Papers by Claudia Infante
Clinical Rheumatology
Objectives Risk perception of the COVID-19 pandemic may affect chronic disease outcomes among pat... more Objectives Risk perception of the COVID-19 pandemic may affect chronic disease outcomes among patients with rheumatic diseases (RD). To describe and compare the perception of risk and effects of the COVID-19 pandemic on patients with RD from two health care centers compared with a control group. Methods A retrospective case-control study was conducted. Patient respondents completed an online survey to measure risk perception and effects of the COVID-19 pandemic. The case group consisted of patients with a confirmed diagnosis of RD, coming from two third-level health care centers. The control group was a population group without RD from a public university. Results A total of 3944 participants were included: 986 patients with an RD (cases) from the two hospital centers and 2958 controls without RD. A greater perception of risk severity and perception of contagion was observed in the group of patients with RD, OR: 1.70, 95% CI 1.44-2.01 and OR: 2.0, 95% CI 1.79-2.23, respectively; more significant deterioration in family life OR: 1.14, 95% CI 1.01-1.29; greater economic impact, OR 3.94, 95% CI 3.48-4.46; as well as negative emotions and feelings (alarmed, anxiety, depression, confusion, fear, isolation, and discrimination). This impact was maintained when the model was adjusted for comorbidities. Conclusion In the face of an unexpected and catastrophic event such as the COVID-19 pandemic, patients with RD report apparently greater impact on their mental state and economic situation than the control population, as well as increased perception of discrimination. Key Points • The multidisciplinary analyses of risk perception are required to promote actions that can enhance the preparedness and responses of public efforts for possible future pandemics in a way that considers the specific needs of vulnerable people like patients with rheumatic diseases. • Identifying risk perceptions of possible effects of the pandemic, sources of communication, and opinions is essential to ensure self-care in rheumatic disease. • The impact of COVID-19 has been much greater for people with rheumatic disease, especially in terms of the perceived severity of the pandemic, impacts on family and economy, preventive behaviors, and uncertainty.
Journal of Interprofessional Care, 2006
Teresa Allan Elizabeth Anderson Mary Arevian Mark Avis Gillian Barrett Peter Bartlett Basia Belza... more Teresa Allan Elizabeth Anderson Mary Arevian Mark Avis Gillian Barrett Peter Bartlett Basia Belza Janette Bennett Peter Beresford Emma-Jane Berridge Christine Bithell Peter Bontje Lilian Bradley Jeffery Braithwaite Julia Bray Charlie Brooker Fiona Brooks Pat Burbank Stuart Cable Patrick Callaghan John Carpenter Grant Charles Sibyl Coldham Val Collington Maureen Coombs Jeanette Copperman Kevin Corbett Michelle Cornes Sam Coster Lynne Currie Danielle D’Amour Barbara Davey Graham Davies Pam Dawson Jeremy Dawson Claire Dickinson Vari Drennan Theresa Drinka Alison Edgley Walid El Ansari Ingegerd Fagerberg Tomas Faresjo Laila Farhood Marnie Freeman Dawn Freshwater Joanne Goldman Claire Goodman Nick Goodwin Frances Gordon Richard Gray Nan Greenwood Annette Greer Ruth Harris Chris Hart Robin Harvan Sarah Hean Marie Heartfield Ros Hilton Martin Hind Jane Hopkinson Mike Hough Lesley Hughes Huda Abu-Saad Huijer Claudia Infante Gail Jensen Angie Jones Gabrielle Kane Ingvar Karlberg Linda King Lynn Knight Ivan Koppel Susanne Kvarnstrom Debbie Kwan Gerri Lamb Anne Lanceley Per Lauvas Hal Lawson Susanne Lindqvist Jane Lindsay Michelle Lorente Stuart Mackay Angus McFadyen Judith McFetridge-Durdle Agnes Meszaros Margaret Miers Linda Milbourne Felicity Moir Gerry Mugford Declan Naughton Andrea Nelson Maggie Nicol Ian Noonan Cath O’Halloran Atle Odegard Edward Peck Denese Playford Sue Pullon Anne Quinney Joan Rapaport Glenn Regehr Lynne Robins David Rushforth Sally Ruston Gill Salmon Ann Scott Jenny Secker Alan Simpson Lynne Sinclair John Sitzia Eva Skaerbaek Julian Somers Journal of Interprofessional Care, December 2006; 20(6): 693 – 694
Revista médica del Instituto Mexicano del Seguro Social, Feb 1, 2022
