[Can one obtain data on infant feeding retrospectively?].
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Biomedical subjects
Publications and source records attributed to C Colomer Revuelta.
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The study of the determinants of disease-related lifestyles may be relevant for better understanding the potential of health policies. In the present work, results of the analysis of the Elche Healthy Cities Interview Survey prevalence of some disease related lifestyles (physical activity level, cigarette consumption, and alcohol intake) are presented according to economic level as measured by monthly family income, 573 people randomly selected from the town rolls were interviewed at home. No associations were found between economic level and alcohol intake or present smoking status. But, trying to stop smoking and regular exercise were more frequent behaviors in higher economic groups. The ratio of prevalence of regular exercise was 1.73 in favor of the highest economic levels. The gradient found was statistically significant (chi 2 for trend = 17.4, p less than 0.01). The results may be of relevance when implementing health policies to overcome inequalities in health: "unequal interventions" may be more adequate.
With the aim preventing future problems of underachievement at school, we studied the possible relationship between learning difficulties and iron deficiency in nursery-school children. To do this, we determined the prevalence of iron deficiency and the prevalence or learning difficulties in the different areas of mental development in a sample of 136 nursery school children coming from the Alaquàs public school (Valencia), aged between four and five years. Their nutritional state and ferric state, socioeconomic and cultural level, and psychomotor development were evaluated. All the children were in a good nutritional state, coming from homogeneous families as regards their socio-cultural level and being divided into two groups as regards their economic situation. The iron deficiency prevalence was 17.6% in stage I (ferritina sérica < 12 ng/l) and 22.8% in stage III (anemia ferropénica). The coefficient for overall development was 85.95, the lowest marks being in the speech area. A positive association (prevalence ratio = 2; IC 95% = 1.1-8.3) between iron deficiency in its III stage and changes in the specific area of analysis and synthesis.
The objective of this study is to assess the relationship between the decision to return to work during the first year after delivery and socio-demographic and professional factors, as well as the reasons why the decision is made. Data collection was carried out by a personal interview in the hospital, two days after childbirth. 597 primiparous or secundiparous women who had developed a professional activity during pregnancy were interviewed. Uni and multivariate statistical analysis techniques were used. Blue collar workers (ORadjusted = 0.13), administrative staff (ORadjusted = 0.16), women who give up work more than a month before the birth (ORadjusted = 0.33 and 0.28), women without a contract (ORadjusted = 0.19) and temporary workers (ORadjusted = 0.30) were less likely to make the decision of returning to work. According to these results, the continuity of the women in the labour market after maternity is determined to a great extent by the social and employment context where she works; a fact which must be taken into account when putting into practice maternal and child health promotion programmes.
With the aim of finding out the pattern of food consumption in different socioeconomic areas of the city of Valencia and examining if the sales data from the supermarkets make up an information source which is capable of detecting inequalities and revealing trends, the sales figures of a chain of supermarkets, referring to 10 food products during 1989 and 1990 were studied. Foods were considered as "healthier" (fruit, vegetables, skimmed milk, fresh fish and chicken), "less healthy" (pork, butter and cakes) and foods indicative of a "new style of eating" (pre-cooked frozen foods and frozen food products). The ratio of between "healthier" food sales and sales of "less healthy" foods is directly related to the socio-economic level of the population. The higher the socioeconomic level, the higher, the ratio of proportions of "healthier" and less healthy" food. This pattern was similar for 1989 (2.78 in lower level districts and 3.32 in higher level districts, and in 1990 (2.92 and 4.09 respectively) (p < 0.01). From these results, we deduce the need for developing different activities for the promotion of healthy foods according to social groups.
BACKGROUND: Food poisoning is a major Health Care issue. Health training is one of the mechanisms available for preventing these illnesses. The purpose of this study is that of ascertaining whether food handlers improve their knowledge regarding food handling practices by attending the courses which are offered for being awarded the handler card and of analyzing the impact of sociodemographic variables on the degree of knowledge prior to taking the course. METHOD: Pre-Post type assessment study on a sample of 500 handlers who came to the Public Health Center in the town of Gandfa (Valencia) to take a training course in October 1997-February 1998. A self-test questionnaire taken prior to and following the course to gauge knowledge and other variables was used. RESULTS: A significant difference was found between the pre-test and the post-test, except with regard to the subject of personal hygiene. Those handlers having worked at this occupation for a longer number of years or who had prior health training answered correctly more often. CONCLUSIONS: The training courses heighten the degree of knowledge regarding food-handling practices. In training courses, greater emphasis must be placed on the subjects of food preservation, preparation and serving than on those of personal hygiene or facility cleanliness. Nonetheless, it would be of interest to research whether any changes in attitudes occur as an initial approach to assessing the effectiveness of the training and ascertaining whether any intention exists of putting the knowledge acquired into practice.
BACKGROUND: The work presented describes a descriptive research whose main objective was to quantify the degree of interest and participation of health service centres in the Valencian Community in a voluntary therapist description intervention to support giving up smoking in the workplace. As complementary objectives the process was evaluated as well as the effectiveness of the multimodal treatment used and the possibilities for improvement. METHOD: The proposal of joining the programme was offered by the IVESP who provided a specific training course for the volunteers designated by their centres. A multimodal program was the method of intervention for smoking cessation. Three methods to take back the information (questionnaires, discussion group and delphi study) were used. RESULTS: Of the 170 centres contacted from the whole of the Regional Ministry for Health and Consumer Affairs, 45% showed a wish to participate, 16% designated a monitor to do the training course and 7% carried out the treatment in their workplaces; in these centres the average of success was 30%. CONCLUSIONS: One of the main conclusions of the study was the difficulty to carry out the intervention with volunteers who do not perceive this work as part of their occupational obligations as well as the need of detailed planning of communication strategies with the centres and the commitment of their involvement.
BACKGROUND: To study the evolution of specific cases of fertility by age groups in the Autonomous Region of Valencia, between 1975 and 1990, and compare this development with the evolution on a national level. METHODS: The specific fertility rates were calculated for seven 5-year age groups within the female fertility period (15-49 years). The number of births per age of mother (Natural Movement of the Spanish Population) has been used and the denominator is the female population calculated be geometrical interpolation from the figures provided by different censuses and electoral roles for each one of the age groups. The study period is 1975 to 1990. RESULTS: The evolution of the fertility rate in the Autonomous Region of Valencia is declining in all age groups except the 30-34 year age group, where fertility showed a slight increase at the end of the eighties, the same as in the rest of the country. Worthy of mentioned is the 15-19 year old group, with figures below the national level, and the 25-29 year old group, where the figures are greater than for the rest of the country as a whole. On a province (county) level, the development is similar to what has been described above. Alicante has the highest figure out of the three provinces (counties) for women in the 15-19 and 35-39 year age ranges. CONCLUSION: The evolution of the fertility rate in the Autonomous Community of Valencia is similar to the development in the rest of the country, a slight increase being detected in women in the 30 to 40 year group, which is similar to what has happened in other European countries.