Percepción de riesgo de infección por HIV y conocimiento sobre uso de antirretrovirales en prevención / Perception of risk of HIV infection and knowledge about the use of antiretrovirals in prevention

Resumen Introducción : La prevención combinada (PC) se con sidera la estrategia clave frente a la epidemia de HIV. El objetivo del estudio fue evaluar la percepción de riesgo de infección por HIV y el conocimiento sobre uso de antirretrovirales (ARV) para prevención, entre pacien tes que concurren a un consultorio de Infecciones de Transmisión Sexual (ITS). Métodos : Una encuesta sobre datos personales y percepción de riesgo de infección por HIV, conocimiento sobre profilaxis posterior a la exposición (PEP) y previa a la exposición (PrEP), fue administrada a pacientes al momento de aplicar dosis de penicilina para tratamiento de sífilis, o de extraer muestra de sangre para diagnós tico de ITS, entre mayo y diciembre, 2022. Resultados : De 100 personas encuestadas, 43 eran menores de 25 años, 67 reportaron sexo-género mascu lino y 33 femenino. Treinta de 91, (33%), percibían haber tenido en su vida algún riesgo de infección, 19 de ellas en el último año; 77/96 (80%) manifestaron no tener conocimiento sobre PEP, y 82/100, sobre PrEP. Solo 22% respondió que los antirretrovirales podrían brindar be neficio para prevenir el HIV; 26 (60%) de los 43 menores de 25 años, y 18 de los 57 ≥ 25 años (31.6%) respondieron haber tenido dos o más parejas sexuales el último año. No se observaron diferencias estadísticamente signifi cativas, relacionadas con género y grupo etario. Discusión : La baja percepción de riesgo de infección y del conocimiento sobre uso de antirretrovirales para prevención de HIV, evidencian las dificultades existentes en la implementación de prevención combinada (PEP-PrEP) en esta población.

Abstract Introduction : Combined prevention (CP) is considered the key strategy against the HIV epidemic. The objective of the study was to evaluate the perception of risk of HIV infection and the knowledge about the use of antiretro virals (ARV) for prevention, among patients who attend a Sexually Transmitted Infections (STI) clinic. Methods : A survey on personal data and perception of risk of HIV infection, knowledge about post-exposure prophylaxis (PEP) and pre-exposure prophylaxis (PrEP), was administered to patients at the time of applying doses of penicillin for the treatment of syphilis, or when taking a blood sample for STI diagnosis, between May and December, 2022. Results : 100 persons were surveyed: 43 were under 25 years of age, 67 reported male sex-gender and 33 fe males. Thirty of 91 (33%) perceived they had had some risk of infection in their lives, 19 of them in the last year; 77/96 (80%) stated that they had no knowledge about PEP, and 82/100, about PrEP. Only 22 out of 100 responded that antiretrovirals could provide benefit in preventing HIV; 26 (60%) of the 43 patients <25 years of age, and 18 of the 57 ≥ 25 years (31.6%) responded they have had two or more sexual partners in the last year. No statistically significant differences were observed related to gender and age group. Discussion : The low perception of infection risk and knowledge about the use of antiretrovirals in HIV pre vention, show the existing difficulties for the imple mentation of combined prevention (PEP-PrEP) in this population.

The relationship between risk perception and health promoting lifestyle profile in population with moderate and high risk of cardiovascular diseases:a Nomogram model analysis / 中国实用护理杂志

Objective:To explore the relationship between risk perception and health promoting lifestyle profile in population with cardiovascular disease (CVD), and construct a prediction model for clinical screening and targeted intervention.Methods:A cross-sectional survey method was used to select 272 people at moderate and high risk of CVD from the Second Affiliated Hospital of Zhejiang University School of Medicine from March to August 2022. The general information questionnaire, Chinese version of Attitude and Beliefs about Cardiovascular Disease Knowledge and Risk Questionnaire (ABCD-C), and Health Promoting Lifestyle Profile-II (HPLP Ⅱ) were used. Based on multiple regression analysis, a nomogram model for health promoting lifestyle in high-risk CVD population was constructed.Results:Among 272 participants, male 150 cases, female 122 cases, aged (60.58 ± 10.64) years old. The total ABCD-C score was (56.57 ± 5.69), and the total HPLP Ⅱ score was (111.92 ± 12.47). ABCD-C score was significantly positively correlated with HPLP Ⅱ score ( r=0.556, P<0.01). The median of HPLP Ⅱ total score (111 points) was used as the cut-off point for low level of health-promoting lifestyle (≤111 points) and high level of health-promoting lifestyle (>111 points), and used it as the dependent variable, smoking ( OR=0.215, 95% CI 0.104-0.446) was a barrier factor for participants to adopt healthy lifestyle; being married ( OR=14.237, 95% CI 1.963-103.238), having a family average monthly income higher than 5 000 yuan ( OR=4.101, 95% CI 1.369-12.288), higher score of CVD prevention knowledge ( OR=1.660, 95% CI 1.373-2.007), perceived benefits and intention to change physical activity ( OR=1.445, 95% CI 1.255-1.663), perceived benefits and intention to change healthy diet ( OR=1.322, 95% CI 1.058-1.654) were promoting factors. Conclusions:The health-promoting lifestyle of populations at risk for CVD is above-average, influenced by factors such as smoking, marital and economic status, risk attitudes, and beliefs. Utilizing the nomogram model for early screening and targeted risk communication among key populations may contribute to improving their health behavior.

Occupational risk perception and self-efficacy and their relationship in surgeons / 现代医院

Objective To investigate the occupational risk perception of surgeons in a tertiary hospital in Suzhou and ex-plore the relationship between occupational risk perception and self-efficacy,and to provide suggestions for improving surgeons'mental health.Methods The occupational risk perception scale of surgeons was designed to investigate,and 194 valid question-naires were collected.Factor analysis,correlation analysis and regression analysis were used to study the data.Results Occupa-tional risk perception of surgeons has multidimensional structures,including physical function risk,economic risk,occupational exposure risk,organizational risk,time risk and psycho-social risk.Age,educational background,professional title and working time are the influencing factors of occupational risk perception,and occupational risk perception of surgeons is significantly nega-tively correlated with self-efficacy.Conclusion The scale designed has good reliability and validity,and surgeons have a high lev-el of occupational risk perception,which can reduce the negative impact of occupational risk perception by improving self-efficacy.

