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  1. Article: Salud autopercibida en trabajadores de enfermería del primer nivel de atención, durante la pandemia de COVID-19

    Becerra Canales, Bladimir / Ybaseta Medina, Jorge

    Rev. méd. panacea

    Abstract: Objetivo: Conocer los niveles de salud autopercibida en trabajadores de enfermería del primer nivel de atención, durante la pandemia de COVID-19 Materiales y métodos: Estudio de tipo descriptivo y transversal, realizado en 32 establecimientos de primer ... ...

    Abstract Objetivo: Conocer los niveles de salud autopercibida en trabajadores de enfermería del primer nivel de atención, durante la pandemia de COVID-19 Materiales y métodos: Estudio de tipo descriptivo y transversal, realizado en 32 establecimientos de primer nivel de atención de la Red de salud Ica, durante junio y julio del 2020 La muestra estuvo representada por 166 participantes entre enfermeros y técnicos de enfermería Se recolectaron datos sociodemográficos y se administró el Cuestionario de Salud General de Goldberg de 12 preguntas Se describieron las variables del estudio y se aplicó Chi-cuadrado para evaluar diferencias Resultados: De los participantes, fueron de sexo femenino (80,7%);función del cargo enfermero (56,0%);condición laboral nombrado (67,5%) y grupo de edad 41 a 50 años (41,0%) La prevalencia autopercibida de mala salud, fue del 50%;las diferencias resultaron significativas según el sexo y función del cargo;no obstante en la condición laboral y los grupos de edad, las diferencias no fueron significativas Los resultados varían según disforia general (ansiedad y depresión) y disfunción social o mal funcionamiento social Conclusiones: Durante la pandemia de COVID-19, el nivel de mala salud autopercibida es de tendencia alta, existen diferencias estadísticas en algunas variables sociodemográficas Es necesario promover acciones conjuntas que contribuyan al bienestar del trabajador de enfermería (AU) Objective: Know the levels of self-perceived health in primary care nurses during the COVID-19 pandemic Materials and methods: Descriptive and transversal study, carried out in 32 primary care facilities of the Ica Health Network, during June and July 2020 The sample was represented by 166 participants, including nurses and nursing technicians Sociodemographic data were collected and the 12-question Goldberg General Health Questionnaire was administered Study variables were described and Chi-square was applied to evaluate differences Results: Of the participants, they were female (80 7%);function of the nursing position (56 0%);appointed working condition (67 5%) and age group 41 to 50 years old (41 0%) The self-perceived prevalence of ill health was 50%;the differences were significant according to sex and function of the position;however, in the working condition and age groups, the differences were not significant Results vary according to general dysphoria (anxiety and depression) and social dysfunction or social malfunction Conclusions: During the COVID-19 pandemic, the level of self-perceived ill health is high, there are statistical differences in some sociodemographic variables It is necessary to promote joint actions that contribute to the well-being of nursing personnel (AU)
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #864667
    Database COVID19

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  2. Article ; Online: Disparities in breast cancer mortality among Latin American women: trends and predictions for 2030.

    Torres-Román, J Smith / Ybaseta-Medina, Jorge / Loli-Guevara, Silvana / Bazalar-Palacios, Janina / Valcarcel, Bryan / Arce-Huamani, Miguel A / Alvarez, Christian S / Hurtado-Roca, Yamilee

    BMC public health

    2023  Volume 23, Issue 1, Page(s) 1449

    Abstract: Background: Breast cancer is among the leading cause of cancer-related mortality among Latin American and Caribbean (LAC) women, but a comprehensive and updated analysis of mortality trends is lacking. The objective of this study was to determine the ... ...

    Abstract Background: Breast cancer is among the leading cause of cancer-related mortality among Latin American and Caribbean (LAC) women, but a comprehensive and updated analysis of mortality trends is lacking. The objective of this study was to determine the breast cancer mortality rates between 1997 and 2017 for LAC countries and predict mortality until 2030.
    Methods: We retrieved breast cancer deaths across 17 LAC countries from the World Health Organization mortality database. Age-standardized mortality rates per 100,000 women-years were estimated. Mortality trends were evaluated with Joinpoint regression analyses by country and age group (all ages, < 50 years, and ≥ 50 years). By 2030, we predict number of deaths, mortality rates, changes in population structure and size, and the risk of death from breast cancer.
    Results: Argentina, Uruguay, and Venezuela reported the highest mortality rates throughout the study period. Guatemala, El Salvador, and Nicaragua reported the largest increases (from 2.4 to 2.8% annually), whereas Argentina, Chile, and Uruguay reported downward trends (from - 1.0 to - 1.6% annually). In women < 50y, six countries presented downward trends and five countries showed increasing trends. In women ≥ 50y, three countries had decreased trends and ten showed increased trends. In 2030, increases in mortality are expected in the LAC region, mainly in Guatemala (+ 63.0%), Nicaragua (+ 47.3), El Salvador (+ 46.2%), Ecuador (+ 38.5%) and Venezuela (+ 29.9%).
    Conclusion: Our findings suggest considerable differences in breast cancer mortality across LAC countries by age group. To achieve the 2030 sustainable developmental goals, LAC countries should implement public health strategies to reduce mortality by breast cancer.
    MeSH term(s) Female ; Humans ; Middle Aged ; Latin America/epidemiology ; Breast Neoplasms ; Chile/epidemiology ; Argentina ; Guatemala/epidemiology ; Mortality
    Language English
    Publishing date 2023-07-28
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2041338-5
    ISSN 1471-2458 ; 1471-2458
    ISSN (online) 1471-2458
    ISSN 1471-2458
    DOI 10.1186/s12889-023-16328-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Regional disparities of prostate cancer mortality in Ecuador: an examination of trends and correlates from 2004 to 2019.

