Incidencia de caries en una población infantil de Móstoles, estudio de cohortes prospectivas : tesis doctoral

Tesis de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Medicina Preventiva, Salud Pública e Historia de la Ciencia, leída el 07-05-1999Depto. de Salud Pública y Materno - InfantilFac. de MedicinaTRUEpu

Significant differences in the use of healthcare resources of native-born and foreign born in Spain

<p>Abstract</p> <p>Background</p> <p>In the last decade, the number of foreign residents in Spain has doubled and it has become one of the countries in the European Union with the highest number of immigrants There is no doubt that the health of the immigrant population has become a relevant subject from the point of view of public healthcare. Our study aimed at describing the potential inequalities in the use of healthcare resources and in the lifestyles of the resident immigrant population of Spain.</p> <p>Methods</p> <p>Cross-sectional, epidemiological study from the Spanish National Health Survey (NHS) in 2006, from the Ministry of Health and Consumer Affairs. We have worked with individualized secondary data, collected in the Spanish National Health Survey carried out in 2006 and 2007 (SNHS-06), from the Ministry of Health and Consumer Affairs. The format of the SNHS-06 has been adapted to the requirements of the European project for the carrying out of health surveys.</p> <p>Results</p> <p>The economic immigrant population resident in Spain, present diseases that are similar to those of the indigenous population. The immigrant population shows significantly lower values in the consumption of alcohol, tobacco and physical activity (OR = 0.76; CI 95%: 0.65–0.89, they nonetheless perceive their health condition as worse than that reported by the autochthonous population (OR = 1.63, CI 95%: 1.34–1.97). The probability of the immigrant population using emergency services in the last 12 months was significantly greater than that of the autochthonous population (OR = 1.31, CI 95%: 1.12–1.54). This situation repeats itself when analyzing hospitalization data, with values of probability of being hospitalized greater among immigrants (OR = 1.39, CI 95%: 1.07–1.81).</p> <p>Conclusion</p> <p>The economic immigrants have better parameters in relation to lifestyles, but they have a poor perception of their health. Despite the fact that immigrant population shows higher percentages of emergency attendance and hospitalization than the indigenous population, with respect to the use of healthcare resources, their usage of healthcare resources such as drugs, influenza vaccinations or visits to the dentist is lower.</p

Incidencia de caries en una población infantil de Móstoles, estudio de cohortes prospectivas : tesis doctoral

Tesis de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Medicina Preventiva, Salud Pública e Historia de la Ciencia, leída el 07-05-1999Depto. de Salud Pública y Materno - InfantilFac. de MedicinaTRUEpu

Evolución de la prevalencia de caries en una población infantil de Móstoles entre 1988 y 1997

El objetivo del estudio es conocer la prevalencia de caries en una población infantil de Móstoles y los factores asociados. Hemos realizado un estudio descriptivo transversal en 363 escolares de 6 años de edad, en los colegios de la zona de influencia del Centro de Salud San Fernando (Móstoles). Se realizó una revisión odontológica en 1997 según los criterios de la Organización Mundial de la Salud. Se recogieron variables de estado dental, sociodemográficas y de frecuencia de cepillado. Se compararon los resultados con los obtenidos en la revisión del año 1988 en esos mismos centros escolares. Resultados. La prevalencia de caries en dentición temporal es del 24, 6% y en dentición permanente del 1, 1 %. En el análisis univariante los escolares revisados en el año 1988 tienen un OR de sufrir caries de 3, 48 respecto a los revisados en 1997 y los escolares de clase social baja tienen OR de 1, 61 (IC95% 1, 19-2, 17) respecto a los de clase media-alta. Conclusión. La prevalencia de caries ha disminuido en la población infantil de Móstoles entre 1988 y 1997. El declinar de la caries se asocia a un mejor nivel socioeconómico. La frecuencia de cepillado ha aumentado en este periodo pero en nuestro estudio no se asocia con la disminución de la prevalencia de caries

Is COPD associated with periodontal disease? A population-based study in Spain

Ana Lopez-de-Andr&eacute;s,1 Luis Vazquez-Vazquez,2 Maria A Martinez-Huedo,3 Valent&iacute;n Hern&aacute;ndez-Barrera,1 Isabel Jimenez-Trujillo,1 Miguel A Tapias-Ledesma,1 Javier de Miguel-Diez,4,5 Rodrigo Jim&eacute;nez-Garc&iacute;a1 1Preventive Medicine and Public Health Teaching and Research Unit, Health Sciences Faculty, Universidad Rey Juan Carlos, Alcorc&oacute;n, Spain; 2Human Anatomy and Embryology Teaching and Research Unit, Health Sciences Faculty, Universidad Rey Juan Carlos, Alcorc&oacute;n, Spain; 3Preventive Medicine, La Paz University Hospital, Madrid, Spain; 4Respiratory Department, Gregorio Mara&ntilde;on General University Hospital, Medical School, Complutense University, Madrid, Spain; 5Instituto de Investigaci&oacute;n Sanitaria Gregorio Mara&ntilde;&oacute;n (IiSGM), Madrid, Spain Background: Periodontal disease is more prevalent and more severe among men and women suffering from chronic obstructive pulmonary disease (COPD) compared with healthy adults. The objectives of this paper were to assess the association between periodontal disease and COPD, controlling the effect of sociodemographic characteristics, oral health status, lifestyle variables, and comorbidities. Second, we identified which of the variables analyzed were independently associated with periodontal disease among COPD sufferers.Methods: This descriptive study was done with data from the National/European Health Interview Surveys, conducted in years 2006, 2011/12, and 2014 in Spain. We included subjects &ge;40 years of age. COPD status was self-reported. One non-COPD patient was matched by age, gender, and the year of survey for each COPD case. The presence of periodontal disease was defined using the answers &ldquo;my teeth bleed spontaneously or while brushing&rdquo; or/and &ldquo;my teeth move&rdquo; to the question: &ldquo;Do you suffer of any of these dental and oral disorders or diseases?&rdquo; Independent variables included demographic, socioeconomic, and health care-related variables, oral health status, and presence of comorbidities.Results: The prevalence of periodontal disease was higher among COPD patients than their matched non-COPD controls (26.5% vs 22.2%; P&lt;0.001). Adjusted odds ratio (AOR) of periodontal disease for subjects with COPD was 1.21 (95% CI: 1.12&ndash;1.30). Suffering mental disorders (AOR: 1.61; 95% CI: 1.32&ndash;1.97) was positively associated with higher risk of periodontal disease. Older age, having a private dental health insurance, and university education were variables associated with lower rates of periodontal disease.Conclusion: Prevalence of periodontal disease was higher among those with COPD compared to non-COPD controls. Dentists and physicians should increase their awareness with their COPD patients, especially those who are younger, with lower education, and suffer depression and/or anxiety. Keywords: periodontal disease, COPD, survey, educational leve