Tomando conciencia sobre las desigualdades sociales en la salud infantil / Taking awareness of social inequalities in child health

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Prevalencia y factores asociados a lesiones no intencionales / Prevalence and factors associated with unintentional injuries in Spain

Objetivo principal: describir la prevalencia y analizar los factores sociodemográficos que se asocian a haber sufrido una lesión no intencionada en la población menor de 15 años en España. Objetivos secundarios: describir el lugar donde se produce el accidente, la asistencia que precisó y el daño ocurrido. Material y métodos: estudio transversal utilizando datos individuales de la Encuesta Nacional de Salud (2011/2012). Se realizó un análisis descriptivo y multivariante, estratificado por sexo, mediante regresión logística. Resultados: la prevalencia de lesiones fue del 7,68% (intervalo de confianza del 95% [IC 95]: 6,97-8,39); siendo más frecuentes en niños y entre los 5 y 15 años de edad. La mayoría de las lesiones ocurrieron en la casa (25,3%). El 75,6% de los accidentados acudieron a un Servicio de Urgencias. Los daños más frecuentes fueron las contusiones o heridas superficiales (63,5%). Los factores asociados con sufrir una lesión son ser varón y la mayor edad. Conclusiones: la prevalencia de las lesiones no intencionadas en población infantil residente en España en 2011 fue del 7,68%. Los factores asociados con sufrir una lesión fueron ser niño y tener más de un año de edad (AU)

Main objective: to describe the prevalence and analyze the sociodemographic factors associated with having suffered unintentional injury in the population under 15 years in Spain in 2011. Secondary ob­jectives: to describe the place where the accident occurs, the assistance and the damage occurred. Methods: cross-sectional study using individual data from the National Health Survey (2011/2012). A descriptive and multi­variate analysis was carried out, stratified by sex, using logistic regression. Results: the prevalence of injuries was 7.68% (95% confidence interval: 6.97-8.39); being more common in boys and between 5 and 15 years old. Most of the injuries occurred at home (25.3%). 75.6 % of the injured went to an emergency department. The most common damage was superficial bruises or injuries (63.5%). Conclusions: the prevalence of unintentional injuries among children resident in Spain in 2011 was 7.68%. The factors associated with being injured in the pediatric population are being a boy and being older than one year (AU)

Asistencia sanitaria en las demencias: satisfacción y necesidades del cuidador / Health care in dementia: satisfaction and needs of the caregiver

Introducción: La atención primaria (AP) y las consultas de neurología general (CN) asumen la principal carga en la asistencia sanitaria de los pacientes con demencia. Apenas se dispone de estudios acerca de la satisfacción del cuidador con estos ámbitos asistenciales. Métodos: Se diseñó y administró una encuesta a 75 cuidadores de pacientes con demencia que acudieron a revisión a una CN y que habían sido remitidos desde la AP. La encuesta incluía cuestiones relacionadas con los cuidados, la utilización de servicios y la satisfacción. Se recogieron, además, variables sociodemográficas y clínicas, se describieron los resultados de la encuesta y se realizó un análisis de correlaciones simples (r de Spearman) para explorar los factores asociados a la satisfacción. Resultados: Los cuidadores fueron mayoritariamente hijas/os (60%) o cónyuges (31%). El 73% eran mujeres. El servicio más utilizado fue la ayuda en el domicilio (36%), pero el 41% de los pacientes no disponía de ningún servicio. La satisfacción fue alta (84% bastante o muy satisfechos con la AP, 97% bastante o muy satisfechos con la CN, p<0,01). Un mayor número de años cuidando se asoció a una menor satisfacción con la AP (r=−0,37, p<0,005), mientras que la institucionalización se asoció a una menor satisfacción con la CN (r=-0,30, p<0,01). Conclusiones: En un contexto de escasez de recursos, la satisfacción de los cuidadores de pacientes con demencia respecto de la asistencia sanitaria fue alta, posiblemente debido a la motivación de los profesionales y a la actitud positiva de los cuidadores (AU)

Introduction: Primary care (PC) and general neurology clinics (NC) assume the leading role in the health care of patients with dementia. There are hardly any studies on the satisfaction of the caregiver at these settings of health care. Methods: A questionnaire was designed and distributed to 75 caregivers of patients with dementia who were reviewed in an NC and who had been referred from PC. The questionnaire included questions associated with the care, the use of services, and satisfaction. Sociodemographic and clinical variables were also collected. The results of the questionnaire are described and a simple correlation analysis (Spearman r) was performed to determine the factors associated with satisfaction.Results: The majority of carers were sons or daughters (60%) or spouses (31%), of which 73% were women. The service most used was home help (36%), but 41% of patients had no services available. Satisfaction was high (84% quite or very satisfied with PC, 97% quite or very satisfied with the NC, P < .01). A greater number of years giving care was associated with a lower satisfaction with PC ((r=−0.37, P<.005), while institutionalisation was associated with a lower satisfaction with the NC (r=−0.30, P<.01).Conclusions: In a context of a scarcity of resources, the satisfaction of the caregivers of patients with dementia, as regards health care, was high, possibly due to the motivation of the health professionals and the positive attitude of the caregivers themselves (AU)

[Health care in dementia: satisfaction and needs of the caregiver]. / Asistencia sanitaria en las demencias: satisfacción y necesidades del cuidador.

INTRODUCTION: Primary care (PC) and general neurology clinics (NC) assume the leading role in the health care of patients with dementia. There are hardly any studies on the satisfaction of the caregiver at these settings of health care. METHODS: A questionnaire was designed and distributed to 75 caregivers of patients with dementia who were reviewed in an NC and who had been referred from PC. The questionnaire included questions associated with the care, the use of services, and satisfaction. Sociodemographic and clinical variables were also collected. The results of the questionnaire are described and a simple correlation analysis (Spearman r) was performed to determine the factors associated with satisfaction. RESULTS: The majority of carers were sons or daughters (60%) or spouses (31%), of which 73% were women. The service most used was home help (36%), but 41% of patients had no services available. Satisfaction was high (84% quite or very satisfied with PC, 97% quite or very satisfied with the NC, P<.01). A greater number of years giving care was associated with a lower satisfaction with PC ((r=-0.37, P<.005), while institutionalisation was associated with a lower satisfaction with the NC (r=-0.30, P<.01). CONCLUSIONS: In a context of a scarcity of resources, the satisfaction of the caregivers of patients with dementia, as regards health care, was high, possibly due to the motivation of the health professionals and the positive attitude of the caregivers themselves.