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  1. Article ; Online: The impact of coronavirus disease 2019 on people with HIV.

    Del Amo, Julia / Diaz, Asuncion / Polo, Rosa

    Current opinion in infectious diseases

    2021  Volume 35, Issue 1, Page(s) 9–14

    Abstract: Purpose of review: The COVID-19 pandemic materialized in 2020, the year the international community had expected to meet the interim targets to end AIDS by 2030. Forty years into the HIV pandemic, the COVID-19 pandemic challenges the achievements made ... ...

    Abstract Purpose of review: The COVID-19 pandemic materialized in 2020, the year the international community had expected to meet the interim targets to end AIDS by 2030. Forty years into the HIV pandemic, the COVID-19 pandemic challenges the achievements made in HIV and may even reverse some of them.
    Recent findings: This article provides an overview of the impact of COVID-19 on people with, and at risk of, HIV infection. It addresses where the global response to HIV was expected to be by 2020, analyzes the impact of COVID-19 on HIV-related outcomes and reviews the impact of HIV on COVID-19 related outcomes.
    Summary: The COVID-19 pandemic has had a profound impact on the response to HIV infection through disruption of prevention, testing, and access to antiretroviral treatment, as well as on the management of long-term HIV and mental health. This negative impact has been unequal throughout the world and across populations and deepens inequities in health. HIV does not increase Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) susceptibility once confounders are taken into account and inconsistencies are reported regarding its direct role on clinical severity. In post-COVID-19 scenarios, new models for HIV testing and care are likely to be consolidated. Monitoring responses needs high-quality epidemiological data and collaborative research.
    MeSH term(s) COVID-19 ; HIV Infections/complications ; HIV Infections/drug therapy ; HIV Infections/epidemiology ; Humans ; Mental Health ; Pandemics/prevention & control ; SARS-CoV-2
    Language English
    Publishing date 2021-09-18
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 645085-4
    ISSN 1473-6527 ; 1535-3877 ; 0951-7375 ; 1355-834X
    ISSN (online) 1473-6527 ; 1535-3877
    ISSN 0951-7375 ; 1355-834X
    DOI 10.1097/QCO.0000000000000799
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  2. Article ; Online: COVID-19 pandemic in prisons in Spain: characteristics of cases and implemented control measures, March 2020-June 2022.

    Hernando, Victoria / Vázquez, Isabel / Díaz, Asuncion / Gómez-Pintado, Pilar / Martínez-Aznar, Carmen / Acín, Enrique

    Public health

    2023  Volume 218, Page(s) 45–52

    Abstract: Objectives: Our aim was to describe the epidemiological characteristics of COVID-19 cases in prison inmates in Spain and the control measures implemented to response to this public health challenge.: Study design: Retrospective observational study.!## ...

    Abstract Objectives: Our aim was to describe the epidemiological characteristics of COVID-19 cases in prison inmates in Spain and the control measures implemented to response to this public health challenge.
    Study design: Retrospective observational study.
    Methods: All COVID-19-confirmed cases reported to the Spanish information system in prisons between March 2020 and June 2022 were analyzed. Prevention plans and protocols established by penitentiary and health authorities were reviewed. Likewise, information on vaccines administered to prison inmates was described.
    Results: A total of 8500 COVID-19 cases were reported to penitentiary public health surveillance. The overall cumulative incidence (CI) was 2054.18 cases per 10,000 inmate population. By epidemic periods, the average weekly CI was 1.15 per 10,000 inmate population during the first period, 6.91 during the second, 25.18 during the third, 3.53 during the fourth, 23.27 during the fifth, 34.72 during the sixth and 25.68 during the seventh period. The median age of cases was 49.2 years, 69.1% was born in Spain, 64.1% was asymptomatic and 16 cases died. Ninety-four percent were vaccinated. Control measures such as lockdown, suspending visitation rights and confining inmates in their cells were adopted at the beginning of the pandemic. These measures changed in accordance with the COVID-19 situation in the general population with a view to restoring the inmates' rights.
    Conclusion: The COVID-19 pandemic has had a moderate incidence in Spanish prisons. Hospitalization and CFR were lower than the general population. The control measures adopted against COVID-19 have contributed to preventing and controlling the number of cases in prisons.
    MeSH term(s) Humans ; Middle Aged ; COVID-19/epidemiology ; COVID-19/prevention & control ; Pandemics/prevention & control ; Prisons ; Spain/epidemiology ; Communicable Disease Control ; Prisoners
    Language English
    Publishing date 2023-02-22
    Publishing country Netherlands
    Document type Observational Study ; Journal Article
    ZDB-ID 427333-3
    ISSN 1476-5616 ; 0033-3506
    ISSN (online) 1476-5616
    ISSN 0033-3506
    DOI 10.1016/j.puhe.2023.02.013
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  3. Article ; Online: Factors associated with low levels of HIV testing among young men who have sex with men (MSM) participating in EMIS-2017 in Spain.

