[Risk factors for the health of adolescent students]. / Factores de riesgo para la salud en estudiantes adolescentes.

OBJECTIVE: To profile COU and 5th-year FP students for the theoretical importance they give to health and their self-perception of the same. To measure their level of knowledge, activities and conduct regarding health risk factors. DESIGN: Descriptive crossover study. SETTING: Primary Care district of the Alpujarra, Granada. PARTICIPANTS: 190 COU and 5th-year FP students from schools in the Alpujarra (95% of the total). MEASUREMENTS AND MAIN RESULTS: The majority of these young people cites health as among the three most important elements in their life, yet lived alongside important risk factors. Although 69% defined their health as good or very good, 64% got drunk at least once a year. Although they all accepted the harmfulness of tobacco, 54.1% (with no difference between the sexes) smoked to some degree. Only 2.6% identified the days of greatest risk of pregnancy in a supposed cycle, although 19% stated that they had heterosexual relations. AIDS was considered the illness most to be feared. 13% had had a motor-bike accident in recent years. CONCLUSIONS: There is a contradiction between the high theoretical importance given to health, the self-definition of good health and cohabitation with important risk factors. The inefficacy of the Primary Care and Education systems in the primary prevention of important risk factors affecting adolescents' health was also demonstrated.

[A survey on the satisfaction of the users of the Zaidin-Sur de Granada Health Center (1989)]. / Encuesta de satisfacción a usuarios del Centro de Salud Zaidin-Sur de Granada (1989).

In order to know the users's degree of satisfaction in the Primary Health Care Center of Zaidin-Sur in Granada, a survey has been carried out by means of a personal interview at home in an aleatory sample of 615 individuals. The questionnaire has 28 closed questions with multiple answer and collects sociodemographic variables, self-perception of health condition, acceptability of medical and nursery care. The interview was anonymous and carried out by nursery students of third year. The 52% of the sample expressed that his health level was "excellent" or "good" and it was worse when the educational level was lower and the age was higher. The group of workers showed the highest valuation of health condition. The levels of trust on the doctor, the time of dedication and the information given to the patient reach slightly lower values than the ones found in literature; personal treatment and interest towards the patient have been valued the best. Center space structure and timetable have been the most penalized variables. We conclude that there is a need of improving the nursery service care a need of the information, from all the professionals working in the center, given to the patients on their problems, which are the cause of their going to the health consult, and the need of enlarging the space of the center.

[Quality of medical records at a primary care center]. / Estudio de la calidad de los registros en un centro de atención primaria.

The quality of the clinical records included in the clinical charts is assessed through a sample of the clinical charts existing at the Health Center Zaidin-Sur (Granada, Spain). The quality was ascertained via the number of visits annotated, the number of records considered as essential (life style, family and personal history), and the number of received or requested consultation. This information is compared to the data of the general files of the Health Center, to the information gathered by a direct interview (performed to assess the validity of the essential records), and to the results of a protocol studying the visit activities. The analysis of data shows that just a 40.4% of the visits are annotated on the clinical chart. A lower percentage of the essential records were annotated, 37.6%. The requested consultations are annotated in 43.8% and the received ones in 87.6%. We discuss on the need of periodic evaluation of the records to show their limitations and deficiencies. This is the first step to improve them.

[Anti-flu vaccination: satisfaction study in a vaccinated population]. / Vacunación antigripal: estudio de satisfacción en una población vacunada.

Most of the studies on the coverage of our country with regard to flu vaccinations reveal figures which do not surpass 50%-70% of the target population. In the USA, this figure only amounts to 20%-30%. There seems to be a certain "reticence" on the part of the population with regard to taking these injections or to continue the vaccination programs yearly. For this reason, we have made a prospective surveillance and monitoring study of the individuals vaccinated with the flu vaccine, which has taken in two flu injection campaigns (1988-1989) for the purpose of ascertaining the possible causes of this "reticence" and the degree of satisfaction achieved with the flu vaccine procedures. The study reveals the only 51.8% of the population receiving the vaccine was satisfied with the procedure, although 75.2% repeated the procedure the following year. The highest degree of insatisfaction is shown among women, and the customary patients who visit their physicians for every ache and pain, and those receiving the vaccine for the first time confuse acute respiratory symptoms with flu symptoms.