Sexual behaviour, human papillomavirus and its vaccine: a qualitative study of adolescents and parents in Andalusia.

Background: Human papillomavirus (HPV) is one of the most common sexually transmitted infections and can be prevented by vaccination. The purpose of this study is to gain a better understanding, by analysing interview responses of adolescents and parents, of how adolescent sexual behaviour is approached in families, how widespread knowledge about HPV is in Andalusia, the autonomous region with the lowest vaccination rate in Spain, as well as to learn more about the interviewees' position regarding vaccination.

Methods: A qualitative study by means of 15 focus groups of adolescents (N = 137, aged 14-17 years) and five focus groups of parents with children of those ages (N = 37) was conducted in the provinces of Granada, Seville and Jaén (Andalusia, Spain).

[Being an active citizen and the elderly: Old concepts, new approaches. A systematic review and qualitative meta-synthesis].

The politics of active ageing present active citizenship of the elderly as a key challenge for the coming years. Active citizenship has been defined in different ways (as complimentary in most cases), outlining an eclecticism of participatory activities that includes political engagement in a participatory and deliberative manner, as well as community and voluntary action. This term is found in different contexts such as formal politics, work, civil society, and the home.

[Differential impact and heterogeneous needs. A peer-led training program for improving chronic patients' health status and health behaviors].

Objective: To measure the impact of the peer-led training for chronic patients on their health status and behaviors.

Design: Descriptive, transversal pretest and posttest quantitative approach.

Placement: Andalusia.

Creation Process of the Digital Platform to Foster Healthy and Active Aging: .

Andalusia is a region in the south of Spain with 8,4 million inhabitants of which 1,3 million are over 65 years old. Andalusia has been recognized as Reference Site by the European Commission within the European Innovation Partnership on Active and Healthy Aging. The Regional Ministry of Health of Andalusia has put in place strategies to promote healthy and active aging.

Chronicity and use of health services: peer education of the School of Patients.

Objective: To evaluate the impact of the training strategy of the Escuela de Pacientes (School of Patients) on the use of health services among people with chronic diseases.

Method: Quantitative design study of pretest and posttest evaluation with a population of 3,350 chronic patients of the Escuela de Pacientes (Andalusia, 2013-2015). A questionnaire adapted from the Stanford University was used.

[Gender perspective in socio-health care needs].

Social conditions are the first environment that modulate external factors which impact on health. In turn gender is a decisive factor in these social determinants of health. This paper analyzes gender bias in the health system as a relevant part in social determinants.

[Predictors of institutionalization of elderly persons in dependency situation in Andalusia].

Objective: Identifying preferences regarding type of care and risk factors for institutionalization of elderly persons in dependency situations in Andalusia.

Methods: The data on 200,039 persons registered in the System for Autonomy and Dependency Care over the period 2007-2012 were analysed. The study population was described in terms of: age, dependency situation, preferences, support network and clinical factors at the time of inclusion in the study.

[Influenza A from the rational choice theory: proposals for decision making in prevention policies].

This article is a reflection on the social uncertainty caused by Influenza A and on the consequences that it can have on decision making in health promotion policies. We use concepts and metaphors of the Rational Choice Theory, among them, the "in gratitude effect" or the "distrust effect", as we analyse how these can become obstacles for the efficiency of prevention policies. Then, we focus on the information asymmetry of the principal-agent relationship, and we propose measures to diminish the "moral risk" that they cause.