[An epidemiological study on mental health in a health area]. / Estudio epidemiológico en salud mental en una zona de salud.

To identify the prevalence of psychological abnormalities in the adult population of the Valdefierro Health Area, we carried out an epidemiological study following the methodology of the cross sectional two-phase study. A random sample of 400 individuals, stratified for age and sex, was selected from the population over 15 years of age. In a first phase, the GHQ positive individuals underwent the semistructured interview Clinical Interview Schedule (CIS). The prevalence of psychological distress detected by the GHQ questionnaire was 13.4%. There was a significant association between psychological distress and female gender, educational level, working status, marital status and use of health care services. 42 of the 51 GHQ positive cases (82%) were considered as psychiatric conditions by the CIS. This represents a 11% prevalence of psychiatric disorders in the evaluated sample.

[Results and evaluation of a pilot study for the implementation of a program of preventive activities in primary health care]. / Resultados y valoración de un ensayo piloto para la implantación de un programa de actividades preventivas en atención primaria.

Following the guidelines for preventive and health promoting activities in Primary Health Care presented by the S.E.M.F.Y.C., we developed a study to evaluate the adequacy of the parallel nurse clinic for their implementation. 209 individuals (94 males and 115 females, mean age 36,4 +/- 13 years) were included in the study. The results showed a remarkably high prevalence of risk factors in the study series and a good acceptance of the program by the users. The opportunistic screening by means of a referral to a nurse clinic was shown to be an adequate strategy for the development of the program, with a multimplicator effect on the whole of nursing activities to be evaluated at the time of planning their implementation rate.