35 research outputs found
Excess Weight in Relation to Lifestyle Habits in Spanish First-Year University Students: Differences between Pre- and Post-COVID-19—A Serial Cross-Sectional Study Based on uniHcos Project
This research was funded by National Drug Plan from the Ministry of Health, Social Services and Equality of Spain: 2010|145, 2013|034, 2020|030; Instituto de Salud Carlos III: PI16/01947. Lorena Botella-Juan: predoctoral contract financed by the European Social Fund (EDU/842/2022) and the "Junta de Castilla y León—ConsejerÃa de Educación (Spain).The objective of this research was to study the relationship between the body weight and diet, physical activity, and other habits among freshmen students by sex, and to determine whether these habits have changed during the post-era of the COVID-19 pandemic. A serial cross-sectional study with data from 11 Spanish universities was carried out. In total, 10,096 first-year university students (73.2% female, mean age = 19.0 ± 1.5 years) completed an online self-administered questionnaire between 2012 and 2022. For some analyses, questionnaires were categorized by the year in which the survey was filled out as Before COVID-19, Lockdown, and New Normal. In total, 72.9% of participants were within the normal weight range, and 17.7% of men and 11.8% of women were overweight (p < 0.001). The students who did not meet the WHO criteria of physical activity, spent more than 7 h per day sitting, and skipped breakfast had a higher prevalence of obesity (p < 0.05). According to the period of study, the prevalence of overweight/obesity Before COVID-19 was 16.1% (95% CI: 15.4–16.9%), while in Lockdown the prevalence was significantly higher (20.2, 95% CI: 17.1–23.8) and in New Normal it was 18.9% (CI: 15.7–22.5). Moreover, the study suggests that during the Lockdown period, there was a reduction in the practice of physical activity and an increase in the prevalence of a healthy diet. For all these, it is necessary to propose public health interventions that improve the lifestyles of university students.Ministerio de Sanidad, Consumo y Bienestar Social
030, 034, 145 MISANInstituto de Salud Carlos III
PI16/01947 ISCIIIEuropean Social Fund
EDU/842/2022 ESFConsejerÃa de Educación, Junta de Castilla y Leó
Impact of the COVID-19 Pandemic on the Evolution of Prevalence and Patterns of Cannabis Use among First-Year University Students in Spain—UniHcos Project
Among university students there has been evidence that the COVID-19 pandemic increased
their psychological distress, exacerbated by social restrictions. The main objective of this study was to
explore the impact of the COVID-19 pandemic on the prevalence and patterns of cannabis use among
university students, in contrast to previous trends since 2012. Data from 10,522 first-year university
students (73.3% female, Mage 19 (SD = 1.6)) from eleven Spanish universities collected between 2012
andMay 2022 was analysed. Prevalences of cannabis use and their differences by sex were studied, as
well as changes in patterns of use and its use for coping during the pandemic. It was found that during
lockdown, all prevalence rates of cannabis use decreased in both sexes, showing no statistically significant
differences and increasing again in the new normal period in both. Among regular cannabis users, 79.7%
reportedmaintaining or increasing their cannabis use during the pandemic, and of these, half reported
using cannabis to cope. Moreover, cannabis use in the usual household increased during the lockdown.
These results showthat although the overall prevalence of cannabis use was reduced during the lockdown,
regular users tended tomaintain or increase cannabis use. This could imply two different patterns of use
among students, one social and occasional versus the other regular, providing new lines of research for
prevention and the implementation of social policies.National Drug Plan from the Ministry of Health, Social Services and Equality of Spain 2010|145
2013|034
2020|030Instituto de Salud Carlos III
European Commission PI16/0194
Psychological Distress, Family Support and Employment Status in First-Year University Students in Spain
Mental disorders are consistently and closely related to psychological distress. At the start
of the university period, the relationship between a student’s psychological distress, family support,
and employment status is not well-known. The aims of this study were: To determine the prevalence of psychological distress in first-year university students and to analyze its relationship with
family support and the student’s employment status. Data from 4166 first-year university students
from nine universities across Spain were considered. The prevalence of psychological distress
was obtained using the GHQ-12, a valid and reliable screening tool to detect poor mental health.
