital environment.
Participants
18 Community Health Agents and 12 Nursing Technicians who worked in Primary Health Care Units from several Brazilian states.
Method
Sampling technique by chain indication or networks (snowball), data production by Google Forms form. The theoretical saturation technique was used to close the interviews. Categorical thematic content analysis with IRAMUTEQ software support.
Results
Professionals’ lack of knowledge about policies and terms was evidenced; there were conceptual confusions, inadequate associations, and a restricted approach to the prevention of sexually transmitted infections.
Conclusions
The lack of training reflects a cisnormative and binary approach, compromising the assistance to the transgender population. Disrespect for the social name persists, highlighting the need for permanent education for health professionals, aiming at an inclusive and respectful care practice.
{"title":"Practices and knowledge of health personnel about transgenderity in Primary Health Care","authors":"Francisco Jean Gomes de Sousa , Edgar Amatuzzi , Andressa Teoli Nunciaroni , Jaime Alonso Caravaca-Morera , Claudia Regina Ribeiro , Adriana Lemos","doi":"10.1016/j.aprim.2024.103081","DOIUrl":"10.1016/j.aprim.2024.103081","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the practices and knowledge of Nursing Technicians and Community Health Agents of Primary Health Care for the transgender population.</p></div><div><h3>Design</h3><p>Descriptive research with a qualitative approach.</p></div><div><h3>Site</h3><p>The study was developed in a digital environment.</p></div><div><h3>Participants</h3><p>18 Community Health Agents and 12 Nursing Technicians who worked in Primary Health Care Units from several Brazilian states.</p></div><div><h3>Method</h3><p>Sampling technique by chain indication or networks (snowball), data production by Google Forms form. The theoretical saturation technique was used to close the interviews. Categorical thematic content analysis with IRAMUTEQ software support.</p></div><div><h3>Results</h3><p>Professionals’ lack of knowledge about policies and terms was evidenced; there were conceptual confusions, inadequate associations, and a restricted approach to the prevention of sexually transmitted infections.</p></div><div><h3>Conclusions</h3><p>The lack of training reflects a cisnormative and binary approach, compromising the assistance to the transgender population. Disrespect for the social name persists, highlighting the need for permanent education for health professionals, aiming at an inclusive and respectful care practice.</p></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 2","pages":"Article 103081"},"PeriodicalIF":1.8,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724002233/pdfft?md5=c24143331d0aba73307f04726ae1ea98&pid=1-s2.0-S0212656724002233-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142274468","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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