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Objective

To determine the social cost and burden of depression in the city of Sabadell (Barcelona, Spain) in 2007 and 2008.

Method

The social cost of depression was calculated using the prevalence approach, based on information obtained in the development of the European Project Against Depression (EAAD). The results referred to the cost of public resources used, and the sources came from the appropriate official registers.

Results

The direct public cost of depression in the city of Sabadell was € 9,155,620 in 2007 and € 9,304,706 in 2008. The relative weight of primary care visits and the use of drugs accounted for more than 85% of direct costs. In the section of indirect costs, the cost of permanent work disability could not be obtained. Indirect costs amounted to € 9,720,225 in 2007 and € 9,763,541 in 2008. In both years, the highest weight corresponded to temporary work disability reaching € 8,561,962 and € 7,333,181, respectively.

Conclusions

Depression has a substantial economic impact on the health system because it is associated with high direct public costs. However, the lack of knowledge of the cost associated with permanent work disability is a major limitation, as this cost category represents the highest percentage for this disorder.  相似文献   

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Objectives

To describe the prevalence and correlates of safety belt and mobile phone usage in vehicles in the city of Barcelona (Spain).

Methods

We performed a study using direct observation with a cross-sectional design. We selected 2,442 private cars, commercial vehicles, and taxis from all districts of Barcelona.

Results

The prevalence of people not wearing safety belt was 10.5% among drivers, 4.6% among front seat passengers, and 32.2% among some of the rear passengers. It was higher among the passengers than among the drivers, regardless of the type of the vehicle. The prevalence of mobile phone usage while driving during a moment of the trip was 3.8%.

Conclusion

Our study shows noticeably high prevalence of people not wearing safety belt in the rear seats. Moreover, four out of one hundred drivers still use the mobile phone while driving during a moment of the trip.  相似文献   

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Background  

The impact of immigration on health services utilisation has been analysed by several studies performed in countries with lower levels of immigration than Spain. These studies indicate that health services utilisation is lower among the immigrant population than among the host population and that immigrants tend to use hospital emergency services at the expense of primary care. We aimed to quantify the relative over-utilisation of emergency services in the immigrant population.  相似文献   

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The ELISA test, using excretory-secretory antigen from larvae II of Toxocara canis, was applied on 1018 sera (793 from adults and 225 from pediatrics) distributed in: A) patients with an hypereosinophilia where the ethiological agent was undetermined (99); B) patients with ocular complaints compatible with an ocular toxocariasis (116); C) patients with hidatidosis (97); D) patient with other non-toxocaral helminthiasis (34); E) patients with other clinical features (468) and F) healthy donors (204).Over 3,6 % of sera showed elevated levels of antibodies reacting with T. canis antigen. The prevalence of seropositivity was statistically higher in patients with eosinophilia (14,1%) ( < 0,001) and ocular complaints (6%) (0,025 > > 0,01) than in the control group (1%). In the overall seropositivity from pediatrics did not differ from that of the adults.  相似文献   

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Background  

Multiple sclerosis (MS) is an incurable chronic disease that predominantly affects young adults. It has a high socio-economic impact which increases as disability progresses. An assessment of the real costs of MS may contribute to our knowledge of the disease and to treat it more efficiently. Our objective is to assess the direct and indirect costs of MS from a societal perspective, in patients monitored in our MS Unit (Baix Llobregat, Catalonia) and grouped according to their disability (EDSS).  相似文献   

