
Andrés PeraltaPontifical Catholic University of Ecuador | PUCE · Instituto de Salud Pública
Andrés Peralta
PhD in Biomedicine - Public Health
About
48
Publications
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Introduction
Education
October 2015 - December 2019
September 2013 - June 2015
Publications
Publications (48)
Objective
To analyze the sociostructural determinants associated with mental health problems during the lockdown period among populations residing in Brazil, Chile, Ecuador, Mexico, Peru, and Spain who lived with minors or dependents, approached from a gender perspective.
Methods
A cross-sectional study was conducted in six participating countries...
Introduction
We aimed to explore the impact of the COVID‐19 pandemic and the resulting restrictions on the emotional state of people with type 2 diabetes mellitus (T2DM) and/or hypertension in Ecuador and Spain. Given the differences in sociopolitical and socioeconomic contexts between these two countries, the research focused on how these diverse...
Although the greatest delays in cancer diagnosis in Latin America occur in the provider interval little is known about the related factors. This study aims to analyze factors influencing access to cancer diagnosis -from initial contact with health services to confirmation- from institutional stakeholders' perspective in public healthcare networks o...
Background
Delays in diagnosis contribute to increasing cancer mortality rates in Latin American countries due to, among others, highly fragmented healthcare systems. The objective of this study, part of a larger research project (EquityCancer-LA), was to analyze cross-level coordination during cancer diagnosis and factors influencing it from healt...
Background
Although the greatest delays in cancer diagnosis in Latin America occur in the provider interval, little is known about related factors. This study, part of EquityCancer-LA, aims to analyse the factors influencing access to cancer diagnosis from key stakeholders’ perspective in healthcare networks of Chile, Colombia, and Ecuador.
Method...
Background
Prior studies have reported conflicting findings on the impact of gentrification of neighborhood residents. While some suggest it could worsen mental health, others indicate improved self-perceived health, although this effect may vary among social groups. This study aimed to determine health inequities, according to socioeconomic positi...
Background
Type 2 Diabetes (T2DM) prevalence is increasing in low- and middle-income countries along with high levels of obesity which vary according to socioeconomic and contextual characteristics. We aim to estimate the prevalence of T2DM and obesity in men and women in a hard-to-reach rural area in northern Ecuador considering socio-demographic...
El Proyecto Contextualización de la Evidencia para la Acción en Diabetes en entornos con bajos recursos tiene como objetivo explorar los procesos por los cuales las recomendaciones en salud pública pueden ser traducidas a acciones informadas por la evidencia y adaptadas al contexto específico. Una de sus primeras fases es establecer una línea base...
COVID-19 lockdowns greatly affected the mental health of populations and collectives. This study compares the mental health and self-perceived health in five countries of Latin America and Spain, during the first wave of COVID 19 lockdown, according to social axes of inequality. This was a cross-sectional study using an online, self-managed survey...
Objective
To examine the associations of sociodemographic, socioeconomic, and behavioral factors with depression, anxiety, and self-reported health status during the COVID-19 lockdown in Ecuador. We also assessed the differences in these associations between women and men.
Design, setting, and participants
We conducted a cross-sectional survey bet...
This qualitative study aims to explore how the COVID-19 pandemic impacted healthcare access for patients with chronic conditions in Ecuador from the patient’s perspective. We interviewed 19 patients diagnosed with arterial hypertension or type 2 diabetes in rural and urban areas of Ecuador during August and September 2020. We used the Framework Met...
Introduction
Healthcare fragmentation, a main cause for delay in cancer diagnosis and treatment, contributes to high mortality in Latin America (LA), particularly among disadvantaged populations. This research focuses on integrated care interventions, which have been limitedly implemented in the region. The objective is to evaluate the contextual e...
Objective
To examine the associations of sociodemographic, socioeconomic, and behavioral factors with depression, anxiety, and self-reported health status during the COVID-19 lockdown in Ecuador. We also assessed the differences in these associations between women and men.
Design, setting, and participants
We conducted a cross-sectional study of a...
Energy poverty (EP) is a systemic problem associated with various health effects. The city council of Barcelona carried out an intervention to reduce EP among social services users. The aim of our study was to assess the effects of the intervention perceived by participants and to identify typologies of social vulnerability that could affect these...
Energy poverty is a serious social problem with well-known adverse health consequences. This problem has been addressed mainly through improvements in the energy efficiency of housing. Still, little is known about the effects of information-based measures on energy poverty and their impacts on health. A quasi-experimental study was implemented to a...
Several studies have shown how energy poverty (EP) increases morbidity and mortality, being a growing problem worldwide. We conducted a scoping review to synthesize the state of knowledge on the relationship between energy poverty (EP) and health, analysing the results according to different axes of inequality (gender, age, ethnicity/country of bir...
Las causas y los efectos de la gentrificación han recibido en los últimos años una amplia cobertura por parte de investigadores, administraciones públicas, entidades sociales y medios de comunicación, entre otros. Pese a todo, aún disponemos de poca evidencia cuantitativa que permita diseccionar la diversidad de elementos sociodemográficos que han...
