Juan Antonio Córdoba-Doña- PhD
- Jefe de Sección at Hospital Universitario de Jerez
Juan Antonio Córdoba-Doña
- PhD
- Jefe de Sección at Hospital Universitario de Jerez
About
102
Publications
9,212
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Citations
Introduction
Skills and Expertise
Current institution
Hospital Universitario de Jerez
Current position
- Jefe de Sección
Additional affiliations
July 2019 - present
Hospital Universitario de Jerez
Position
- Jefe de Sección
September 2009 - June 2019
Consejería de Salud de la Junta de Andalucia
Position
- Consultant
November 1997 - June 2000
Medicus Mundi Andalucia
Position
- Country Coordination in Ecuador
Education
March 2013 - February 2014
September 1989 - September 1990
February 1989 - December 1991
Field of study
- Preventive Medicine and Public Health Specialization
Publications
Publications (102)
Aims/Purpose: To study the relationship between socioeconomic status and persistence with topical antiglaucomatous medication.
Methods: A retrospective epidemiological observational cohort study was conducted with a sample of 1563 patients. The main dependent variable was persistence (medication possession ratio), the independent variable was socio...
Introduction
To study the relationship between socioeconomic status and persistence with topical antiglaucomatous medication.
Methods
A retrospective epidemiological observational cohort study was conducted with a sample of 1563 patients. The main dependent variable was persistence (medication possession ratio), the independent variable was socioe...
Background
Lung cancer mortality in European countries shows different epidemiological patterns according to sex and socioeconomic variables. Some countries show decreasing rates in both sexes, while others show a delayed profile, with increasing mortality in women, inconsistently influenced by socioeconomic status. Our aim was to evaluate the effe...
Objetivos: Estudiar la repercusión del nivel socioeconómico del paciente a través de los cinco niveles del índice de privación económica (IP) y los 4 niveles de TSI (Tarjeta sanitaria individual), en el porcentaje de pacientes que son persistentes en el tratamiento del glaucoma a lo largo de un año.
Material y métodos: Muestreo aleatorio simple de...
Background
Lung cancer mortality in European countries shows different epidemiological patterns according to sex and socioeconomic variables. Some countries show decreasing rates in both sexes, while others show a delayed profile, with increasing mortality in women, inconsistently influenced by socioeconomic status. Our aim was to evaluate the effe...
Background: The challenge posed by multimorbidity makes it necessary to look at new forms of prevention, a fact that has become heightened in the context of the pandemic. We designed a questionnaire to detect multimorbidity patterns in people over 50 and to associate these patterns with mental and physical health, COVID-19, and possible social ineq...
Multimorbidity is a growing challenge, associated with reduced quality of life, increased disability, increased health care utilisation, and increased mortality. There is a need to identify associations among patterns of chronic conditions and social determinants of health in the local context of specific population groups. This work aims to respon...
Patients with silicosis caused by occupational exposure to engineered stone (ES) present a rapid progression from simple silicosis (SS) to progressive massive fibrosis (PMF). Patient classification follows international rules based on radiology and high-resolution computed tomography (HRCT), but limited studies, if any, have explored biomarkers fro...
Gestational diabetes mellitus (GDM) increases the risk of hypertensive disorders of pregnancy (HDP). We aimed to analyze the altered inflammatory markers and angiogenic factors among women with GDM to identify pregnant women at higher risk of developing HDP.
Methods:
This was a prospective study of 149 women without hypertension diagnosed in the...
BACKGROUND: Exposure to artificial stone machining, under the conditions in which marble workers work with this new product, can cause silicosis.
OBJECTIVE: To examine the experiences of marble workers affected, both in workshop and during home installation of countertops, before diagnosis of silicosis.
METHODS: Qualitative study in which 10 open-e...
Introduction
Very little is known about the influence of socioeconomic status on type 1 diabetes mellitus (T1DM) complications. Our aim was to determine whether socioeconomic level is a risk factor for the development of diabetic retinopathy (DR) in patients with T1DM.
