The evolution of health status and chronic conditions in Catalonia, 1994-2006: the paradox of health revisited using the Blinder - Oaxaca decomposition

[EN] Background: The paradox of health refers to the improvement in objective measures of health and the increase in the reported prevalence of chronic conditions. The objective of this paper is to test the paradox of health in Catalonia from 1994 to 2006. Methods: Longitudinal cross-sectional study using the Catalonia Health Interview Survey of 1994 and 2006. The approach used was the three-fold Blinder - Oaxaca decomposition, separating the part of the differential in mean visual analogue scale value (VAS) due to group differences in the predictors (prevalence effect), due to differences in the coefficients (severity effect), and an interaction term. Variables included were the VAS value, education level, labour status, marital status, all common chronic conditions over the two cross-sections, and a variable for non-common chronic conditions and other conditions. Sample weights have been applied. Results: Results show that there is an increase in mean VAS for men aged 15-44, and a decrease in mean VAS for women aged 65-74 and 75 and more. The increase in mean VAS for men aged 15-44 could be explained by a decrease in the severity effect, which offsets the increase in the prevalence effect. The decrease in mean VAS for women aged 65-74 and 75 and more could be explained by an increase in the prevalence effect, which does not offset the decrease in the severity effect. Conclusions: The results of the present analysis corroborate the paradox of health hypothesis for the population of Catalonia, and highlight the need to be careful when measuring population health over time, as well as their usefulness to detect population's perceptions.

Status of the extinct giant lacertid lizard Gallotia simonyi simonyi (Reptilia: Lacertidae) assessed using mtDNA sequences from museum specimens

[EN] Gallotia simonyi (Steindachner, 1889) is a member of an endemic Canary Island genus and is among the largest of the approximately 250 recent species of lacertid lizards. Although Steindachner gave the locality of the types as the Roques de Salmor, off El Hierro island, previous workers (Urusaustegui, 1983; Manrique & Saavedra, 1873; Viera & Clavijo, 1983) and subsequent ones (Machado, 1985) regard the more western of the two rocks in the group, the Roque Chico de Salmor, as the actual source of material. The Roque Chico is 37 m high with a surface area of less than 10,000 m2 and lies 830 m from the northern coast of El Hierro (Machado, 1985).