Publications by authors named "Elisa Chilet Rosell"

International public health agencies recommend policies to improve diets and promote healthy eating, but implementation often falters due to varying contextual factors across regions. This study evaluates the relevance and applicability of these policies in urban areas of Latin America and the Caribbean (LAC). Using the Delphi technique, we convened a panel of 21 experts from 13 LAC countries, representing public policy, research, social action, and healthcare.

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Article Synopsis
  • - The study investigated how the COVID-19 pandemic and related restrictions affected the emotional well-being of people with type 2 diabetes and/or hypertension in Ecuador and Spain, considering their unique sociopolitical and economic contexts.
  • - Through 36 semi-structured interviews conducted in 2020, researchers found a notable decline in emotional health among participants, driven by pandemic-related stresses and pre-existing concerns about their chronic conditions, leading to feelings like fear and depression.
  • - A conceptual framework was developed to show the interplay between COVID-19 control measures, economic and social factors, and existing inequalities, suggesting that tailored social policies are needed to address emotional well-being during future health crises.
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This study aimed to evaluate gender-based disparities in preventable adverse events due to low-value practices (LVPs) in primary care. A retrospective cohort study in Alicante, Spain. A total of 1,516 patient records were examined, finding that older individuals and women experienced more LVP-related events.

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Objective: To examine the presence of women in the organs of the Interterritorial Council of the Spanish National Health System (CISNS).

Method: Annual reports of the CISNS from 2005 to 2022 were analyzed. Artificial intelligence was used to assign gender, and percentages of women's participation were calculated.

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Introduction: Patients' decisions on prostate cancer (PCa) opportunistic screening may vary. This study aimed to assess how demographic and health-related characteristics may influence knowledge and decisions regarding PCa screening.

Methods: A cross-sectional survey was conducted among men aged over 40, randomly sampled from the Spanish population, 2022.

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Introduction: Over the last decade, there has been an increasing number of studies regarding experiences of mistreatment, disrespect and abuse (D&A) during facility-based childbirth. These negative experiences during labour have been proven to create a barrier for seeking both facility-based childbirth and postnatal health care, as well as increasing severe postpartum depression among the women who experienced them. This constitutes a serious violation of human rights.

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Forde et al proposed an interesting framework to understand marketing response to a tax in sugary drinks based on stakeholder interviews. Sugary drinks regulation can lead to various strategies in the industry's marketing activity. That is, it can either result in the industry introducing no changes or it can lead to changes, which can conflict or align with public health objectives.

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Article Synopsis
  • Type 2 Diabetes (T2DM) is becoming more common in low- and middle-income countries, with a study in rural northern Ecuador finding a prevalence of 6.8%, significantly higher in women (10.4%) compared to men (2.0%).
  • The study used surveys and tests to estimate obesity prevalence at 30.8%, particularly noting that women's obesity rates (43.2%) were nearly three times those of men (14.7%).
  • Results suggest that gender roles heavily influence health outcomes, indicating a need for targeted health promotion strategies that consider gender differences, especially in rural communities.
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This qualitative study aims to explore how the COVID-19 pandemic impacted healthcare access for patients with chronic conditions in Ecuador from the patient's perspective. We interviewed 19 patients diagnosed with arterial hypertension or type 2 diabetes in rural and urban areas of Ecuador during August and September 2020. We used the Framework Method to analyse the interview transcripts with ATLAS.

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Introduction: Evidence shows that gender has a substantial impact on health behaviours, access to and use of health systems and health system responses. This study aims to assess gender bias in patients subjected to low-value practices in the primary care setting and to develop recommendations for reducing adverse events that women experience for this reason.

Methods And Analysis: A Delphi study will be performed to reach a consensus on the 'Do Not Do' recommendations with a possible gender bias.

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Background: There is general agreement regarding the relevance of community involvement in public health policy, practice, and research to reduce health inequities.

Objective: This review aims to analyse the experiences of community engagement in public health actions, with particular attention to methodologies used and how community participation is articulated.

Method And Analysis: We searched the Web of Science, EBSCO, and ProQuest for scientific articles published in peer-reviewed journals.