Assessment of the level of awareness, knowledge, and risk perception of community members about mpox infection in Nigeria

Background: Since the resurgence of mpox disease in 2017, Nigeria alone has accounted for about 60% of confirmed cases reported in the African region. This study therefore aimed to understand the knowledge and perception of the general public towards the mpox infection. Methods: We conducted a cross-sectional study among 958 community members across three states (Oyo, Lagos and Jigawa) in Nigeria. Knowledge of mpox infection was assessed across four domains: (1) general knowledge, (2) transmission, (3) signs and symptoms, and (4) prevention and treatment where we assigned a score of 1 for each correct response. Binary logistic regression was conducted to explore factors associated with knowledge of mpox infection at 5% level of significance. We assessed perception of mpox infection across 5 constructs (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and self-efficacy) from the health belief model, using 3-point Likert scales. We used Kruskal-Wallis and Mann-Whitney- U tests to assess factors associated with each construct. Results: Overall, only about one-third (38.3%) of community members were aware of mpox infection. There were variations in perceptions and knowledge across the three states. Knowledge of mpox infection transmission, prevention, and treatment was low across the states. Only 28.9% of respondents knew that sharing utensils with an infected person is a means of contracting the disease, and just 15.9% were aware that mpox infection may resolve spontaneously. The mean of general knowledge scores was higher in Jigawa 14.8 (±3.2) compared to Lagos 12.1 (±4.1) and Oyo states 12.5 (±5.6) (p<0.001).Respondents with tertiary-level education (p=0.001) were significantly more likely to perceive themselves as susceptible to mpox while males (p<0.001) and respondents who live in Jigawa state (p=0.002) were significantly more likely to perceive mpox as severe with 90.5% believing that being infected will stop their daily activity (p<0.001). Perceived barriers to adherence to mpox preventive strategies were higher in Jigawa state (p<0.001), with 68.3% reporting that use of hand sanitizers might be expensive for them. Conclusion: The analysis of our findings revealed significant knowledge gaps and a very low level of public awareness about mpox. Key areas of limited knowledge included the disease's route of transmission, as well as its prevention and treatment. To control the spread of mpox infection, there is need to strengthen public health risk communication focusing on the transmission and preventive actions.

Percepção de risco, efeitos psicológicos e apoio social em profissionais de saúde com pacientes com COVID-19 no México / Risk perception, psychological effects, and social support in health care workers with COVID-19 patients in Mexico / Percepción de riesgo, efectos psicológicos y apoyo social en trabajadores sanitarios con pacientes con COVID-19 en México

Resumo Objetivo: identificar a associação entre percepção de risco e vários efeitos psicológicos negativos e positivos, bem como o efeito moderador do apoio social, em uma amostra de trabalhadores de saúde com pacientes com COVID-19 no México. Métodos: trata-se de um desenho ex-post-facto e instrumental. As respostas foram obtidas por meio de questionário on-line , utilizando a estratégia de bola de neve. A associação entre percepção de risco e vários resultados psicológicos foi examinada por meio de correlações monotônicas (Spearman, rs), e um modelo de regressão foi estimado para cada efeito psicológico a fim de testar o efeito moderador do apoio social. Resultados: participaram 269 trabalhadores da saúde, sendo 75,5% mulheres. Os achados mostram a percepção de risco com uma tendência elevada, especialmente em relação ao "risco de dano grave pelo SARS-CoV-2". O apoio social apresentou uma tendência de moderada a alta, e os sintomas negativos de saúde mental tiveram uma tendência abaixo das médias teóricas. Conclusão: o apoio social desempenha papel moderador na magnitude da associação entre a percepção de risco e os efeitos psicológicos. Apesar das limitações reconhecidas, este trabalho visa ajudar a explicar os mecanismos complexos das variáveis em estudo por meio da análise exploratória de interações.

Abstract Objective: to identify the association between risk perception and various negative and positive psychological effects, as well as the moderating effect of social support, in a sample of health care workers with COVID-19 patients in Mexico. Methods: this study has an ex post facto and instrumental design. Responses were obtained by means of an online survey using snowball convenience sampling. The association of risk perception with various psychological outcomes was examined using monotonic correlations (Spearman, rs), and a regression model was estimated for each psychological effect to test the moderating effect of social support. Results: a total of 269 health care workers took part, 75.5% of them women. The findings show that risk perception tended to be high, especially in relation to the "risk of serious harm from SARS-CoV-2". Social support had a moderate to high trend, and negative mental health symptoms had a trend below theoretical average points. Conclusion: social support plays a moderating role in the magnitude of the association between risk perception and psychological effects. Despite the acknowledged limitations, this work aimed to help explain the complex mechanisms of the study variables by analyzing exploratory interactions.

Resumen Objetivo: identificar la asociación entre percepción de riesgo y diversos efectos psicológicos negativos y positivos, así como el efecto moderador del apoyo social, en una muestra de trabajadores sanitarios con pacientes COVID-19 en México. Métodos: se trató de un diseño ex post facto e instrumental. Se obtuvieron respuestas por medio de un cuestionario en línea mediante la estrategia de bola de nieve. Se examinó la asociación de la percepción de riesgo con varios resultados psicológicos mediante correlaciones monotónicas (Spearman, rs), y se estimó un modelo de regresión para cada efecto psicológico para probar el efecto moderador del apoyo social. Resultados: participaron 269 trabajadores sanitarios, de los cuales un 75,5% eran mujeres. Los hallazgos muestran una percepción de riesgo con tendencia elevada, particularmente la relacionada al "riesgo de daño grave por SARS-CoV2", el apoyo social tuvo una tendencia de moderada a alta y los síntomas negativos de salud mental tuvieron una tendencia por debajo de los promedios teóricos. Conclusión: el apoyo social juega un papel moderador en la magnitud de asociación entre percepción de riesgo y efectos psicológicos. A pesar de las limitaciones reconocidas, este trabajo pretende ayudar a explicar los mecanismos complejos de las variables de estudio mediante el análisis de interacciones exploratorias.