Research design and methods
A cohort of 150 patients with T1DM were studied pro...
The province of Cadiz, Spain, is a highly industrialized area with numerous registered industrial plants, which has led to major concern regarding the possible influence of these facilities on the high rate of cancer-related mortality observed. Our objective was to evaluate the association between digestive cancer mortality and proximity to industr...
Background
Silicosis is rapidly emerging in high-income countries in relation to the replacement of natural stone with artificial stone, especially in the manufacturing and installation of kitchen and bathroom countertops. Progression of this form of silicosis following the cessation of exposure is unknown.
Research Question
The objective of this...
Introduction
Geographical variations in cancer mortality can be explained, in part, by their association with social inequalities. The objective of our study was to analyse the spatial pattern of mortality in relation to the most common causes of cancer in the Spanish autonomous community of Andalusia and its possible association with social inequa...
Residential proximity to industrial facilities that release pollutants is a source of exposure to a high number of toxics, many of them known or suspected carcinogens. The objective of the study was to analyze the association between lung, larynx, bladder, and kidney cancer mortality and deprivation in areas proximate to polluting industrial facili...
Background:
Continuous glucose monitoring could detect certain patterns of hyperglycemia at different times of the day that may help predict the development of maternal-fetal complications and the probability of needing pharmacological treatment.
Methods:
This study prospectively examined 77 women with gestational diabetes mellitus who were plac...
Spain is generally regarded as one of the European countries most affected by the Great Recession starting in 2008 and subsequent restrictive policies. In the first part of this paper we attempt to understand the impacts of the crisis on the welfare state that have led to health inequalities, with a special emphasis on the history of the Spanish Na...
Comunicación Oral presentada en la Reunión Anual de la Sociedad Española de Epidemiología (septiembre 2018, Lisboa). Se presentan reflexiones sobre el interés del Barrio frente a la Sección Censal para el análisis de las desigualdades de la mortalidad en grandes ciudades. Se detalla el método para pasar de la sección censal a barrio a partir del Ca...
Antecedentes/Objetivos:
A pesar del creciente interés en los suicidios en la literatura científica en Europa desde el inicio de la recesión económica en 2008 y de las consecuentes medidas de austeridad, son escasos los estudios que abordan los determinantes socio-demográficos individuales asociados al suicidio más allá del desempleo. Nuestro objet...
Antecedentes/Objetivos:
En el estudio de la desigualdad en la mortalidad en ciudades se utiliza la sección censal como unidad de análisis habitualmente, sobre todo por la disponibilidad de índices de
privación a este nivel. Sin embargo esta división administrativa no define un espacio urbano que identifique de manera integral a sus habitantes com...
Background and objective
Gestational diabetes mellitus (GDM) is associated to an increased risk of pregnancy-induced hypertension (PIH). Ambulatory blood pressure monitoring (ABPM) has been used to detect PIH and preeclampsia, but few data are currently available on its use in women with GDM. The aim of this study was to achieve early identificatio...
Cancer mortality data showed in Spain a pattern of differential mortality, higher in Andalusia, although in recent years a downward trend has been observed. Excess risk affected mainly to the andalusian provinces of Cadiz, Huelva and Seville.
Several studies show the association between socioeconomic inequalities and cancer, increasing mortality i...
La presentación incluye datos sobre las desigualdades en la mortalidad general y la esperanza de vida entre los barrios del Polígono Sur de Sevilla y los barrios no vulnerables de la misma ciudad (clasificación del Instituto "Juan Herrera", Univ. Politécnica de Madrid). Se acompañan de reflexiones sobre las desigualdades sociales en salud, la pobre...
Se presenta la mortalidad por barrios vulnerables (clasificación del Instituto "Juan Herrera". Univ. Politécnica de Madrid) de la ciudad de Sevilla en el período 2002-2013. Igualmente se realizan una serie de reflexiones sobre la relevancia del Barrio de residencia como alternativa a la sección censal como unidad de análisis de la mortalidad. Las s...
