PubMed Health⌕ Search

Biomedical subjects

I Ruiz Pérez

Publications and source records attributed to I Ruiz Pérez.

10 recordsLinked to original sources
PubMed2006

Factors that affect the quality of life of prison inmates on antiretroviral treatment.

Quality of life (QoL) is one of the most commonly used self-assessment outcome measures in chronic disease. The prison environment has specific characteristics that may affect antiretroviral treatment and adherence in HIV-positive patients. The objective of this cross-sectional study was to analyse the association between several factors and QoL in inmates on antiretroviral treatment in three Andalusian prisons. A total of 160 patients on antiretroviral treatment was enrolled. QoL was measured by means of the MOS-HIV. Of the sample, 88% were men and, of these, 53.8% were considered adherent to treatment. In the multivariate analysis, inmates who were considered adherent, who had a higher educational level, who did not receive food supplements and who were prescribed a greater number of pills were found to have a better physical and mental QoL. Likewise, those who felt unable or scarcely able to continue the treatment and who had been drug abusers for a longer time presented a lower physical QoL. Regarding mental QoL, those without a fixed abode, with difficulties in treatment or chronic disease had lower scores.

Adult↗
PubMed2005

[Mental morbidity and social support in prisoners in treatment with antiretrovirals].

OBJECTIVE: To define the incidence of depressive disorders and anxiety disorders in prisoners of three prisons of CCAA in treatment with antiretrovirals, and moreover the associated variables and the intensity of social support within the prison. METHODS: Through a cross-sectional design 281 prisoners were studied. RESULTS: 42% showed mental morbidity and 53.4% lacked social support. To be imprisoned in the Granada prison, to be a woman, poor health state, to describe difficulties for compliance with antiretrovirals drug, a history greater than 13 years for drugs consumption, and usual residence with the couple of family, all were factors associated with mental morbidity. Factors associated with social support non-existence were history of more than one imprisonment, lack of familiarity with the medical equipment, to be more than 35 years old, and to suffer mental morbidity.

Adult↗
PubMed1998

Social adjustment in schizophrenia: factors predictive of short-term social adjustment in a sample of schizophrenic patients.

A sample of 60 Spanish schizophrenic patients was studied in order to ascertain the relationship between their relatives' expressed emotion (EE) and social adjustment after 2 years of follow-up. The average extent of the disability did not increase over time, and differences in dysfunction rates between the various specific social roles were identified. No differences in social outcome were detected between patients with high EE and low EE families. Three factors which predict social adjustment outcome were obtained using logistic regression analysis, namely clinical conditions, baseline social adjustment and the occurrence of a psychotic relapse during the follow-up period.

Activities of Daily Living↗
PubMedDate not supplied

[Domestic violence as a factor associated to women's health problems].

OBJECTIVE: To study the impact of intimate partner violence (IPV) on women's physical and psychological health. DESIGN: Cross-sectional study. SETTING: Primary care centers in 3 Andalusian provinces. PATIENTS: A total of 425 women, aged 18 to 65 years, were recruited following the same randomisation process in 6 primary care centers. MEASUREMENTS: A self-administered structured questionnaire for this study was used to gather the information. As well as sociodemographic variables, the instrument included questions about IPV, physical health indicators (chronic disease and type, lifetime surgeries, days in bed), psychological health (psychological morbidity, use of tranquilizers, antidepressants, pain killers, alcohol and recreational drugs), self-perceived health and social support. RESULTS: Of 425 women, 31.5% ever experienced any type of partner violence. Women experiencing IPV were more likely to suffer a chronic disease. IPV was significantly associated with a number of adverse health outcomes, including spending more than 7 days in bed in the last three months (ORa=2.96; CI 95%, 1.00-8.76), psychological morbidity (ORa=2.68; CI 95%, 1.60-4.49) and worse self-perceived health (ORa=1.89; CI 95%, 1.04-3.43), after controlling for potential confounding variables. CONCLUSION: This study shows that ever experiencing IPV is associated with a worse psychological and self-perceived health. Physical injuries are not the only "evidence" of the presence of IPV. Primary health care professionals are in a privileged position to help women who are abused by their partners.

Adolescent↗
PubMedDate not supplied

[Variation in the prevention of cardiovascular risk factors. A population-based study].

BACKGROUND: Published studies on clinical practice variability have mainly focussed on variability in the rates of hospitalization and surgical procedures. The objective of this study was to evaluate variability in the measurement of cholesterolemia and blood pressure in four professional groups and in the general population. METHODS: A cross-sectional survey was performed by mail in the city of Valencia (Spain). Five population groups were selected: physicians, nurses, lawyers, architects and the general population. The sample was obtained by random sampling of each group. RESULTS: Of all the questionnaires returned, only those returned by individuals surveyed (1,755) and their partners (1,296) were used (total: 3,050). The frequency of preventive cholesterolemia measurement was greater among nurses (55.7%) and physicians (54.1%) than among architects (38.9%), lawyers (38.2%) and the general population (35.1%). The frequency of preventive blood pressure measurement was also greater among physicians (47.7%) and nurses (42.2%) followed by architects (39.4%) and lawyers (38.8%) and was lower among the general population (32.2%). After adjusting by sex, age group, marital status, level of education, and employment, only lawyers (RR = 0.79; 95% CI, 0.6-0.9) and architects (RR = 0.77; 95% CI, 0.68-0.88) showed a significantly lower probability of determining cholesterol levels than physicians (basal category) and nurses (RR = 1.05; 95% CI, 0.93-1.18). The general population showed the lowest probability of measuring blood pressure (RR = 0.8; 95% CI, 0.65-0.97), although the differences were statistically significant only when compared with physicians. CONCLUSIONS: Preventive practices should be increased among groups in which they are less frequently performed until they are performed with the same frequency as among physicians and nurses. Efforts should be directed to increasing cardiovascular prevention programs in health centers.