To analyze the relationship between psychological distress, family support, and employment status,
logistic regression models were fitted. Regarding the prevalence found, 46.9% of men and 54.2% of
women had psychological distress. In both genders, psychological distress levels increased as family
support decreased. Among women, psychological distress was associated with their employment
status. The prevalence of psychological distress among first-year university students in Spain is
high. In addition, family support, and employment status for women, could be factors to take
into account when developing psychological distress prevention strategies at the beginning of the
university period.This study was funded by the National Drug Plan from the Ministry of Health, Social Services and
Equality of Spain (Codes: 2010|145 and 2013|034)
Competencias y contenidos de Salud Pública del Grado de EnfermerÃa en las universidades españolas.
El Foro de Profesorado Universitario de Salud Pública
pretende actualizar la formación de Salud Pública en los estudios de grado.
El objetivo fue determinar las competencias y contenidos básicos de Salud
Pública del Grado de EnfermerÃa en España según el criterio del profesorado
universitario. Se seleccionaron 43 de las 80 competencias profesionales
reconocidas para el ámbito de la Salud Pública. La mayorÃa, se correspondieron
con las funciones de ‘Valorar las necesidades de salud de la
población’ y ‘Desarrollar las polÃticas de salud’. También se consensuaron
47 unidades temáticas organizadas en 7 bloques, con contenidos sobre introducción
a la salud pública, demografÃa, determinantes de salud, epidemiologÃa
de enfermedades trasmisibles y no trasmisibles, sistemas sanitarios y
gestión, y promoción y educación para la salud. El profesorado universitario consensuó competencias y
contenidos de Salud Pública adecuados para el Grado de EnfermerÃa. Dicho
consenso constituye una referencia para elaborar guÃas docentes de Salud
Pública en el Grado de EnfermerÃaThe Forum of Public Health University Teachers aims
to update the Public Health training in the degree studies. The aim was to
determine the competences and basic contents of Public Health of Nursing
Degree in Spain according to the criterion of the university academic staff. Nursing professors selected 43 of the 80 competences which are
recognized for Public Health professionals. The majority corresponded to the
functions ‘Assessing population health needs’ and ‘Developing health policies’.
Professors also got to agree about 47 issues organized in 7 blocks, with
contents on introduction of Public Health, demography, health determinants,
epidemiology of communicable and non-communicable diseases, health systems
and health management, and health promotion and education for health. The university teachers agreed on Public Health competencies
and contents suitable for the Nursing Degree. This consensus constitutes a
reference to elaborate educational guides of Public Health for Nursing Degree.La Fundación Dr. Antonio Esteve patrocinó la IV Reunión del Foro de Profesorado Universitario de
Salud Pública en el Grado de EnfermerÃa. Este foro forma parte de las actividades realizadas por el Grupo de Trabajo de
Formación de los/as Profesionales de la Salud Pública auspiciado por la Sociedad Española de EpidemiologÃa (SEE)
Physician–Patient Language Discordance and Poor Health Outcomes: A Systematic Scoping Review
Professor Khan is a distinguished investigator at the University
of Granada funded by the Beatriz Galindo (senior modality)
program of the Spanish Ministry of Education.The Supplementary Material for this article can be found
online at: https://www.frontiersin.org/articles/10.3389/fpubh.
2021.629041/full#supplementary-materialObjective: This systematic review assessed whether physician-patient language concordance, compared with discordance, is associated with better health outcomes.
Methods: A systematic literature search was conducted, without language restrictions, using PubMed, EMBASE, Web of Science, and PsycINFO, from inception to July 2020. We included studies that evaluated the effects of physician-patient language concordance on health outcomes. Articles were screened, selected, and data-extracted in duplicate. Review protocol was prospectively registered (PROSPERO, CRD42020157229).
