4 research outputs found
The problematic use of Information and Communication Technologies (ICT) in adolescents by the cross sectional JOITIC study
Background: The emerging field of Information and Communications Technology (ICT) has brought about new interaction styles. Its excessive use may lead to addictive behaviours. The objective is to determine the prevalence of the problematic use of ICT such as Internet, mobile phones and video games, among adolescents enrolled in mandatory Secondary Education (ESO in Spanish) and to examine associated factors. Methods: Cross sectional, multi-centric descriptive study. Population: 5538 students enrolled in years one to four of ESO at 28 schools in the Vallès Occidental region (Barcelona, Spain). Data collection: self-administered socio-demographic and ICT access questionnaire, and validated questionnaires on experiences related to the use of the Internet, mobile phones and video games (CERI, CERM, CERV). Results: Questionnaires were collected from 5,538 adolescents between the ages of 12 and 20 (77.3 % of the total response), 48.6 % were females. Problematic use of the Internet was observed in 13.6 % of the surveyed individuals; problematic use of mobile phones in 2.4 % and problematic use in video games in 6.2 %. Problematic Internet use was associated with female students, tobacco consumption, a background of binge drinking, the use of cannabis or other drugs, poor academic performance, poor family relationships and an intensive use of the computer. Factors associated with the problematic use of mobile phones were the consumption of other drugs and an intensive use of these devices. Frequent problems with video game use have been associated with male students, the consumption of other drugs, poor academic performance, poor family relationships and an intensive use of these games. Conclusions: This study offers information on the prevalence of addictive behaviours of the Internet, mobile phones and video game use. The problematic use of these ICT devices has been related to the consumption of drugs, poor academic performance and poor family relationships. This intensive use may constitute a risk marker for ICT addictio
Complex Care Needs in Multiple Chronic Conditions: Population Prevalence and Characterization in Primary Care. A Study Protocol
Background: Chronicity, and particularly complex care needs for people with chronic diseases is one of the main challenges of health systems. Objective: To determine the population prevalence of people with chronic diseases and complex care needs and to characterize these needs considering features of health and social complexity in Primary Care. Design: Cross-sectional population-based study. Scope: Patients who have one or more chronic health conditions from three Primary Care urban centres of a reference population of 43.647 inhabitants older than 14 years old. Methodology: Data will be obtained from the review of electronical medical records. Complexity will be defined by: 1) the independent clinical judgment of primary care physicians and nurses and 2) the aid of three complexity domains (clinical and social). Patients with advanced chronic disease and limited life prognosis will be also described. Conclusions: This research protocol intends to describe and analyse complex care needs from a primary care professional perspective in order to improve knowledge of complexity beyond multimorbidity and previous consumption of health resources. Knowing about health and social complexity with a more robust empirical basis could help for a better integration of social and health policies and a more proactive and differentiated care approach in this most vulnerable population
Estudio descriptivo de los trabajadores de servicios sanitarios de una dirección de Atención primaria confinados por COVID19
Background: The Covid-19 pandemic is testing the
resistance of health systems, the preservation of health
professionals is a priority in processes of this type. The
professionals’ exposure to suspicious contacts often requires
their confinement. The objective was to know the
epidemiological characteristics of the primary care professionals
who required confinement.
Methods: The research was carried out in the North
Metropolitan Primary Care Area of Barcelona, from
February 17 to May 3, 2020. 1,418 professionals who required
confinement due to the epidemic by Covid-19 participated.
The reasons for confinement, symptomatology, the
confinement time and the results of PCR tests results were
recorded. Univariate descriptive analysis was performed.
Results: 78.8% of the professionals were women and
the mean age was 45.2 years. 67.8% were doctors and nurses,
in the remaining 32.2% there were different healthcare
and non-care professionals. 64.1% of the sample presented
symptoms compatible with Covid-19. Participants described
multiple symptoms during confinement. 1,050 diagnostic
RT- PCR tests were performed, being positive in 323
cases, of which 33 were in asymptomatic people.
Conclusions: The impact of the epidemic by
Covid-19 is anticipated in health personnel compared to the
general population. The distribution of symptoms in healthcare
professionals is similar to that of other studies in the
general population. Of the total number of professionals requiring
isolation, 22.7% confirmed the diagnosis.Fundamentos: La pandemia de la Covid-19 está poniendo
a prueba la resistencia de los sistemas sanitarios.
La preservación de los profesionales sanitarios es prioritaria
siempre y especialmente ante situaciones de este tipo.
La exposición de los profesionales frente a contactos sospechosos
obliga en muchas ocasiones a su confinamiento.
El objetivo fue conocer las características epidemiológicas
de los profesionales de atención primaria que han precisado
confinamiento.
Métodos: La investigación se llevó a cabo en el área
de atención primaria Metropolitana Nord de Barcelona,
desde el 17 de febrero al 3 de mayo de 2020. Participaron
1.418 profesionales que requirieron confinamiento debido
a la epidemia por la Covid-19. Se registraron los motivos
de confinamiento, sintomatología, tiempo de confinamiento
y resultados de las pruebas PCR. Se realizó análisis
descriptivo univariante.
Resultados: El 78,8% de los profesionales eran mujeres
y la edad media de fue 45,2 años. El 67,8% fueron
facultativos y enfermeras, en el 32,2% restante había diferentes
profesionales asistenciales y no asistenciales. El
64,1% de la muestra presentó sintomatología compatible
con Covid-19. Los participantes describieron múltiples
síntomas durante el confinamiento. Se realizaron 1.050
pruebas diagnósticas RT-PCR resultando positivas en 323
casos, de los que 33 fueron en personas asintomáticas.
Conclusiones: El impacto de la epidemia por
Covid-19 se adelanta en el personal sanitario respecto a
la población general. La distribución de síntomas en profesionales
sanitarios es similar a la de otros estudios en
población general. Del total de profesionales que precisan
confinamiento en el 22,7% se confirma el diagnóstico