    Gallego, Nuria / Diaz, Asuncion / Folch, Cinta / Meyer, Sebastian / Vazquez, Maria / Casabona, Jordi / Hernando, Victoria

    Sexually transmitted infections

    2022  Volume 98, Issue 7, Page(s) 518–524

    Abstract: Purpose: The European Men who have sex with men Internet Survey looked over the characteristics and needs of men who have sex with men (MSM) across Europe. Our objective was to estimate the prevalence of HIV testing and its associated factors among MSM ... ...

    Abstract Purpose: The European Men who have sex with men Internet Survey looked over the characteristics and needs of men who have sex with men (MSM) across Europe. Our objective was to estimate the prevalence of HIV testing and its associated factors among MSM younger than 25 years old participating in the EMIS-2017 in Spain.
    Methods: Multivariable regression model was used to compare those who had been tested for HIV within the last 12 months and those that had not.
    Results: Of 2313 participants, 1070 (46.3%) had been tested for HIV in the past 12 months. Increased age (age 19-21 years, aOR=3.38 (95% CI 2.57 to 4.44); age 22-24 years, aOR=5.26 (4.06 to 6.92) compared with age 16-18 years); being migrant (Latin America: aOR=1.34 (0.98 to 1.84); Europe, North America and Mediterranean countries (aOR=1.56 (0.98 to 2.51) compared with those from Spain); living more openly with one's sexuality (out to some people (aOR=1.53 (1.19 to 1.96)); out to all or almost all people (aOR=2.24 (1.75 to 2.87) compared with those out to none or a few people); having had one condomless steady partners in the las year ((aOR=1.59 (1.26 to 2.02)); having had condomless non-steady partners in the last year (one: aOR=1.76 (1.35 to 2.29)); two or more partners: aOR=2.37 (1.84 to 3.04)); and having practised sex work in the past year (aOR=1.52 (1.07 to 2.13)) were associated with increased odds of HIV testing. Living in a smaller city was associated with less likelihood of HIV testing (<1 00 000 inhabitants: aOR=0.51 (95% CI 0.41 to 0.64); 100 000-500 000: aOR=0.68 (95% CI 0.54 to 0.86) compared with more than 500 000).
    Conclusion: Young MSM showed low HIV testing rate. Future programming specifically targeting this population, especially those middle adolescents, living in a medium-small city and having less 'outness', can help increase HIV testing and prevent access barriers.
    MeSH term(s) Adolescent ; Male ; Humans ; Young Adult ; Adult ; Homosexuality, Male ; Spain/epidemiology ; HIV Infections/diagnosis ; HIV Infections/epidemiology ; HIV Infections/prevention & control ; Sexual and Gender Minorities ; HIV Testing
    Language English
    Publishing date 2022-02-04
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1420303-0
    ISSN 1472-3263 ; 1368-4973
    ISSN (online) 1472-3263
    ISSN 1368-4973
    DOI 10.1136/sextrans-2021-055193
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  4. Article ; Online: Would eligible gay, bisexual and other men who have sex with men use PrEP? Awareness, knowledge, eligibility and intention to use PrEP among EMIS-2017 participants in Spain.

    Iniesta, Carlos / Folch, Cinta / Meyer, Sebastian / Vázquez, María / Casabona, Jordi / Díaz, Asunción

    Preventive medicine

    2022  Volume 156, Page(s) 106962

    Abstract: Pre-exposure prophylaxis (PrEP) is an efficacious strategy for reducing the incidence of HIV infection. It has been available in Spain since 2019. We aim to report on awareness, knowledge of, intention to use, and eligibility for PrEP and related factors ...