In this paper, we measure the effect of the 2020 COVID-19 pandemic wave at the national and subnational levels in selected Latin American countries that were most affected: Brazil, Chile, Ecuador, Guatemala, Mexico, and Peru. We used publicly available monthly mortality data to measure the impacts of the pandemic using excess mortality for each cou...
Introduction
The Diabetes Health Profile (DHP‐18), structured in three dimensions (psychological distress (PD), barriers to activity (BA) and disinhibited eating (DE)), assesses the psychological and behavioural burden of living with type 2 diabetes. The objectives were to adapt the DHP‐18 linguistically and culturally for use with patients with ty...
Objectives To describe trends in teenage motherhood (TM), based on the socioeconomic groups teenagers belong to, and factors related to their first experience of heterosexual intercourse (FEHI). We took into consideration women aged 20-24 years, comparing three surveys from 1999, 2004, and 2012. Methods We obtained data from the Ecuadorian Demograp...
Objectives
To describe trends in teenage motherhood (TM), based on the socioeconomic groups teenagers belong to, and factors related to their first experience of heterosexual intercourse (FEHI). We took into consideration women aged 20–24 years, comparing three surveys from 1999, 2004, and 2012.Methods
We obtained data from the Ecuadorian Demograph...
Background
Housing is a social determinant of health. Extensive research has highlighted its adverse effects on health. However, less is known about the effects of cohousing typology on health, which has the potential to create lively social networks and healthy communities and environments. We report the findings of a scoping study designed to gat...
Objective
To describe and compare the health status between vulnerable population participating in a program to tackle energy poverty (Energía, la justa) and the non-energy poor Barcelona (Spain) population and to analyse among participants the effect of energy poverty intensity on health.
Method
Cross-sectional study based on data from program pa...
Energy poverty (EP) is defined as the inability of a household to secure a socially and materially required level of energy services in the home. The main objective of this study was to analyse the association between EP and distinct indicators of health status, health services utilisation and medication use in southern Europe, using the city of Ba...
BACKGROUND
The covid-19 pandemic has considerably affected the mortality numbers of many countries in the world, and Latin America is now the epicenter of the diseases. There is a great demand on analyzing the impact of this new disease in the amount of deaths, but available information of deaths by cause is still lacking in most of the countries i...
Tourism gentrification is as process of urban change and neighborhoods transformation, according to the needs of affluent visitors, increasing in some global cities. However, the link between tourism gentrification and resident's health is still an understudied topic. Using Photovoice, a participatory action research method, the aim of this study w...
The aim of this study is to analyse the time trends in the European Union (EU) before and during the economic crisis in 1) the energy poverty (EP) prevalence; 2) the association between EP and health and 3) the impact of EP on health. We analyse trends among women and men in two EU macro regions, defined by a novel index of structural vulnerability...
Background:
In Ecuador, there are inequalities in the completeness and quality of the mortality registry between men and women and among geographical areas. Consequently, using cause of death statistics leads to several difficulties. Our aim was to analyze geographical inequalities in mortality due to some of the main specific causes of death in t...
Las ciudades occidentales están experimentando intensas transformaciones en su configuración socio-espacial. Por un lado, los espacios exclusivos se expanden rápidamente desde los centros metropolitanos, de la mano de una inmigración cada vez más cualificada y de un contexto de resurgimiento de los espacios centrales vinculado a la localización de...
Objective:
To evaluate the " Energía, la justa " program, aimed at reducing energy poverty in the city of Barcelona, from the point of view of the target population and the workers involved in the intervention.
Methods:
A qualitative, descriptive and exploratory pilot study was carried out, with a phenomenological approach. Twelve semi-structure...
Energy poverty (EP) is a growing problem in the European Union (EU) that affects the population's health. EP is structurally determined by broader political and socioeconomic conditions. Our aims were to analyze the configuration of these determinants in each EU-27 country through the creation of a structural energy poverty vulnerability (SEPV) ind...
Following the publication of this article [1], the authors reported a typesetting error in Table 1 that caused the columns of the table to be ordered incorrectly, and a typographical error in a sentence in the Conclusions section.
Background
Mortality registries are an essential data source for public health surveillance and for planning and evaluating public policy. Nevertheless, there are still large inequalities in the completeness and quality of mortality registries between and within countries. In Ecuador, there have been few nationwide evaluations of the mortality regi...
OBJECTIVES: To develop a deprivation index to study health inequalities in 221 areas of Ecuador, to describe the pattern of deprivation in Ecuador, and to explore the applications of the index to study health inequalities by analysing the association between deprivation and mortality in the study areas.
METHODS: We performed principal component a...
Background: Interventions to mitigate fuel poverty and particularly energy efficiency façade retrofitting (EEFR) have demonstrated positive impacts on health but the impacts of EEFR interventions on cold-related mortality have not been studied in depth. We evaluated the impact of EEFR interventions in Barcelona on the association between cold outdo...
A large body of literature shows the link between inadequate housing conditions and poor physical and mental health. The aim of this paper is to summarize the research on the impact of local housing policies on health inequalities, focusing on the issues of access to housing and fuel poverty as studied in the SOPHIE project. Our case studies in Spa...