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1. Alimentación del recién nacido en el periodo de posparto inmediato

Author

Berra Silvina, Galván Nancy K, Sabulsky Jacobo, Dal Lago Bárbara, Gorgerino María C, Rajmil Luis, Passamonte Raquel, Pirán Arce María F, and Pascual de Unía Laura R

Subjects
Lactancia materna, Atención posnatal, Atención perinatal, Cuidado del lactante, Recién nacido, Factores socioeconomicos, Analisis multivariado, Public aspects of medicine, RA1-1270
Abstract

OBJETIVO: Describir la modalidad de alimentación de los recién nacidos en instituciones públicas y privadas; y estudiar su relación con prácticas sanitarias de atención del parto y el puerperio y con caraterísticas sociodemográficas. MÉTODOS: Se estudiaron 347 binomios madre - hijo representativos de los nacimientos en maternidades públicas y privadas de la ciudad de Córdoba, Argentina. Las madres fueron entrevistadas entre las 24 y 48h posteriores al parto. Mediante análisis de regresión logística se estudió la asociación de las prácticas sanitarias con la modalidad de alimentación en la institución, controlando el efecto de factores sociodemográficos y perinatales, en instituciones públicas y privadas. Se realizó análisis de regresión logistica expressada en "odds ratio", con intervalo de confianza de un 95%. RESULTADOS: Recibieron lactancia materna exclusiva el 60,4% de los nacidos en instituciones públicas y el 2,9% de los nacidos en instituciones privadas. El riesgo de no tener lactancia materna completa en las instituciones públicas durante el postparto inmediato fue significativamente mayor cuando los niños recibieron un primer alimento diferente de leche materna [odds ratio (OR):149; Intervalo de confianza (IC) 95%: 16,7-1332)], el primer contacto se retrasó más de 45 minutos (OR:4,43; IC 95%: 1,02-19,20) y la intención de la madre fue amamantar menos de 6 meses (OR:5,80; IC95%: 1,32-25,52); y, en las privadas, cuando los niños recibieron un primer alimento diferente de leche materna (OR:9,88; IC 95%: 1,07-91,15). CONCLUSIONES: La atención del parto y el puerperio no es acorde a las recomendaciones actuales e influye en la modalidad de alimentación del recién nacido independientemente de otros factores estudiados.

Published
2002

3. Los profesionales de la salud y las consecuencias de una posible guerra en Irak: carta abierta al presidente del gobierno español

Author

Marrugat Jaume, Porta Miquel, Fernández Esteve, Pérez Gloria, Elosua Roberto, Plasencia Antonio, Pollán Marina, Espinás Josep Alfons, González Carlos Alberto, Ribas Núria, Pérez Sandra, Zock Jan Paul, Callizo Esther, Castaño Gemma, Domingo Antonia, García Judith, Santed Rosalía, Ballester Ferran, Puidollers Elisabet, Peiró Salvador, Pont Angels, Alvarez-Dardet Carlos, Luquin Elisabet, Tormo María José, Vall Oriol, Hervada Xurxo, Brugal Teresa, Manzanera Rafael, Roca Josep, González Luís Carlos, Vioque Jesús, Pérez Santiago, Castellsagué Xavier, Schiaffino Anna, Durán Enric, Berra Silvina, Macià Francesc, Rebagliato Marisa, Rajmil Luís, Peris Mercè, Vergara Montserrat, Sala Maria, Ribalta Alba, Gea Joaquim, Segura Andreu, Medina Mercè, Jansà Josep Maria, Hernández Ildefonso, Covas María Isabel, Fusté Josep, Benach Joan, Albertí Constança, Bosch Fèlix, Marín Dolors, Cucó Gemma, Rohlfs Izabella, Godoy Pere, Cabezas Carmen, Pérez Catherine, Serra Lluís, López Celsa, Ariza Carlos, Pérez Beatriz, Zurriaga Oscar, del Amo Julia, Llop Esther, Rodés Anna, Ortuño Jordi, Montes Agustín, Artundo Carlos, Pasarín María Isabel, Cano Rosa, Bellido Juan, Abraira Víctor, López-Abente Gonzalo, de la Cámara Agustín Gómez, Menoyo Esther, Galmés Antonia, Barrio Gregorio, Ferrer Montserrat, García Carmen, Gutierrez Gonzalo, Álvarez Ana, Fernández Karoline, Criado Juan José, Rabanaque María José, Martínez Pablo, Saracci Rodolfo, Manresa Josep Maria, Rosell Ignacio, Aibar Carlos, Martínez Juan, Navarro Carmen, García Rocío, Arocha José Luís, Vázquez Teresa, Sala Joan, Masiá Rafael, Sentí Mariano, Fitó Montserrat, Ferrer Yolanda, and Lown Bernard

Subjects
Public aspects of medicine, RA1-1270
Published
2003

4. Properties of a short questionnaire for assessing Primary Care experiences for children in a population survey

Author

Pasarín M Isabel, Rodríguez-Sanz Maica, Rocha Kátia B, Berra Silvina, Rajmil Luis, Borrell Carme, and Starfield Barbara