    Simbaña-Rivera, Katherine / Torres-Roman, J Smith / Challapa-Mamani, Mabel R / Guerrero, Jhon / De la Cruz-Ku, Gabriel / Ybaseta-Medina, Jorge / Martinez-Herrera, José F

    BMC public health

    2023  Volume 23, Issue 1, Page(s) 992

    Abstract: Background: Prostate cancer is the leading cause of cancer death in Ecuadorian men. However, there is a lack of information regarding the evolution of prostate cancer mortality rates in Ecuador and its regions in the last few decades.: Objective: The ...

    Abstract Background: Prostate cancer is the leading cause of cancer death in Ecuadorian men. However, there is a lack of information regarding the evolution of prostate cancer mortality rates in Ecuador and its regions in the last few decades.
    Objective: The aim of this study was to report prostate cancer mortality rates in Ecuador and its geographical areas and observe the evolution of these rates between 2004 and 2019.
    Methods: An observational ecological study was conducted, analysing data for prostate cancer deaths from 2004 to 2019 in Ecuador. Age standardized mortality rates (ASMR) were calculated per 100,000 men using the world standard population with the direct method proposed by SEGI. Joinpoint regression analysis was performed to examine mortality trends. We used a Cluster Map to explore relationships among regions between 2015 and 2019.
    Results: Ecuador reported 13,419 deaths by prostate cancer between 2004 and 2019, with the Coastal region accounting for 49.8% of the total deaths. The mean age at death was 79 years (± 10 years), 91.7% were elderly (more than 65 years old) and had primary education (53%). Deaths by prostate cancer were more frequently reported among mestizos (81.4%). There were no significant variations in these percentages in Ecuador and its regions during the study period. Carchi province had the highest mortality rate in 2005 and 2019 (> 13 deaths per 100,000). Heterogeneity in the evolution of mortality rates was reported among the provinces of Ecuador. Azuay decreased in the first few years, and then increased from 2010 to 2019, whereas Guayas and Pichincha decreased throughout the whole period.
    Conclusion: Although prostate cancer mortality rates in Ecuador have remained stable over the past few decades, there are significant disparities among the different regions. These findings suggest the need for the development of national and provincial registration measures, integrated healthcare actions, and targeted interventions to reduce the burden of prostate cancer in the Ecuadorian population.
    MeSH term(s) Male ; Humans ; Aged ; Ecuador/epidemiology ; Prostatic Neoplasms ; Regression Analysis ; Mortality
    Language English
    Publishing date 2023-05-29
    Publishing country England
    Document type Observational Study ; Journal Article
    ZDB-ID 2041338-5
    ISSN 1471-2458 ; 1471-2458
    ISSN (online) 1471-2458
    ISSN 1471-2458
    DOI 10.1186/s12889-023-15941-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Trends in gastric cancer mortality 2005-2020 in Peru and its geographical areas: A joinpoint regression analysis.

    Smith Torres-Roman, J / Julca-Marín, Dante / Ticona-Tiña, Dayana / Quispe-Vicuña, Carlos / Bazalar-Palacios, Janina / De La Cruz-Ku, Gabriel / Ybaseta-Medina, Jorge

    Cancer epidemiology

    2023  Volume 87, Page(s) 102485

    Abstract: Background: Gastric cancer (GC) is the leading cause of cancer death in Peru. However, information regarding trends in mortality rates in Peru and its geographical areas in the last few decades is lacking. Our objective was to describe GC mortality ... ...