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Dew water samples were collected during the winter season (December, 2014 to January, 2015) at an outflow location from the Indo-Gangetic Plain (IGP) to the Bay of Bengal (Coastal Bhola, Bangladesh). Physical properties of the dew water, including pH and electrical conductivity (EC), were measured. The concentrations of water soluble ions (Cl?, SO4 2?, NO3 ?, HCO3 ?, Na+, K+, Ca2+, and Mg2+) and trace metals (Zn, Fe, Mn, Cu, Cr, Pd, and Ni) were also measured. Source characterization of the chemical species was done by correlation analysis, enrichment factor analysis, percent source contribution calculation, and air mass trajectory analysis. The average pH and EC of the collected dew water were 6.81 and 154.80 μS cm?1, respectively. The average concentration of SO4 2? and NO3 ? was 264.10 and 222.20 μeq L?1, respectively. The concentrations of water soluble ions followed the sequence: Ca2+ > Cl?> SO4 2 > Na+ > NO3 ?> Mg2+ > K+ > HCO3 ?. The concentrations of trace metals ranged in order with Zn > Fe > Mn > Cu, while the concentrations of Cr, Pb, and Ni were below detection limit in dew water. Regression analysis showed significant correlations among sea, soil, and anthropogenic species. High enrichment factors of SO4 2?, NO3 ?, Zn, Mn, and Cu indicates anthropogenic sources. Percent source contribution of different species showed significant anthropogenic contribution for Cl?(1.80%), SO4 2?(83.5%), and NO3 ?(99.3%). Air mass trajectory analysis supported that the regional urban pollutions have significant influence on the dew water chemistry at the coastal Bhola, Bangladesh.  相似文献   

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We conducted a retrospective review of the medical records of women requesting emergency contraception (EC) at our emergency department over a 9-year period (1994-2002). EC accounted for 5.9% of all visits (n = 95,288) and increased from 1.26% in 1994 to 9.82% in 2002 (p < 0.001). Reasons for EC were condom problems in 79.5% of cases. EC was used only once by 93% of women. The mean daily number of visits was significantly higher in August (2.46), July (2.01) and September (2.02) than in other months (p < 0.05), and was more frequent on Sunday (3.26), Saturday (2.92) and Monday (2.05) compared to other week days (p < 0.001). New Year's Day and the St. John's Night registered the highest number of visits (mean of 17.2 and 11.7, respectively), with significant differences compared to the remaining days of the year (p < 0.001).  相似文献   

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OBJECTIVE: To describe trends in tobacco, alcohol, and cannabis consumption among secondary school pupils in Barcelona between 1987 and 1999. METHODS: Cross-sectional surveys administered to representative samples of pupils in the second year of secondary school between 1987 and 1999. The questionnaires were anonymous and self-completed. We present data from 5013 secondary school pupils from Barcelona who participated in one of the five surveys. RESULTS: Regular smoking (daily and weekly) showed a uniform decrease between 1987 and 1996. The results of the last survey (1999) showed an increase over those the 1996 survey, ranging from 13.4% for regular smoking to 38.7% for experimental smoking. Between 1987 and 1999, the percentage of schoolchildren who reported drinking at least half a glass of alcohol at some time showed an overall decrease of 14.0%. No differences in sex were found in problematic alcohol consumption, while a higher proportion of girls (14.0%) than boys (10.5%) reported getting drunk at some time. Whereas in 1996, 6.9% of the population studied had smoked cannabis at some time, in 1999 this proportion was 7.3%, with no differences between sexes. CONCLUSIONS: During the study period regular smoking increased, alcohol consumption decreased and cannabis consumption tended to level-off. Differences between boys and girls tended to disappear.  相似文献   

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The pattern of use of alcoholic beverages and factors influencing it among Barcelona schoolchildren were studied; 2,255 fifth and eighth grade students from 71 schools completed a self-administered questionnaire. Between fifth-eighth grades, important changes take place in attitudes--strongly opposed to alcohol among the younger, much more moderate among the older. Family celebrations such as Christmas or birthdays are the earliest source of exposure to alcohol, at which one-third of fifth grade students and two-thirds of eighth grade students drink. In eighth grade, though daily consumption is relatively rare (4.4% for boys), a considerable proportion have been drunk at least once (16% of girls and 19% of boys) or have had four or more drinks in a row, while a small but significant proportion (2.5%) have been drunk two or more times in the last six months. A discriminant analysis uncovered some features predicting this "higher risk" use of alcohol: age and gender (being a boy in eighth grade), lower socioeconomic status, higher weekly allowance available for personal expenses, a pattern of usual consumption by both the father and friends, smoking regularly, and having a moderate or high physical activity level, as well as holding opinions in favor of drinking.  相似文献   