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(1) Background: The frequency of imaging tests grew exponentially in recent years. This increase may differ according to a patient's sex, age, or socioeconomic status. We aim to analyze the impact of the Council Directive 2013/59/Euratom to control exposure to radiation for men and women and explore the impact of patients' age and socioeconomic status; (2) Methods: The retrospective observational study that includes a catchment population of 234,424.

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We aimed to review strategies for identifying SARS-CoV-2 infection before the availability of molecular test results, and to assess the reporting quality of the studies identified through the application of the STARD guideline. We screened 3,821 articles published until 30 April 2021, of which 23 met the inclusion criteria: including at least two diagnostic variables, being designed for use in clinical practice or in a public health context and providing diagnostic accuracy rates. Data extraction and application of STARD criteria were performed independently by two researchers and discrepancies were discussed with a third author.

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Ralston et al offer us an interesting analysis of the consultation process of World Health Organization's (WHO's) "Draft approach on the prevention and management of conflicts of interests in the policy development and implementation of nutrition programs at country level," in which it shows us how the industry tries to frame the discussion in individual conflicts of interest, avoiding structural conflicts of interest. We must not forget other issues of importance in policy-making, such as the imbalance of power between different actors and the strategies of undue influence used by food and beverage corporations. It is essential to develop regulatory-based tools and procedures that embody ethics and good governance and that can be applied systematically and routinely to prevent corporate influence in health policy-making.

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In recent years, a great deal of attention has been paid to gender inequities in health. However, while we have a good body of evidence on the impact of gender on the health and vulnerability of women and men, we have not yet been able to generate sufficient evidence on effective interventions that can transform this situation or can influence public health policy making. Only a limited number of educational interventions on gender-sensitivity, gender bias in clinical practice and policies to tackle gender inequalities in health have been formulated, implemented and evaluated.

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Diabetes is a major public health problem, increasingly affecting low- and middle-income countries. The project CEAD (Contextualizing Evidence for Action in Diabetes in low-resource settings) aims to evaluate the implementation of comprehensive diabetes care in two low-resource settings in Ecuador and to stimulate context-led health systems innovations to improve diabetes care and reduce inequity. The mixed-methods approach includes a 24-month retrospective study to assess the current level of implementation of comprehensive diabetes care and participants will be followed up prospectively for two years to assess changes in healthcare and clinical outcomes from the outset of the research.

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Gender is recognized as one of the most relevant determinants of health inequalities. This scoping review sought to identify and analyse policies, either implemented or formulated as proposals, which aimed to reduce gender inequalities in health. We searched Medline, Web of Science, and Scielo.

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There are relevant dimensions from a gender perspective related to  therapeutic effort. To illustrate and discuss possible gender bias related  to medicines, through the consumption analysis in women, the  prescription of biological drugs according to sex, the potential gender  inequality in adverse drug reactions, and research with clinical trials, as  well as the decisions of international institutions in the marketing of  medicinal products. There is greater tendency to prescribe pain  relievers, regardless of pain, and drugs for low intensity depressive  symptoms in women than in men.

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Article Synopsis
  • A study analyzed the clinical management of solitary pulmonary nodules (SPNs) in men and women over five years, finding significant differences in follow-up strategies and interventions.
  • Women were more likely to receive follow-up rather than immediate treatment compared to men, especially those undergoing CT scans.
  • The median time from SPN detection to lung cancer diagnosis was longer for women, and they were exposed to a higher cumulative radiation dose, highlighting the need for improved management strategies that address these gender discrepancies.
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Challenges remain for policy adoption and implementation to tackle the unprecedented and relentless increase in obesity, diabetes and other non-communicable diseases (NCDs), especially in low- and middle-income countries. The aim of this mixed-methods study is to analyse the contextual relevance and applicability to low-resource settings of a sample of evidence-based healthy public policies, using local knowledge, perceptions and pertinent epidemiological data. Firstly, we will identify and prioritise policies that have the potential to reduce the burden of diabetes in low-resource settings with a scoping review and modified Delphi method.

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