المؤلفون: Carolina Santamaría-Ulloa, Anne Chinnock, Melina Montero-López

المصدر: BMC Public Health, Vol 22, Iss 1, Pp 1-11 (2022)

مصطلحات موضوعية: Obesity, Mortality, Elderly population, Chronic conditions, Public aspects of medicine, RA1-1270

الوصف: Abstract Background Costa Rica, along with other Latin American countries, is undergoing population aging, with an increase in the prevalence of chronic conditions, many of them resulting from a growing prevalence of obesity. As a result of the demographic and epidemiological transitions, the causes of morbidity and mortality have changed from communicable to non-communicable diseases. An increase in overweight and obesity is hypothesized to be related to premature mortality. This study assesses the association between obesity and both all-cause and cardiovascular mortality in a Costa Rican elderly population. Methods This is a secondary data analysis of the Costa Rican Longevity and Healthy Aging Study (CRELES, for its Spanish acronym), a longitudinal nationally representative cohort study of health and life-course experiences of the Costa Rican elderly. A baseline (n = 2827) and two subsequent 2-year follow-up interviews were conducted. Data analyses include descriptive statistics and survival models. Cox and Gompertz distributions were used to model general mortality and cardiovascular mortality as a function of obesity and controlling for confounders. Anthropometric measures used were Body Mass Index (BMI) and Waist Circumference (WC). Results Each one-unit increment in BMI was significantly associated to a 3,1% (p

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1471-2458Test

الوصول الحر: https://doaj.org/article/d25dc842f44a4c70a905788265d65406Test

المؤلفون: Carolina Santamaría-Ulloa, Melina Montero-López

المصدر: International Journal for Equity in Health, Vol 19, Iss 1, Pp 1-14 (2020)

مصطلحات موضوعية: Public aspects of medicine, RA1-1270

الوصف: Abstract Introduction Costa Rica, similar to many other Latin American countries is undergoing population aging at a fast pace. As a result of the epidemiological transition, the prevalence of diabetes has increased. This condition impacts not only individual lives, but also the healthcare system. The goal of this study is to examine the expected impact of diabetes, in terms of economic costs on the healthcare system and lives lost. We will also project how long it will take for the number of elderly individuals who are diabetic to double in Costa Rica. Methods CRELES (Costa Rican Longevity and Healthy Aging Study), a three-wave nationally representative longitudinal study, is the main source of data for this research (n = 2827). The projected impact of diabetes was estimated in three ways: length of time for the number of elderly individuals with diabetes to double; projected economic costs of diabetes-related hospitalizations and outpatient care; and years of life lost to diabetes at age 60. Data analyses and estimations used multiple regression models, longitudinal regression models, and Lee-Carter stochastic population projections. Results Doubling time of the diabetic elderly population is projected to occur in 13 calendar years. This will cause increases in hospitalization and outpatient consultation costs. The impact of diabetes on life expectancy at age 60 around the year 2035 is estimated to lead to a loss of about 7 months of life. The rapid pace at which the absolute number of elderly people with diabetes will double is projected to result in a negative economic impact on the healthcare system. Lives will also be lost due to diabetes. Conclusion Population aging will inevitably lead to an increasing number of elderly individuals, who are at greater risk for diabetes due to their lifelong exposure to risk factors. Actions to increase the quality of life of diabetic elderly are warranted. Decreasing the burden of diabetes on elderly populations and the Costa Rican healthcare system are necessary to impact the quantity and quality of life of incoming cohorts. Health promotion and prevention strategies that reduce diabetes risk factors are needed to improve the health of elderly populations.

وصف الملف: electronic resource

العلاقة: http://link.springer.com/article/10.1186/s12939-020-01291-4Test; https://doaj.org/toc/1475-9276Test

الوصول الحر: https://doaj.org/article/687510b7307945ddafb4c37722410c07Test

المؤلفون: Carolina Santamaría-Ulloa, Melina Montero-López, Hazel Quesada-Leitón, Ileana Quirós-Rojas

المصدر: Población y Salud en Mesoamérica, Iss 19 (2021)

مصطلحات موضوعية: cáncer de cérvix, citología vaginal, inquidades en salud, Economic theory. Demography, HB1-3840