Subjects
Public aspects of medicine, RA1-1270
Abstract

Abstract Background The Primary Care Assessment Tool (PCAT) is an interesting set of tools for primary care research. A very short version could inform policy makers about consumer experiences with primary care (PC) through health surveys. This work aimed to investigate the validity and reliability of a selection of items from the child short edition (CS) of the PCAT. Methods A 24 item questionnaire permitted the identification of a regular source of care and the assessment of the key attributes of first contact, ongoing care over time, coordination, services available and services received (comprehensiveness), and cultural competence. Structural validity, reliability, and construct validity were assessed using responses from 2,200 parents of a representative sample of the population aged 0 to 14 years in Catalonia (Spain) who participated in the 2006 Health Survey. Structural validity was analyzed using exploratory and confirmatory factor analyses and reliability was assessed using Cronbach's alpha. Construct validity was assessed using linear regression analysis between PC experience scores and a measure of overall user satisfaction with healthcare services. Results A total of 2,095 (95.2%) parents provided useable responses on PC. After Confirmatory Factor Analysis (CFA), the best fitting model was a 5-factor model in which the original dimensions of first contact and ongoing care were collapsed into one. The CFA also showed a second order factor onto which all domains except services available loaded (root mean square error of approximation = 0.000; comparative fit index = 1.00). Cronbach's alpha values for one of the original scales (first-contact) was poor (alpha < 0.50), but improved using the modified factor structure (alpha > 0.70). Scores on the scales were correlated with satisfaction with healthcare services (p < 0.01), thereby providing some preliminary evidence of construct validity. Conclusions This very short questionnaire obtained from the PCAT-CE yields information about five attributes of PC and a summary score. It has shown evidence of validity and reliability for judgments about experiences with primary care overall. If space on surveys is at a premium, the instrument could be useful as a measure of PC experiences.

Published
2011
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5. Methods and representativeness of a European survey in children and adolescents: the KIDSCREEN study

Author

von Rueden Ursula, Duer Wolfgang, Bisegger Corinna, Tebé Cristian, Erhart Michael, Ravens-Sieberer Ulrike, Berra Silvina, Herdman Michael, Alonso Jordi, and Rajmil Luis

Subjects
Public aspects of medicine, RA1-1270
Abstract

Abstract Background The objective of the present study was to compare three different sampling and questionnaire administration methods used in the international KIDSCREEN study in terms of participation, response rates, and external validity. Methods Children and adolescents aged 8–18 years were surveyed in 13 European countries using either telephone sampling and mail administration, random sampling of school listings followed by classroom or mail administration, or multistage random sampling of communities and households with self-administration of the survey materials at home. Cooperation, completion, and response rates were compared across countries and survey methods. Data on non-respondents was collected in 8 countries. The population fraction (PF, respondents in each sex-age, or educational level category, divided by the population in the same category from Eurostat census data) and population fraction ratio (PFR, ratio of PF) and their corresponding 95% confidence intervals were used to analyze differences by country between the KIDSCREEN samples and a reference Eurostat population. Results Response rates by country ranged from 18.9% to 91.2%. Response rates were highest in the school-based surveys (69.0%–91.2%). Sample proportions by age and gender were similar to the reference Eurostat population in most countries, although boys and adolescents were slightly underrepresented (PFR Conclusion School-based sampling achieved the highest overall response rates but also produced slightly more biased samples than the other methods. The results suggest that the samples were sufficiently representative to provide reference population values for the KIDSCREEN instrument.

Published
2007
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7. Aceptabilidad lingüística en la comprensión de cuestionarios de valoración de servicios de salud en Iberoamérica

Author

Ponzo, Jacqueline, Osorio, Alexandra Giraldo, Pasarín, M. Isabel, Leyns, Christine, Álvarez, Consuelo Vélez, Chávez, Carlos Alberto Soto, Molina, Diana, Fuentes-García, Alejandra, Anzoleaga, Jenny V. Magne, Plácido, María Teresa Torres, Mora, Franco González, Terra, Agustina, Valdata, Marcela, Borgonovo, Belén, Salazar, Miriam, Villanueva, Rosa, Peresini, Virginia, Berra, Silvina, and Rivadero, Luisina

Published
2021
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10. A Decade of Monitoring Primary Healthcare Experiences through the Lens of Inequality.

Author

Pasarín, M. Isabel, Rodríguez-Sanz, Maica, Berra, Silvina, Borrell, Carme, and Rocha, Kátia B.

Subjects
CROSS-sectional method, RESEARCH funding, MEDICAL quality control, PRIMARY health care, FISHER exact test, DESCRIPTIVE statistics, BIRTHPLACES, ACCESS to primary care, HEALTH equity, DATA analysis software, EPIDEMIOLOGICAL research, SOCIAL classes, MEDICAL referrals
Abstract

Background: Health care is not exempt from harboring social inequalities, including in those countries with a universal public system. The objective was to ascertain whether the population's assessment of primary care (PC) changed between 2006 and 2016, the decade that included the economic crisis of 2008, and also if it exhibited patterns of social inequality in Barcelona (Spain). Methods: This was a cross-sectional study using Barcelona Health Surveys 2006 and 2016. Samples (4027 and 3082 respectively) comprised residents in Barcelona, over 15 years old. Dependent variable: Primary Care (PC) index. Independent variables: age, social class, and birthplace. Analyses included means and percentiles of PC index, and Somers' D test to compare the distribution of the groups. Results: Comparing 2016 with 2006, the distribution of the PC index remained in women (median of 73.3) and improved in men (from 70 to 73.3). By social class, the pattern of inequality observed in 2006 in men with perceived poor health status disappeared in 2016. Inequalities according to birthplace persisted in women, regardless of perceived health status, but disappeared in men. Conclusions: In the 10 years between which the global economic crisis occurred, the assessment of PC did not worsen, and it did improve for men, but the study points to the need for more focus on people born abroad. [ABSTRACT FROM AUTHOR]

