Suchergebnisse

Background: Studies on the long-term consequences of torture in survivors in Chile have only addressed the consequences for mental health, leaving aside the physical consequences. Aim: To report the causes of death in the universe of victims of the Chilean civic-military dictatorship recognized by the Reports of the National Commission for Political Prison and Torture (CNPPT) and the Advisory Commission for the qualification of Disappeared Detainees, Politically Executed individuals and Victims of Political Prison and Torture. Material and Methods: The causes of death, age at the time of death, sex, political context of death and opportunity of repair up to June 2016 are described in 38,254 victims of the Chilean civic-military dictatorship. Results: Of the universe of 38,254 victims, 9,152 (23.9%) died until June 2016. The median age at death was 68 years. The main causes of death were malignant tumors in 28%, cardiovascular diseases in 27%, respiratory diseases in 10%, digestive diseases in 9% and external causes in 8%. Conclusions: These results can inform prevention and treatment strategies for victims of the Chilean dictatorship. ; Antecedentes: Los estudios sobre las consecuencias a largo plazo de la tortura en sobrevivientes en Chile solo han abordado las consecuencias para la salud mental, dejando de lado las consecuencias físicas. Objetivo: Informar las causas de muerte en el universo de víctimas de la dictadura cívico-militar chilena reconocidas por los Informes de la Comisión Nacional de Prisión Política y Tortura (CNPPT) y la Comisión Asesora para la Calificación de Detenidos Desaparecidos, Ejecutados Políticamente y Víctimas de Prisión Política y Tortura. Material y métodos: Se describen las causas de muerte, edad al momento de la muerte, sexo, contexto político de muerte y oportunidad de reparación hasta junio de 2016 en 38.254 víctimas de la dictadura cívico-militar chilena. Resultados: Del universo de 38.254 víctimas, 9.152 (23,9%) murieron hasta junio de 2016. La mediana de edad al momento de la muerte fue de 68 años. Las principales causas de muerte fueron tumores malignos en 28%, enfermedades cardiovasculares en 27%, enfermedades respiratorias en 10%, enfermedades digestivas en 9% y causas externas en 8%. Conclusiones: Estos resultados pueden informar las estrategias de prevención y tratamiento para las víctimas de la dictadura chilena.

Objective To estimate the prevalence of mood and anxiety disorders among adults seeking care in primary healthcare centers in Cordoba city, Argentina. Methods Cross-sectional analysis of a random sample of adults 18-69 years of age seeking care for general health problems in public (i.e., government-funded) primary healthcare centers in Cordoba city, Argentina in 2010-2011. Mood and anxiety disorders were assessed in the participants' lifetime, and in the last 12 months and 30 days using the World Mental Health Composite International Diagnostic Interview 3.0, and defined following the International Classification of Diseases, tenth revision. Results Overall, 1,067 participants were included in the current analysis [mean age 35.6 (SD 13.2) years, 83.7% female]. The lifetime, 12-month and 30-day prevalence of any mood or anxiety disorder was 40.4% [95% confidence interval (95%CI) 37.4-43.4%], 20.1% (17.8-22.7%) and 7.8% (6.2-9.6%), respectively. The prevalence of anxiety disorders was higher compared to mood disorders when assessed in the participants' lifetime [29.7% (95%CI 27.0-32.5%) versus 19.3% (17.0-21.8%)], and in the last 12 months [14.9% (12.8-17.2%) versus 8.7% (7.1-10.6%)] and 30 days [5.8% (4.5-7.4%) versus 2.3% (1.5-3.4%)]. Age and marital status-adjusted odds ratios for any mood or anxiety disorder in the participants' lifetime and in the last 12 months and 30 days comparing women versus men were 1.19 (95%CI 0.85-1.67), 1.70 (1.07-2.69), and 2.26 (1.02-5.00), respectively. Conclusion The prevalence of mood and anxiety disorders is high among adults seeking care in primary healthcare centers in Cordoba city, particularly among women. Integration of primary and mental health services is warranted. ; Facultad de Ciencias Medicas de la Universidad Nacional de Cordoba, Argentina (PROMED) Florencio Fiorini Foundation, Argentine Academy of Medicine