الوصف: Introducción: el cáncer de cérvix es una de las enfermedades neoplásicas más frecuentes que afecta la salud de las mujeres en el mundo. Objetivo: determinar si existen diferencias entre regiones de Costa Rica en el uso del papanicoláu, con el fin de visualizar las inequidades relacionadas con la detección temprana del cáncer cérvico-uterino. Metodología: este estudio se realizó a partir de la Encuesta Nacional de Hogares de 2014, la cual es representativa en el ámbito nacional. Se utilizó R-Studio para estimar dos modelos de regresión multinomial que explican el tiempo transcurrido desde el último papanicoláu y las razones por las que las mujeres nunca se habían realizado uno. Se recurrió a datos del Registro Nacional de Tumores del Ministerio de Salud para evaluar la razón in-situ/invasor. Resultados: en comparación con las residentes de la región Central, las mujeres de las regiones Chorotega, Pacífico Central y Huetar Caribe son respectivamente un 80 % (OR=1,80; p

وصف الملف: electronic resource

العلاقة: https://revistas.ucr.ac.cr/index.php/psm/article/view/48122Test; https://doaj.org/toc/1659-0201Test

الوصول الحر: https://doaj.org/article/cf6d530105c24b9191d2d9b57c088d7aTest

المؤلفون: Melina Montero-López, Krysia Badilla-Alpízar, Deigo Salazar Sandoval, Carolina Santamaría-Ulloa

المصدر: Población y Salud en Mesoamérica, Iss 19 (2021)

مصطلحات موضوعية: Promoción de la salud, Planificación en salud, sobrepeso, obesidad, Economic theory. Demography, HB1-3840

الوصف: El objetivo de este estudio fue describir el procesamiento de un plan de acción interinstitucional para el abordaje del sobrepeso y la obesidad en dos cantones urbanos de Costa Rica: Alajuelita y Escazú. Esta investigación tiene enfoque cualitativo, es de tipo descriptivo transversal y utiliza una metodología de investigación-acción, la cual toma como participantes a los actores institucionales de ambos cantones, por un lapso de seis meses. El principal resultado fue el desarrollo de un plan de acción para el abordaje del sobrepeso y la obesidad en madres de cada cantón. Además, se propusieron indicadores de proceso, producto y resultado para cada una de las cuatro áreas de trabajo que formaron parte de dicha herramienta. Se concluyó que la corresponsabilidad en salud es de vital importancia para crear acciones dirigidas a mejorar la salud de las personas, especialmente en comunidades donde, si bien existe una importante voluntad política de los actores institucionales, se cuenta con pocos recursos.

وصف الملف: electronic resource

العلاقة: https://revistas.ucr.ac.cr/index.php/psm/article/view/48083Test; https://doaj.org/toc/1659-0201Test

الوصول الحر: https://doaj.org/article/1a37810d65d54e01b14929c6f5545f38Test

المؤلفون: Carolina Santamaría-Ulloa, Ileana Quirós-Rojas, Melina Montero-López, Hazel Quesada-Leitón

المصدر: Frontiers in Oncology, Vol 11 (2021)

مصطلحات موضوعية: Papanicolaou, prevention, cervical cancer, screening, women’s health, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282

الوصف: IntroductionEvery year about 83,000 women are diagnosed with cervical cancer in the Americas. Latin America and the Caribbean (LAC) has one of the highest incidence and mortality rates from cervical cancer in the world. Although incidence has decreased by half in the last 30 years, cervical cancer remains a public health concern. The detection of precursor lesions through Papanicolaou (Pap) smear remains a critical tool in the context of prevention in Costa Rica and many other LAC countries.ObjectiveTo determine predictors of participation in Pap smear screening among Costa Rican women, with a special focus on women who have never had a Pap smear or have had a smear 5 or more years ago.MethodsThe data source for this study is the Costa Rican Households National Survey conducted in 2014. This survey is representative at the national, urban/rural zone, and administrative region level. A subsample of women aged 20 to 69 years who responded to the survey’s Papanicolaou Module were included in this study (n = 11,709). Statistical analyses were conducted in R-Studio. Statistical significance level was set at 5%. Two multinomial regression models were estimated. The first model aimed to explain the five different categories of cytology use, which were defined according to the last time women had a Pap smear. The second model aimed to explain the five different categories of reasons why women had never had a Pap smear. Both models controlled for age, educational attainment, and marital status.ResultsYoung women with high educational attainment were more likely to have never had a cytology. Women with a lower educational attainment, married, or in domestic relationship and of older age had greater odds of having had a cytology 5 or more years ago. Each year increment in age was significantly associated with an increase in the odds of never having a Pap smear because of health care access issues or because of cultural reasons as compared to not having an active sexual life.ConclusionsFindings can inform public policy targeted to higher risk female populations where access to health services can be improved.