Ansiedad, autoeficacia y percepción de riesgo en estudiantes de Odontología durante la pandemia del COVID-19 / Anxiety, Self-Efficacy, and Risk Perception in Dental Students During the COVID-19 Pandemic

Introducción: Las medidas de contención por el COVID-19 afectan el estilo de vida y las relaciones sociales y es razonable esperar efectos psicológicos por la idea de infectarse. En la práctica odontológica las reacciones psicológicas han sido diversas. Objetivo: Identificar la ansiedad y la percepción de riesgo por la pandemia del COVID-19, así como la autoeficacia de los estudiantes de la carrera de Odontología para tomar medidas preventivas. Métodos: Estudio transversal en alumnos de la Facultad de Odontología de una universidad pública al noreste de México en mayo del 2020 (n = 412). Se colectaron datos en línea sobre ansiedad, percepción de riesgo y autoeficacia en escala de Likert y el perfil sociodemográfico. Se utilizó la estadística descriptiva y el análisis multivariado de regresión logística binaria. Resultados: La media de edad fue 21,8 ± 2,8 años; el 72,1 por ciento era del sexo femenino. Veintidós de cada 100 estudiantes de Odontología reportaron haberse sentido con ansiedad por la pandemia del COVID-19 durante al menos ocho días de las últimas dos semanas; la percepción de riesgo (OR = 2,46, IC95 por ciento 1,75 - 3,48) y el ser mujer (OR = 2,23, IC95 por ciento 1,33 - 3,76) incrementaron las probabilidades de ansiedad. Mientras que la autoeficacia (OR = 0,71, IC95 por ciento 0,51 - 0,99) y el antecedente de capacitación en COVID-19 (RM = 0,63, IC95 por ciento 0,4 - 0,99) las disminuyeron. Conclusiones: La alta percepción de riesgo y ser del sexo femenino se asocia con un aumento significativo de la ansiedad ante el COVID-19(AU)

Introduction: Containment measures by COVID-19 affect lifestyle and social relationships and it is reasonable to expect psychological effects from the thought of becoming infected. In dental practice, psychological reactions have been diverse. Objective: To identify anxiety and risk perception due to the COVID-19 pandemic, as well as the self-efficacy of dental students to take preventive measures. Methods: Cross-sectional study in students of the School of Dentistry of a public university in northeastern Mexico in May 2020 (n = 412). Online data were collected on anxiety, risk perception and self-efficacy on Likert scale and sociodemographic profile. Descriptive statistics and binary logistic regression multivariate analysis were used. Results: Mean age was 21.8 ± 2.8 years; 72.1 percent were female. Twenty-two out of 100 dental students reported feeling anxious about the COVID-19 pandemic for at least eight days in the last two weeks; risk perception (OR = 2.46, 95 percentCI 1.75 - 3.48) and being female (OR = 2.23, 95 percentCI 1.33-3.76) increased the odds of anxiety. While self-efficacy (OR = 0.71, CI95 percent 0.51 - 0.99) and history of COVID-19 training (OR = 0.63, CI95 percent 0.4-0.99) decreased them. Conclusions: High risk perception and being of the female sex are associated with a significant increase in COVID-19 anxiety(AU)

Association between HIV Perceived Risk and Intimate Partner Violence among Women / Asociación entre Percepción de Riesgo de VIH y Violencia de Pareja en Mujeres

Abstract HIV risk perception and Intimate partner violence (IPV) are related to HIV infection in women. However, there is a lack of information regarding on the association between risk perception and IPV in the Mexican population. This study aimed to identify and characterize subgroups based on their risk perception through the analysis of latent classes and to evaluate the variables associated with HIV risk perception. An online survey was conducted to assess sexual and preventive behavior, HIV risk perception, and intimate partner violence. Three hundred thirty-two women participated; the sampling was for convenience. Two latent classes were identified: a group with risk perception (85%) and one without risk perception (14.6%). The variables associated with the risk perception were a sexual attraction to men, not having a stable partner, perceiving oneself as at risk of acquiring HIV due to sexual behavior, and the presence of IPV. HIV prevention programs for women must address the stigmas related to HIV, such as the idea that the risk only occurs when they have multiple sexual partners, promote accurate HIV risk perception and prevent IPV in all its expressions and contexts.

Resumen En mujeres, la violencia de pareja está relacionada a una mayor probabilidad de adquirir la infección por VIH. De igual forma, una inadecuada percepción de riesgo de adquirir el virus coloca a las mujeres en una situación vulnerable. Existe una falta de información ente la asociación de la VPI y la percepción de riesgo es mujeres mexicanas. Este estudio persiguió dos objetivos: el primero fue identificar y caracterizar subgrupos en función de su percepción de riesgo a través del análisis de clases latentes; el segundo objetivo consistió en evaluar las variables asociadas con la percepción de riesgo de VIH. Se realizó una encuesta en línea para evaluar el comportamiento sexual y preventivo, la percepción del riesgo de VIH y la VP. Participaron 332 mujeres; el muestreo fue por conveniencia. Se identificaron dos clases latentes: un grupo con percepción de riesgo (85%) y otro sin percepción de riesgo (14,6%). Las variables asociadas a la percepción de riesgo fueron atracción sexual por hombres, no tener pareja estable, percibirse en riesgo de adquirir el VIH por la conducta sexual y haber sufrido de violencia de pareja en los últimos seis meses. Se concluye que los programas de prevención del VIH para mujeres deben abordar los estigmas relacionados con el VIH, como la idea de que el riesgo solo ocurre cuando tienen múltiples parejas sexuales, promover una percepción precisa del riesgo del VIH y principalmente, prevenir la VP en todas sus expresiones y contextos; así como también dar atención personalizada a mujeres que ya sufren de violencia de pareja.

Risk perceptions among high-risk pregnant women in an aspirational district of India: a qualitative study

Background: Attitude and behavior towards health seeking decisions are affected by one’s risk perceptions. This formed a key component in many health behavior-change theories and is responsible for reduction of perinatal mortality. A woman’s perception of risk affects her decisions about seeking obstetric care. This study explored the perceptions of high-risk pregnancy among women with high risk factors. Methods: A qualitative study was conducted in an aspirational district of India. Participants included pregnant women in third trimester with high risk factors. In-depth interviews were conducted with 34 participants using semi-structured interview schedule. Results: Three main themes emerged in this study: (i) knowledge of risk (ii) attitude towards risk (iii) adoption behavior. The study found out women’s lack of understanding on high-risk conditions during pregnancy, especially among younger age group. Majority denied the risk factor and normalized delivery on one’s faith. Conclusions: The findings of this study provide a glimpse into how women perceived risk and the reasons that lead them to deny the risks. Women must understand their risk in the same way as their healthcare providers. If an event is not appraised as severe, there will be no change in behavioral intentions inspite of all the efforts put by the government for reducing perinatal mortality.

