Prevalencia de violencia de género en atención primaria de Santa Cruz de Tenerife / Prevalence of domestic violence in a primary care area of Santa Cruz de Tenerife

Objetivos. Estimar la prevalencia de violencia de género (VG) en mujeres adultas que acuden a consulta de medicina de familia, conocer los factores asociados y la implicación del médico en su detección. Material y métodos. Se realizó un estudio descriptivo, transversal de corte analítico, en 2 zonas básicas de salud de ámbito urbano de Santa Cruz de Tenerife, Islas Canarias. Por muestreo consecutivo se seleccionaron mujeres de 18 o más años de edad con pareja, actual o no. Se utilizó de manera anónima el cuestionario de Bradley, validado (26 ítems), que valora violencia física, psicológica y sexual. También se midieron características sociodemográficas, referentes a la pareja, historia de salud, presencia de ansiedad y depresión (escala de Goldberg). Resultados. Se entrevistaron 299 mujeres. Reconocieron algún tipo de maltrato, al menos una vez en su vida, 154 mujeres (51,5%; IC 95%: 40-62%). La violencia psíquica fue la más admitida (n=153; 99,35%), le sigue la física(n=39; 25,32%) y la violencia sexual fue declarada por 12 mujeres (7,79%). La VG se asoció con: menor edad, menor tiempo de relación con la última pareja, carencia de apoyo social (OR=2,18; p=0,019), probable ansiedad (OR=1,77; p=0,015) y probable depresión (OR=1,58; p=0,049). Tras análisis multivariado persiste la asociación con los años de convivencia con la última pareja (OR=0,998; p<0,0001) y la probable ansiedad (OR=1,79; p=0,024). Constaba cribado de VG en la historia clínica en 111 mujeres (37,1%; IC 95%: 36,90-37,23). Conclusiones. Al igual que en otros estudios la VG se asocia a trastornos de salud mental siendo necesaria una mayor implicación del médico de familia en su detección dada su prevalencia en nuestras consultas (AU)

Objectives. To estimate the prevalence of domestic violence (DV) in adult women attending Primary Care medical consultations, to determine the associated factors, and family physician involvement in its detection. Material and methods. We performed a cross-sectional analytical study in two urban health districts of Santa Cruz de Tenerife, Canary Islands. A consecutive sample of women aged 18 or older, whether or not they had a current partner were selected.. The Bradley questionnaire, which is validated (26 items) and assesses physical, psychological and sexual violence was used anonymously. Demographic characteristics, and those related to the couple, health history, presence of anxiety and depression (Goldberg scale) were recorded. Results. A total of 299 women were interviewed, and 154 women recognised some kind of abuse at least once in their life (51.5%, 95% CI: 40%-62%). Psychological violence was the most mentioned (n=153; 99.35%), followed by physical (n=39; 25.32%) and sexual violence was stated by 12 women (7.79%). Domestic violence was associated with: younger age, less time in a previous relationship, lack of social support (OR=2.18, P=.019), presence of probable anxiety (OR=1.77, P=.015) and probable depression (OR=1.58, P=.049). After multivariate analysis the association persisted with the length of time of the relationship with previous partner (OR=0.998; P<.0001) and the presence of probable anxiety (OR=1.79; P=.024). Early detection of domestic violence was recorded in the medical records of 111 women (37.1%; 95% CI: 36.90-37.23). Conclusions. As in other studies, DV is associated with mental disorders, and there is a need for greater involvement by family physicians to detect this prevalent problem in our clinics (AU)

[Prevalence of domestic violence in a primary care area of Santa Cruz de Tenerife]. / Prevalencia de violencia de género en atención primaria de Santa Cruz de Tenerife.

OBJECTIVES: To estimate the prevalence of domestic violence (DV) in adult women attending Primary Care medical consultations, to determine the associated factors, and family physician involvement in its detection. MATERIAL AND METHODS: We performed a cross-sectional analytical study in two urban health districts of Santa Cruz de Tenerife, Canary Islands. A consecutive sample of women aged 18 or older, whether or not they had a current partner were selected.. The Bradley questionnaire, which is validated (26 items) and assesses physical, psychological and sexual violence was used anonymously. Demographic characteristics, and those related to the couple, health history, presence of anxiety and depression (Goldberg scale) were recorded. RESULTS: A total of 299 women were interviewed, and 154 women recognised some kind of abuse at least once in their life (51.5%, 95% Cl: 40%-62%). Psychological violence was the most mentioned (n = 153; 99.35%), followed by physical (n = 39; 25.32%) and sexual violence was stated by 12 women (7.79%). Domestic violence was associated with: younger age, less time in a previous relationship, lack of social support (OR=2.18, P=.019), presence of probable anxiety (OR = 1.77, P = .015) and probable depression (OR = 1.58, P = .049). After multivariate analysis the association persisted with the Length of time of the relationship with previous partner (OR = 0.998; P < .0001) and the presence of probable anxiety (OR = 1.79; P = .024). Early detection of domestic violence was recorded in the medical records of 111 women (37.1%; 95% CI: 36.90-37.23). CONCLUSIONS: As in other studies, DV is associated with mental disorders, and there is a need for greater involvement by family physicians to detect this prevalent problem in our clinics.

