0000000001101221
AUTHOR
Vicenta Escribà-agüir
Employment stability and mental health in Spain: towards understanding the influence of gender and partner/marital status
Background: The growing demand for labour flexibility has resulted in decreasing employment stability that could be associated with poor mental health status. Few studies have analysed the whole of the work force in considering this association since research on flexible forms of employment traditionally analyses employed and unemployed people separately. The gender division of work, and family characteristics related to employment situation, could modify its association with mental wellbeing. The objective of the study was to examine the relationship between a continuum of employment stability and mental health taking into account gender and partner/marital status. Methods: We selected 685…
Satisfacción de las mujeres con la experiencia del parto: validación de la Mackey Satisfaction Childbirth Rating Scale
ResumenObjetivosDeterminar la fiabilidad y validez de contenido y concepto de la Mackey Childbirth Satisfaction Rating Scale, escala para medir la satisfacción de las mujeres con el parto y el nacimiento.MétodosSe utilizó el método de traducción-retrotraducción para obtener una versión adaptada de la escala. Para la validación se seleccionó una muestra de 325 mujeres que habían tenido un hijo sano mediante parto vaginal. La recogida de datos se realizó con un cuestionario autocumplimentado que incluía la escala adaptada, expectativas ante el parto y variables obstétricas y sociodemográficas. Se valoró la fiabilidad en una submuestra de 45 mujeres que cumplimentaron de nuevo la escala a los …
Violence Against Women from Different Relationship Contexts and Health Care Utilization in Spain
Abstract Background Studies reported an excess of health services utilization among women with violence by an intimate partner (IPV). However, little is known about health utilization by women victims of other forms of interpersonal violence than IPV. This study aimed to determine the effect of violence from different relationship contexts on health care utilization. Methods A cross-sectional study following a multistage cluster sampling scheme was conducted. Women aged 18 to 70 years were randomly selected according to their scheduled health care visit. The number of women invited to participate was 16,419 and 73% accepted. After exclusion, the final sample consisted of 10,815 women. The o…
Variabilidad geográfica de la violencia contra las mujeres en España Geographical variability in violence against women in Spain
Objetivos: Describir la prevalencia global y por comunidades autónomas (CC.AA.) de la violencia por un compañero íntimo, sus características y la violencia fuera de la pareja, así como estudiar la relación entre la prevalencia de violencia por un compañero íntimo y la frecuencia de denuncias y muertes por este motivo. Métodos: Encuesta transversal mediante cuestionario autoadministrado en 11.475 mujeres que acuden a consultas de atención primaria durante los años 2006-2007. Diseño muestral estratificado y polietápico, con una muestra representativa por CA. Además de la violencia por un compañero íntimo y la violencia fuera de la pareja, se recogieron denuncias y muertes por la primera. Se r…
Additional file 1: of Employment stability and mental health in Spain: towards understanding the influence of gender and partner/marital status
Table S1. Unadjusted association between mental health status and employment stability by sex. Spanish National Health Survey, 2006. (DOCX 19 kb)
Long Working Hours and Job Quality in Europe: Gender and Welfare State Differences
Chronic extreme long working hours (LWH) have been found consistently associated with poor health status. However, the evidence for moderately LWH (41&ndash
Violence against young women attending primary care services in Spain: prevalence and health consequences
Background. There are a significant number of studies assessing the negative health consequences of violence against women. However, a limited number of studies analyse the health consequences of violence committed against young women by different types of aggressors. Objectives. The goal of this study is to assess the prevalence of interpersonal violence against young women in Spain and analyse its impact on the physical and mental health of the victims. Methods. A total of 1076 women aged 18–25 years attending Spanish primary care services were selected. We estimated the prevalence of interpersonal violence and compared the health data and demographic characteristics of abused and non-abu…
Inhibiting and Facilitating Factors to End a Violent Relationship: Patterns of Behavior Among Women in Spain
The objective of this study are (a) to explore the factors, which facilitate or inhibit women’s responses to intimate partner violence (IPV) and their ability to leave a violent relationship; (b) to identify patterns of behavior in abused women based on their perception of the violence and the actions they take to find help or a solution to the problems derived from IPV. Semistructured interviews were carried out. The critical path is defined as the sequence of decisions and actions taken by affected women to address the violence they experienced. Based on this concept, we identified several factors that affect women’s responses to violence, and categorized them into inhibiting and facilita…
Validity and Reliability of the Spanish Version of the "Abuse Assessment Screen" among Pregnant Women.