Results: There were 541 citations identified through databases and eight citations through reverse search and Google Scholar. A total of 15 articles (84,750 participants) were included reporting outcomes within five domains: diabetes care (four studies), inpatient care (five studies), cancer screening (three studies), healthcare counseling (two studies), and mental health care (one study). Ten studies were of good quality, four were fair, and one was poor, according to the modified Newcastle-Ottawa Scale. Eight studies (53%) showed a significant negative association between language discordance and at least one clinical outcome. Five studies (33%) found no association.
Conclusion: Over half the evidence collated showed that physician-patient language concordance was associated with better health clinical outcomes.Spanish Governmen
Perinatal and Maternal Outcomes According to the Accurate Term Antepartum Ultrasound Estimation of Extreme Fetal Weights
(1) Background: The accuracy of ultrasound estimation of fetal weight (EFW) at term
may be useful in addressing obstetric complications since birth weight (BW) is a parameter that
represents an important prognostic factor for perinatal and maternal morbidity. (2) Methods: In a
retrospective cohort study of 2156 women with a singleton pregnancy, it is verified whether or not
perinatal and maternal morbidity differs between extreme BWs estimated at term by ultrasound
within the seven days prior to birth with Accurate EFW (difference < 10% between EFW and BW) and
those with Non-Accurate EFW (difference ≥ 10% between EFW and BW). (3) Results: Significantly
worse perinatal outcomes (according to different variables such as higher rate of arterial pH at birth
< 7.20, higher rate of 1-min Apgar < 7, higher rate of 5-min Apgar < 7, higher grade of neonatal
resuscitation and need for admission to the neonatal care unit) were found for extreme BW estimated
by antepartum ultrasounds with Non-Accurate EFW compared with those with Accurate EFW. This
was the case when extreme BWs were compared according to percentile distribution by sex and
gestational age following the national reference growth charts (small for gestational age and large for
gestational age), and when they were compared according to weight range (low birth weight and
high birth weight). (4) Conclusions: Clinicians should make a greater effort when performing EFW
by ultrasound at term in cases of suspected extreme fetal weights, and need to take an increasingly
prudent approach to its management
Alcohol use and family‑related factors among Spanish university students: the unHicos project
Background: During adolescence and youth there are relevant changes in the consolidation, gain or loss of consumption habits and lifestyles and the family factors has a fundamental role to development these habits. The study of the consumption of toxins, such as alcohol intake, is crucial at this stage due to the repercussions that said consumption presents in adulthood. Therefore, the objective of our study was to evaluate the associations between alcohol consumption patterns and related family factors (family functioning, family history of alcohol consumption) in Spanish university students. Methods: Observational, descriptive, cross-sectional, multicenter study, carried out in first-year university students from 11 Spanish universities. Through an online questionnaire, alcohol consumption (risky consumption and intensive consumption or binge drinking), family functioning and history of alcohol in the family were evaluated. Risky alcohol consumption and binge drinking were assessed using the AUDIT test, and family functioning was assessed using the family APGAR questionnaire. A descriptive analysis of the data was performed, as well as the Chi- Square test and Student’s T-Test, and non-conditional logistic regression models were carried out to examine this association. Results: The prevalence of risky alcohol consumption identified in the 10,167 respondents was 16.9% (95% CI = 16.2–17.6), and that of BD was 48.8% (95% CI = 47.9–48.8). There is a significant association between risky alcohol consumption and family functioning in students of both sexes, with greater consumption in the face of severe dysfunctional support (men OR = 1.72; p < 0.001 and women OR = 1.74; p < 0.001) and family history of consumption (p = 0.005). Regarding the binge drinking pattern, no statistically significant differences were observed. Conclusions: Risky alcohol consumption in university students is associated with dysfunctional family support, unlike the binge drinking pattern, where there is no such association. The findings of this study show the importance of creating prevention programs focused on the family approach in
university students, which include alcohol screening in the population with a family history of this substance, and
greater social support from health services.National Drug Plan, Ministry of Health, Social Services and Equality of Spain 2010|145
2013|034
PI16/0194
Maternal trauma due to motor vehicle crashes and pregnancy outcomes: a systematic review and meta-analysis
Objectives To systematically review and quantify the
effect of motor vehicle crashes (MVCs) in pregnancy on
maternal and offspring outcomes.