Background Postnatal care is essential to identify and treat at the appropriate time adverse heal... more Background Postnatal care is essential to identify and treat at the appropriate time adverse health events in the puerperium. In Mexico, the factors that affect postnatal care have not been documented. Objective To identify the factors associated with the lack of postnatal care. Material and methods Cross-sectional study of 202 women of reproductive age affiliated with six primary care clinics of the Mexican Institute for Social Security. We analyzed these factors: (1) sociodemographic: age, education, schooling, distance between home and clinic; (2) psychosocial: social support; (3) obstetric and gynecologic: number of pregnancies, type of delivery, presence of comorbidity and suspected depression, and (4) health services: deficient prenatal control and incomplete postpartum hospital care. We performed multiple Poisson regression with a robust variance. Results 49.5% of women had postnatal control. Factors associated with a higher probability of lack of postnatal control were: distance ≥ 5 km between home and clinic (adjusted prevalence ratio [aPR] 1.48, 95% confidence interval [95% CI] 1.16-1.88, p = 0.001), poor prenatal care (aPR 1.21, 95% CI 1.001-1.46, p = 0.049), and incomplete postpartum care (aPR 1.42, 95% CI 1.23-1.63, p < 0.001). Conclusions The low attendance of postnatal care in primary care clinics highlights the need to seek and implement feasible healthcare alternatives, such as home care or telemedicine, to women who cannot attend to postnatal consultations.
Additional file 1: Table S1. User experience related to satisfaction with outpatient consultation... more Additional file 1: Table S1. User experience related to satisfaction with outpatient consultation (n = 6713 patients nested within 136 hospitals; year 2017). Table S2. User experience related to satisfaction with outpatient consultation (n = 10,328 patients nested within 130 hospitals; year 2016). Table S3. User experience related to satisfaction with surgical care (n = 1082 patients nested within 124 hospitals; year 2016).
Relational Concepts in Medicine, 2011
to BABAN. The RBC pilot plant consists of three units, The first is the RBC unit, the second unit... more to BABAN. The RBC pilot plant consists of three units, The first is the RBC unit, the second unit is the settling tank and the last unit is the disinfection tank. The results of the MBR plant showed that the removal efficiencies of the greywater were: 95% for COD; 95% for BOD5; 96% for TKN; 92% for NH4+ and 99% for TSS. Whereas, the results of the RBC show that, The BOD efficiency removal was ranged between about 93.0 to 96.0 %, and for the total SS removal was ranged between 84.0 to 95.0 %. The MBR system provides complete nitrification and suspended solid removal. The RBC system provides less nitrification process and suspended solid removal. The effluent of the rotating biological contactors units for the greywater could be reused after filtration and disinfection with minimal cost of operation. The effluent of the membrane bioreactor unit needs only disinfection before reuse.
Health Education Research, 2017
To evaluate the effect of an internet-based educational intervention to increase knowledge of sex... more To evaluate the effect of an internet-based educational intervention to increase knowledge of sexually transmitted infections (STIs), attitudes and self-efficacy toward consistent condom use in Mexican adolescents. A field trial with an intervention and control group was conducted in 14-to 15-year-old students in two secondary schools. The intervention was delivered via a website that included four educational sessions during a 4-week period and six 30-min class discussions during a 3-month period. In the control group, the investigators observed the general sex education provided by the school. Outcome variables were 1) knowledge about STIs, 2) attitudes regarding condom use, and 3) self-efficacy toward consistent condom use. Differences-indifferences (Diff-in-Diff) treatment effect was estimated for each outcome variable. There were 246 adolescents in the intervention group and 210 in the control group. The intervention had a positive effect on improving knowledge of STIs, attitudes and self-efficacy toward consistent condom use. The major effect was observed on adolescents' knowledge on STIs (Diff-in-Diff 30.34 points, P < 0.0001). A youth-friendly, culturally-contextualized, internet-based educational intervention complemented by class discussions may be a significant addition to the regular secondary school sex education program to improve knowledge of STIs, attitudes and selfefficacy toward consistent condom use among adolescents. Trial registration: The study was registered at the ClinicalTrials.gov ID: NCT02686736.