    Abstract Background: Gastric cancer (GC) is the leading cause of cancer death in Peru. However, information regarding trends in mortality rates in Peru and its geographical areas in the last few decades is lacking. Our objective was to describe GC mortality rates in Peru between 2005 and 2020.
    Methods: Age standardized mortality rates (ASMR) were calculated per 100,000 person-years using the world SEGI standard population. Joinpoint regression analysis was performed to examine mortality trends. The analysis of the last 5 years was performed for Peru and its geographical areas.
    Results: GC mortality rates in 2005 and in 2020 were 13.81 and 10.52, respectively, for men and 11.81 and 8.06, respectively, for women. Between 2016 and 2020, Huanuco and Huancavelica reported the highest mortality rates (≥20 deaths per 100,000). In men, Peru and the highlands region reported significant decreases in GC mortality rates in both sexes for some periods. Coastal region significant decreased by 2.6 % in all periods for women. In both sexes, six provinces reported significant decreases in GC mortality rates.
    Conclusion: Although GC mortality rates in Peru have declined over the past 16 years. They are still one of the highest in the Latin American and Caribbean region. It is important that the Peruvian State seek to reduce the mortality of this disease through prevention efforts, timely detection and treatment in all patients.
    MeSH term(s) Male ; Humans ; Female ; Stomach Neoplasms/epidemiology ; Peru/epidemiology ; Racial Groups ; Caribbean Region ; Mortality
    Language English
    Publishing date 2023-11-16
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2508729-0
    ISSN 1877-783X ; 1877-7821
    ISSN (online) 1877-783X
    ISSN 1877-7821
    DOI 10.1016/j.canep.2023.102485
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Cervical cancer mortality among young women in Latin America and the Caribbean: trend analysis from 1997 to 2030.

    Torres-Roman, J Smith / Ronceros-Cardenas, Luz / Valcarcel, Bryan / Bazalar-Palacios, Janina / Ybaseta-Medina, Jorge / Carioli, Greta / La Vecchia, Carlo / Alvarez, Christian S

    BMC public health

    2022  Volume 22, Issue 1, Page(s) 113

    Abstract: Background: Cervical cancer continues to show a high burden among young women worldwide, particularly in low- and middle-income countries. Limited data is available describing cervical cancer mortality among young women in Latin America and the ... ...

    Abstract Background: Cervical cancer continues to show a high burden among young women worldwide, particularly in low- and middle-income countries. Limited data is available describing cervical cancer mortality among young women in Latin America and the Caribbean (LAC). The purpose of this study was to examine the mortality trends of cervical cancer among young women in LAC and predict mortality rates to 2030.
    Methods: Deaths from cervical cancer were obtained from the World Health Organization mortality database. Age-standardized mortality rates per 100,000 women-years were estimated in women aged 20-44 years using the world standard population for 16 countries (and territories) in LAC from 1997 to 2017. We estimated the average mortality rates for the last 4 years (2014-2017). Joinpoint regression models were used to identify significant changes in mortality trends. Nordpred method was used for the prediction of the mortality rates to 2030.
    Results: Between 2014 and 2017, Paraguay and Venezuela had the highest mortality rates of cervical cancer, whereas Puerto Rico had the lowest rates. Overall, most of the LAC countries showed downward trends of cervical cancer mortality over the entire period. Significant decreases were observed in Chile (Average annual percent change [AAPC]: - 2.4%), Colombia (AAPC: - 2.0%), Cuba (AAPC: - 3.6%), El Salvador (AAPC: - 3.1%), Mexico (AAPC: - 3.9%), Nicaragua (AAPC: - 1.7%), Panama (AAPC: - 1.7%), and Peru (AAPC: - 2.2%). In contrast, Brazil (AAPC: + 0.8%) and Paraguay (AAPC: + 3.7%) showed significant upward trends. By 2030, mortality rates are not predicted to further decrease in some LAC countries, including Argentina, Paraguay, and Venezuela.
    Conclusions: Mortality trends of cervical cancer among young women have large variability in LAC countries. Cervical cancer screening programs have a high priority for the region. Primary and secondary prevention in the community are necessary to accelerate a reduction of cervical cancer mortality by 2030.
    MeSH term(s) Caribbean Region/epidemiology ; Early Detection of Cancer ; Female ; Humans ; Latin America/epidemiology ; Mexico ; Mortality ; Puerto Rico ; Uterine Cervical Neoplasms
    Language English
    Publishing date 2022-01-16
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2041338-5
    ISSN 1471-2458 ; 1471-2458
    ISSN (online) 1471-2458
    ISSN 1471-2458
    DOI 10.1186/s12889-021-12413-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Cervical cancer mortality in Peru: regional trend analysis from 2008-2017.

    Torres-Roman, J Smith / Ronceros-Cardenas, Luz / Valcarcel, Bryan / Arce-Huamani, Miguel A / Bazalar-Palacios, Janina / Ybaseta-Medina, Jorge / La Vecchia, Carlo / Alvarez, Christian S

    BMC public health

    2021  Volume 21, Issue 1, Page(s) 219

    Abstract: Background: Cervical cancer is the third leading cause of cancer-related death among Latin American women. Peru has the sixth highest mortality rate for cervical cancer in the region with regional variations. We aimed to determine overall and regional ... ...