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Introduction  

The purpose of this study was to evaluate the prevalence of sarcopenia in a cohort of healthy community-dwelling elderly in an urban area in Barcelona (Spain) for native benchmarks and compare them with those published in other geographical areas.  相似文献   

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OBJECTIVES: To describe the circumstances of initial use of Cannabis, as well as the reasons for consumption, reported effects and expectations related to cannabis use, among adolescents in Barcelona. METHODS: A cross-sectional survey was conducted in a sample of pupils in the third year of compulsory secondary education in 2005. The questionnaire was confidential and self-completed. Data were gathered from 2,043 secondary school pupils from 47 schools in Barcelona. RESULTS: A total of 37.5% of students reported cannabis consumption at some time, and 10.0% of these students had used cannabis in the previous month. Cannabis use was more common in public schools than in subsidized or private schools (p < 0.001). More than half the adolescents (60.3%) smoked cannabis for the first time in parks or on the street. Most (88.4%) of the adolescents obtained cannabis from a classmate or friend and 92.3% did so without paying for it. The main reason for initial consumption was curiosity, and reasons for continuing use were a desire to feel better and to forget problems. The most frequently reported effects were memory loss, sadness and difficulties in studying or working. Cannabis use was positively related to the expectation that the drug induces relaxation and aids social and sexual relations, and negatively to the beliefs that the drug can impair intellect and behavior and has negative effects on health. CONCLUSIONS: Cannabis was easily accessible to secondary school pupils and 9 out of 10 obtained the drug from a classmate or friend without paying for it. Two out of 3 adolescents reported negative effects as a consequence of cannabis use. Knowledge of expectations could help to explain and prevent cannabis consumption during adolescence.  相似文献   

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ObjectivesTo describe food consumption frequency in adolescents in the context of the financial crisis in 2012, and to analyse potential fluctuations in excess body weight between 2008 and 2012.MethodA cross-sectional study of eating habits and excess body weight was conducted in adolescents aged 13 to 19 years old from public, subsidised and private secondary schools in Barcelona, Spain. The FRESC lifestyle risk factors survey was used, and food frequency consumption, food recommendations and body mass index were analysed according to gender, year of education and socioeconomic status.ResultsGirls ate vegetables and fruits more frequently than boys, while the prevalence of junk food consumption was higher in boys. The prevalence of compliance with food recommendations was lower than 50% for all foods, and gender and socioeconomic differences were found for eggs, red meat and soft drinks. Regarding excess body weight, boys had a higher prevalence than girls in the 2 years analysed. Furthermore, a reduction in excess body weight was observed among girls in secondary education in the highest socioeconomic groups (28.7% [95% CI: 24.8-32.6%] in 2008 to 20.5% [95% CI: 17.1-23.8%] in 2012).ConclusionsThe prevalence of adolescents following food recommendations is low, and gender differences were found in terms of food consumption frequency, even in the context of financial crisis. There is a need to promote programmes and policies to reduce inequalities related to eating habits and excess body weight in adolescents.  相似文献   

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OBJECTIVE: Although the immigrant population in cities such as Barcelona has tripled in the last five years, until now the impact of this group on the health system has not been rigorously evaluated. The aim of this study was to compare hospital resource utilization among the immigrant population with that among the native population through case mix, demographic characteristics and hospital day use. MATERIAL AMD METHODS: We analyzed 15,057 discharges from Hospital del Mar in Barcelona in 2000. This hospital attends 60% of admissions from the Ciutat Vella district. In 2000, 21% of the population of this district were immigrants. Socio-demographic patient characteristics and case mix were compared between the immigrant and the native population. Hospital resource use was compared according to age, case mix (diagnosis related groups) and seriousness (severity, complications and comorbidities) of the events requiring medical care. RESULTS: The case mix of the immigrant population differed from that of the autochthonous population due to pronounced ge differences and a higher fertility rate. Thirty-three percent of immigrant admissions were for deliveries. The mean cost of discharge of immigrants from low-income countries was 30% lower than that for the remaining discharges. After adjusting for age, case mix and severity, length of stay among the immigrant population was significantly shorter. A 5% reduction was found after adjusting for case mix and a 10% reduction was found when all the factors were considered. CONCLUSIONS: Case mix differences are due to age and socio-cultural factors. Immigrants are rejuvenating the ageing native population and the role of gynecology-obstetrics and pediatrics needs to be increased. The finding that resource use per discharge is lower among immigrants from low-income countries contradicts the expectation that lower socioeconomic status leads to higher hospital resource use intensity. Therefore, new hypotheses and analyses that explain this situation should be put forward.  相似文献   