Design Systematic review and meta-analysis of
observational data searched from inception until 1 July
2018. Searching was from June to August 2018 in
Medline, Embase, Web of Science, Scopus, Latin-American
and Caribbean System on Health Sciences Information,
Scientific Electronic Library Online, TRANSPORT,
International Road Research Documentation, European
Conference of Ministers of Transportation Databases,
Cochrane Database of Systematic Reviews and Cochrane
Central Register.
Participants Studies were selected if they focused on
the effects of exposure MVC during pregnancy versus
non-exposure, with follow-up to verify outcomes in
various settings, including secondary care, collision and
emergency, and inpatient care.
Data synthesis For incidence data, we calculated
a pooled estimate per 1000 women. For comparison
of outcomes between women involved and those not
involved in MVC, we calculated ORs with 95% CIs.
Where possible, we statistically pooled the data using
the random-effects model. The quality of studies used in
the comparative analysis was assessed with Newcastle–
Ottawa Scale.
Results We included 19 studies (3 222 066 women)
of which the majority was carried out in high-income
countries (18/19). In population-level studies of women
involved in MVC, maternal death occurred in 3.6 per 1000
(95% CI 0.25–10.42; 3 studies, 12 000 women; Tau=1.77),
and fetal death or stillbirth in 6.6 per 1000 (95% CI
3.81–10.12; 8 studies, 47 992 women; I2
=92.6%). Pooled
incidence of complications per 1000 women involved
in MVC was labour induction (276.43), preterm delivery
(191.90) and caesarean section (166.65). Compared with
women not involved in MVC, those involved had increased
odds of placental abruption (OR 1.43, 95%CI 1.27–1.63;
3 studies, 1 500 825 women) and maternal death (OR
202.27; 95%CI 110.60–369.95; 1 study, 1 094 559
women).
Conclusion Pregnant women involved in MVC were at
higher risk of maternal death and complications than those
not involved
Declared experiences of risky sexual behaviors in relation to alcohol consumption in the first year of college
El estudio ha sido financiado por el Plan Nacional Sobre Drogas del Ministerio de Salud, Servicios Sociales e Igualdad.
Convocatoria de 2010 y de 2013. (Códigos: 2010/145 and 2013/034) y por el Instituto de Salud Carlos III a través de la convocatoria del
FIS (Fondo de Investigación Sanitaria) de 2016 (PI16/01947).A Gregorio Barrio Anta, cientÃfico del
Instituto Salud Carlos III, por su apoyo en la
revisión final del artÃculo.Fundamentos: En universitarios, el consumo de alcohol
de mayor riesgo (borracheras y binge drinking (BD), tiene
consecuencias negativas sobre su desarrollo y probablemente
facilita conductas sexuales de riesgo. El objetivo de
este trabajo fue estudiar si las conductas sexuales de riesgo
al consumir alcohol (CSRA) se asocian a los consumos de
mayor riesgo.
Métodos: Estudio multicéntrico transversal con datos
del Proyecto uniHcos, de universitarios de 1er año de 11
universidades españolas, entre los cursos 2011-2012 y 2017-
2018. Datos recogidos mediante cuestionario autoadministrado.
Se realizó un análisis uni y bivariable, evaluando la significación
estadÃstica de las diferencias de prevalencia con
chi-cuadrado. Se utilizó media y desviación tÃpica para variables
cuantitativas y como estadÃstico de contraste t de Student.