Salud Pública de México, 2013
Objetivo. Estimar los costos individuales y poblacionales de condiciones crónicas físicas y menta... more Objetivo. Estimar los costos individuales y poblacionales de condiciones crónicas físicas y mentales comunes en la población mexicana, en función del número de días perdidos por problemas en el funcionamiento. Material y métodos. 5 826 adultos fueron evaluados entre 2001-2002 con la Entrevista Internacional Psiquiátrica Compuesta y el Cuestionario para la Evaluación de Discapacidades. Se realizaron modelos generales lineales y se estimó la proporción de riesgo atribuible a la población, tomando en cuenta la prevalencia de la condición y la comorbilidad. Resultados. Las condiciones de mayor impacto para el individuo son la depresión, el estrés postraumático y el trastorno bipolar. Las de mayor impacto a nivel poblacional son la depresión, el dolor, el insomnio y las enfermedades cardiovasculares. Conclusión. Los hallazgos señalan la importancia de aumentar el gasto en salud mental para asignar una proporción más equitativa para su atención en cuanto al costo que representan para la s...
Social Science & Medicine, 2011
The conventional definition and classifications of breast cancer delay are based on arbitrary emp... more The conventional definition and classifications of breast cancer delay are based on arbitrary empirical time cut-offs. In general, studies of cancer delay are based on these traditional definitions of patient and provider delay and are essentially atheoretical. If we aim to better understand delay, a reconsideration of its traditional conceptualisation and study methods is warranted. We propose a multidimensional model of breast cancer delay grounded in data from in-depth interviews with symptomatic patients and nested in the theory of illness behaviour. Our results show that delay prior to the first encounter with health services has to do with more than simply the patient as an individual, and delay posterior to this encounter is not due only to the health care providers. In fact, delay is a result of the interplay between the patient&amp;amp;amp;amp;amp;amp;amp;amp;#39;s socio-cultural context, individual characteristics that influence symptom interpretation and decision-making, interaction with the social network and types of support obtained, and aspects of the local health services. Future research on cancer delay should approach the problem integrally, taking into account the diverse dimensions involved.
Objetivo: construir un instrumento diagnóstico de alcoholismo trans-(etics)-cultural-(emics). Mét... more Objetivo: construir un instrumento diagnóstico de alcoholismo trans-(etics)-cultural-(emics). Métodos: el concepto trans fue operacionalizado mediante un modelo etics con seis filtros (me6f), que se implantó para identificar reactivos sin influencia cultural a partir de 60 reactivos occidentales incluidos en una muestra apareada taiwanesa-hispano-americana (n=1728). Mediante la aplicación de los principios de la taxonomía numérica se diseñó el instrumento diagnóstico emics. La Prueba Diagnóstica de Alcoholismo Taiwanesa-Hispano-Americana (pdatha) fue evaluada a través de las muestras taiwanesa (n=407) y japonesa (n=89). Resultados: el me6f identificó 23 reactivos etics. La pdatha mostró un mejor perfil psicométrico que el de los dos instrumentos occidentales, los cuales fueron aplicados en dos culturas blanco. No obstante, los valores de la validez y la confiabilidad fueron más elevados en la pdha aplicada en Taiwán y Japón. Conclusión: la pdha puede ser empleada en el vasto escenario cultural del lejano-orientehispano-americano por personal no clínico, así como un instrumento autoaplicable. Palabras clave: alcoholismo; diagnósticos e instrumento sin influencia cultural. Abstract Objective: To develop a cross-(etics)-cultural-(emics) diagnostic instrument of alcoholism. Methods: The cross concept was operationalized through an etics model with six-filter (me6f) that was implemented to identify culture-free items from a set of 60 western items in a matched Taiwanese-Hispanic American sample (n=1728). The principles of the classical numerical taxonomy were managed in order to design the emics diagnostic test material. The Taiwanese-Hispanic American Alcoholism Screening Schedule (thaass) was evaluated through the Taiwanese (n=407) and Japanese (n=89) samples. Results: The me6f identified 23 etics items. The thaass showed a better psychometric profile than the two western instruments, which were applied in six target cultures. However, the validity and reliability values were higher in the thaass that was applied in Taiwan and Japan. Conclusion: The thaass can be used in the vast Far-East-Hispanic-American cultural environment by non-clinician mental health workers, as well as a self-assessment test.
