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Ourense, Spain

Duenas J.L.,Hospital Universitario Virgen Macarena | Lete I.,Hospital Santiago Apostol | Bermejo R.,Schering | Arbat A.,Schering | And 5 more authors.
Contraception | Year: 2011

Background: This study was designed to acquire information about the use of contraceptive methods in order to reduce the number of elective abortions. Study Design: Since 1997, representative samples of Spanish women of childbearing potential (15-49 years) have been surveyed by the Daphne Team every 2 years to gather data of contraceptive methods used. Results: During the study period, 1997 to 2007, the overall use of contraceptive methods increased from 49.1% to 79.9%. The most commonly used method was the condom (an increase from 21% to 38.8%), followed by the pill (an increase from 14.2% to 20.3%). Female sterilization and IUDs decreased slightly and were used by less than 5% of women in 2007. The elective abortion rate increased from 5.52 to 11.49 per 1000 women. Conclusions: The factors responsible for the increased rate of elective abortion need further investigation. © 2011 Elsevier Inc. All rights reserved. Source


Duenas J.L.,Hospital Universitario Virgen Macarena | Lete I.,University of Santiago de Compostela | Arbat A.,Bayer Hispania | Bermejo R.,Bayer Hispania | And 5 more authors.
European Journal of Contraception and Reproductive Health Care | Year: 2013

Objective To assess changes in the use of contraceptive methods, and induced abortion rates, in Spanish adolescents and young adults aged 15 to 24 years, between 2002 and 2008. Study design Representative samples of Spanish men and women aged 15 to 24 years were surveyed in 2002 (N = 1826) and 2008 (N = 2000). Results The rate of use of contraceptive methods increased from 61% in men and 60% in women in 2002 to 80% and 75%, respectively, in 2008. The most commonly used method was the condom (51% in 2002 and 71% in 2008), followed by the contraceptive pill (18% in 2002 and 18% in 2008). None of the adolescents and young adults surveyed used natural methods or the diaphragm, or had undergone sterilisation. The induced abortion rate increased from 9.28 to 13.48 per 1000 women in the group aged between 15 and 19 years, and from 14.37 to 21.05 per 1000 women in the group aged 20 to 24 years. Conclusion Despite an increase in the use of effective birth control methods, the rates of abortion rose during the study period, which may indicate that compliance with the use of condoms is inadequate. There is an urgent need to develop educational campaigns or to design specific policies addressing contraception-related issues for young people. © 2013 The European Society of Contraception and Reproductive Health. Source


Duenas J.L.,Hospital Universitario Virgen Macarena | Lete I.,Hospital Santiago Apostol | Bermejo R.,Schering | Arbat A.,Schering | And 5 more authors.
European Journal of Obstetrics Gynecology and Reproductive Biology | Year: 2011

Objective: To assess the prevalence of premenstrual symptoms, premenstrual syndrome and premenstrual dysphoric disorder in a cohort of women of fertile age representative of the general Spanish population. Study design: During the period between November 27th and December 22nd, 2008, a cross-sectional nationwide survey was conducted among a cohort of Spanish women aged between 15 and 49 years. Participants were personally interviewed at home and completed the premenstrual symptoms screening tool. Results: Of the 2108 participants, 1554 women (73.7%) complained of some of the premenstrual symptoms during the last 12 menstrual cycles. A total of 1415 (91%) women presented isolated symptoms and 139 (8.9%) a moderate/severe premenstrual syndrome. Twenty-four (1.1%) women fulfilled criteria for a diagnosis of premenstrual dysphoric disorder. Conclusion: The prevalence of premenstrual symptoms (73.7%) and premenstrual dysphoric disorder (1.1%) in Spanish women aged between 15 and 49 years is similar to that reported in other Western countries. Only women with moderate or severe premenstrual syndrome or premenstrual dysphoric disorder, however, had daily life activities significantly impaired by premenstrual symptoms. © 2010 Elsevier Ireland Ltd. Source


Lete I.,Hospital Santiago Apostol | Duenas J.L.,Hospital Universitario Virgen Macarena | Serrano I.,Centro Joven Madrid Salud Y Programas Of Planificacion Familiar Y Salud Materno Infantil | Doval J.L.,Hospital Cristal Pinor | And 4 more authors.
European Journal of Obstetrics Gynecology and Reproductive Biology | Year: 2011

Objective: To assess the attitudes of women with premenstrual symptoms in relation to their perception of complaints and request for medical advice. Study design: Cross-sectional study of a representative cohort of 2018 Spanish women aged 15-49 years. Participants were personally interviewed at home and completed the premenstrual symptoms screening tool. Results: A total of 1554 women (73.7%) complained of some of the premenstrual symptoms during the last 12 menstrual cycles. The prevalence of moderate or severe premenstrual syndrome (PMS) was 8.9% and the prevalence of premenstrual dysphoric disorder (PMDD) 1.1%. Only 291 (18.7%) women had sought medical advice. The main reason given by 90.6% of symptomatic women for not seeking medical consultation was to consider that symptoms were normal. A total of 175 (60.1%) women received pharmacological treatment (hormonal contraceptives in 95% followed by analgesics in 50% and anti-inflammatory agents in 44%), 20% were not treated because physicians considered that symptoms were not important and would disappear spontaneously, and 12% received only advice to change life style. Conclusion: Women suffering from PMS or PMDD do not usually seek medical advice and among those seeking medical care, in many cases, an adequate response to their demands is not obtained. © 2011 Elsevier Ireland Ltd. All rights reserved. Source


Fernandez-Sueiro J.L.,Hospital Universitario Juan Canalejo | Willisch A.,Hospital Cristal Pinor | Pertega-Diaz S.,Hospital Universitario Juan Canalejo | Tasende J.A.P.,Hospital Universitario Juan Canalejo | And 4 more authors.
Arthritis Care and Research | Year: 2010

Objective. To assess the validity of the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) for the evaluation and definition of disease activity of axial psoriatic arthritis (PsA). Methods. Fifty-four peripheral PsA, 46 axial PsA, and 103 primary ankylosing spondylitis (AS) patients were assessed. Patients were classified as having axial PsA if they had grade 2 or higher unilateral sacroiliitis in the presence of spinal symptoms. The 3 groups of patients were evaluated using several measurements for AS. Assessments of acceptability, data quality, internal consistency, construct validity, and responsiveness of the BASDAI were undertaken. Disease activity of the disease was assessed in peripheral PsA and axial PsA patients using the BASDAI, and compared with those with AS. Results. For peripheral PsA patients, the Cronbach's alpha for the BASDAI was 0.783, for axial PSA patients it was 0.647, and for AS patients it was 0.786. The analysis of convergent validity showed that in peripheral PsA and axial PsA patients, the BASDAI was significantly correlated with other subjective disease activity parameters. For responsiveness, no association was found between changes in the BASDAI and changes in disease activity either in peripheral PsA or in axial PsA. BASDAI scores were similar in axial PsA and AS. Axial PsA patients with a BASDAI score >4 cm showed significant differences with peripheral PsA in terms of disease activity and were very similar to patients with AS. Conclusion. The BASDAI performed similarly in evaluating disease activity in both axial and peripheral PsA. The BASDAI does not seem to be a good index for evaluating disease activity in axial PsA. © 2010, American College of Rheumatology. Source

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