Published
2024
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19. Adaptación cultural de un instrumento para valorar el lenguaje infantojuvenil en Argentina: los módulos de semántica y pragmática de la BLOC-SR

Author

Rivadero, Luisina, Mercado, Iván, Berra, Silvina, Rivadero, Luisina, Mercado, Iván, and Berra, Silvina

Abstract

The aim of this study was to adapt the semantic and pragmatic dimensions of the Batería del Lenguaje Objetiva y Criterial (revised screening version) for its use in argentinian children and teenagers (BLOC-SR AR). The cross-cultural adaptation was conducted in three phases: 1. linguistic probe: group interviews (n=6) were conducted to evince the most suitable lexical and morphosyntactic structures for the cordobesian context; 2. experts committee: a multidisciplinary committee was constituted to discuss the equivalence and adequacy of the changes; 3. pre-test: 49 participants were interviewed to assess the difficulty, interest, application time and comprehension of the adapted version. From the analysis of linguistic acceptability and practical and conceptual equivalence emerged the semantic and pragmatic dimensions of the BLOC-SR-AR, which has shown to be equivalent, adequate, applicable and comprehensible. Further works are needed to evaluate the psychometric properties of the instrument., Con el objetivo de adaptar culturalmente los módulos de semántica y pragmática de la Batería del Lenguaje Objetiva y Criterial (versión screening revisada) para su aplicación en población infantojuvenil argentina (BLOC-SR AR) se realizó este trabajo en tres instancias: sondeo lingüístico (n = 6) para evidenciar el léxico y las estructuras morfosintácticas propias de la variedad del español cordobés; revisión de expertas para discutir la equivalencia y adecuación de las modificaciones; y pruebas de comprensión (n = 49) para evaluar la aplicabilidad y comprensión de los ítems. Del análisis de la aceptabilidad lingüística y equivalencia práctica y conceptual resultó la versión adaptada de los módulos de semántica y pragmática de la BLOC-SR. La BLOC-SR AR se valoró como equivalente, adecuada, aplicable y comprensible para el contexto de Córdoba Argentina. Futuros trabajos deberán constatar las propiedades psicométricas del instrumento en poblaciones comunitarias y clínicas.

Published
2023

23. Adaptación transcultural de un cuestionario de calidad de vida relacionada con la salud en paralisis cerebral

Author

Herrera Sterren, Natalia and Berra, Silvina

Subjects
Medicine (General), lcsh:R5-920, Parálisis Cerebral, Adolescent, Cerebral Palsy, lcsh:Public aspects of medicine, lcsh:RA1-1270, Encuestas y Cuestionarios, R5-920, Niño, Surveys and Questionnaires, Quality of Life, Calidad de Vida, Public aspects of medicine, RA1-1270, Child, lcsh:Medicine (General), Adolescente
Abstract

RESUMEN INTRODUCCIÓN los indicadores de calidad de vida relacionada con la salud (CVRS) son importantes en la valoración de personas con discapacidad porque incorporan su propia perspectiva. El CP QOL (Cerebral Palsy Quality of Life) es un cuestionario australiano que mide CVRS en niños, niñas y adolescentes con parálisis cerebral por autoadministración o por informador indirecto. El objetivo del presente estudio fue obtener una versión del CP QOL-PCQ (Primary Caregiver Questionnaire) adecuada culturalmente a la población argentina, que fuera práctica y semánticamente equivalente a la versión original. MÉTODOS se realizó una adaptación transcultural incluyendo traducción y retrotraducción por lingüistas profesionales, control de equivalencia por expertos y autores, y pruebas de comprensión mediante entrevistas cognitivas a una muestra de cuidadores. La adecuación, equivalencia y comprensión fueron comprobadas en los discursos de expertos y las respuestas de entrevistas. RESULTADOS se tradujeron 95 ítems, y 19 se modificaron durante las etapas de revisión y consenso con expertos y autores. En las entrevistas cognitivas se detectó dificultad de comprensión y equivalencia cultural y se modificaron 6 ítems. DISCUSIÓN se dispone de versiones del CP QOL-PCQ adecuadas culturalmente a la población infantil y adolescente argentina, con pruebas de su comprensión en población diana. Sus propiedades métricas y conformación definitiva serán evaluadas próximamente. ABSTRACT INTRODUCTION Health-related quality of life (HRQL) indicators are important in the assessment of people with disabilities because they incorporate their own perspective. The CP QOL (Cerebral Palsy Quality of Life) is an Australian questionnaire that measures HRQL in children and adolescents with cerebral palsy by self-administration or through proxies. The objective of this study was to obtain a culturally adequate version of the CP QOL-PCQ (Primary Caregiver Questionnaire) for the Argentine population, practical and semantically equivalent to the original version. METHODS A cross-cultural adaptation was conducted, including translation and back translation by professional linguists, control of equivalence by experts and authors, and comprehension tests through cognitive interviews with a sample of caregivers. Adequacy, equivalence, and comprehension were verified in the expert's speeches and interviews responses. RESULTS Ninety-five items were translated and 19 were modified during the review and consensus with experts and authors. In cognitive interviews, comprehension difficulty and cultural equivalence were detected and 6 items were modified. DISCUSSION Culturally appropriate versions of the CP QOL-PCQ are available for the Argentine child and adolescent population, with evidence of their understanding in the target population. Metric properties and final conformation will be evaluated in the near future.