Utilización inadecuada deun Servicio de UrgenciaHospitalario / No disponible

Objetivo: Determinar la frecuencia de utilización inadecuadade un servicio de urgencias hospitalario (SUH) y elperfil del paciente.Sujetos y métodos:—Diseño: estudio descriptivo retrospectivo.—Ámbito: hospital de tercer nivel.—Sujetos: mayores de 14 años, salvo urgencias ginecoobstétricas,que acudieron a urgencias hospitalarias deenero a marzo de 2005, no precisando ni interconsultas nipruebas complementarias (PC), salvo las accesibles enAtención Primaria como glucemia capilar, análisis con tirareactiva en orina, electrocardiograma, pulsioximetría y tinciónocular con fluoresceína.—Mediciones: se calculó el tamaño muestral para unapoblación finita de 21.560 (prevalencia: 30%, precisión: 5%,pérdidas: 20%), siendo necesarios 396 informes. Selecciónaleatoria de los informes de alta. Variables: datos demográficos,día y hora, síntomas y tiempo de evolución, diagnóstico,PC y medicación.Resultados: De los 1.742 informes de alta revisados, el24,1% (IC95%: 20,04-28,16%) de las consultas fueron inadecuadas.El 70% eran menores de 45 años y un 40% menoresde 30. El día en el que se registra mayor proporción de consultasinadecuadas fue el viernes (30,61%). Un 40,7% acudióen horario de mañana, 36,8% por la tarde y el 22,5% denoche. El 81,8% vivía a menos de 10 km. Y el 86% acudió apetición propia o de un familiar.Los motivos más frecuentes fueron: traumatológicos(15,24%), digestivos (13,33%), generales (9,76%), cardiorrespiratorios(8,33%) y musculares (7,14%). En el 49 % la evoluciónera inferior a 24 horas. El 46,6% requirió medicación (41% analgésicos-antiinflamatorios, 14% benzodiacepinas,11% procinéticos, 9% fármacos inhalados, 7% corticoidessistémicos).Conclusiones: Una de cada cuatro visitas al SUH es inadecuada.Son sujetos jóvenes, que viven cerca, mayoritariamenteacuden en horario de mañana, por decisión propia ymotivos diversos (AU)

Objective: to determine the frequency of inadequate useat a hospital emergency service (HES) and the patients’ characteristics.Subjects and Method:—Design: retrospective descriptive study.—Setting: third-level hospital.—Subjects: older tan 14 years, gyneco-obstrectic emergenciesexcluded, that visited our HES from January toMarch 2005. They didn’t need consultation to other specialistsnor complementary test (CT), except those who can beused in in primary care, such as capillary glycaemia, urinarytest, electrocardiogram, oxymetry and fluorescein staining.—Measurements: the sample size was calculated consideringa limited population of 21,560 (prevalence: 30%, precision:5%, lost: 20%), being needed 396 reports. Randomselectionof all reports. Variables: demographics, date and hour,symptoms and evolution, diagnosis, CT and medication.Results: of the 1,742 reports revised, 24.1% (CI95%:20.04-28.16%) of the visits were inadequate. 70% wereyounger than 45 years old and 40% younger than 30. Themost frequent assistance day was Friday (30.61%). 40,7%came in the morning, 36.8% in the afternoon and 22.5 atnight. 83.5% lived nearer than 10 km. 86% came by theirown decision or by a family decision.They most frequent reasons were traumatic (15.24%),digestive (13.33%), generals (9.76%), cardio-respiratory(8.33%) and muscular (7.14%). In 49% the evolution wasinferior to 24 hours. A 46.6% needed medication (41%analgesic-antiinflammatory, 14% benzodiazepines, 11%procinetics, 9% inhaled drugs, 7% systemic corticosteroids). Conclussions: One of every four visits to our HES is inadequate.The patients are young, live near, come during themorning, by themselves and for different reasons (AU)