    Abstract Pre-exposure prophylaxis (PrEP) is an efficacious strategy for reducing the incidence of HIV infection. It has been available in Spain since 2019. We aim to report on awareness, knowledge of, intention to use, and eligibility for PrEP and related factors among participants in the European Men-Who-Have-Sex-With-Men Internet Survey (EMIS-2017) in Spain. We used Spanish data from EMIS-2017, a cross-sectional study performed among gay, bisexual, and other men who have sex with mean (GBMSM) from 50 countries. We found that 65.3% of the 10,634 participants were aware of PrEP, some 30.1% of those HIV-negative and ≥ 18 years were eligible and 52.7% of those eligible intended to use it. Regarding knowledge about PrEP, only 15.4% of the participants knew 3 statement with true information about that PrEP meant. Older age, being born in Western Europe (WE) and greater outness were associated with greater awareness. Older age, being born in Latin America or Caribbean or WE, sex work, and living in a large city were associated with greater eligibility. A greater degree of outness was associated with reduced intention to use. Our study point to possible barriers in the implementation of PrEP in Spain and similar countries.
    MeSH term(s) Cross-Sectional Studies ; HIV Infections/epidemiology ; Health Knowledge, Attitudes, Practice ; Homosexuality, Male ; Humans ; Intention ; Male ; Sexual and Gender Minorities ; Spain
    Language English
    Publishing date 2022-01-21
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 184600-0
    ISSN 1096-0260 ; 0091-7435
    ISSN (online) 1096-0260
    ISSN 0091-7435
    DOI 10.1016/j.ypmed.2022.106962
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  5. Article: A segmentation study of cinema consumers based on values and lifestyle

    Díaz, Asunción / Gómez, Mar / Molina, Arturo / Santos, Jesús

    Journal of retailing and consumer services Vol. 41 , p. 79-89

    2018  Volume 41, Page(s) 79–89

    Author's details Asunción Díaz, Mar Gómez, Arturo Molina, Jesús Santos
    Keywords Segmentation ; Values and lifestyle ; Shopping centre ; Consumers ; Cinemagoers
    Language English
    Publisher Elsevier
    Publishing place Amsterdam [u.a.]
    Document type Article
    ZDB-ID 1204385-0
    ISSN 0969-6989
    Database ECONomics Information System

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  6. Article ; Online: Estimating the number of people living with HIV and the undiagnosed fraction in Spain in 2013.

    Nuñez, Olivier / Hernando, Victoria / Díaz, Asunción

    AIDS (London, England)

    2018  Volume 32, Issue 17, Page(s) 2573–2581

    Abstract: Objective: We aim to estimate the number of people living with HIV and the undiagnosed fraction in Spain, where coverage of the HIV surveillance system has only recently become complete.: Methods: The reconstruction of all HIV diagnoses and ... ...

    Abstract Objective: We aim to estimate the number of people living with HIV and the undiagnosed fraction in Spain, where coverage of the HIV surveillance system has only recently become complete.
    Methods: The reconstruction of all HIV diagnoses and infections was obtained by combining HIV and AIDS surveillance data. The imputation of the diagnoses and back-calculation of the infection incidence are integrated in a Bayesian framework to take into account the uncertainty associated with unavailable data.
    Results: An estimated 141 000 [95% credible interval (CI) 128 000-155 000] persons were living with HIV by the end of 2013, in Spain and 18% (95% CI 14.3-22.1%) were unaware of it. A similar fraction of undiagnosed infections was obtained in men who have sex with men and heterosexuals (18.8 and 20.1%, respectively), but for injection drug users, this fraction was 3.5%.
    Conclusion: This study provides the first estimates of the number of people living with HIV and the undiagnosed fraction in Spain, using routine surveillance data. The proposed method could be useful for countries where the geographical coverage of the HIV surveillance system is partial or was completed only recently.
    MeSH term(s) Female ; HIV Infections/epidemiology ; Humans ; Incidence ; Male ; Models, Statistical ; Prevalence ; Spain/epidemiology
    Language English
    Publishing date 2018-08-07
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639076-6
    ISSN 1473-5571 ; 0269-9370 ; 1350-2840
    ISSN (online) 1473-5571
    ISSN 0269-9370 ; 1350-2840
    DOI 10.1097/QAD.0000000000001989
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  7. Article ; Online: Lymphogranuloma venereum in Spain, 2005-2015: A literature review.