Published
2020

26. Saúde autopercibida, mudanças na experiência escolar e outros hábitos de saúde de adolescentes de Córdoba durante o isolamento social preventivo e obrigatório por COVID-19

Author

Berra, Silvina del Valle, Rivadero, Luisina, Mántaras, Romina, Fantini, Francisco Martín, Lavin Fueyo, Julieta, and Mamondi, Verónica Anabel

Subjects
purl.org/becyt/ford/3.3 [https], ADOLESCENTE, INSTITUCIONES ACADÉMICAS, CALIDAD DE VIDA, COVID-19, purl.org/becyt/ford/3 [https], CORONAVIRUS, CONDUCTAS RELACIONADAS CON LA SALUD
Abstract

Objetivo: explorar asociaciones entre salud autopercibida y desempeño escolar, hábitos de estudio, actividad fí-sica (AF), sueño y uso de pantallas antes y durante el aislamiento social, preventivo y obligatorio (ASPO) por la pandemia de COVID-19 en escolares del nivel secunda-rio de Córdoba, Argentina. Método: Estudio descriptivo mediante encuesta digital a adolescentes. Se indagaron diez dimensiones de la salud autopercibida en el momento del estudio; y experiencia escolar, AF, sueño y uso de pantallas, antes del ASPO y durante el estudio. Resulta-dos: Durante el ASPO, diversas dimensiones de la salud autopercibida mostraron correlación con la experiencia escolar y otros hábitos estudiados. Los cambios en las experiencias y hábitos antes-durante el ASPO mostraron correlaciones con las dimensiones de bienestar psico-lógico, entorno escolar, aceptación social, relación con padres y aceptación social. Conclusiones: En esta muestra, la salud autopercibida pareció afectada por las circunstancias experimentadas durante la pandemia de COVID-19. Objective: To explore associations between self-perceived health and perceptions of school performance (PDE), study habits, physical activity (PA), sleep and screen time habits before and during the compulsory, preventive and social isolation (ASPO) due to the COVID-19 pandemic in middle school students from Córdoba, Argentina. Method: Descriptive study using a virtual survey addressed to adolescents. Ten dimensions of selfperceived health were assessed by means of KIDSCREEN-52 questionnaire; school experience (items from HBSC and LASSI questionnaires), AF (PACE), sleep and screen use (BackPEI), before ASPO and at the study time were evaluated. Results: During the ASPO, several domains of self-perceived health correlated with school experience and other habits studied. Changes before-during ASPO in experiences and habits correlated with psychological well-being, school environment, social acceptance, parent relations and social acceptance. Conclusions: In the sample, self-perceived health semed affected by the circumstances experienced during the COVID-19 pandemic. Objetivo: explorar associações entre autopercepção de saúde e desempenho escolar, há- bitos de estudo, atividade física (AF), sono e uso de telas antes e durante o isolamento social preventivo compulsório (ASPO) devido à pandemia de COVID-19 em escolares do ensino médio em Córdoba, Argentina. Método: Estudo descritivo baseado em um enquete digital com adolescentes. Dez dimensões da autopercepção da saúde foram investigadas no momento da pesquisa; e experiência escolar, AF, sono e uso de telas, antes do ASPO e durante o estudo. Resultados: Durante o ASPO, várias dimensões da autopercepção da saúde apresentaram correlação com a experiência escolar e outros hábitos estudados. Mu- danças em experiências e hábitos antes e durante a ASPO mostraram correlações com as dimensões bem-estar psicológico, ambiente escolar, aceitação social, relacionamento com os pais e aceitação social. Conclusões: Nesta amostra, a autopercepção da saúde parece ter sido afetada pelas circunstâncias vivenciadas durante a pandemia de COVID-19. Fil: Berra, Silvina del Valle. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad. Universidad Nacional de Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina. Universidad Nacional de Córdoba. Facultad de Medicina. Escuela de Salud Pública; Argentina Fil: Rivadero, Luisina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad. Universidad Nacional de Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina. Universidad Nacional de Córdoba. Facultad de Medicina. Escuela de Fonoaudiología; Argentina Fil: Mántaras, Romina. Universidad Nacional de Córdoba; Argentina Fil: Fantini, Francisco Martín. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad. Universidad Nacional de Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina Fil: Lavin Fueyo, Julieta. Universidad Nacional del Comahue. Facultad de Ciencias y Tecnologia de los Alimentos; Argentina Fil: Mamondi, Verónica Anabel. Universidad Nacional de Córdoba. Facultad de Medicina; Argentina

Published
2021

29. Armonizacion iberoamericana de los instrumentos PCAT para la evaluación del primer nivel de atención

Author

Ponzo, Jacqueline, Berra, Silvina, Giraldo-Osorio, Alexandra, Pasarin, M. Isabel, Leyns, Christine, Alvarez, Consuelo Velez, Soto, Carlos, Molina, Diana, Fuentes-Garcia, Alejandra, Hauser, Lisiane, Magne, Jenny, Chicaiza, Victor, Torres, Teresa, Mora, Franco Gonzalez, Terra, Agustina, Harzheim, Erno, Ferre, Patricia, Borja-Aburto, Victor, and Fuentes, Mauricio

Published
2018
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31. Percepção de risco perante o coronavírus na primeira fase da pandemia na Argentina

