OBJECTIVES: To find out the satisfaction's level of the Nazaret (Valencia) Health Center's users; To detect the deficiencies in the areas under study; To find out whether or not there are differences with previous studies in primary care. DESIGN: Transversal study, results evaluation with no equivalent control group. SETTING: (site). Primary health care. Neighborhood of Valencia with 6749 people. With a regressive Sundbarg index, and the 42.6% of the population that are older than nine years are illiterate or with incomplete primary education, the income level index by neighborhood in 1986 is -5.6 (range: 13.4; -8.1). PARTICIPANTS TARGET POPULATION: all the Nazaret Health Center users. The inclusion criteria were: 1. Eighteen years old (or older) users. 2. That had contacted previously for whatever reason (administrative or sanitary) with the health center at least in one occasion during the prior 6 months. The random sample was selected for a 5% maximum error, a 95.5% confidence level, and a p < or = 30% for the negative answers from the scale, its size was 323 patients, with a 20% increase for forecasted no cooperation/no answers (n = 388). INTERVENTION AND RESULTS: The average age of the interviewed was 42 years. The total adding score was 98.1 (theoretical range: 27-135). The score by areas (theoretical range 9-45) was: personal quality area 35.5 professional competence 32.4 and the relationship cost-comfort 30.5. A total (overall) satisfaction item had an average of 7.2 on a 1 to 10 scale, with P10 = 5, P50 = 7, P90 = 10. The analysis of variance shows that satisfaction increases with age, with the attachment to the same doctor, with feminine sex, with unemployment and, with low educational level, being more critic the young people and the people with educational level (not significative difference). CONCLUSION: We consider that users have a good degree of satisfaction, that the ratio cost-comfort should be improved, there is a significative improvement compared with previous studies done with the former primary health care model.

Adolescent↗

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[The trends in cancer mortality, especially lung cancer, in Spain compared with other developed countries].

In this paper we study the general mortality trends by cancer in Spain (1951-1987), and also by sex and age groups. We focus on lung cancer, establishing comparisons with USA, England and Wales. We appreciate on the general mortality trend that only young age groups show a higher decrease, while in other countries this decrease was also in old age groups. We observed a lower mortality trend in Spain by lung cancer than in the other countries, however increasing the rates in both sexes and more in males. That evolution could be related with the evolution of cancer risk factors and especially lung cancer. On concluded that the general mortality trend in Spain is the same than other developed countries but with some delay in the evolution, when comparing lung cancer. Spain is now in an increasing phase and USA, England and Wales have stabilized their rates and begin to decrease their trends.

Adult↗

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[Comparison of mortality in Spain and France, following the method of "potential years of life lost"].

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Cause of Death↗

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[Current changes in the predominant mechanisms of the transmission of brucellosis in the province of Valencia].

A descriptive epidemiological study of brucellosis in the province of Valencia was carried out over the period 1985-1988. In this report predominant transmission mechanisms and their relation with sex, age and profession variables are described. Moreover, the results obtained were compared with those from other brucellosis epidemiologies which were previously carried out in the province of Valencia. It can be seen that there is a relative increase in the direct contagion mechanism and a decrease in the indirect contagion mechanism with respect to the previous periods, which has effects on the variations of sex and profession distribution of the disease. The changes observed could be attributed to a better sanitary control of milk and diary products, mainly fresh cheese, which are very important in the transmission of the disease in the province of Valencia.

Adolescent↗

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[Epidemiological course of rheumatic fever and rheumatic heart disease in Spain (1951-1986)].

A study has been made of the death rate due to Rheumatic Fever (R.F.) and Rheumatic Heart Disease (R.H.D.) in Spain (1951-1985) as well as the disease rate due to Rheumatic Fever (1951-1988). It has been found that the death rate due to R.F. and R.H.D. has clearly decreased over the past 20 years, whilst it is important to note that disease rate due to R.F' has shown a noticeable increase over the past 10 years. And on comparing the death rate due to R.F. in Spain and in the United States, one finds that the U.S. death rate began to drop prior to that in Spain, it currently being minimal in both countries. Stress is placed on the need to increase the control of streptococcus infections, specially throat infections, in our environment.

Adolescent↗

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[Factors determining infant mortality in Spain].

We introduce an ecological research for Spain between the 1975 and 1979, trying to explain the variation of childhood mortality. The social-economical factor had an important weight, as the disposable familiar rent (R2 = 0.44) and the per capita rent, while the health factors had a least important influence. From this last group, the health resources utilization were the most important, as the consultation per habitant (partial regression coefficient -0.15 and -0.14 in 1977 and 1978 respectively) and the surgery activities. Every this reflect a country in change.

Ecology↗

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[Iodine levels in water for public consumption in the province of Valencia].

A descriptive study has been carried out on the iodine content in the drinking water of the Valencia province, where very low levels were found in almost all the public water supplies of the province. The levels of iodine are similar in water originating from the different types of water sources. A slightly higher level is observed in industrialized areas, the same as in the water supplies that are near solid and liquid waste dumps located on land which is vulnerable to contamination and in areas close to the ocean.

Iodine↗

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[Fluoride levels in water for public use in the province of Valencia].

It has been realized a description study about the fluorine content in the drinking waters from the province of Valencia and it has been looked for the relation with distinct variables in order to prevent possible risks for health. The fluoride level is very low in all the public consumption waters of the province. It has been recommended the fluoridation in order to get prophylaxis of the caries teeth. The structural and geological characteristics of the aquifer don't influence about the fluoride levels in it's water supplies. Fluorine level is lightly industrialized zones and supplies near dumping places of solid and liquid residues situated over vulnerable terrenes to contamination on account of porosity, immediately afterwards fissured zones and finally the mixed terrenes.

Fluorides↗

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[Bladder cancer: study of mortality in Spain (1968-1982)].

In review of the rising bladder cancer mortality rate in Spain and its involvement in connection with other "risk factors", according to recent contributions, we proceeded to review these factors involved and to carry out an epidemiological study describing its mortality from 1968 to 1982, through specific mortality rates per hundred thousand in males and females, as well as the study by age groups from 50 upwards, concentrating on more highly affected ages. We also carried out transverse studies for the three years 1968, 1975 and 1982 and reviewed the evolution of mortality in accordance with the chorts of births. On the whole, we observe a continual rise in mortality due to this cancer, at a much higher level in the masculine sex, and we make interpretation as to its association with "risk factors" connected with life style.

Aged↗

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