Salud Pública de México, 2009
The purpose of this paper is to organize and summarize existing information on delayed medical at... more The purpose of this paper is to organize and summarize existing information on delayed medical attention for women with breast cancer and identify research needs in this area. This review is organized in six parts: origins and permanence of the message "do not delay" medical attention for potential cancer symptoms; definition and classification of breast cancer delay; impact of delay on breast cancer prognosis; factors related to breast cancer delay and the ways these have been studied; the study of breast cancer delay in Mexico; and directions for future research in developing countries, with a special focus on Mexico. We point out the need of a more integral study of delay that takes into account socio-structural and health services factors, in order to find modifiable factors towards which political actions should be directed to improve breast cancer medical attention in underdeveloped countries.
BMC Women's Health, 2011
Background: Climacteric stage women experience significant biological, psychological and social c... more Background: Climacteric stage women experience significant biological, psychological and social changes. With demographic changes being observed in the growing number of climacteric stage women in Mexico, it is important to improve their knowledge about the climacteric stage and its potential associated problems, encourage their participation in screening programs, and promote the acquisition of healthy lifestyles. At Mexican health care institutions the predominant health care model for climacteric stage women has a biomedical perspective. Medical doctors provide mostly curative services and have limited support from other health professionals. This study aims to design an integrative health care model (IHCM: bio-psycho-social, multidisciplinary and women-centered) applicable in primary care services aimed at climacteric stage women. Methods/Design: We present the design, inclusion criteria and detailed description of an IHCM. The IHCM consists of collaborative and coordinated provision of services by a health team, which is involves a family doctor, nurse, psychologist, and the woman herself. The health team promotes the empowerment of women through individual and group counseling on the climacteric stage and health related self-care. The intervention lasts three months followed by a three-month follow-up period to evaluate the effectiveness of the model. The effectiveness of the model will be evaluated through the following aspects: health-related quality of life (HR-QoL), empowerment, selfefficacy and knowledge regarding the climacteric stage and health-related self-care activities, use of screening services, and improvement in lifestyles (regular leisure time physical activity and healthy diet). Discussion: Participation in preventive activities should be encouraged among women in Mexico. Designing and evaluating the effectiveness of an integrative health care model for women at the climacteric stage, based on the empowerment approach and focus on health-related self-care to improve their HR-QoL is pertinent for current health conditions of this age group. Trial registration: The study is registered at the ClinicalTrials.gov (NCT01272115).
International Journal of Environmental Research and Public Health
The perception of risk has been a key element in the experiences, containment and differential im... more The perception of risk has been a key element in the experiences, containment and differential impact of the COVID-19 pandemic worldwide. The complexity of this phenomenon requires the interdisciplinary integration of theoretical and methodological aspects, as this integration informs the objective of developing a mathematical proposal based on a conceptual model located within the social theory of risk at the micro-social level. The mathematical risk model used here was developed from a secondary analysis of a study of 12,649 individuals on the experiences of the COVID-19 pandemic in a population in which the quantity and quality of the information made it possible to define a risk factor and its relationship to emotions and the sources of information used. Four sequential strategies were used to construct the model: choosing the variables for the questionnaire that theoretically corresponded to the conceptual model, constructing the risk vector and initial grouping of individuals ...