Author

Saletti, Lorena, Tumas, Natalia, and Berra, Silvina del Valle

Subjects
riesgo, PANDEMIAS, Argentina, Salud, Coronavirus infections, evaluación del impacto en la salud, pandemics, Infections, Risk assessmenta, Infecções por coronavírus, purl.org/becyt/ford/3.3 [https], RIEGSO, avaliação do impacto na saúde, purl.org/becyt/ford/5.1 [https], risk, Pandemia, Infecciones, Evaluación, purl.org/becyt/ford/5 [https], access to information, risk assessment, COVID-19, Covid 19, INFECCIONES POR CORONAVIRUS, a Argentina, Coronavirus, Impacto, SALUD MENTAL, health impact assessment, risco, purl.org/becyt/ford/3 [https], Infecções
Abstract

Objetivo. Analizar los factores asociados a la percepción de riesgo de coronavirus en la primera fase de la pandemia en Argentina. Métodos. Se desarrolló un estudio transversal en población adulta (n=992) argentina. En marzo 2020 se aplicó un cuestionario online de la Organización Mundial de la Salud adaptado a Argentina. Se estimó la asociación entre la percepción de probabilidad de contagio y de severidad en caso de contagio, y sentimientos en relación al coronavirus, autoeficacia y búsqueda de información, mediante modelos de regresión lineal múltiple. Resultados. La percepción de riesgo frente al coronavirus en la primera fase de la pandemia fue moderada. Sin embargo, la proporción de personas que indicó puntuaciones altas fue mucho mayor en la percepción de severidad, comparado con la percepción de probabilidad de contagio. La percepción de probabilidad de contagio fue menor a mayor percepción de lejanía del virus y a mayor frecuencia de búsqueda de información. La percepción de severidad en caso de contagio se asoció positivamente con la frecuencia de búsqueda de información. En cambio, se asoció inversamente con la percepción de lejanía del virus y la autoeficacia. Conclusiones. Existen diferentes factores tanto emocionales como sociales asociados a la percepción de contagio y de severidad en Argentina. Esta complejidad debería considerarse en el diseño de políticas públicas para la prevención de COVID-19. Objective: to analyze the factors associated with the perception of risk of coronavirus in the first phase of the pandemic in Argentina. Methods: a cross-sectional study was carried out in the Argentine adult population (n = 992). An online survey of the World Health Organization adapted to Argentina was applied in March-2020. The association between the perception of probability of contagion and severity in case of contagion and feelings related to the coronavirus, self-efficacy and health, were estimated using multiple linear regression models. Results: The perception of risk facing the first phase of the pandemic was moderate. However, the proportion of people who indicated high scores in the perception of severity was much higher compared to the perception of probability of contagion. The perception of probability of contagion was lower at greater perception of remoteness of the virus and it was greater at a higher frequency of information search. The perception of severity in case of contagion was positively associated with frequency of information search. Instead, it was inversely associated with the perception of remoteness of the virus and self-efficacy. Conclusions: There are different social and emotional factors associated with the perception of contagion and severity of coronavirus in Argentina. This complexity should be considered in the design of public policies for the prevention of COVID-19. Objetivo. Analisar os fatores associados à percepção de risco de coronavírus na primeira fase da pandemia na Argentina. Métodos. Desenvolveu-se um estudo transversal em população adulta (n=992) na Argentina. Em março de 2020 foi aplicado um questionario online da Organização Mundial da Saúde adaptado para a Argentina. Estimouse a associação entre a percepção de probabilidade de contágio e da severidade no caso de contágio, e sentimentos em relação ao coronavírus, auto-eficácia e busca de informação, mediante modelos de regressão linear múltipla. Resultados. A percepção de risco frente ao coronavírus na primeira fase da pandemia foi moderada. Entretanto, a proporção de pessoas que indicou pontuações altas foi muito maior na percepção de severidade, comparado com a percepção de probabilidade de contágio. A percepção de probabilidade de contágio foi menor quanto maior a percepção de distância do vírus e a maior frequência de busca de informação. A percepção de severidade no caso de contágio é associada positivamente à frequência de busca de informação; por outro lado é associada inversamente à percepção de distância do vírus e a auto-eficácia. Conclusões. Existem diferentes fatores tanto emocionais como sociais associados à percepção de contágio e de severidade na Argentina. Esta complexidade deveria ser considerada no planejamento de políticas públicas para a prevenção da COVID-19. Fil: Saletti, Lorena. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad. Universidad Nacional de Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina Fil: Tumas, Natalia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad. Universidad Nacional de Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina Fil: Berra, Silvina del Valle. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad. Universidad Nacional de Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina

Published
2021

34. Alimentación y nutrición en la adolescencia: contenidos y actividades para la promoción de entornos escolares saludables

Author

Román, María Dolores, Moos, Ana C, and Berra, Silvina

Subjects
Nutrición, INTERDISCIPLINARY RESEARCH AREAS::Domestic science and nutrition [Research Subject Categories], Alimentación
Abstract

Libro digital, PDF ¿Qué es este cuadernillo? El presente cuadernillo, elaborado por investigadores/docentes de la Universidad Nacional de Córdoba y del CONICET con trayectoria en el tema, ofrece una propuesta de trabajo que aporta al estudio e implementación de estrategias de cuidado de la salud en el marco de la Guía de Entornos Escolares Saludables elaborada por el Programa de Alimentación Saludable y Prevención de Obesidad y el Programa Nacional de Lucha contra el Sedentarismo, dependiente de la Dirección Nacional de Promoción de la Salud y Control de Enfermedades Crónicas No transmisibles, Ministerio de Educación, Cultura, Ciencia y Tecnología y Ministerio de Salud y Desarrollo Social de la Nación. Fil: Berra, Silvina. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Salud Pública; Argentina Fil: Moos, Ana. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Nutrición; Argentina. Fil: Román, María Dolores. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Nutrición; Argentina. Fil: Berra, Silvina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro de Investigación sobre Sociedad y Cultura y Sociedad; Argentina

