Exposure to armed conflict as a factor associated with very low birth weight: Case-control population study.

OBJECTIVE: To determine the association between armed conflict and very low birth wright (VLBW), which is a multifactorial etiology public health problem that includes aspects of poverty and violence. METHODS: Case-control population study matched by year of delivery conducted in Cauca, Colombia, between 2010 and 2016. Cases of VLBW, with weights between 500 and 1499 g and controls weighing between 2500 and 3999 g. Cases and controls were identified through the vital statistics registry, and exposure was determined using a multidimensional index designed by the Colombian State. Multiple gestations were excluded. Conditional logistic regression for matched data was used, adjusting for confounding variables. RESULTS: Overall, 7068 matched participants (1767 cases and 5301 controls) were included. Cases and controls had similar baseline characteristics. Participants were predominantly women in the second and third decades of life, 3222 (46%) were exposed to armed conflict, and 1902 (27%) were of African-Colombian or indigenous ethnicity. Maternal exposure to armed conflict significantly increased the odds of VLBW among women with rural birth (adjusted odds ratio [aOR] 3.86, 95% confidence interval [CI] 2.74-5.45) and inadequate prenatal care (aOR 10.38, 95% CI 8.20-13.12). CONCLUSION: Exposure to armed conflict increases the odds of VLBW neonates. This factor needs to be considered in prenatal care.

Calidad de vida relacionada con la salud y prevalencia de síntomas depresivos y ansiosos en pacientes en hemodiálisis, en seis unidades renales de Bogotá, Colombia / Health-related quality of life and prevalence of depression and anxiety symptoms in patients in hemodyalisis from six hemodyalisis units in Bogotá, Colombia

Introducción: La insuficiencia renal crónica (IRC) es un problema de salud pública. La patología psiquiátrica en esta población puede repercutir en la calidad de vida relacionada con la salud (CVRS). La mayoría de estudios sobre CVRS y los síntomas depresivos y/o ansiosos no son latinoamericanos. Objetivo: determinar la CVRS y la prevalencia de depresión y ansiedad en pacientes de seis unidades renales de Bogotá, Colombia. Método: Estudio multicéntrico, descriptivo, de corte trasversal, en adultos de ambos sexos con IRC y que reciben tres sesiones semanales de hemodiálisis. Se les administraron las fichas de datos sociodemográficos SF-36 y HADS. Resultados: 174 sujetos participaron en el estudio, de los cuales 163 fueron considerados para el análisis final (entre 19 y 86 años de edad; 57,06% hombres). La CVRS física general fue de 38,70 (DE 8,62) y la CVRS mental general, de 44,73 (DE 10,39). Se sospecha de depresión en 15,95%, de problema clínico en 5,52%, de ansiedad en 16,46%. Se presenta un problema clínico en 13,29%. Conclusiones: Este estudio usa la muestra latinoamericana más grande de la que se tenga conocimiento. La CVRS es comparable con la hallada en otras poblaciones, excepto por el rango anormalmente bajo de desempeño físico. Al situar el punto de corte de la HADS para depresión en 9, se podría aumentar su sensibilidad aumentando la prevalencia de depresión. Conforme desciende la CVRS mental general, es mayor la presencia de depresión; a medida que desciende la CVRS total, es más probable la existencia de un cuadro ansioso...

Introduction: End-Stage Renal Disease (ESRD) is a major health problem. Psychiatric comorbidity could affect Health-Related Quality of Life (HRQL). Most studies analyzing HRQL as well as depressive and/or anxiety symptoms have been undertaken in non-Latin-American populations. Objective: To determine HRQL and the prevalence of depression and anxiety in patients assisting to six hemodialysis (HD) units in Bogotá, Colombia. Method: Multicentric, descriptive, transversal study in patients over 18 of both genders with ESRD, who were receiving HD three times per week. A sociodemographic questionnaire, the SF-36, and the HADS were administered. Results: 174 subjects participated in the study, but only 163 were considered for the final analysis (ages ranged from 19 to 86 years old; 57.06 were males). The physical HRQL was 38.70 (SD 8.62) and the mental HRQL was 44.73 (SD 10.39). Depression was suspected in 15.95% and a clinical problem was present in 5.52% of the cases. Anxiety was suspected in 16.46% of the subjects and a clinical problem existed in 13.29% of them. Conclusions: This is the largest Latin-American sample known of to date. HRQL was comparable to other populations except for the Role-Physical, which is the lowest described in the literature. With the intention of increasing sensibility, the cut point of 9 might be the more appropriate when screening for depression with the HADS. As mental HRQL decreases, the presence of depression increases; as total HRQL decreases, the possibility of finding anxiety increases...