Objective: To assess the reliability, accuracy, and construct validity of the Spanish Abuse Assessment Screen (AAS) among pregnant women using the Spanish version of Index of Spouse Abuse (ISA) as a reference standard. Design and Sample: Cross-sectional survey. A total of 1,329 pregnant women were selected in nine primary care centers during 2008-2009. Measures: The Spanish ISA was self-administered first, followed by the AAS, administered by the midwife. Sensitivity, specificity, and predictive values of the Spanish AAS were compared with the Spanish version of the ISA as a reference standard. Results: Percentage of agreement between initial and retest administration of the Spanish AAS was…
Intimate partner violence and perinatal health: a systematic review
Background Physical, psychological, and sexual intimate partner violence (IPV) has been described in the literature as different types of IPV experienced by women during pregnancy all over the world. Objectives To review and summarise systematically the empirical evidence on the links between IPV during pregnancy and the perinatal health of mothers and fetuses/neonates. Search strategy MEDLINE (Ovid), CINAHL, Embase, Nursing@ovid (Ovid), and LILACS were performed (2008-2018). Selection criteria Observational studies that examined perinatal health outcomes (i.e. pre-term birth, low birthweight, miscarriage, perinatal death, and premature rupture of membranes) in pregnant women exposed to IPV…
Violencia de género en mujeres inmigrantes y españolas: magnitud, respuestas ante el problema y políticas existentes
Objetivo: Comparar la prevalencia de la violencia de género entre mujeres inmigrantes y españolas. Describir sus respuestas ante esta situación y posibles diferencias entre ellas. Identificar intervenciones ya existentes en España sobre prevención y atención sociosanitaria de violencia de género dirigidas a inmigrantes. Métodos: Estudio transversal mediante encuesta autoadministrada en 10.202 mujeres que acudieron a centros de atención primaria en España (2006-2007). Análisis de contenido del informe de seguimiento de la ley 1/2004 de medidas de protección integral contra la violencia de género remitido por las comunidades autónomas (CC.AA.) (2005) y las leyes y planes autonómicos más recie…
Additional file 2: of Employment stability and mental health in Spain: towards understanding the influence of gender and partner/marital status
Figure S1. Association between mental health status and employment stability by partner/marital status among men and women. Spanish National Health Survey, 2006. (DOCX 112 kb)
Women's satisfaction with the experience of childbirth: validation of the Mackey Childbirth Satisfaction Rating Scale
Objetivos: Determinar la fiabilidad y validez de contenido y concepto de la Mackey Childbirth Satisfaction Rating Scale, escala para medir la satisfacción de las mujeres con el parto y el nacimiento. Métodos: Se utilizó el método de traducción-retrotraducción para obtener una versión adaptada de la escala. Para la validación se seleccionó una muestra de 325 mujeres que habían tenido un hijo sano mediante parto vaginal. La recogida de datos se realizó con un cuestionario autocumplimentado que incluía la escala adaptada, expectativas ante el parto y variables obstétricas y sociodemográficas. Se valoró la fiabilidad en una submuestra de 45 mujeres que cumplimentaron de nuevo la escala a los 15…
Crisis económica y condiciones de empleo: diferencias de género y respuesta de las políticas sociales de empleo. Informe SESPAS 2014
ResumenLa crisis económica ha tenido impacto en toda la Unión Europea, pero en España sus consecuencias han sido devastadoras en el mercado laboral, pasando a ser el país de la UE-15 con peores indicadores de empleo. La situación es peor en la población joven, de la cual en 2012 una de cada dos personas está en situación de desempleo, con una tasa algo superior en los hombres (54,4% frente a 51,8% en las mujeres). La reducción del gasto en políticas activas de empleo por punto de tasa de paro en 2012 con respecto a 2007 hará difícil la mejora de los indicadores de empleo. Además, la reducción del gasto en políticas pasivas de empleo producirá un empeoramiento de la salud de la población des…
Satisfacción de las mujeres con la experiencia del parto: validación de la Mackey Satisfaction Childbirth Rating Scale Women's satisfaction with the experience of childbirth: validation of the Mackey Childbirth Satisfaction Rating Scale
Objetivos: Determinar la fiabilidad y validez de contenido y concepto de la Mackey Childbirth Satisfaction Rating Scale, escala para medir la satisfacción de las mujeres con el parto y el nacimiento. Métodos: Se utilizó el método de traducción-retrotraducción para obtener una versión adaptada de la escala. Para la validación se seleccionó una muestra de 325 mujeres que habían tenido un hijo sano mediante parto vaginal. La recogida de datos se realizó con un cuestionario autocumplimentado que incluía la escala adaptada, expectativas ante el parto y variables obstétricas y sociodemográficas. Se valoró la fiabilidad en una submuestra de 45 mujeres que cumplimentaron de nuevo la escala a los 15…
Intimate partner violence in older women in Spain: prevalence, health consequences, and service utilization.