Published
2021

35. Modified version of the PCAT-A10 tool for the evaluation of primary care Evaluación de la atención primaria, versión modificada del instrumento PCAT-A10

Author

Rocha, K.B., Rodríguez-Sanz, Maica, Berra, Silvina, Borrell i Thió, Carme, and Pasarín, M. Isabel

Subjects
Mental health, Evaluation, Primary Care
Abstract

Altres ajuts: Este trabajo ha sido parcialmente financiado por el CIBER de Epidemiología y Salud Pública. Objective: To evaluate the measurement characteristics of the Spanish and Catalan versions of the 10-Item Primary Care Assessment Tool for adults (PCAT-A10), shortened from the original Primary Care Assessment Tool (PCAT), with a new mental health item. Design: Cross-sectional observational study. Location: The city of Barcelona. Participants: Of the 3,496 people over 14 years of age from the representative random sample of the Barcelona population, from the 2016-17 Barcelona Health Survey, those who declared they had a family doctor, and had visited a specialist at some time in their lives, and had answered more than 50% of PCAT-A10 items were selected (n = 3,107). Main measurements: Item descriptive analysis, analysis of internal consistency, corrected item - total correlation, of the PCAT-A10 index and the 10 items that make it up. Three scenarios for non-response to treatment were analysed: substitution by 0, by the intermediate value, and excluding people who did not answer any item. Results: The PCAT-A10 index obtained Cronbach alphas of 0.73, 0.79, and 0.85 in the three mentioned scenarios, correlation item total corrected between 0.41 and 0.66, and 20.8% non-responses to the mental health item. Conclusions: The new version of PCAT-A10 has a high reliability with a higher response in the mental health item compared to the previous version.

Published
2021

36. Perception of risk facing coronavirus in the first phase of the pandemic in Argentina[Percepción de riesgo ante el coronavirus en la primera fase de la pandemia en Argentina][Percepção de risco perante o coronavírus na primeira fase da pandemia na Argentina]

Author

Saletti-Cuesta, Lorena, Tumas, Natalia, and Berra, Silvina

Subjects
H Ciencias Sociales (General), HM Sociología
Abstract

Objective: To analyze the factors associated with the perception of risk of coronavirus in the first phase of the pandemic in Argentina. Methods: A cross-sectional study was carried out in the Argentine adult population (n = 992). An online survey of the World Health Organization adapted to Argentina was applied in March-2020. The association between the perception of probability of contagion and severity in case of contagion and feelings related to the coronavirus, self-efficacy and health, were estimated using multiple linear regression models. Results: The perception of risk facing the first phase of the pandemic was moderate. However, the proportion of people who indicated high scores in the perception of severity was much higher compared to the perception of probability of contagion. The perception of probability of contagion was lower at greater perception of remoteness of the virus and it was greater at a higher frequency of information search. The perception of severity in case of contagion was positively associated with frequency of information search. Instead, it was inversely associated with the perception of remoteness of the virus and self-efficacy. Conclusions: There are different social and emotional factors associated with the perception of contagion and severity of coronavirus in Argentina. This complexity should be considered in the design of public policies for the prevention of COVID-19., Fil: Saletti-Cuesta, Lorena. CONICET. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina, Fil: Tumas, Natalia. CONICET. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina, Fil: Tumas, Natalia. Universidad Católica de Córdoba; Argentina, Fil: Tumas, Natalia. Universidad Nacional de Córdoba; Argentina, Fil: Berra, Silvina. CONICET. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina, Fil: Berra, Silvina. Universidad Católica de Córdoba; Argentina, Fil: Berra, Silvina. Universidad Nacional de Córdoba; Argentina

Published
2021

37. Aceptabilidad lingüística en la comprensión de cuestionarios de valoración de servicios de salud en Iberoamérica

Author

Berra, Silvina, primary, Rivadero, Luisina, additional, Ponzo, Jacqueline, additional, Osorio, Alexandra Giraldo, additional, Pasarín, M. Isabel, additional, Leyns, Christine, additional, Álvarez, Consuelo Vélez, additional, Chávez, Carlos Alberto Soto, additional, Molina, Diana, additional, Fuentes-García, Alejandra, additional, Anzoleaga, Jenny V. Magne, additional, Plácido, María Teresa Torres, additional, Mora, Franco González, additional, Terra, Agustina, additional, Valdata, Marcela, additional, Borgonovo, Belén, additional, Salazar, Miriam, additional, Villanueva, Rosa, additional, and Peresini, Virginia, additional

Published
2021
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39. Social Inequality and Academic Achievement Trajectories of Schoolchildren in the City of Córdoba, Argentina