Escala de Percepção de Risco sobre Covid-19/Isolamento Social: Propriedades Psicométricas / Escala de Percepción de Riesgo sobre Covid-19 y Aislamiento Social: Propiedades Psicométricas / Psychometric Properties of Risk Perception Scale about Covid-19 and Social Isolation (RPSCI)

Risk perception is a concept related to the decision-making process and allows people to perceive the hazards surrounding the context and choose the best preventive methods to avoid them. The COVID-19 pandemic was a remarkable era in which people had to adopt protective methods, such as social isolation, to reduce the possibility of being contaminated by the virus. This study covers the development, psychometric properties, and norms of a scale to assess Risk Perception regarding COVID-19 and Social Isolation. The analysis suggested good expert agreement regarding the adequacy of the scale content and items and factor analysis suggested two factors, called the emotional and cognitive domains. The composite reliability suggested the internal consistency of the scale and its factors. All the results of this study suggest that this scale presents evidence of construct validity, constituting a reliable instrument. This new instrument may be used to evaluate risk perception related to COVID-19 and Social Isolation.

La percepción del riesgo es un concepto relacionado con el proceso de toma de decisiones y permite a las personas percibir los peligros en el contexto y elegir los mejores métodos de prevención para evitarlos. La pandemia de COVID-19 es una era notable en la que las personas deben adoptar métodos, como el aislamiento social, para reducir la posibilidad de ser contaminados por el virus. Este estudio proporciona el desarrollo, las propiedades psicométricas y las normas de una escala para evaluar Percepción de Riesgo sobre el COVID-19 y el Aislamiento Social. El análisis sugirió un buen acuerdo de expertos sobre el ajuste del contenido y la escala de ítems y el análisis factorial apuntó dos factores denominados dominios emocional y cognitivo. La confiabilidad compuesta sugirió consistencia interna de la escala y sus factores. Todos los resultados de este estudio proponen que esta escala presenta evidencia de validez de constructo y es un instrumento confiable. Este nuevo instrumento podrá ser utilizado para evaluar la percepción de riesgo sobre el COVID-19 y el aislamiento social.

A percepção de risco é um conceito relacionado ao processo de tomada de decisão e permite que as pessoas percebam os perigos em torno do contexto e escolham os melhores métodos de prevenção para evitá-los. A pandemia do COVID-19 é uma era marcante em que as pessoas devem adotar métodos de proteção, como o isolamento social, para reduzir a possibilidade de serem contaminados pelo vírus. Este estudo fornece o desenvolvimento, as propriedades psicométricas e normas de uma escala para avaliar Percepção de Risco sobre COVID-19 e Isolamento Social. A análise sugeriu boa concordância dos especialistas sobre o ajuste de conteúdo e itens da escala, e a análise fatorial sugeriu dois fatores denominados domínios emocionais e cognitivos. A confiabilidade composta sugeriu a consistência interna da escala e seus fatores. Todos os resultados deste estudo sugerem que esta escala apresenta evidências de validade de construto, sendo um instrumento confiável. Este novo instrumento poderá ser utilizado para avaliar a percepção de risco sobre a COVID-19 e o Isolamento Social.

Intervención educativa sobre la COVID-19 en los trabajadores del Centro de Investigaciones Científicas de la Defensa Civil / Educational intervention on COVID-19 in the personnel of the Civil Defense Scientific Research Center

Introducción: La COVID-19 creó desafíos sin precedentes para la comunidad y los trabajadores de la salud, por lo que contribuir a incrementar la percepción del riesgo mediante la capacitación fue una premisa elemental en tiempos de la pandemia. Objetivo: La investigación tuvo la finalidad de contribuir a incrementar el conocimiento en aspectos importantes sobre la COVID-19 en los trabajadores del Centro de Investigaciones Científicas de la Defensa Civil. Métodos: Se realizó una evaluación antes y después de la intervención en el período de febrero a abril de 2021. La muestra estuvo conformada por 50 trabajadores divididos en dos grupos: 1) investigadores y técnicos; 2) personal de apoyo. La investigación se desarrolló en tres etapas: diagnóstico, intervención y evaluación. Se conformó una base de datos con la información recopilada y para su análisis se empleó el método de comparación de proporciones de las respuestas entre los grupos, antes y después de la evaluación. Se calculó el porcentaje de apropiación de conocimientos con nivel de significación (p < 0,05) y se aplicó el t-Student para muestras dependientes. Resultados: De 50 trabajadores 35 (70 %) eran del sexo femenino; predominó el nivel escolar universitario con un total de 33 (66 %). Se observó un incremento estadísticamente significativo, tanto en la apropiación del conocimiento en ambos grupos, como en las preguntas adecuadas, después de la intervención (p < 0,05); siendo superior en el grupo del personal de apoyo. Conclusiones: La intervención educativa contribuyó a incrementar los conocimientos acerca de la COVID-19 en los trabajadores del centro, lo que tuvo un impacto favorable.

Introduction: COVID-19 created unprecedented challenges for the community and health workers; therefore, contributing to increase risk perception through training was an elementary premise in times of the pandemic. Objective: The research aimed at increasing the knowledge of important aspects of COVID-19 among the personnel of the Civil Defense Scientific Research Center. Methods: An evaluation was carried out before and after the intervention from February to April 2021. The sample consisted of 50 workers divided into two groups: 1) researchers and technicians; 2) support personnel. The research comprised three stages: diagnosis, intervention, and evaluation. A database was created with the information collected. For its analysis, the compare proportions test of responses between the groups, before and after the evaluation, was used. The percentage of knowledge appropriation was calculated with significance level (p < 0.05), and the t-Student was applied for dependent samples. Results: Out of 50 workers, 35 (70%) were female; 33 (66%) had a university education level. A statistically significant increase in both knowledge acquisition and appropriate questions was observed in the groups after the intervention (p < 0.05), which was higher in the support staff group. Conclusions: The educational intervention contributed to increasing knowledge about COVID-19 among the workers of the center, which had a favorable impact.

