Self-rated health and mortality: a follow-up study of a Spanish population

Objectives: Self-rated health (SRH) is known to be a valid indicator for the prediction of health outcomes. The aims of this study were to describe and analyse the associations between SRH and health status, socio-economic and demographic characteristics; and between SRH and mortality in a Spanish population. Study design: Longitudinal study. Methods: A sample of 5275 adults (age ≥21 years) residing in the Valencian Community (Spanish Mediterranean region) was surveyed in 2005 and followed for four years. SRH was categorized into good and poor health. The response variable was mortality (dead/alive), obtained from the local mortality register. Logistic regression models were adjusted in order to analyse the associations between SRH and health status, socio-economic and demographic characteristics; odds ratios were calculated to measure the associations. Poisson regression models were adjusted in order to analyse the associations between mortality and explanatory variables; the relative risk of death was calculated to measure the associations. Results: Poor SRH was reported by 25.9% of respondents, and the mortality rate after four years of follow-up was 3.6%. An association was found between SRH and the presence of chronic disease and disability in men and women. A perception of poor health vs good health led to a mortality risk of 3.0 in men and 2.7 in women. SRH was predictive of mortality, even after adjusting for all other variables. In men and women, the presence of disability provided additional predictive ability. Conclusions: SRH was predictive of mortality in both men and women, and acted as a mediator between socio-economic, demographic and health conditions and mortality.

What do older people understand by mobility-related difficulties?

Despite the centrality of the difficulty concept in the study of disability, there has been little research on its significance from the point of view of people with functional limitations. The main objective of this study was to describe what older people understand when asked about difficulty in undertaking mobility activities. As a secondary objective, we considered whether there are any differences depending on the type of activities, according to the International Classification of Functioning (ICF) mobility domains. Methods: Seventeen community-dwelling men and women aged 70 years old or over were interviewed by means of a questionnaire containing 55 items covering the ICF mobility domains. The participants responded to the items while thinking aloud, saying what led them to give a specific answer about their level of difficulty. Inductive content analysis was conducted and categories, subthemes and themes were identified. Results: Causes of difficulty (pathologies, impairments, symptoms) and accommodations (task modifications and use of aids) were the two themes identified; and their importance (and that of the subthemes included) varied across the types of activity. All the participants said that they had no difficulty in at least one task, despite mentioning changes in the way they performed them. Conclusions: Older people's opinions were consistent with theoretical models of disability and with the standard practice of measuring functional limitations by asking about the degree of difficulty; however, the design of these measures needs to be improved in order to detect perceptions of no difficulty in the presence of task modification.

Condiciones de trabajo y salud de los trabajadores inmigrantes en España. Revisión bibliográfica

Fundamentos: La relación entre inmigración, trabajo y salud constituye uno de los retos más importantes en salud laboral y más concretamente en España por el importante incremento de proporción inmigrante acontecido en el mercado laboral. El objetivo de esta investigación es conocer la relación entre las condiciones de trabajo y sus efectos en la salud de trabajadores inmigrantes en España. Métodos: Revisión bibliográfica de artículos científicos originales en español e inglés Medline y Medes (1998-2012). Se revisaron los textos completos de los artículos incluidos. Resultados: Se incluyeron 20 estudios, 13 con metodología de investigación cuantitativa y 7 cualitativa. Los temas tratados abordaban problemas específicos de salud relacionados con el trabajo (principalmente lesiones por accidente de trabajo), incapacidad laboral y diferencias en condiciones de trabajo y empleo. Los hallazgos de los estudios mostraron mayor incidencia de lesiones por accidentes de trabajo, menores tasas de incapacidad laboral, mayor prevalencia de presentismo laboral, exposición a factores psicosociales y precariedad laboral en la población inmigrante. Conclusiones: A pesar de la singularidad del proceso demográfico migratorio, los problemas de salud y determinantes identificados no difieren de los referenciados en otros países, en otros contextos y en otros momentos.

La representación mediática del deportista con discapacidad en el reportaje televisivo. Informe Semanal, un estudio de caso

El tratamiento informativo de los Juegos Paralímpicos de 2008 en los medios españoles aparece ligado casi exclusivamente a los valores asociados al universo deportivo, según un estudio previo. Los paralímpicos son atletas, no personas con discapacidad. Ni se tendió al sensacionalismo ni se ofreció una imagen estereotipada. Debido a la particularidad del acontecimiento, también desaparecen reivindicaciones y problemas. Se trata de información deportiva en la que importa el resultado, los éxitos, las medallas. Para profundizar en la comprensión de la representación televisiva de los deportistas con discapacidad, el objeto de estudio es ahora la información televisiva al margen de la dinámica noticiosa de la cobertura diaria de los Juegos. El análisis de otro tipo de piezas, reportajes, ha permitido descubrir marcas tendentes a la estereotipación vinculadas al campo semántico periodístico, aquel que se hace visible a través del uso de recursos que propician la emotividad y la espectacularización. Emergen las historias de vida y detalles íntimos. Los protagonistas muestran una gran autoestima y una autoidentidad positiva al alejarse de las representaciones sociales habituales de la discapacidad.

La frontera marítima fortificada: de la vigilancia a la señalización (XVI-XIX)

During the 16th century an ambitious political programme for building towers and forts bordering the Spanish Empire’s littoral, to protect it, is materialised. This sighting network over the sea horizon had the essential mission of detecting the presence of vessels that supposed a threat. The network was organised through the strategic arrangement of watchtowers taking profit of the geographical features in the topography so that they could communicate among them with a system of visual signs. The virtual union of the stated settlements defined the fortified maritime borderline. At the same time, this network of sentinels was reinforced (in certain settlements) by the construction of fortifications that acted like centres of data reception and supplied the necessary personnel for detection and transmission. So, this mesh was established by observation points (watchtowers) and information and defense centres (fortifications) to make the news arrive to the decision centres. The present communication aims to demonstrate this military strategy providing the inventory of all defensive architectures that marked this limit between the Segura river mouth until the Huertas cape and that these are spotted from the ‘Flat’ island (later Nueva Tabarca). A riverside geography of approxi-mately 30 km long where 3 fortifications and 7 towers of diverse typologies successively took place. Among the most relevant documents of this research, we could mention the plans of the fortifycations in Guardamar and Santa Pola from the 16th century (drawn in the 18th). For this research, drawings of towers made by the Ministry of Public Works at the end of the 19th century are also important; these documents show the new military tactics, neither for attack neither for defense. At most, they replaced for maritime lighthouses for signage and help for navigation while the others towers were abandoned.