Publications by authors named "Puig-Garcia M"

Background: Our aim was to explore patients' perceptions of changes in diet and physical activity in people with type 2 diabetes mellitus and/or arterial hypertension in two low-income districts of Ecuador.

Methods: We carried out a qualitative study of 19 telephone interviews in August-September 2020 with people with type 2 diabetes mellitus and/or arterial hypertension. Interviews were recorded, anonymized and transcribed verbatim for analysis using the social ecological model.

View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF
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.
View Article and Find Full Text PDF

While many studies focus on urban areas, it's vital to understand health-related behaviours in rural communities. This paper aims to explore the factors that influence dietary habits and physical activity from the perspective of men and women of different ethnic groups living in a hard-to-reach rural area in Ecuador. We conducted 5 focus groups with 37 participants (26 women) from diverse cultural and ethnic backgrounds in marginalized communities in Esmeraldas.

View Article and Find Full Text PDF
Article Synopsis
  • Traditional medicine (TM) is commonly used by people in Ecuador to manage metabolic risk factors like hypertension, hypercholesterolemia, and hyperglycemia, with notable usage rates of 39.4% in Esmeraldas and 31.1% in Quito.
  • The study analyzed data from 602 individuals across two diverse health districts, revealing that a significant number did not seek any treatment for their metabolic issues, and TM is often used alongside conventional medicine (CM).
  • Education level influences TM usage differently in the two regions; higher education correlates with TM use in urban Quito, while in rural Esmeraldas, those with no formal schooling are more likely to use TM, along with younger individuals and those of Afro ethnicity
View Article and Find Full Text PDF
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.
View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF

(1) Background: There are no real-world data evaluating the incidence of false-positive results. We analyzed the clinical and analytical factors associated with the presence of false-positive results in PSA determinations in practice. (2) Methods: A prospective cohort study of patients with a PSA test was performed in clinical practice.

View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF
Article Synopsis
  • The study explores the challenges and supports in managing type 2 diabetes in Latin America and the Caribbean, where the disease rates are rising despite evidence-based recommendations being primarily created for wealthier regions.
  • The researchers reviewed 60 studies, emphasizing that most barriers relate to healthcare access, social influences, and the attitudes of healthcare providers, which affect patients' ability to manage their diabetes.
  • The findings suggest that effective diabetes management in this region requires addressing broader public policy issues and improving healthcare access and support systems rather than focusing solely on individual patient behavior.
View Article and Find Full Text PDF