Cardiovascular Disease Risk Factors in Spain: a Comparison of Native and Immigrant Populations

Cardiovascular disease (CDV) risk factors are highly prevalent among adults with low social class in Spain. However, little is known on how these factors are distributed in the immigrant population, a socio-economic disadvantaged population. Thus, this study aims to examine inequalities in CVD risk factors among immigrant and native populations. We conducted a cross-sectional study using data from the Spanish National Health Survey 2017 and used log-binomial regression to quantify the association of immigrant status on CVD risk factors among adults aged 25-64 years. The probabilities of having at least three CVD risk factors were higher for immigrants from Eastern Europe (PR: 1.25; 95% CI: 1.15-1.35) and lower for immigrants from Africa (PR: 0.79; 95% CI: 0.69-0.89) when compared with natives. The association of immigrant status and CVD risk factors varies with educational attainment (p-interaction = 0.001). Immigrants from Eastern Europe with low educational attainment have a higher probability of having at least three CVD risk factors compared with their native counterparts. In contrast, immigrants from Africa and Latin America with low educational attainment had a protective effect against having at least three CVD risk relative to natives. Health prevention and promotion strategies to reduce the burden of CVD taking should account for educational attainment given its differential effect among the immigrant population in Spain.This work was supported by the Basque Government's research fund to consolidate research groups. Ref. IT977-1

Obesity Inequalities According to Place of Birth: The Role of Education

This study examined obesity inequalities according to place of birth and educational attainment in men and in women in Spain. A cross-sectional study was conducted using data from the Spanish National Health Survey 2011-2012 and from the European Health Survey in Spain 2014. We used data for 27,720 adults aged 18-64 years of whom 2431 were immigrants. We used log-binomial regression to quantify the association of place of birth with obesity before and after adjusting for the selected characteristics in women and in men. We found a greater probability of obesity in immigrant women (PR: 1.42; 95% CI: 1.22-1.64) and a lower probability of obesity in immigrant men (PR: 0.73; 95% CI: 0.59-0.89) relative to natives after adjustment. Significant heterogeneity was observed for the association of place of birth and obesity according to education in men (p-interactions = 0.002): Men with lower educational levels (PR: 0.47; 95% CI: 0.26-0.83) have a protective effect against obesity compared with their native counterparts. This study suggests that place of birth may affect obesity in women and in men. However, this effect may be compounded with education differently for women and men.This work was supported by the Basque Government's research fund to consolidate research groups. Ref. IT977-16

Perceived discrimination and self-rated health in the immigrant population of the Basque Country, Spain

Objective: To examine the effect of perceived discrimination and self-rated health among the immigrant population in the Basque Country, Spain, and determine whether this effect varies according to region of origin, age, sex and education. Methods: Descriptive cross-sectional study. The study population included immigrants aged 18 and older residing in the Basque Country. Data from the 2014 Foreign Immigrant Population Survey (n =3,456) were used. Log-binomial regression was used to quantify the association between perceived discrimination and self-rated health before and after checking for the selected characteristics. Results: Almost 1 in 10 immigrant adults reports perceiving discrimination. In adjusted analyses, the immigrants perceiving discrimination were almost were 1.92 more likely to rate their health as poor (prevalence ratio: 1.92; 95% CI: 1.44-2.56) than those who did not report discrimination. This association did not vary according to region of origin, age, sex or educational level. Conclusions: Perceived discrimination shows a consistent relationship with perceived health. Moreover, this association did not depend on the region of origin, age, sex or educational level of immigrants. These results show the need for implementing inclusive policies to eliminate individual and institutional discrimination and reduce health inequalities between the immigrant and native populations.This study was supported by the University of the Basque Country UPV/EHU (project EHU14/55]

Impacto en la utilización de los servicios sanitarios de las variables sociodemográficas, estilos de vida y autovaloración de la salud por parte de los colectivos de inmigrantes del País Vasco, 2005

Fundamento. La progresiva incorporación de población extranjera en nuestro país requiere de conocimientos sobre el impacto de estos grupos en el sistema sanitario. El objetivo de este trabajo es identificar los factores asociados a la utilización de los servicios públicos de salud en los grupos de población inmigrante del País Vasco. Métodos. Estudio descriptivo transversal con una muestra de conveniencia formada por 689 personas:219 magrebíes (31,8%), 152 subsaharianas (22,1%), 167 latinoamericanas (24,2%) y 151 europeas no comunitarias (21,9%). La herramienta utilizada fue la Encuesta de Salud de la Comunidad Autónoma del País Vasco (ESCAV¿2002). El análisis multivariante se realizó utilizando regresión logística dicotómica (soporte SPSS 14). Resultados. La mayor utilización de los servicios sanitarios se asoció al hecho de ser mujer (OR=3,37, IC=1,77-6,43), magrebí (OR=3,35, IC=1,51-7,45) y tener una mala autovaloración de la salud (OR=2,22, IC=1,00-4,90). La mayor utilización de la urgencia hospitalaria durante los dos primeros años de estancia se encontró en personas subsaharianas (OR=4,12, IC=1,23-13,81) y europeas no comunitarias (OR=3,56, IC=1,08-11,80). Conclusiones. Los resultados de este estudio permiten identificar las diferencias en la utilización de los servicios públicos de salud en los grupos de inmigrantes de la CAPV en función del sexo, autovaloración de la salud, grupo inmigrante de pertenencia y tiempo de estancia en el país de acogida

Guia Trabajo Fin de Grado. Escuela Universitaria de Enfermería de Leioa. Curso 14/15

Guia docente de la asignatura Trabajo Fin de Grado (TFG) en la Escuela Universitaria de Enfermería de Leioa para el curso 14/15. realizado por la comisión de TFG

Guia Trabajo Fin de Grado. Escuela Universitaria de Enfermería de Leioa. Curso 14/15

Guia docente de la asignatura Trabajo Fin de Grado (TFG) en la Escuela Universitaria de Enfermería de Leioa para el curso 14/15. realizado por la comisión de TFG