The purpose of this study is to estimate the prevalence of lifetime intimate partner violence (IPV) in older women and to analyze its effect on women"s health and Healthcare Services utilization. Women aged 55 years and over (1,676) randomly sampled from Primary Healthcare Services around Spain were included. Lifetime IPV prevalence, types, and duration were calculated. Descriptive and multivariate procedures using logistic and multiple lineal regression models were used. Of the women studied, 29.4% experienced IPV with an average duration of 21 years. Regardless of the type of IPV experienced, abused women showed significantly poorer health and higher healthcare services utilization compar…
Strategic responses to intimate partner violence against women in Spain: a national study in primary care
Background Research on women99s responses to intimate partner violence (IPV) has largely been limited to women who have been exposed to severe physical violence with scarce generalisation. This study aimed to analyse how Spanish abused women from different backgrounds and with different IPV characteristics respond to violence. Method Women experiencing IPV before the previous year (1469) were selected from a large cross-sectional national survey of adult women recruited during 2006–7 among female patients seeking medical care for whatever reason in primary healthcare services. The outcome variables were women9s responses to IPV and the predictor variables were personal and social resources …
Long working hours and health in Europe: Gender and welfare state differences in a context of economic crisis
This article examines the relationship between moderately long working hours and health status in Europe. A cross-sectional study based on data from the 2010 European Working Conditions Survey (13,518 men and 9381 women) was performed. Working moderately long hours was consistently associated with poor health status and poor psychological wellbeing in countries with traditional family models, in both sexes in Liberal countries and primarily among women in Continental and Southern European countries. A combination of economic vulnerability, increasing labour market deregulation and work overload related to the combination of job and domestic work could explain these findings. (C) 2016 Elsevi…
Additional file 3: of Employment stability and mental health in Spain: towards understanding the influence of gender and partner/marital status
Table S2. Unadjusted association between mental health status and employment stability by partner/marital status. Spanish National Health Survey, 2006. (DOCX 26 kb)
Additional file 3: of Employment stability and mental health in Spain: towards understanding the influence of gender and partner/marital status
Table S2. Unadjusted association between mental health status and employment stability by partner/marital status. Spanish National Health Survey, 2006. (DOCX 26 kb)
Effectiveness of patient-targeted interventions to increase cancer screening participation in rural areas: A systematic review.
Abstract Background Cancer is a major public health problem worldwide. The GLOBOCAN estimated 18.1 million new cases of cancer and 9.6 million deaths from cancer in 2018. In some of the more frequent cancers, mortality can be significantly reduced through cancer screening programs. Nevertheless, socially disadvantaged groups have difficulties in benefitting from these screening programs, especially rural populations. Objective To identify, characterize and summarize patient-targeted interventions aimed at increasing cancer screening participation among rural populations. Methods An exhaustive literature search was performed in the most relevant bibliographic databases for biomedical researc…
Effectiveness of interventions to improve cancer treatment and follow-up care in socially disadvantaged groups.
Objective To identify and characterize the interventions that aimed to improve cancer treatment and follow-up care in socially disadvantaged groups. To summarize the state of the art for clinicians and researchers. Methods We conducted a systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Eligible studies were randomized controlled trials and quasi-experimental studies with a control group (usual care or enhanced usual care) conducted in Organization for Economic Co-operation and Development (OECD) member countries and published until 2016. Results Thirty-one interventions were identified, the majority of which were conducted i…
Intimate Partner Violence and Mental Health Among Italian Adolescents: Gender Similarities and Differences
Only a few studies have analyzed the health impact of intimate partner violence (IPV) on male and female adolescents, taking into account other kinds of violence that can affect their health. In this study, 43.7% of female adolescents and 34.8% of males reported IPV; females reported more psychological and sexual IPV, with no differences for physical IPV. Controlling for family and sexual violence and other confounding factors, female adolescents exposed to IPV had significantly higher adjusted odds ratios (AORs) for depression, panic attacks, eating problems, and suicidal ideation. For male adolescents, only the OR of eating problems almost reached statistical significance.
