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Spatial patterns in hospital-acquired infections in Portugal (2014–2017)

Teixeira, H; Freitas, A; Sarmento, A; Nossa, P; Gonçalves, H; Pina, MF

Background: Hospital-Acquired Infections (HAIs) represent the most frequent adverse event associated with healthcare delivery and result in prolonged hospital stays and deaths worldwide. Aim: To analyze the spatial patterns of HAI incidence from 2014 to 2017 in Portugal. Methods: Data from the Portuguese Discharge Hospital Register were used. We selected episodes of patients with no infection on admission and w...


Regional drinking water composition effects on hip fracture risk: A spatial ana...

Oliveira, CM; Teixeira, H; Alves, SM; Pina, MF

Geographical variation on hip fractures (HF) may be related to the geographical variation of drinking water composition (DWC); minerals in drinking water may contribute to its fragility. We aim to investigate the effects of DWC on HF risk in Portugal (2000-2010). From National Hospital Discharge Register we selected admissions of patients aged =50 years, diagnosed with HF caused by low/moderate energy traumas. ...


School environment associates with lung function and autonomic nervous system a...

Paciencia, I; Rufo, JC; Silva, D; Martins, C; Mendes, F; Rama, T; Rodolfo, A; Madureira, J; Delgado, L; Fernandes, ED; Padrão, Patrícia; Moreira, Pedro

Children are in contact with local environments, which may affect respiratory symptoms and allergic sensitization. We aimed to assess the effect of the environment and the walkability surrounding schools on lung function, airway inflammation and autonomic nervous system activity. Data on 701 children from 20 primary schools were analysed. Lung function, airway inflammation and pH from exhaled breath condensate ...


Does community deprivation determine longevity after the age of 75? A cross-nat...

Ribeiro, AI; Krainski, ET; Carvalho, MS; Launoy, G; Pornet, C; Pina, MF

Objectives: Analyze the association between socioeconomic deprivation and old-age survival in Europe, and investigate whether it varies by country and gender. Methods: Our study incorporated five countries (Portugal, Spain, France, Italy, and England). A 10-year survival rate expressing the proportion of population aged 75–84 years who reached 85–94 years old was calculated at area-level for 2001–11. To estimat...


Validation of a Single Question for the Evaluation of Physical Activity in Adol...

Magalhães, A; Severo, M; Autran, R; Araújo, J; Santos, P; Pina, MF; Ramos, E

We aimed to assess the validity of a single question to evaluate leisure-time physical activity (PA) in adolescents. We included 209 participants (57.4% girls) aged 14–18 years from Porto, Portugal, evaluated as part of the SALTA project. A self-reported question with four answer options, designed for the EPITeen study, was used to classify the intensity level of usual leisure-time activities. Actigraph acceler...


Where do people live longer and shorter lives? An ecological study of old-age s...

Ribeiro, AI; Krainski, ET; Carvalho, MS; Pina, MF

BACKGROUND:Further increases in life expectancy in high-income countries depend to a large extent on advances in old-age survival. We aimed to characterise the spatial distribution of old-age survival across small areas of Europe, and to identify areas with significantly high or low survivorship. METHODS:This study incorporated 4404 small areas from 18 European countries. We used a 10-year survival rate to expr...


Development of a cross-cultural deprivation index in five European countries

Guillaumel, E; Pornet, C; Dejardin, O; Launay, L; Lillini, R; Vercelli, M; Marí-Dell'Olmo, M; Fontelo, AF; Borrell, C; Ribeiro, AI; Pina, MF; Mayer, A

BACKGROUND:Despite a concerted policy effort in Europe, social inequalities in health are a persistent problem. Developing a standardised measure of socioeconomic level across Europe will improve the understanding of the underlying mechanisms and causes of inequalities. This will facilitate developing, implementing and assessing new and more effective policies, and will improve the comparability and reproducibi...


The influence of socioeconomic, biogeophysical and built environment on old-age...

Ribeiro, AI; Autran, R; Teixeira, H; Carvalho, MS; Pina, MF

Old-age survival is a good indicator of population health and regional development. We evaluated the spatial distribution of old-age survival across Porto neighbourhoods and its relation with physical (biogeophysical and built) and socioeconomic factors (deprivation). Smoothed survival rates and odds ratio (OR) were estimated using Bayesian spatial models. There were important geographical differentials in the ...


Marked socioeconomic inequalities in hip fracture incidence rates during the Bo...

Oliveira, C; Alves, S; Pina, MF

BACKGROUND:Socioeconomic factors may influence changes in hip fracture (HF) incidence over time. We analysed HF temporal trends during the Bone and Joint Decade in Portugal (BJD-Portugal), 2000-2010, by regional socioeconomic status (SES), sex and age. METHODS:We selected registers of patients aged 50+ years with HF (International Classification of Diseases, V.9-Clinical Modification, ICD9-CM) caused by traumas...


The interactions between municipal socioeconomic status and age on hip fracture...

Oliveira, CM; Economou, T; Bailey, T; Mendonça, D; Pina, MF

Summary: Age modifies the effect of area-level socioeconomic status (SES) in the risk of fragility hip fractures (HF). For older individuals, the risk of HF increases as SES increases. For younger individuals, risk of HF increases as SES decreases. Our study may help decision-makers to better direct the implementation of political decisions.; Introduction: The effect of socioeconomic status (SES) on hip fractur...


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