    Diaz, Asunción / Ruiz-Algueró, Marta / Hernando, Victoria

    Medicina clinica

    2018  Volume 151, Issue 10, Page(s) 412–417

    Abstract: Lymphogranuloma venereum (LGV) was an unusual disease in Europe until 2003, when several outbreaks among men who have sex with men (MSM) emerged. Since 2015, LGV has been included notifiable disease in Spain. Our aim is to review LGV cases published in ... ...

    Title translation Linfogranuloma venéreo en España, 2005-2015: revisión de la bibliografía.
    Abstract Lymphogranuloma venereum (LGV) was an unusual disease in Europe until 2003, when several outbreaks among men who have sex with men (MSM) emerged. Since 2015, LGV has been included notifiable disease in Spain. Our aim is to review LGV cases published in Spain from 2005 to 2015. Fourteen studies met the inclusion criteria describing cases in 7autonomous regions. Most cases were MSM, Spaniards, aged between 30-45, with anorectal syndrome. L2 was the predominant serotype isolated. More than 60% of the cases among MSM were co-infected with HIV and nearly half of those reported another concurrent STI. Since the first LGV case published more than 10years ago, this disease has spread across Spain. Epidemiological and clinical characteristics of cases are similar to cases described in Europe. Implementation of national surveillance will improve information about LGV's magnitude and its evolution, key elements for its control.
    MeSH term(s) Adult ; Coinfection/epidemiology ; Female ; HIV Infections/epidemiology ; Homosexuality, Male/statistics & numerical data ; Humans ; Lymphogranuloma Venereum/epidemiology ; Male ; Middle Aged ; Sexual Partners ; Sexual and Gender Minorities/statistics & numerical data ; Spain/epidemiology ; Young Adult
    Language Spanish
    Publishing date 2018-08-27
    Publishing country Spain
    Document type Journal Article ; Review
    ZDB-ID 411607-0
    ISSN 1578-8989 ; 0025-7753
    ISSN (online) 1578-8989
    ISSN 0025-7753
    DOI 10.1016/j.medcli.2018.05.036
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  8. Article: Physical-chemical and mineralogical properties of parent materials and their relationship with the morphology of badlands

    Romero-Díaz, Asunción / Belmonte-Serrato, Francisco / Ruíz-Sinoga, José Damian

    Geomorphology. 2020 Apr. 01, v. 354

    2020  

    Abstract: Badlands are present throughout the world, but not everywhere do they have the same morphology. The main objective of this study is to try to understand why these different morphologies occur by analysing the physical-chemical and mineralogical ... ...

    Abstract Badlands are present throughout the world, but not everywhere do they have the same morphology. The main objective of this study is to try to understand why these different morphologies occur by analysing the physical-chemical and mineralogical characteristics of the parental material in which badlands have developed. The study was carried out in three areas of the Region of Murcia (south-east Spain): Abanilla, Mula and Gebas.Several analyses were carried out: (i) field analysis (orientation, slope, length and shape of the slope, presence and characteristics of the rills, vegetation, vegetation pedestals, exposed roots, stoniness, physical and biological crusts, saline efflorescence, cracks, popcorn, piping processes, sedimentation areas and mass movements); (ii) physical-chemical analysis of the soils (colour, texture, aggregate stability, bulk density, organic matter, pH, electrical conductivity, cations and cation exchange capacity, total or equivalent calcium carbonate, sodium absorption ratio and exchangeable sodium percentage); and (iii) mineralogical analysis.The results of the analyses reveal how the rounded shapes in the badlands that appear in Abanilla have significant differences with respect to the angled shapes of Mula and Gebas, which could explain the different morphologies. In general, Abanilla has very small amount of sand, higher bulk density, small amount of organic matter, lower cation exchange capacity, and very high salinity, as shown in the values of electrical conductivity, sodio, SAR and ESP.On the other hand, similarities were found between the badlands of the Region of Murcia with the calanchi (angled shapes) and biancane (rounded shapes) of Italy.
    Keywords absorption ; aggregate stability ; badlands ; bulk density ; calcium carbonate ; cation exchange capacity ; color ; electrical conductivity ; exchangeable sodium ; mass movement ; organic matter ; pH ; popcorn ; roots ; salinity ; sand ; sodium ; texture ; vegetation ; Italy ; Spain
    Language English
    Dates of publication 2020-0401
    Publishing place Elsevier B.V.
    Document type Article
    ZDB-ID 58028-4
    ISSN 0169-555X
    ISSN 0169-555X
    DOI 10.1016/j.geomorph.2020.107047
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  9. Article: Sustainable grazing land management to protect ecosystem services