Silêncio na redação ­ a saúde mental de jornalistas na abordagem da comunicação de riscos / Silence in the newsroom ­ journalist's mental health from the risk communication approach / Silencio en la redacción ­ la salud mental de los periodistas en el abordaje de la comunicación de riesgo

Desde a década de 1990, o psiquiatra sul-africano Anthony Feinstein tem abordado o tema da saúde mental de jornalistas na cobertura de tragédias humanitárias, com foco no Transtorno do Estresse Pós-traumático (TEPT) e em moral injury (lesão moral), definido como uma ferida na alma. Em 2020, primeiro ano da pandemia da covid-19, o artigo "The covid reporters are not okay. Extremely not okay", da jovem jornalista Olivia Messer, trabalhando on-line, chamou a atenção não apenas para o tema da saúde mental dos repórteres, como também para a invisibilidade do assunto. Este artigo objetiva investigar como a comunicação de riscos pode contribuir para descortinar e enfrentar os riscos à saúde mental de jornalistas no Brasil, especialmente no contexto das redações híbridas e da plataformização do jornalismo, um dos campos que compõem o referencial teórico em seu cruzamento com a comunicação de riscos e a psiquiatra. A metodologia contempla a pesquisa bibliográfica nessas três áreas, a plataformização do jornalismo, a comunicação de riscos e a psiquiatria, a partir da conexão entre elas, e da análise de conteúdo, de base quantitativa, da cobertura do assunto pelos jornais Folha de S.Paulo e O Globo. Os resultados apontam a urgência da retirada do tema da invisibilidade midiática e social e confirmam a potencialidade da comunicação de riscos para o seu enfrentamento.

Since the 1990s, South African psychiatrist Anthony Feinstein has addressed the issue of the mental health of journalists covering humanitarian tragedies, focusing on Post-traumatic Stress Disorder (PTSD) and moral injury, defined as a wound in the soul. In 2020, the first year of the covid-19 pandemic, the article "The covid reporters are not okay. Extremely not okay", by young journalist Olivia Messer, working online drew attention not only to the issue of reporters' mental health, but also to the invisibility of the issue. This article aims to investigate how risk communication can contribute to uncover and address the risks to the mental health of journalists in Brazil, especially in the context of hybrid newsrooms and the plat-formization of journalism, one of the fields that make up the theoretical framework in its intersection with risk communication and psychiatry. The methodology includes bibliographic research in these three areas, platformization of journalism, risk communication and psychiatry, from the connection between them, and content analysis, of quantitative basis, of the coverage of the subject by Folha de S.Paulo and O Globo newspapers. The results point to the urgency of removing this issue of media and social invisibility and recognising the potential of risk communication to face it.

Desde la década de 1990, el psiquiatra sudafricano Anthony Feinstein ha abordado la cuestión de la salud mental de los periodistas que cubren tragedias humanitarias, centrándose en el Trastorno de Estrés Pos-traumático (TEPT) y el moral injury (el daño moral), definidos como una herida en el alma. En 2020, el primer año de la pandemia de covid-19, el artículo "The covid reporters are not okay. Extremely not okay", de la joven periodista Olivia Messer, que trabaja en línea, llamó la atención no sólo sobre la cuestión de la salud mental de los periodistas, sino también sobre la invisibilidad del tema. Este artículo pretende investigar cómo la comunicación de riesgo puede contribuir a descubrir y abordar los riesgos para la salud mental de los periodistas en Brasil, especialmente en el contexto de las redacciones híbridas y la plata-formización del periodismo, uno de los campos que conforman el marco teórico en su intersección con la comunicación de riesgo y la psiquiatría. La metodología contempla la investigación bibliográfica en estas tres áreas, plataformización del periodismo, comunicación de riesgo y la psiquiatría, a partir de la conexión entre ellas, y el análisis de contenido, de base cuantitativa, de la cobertura del tema por los periódicos Folha de S.Paulo y O Globo. Los resultados apuntan a la urgencia de sacar el tema de la invisibilidad mediática y social y confirman la potencialidad de la comunicación de riesgos para su confrontación

Percepção de risco e comportamentos de proteção face à covid-19 em estudantes do ensino superior: o papel mediador do medo / Percepción del riesgo y conductas protectoras frente al covid-19 en estudiantes de enseñanza superior: el papel mediador del miedo / Risk Perception and Protective Behaviors Against covid-19 in Higher Education Students: The Mediating Role of Fea

O estudo tem como objetivo descrever os comportamentos de proteção adotados por estudantes portugue-ses do ensino superior durante a pandemia e analisar a sua relação com a percepção de risco e o papel mediador do medo face à covid-19. Participaram 335 estu-dantes com idades entre os 18 e os 29 anos (m= 21.42; dp= 2.43). Os participantes preencheram um inquérito sobre os comportamentos de proteção (i.e., preventi-vos e de evitamento), a percepção de risco e o medo face à covid-19. Os resultados demonstraram que os comportamentos preventivos mais utilizados foram a lavagem/desinfecção das mãos ao longo do dia e o uso de máscara na via pública ou espaços exteriores. Os comportamentos de evitamento mais adotados foram o de evitar locais com aglomeração e os convívios presenciais com colegas/amigos. Verificouse uma as-sociação positiva entre os comportamentos de proteção, a percepção de gravidade e o medo face à covid-19. O medo face à covid-19 foi mediador da relação entre a percepção de gravidade e os comportamentos preventivos (c' = .26, ic 95% [.11; .44]) e de evitamento (c' = .28, ic 95% [.12; .50]). Os resultados são discutidos aten-dendo ao papel da percepção de risco e do medo nas respostas comportamentais dos jovens, num contexto de pandemia, sendo apresentadas implicações práticas e sugestões para estudos futuros.

El estudio tiene como objetivo describir las conductas protectoras adoptadas por los estudiantes portugueses de educación superior durante la pandemia, y analizar su relación con la percepción de riesgo y el papel mediador del miedo al covid-19. Participaron en el estudio 335 estudiantes de entre 18 y 29 años (m = 21.42; ds = 2.43). Los participantes completaron una encuesta sobre conductas protectoras (es decir, preventivas y de evitación), percepción de riesgo y miedo al covid-19. Los resultados mostraron que las conductas preventivas más utilizadas fueron el lavado/desinfección de manos a lo largo del día y el uso de mascarilla en la vía pública o al aire libre. Los comportamientos de evitación más adoptados fueron evadir lugares con reuniones e interacciones cara a cara con compañeros/amigos. Hubo una correlación positiva entre las conductas protectoras, la percepción de seriedad y el miedo al covid-19. También se encontró que el miedo al covid-19 medió la relación entre la percepción de severidad y las conductas preventivas (c' = .26, ic 95% [.11; .44]) y de evitación (c' = .28, ic 95% [.12; .50]). Los resultados se discuten considerando el papel de la percepción del riesgo y el miedo en las respuestas conductuales de los jóvenes en un contexto pandémico, así mismo se presentan impli-caciones prácticas y sugerencias para estudios futuros.

