7 research outputs found
Risk of suicide in households threatened with eviction: the role of banks and social support
Background: One of the greatest effects of the financial crisis in Spain has been the enormous increase in the
number of evictions. Several studies have shown the association of evictions with different aspects of the physical
and mental health. Furthermore, evictions have been associated with an increased risk of suicide. Our objective was
to evaluate the risk of suicide among victims of eviction and investigate whether it is associated with specific
characteristics of households and interviewees, the eviction process and social support, and health needs. Results: Almost half of the sample (46.7%) were at low (11.8%), moderate (16.9%), or high suicide risk (17.9%).
Household and interviewee features had a limited association with suicide risk. On the contrary, the risk of suicide
is greater with a longer exposure to the eviction process. In addition, threatening phone calls from banks increased
significantly the risk of suicide, especially among men. Suicide risk was also associated with low social support,
especially among women. Interviewees at risk of suicide received more help from nongovernmental organizations
than those who were not at risk. In interviewees at risk, the main unmet needs were emotional and psychological
help, especially in men. A high percentage of those at risk of suicide declare having large unmeet health needs.
Finally, there was a tendency among the evicted at risk of suicide to visit emergency room and primary care more
often than those not at risk, especially among women.
Conclusions: To our knowledge, this is the first study showing that when banks adopt a threatening attitude,
suicide risk increases among the evicted. As hypothesized, when the evicted felt socially supported, suicide risk
decreased. Emotional help was the main mediator of suicide risk and the main unmet need, especially among me
Influence of individual characteristics and working conditions in the level of injury accident at work by registered in Andalusia, Spain, in 2003
Background. The study of the severity of occupational
injuries is very important for the establishment of prevention
plans. The aim of this paper is to analyze the distribution of
occupational injuries by a) individual factors b) work place
characteristics and c) working conditions and to analyze the
severity of occupational injuries by this characteristics in men
and women in Andalusia.
Methods. Injury data came from the accident registry of
the Ministry of Labor and Social Issues in 2003. Dependent
variable: the severity of the injury: slight, serious, very serious
and fatal; the independent variables: the characteristics of the
worker, company data, and the accident itself. Bivariate and
multivariate analysis were done to estimate the probability of
serious, very serious and fatal injury, related to other variables,
through odds ratio (OR), and using a 95% confidence interval
(CI 95%).
Results. The 82,4% of the records were men and 17,6%
were women, of whom the 78,1% are unskilled manual
workers, compared to 44,9% of men. The men belonging to
class I have a higher probability of more severe lesions (OR =
1,67, 95% CI = 1,17 â 2,38).
Conclusions. The severity of the injury is associated with
sex, age and type of injury. In men it is also related with the
professional situation, the place where the accident happened,
an unusual job, the size and the characteristics of the company
and the social class, and in women with the sectorYesFundamento. El estudio de la gravedad de las lesiones por
accidente de trabajo es clave para el establecimiento de planes
de prevenciĂłn. El objetivo de este trabajo es conocer la distribuciĂłn
de las lesiones registradas por accidente de trabajo con
baja segĂșn: a) las caracterĂsticas del trabajador/ora; b) las del
centro de trabajo y; c) las condiciones de empleo y del puesto
de trabajo; y analizar la gravedad de las lesiones registradas
segĂșn estas caracterĂsticas en hombres y mujeres en AndalucĂa.
MĂ©todos. Se utilizaron los datos del registro de lesiones
por accidente de trabajo con incapacidad laboral durante 2003
en AndalucĂa. Variable dependiente: grado real de la lesiĂłn;
variables independientes: las caracterĂsticas del/a trabajador/a,
de la empresa y las del propio accidente. Se realizĂł un anĂĄlisis
bivariante y multivariante para estimar la probabilidad de
lesiĂłn grave, muy grave o mortal asociada al resto de variables
mediante la razĂłn de odds (OR) y su intervalo de confianza.
Resultados. El 82,4% de las lesiones se produjeron en hombres
y el 17,6% en mujeres, de las cuales el 78,1% eran trabajadoras
manuales no cualificadas, frente al 44,9% de los hombres.
En hombres de clase I se encontrĂł una probabilidad mayor de
presentar lesiones mĂĄs graves (OR = 1,67; IC 95% = 1,17-2,38).
Conclusiones. La gravedad de las lesiones se relaciona con
el sexo, la edad y el tipo de lesión. En los hombres también se
asocia con la situaciĂłn profesional, la clase social, el lugar del
accidente, la plantilla del centro y el realizar un trabajo que no
es el suyo y en las mujeres con el sector de actividad
Long-term secondary prevention of cardiovascular disease with a Mediterranean diet and a low-fat diet (CORDIOPREV): a randomised controlled trial
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Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study an international prospective cohort study
We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05â1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4â7 days or â„ 8 days of 1.25 (1.04â1.48), p = 0.015 and 1.31 (1.11â1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care. We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05â1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4â7 days or â„ 8 days of 1.25 (1.04â1.48), p = 0.015 and 1.31 (1.11â1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care
The risk of COVID-19 death is much greater and age dependent with type I IFN autoantibodies
International audienceSignificance There is growing evidence that preexisting autoantibodies neutralizing type I interferons (IFNs) are strong determinants of life-threatening COVID-19 pneumonia. It is important to estimate their quantitative impact on COVID-19 mortality upon SARS-CoV-2 infection, by age and sex, as both the prevalence of these autoantibodies and the risk of COVID-19 death increase with age and are higher in men. Using an unvaccinated sample of 1,261 deceased patients and 34,159 individuals from the general population, we found that autoantibodies against type I IFNs strongly increased the SARS-CoV-2 infection fatality rate at all ages, in both men and women. Autoantibodies against type I IFNs are strong and common predictors of life-threatening COVID-19. Testing for these autoantibodies should be considered in the general population
The risk of COVID-19 death is much greater and age dependent with type I IFN autoantibodies
International audienceSignificance There is growing evidence that preexisting autoantibodies neutralizing type I interferons (IFNs) are strong determinants of life-threatening COVID-19 pneumonia. It is important to estimate their quantitative impact on COVID-19 mortality upon SARS-CoV-2 infection, by age and sex, as both the prevalence of these autoantibodies and the risk of COVID-19 death increase with age and are higher in men. Using an unvaccinated sample of 1,261 deceased patients and 34,159 individuals from the general population, we found that autoantibodies against type I IFNs strongly increased the SARS-CoV-2 infection fatality rate at all ages, in both men and women. Autoantibodies against type I IFNs are strong and common predictors of life-threatening COVID-19. Testing for these autoantibodies should be considered in the general population