Se presentan una serie de reflexiones sobre qué entendemos por salud y por enfermedad, además sobre los determinantes sociales de la salud y de las desigualdades en salud. Los datos sobre las desigualdades en la mortalidad y la esperanza de vida según nivel de estudios permiten comprender la importancia de las reflexiones anteriores. ¿Qué hacer par...
Background and objective:
Gestational diabetes mellitus (GDM) is associated to an increased risk of pregnancy-induced hypertension (PIH). Ambulatory blood pressure monitoring (ABPM) has been used to detect PIH and preeclampsia, but few data are currently available on its use in women with GDM. The aim of this study was to achieve early identificat...
Scant research is available on the impact of the current economic crisis and austerity policies on inequality in health services utilisation in Europe. This study aimed to describe the trends in horizontal inequity in the use of health services in Andalusia, Spain, during the early years of the Great Recession, and the contribution of demographic,...
En el marco de un Taller sobre Desigualdades Sociales y Salud se presentan el camino seguido hasta la elaboración de indicadores de desigualdad en la mortalidad (mortalidad general; tumores malignos y cáncer de pulmón) en barrios vulnerables de la ciudad de Huelva.
Objective:
To assess the modifying effect of marital status on social and gender inequalities in mortality from diabetes mellitus (DM) in Andalusia.
(PI FIS: Exp. 15/01106)
Material and methods:
A cross-sectional study was conducted using the Andalusian Longitudinal Population Database. DM deaths between 2002 and 2013 were analyzed by educational...
We analysed the association between the concentration of four toxic elements (As, Cd, Hg and Pb) and diverse reproductive outcomes in a cohort of 194 women with fertility disorders undergoing IVF in a public hospital. Concentration in hair specimens was explored as biomarker of exposure during the three months prior to oocyte retrieval. The proport...
Objective
To assess the modifying effect of marital status on social and gender inequalities in mortality from diabetes mellitus (DM) in Andalusia.
Material and methods
A cross-sectional study was conducted using the Andalusian Longitudinal Population Database. DM deaths between 2002 and 2013 were analyzed by educational level and marital status....
En el marco de un Taller sobre Acción Local en Salud organizado por el Ayuntamiento de Cádiz se presentan varias reflexiones sobre que entendemos por salud y enfermedad, los determinantes sociales de la salud y las desigualdades en salud. Igualmente se presentan datos sobre la mortalidad por barrios vulnerables (clasificación del Instituto "Juan He...
Se presentan un conjunto de conceptos y reflexiones sobre los determinantes sociales de la salud, así como datos sobre las desigualdades en la mortalidad general según nivel de estudios y nivel de privación de la sección censal. Igualmente se dan a conocer datos de mortalidad en los barrios vulnerables de la ciudad de Sanlucar de Barrameda. Finaliz...
Se presentan datos sobre desigualdades en la mortalidad general en las ciudades de Algeciras, La Línea y Huelva (período 2002-2013) según nivel de estudios, y por Barrios Vulnerables, utilizando como fuente la Base de Datos Poblacional de Población de Andalucía (IECA). Para la ciudad de La Línea de la Concepción se presentan las desigualdades en la...
Aim:
To examine the experience of diabetic care in patients undergoing lower limb amputation.
Design:
A qualitative study using the phenomenological approach.
Setting:
Cadiz Health District.
Participants:
A total of 16 patients (11 men and 5 women) diagnosed with diabetes mellitus type 2 and with non-traumatic lower limb amputation.
Methods...
Se presentan conceptos y datos relacionados con la desigualdad social y la desigualdad en salud, los marcos explicativos de los determinantes de la salud y su relación con la acción local en salud. Se presentan algunos datos de desigualdades sociales en la mortalidad general en la ciudad de Cádiz y en la mortalidad (general y por lesiones de tráfic...
Se presentan de forma abreviada los resultados del análisis de la modificación del efecto que el estado civil realiza en las desigualdades sociales y de género en la mortalidad por diabetes mellitus en Andalucía. Datos de la Cohorte Censal 2001 de Andalucia (IECA).