    Abstract Background: Cervical cancer is the third leading cause of cancer-related death among Latin American women. Peru has the sixth highest mortality rate for cervical cancer in the region with regional variations. We aimed to determine overall and regional cervical cancer mortality rates and trends in Peru between 2008 and 2017.
    Methods: We performed an ecological study on the number of deaths by cervical cancer in Peru. Deaths were extracted from the Peruvian Ministry of Health mortality database. Age-standardized mortality rates (ASMR) were estimated per 100,000 women-years using the world standard Segi population. We computed mortality trends using the Joinpoint regression program, estimating the annual percent change (APC). For spatial analysis, GeoDA software was used.
    Results: Peru showed downward trends in the last decade (from 11.62 in 2008 to 9.69 in 2017 (APC = - 2.2, 95% CI: - 4.3, - 0.1, p < 0.05). According to regional-specific analysis, the highest ASMR was in the rainforest region, although this declined from 34.16 in 2008 to 17.98 in 2017 (APC = - 4.3, 95% CI: - 7.2, - 1.3, p < 0.01). Concerning spatial analysis and clustering, the mortality rates from 2008 to 2017 showed a positive spatial autocorrelation and significant clustering (Moran's I: 0.35, p < 0.001) predominantly in the neighboring North-East departments (Loreto, Ucayali, and San Martin).
    Conclusions: Although mortality trends in the entire population are decreasing, mortality rates remain very high, mainly in the rainforest region. Our results encourage a need for further development and improvement of the current health care delivery system in Peru.
    MeSH term(s) Aged, 80 and over ; Cluster Analysis ; Databases, Factual ; Female ; Humans ; Mortality ; Peru/epidemiology ; Spatial Analysis ; Uterine Cervical Neoplasms
    Language English
    Publishing date 2021-01-26
    Publishing country England
    Document type Journal Article
    ISSN 1471-2458
    ISSN (online) 1471-2458
    DOI 10.1186/s12889-021-10274-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Breast cancer mortality trends in Peruvian women.

    Torres-Roman, J Smith / Martinez-Herrera, Jose Fabian / Carioli, Greta / Ybaseta-Medina, Jorge / Valcarcel, Bryan / Pinto, Joseph A / Aguilar, Alfredo / McGlynn, Katherine A / La Vecchia, Carlo

    BMC cancer

    2020  Volume 20, Issue 1, Page(s) 1173

    Abstract: Background: Breast cancer (BC) is the most common malignancy in Latin American women, but with a wide variability with respect to their mortality. This study aims to estimate the mortality rates from BC in Peruvian women and to assess mortality trends ... ...

    Abstract Background: Breast cancer (BC) is the most common malignancy in Latin American women, but with a wide variability with respect to their mortality. This study aims to estimate the mortality rates from BC in Peruvian women and to assess mortality trends over 15 years.
    Methods: We calculated BC age-standardized mortality rate (ASMR) per 100,000 women-years using the world standard SEGI population. We estimated joinpoint regression models for BC in Peru and its geographical areas. The spatial analysis was performed using the Moran's I statistic.
    Results: In a 15-year period, Peru had a mortality rate of 9.97 per 100,000 women-years. The coastal region had the highest mortality rate (12.15 per 100,000 women-years), followed by the highlands region (4.71 per 100,000 women-years). In 2003, the highest ASMR for BC were in the provinces of Lima, Arequipa, and La Libertad (above 8.0 per 100,000 women-years), whereas in 2017, the highest ASMR were in Tumbes, Callao, and Moquegua (above 13.0 per women-years). The mortality trend for BC has been declining in the coastal region since 2005 (APC = - 1.35, p < 0.05), whereas the highlands region experienced an upward trend throughout the study period (APC = 4.26, p < 0.05). The rainforest region had a stable trend. Spatial analysis showed a Local Indicator of Spatial Association of 0.26 (p < 0.05).
    Conclusion: We found regional differences in the mortality trends over 15 years. Although the coastal region experienced a downward trend, the highlands had an upward mortality trend in the entire study period. It is necessary to implement tailored public health interventions to reduce BC mortality in Peru.
    MeSH term(s) Breast Neoplasms/epidemiology ; Breast Neoplasms/mortality ; Female ; Humans ; Mortality/trends ; Peru/epidemiology
    Language English
    Publishing date 2020-12-01
    Publishing country England
    Document type Journal Article
    ISSN 1471-2407
    ISSN (online) 1471-2407
    DOI 10.1186/s12885-020-07671-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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