Salud Publica De Mexico, 1992
In addition to describing recent infant feeding paterns in Mexico, this paper attempts to answer ... more In addition to describing recent infant feeding paterns in Mexico, this paper attempts to answer the following questions: what are the mechanisms through which the socioeconomic level affects both infant feeding and the utilization of maternal and child health care practices? b) what is the effect of the socioeconomic level on the relationship between utilization of services and infantfeeding pratices? The research is based on bivariate and stratified analyses of the ENFES (1987) information. The data obtained prove that: a) even when there is a relationship between socioeconomic factors and, the utilization of services andfeeding practices, the social dimension affects differently each of the two variables; b) there is a relationship between the utilization of services and infant feeding; and c) this relationship is explained, in part, by the association ofboth variables with socioeconomic factors. Operative strategies are proposed for the health services, as well as technica...
Salud Publica De Mexico, 1994
Resumen en: The non-linear version of the Taiwanese Alcoholism Screening Schedule (TASS) was desi... more Resumen en: The non-linear version of the Taiwanese Alcoholism Screening Schedule (TASS) was designed (NLTASS) and evaluated through the adaptation of the Rossler mo...
Salud Publica De Mexico, 1990
The measures to deal with the Covid-19 pandemic have had an enormous individual and social cost,... more The measures to deal with the Covid-19 pandemic have had an enormous individual and social cost, affecting women and men differently. This article analyzes the differences by gender of some family and individual effects in the Universidad Nacional Autonoma de Mexico (UNAM) population based on a survey of 12 158 university members. Women are having greater differential effects on everything, especially in their mental and physical health, and young female students are having greater effects than boys. Documenting this situation is important in order to be able to identify interventions during and after the pandemic aimed at responding equitably to the unequal impacts between genders.
Introduccion. En Mexico hay escasa informacion sobre la incidencia de bajo peso al nacer (BPN) ba... more Introduccion. En Mexico hay escasa informacion sobre la incidencia de bajo peso al nacer (BPN) basada, generalmente, en datos hospitalarios. Material y metodos. A partir de la Encuesta nacional de Fecundidad y Salud (1987) se documento la magnitud del problema y se identificaron factores asociados con el registro del peso al nacer (RPN) y con el BPN, mediante analisis de regresion logistica. Resultados. Los ninos sin RPN (35 por ciento) estan socioeconomicamente mas desfavorecidos, estimandose en ellos un exceso de hasta 50 por ciento con respecto a aquellos con RPN. Corrigiendo el sesgo de la no respuesta, la tasa nacional de BPN aumenta de 10.2 a 12.0 por ciento. La vivienda, escolaridad, atencion prenatal y edad materna, el intervalo internacimiento y el sexo del nino son factores que afectan en forma independiente la ocurrencia de BPN. Conclusiones. El analisis poblacional de los factores asociado al BPN permite identificar las variables susceptibles de intervencion, asi como lo...
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OBJECTIVE To adapt and validate in Spanish of Mexico scales to measure self-efficacy (SES) and em... more OBJECTIVE To adapt and validate in Spanish of Mexico scales to measure self-efficacy (SES) and empowerment for self-care (ES) among climacteric women. MATERIALS AND METHODS The study was conducted from February to July 2011 in two family medicine clinics in Mexico City. The adaptation phase was done through testing for language comprehension. To validate the scales we used the principal Axis factoring analysis with oblique rotation technique and estimation of Cronbach's alpha (CA). RESULTS Three hundred eighty women aged 45-59 years participated in the study. SES had 16 items with four factors: participation in the doctor-patient relationship; in the study control of mental health and sexual changes; risk of dying from cancer, and other health risks that explained 39.8% of the variability, CA = 0.84. ES had eight items with one factor explaining 47.1% variability; CA = 0.83. CONCLUSION Both scales had acceptable psychometric properties and are suitable for interventions aimed at...
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Papers by Claudia Infante