The study aims to describe the protective behaviors adopted by Portuguese higher education students in during the and to analyze their relationship with the perception of risk and the mediating role of fear of covid-19. A total of 335 students aged be-tween 18 and 29 participated in the study (m= 21.42; sd = 2.43). Participants completed a survey on protective (i.e., preventive and avoidance) behaviors, risk perception, and fear of covid-19. The results showed that the most used preventive behaviors were hand washing/disinfection throughout the day and using masks in public streets or outdoor spaces. The most adopted avoidance behaviors were avoiding crowded places and face-to-face interactions with colleagues/friends. There was a positive correlation between pro-tective behaviors, the perception of severity, and fear of covid-19. Fear of covid-19 mediated the relation between the perception of severity and both preventive (c' = .26, ic 95% [.11; .44]) and avoidance (c' = .28, ic95% [.12; .50]) behaviors. The results are discussed considering the role of risk perception and fear in the behavioral responses of young people in a pandemic context while presenting practical implications and suggestions for future studies.

Study on the Impact of Medical Risk Perception on Clinical Treatment Decision-making in Preoperative Patients with Malignant Tumors / 中国医学伦理学

【Objective:】 To understand the current status and related impacts of medical risk perception and treatment decision-making in preoperative patients with malignant tumors. 【Methods:】 The 350 malignant tumor patients who were hospitalized for surgical treatment in two tertiary hospitals in Liaoning Province were selected. The general information questionnaire, medical risk perception questionnaire, and participation in treatment decision-making questionnaire were used as survey tools. SPSS26.0 software, data statistical methods such as the Kappa test and multiple linear regression were used to analyze valid data. 【Results:】 Among the 350 subjects, the mean scores of the actual level of participation in treatment decision-making and attitude towards participation in treatment decision-making were(1.75±0.50) and(1.56±0.52), respectively, and the consistency between them was poor(Kappa=0.134, P<0.001). The total score of medical risk perception in preoperative patients with malignant tumors was(57.13±16.2). The results of multiple linear regression analysis showed that the actual degree of patient participation in treatment decision-making was influenced by the experience of surgical treatment(β=-1.744, P<0.05), economic risk in medical risk perception(β=0.478, P<0.05), and time risk (β=0.478, P<0.05). Economic risk in medical risk perception(β=0.043, P<0.05), time risk (β=0.646, P<0.05), and psychological risk(β=-0.329, P<0.05) were the influencing factors of patients’ attitude towards participating in treatment decision-making. 【Conclusion:】 Medical professionals should pay more attention to the influence of medical risk perception of malignant tumor patients on treatment decision-making. Malignant tumor patients should fully exercise their right to choose treatment plans independently, and jointly improve the actual level and attitude of the group when participating in treatment decision-making.

Relationship of college students’ risk perception of COVID-19 and their anxiety and depression: A moderated mediation model / 西安交通大学学报(医学版)

【Objective】 To explore the effects of perceived risk of COVID-19 of college students on their anxiety and depression, as well as the roles of attention to negative information and perceived social support, so as to provide theoretical basis for colleges and universities to formulate corresponding intervention measures. 【Methods】 By the convenience sampling method, totally 1 404 college students from Shaanxi and Henan provinces were investigated online by using General Information Questionnaire, Perceived Risk of COVID-19 Pandemic Scale, Attention to Negative Information Scale, Patient Health Questionnaire, Generalized Anxiety Disorder and Perceived Social Support Scale. SPSS 20.0 was used for data analysis, Pearson correlation method was used to explore the correlation between variables. The mediating effect of attention to negative information and the moderating effect of perceived social support were analyzed by PROCESS. 【Results】 The scores of anxiety and depression of the 1 404 college students included in the study were 4.03±4.48 and 6.21±5.41, respectively. The detection rate of anxiety symptom was 29.9%, and that of depression symptom was 44.4%. The risk perception of COVID-19 epidemic of the college students was positively correlated with attention to negative information (r=0.373, P<0.001), anxiety (r=0.227, P<0.001), and depression (r=0.226, P<0.001). Anxiety (r=0.553, P<0.001) and depression (r=0.497, P<0.001) were positively correlated with attention to negative information, while perceived social support was negatively correlated with the risk perception of the COVID-19 (r=-0.154, P<0.001), attention to negative information (r=-0.259, P<0.001), anxiety (r=-0.321, P<0.001) and depression (r=-0.278, P<0.001). The risk perception of COVID-19 affected the anxiety and depression of the students mainly through the mediating effect of attention to negative information. The total effect of risk perception of COVID-19 and anxiety was 0.227, and the mediating effect accounted for 80.18% of the total effect. The total effect of risk perception of COVID-19 and depression was 0.228, and the mediating effect accounted for 90.35% of the total effect. Perceived social support played a moderating role in the last half of this mediating model. 【Conclusion】 Risk perception of COVID-19 indirectly affects the occurrence of anxiety and depression in college students through attention to negative information, and perceived social support plays a moderating role in this mediating model. The findings suggest that when a risk event occurs, colleges and universities should pay attention to guiding students to adjust their attentional bias to external information, and give students enough care and support to improve their mental health.

Discrepancy between behavioral-indicated and perceived candidacy for HIV pre-exposure prophylaxis among men who have sex with men in Chengdu, China / 北京大学学报(医学版)