وصف الملف: electronic resource

العلاقة: https://www.frontiersin.org/articles/10.3389/fonc.2021.642841/fullTest; https://doaj.org/toc/2234-943XTest

الوصول الحر: https://doaj.org/article/69f4f905577c44868d8b2e5caa682a06Test

المؤلفون: Melina Montero López

المصدر: Población y Salud en Mesoamérica, Iss 19 (2022)

مصطلحات موضوعية: presentación, Economic theory. Demography, HB1-3840

الوصف: El instituto de investigaciones en Salud de la Universidad de Costa Rica ha contribuido a fomentar la salud humana mediante la investigación científica, la docencia y la acción social desde 1974, cuando por recomendación del Consejo Nacional para Investigaciones Científicas y Tecnológicas (CONICIT) se plantea la creación de un instituto para investigar sobre la salud humana.

العلاقة: https://revistas.ucr.ac.cr/index.php/psm/article/view/49444Test; https://doaj.org/toc/1659-0201Test; https://doaj.org/article/c0d6697c5958439aabaa83f0e805b3a9Test

الإتاحة: https://doi.org/10.15517/psm.v0i19.49444Test
https://doaj.org/article/c0d6697c5958439aabaa83f0e805b3a9Test

المؤلفون: Ileana Quirós-Rojas, Hazel Quesada-Leitón, Melina Montero-López, Carolina Santamaría-Ulloa

المصدر: Población y Salud en Mesoamérica, Volume: 19, Issue: 2, Pages: 598-618, Published: JUN 2022
Población y Salud en Mesoamérica, Iss 19 (2021)

مصطلحات موضوعية: HB1-3840, inquidades en salud, Inequidades en salud, Inequalities in health, citología vaginal, Cervical cancer, Economic theory. Demography, cáncer de cérvix, early detection, detección temprana

الوصف: Resumen Introducción: el cáncer de cérvix es una de las enfermedades neoplásicas más frecuentes que afecta la salud de las mujeres en el mundo. Objetivo: determinar si existen diferencias entre regiones de Costa Rica en el uso del papanicoláu, con el fin de visualizar las inequidades relacionadas con la detección temprana del cáncer cérvico-uterino. Metodología: este estudio se realizó a partir de la Encuesta Nacional de Hogares de 2014, la cual es representativa en el ámbito nacional. Se utilizó R-Studio para estimar dos modelos de regresión multinomial que explican el tiempo transcurrido desde el último papanicoláu y las razones por las que las mujeres nunca se habían realizado uno. Se recurrió a datos del Registro Nacional de Tumores del Ministerio de Salud para evaluar la razón in-situ/invasor. Resultados: en comparación con las residentes de la región Central, las mujeres de las regiones Chorotega, Pacífico Central y Huetar Caribe son respectivamente un 80 % (OR=1,80; p

وصف الملف: text/html

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e533092df33d883860ab34f02018d7eeTest
http://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S1659-02012022000100598&lng=en&tlng=enTest

المؤلفون: Carolina Santamaría-Ulloa, Deigo Salazar Sandoval, Krysia Badilla-Alpízar, Melina Montero-López

المصدر: Población y Salud en Mesoamérica, Volume: 19, Issue: 2, Pages: 441-464, Published: JUN 2022
Población y Salud en Mesoamérica, Iss 19 (2021)

مصطلحات موضوعية: HB1-3840, planificación en salud, sobrepeso, promoción de la salud, Promoción de la salud, Health planning, Economic theory. Demography, Health promotion, Planificación en salud, Obesity, Overweight, obesidad

الوصف: Resumen El objetivo de este estudio fue describir el procesamiento de un plan de acción interinstitucional para el abordaje del sobrepeso y la obesidad en dos cantones urbanos de Costa Rica: Alajuelita y Escazú. Esta investigación tiene enfoque cualitativo, es de tipo descriptivo transversal y utiliza una metodología de investigación-acción, la cual toma como participantes a los actores institucionales de ambos cantones, por un lapso de seis meses. El principal resultado fue el desarrollo de un plan de acción para el abordaje del sobrepeso y la obesidad en madres de cada cantón. Además, se propusieron indicadores de proceso, producto y resultado para cada una de las cuatro áreas de trabajo que formaron parte de dicha herramienta. Se concluyó que la corresponsabilidad en salud es de vital importancia para crear acciones dirigidas a mejorar la salud de las personas, especialmente en comunidades donde, si bien existe una importante voluntad política de los actores institucionales, se cuenta con pocos recursos. Abstract The objective of this study is to describe the process of creating an inter-institutional action plan to address overweight and obesity in the population of mothers from the urban counties of Alajuelita and Escazu in Costa Rica. This research has a qualitative approach, is a descriptive transversal study, and uses a research-action methodology, which takes as participants the institutional actors of both counties, during a six-month time frame. The main results is the creation of an action plan for in each of the two counties. Process, product and result indicators are also proposed for each of the 4 work areas that were part of the action plan, It is concluded that joint responsibility in health is of vital importance for the creation of actions that seek to improve the health of the population, especially in communities in which there is significant political will from institutional actor, but there are few resources.