Adolescent↗
PubMedDate not supplied

[The work situation and mental health. The results of a cross-sectional study].

The aim of the study is to assess the relationship between employment situation and mental health in the city of Valencia. Between May and July of 1992, a cross sectional study by means of personal interviews was carried out. The total sample was 411 people of these 101 were selected through a random sampling of the working population, the rest (310) consisted of people registered with INEM selected through a predetermined sampling according to age and sex. The variable dependent (psychological morbidity) was measured through the General Health Questionnaire (GHQ) consisting of 28 items. The results obtained show that 36.4% of the unemployed sample displayed psychological morbidity as opposed to 23.3% of those is employment (p = 0.01). The prevalence Odds Ratio (OR) was calculated by means of a logistic regression model. Those in causal employment had a OR of 8.62 (95% CI = 2.66-27.9) as opposed to those in regular employment after adjusting for age, sex and professional status. Those that had been unemployed for more than a year had a OR of 16.02 (95% CI = 4.60-55.75) as opposed to those employment after adjusting for the same variables. These results seem to confirm a greater psychological morbidity among those with casual employment and the unemployed as opposed to those in regular employment although the transversal design of the study does not highlight any relation of casualty that might exist among the variables.

Age Distribution↗
PubMedDate not supplied

[The users of centers for AIDS information and prevention in the Comunidad Valenciana, Spain: a study based on cluster analysis].

OBJECTIVE: To measure the usefulness of multiple correspondence analysis (MCA) and cluster analysis applied to the epidemiological research of HIV infection. The specific are to explore the relationships between the different variables that characterize the users of the AIDS Information and Prevention Center (CIPS) and to identify clusters of characteristics which in terms of the attendance to these centers, could be considered similar. METHODS: The clinical history the CIPS in the Valencian region in Spain was used as data source. The target population target were intravenous drug users (IDUSs) attending these centers between 1987 and 1994 (n = 6211). Information about socio-demographic and HIV type I infection-related variables (drug use and sexual behaviour) was collected by means of a semistructured questionnaire. A MCA was carried out to obtain a group of quantitative factors that were used in a cluster analysis. RESULTS: A 44.8% HIV type I prevalence was found. Five factors were detected by MCA that explain 51.14% of the total variability, of which sex, age and the usual sexual partner were the variables best explained. Cluster analysis allowed to describe 5 different subgroups of CIPS users according to their socio-demographics characteristics, risk behaviours and serologic status. It is necessary to highlight the categories 1 and 2, which collect the serologic status and the most relevant characteristics of HIV infection. Category I contains users with a negative serology and characterized by being mainly single adolescent men, with a low educational level; they stated that they have no steady sexual partner, do not share syringes and have been intravenous drug users between 3 and 10 years. They mainly come from the city of Alicante. Category 2 contains mainly people that are HIV positive and older. They also share syringes and have been intravenous drug users for a longer time; they have a higher education level and most of them come from the city of Valencia. CONCLUSIONS: The proposed method of analysis was able to characterise the CIPS users, identifying those socio-demographic variables and risk behaviours that are more related to the serologic status. The applicability of these techniques to epidemiologic studies of HIV type I infection is discussed.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

[The mortality trend in suicides in Andalucía from 1976 to 1995].

OBJECTIVE: To describe trends in mortality from suicide among people older then 14 years of age in Andalucía, Spain, from 1976 to 1995, with reference to age, sex, marital status and method of suicide. METHODS: With deaths from suicide and the populations of Andalucía, the following indicators were computed: crude and age-adjusted rates by gender, year of death and marital status; age-adjusted rates of years of potential life lost by year of death and marital status. Poisson regression models were obtained to analyze time trends. RESULTS: Mortality from suicide has experienced an important increase, mainly in men, changing from rates of 13,66 to 18,19 deaths per 100,000 person-years. In women, the increase has been much slighter, from 3,81 to 4,36 deaths per 100,000 person-years. The largest increase has occurred among young males and, to a lesser extent, in the oldest groups, both in males and females, although the rates increase with age. The two main methods of suicide, both in males and females, were hanging and jumping, with the highest frequency occurring among widowers, followed by single and divorced persons, while married people were in the last position. CONCLUSIONS: In a situation of generalized increase in mortality from suicide in Andalucía in the study period, important differences were found by sex, age and marital status.

Adolescent↗