Resultados: 9.862 participantes (72,2% mujeres). El
90,3% consumió alcohol y el 60,9% tuvo borracheras en último
año; el 49% tuvo BD en el último mes. El consumo en
el último mes y las borracheras fueron mayores en hombres
y < 21 años. Las CSRA fueron superiores entre los que se
emborracharon (15,7% sexo sin protección, 1,9% abuso sexual
y 0,7% aprovecharse sexualmente) y consumieron en
BD (17,1%, 1,9% y 0,7%). Las mujeres con ambos consumos
de riesgo presentaron más abusos sexuales (2,2%), y los
hombres fueron quienes más se aprovecharon sexualmente de
otros (borracheras:1,2%; BD: 1,3%).
Conclusiones: El consumo de alcohol está por encima
de grupos similares. El BD tiene un patrón similar por género
y edad. Las CSRA se asocian a los consumos de mayor riesgo,
no detectándose en este grupo diferencias por género en sexo
sin protección, sà en otras CSRA.Background: In college students, higher risk alcohol
consumption (drunkenness and binge drinking-BD) has negative
consequences on their development and and probably
facilitates risk sexual behaviors. The objective was to study if
risky sexual behaviors when consuming alcohol (RSBA) are
associated with higher risk consumption.
Methods: Cross-sectional multicenter study with
UniHcos Project, 1st year university students from 11 universities
in Spain, academic years 2011-2012 to 2017-2018 data.
This data were collected by self-administered questionnaire.
A uni and bivariate analysis was performed, evaluated the statistical
significance of the differences in prevalence with chisquare.
Mean and standard deviation were used for quantitative
variables and Student’s t test statistic was used.
Results: 9,862 subjects (72.2% women). 90.3% reported
having consumed alcohol and 60.9% had drunk the last year,
49% BD in last month. It was deteded in men, significantly
higher consumption in the last month and drunkenness. Last
month consumption and drunkenness were significantly higher
in men and in <21 years. The RSBA were significantly higher
among who were drunk (15.7% unprotected sex, 1.9% sexual
abuse and 0.7% taking sexual advantage) and had BD (17.1%,
1.9% and 0.7 %). Women with both risk consumptions had
more sexual abuse (2.2%), and men had greater behaviors of
taking sexual advantage of someone (drunk: 1.2%; BD: 1.3%).
Conclusions: Alcohol consumption was above similar
groups. BD consumption was similar by gender and age. Risk
sexual behaviors appear mainly in problematic consumption.
Gender differences are not detected in alcohol consumers in
unprotected sex but deteded in the rest.Plan Nacional Sobre Drogas del Ministerio de Salud, Servicios Sociales e Igualdad.