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Background: To test the applicability of the appropriateness evaluation protocol (AEP) as a tool for reviewing hospital utilisation. To quantify and to compare the rate of inappropriate admissions and amount of in-hospital days, emphasising the main causes and factors in the hospital associated with inappropriateness during the studied periods of time. Patients and methods: Two retrospective studies were carried out, the first one in 1992, when 2048 clinical histories were analysed, and the second in 1996, with 1099 reviewed histories. The tool used for the evaluation of the level of hospital utilisation is the AEP. Results: The proportion of admissions considered to be inappropriate was 25% (95% CI: 20.8–24.5) in 1992, and 16% (95% CI: 13.8–18.2) in 1996. Premature admission was the most frequent cause of inappropriateness in both periods. The logistic regression model built for the dependent variable admission showed the following variables to be associated to inappropriateness: scheduled admission (OR: 15; 95% CI: 10.8–20.7) and (OR: 10; 95% CI: 6–16.5), weekend admission (OR: 2; 95% CI: 1.3–1.2) and (OR: 2; 95% CI: 1.2–2.3), for 1992 and 1996, respectively. The rate of inappropriate in-hospital stays in 1992 was 29% (95% CI: 28.3–29.6), and 13.5% (95% CI: 12.7–14.3) in 1996. Hospital organisational problems were the main cause of inappropriate in-hospital days in 1992, and diagnostic/therapeutical tests that could be performed ambulatorily ranked first in 1996. The logistic regression model built for the dependent variable in-hospital days had the following independent variables associated to its inappropriateness: discharge on week-days (OR: 1.4; 95% CI: 1.2–1.8) and (OR: 0.6; 95% CI: 0.5–0.8) and length of stay (OR: 2; 95% CI: 1.8–2.4) and (OR: 2.4; 95% CI: 2.3–2.5), for 1992 and 1996 respectively, among other variables. Conclusion: Periodic checking of the utilisation levels with the application of methods such as the AEP will contribute towards adapting hospital management in the more competitive current setting.  相似文献   

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INTRODUCTION: Poor mental health is a common problem in adolescence. Little information is available, however, about the factors influencing negative mood states in otherwise healthy adolescents. We aimed to describe the mood states and related factors in a sample of adolescents in the city of Barcelona (Spain). METHODS: We administered a health survey to a sample of 2,727 students from public, subsidized, and private schools in Barcelona, aged approximately 14, 16, and 18 years old. To analyze the associations among moods and related factors, we used bivariate logistic regression, and fitted multivariate logistic regressions using the statistically significant variables from the bivariate analysis. To examine the possible group effects of the school on individual students, we employed multilevel analysis. RESULTS: The frequencies of negative mood states increased with age, with girls consistently reporting more frequent negative mood states than boys. The factors associated with negative mood states were problematic alcohol use, perceived mistreatment or abuse, antisocial behavior, intention to use or current use of illegal drugs (not including cannabis), lower perceived academic performance, and feeling isolated. CONCLUSIONS: Mood states are influenced by lifestyle and social factors, about which there is little local information. To plan and implement appropriate public health interventions, more complete information about the possible areas of influence is required. To complement the information obtained from studies such as the present study, longitudinal and qualitative studies would be desirable.  相似文献   

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