OBJECTIVE@#To explore the discrepancy between behavioral-indicated candidacy and perceived candidacy (behavioral-perceived gap) and its associated factors of human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM), so as to identify the focus population of PrEP interventions and to design and implement targeted interventions.@*METHODS@#We recruited a sample of 622 HIV-negative MSM who were regular clients of a community-based organization located in Chengdu, China, from November to December 2021. A cross-sectional questionnaire was used to collect the participants' information on social demographics, PrEP-related knowledge and cognitions, and risk behaviors. In this study, behaviorally eligible for PrEP was defined as performing at least one type of high-risk behavior in the past six months, including inconsistent condom use, sex with an HIV-positive partner, confirmed sexual transmitted infections (STI) diagnosis, substance use, and post-exposure prophylaxis (PEP) experience. Logistic regression models were fitted, and multivariate analyses were adjusted for social demographics.@*RESULTS@#Among the 622 eligible participants, 52.6% (327/622) were classified as behaviorally eligible for PrEP. Only 37.9% (124/327) of the participants perceived themselves as appropriate candidates for PrEP and 62.1% (203/207) had discrepancy between behavioral-indicated and perceived candidacy. 85.9% (281/327) had heard of PrEP, and 14.2% (40/281) accessed PrEP information through health care providers. Of the 327 participants eligible for behavior-indicated PrEP use, about half (47.1%) knew how to obtain PrEP medication and 33.0% had a professional PrEP counseling experience. The majority (93.3%) had no or few friends using PrEP. 54.1% scored eight or above in PrEP knowledge level. 66.7% reported having two or more sexual partners in the past six months. After adjusting for age and recruitment channel, we found six factors that were associated with perceived candidacy for PrEP, including PEP use [adjusted odds ratio (ORA)=2.20; 95% confidence interval (CI): 1.33-3.63], PrEP availability (ORA=1.69; 95%CI: 1.06-2.68), a greater number of PrEP-using friends (ORA=4.92; 95%CI: 1.77-13.65), PrEP know-ledge (ORA=2.21; 95%CI: 1.38-3.56), multiple sexual partnership (ORA=1.77; 95%CI: 1.07-2.94), and perceiving a higher risk of HIV infection (ORA=4.02; 95%CI: 1.73-9.32). Substance use during sex and PrEP information channel were not statistically associated with this beha-vioral-perceived gap.@*CONCLUSION@#We observed a high discrepancy between behavioral-indicated and perceived candidacy for PrEP among Chengdu MSM in China. Future PrEP implementation efforts should be made in skills training in assessing HIV infection risk, increasing PrEP knowledge, providing professional PrEP counselling, and fostering PrEP support environment.

A qualitative study on the risk perception characteristics of high-risk groups of diabetes under different blood glycemic states / 中国实用护理杂志

Objective:To explore the perception and perceived characteristics of risk of diabetes in people at high risk of diabetes under different glycemic states, and to provide a reference for clinicians to develop targeted risk interventions.Methods:Descriptive phenomenology research method was used to conduct semi-structured interviews with 17 diabetes high-risk persons selected by purpose sampling from August 2020 to January 2022 in the Health Management Center of General Hospital of Northern Theater Command. Data was transcribed and analyzed using Colaizzi ′s method. Results:Different glycemic states led to different themes for extraction. Each distilled 3 themes, normoglycemia including ignoring the existence of risk and creating doubt, risk perception relies on individual feelings, and demonstrate a positive attitude towards their risk control capabilities; initial diagnosis of dysglycemia including perceive the severity of the risk and express fear, mediated by health professionals and a strong desire to learn, accept by high-risk status and self-reflection on lifestyle; persistent glycemic impairment including tend to ignore risks to avoid undue stress and anxiety, determined based on experience and information, laissez-faire attitude or positive change. The differences among the 3 categories were mainly reflected in attitudes, emotions, perceived predisposing factors and risk control.Conclusions:It is still necessary to strengthen the education on diabetes prevention awareness and risk factors. And blood glucose can be considered as a classification guideline for targeted education.

Development and validation of nurses′ perception scale of patients' suicide risk / 中国实用护理杂志

Objective:To develop the nursing staff's perception scale of patients′ suicide risk and test its reliability and validity, so as to provide basis for managers to formulate training strategies for nurses' suicide gatekeepers.Methods:This was a cross-sectional study. Based on cognitive-experiential self-theory, and on the basis of literature review and semi-structured interviews at home and abroad, a scale item pool was formed, and an initial scale was formed through expert inquiry and pre-investigation. In September, 2022, a cross-sectional survey was conducted among 459 nurses from three tertiary general hospitals and oncology hospitals by convenience sampling method in Jinan and Dezhou, Shandong Province. SPSS25.0 and AMOS23.0 software were used to analyze the items and test the reliability and validity of the scale.Results:The formal scale included three dimensions, namely, cognitive judgment, emotional evaluation, and concern, with 15 items in total. Exploratory factor analysis extracted three common factors, and the cumulative variance contribution rate was 67.845%. The results of confirmatory factor analysis showed that each test quantity of the fitness of the formal scale model is within the acceptable range and loads of 15 items in the corresponding factors were all >0.45; the content validity index S-CVI of the scale was 0.972, Cronbach′s α coefficient of the total scale was 0.907, and the half reliability was 0.814. Conclusion:The scale of nurses′ perception of patients′ suicide risk has good reliability and validity, and it can be used to evaluate nurses′ perceptions of patients′ suicide risk.

Percepción de riesgo de la COVID-19 en gestantes ante la nueva normalidad

La pandemia derivada de la enfermedad por coronavirus 2019, está caracterizada por una elevada propagación en la población y la no percepción del riesgo es una amenaza que se enfrenta en la gestión de esta pandemia. Se realizó un estudio descriptivo transversal en 320 gestantes que acudieron a la consulta de ultrasonido en el Policlínico Carlos J. Finlay de Santiago de Cuba con el objetivo de realizar un diagnóstico de la percepción que tienen las gestantes sobre la COVID 19 ante la nueva normalidad. Se utilizaron variables cualitativas que evaluaron la percepción de riesgo sobre la COVID 19. Para la obtención de la información se les aplicó una encuesta. A pesar de que el 93,1 % de las encuestadas consideran la COVID 19 como una enfermedad grave, un porciento considerable saludaría a las personas con besos y abrazos, dudaría en ingresar si fuese contacto de un paciente sospechoso y confirmado, no consideraría necesario las acciones de control al viajero, realizarían fiestas familiares, no se preocuparían ante cualquier síntoma si no han tenido contacto con casos sospechosos y confirmados, consideran que la COVID no tiene consecuencias para todos, solo para los pacientes vulnerables y lo más alarmante que el 71,5 % no sienten temor a contagiarse porque las gestantes no son vulnerables. La percepción real del riesgo para la salud aún es mínima, y las gestantes no concientizan que constituyen un grupo vulnerable para esta enfermedad.