وصف الملف: text/html

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b2b5ad987c94e7fa10b8752b70d76474Test
https://doi.org/10.15517/psm.v19i2.48083Test

المؤلفون: Carolina Santamaría-Ulloa, Melina Montero-López, Josette Corrales-Calderón, Joselyn Arias-Quesada, Michelle Jackson-Gómez, Ginna Granados-Obando, Traci Bekelman

المصدر: Hacia la Promoción de la Salud, Volume: 26, Issue: 2, Pages: 192-207, Published: 10 SEP 2021
Hacia la Promoción de la Salud, vol.26 (2), pp.192-207.
Kérwá
Universidad de Costa Rica
instacron:UCR

مصطلحات موضوعية: Health (social science), social determinants of social health, health promotion, Obesidad, Health Professions (miscellaneous), disparities in health status, determinantes sociales de la salud social, disparidades en el estado de salud, clase social, Environmental health, Medicine, Social determinants of health, Obesity, Socioeconomic status, Community and Home Care, business.industry, promoción de la salud, Health Policy, Overweight obesity, Public Health, Environmental and Occupational Health, disparidades no estado de saúde, classe social, Obesidade, promoção da saúde, determinantes sociais da saúde social, social class, business

الوصف: La obesidad es un factor de riesgo para diferentes enfermedades crónicas y está asociada a factores genéticos, ambientales y sociales. Objetivo: analizar la asociación entre los determinantes sociales de la salud y la prevalencia de sobrepeso y obesidad en mujeres urbanas, según nivel socioeconómico. Métodos: este estudio de corte transversal se realizó un enfoque mixto. Para el componente cuantitativo se realizan entrevistas estructuradas a una muestra de mujeres de 25 a 45 años (n=137), representativa de dos cantones urbanos en Costa Rica. Para el componente cualitativo se realizan entrevistas semiestructuradas a una muestra de 13 actores institucionales de los mismos cantones. Resultados: existen desigualdades en la prevalencia de sobrepeso y obesidad, con una mayor afectación en la población de bajo nivel socioeconómico. La inseguridad ciudadana, el nivel socioeconómico y la sobrepoblación son obstáculos para el desarrollo de prácticas saludables. Existe una asociación significativa inversa entre la actividad física regular y el sobrepeso y obesidad (OR=0,35, p=0,03). Conclusiones: estos resultados son un insumo para realizar acciones que promuevan equidad, especialmente en poblaciones que no cuenten con los recursos para llevar una vida saludable. Obesity is a risk factor for different chronic diseases and is associated with genetic, environmental and social factors. Objective: To analyze the association between the social determinants of health and the prevalence of overweight and obesity in urban women, according to their socioeconomic status. Methods: This cross-sectional study used a mixed approach. For the quantitative component, structured interviews were conducted with a sample of women aged 25-45 years (n=137), representative of two urban cantons in Costa Rica. For the qualitative component, semi-structured interviews were conducted with a sample of 13 institutional actors of the same cantons. Results: There are inequalities in the prevalence of overweight and obesity, with a greater impact on the population with a low socioeconomic status. Citizen insecurity, socioeconomic status and overpopulation are obstacles to the development of healthy practices. There is a significant inverse association between regular physical activity and overweight and obesity (OR = 0.35, p = 0.03). Conclusions: These results are an input to carry out actions that promote equity, especially in populations that do not have resources for a healthy lifestyle. A obesidade é um fator de risco para diferentes doenças crónicas e está associada a fatores genéticos, ambientais e sociais. Objetivo: analisar a associação entre os determinantes sociais da saúde e a prevalência de sobrepeso e obesidade em mulheres urbanas, segundo nível socioeconômico. Métodos: este estudo de corte transversal foi feito com um enfoque misto. Para o componente quantitativo foram feitas entrevistas estruturadas a uma amostra de mulheres de 25 a 45 anos (n=137), representativa de dois municípios urbanos em Costa Rica. Para o componente qualitativo se fizeram entrevistas semiestruturadas a uma amostra de 13 atores institucionais dos mesmos municípios. Resultados: existem desigualdades na prevalência de sobrepeso e obesidade, com uma maior afetação na população de baixo nível socioeconômico. A insegurança cidadã, o nível socioeconômico e a sobre população são obstáculos para o desenvolvimento de práticas saudáveis. Existe uma associação significativa inversa entre a atividade física regular e o sobrepeso e obesidade (OR=0,35, p=0,03). Conclusões: estes resultados são um insumo para realizar ações que promovem equidade, especialmente em populações que não contem com os recursos para levar uma vida saudável. Universidad de Costa Rica/[]/UCR/Costa Rica UCR::Vicerrectoría de Investigación::Unidades de Investigación::Ciencias de la Salud::Instituto de Investigaciones en Salud (INISA) UCR::Vicerrectoría de Docencia::Salud::Facultad de Medicina::Escuela de Salud Pública