Author

DEGOY, EMILSE and BERRA, SILVINA

Abstract

Em um contexto de pobreza, mas com alto índice da escolaridade, examina-se se existem diferentes trajetórias de desempenho acadêmico (RA) associadas a Características socioeconômicas de crianças de Córdoba-Argentina. Foi realizado um estudo de coorte prospectivo com escolares, no qual medidas anuais de desempenho acadêmico e medidas linha de base das características sociais: sexo, educação materno, estrato ocupacional, nível socioeconômico (NSE) e capacidade intelectual (CI). Quatro foram definidos Trajetórias de RA com base nas notas em Linguagem e Matemática obtidas pelas crianças no início e fim do acompanhamento, e seu status como promovido / Não promovido em cada ano letivo: distinto, satisfeito fábrica, regular, insatisfatória. Modelos foram usados regressão logística binomial e multinomial para examinar a presença de desigualdades sociais. Se encontraram diferenças significativas na trajetória AR de acordo com as variáveis ​​socioeconômicas estudadas cujo efeito não era independente da capacidade intelectual. A sua Antigamente, a capacidade intelectual estava fortemente associada com escolaridade materna, estrato ocupacional e SES. A presença de desigualdades sociais é confirmada em IQ e trajetórias de desempenho acadêmico de Os estudantes. In a context of poverty but with a high schooling rate, this work is intended to elucidate if children inCórdoba, Argentina, show differences in their academicachievement (AA) trajectories associated with socioeconomic characteristics. A prospective cohort study wasconducted with schoolchildren, in which annual measurements of AA and baseline measurements of socialcharacteristics were collected: sex, mother’s educationallevel, parental occupational stratum, socioeconomiclevel (SEL) and intellectual capacity (IC). Four categorieswere defined for academic achievement trajectoriesaccording to their scores obtained in the subjects of Language and Mathematics at the beginning and end of theconducted analysis, and in relation to their promotionor not to the next grade by the end of each school year.The four categories for trajectories were: distinguished,satisfactory, regular, and unsatisfactory. Binomial andmultinomial logistic regression models were used toexamine the presence of social inequalities. Significant differences were found in academic achievementtrajectories depending on the studied socioeconomicvariables, whose effects were not independent of theintellectual capacity. Intellectual capacity was stronglyassociated with mother’s educational level, parentaloccupational stratum, and SEL. The influence of socialinequalities on intellectual capacity and academicachievement trajectory was proved. En un contexto de pobreza pero de alta tasade escolarización, se examina si existen diferentes trayectorias de rendimiento académico (RA) asociadas acaracterísticas socioeconómicas en niños/as de Córdoba-Argentina. Se realizó un estudio de cohortes prospectivas con escolares, en el que se obtuvieron mediciones anuales del rendimiento académico y medicionesbasales de características sociales: sexo, escolaridadmaterna, estrato ocupacional, nivel socioeconómico(NSE) y capacidad intelectual (CI). Se definieron cuatrotrayectorias de RA a partir de las calificaciones en Lengua y Matemática obtenidas por los/as niños/as al inicioy final del seguimiento, y su condición de Promovidos/No promovidos en cada ciclo lectivo: distinguida, satis- factoria, regular, insatisfactoria. Se utilizaron modelos deregresión logística binomial y multinomial para examinarla presencia de desigualdades sociales. Se encontrarondiferencias significativas en la trayectoria de RA segúnlas variables socioeconómicas estudiadas cuyo efectono fue independiente de la capacidad intelectual. A suvez, la capacidad intelectual se vio fuertemente asociadacon la escolaridad materna, estrato ocupacional y NSE.Se corrobora la presencia de desigualdades sociales enla CI y las trayectorias de rendimiento académico delos escolares.

Published
2020
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40. Percepción de riesgo de contagio y severidad ante el Coronavirus en la primera fase de la pandemia en Argentina

Author

Saletti, Lorena, Tumas, Natalia, Berra, Silvina del Valle, and Johnson, María Cecilia

Subjects
Encuesta, SARS-CoV-2, Covid 19, Salud Pública, Percepción de riesgo
Abstract

Antecedentes/Objetivos: El estudio de la percepción de riesgo en contexto de pandemia puede contribuir a la definición de políticas sanitarias. El objetivo de este trabajo es analizar los factores asociados a la percepción de riesgo de coronavirus en la primera fase de la pandemia en Argentina. publishedVersion Fil: Saletti, Lorena. Universidad Nacional de Córdoba. Facultad de Ciencias Sociales; Argentina. Fil: Saletti, Lorena. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina. Fil: Tumas, Natalia. Universidad Nacional de Córdoba. Facultad de Ciencias Sociales; Argentina. Fil: Tumas, Natalia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina. Fil: Berra, Silvina del Valle. Universidad Nacional de Córdoba. Facultad de Ciencias Sociales; Argentina. Fil: Berra, Silvina del Valle. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina. Fil: Johnson, María Cecilia. Universidad Nacional de Córdoba. Facultad de Ciencias Sociales; Argentina. Fil: Johnson, María Cecilia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina.

Published
2020

41. Fundamentals and method of systematic reviews

Author

Berra, Silvina del Valle

Subjects
purl.org/becyt/ford/3.3 [https], purl.org/becyt/ford/3.2 [https], REVISIONES SISTEMÁTICAS, purl.org/becyt/ford/3 [https]
Abstract