The pandemic derived from coronavirus disease 2019 is characterized by a high spread in the population and the non-perception of risk is a threat faced in the management of this pandemic. A cross-sectional descriptive study was carried out in 320 pregnant women who attended the ultrasound consultation at the Carlos J. Finlay Polyclinic in Santiago de Cuba with the aim of making a diagnosis of the perception that pregnant women have about COVID 19 in the face of the new normality. Qualitative variables were used to evaluate the perception of risk on COVID 19. To obtain the information, a survey was applied. Despite the fact that 93.1% of those surveyed consider COVID 19 to be a serious illness, a considerable percentage would greet people with kisses and hugs, would hesitate to enter if they were the contact of a suspected and confirmed patient, would not consider necessary the traveler control actions, they would hold family parties, they would not worry about any symptoms if they have not had contact with suspected and confirmed cases, they consider that COVID does not have consequences for everyone, only for vulnerable patients and the most alarming thing is that 71, 5% are not afraid of getting infected because pregnant women are not vulnerable. The real perception of health risk is still minimal, and pregnant women are not aware that they constitute a vulnerable group for this disease.

A pandemia derivada da doença do coronavírus 2019, caracteriza-se por uma elevada propagação na população e a não perceção de risco é uma ameaça enfrentada na gestão desta pandemia. Foi realizado um estudo transversal descritivo em 320 gestantes que compareceram à consulta de ultrassom na Policlínica Carlos J. Finlay, em Santiago de Cuba, com o objetivo de fazer um diagnóstico da percepção que as gestantes têm sobre a COVID 19 diante da nova normalidade. Variáveis qualitativas foram utilizadas para avaliar a percepção de risco sobre a COVID 19. Para a obtenção das informações, aplicou-se um levantamento. Apesar de 93,1% dos entrevistados considerarem a COVID 19 como uma doença grave, uma porcentagem considerável cumprimentaria as pessoas com beijos e abraços, hesitaria em entrar se fosse um contato de um paciente suspeito e confirmado, não consideraria necessário controlar o viajante, realizaria festas familiares, não se preocuparia com nenhum sintoma se não tivesse tido contato com casos suspeitos e confirmados, consideram que a COVID não tem consequências para todos, apenas para os doentes vulneráveis e o mais alarmante é que 71,5% não têm medo de se infectarem porque as grávidas não são vulneráveis. A percepção real do risco à saúde ainda é mínima, e as gestantes não percebem que constituem um grupo vulnerável para essa doença.

"¿Qué opción les queda a las personas, más que nosotros?": Las funciones de los consultorios adyacentes a farmacias en la pandemia de covid-19 / "What choice do people have other than us?": The role of doctors' offices adjacent to private pharmacies in the Covid-19 pandemic

RESUMEN Con la llegada del coronavirus a México, los consultorios adyacentes a farmacias desempeñaron un rol preponderante en el diagnóstico, atención y prevención del covid-19. De acuerdo a las encuestas nacionales, entre el 11,7% y el 23% de las personas con síntomas de covid-19 se atendieron en uno. Por ello, este artículo busca identificar el papel de los consultorios adyacentes a farmacias (CAF) como sistema de salud privado que atendió a personas con síntomas de covid-19 en la ciudad de Oaxaca y describir y analizar los factores que influyeron en su utilización. Desde una metodología cualitativa, entre septiembre de 2020 y agosto de 2022 se entrevistó a 12 médicos y médicas y se aplicó un cuestionario a 59 personas usuarias de los consultorios adyacentes a farmacias del municipio de Oaxaca de Juárez. Asimismo se hizo una recopilación y análisis de fuentes secundarias. Entre los hallazgos, se describen sus funciones como frente de atención al covid-19 y a otras necesidades de salud que emergieron con la crisis sanitaria y se analizan los factores determinantes en las trayectorias de atención de personas usuarias de estos consultorios, como son el incremento en la percepción del riesgo y la desconfianza hacia los servicios públicos o hacia las estrategias implementadas por el gobierno federal.

ABSTRACT With the arrival of coronavirus in Mexico, doctors' offices adjacent to private pharmacies (DAPPs) played a major role in the diagnosis, care, and prevention of Covid-19, providing treatment for 11.7% to 23% of people with Covid-19 symptoms according to national surveys. Therefore, this article seeks to identify the role of DAPPs as a private health system providing care for patients with Covid-19 symptoms in the city of Oaxaca, and to describe and analyze the factors that influenced their utilization. Using a qualitative methodology, twelve physicians were interviewed and 59 users responded to a questionnaire at doctors' offices adjacent to pharmacies in the municipality of Oaxaca de Juárez between September 2020 and August 2022. Secondary data were also collected. Among the findings, the function of these offices at the front line of care for Covid-19 and other health needs that emerged with the public health crisis is described, and the determining factors in care trajectories of users that sought care there are analyzed, such as the increase in perception of risk and mistrust towards public services or strategies implemented by the federal government..

Desregulación emocional y nivel de riesgo por consumo de sustancias psicoactivas en universitarios colombianos / Emotional dysregulation and risk level for consumption of psychoactive substances in Colombian university students

Resumen El consumo de sustancias psicoactivas [SPA] es un problema de salud pública, y constituye uno de los principales factores de riesgo para la salud. Se ha observado que el consumo de SPA está mediado por diferentes variables, una de ellas es la desregulación emocional, y se requiere mayor investigación del comportamiento de esta variable y su relación con los niveles de riesgo asociado al consumo. El objetivo del presente estudio fue determinar si existen diferencias en la desregulación emocional según el nivel de riesgo asociado al consumo de sustancias en una muestra de universitarios. Para tal efecto se adelantó un estudio descriptivo por comparación de grupos con una muestra de 721 estudiantes. Los resultados indicaron altas prevalencias de consumo de SPA; diferencias en los puntajes de desregulación emocional según el nivel de riesgo para tranquilizantes y cocaína, y que, a nivel general, aquellos universitarios con menor nivel de riesgo son quienes presentan menores puntajes de desregulación emocional, lo que sugiere que la desregulación emocional es una variable predictora de un mayor nivel de riesgo asociado al consumo de SPA.

Abstract The use of psychoactive substances is a public health problem, and it is one of the main health risk factors. It has been observed that the use of drugs is mediated by different variables, one of them is the emotional dysregulation, and more research is required on the behavior of this variable and its relationship with the levels of risk in the consumption. The aim of this study was to determine whether there are differences in emotional dysregulation according to the level of risk associated with substance use in a sample of 721 university students. For this purpose, a descriptive study was carried out by comparing groups. The results indicated high prevalence of PAS consumption, differences in emotional dysregulation scores according to the risk level for tranquilizer pills and cocaine. In general, the students with a lower risk level are those who present lower emotional dysregulation scores, suggesting that emotional dysregulation is a predictor variable of a higher level of risk associated with PAS consumption.