Convocatoria de 2010 y de 2013. (Códigos: 2010/145 and 2013/034)Instituto de Salud Carlos III a través del FIS (Fondo de Investigación Sanitaria) de 2016 (PI16/01947
Las diferencias en los sÃntomas psicológicos durante el embarazo y el postparto antes y después del COVID-19: un estudio transversal
Pregnant women are especially vulnerable to mental health problems, including stress, anxiety, and depression. This risk has been increased during the COVID-19 pandemic and differences in psychological symptoms in pregnancy and postpartum before and during COVID-19 exists. Mental health problems can have adverse effects on both the woman, and the neonate, including miscarriages, premature births, low birth weight, and higher rates of cesarean sections and instrument-assisted deliveries. Aim: To evaluate the prevalence of psychological symptoms of pregnant women before and during the COVID-19 pandemic. Method: A cross-sectional study was carried out to assess the psychological profile in a sample of pregnant women selected before the pandemic and a sample of women studied during the first wave of the pandemic. A total of 122 women were selected prior to the pandemic and 181 women during the COVID-19 outbreak. The Symptom Checklist-90 Revised (SCL-90-R) was used to assess depression and anxiety during pregnancy and in the postpartum period. Results: The prevalence of symptoms of depression and anxiety during pregnancy were higher in the sample of women studied during the pandemic (SCL-90-R: M = 54.6 vs. 42.6 and M = 62.6 vs. 51.7 respectively). In the postpartum the difference between both samples of women was even higher for depression and anxiety (SCL-90-R: M = 50.4 vs. 35.0 and M = 51.3 vs. 36.0 respectively). Being a pregnant woman at the COVID-19 outbreak was directly associated with a higher score of depression symptoms (aOR = 8.67, 95% CI [3.26, 23.02], p < .001). Anxiety during childbirth was more frequently reported by women before the pandemic (aOR = 5.13, 95% CI [2.53, 10.44], p < .001). The variable stage (before /during pandemic) was also associated with having a clinical SCL-90-R score above 70 (aOR = 7.61, 95% CI [2.7, 21.47], p < .001). Conclusion: During the pandemic, pregnancy and postpartum were associated with the presence of anxiety and depression. The main factor associated with postpartum depression was maternal age. These finding highlights the vulnerability of pregnant in front of the pandemic, in which psychological health and mental well-being are affected, not only during pregnancy, but also in the postpartum.Las mujeres embarazadas son especialmente vulnerables a los problemas de salud mental, como el estrés, la ansiedad y la depresión. Este riesgo se ha incrementado durante la pandemia de COVID-19, habiendo diferencias en los sÃntomas psicológicos en el embarazo y el puerperio antes y después de la pandemia. Los problemas de salud mental pueden tener efectos perjudiciales tanto en la mujer como en el recién nacido, como abortos espontáneos, partos prematuros, bajo peso al nacer y tasas más altas de cesáreas y partos asistidos. Objetivo: Evaluar la prevalencia de sÃntomas psicológicos de gestantes antes y durante la pandemia de COVID-19. Método: Se realizó un estudio transversal para evaluar el perfil psicológico en una muestra de mujeres embarazadas seleccionadas antes de la pandemia y una muestra de mujeres estudiadas durante la primera ola de la pandemia. Se seleccionó un total de 122 mujeres antes de la pandemia y 181 mujeres durante el brote de COVID-19. Se utilizó la Inventario de Verificación de SÃntomas-90 Revisada (SCL-90-R) para evaluar la depresión y la ansiedad durante el embarazo y el puerperio. Resultados: La prevalencia de sÃntomas de depresión y ansiedad
durante el embarazo fue mayor en la muestra de mujeres estudiadas durante la pandemia (SCL-90-R: M = 54.6 vs. 42.6 y M =
62.6 vs. 51.7 respectivamente). En el postparto la diferencia entre ambas muestras de mujeres fue aún mayor para depresión
y ansiedad (SCL-90-R: M = 50.4 vs. 35.0 y M = 51.3 vs. 36.0 respectivamente). Ser mujer embarazada en el brote de COVID-19
se asoció directamente con una mayor puntuación de sÃntomas de depresión (aOR = 8.67, IC 95% [3.26, 23.02, p < .001).
Las mujeres manifestaron ansiedad durante el parto con mayor frecuencia antes de la pandemia (aOR = 5.13, IC 95% 2.53,
10.44], p < .001). La variable estadio (antes/durante la pandemia) también se asoció con tener una puntuación clÃnica SCL-
90-R superior a 70 (aOR = 7.61, IC 95% [2.7, 21.47], p < .001). Conclusión: Durante la pandemia, el embarazo y el postparto se
asociaron con la presencia de ansiedad y depresión. El principal factor asociado a la depresión posparto fue la edad materna.
Estos hallazgos resaltan la vulnerabilidad de las mujeres embarazadas ante la pandemia, en la que la salud psicológica y el
bienestar mental se ven afectados, no solo durante el embarazo, sino también en el posparto.Junta de AndalucÃa (RH-0069-2021)