Las revisiones sistemáticas (RS) son síntesis cualitativas y, a veces, cuantitativas sobre la evidencia disponible respecto de un tema puntual. Este trabajo contextualiza su origen en el movimiento de la medicina basada en la evidencia y las define como un tipo de investigación orientada a identificar, valorar críticamente y sintetizar conocimiento científico previo. El método de RS se presenta aquí en una serie de fases o pasos: planteo del objetivo, búsqueda y selección de estudios, evaluación de calidad, extracción y análisis de datos, metaanálisis e interpretación de resultados. Los criterios de evaluación de la evidencia científica, un pilar fundamental de este tipo de investigación, son la validez interna, la precisión y la validez externa de los resultados. La calidad de la evidencia científica, junto con la cantidad y la consistencia, son la base sobre las cuales se pueden establecer recomendaciones. El método de RS es útil en la práctica profesional, donde se requiere el manejo de evidencia científica actualizada sobre los asuntos en los que a diario se deciden diagnósticos o intervenciones, así como un tipo de investigación que puede implementarse en grado o posgrado, ya que podría llegar a resultados originales mediante la síntesis de sus antecedentes. Systematic reviews (SR) are qualitative and, sometimes, quantitative syntheses on the available evidence regarding a specific topic. This work contextualizes its origin in the evidence-based medicine movement and defines it as a type of health research aimed to identify, critically appraise and synthesize previous scientific knowledge. The SR method is presented here in a series of steps: objective, search and selection of studies, quality assessment, data extraction and analysis, meta-analysis and interpretation of results. The internal validity, precision and external validity of the results are explained as criteria to assess the quality of the evidence. The quality of the evidence, together with the quantity and consistency, are the basis on which recommendations can be made. The SR method is useful in professional practice, where the management of up-to-date scientific evidence is required to make decisions on diagnoses or interventions daily, as well as a type of research that can be implemented in undergraduate or graduate studies, since it could arrive at original results by synthesizing the previous knowledge. Fil: Berra, Silvina del Valle. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad. Universidad Nacional de Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina

Published
2020

49. QUALIDADE DOS INSTRUMENTOS QUE VALORAM AS FUNÇÕES DA ATENÇÃO PRIMARIA: REVISÃO SISTEMÁTICA

Author

Giraldo-Osorio, Alexandra, Vélez-Álvarez, Consuelo, Berra, Silvina, and Perdomo-Rubio, Alejandro

Subjects
evaluación de programas e instrumentos de investigación, estudios de validación, evaluation of research programs and tools, encuesta de salud, patients, health surveys, Atención primaria de salud, avaliação de programas e instrumentos de pesquisa, pacientes, de saúde [enquete], estudos de validação, Atenção primaria de saúde, Primary health care, validation studies
Abstract

Resumen Objetivo: evaluar las propiedades métricas de los instrumentos que valoran las funciones de la atención primaria en salud desde la perspectiva de usuarios. Métodos: revisión sistemática. Se utilizaron los descriptores “primary health care”, “questionnaires”, “psychometrics”, “outcome measurement” y “process measurement”. Los criterios de inclusión fueron publicaciones de revistas científicas en español, inglés y portugués, estudios de validación de cuestionarios que evaluaran funciones de la atención primaria en salud. Las propiedades métricas de los instrumentos se valoraron mediante el cuestionario EMPRO (por su sigla en inglés: Evaluating Measures of Patient Reported Outcomes). Resultados: se identificaron 28 artículos que cumplieron con los criterios de inclusión. Los cuestionarios que resultaron adecuados para su aplicación fueron 11, y de estos, ocho partían del PCAT (por su sigla en inglés: Primary Care Assessment Tool), ya que reunieron más evidencias sobre la calidad de sus propiedades métricas. Conclusiones: existen cuestionarios para evaluar las funciones esenciales de la atención primaria en salud. Las propiedades métricas del PCAT fueron adecuadas en la mayoría de las versiones adaptadas y validadas, por lo que permite obtener resultados confiables. Abstract Objective: To evaluate the metric properties of the instruments that value the functions of primary health care from the perspective of the users. Materials and methods: Systematic review. The “primary health care” descriptors, “questionnaires”, “psychometrics”, “outcome measurement”, and “process measurement” were used. The inclusion criteria were publications of scientific journals in Spanish, English and Portuguese, validation studies of questionnaires that evaluated functions of primary health care. The metric properties of the instruments were assessed using the EMPRO (by its acronym in English: Evaluating Measures of Patient Reported Outcomes) questionnaire. Results: A total of 28 descriptors that met the inclusion criteria were identified. Eleven questionnaires were suitable for application, and of these, eight came from the PCAT (by its acronym in English: Primary Care Assessment Tool), since they gathered more evidence on the quality of their metric properties. Conclusions: There are questionnaires to evaluate the essential functions of primary health care. The metric properties of the PCAT were adequate in most of the adapted and validated versions thus allowing reliable results. Resumo Objetivo: avaliar as propriedades métricas dos instrumentos que valoram as funções da atenção primaria em saúde desde a perspectiva de usuários. Métodos: revisão sistemática. Utilizaram-se os descriptores “primary health care”, “questionnaires”, “psychometrics”, “outcome measurement” e “process measurement”. Os critérios de inclusão foram publições de revistas científicas em espanhol, inglês e português, estudos de validação de questionários que avaliaram funções da atenção primaria em saúde. As propriedades métricas dos instrumentos se valoraram mediante o questionário EMPRO (por sua sigla em inglês: Evaluating Measures of Patient Reported Outcomes). Resultados: Identificaram se 28 artigos que cumpriram com os criterios de inclusão. Os questionários que resultaram adequados para sua aplicação foram 11, e destes, oito partiam do PCAT (por sua sigla em inglês: Primary Care Assessment Tool), já que reuniram mais evidencias sobre a qualidade de suas propriedades métricas. Conclusões: existem questionários para avaliar as funções essenciais da atenção primaria em saúde. As propriedades métricas do PCAT foram adequadas na maioria das versões adaptadas e validadas, pelo que permite obter resultados confiáveis.

Published
2020

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