    Díaz-Pereira, Elvira / Romero-Díaz, Asunción / de Vente, Joris

    Mitigation and adaptation strategies for global change. 2020 Dec., v. 25, no. 8

    2020  

    Abstract: Sustainable grazing land management (SGLM) is crucial to prevent land degradation and support food security and human well-being and may contribute to climate change mitigation and adaptation. To facilitate a wide-scale adoption of SGLM, further ... ...

    Abstract Sustainable grazing land management (SGLM) is crucial to prevent land degradation and support food security and human well-being and may contribute to climate change mitigation and adaptation. To facilitate a wide-scale adoption of SGLM, further quantification of its multiple impacts and tradeoffs between ecosystem services is needed. The objective of this study was to assess the potential of SGLM measures to protect ecosystem services and contribute to sustainable development, based on an evaluation of 30 SGLM technologies in semi-arid regions documented in the World Overview of Conservation Approaches and Technologies (WOCAT) and an additional narrative literature review. We first analyzed (i) environmental characteristics and conditions, (ii) costs and benefits, and (iii) socioeconomic and environmental impacts of SGLM. Based on this analysis, we disentangle how SGLM affects ecosystem services and contributes to a sustainable development. The results show that SGLM represents a wide range of practices either aimed at (1) increasing the carrying capacity by improving the soil quality and the amount and type of vegetation or (2) preventing overgrazing by reducing animal pressure. The positive impacts of SGLM directly contribute to crucial provisioning, regulating, supporting, and cultural ecosystem services. On the other hand, while the management costs related to implementing SGLM are usually made by the landowners, many off-site impacts benefit wider society, indicating the need for political support and regulation. We recommend a large-scale implementation of SGLM as an effective means to deal with environmental challenges like desertification, soil degradation, loss of biodiversity, and climate change mitigation and adaptation.
    Keywords administrative management ; animals ; biodiversity ; carrying capacity ; climate change ; desertification ; ecosystem services ; environmental impact ; food security ; grazing lands ; land degradation ; land management ; landowners ; literature ; overgrazing ; politics ; pressure ; semiarid zones ; social welfare ; society ; soil degradation ; soil quality ; sustainable development
    Language English
    Dates of publication 2020-12
    Size p. 1461-1479.
    Publishing place Springer Netherlands
    Document type Article
    Note NAL-light
    ZDB-ID 2004169-X
    ISSN 1573-1596 ; 1381-2386
    ISSN (online) 1573-1596
    ISSN 1381-2386
    DOI 10.1007/s11027-020-09931-4
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  10. Article ; Online: Corrigendum to "Would eligible gay, bisexual and other men who have sex with men use PrEP? Awareness, knowledge, eligibility and intention to use PrEP among EMIS-2017 participants in Spain" [Prev Med 156 (2022) 106962].

    Iniesta, Carlos / Folch, Cinta / Meyer, Sebastian / Vázquez, Maria / Casabona, Jordi / Jonas, Kai / Schmidt, Axel J / Díaz, Asunción

    Preventive medicine

    2022  Volume 157, Page(s) 107017

    Language English
    Publishing date 2022-03-04
    Publishing country United States
    Document type Published Erratum
    ZDB-ID 184600-0
    ISSN 1096-0260 ; 0091-7435
    ISSN (online) 1096-0260
    ISSN 0091-7435
    DOI 10.1016/j.ypmed.2022.107017
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