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      Violencia de pareja y depresión en mujeres que trabajan en una institución de salud de México Translated title: Intimate partner violence and depression among adult women working in a health facility in Mexico

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          Abstract

          Resumen Objetivo Evaluar el efecto de la violencia de pareja, experimentada en los últimos 12 meses, sobre el riesgo de depresión y la sintomatología depresiva en mujeres adultas. Método Se analizaron los datos de 470 mujeres de la Cohorte de Trabajadores de la Salud de México. El tipo y la gravedad de la violencia de pareja se midieron en los años 2004 y 2011. El evento principal fue el diagnóstico médico de depresión (2011). Un evento secundario fue la sintomatología depresiva (2004 y 2011), evaluada mediante la Escala de Depresión del Centro de Estudios Epidemiológicos (CES-D). El riesgo de depresión y la sintomatología depresiva en relación con la violencia se evaluaron con modelos de regresión de efectos aleatorios logísticos y lineales, respectivamente. Resultados El 41,9% experimentó violencia de pareja en la medición basal. La incidencia de depresión fue del 7,2%. El riesgo de depresión aumentó con la violencia de pareja de cualquier tipo (odds ratio ajustada [ORa]=2,9; intervalo de confianza del 95% [IC95%]: 1,4-6,2) y con las violencias física (ORa=4,3; IC95%: 1,8-10,1), psicológica (ORa=3,1; IC95%: 1,4-6,6) y sexual (ORa=3,1; IC95%: 1,2--8,2). Los síntomas depresivos (CES-D) aumentaron ligeramente con las violencias física y sexual. Conclusiones La violencia de pareja se asoció a un mayor riesgo de depresión en mujeres trabajadoras de una institución de salud de México. Los resultados indican la necesidad de contar con infraestructura, implementar estrategias de atención y consejería, y brindar un ambiente seguro en los lugares de trabajo para quienes sufren violencia de pareja.

          Translated abstract

          Abstract Objective To assess the effect of intimate partner violence on the risk of depression and depressive symptoms among adult women. Method We analyzed data from the Mexican Health Workers' Cohort study (n=470). Type and severity of intimate partner violence was ascertained between 2004 and 2011. Self-reported medical diagnosis of depression (2011) was the main outcome; depressive symptoms ascertained with the Centre for Epidemiologic Studies-Depression (CES-D) scale was the secondary outcome. Random-effects regressions were run to model the risk of depression (logistic) and depressive symptoms (linear) in relation to intimate partner violence. Results 41.9% women experienced intimate partner violence at baseline. The incidence of depression was 7.2%. The risk of depression increased with any type of IPV (adjusted odds ratio [aOR]=2.9; 95% confidence interval [95%CI]: 1.4-6.2) and with physical (aOR=4.3; 95%CI: 1.8-10.1), psychological (aOR=3.1; 95%CI: 1.4-6.6) and sexual (aOR=3.1; 95%CI: 1.2-8.2) violence. Depressive symptoms (CES-D) increased slightly with physical and sexual intimate partner violence. Conclusions Intimate partner violence was associated with a higher risk of depression in this sample of women working in a Mexican health facility. Our results indicate the need to develop infrastructure, to implement strategies of attention and counselling, and to provide a safe environment in the workplace for women who experience intimate partner violence.

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          2011 Compendium of Physical Activities: a second update of codes and MET values.

          The Compendium of Physical Activities was developed to enhance the comparability of results across studies using self-report physical activity (PA) and is used to quantify the energy cost of a wide variety of PA. We provide the second update of the Compendium, called the 2011 Compendium. The 2011 Compendium retains the previous coding scheme to identify the major category headings and specific PA by their rate of energy expenditure in MET. Modifications in the 2011 Compendium include cataloging measured MET values and their source references, when available; addition of new codes and specific activities; an update of the Compendium tracking guide that links information in the 1993, 2000, and 2011 compendia versions; and the creation of a Web site to facilitate easy access and downloading of Compendium documents. Measured MET values were obtained from a systematic search of databases using defined key words. The 2011 Compendium contains 821 codes for specific activities. Two hundred seventeen new codes were added, 68% (561/821) of which have measured MET values. Approximately half (317/604) of the codes from the 2000 Compendium were modified to improve the definitions and/or to consolidate specific activities and to update estimated MET values where measured values did not exist. Updated MET values accounted for 73% of all code changes. The Compendium is used globally to quantify the energy cost of PA in adults for surveillance activities, research studies, and, in clinical settings, to write PA recommendations and to assess energy expenditure in individuals. The 2011 Compendium is an update of a system for quantifying the energy cost of adult human PA and is a living document that is moving in the direction of being 100% evidence based.
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              Intimate Partner Violence and Incident Depressive Symptoms and Suicide Attempts: A Systematic Review of Longitudinal Studies

              Karen Devries and colleagues conduct a systematic review of longitudinal studies to evaluate the direction of association between symptoms of depression and intimate partner violence. Please see later in the article for the Editors' Summary
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                Author and article information

                Journal
                gs
                Gaceta Sanitaria
                Gac Sanit
                Sociedad Española de Salud Pública y Administración Sanitaria (SESPAS) (Barcelona, Barcelona, Spain )
                0213-9111
                April 2021
                : 35
                : 2
                : 161-167
                Affiliations
                [4] Ciudad de México orgnameUniversidad Nacional Autónoma de México orgdiv1Facultad de Medicina orgdiv2Centro de Investigación en Políticas, Población y Salud Mexico
                [1] Cuernavaca Morelos orgnameInstituto Nacional de Salud Pública orgdiv1Escuela de Salud Pública de México Mexico
                [2] Cuernavaca Morelos orgnameInstituto Nacional de Salud Pública orgdiv1Centro de Investigación en Salud Poblacional Mexico
                [3] Ciudad de México orgnameInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz México
                Article
                S0213-91112021000200161 S0213-9111(21)03500200161
                10.1016/j.gaceta.2019.09.005
                31784193
                9729160a-b715-4719-a51e-0a789128fb32

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 11 June 2019
                : 02 September 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 35, Pages: 7
                Product

                SciELO Spain

                Categories
                Originales

                Síntomas depresivos,Cohort,Depression,Adult women,Depressive symptoms,Intimate partner violence,Cohorte,Depresión,Violencia de pareja,Mujeres adultas

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