وصف الملف: text/html

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::57efec2b240af09ffffbb6d8667d3846Test
http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0121-75772021000200192&lng=en&tlng=enTest

المؤلفون: Melina Montero-López, Carolina Santamaría-Ulloa

المصدر: International Journal for Equity in Health, Vol 19, Iss 1, Pp 1-14 (2020)
International Journal for Equity in Health, vol.19(172), pp.1-14
Kérwá
Universidad de Costa Rica
instacron:UCR
International Journal for Equity in Health

مصطلحات موضوعية: Male, Costa Rica, Population ageing, Longitudinal study, Diabetes risk, Epidemiology, Population Dynamics, DIABETES MELLITUS - PACIENTES - ATENCION MEDICA, Diabetes mortality rates, SERVICIOS DE SALUD - ADMINISTRACION - COSTA RICA, Metabolic control, 03 medical and health sciences, Life Expectancy, 0302 clinical medicine, Cost of Illness, Diabetes complications, Ambulatory care, Quality of life, Risk Factors, Diabetes Mellitus, Humans, Medicine, Longitudinal Studies, 030212 general & internal medicine, Aged, 030505 public health, business.industry, Research, lcsh:Public aspects of medicine, Health Policy, Public Health, Environmental and Occupational Health, lcsh:RA1-1270, Health Care Costs, Middle Aged, Epidemiological transition, Years of potential life lost, Life expectancy, Female, SERVICIOS DE SALUD - ASPECTOS ECONOMICOS - COSTA RICA, 0305 other medical science, business, Delivery of Health Care, Demography

الوصف: Introduction Costa Rica, similar to many other Latin American countries is undergoing population aging at a fast pace. As a result of the epidemiological transition, the prevalence of diabetes has increased. This condition impacts not only individual lives, but also the healthcare system. The goal of this study is to examine the expected impact of diabetes, in terms of economic costs on the healthcare system and lives lost. We will also project how long it will take for the number of elderly individuals who are diabetic to double in Costa Rica. Methods CRELES (Costa Rican Longevity and Healthy Aging Study), a three-wave nationally representative longitudinal study, is the main source of data for this research (n = 2827). The projected impact of diabetes was estimated in three ways: length of time for the number of elderly individuals with diabetes to double; projected economic costs of diabetes-related hospitalizations and outpatient care; and years of life lost to diabetes at age 60. Data analyses and estimations used multiple regression models, longitudinal regression models, and Lee-Carter stochastic population projections. Results Doubling time of the diabetic elderly population is projected to occur in 13 calendar years. This will cause increases in hospitalization and outpatient consultation costs. The impact of diabetes on life expectancy at age 60 around the year 2035 is estimated to lead to a loss of about 7 months of life. The rapid pace at which the absolute number of elderly people with diabetes will double is projected to result in a negative economic impact on the healthcare system. Lives will also be lost due to diabetes. Conclusion Population aging will inevitably lead to an increasing number of elderly individuals, who are at greater risk for diabetes due to their lifelong exposure to risk factors. Actions to increase the quality of life of diabetic elderly are warranted. Decreasing the burden of diabetes on elderly populations and the Costa Rican healthcare system are necessary to impact the quantity and quality of life of incoming cohorts. Health promotion and prevention strategies that reduce diabetes risk factors are needed to improve the health of elderly populations.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::528747641604a396c2257829ecaaf173Test
https://doi.org/10.1186/s12939-020-01291-4Test