Additional file 2: of Employment stability and mental health in Spain: towards understanding the influence of gender and partner/marital status
Figure S1. Association between mental health status and employment stability by partner/marital status among men and women. Spanish National Health Survey, 2006. (DOCX 112 kb)
Effectiveness of patient-targeted interventions to promote cancer screening among ethnic minorities: A systematic review
Abstract Background Cancer is a major public health problem due to its incidence, morbidity and mortality. A large proportion of cancer cases and deaths could be prevented through the implementation of cancer screening programmes. However, there are social inequalities in patient access to these programmes, especially in underserved communities and minority populations. Objective To identify, characterise and analyse the effectiveness of patient-targeted healthcare interventions to promote cancer screening programmes in ethnic minorities. Methods A comprehensive search of bibliographic databases was conducted. The results of our systematic review were reported in accordance with the PRISMA …
The Assessment of Intimate Partner Violence in Spanish Women
We aimed to analyze the internal consistency and construct validity of the Spanish version of the Index of Spouse Abuse (ISA) in a representative sample of 8,995 women attending general practice in Spain in 2006-2007. The factor structure analysis shows that the ISA measures four intimate partner violence (IPV) dimensions: emotional, physical, and sexual abuse, and controlling behavior. Cronbach alpha ranges from .82 (sexual factor) to .94 (emotional). Construct validity analysis shows that IPV is associated with poorer self-perceived health, higher psychological distress, and lower tangible social support. The ISA can help make more visible forms of gender violence in the intimate relatio…
Intimate partner violence in women with disabilities: perception of healthcare and attitudes of health professionals
Intimate partner violence (IPV) is a major social problem and public health issue, but we still have a relatively small amount of data about partner violence in women with disabilities. The main objective of this study was to understand the experiences of women with disabilities who are or have been abused by their partners and to explore the knowledge, views and training requirements of primary care professionals.Qualitative study using semi-structured interviews with women with disabilities who had experienced IPV (n = 14), and focus groups with healthcare professionals (n = 16).Women with disabilities suffer specific forms of abuse. Because they depend on the people around them to take a…
Prevalencia de la violencia de parejas en España: estudio transversal a través de cuestionario en la atención primaria
Objectives: (1) To analyze the prevalence of Intimate Partner Violence by types. (2) To examine the relationship between sociodemographic characteristics and Intimate Partner Violence. Design: Cross-sectional study using a self-administered questionnaire. Setting: Primary Healthcare centers in Spain. Participants: 10,322 women (18–70 years) attending Primary Healthcare centers. Main measurements: A compound index was calculated based on frequency, types, and duration of Intimate Partner Violence. Multivariable adjusted logistic regression models were used to identify the sociodemographic factors, which were independently associated with each Intimate Partner Violence category. Results: The …
Geographical variability in violence against women in Spain
Objetivos: Describir la prevalencia global y por comunidades autónomas (CC.AA.) de la violencia por un compañero íntimo, sus características y la violencia fuera de la pareja, así como estudiar la relación entre la prevalencia de violencia por un compañero íntimo y la frecuencia de denuncias y muertes por este motivo. Métodos: Encuesta transversal mediante cuestionario autoadministrado en 11.475 mujeres que acuden a consultas de atención primaria durante los años 2006-2007. Diseño muestral estratificado y polietápico, con una muestra representativa por CA. Además de la violencia por un compañero íntimo y la violencia fuera de la pareja, se recogieron denuncias y muertes por la primera. Se r…
Combining employment and family in Europe: the role of family policies in health.
Objectives: The objectives of this study were: (i) to analyse the relationship between health status and paid working hours and household composition in the EU-27, and (ii) to examine whether patterns of association differ as a function of family policy typologies and gender. Methods: Cross-sectional study based on data from the 5th European Working Conditions Survey of 2010. The sample included married or cohabiting employees aged 25-64 years from the EU-27 (10,482 men and 8,882 women). The dependent variables were self-perceived health status and psychological well-being. Results: Irrespective of differences in family policy typologies between countries, working long hours was more common…