In Waorani communities of the Amazon basin of Ecuador, hepatitis B (HB) surface antigen was found in 14% of asymptomatic persons. The aim of this study was to identify the Waorani population in Ecuador and obtain an epidemiologically adequate coverage of vaccination against hepatitis B virus (HBV) among them. Between February and September 2010, th...
En el marco de un Seminario sobre determinantes sociales y los efectos de la crisis en la salud, organizado por la Escuela Andaluza de Salud Pública, se presentan una serie de ideas, reflexiones, sobre los orígenes de “la crisis” y sus consecuencias, con especial atención a las desigualdades sociales y su impacto sobre la salud, especialmente sobre...
Background
Despite an increasing number of studies on the factors mediating the impact of the economic recession on mental health, research beyond the individual employment status is scarce. Our objectives were to investigate in which ways the mental health of employed and unemployed populations is differently affected by the current economic reces...
Este libro trata de los factores, de los hechos, de las características y circunstancias pasadas y presentes que delimitan o han delimitado en alguna medida el proceso salud-enfermedad de los gaditanos y las gaditanas actuales.
Cádiz presenta desde hace décadas las tasas más elevadas de desempleo del Estado Español. El desempleo alcanzó más del 35% en hombres y al 55% de las mujeres a mediados de los años 90 del pasado siglo. Los objetivos de este trabajo son: (1) analizar la relación entre desempleo y mortalidad por sección censal en la ciudad de Cádiz, (2) explorar las...
El objetivo del capítulo es revisar el panorama epidemiológico de la morbimortalidad por EIC e IAM en la provincia de Cádiz, haciendo especial hincapie en su situación en los contextos andaluz y español. Igualmente se abordan aspectos relacionados con la distribución geográfica y con las desigualdades sociales en la incidencia.
La provincia de Cádiz mantiene unas tasas de mortalidad ajustada por edad por encima de la media nacional. El capítulo presenta datos sobre las desigualdades territoriales y de género en el esfuerzo terapéutico en reperfusión en el Síndrome Coronario Agudo en la provincia de Cádiz. Para abordar estas desigualdades se diseño un programa de intervenc...
Background
Although suicide rates have increased in some European countries in relation to the current economic crisis and austerity policies, that trend has not been observed in Spain. Our study examines the impact of the economic crisis on suicide attempts, the previously neglected endpoint of the suicidal process, and its relation to unemploym...
Introduction
Although suicide rates have increased in some European countries in relation to the current economic crisis and austerity policies, that trend has not been observed in Spain. This study examines the impact of the economic crisis on suicide attempts, the previously neglected endpoint of the suicidal process, and its relation to unemploy...
This study aimed to assess the impact of the current economic crisis on mortality trends in Spain and its effect on social inequalities in mortality in Andalusia. We used data from vital statistics and the Population Register for 1999 to 2011, as provided by the Spanish Institute of Statistics, to estimate general and sex- and age-specific mortalit...
To describe the epidemiological and clinical characteristics of an outbreak of occupational silicosis and the associated working conditions.
Cases were defined as men working in the stone cutting, shaping, and finishing industry in the province of Cádiz, diagnosed with silicosis between July 2009 and May 2012, and were identified and diagnosed by t...
To analyze trends in socioeconomic inequality in mortality in the city of Cadiz (Spain) from 1992 to 2007.
An ecological study was performed of trends over 3 cross-sections, with the census tract as the unit of analysis. Deaths were grouped into three periods: 1992-1996, 1997-2001 and 2002-2007 and were then classified according to a deprivation in...
La provincia de Huelva es noticia habitual en los medios por su sobremortalidad respecto a España. Menos atención se ha prestado al conocimiento sobre la existencia de desigualdades sociales. Objetivo: medir la desigualdad en el riesgo relativo (RR) de muerte en la ciudad de Huelva según la privación de la sección censal (SC) en el período 1992-200...
Se presentan algunos resultados en relación a la asociación entre la proximidad de la residencia a las balsas de fosfoyesos y el riesgo de mortalidad por cáncer de pulmón (CaP) y por tumores malignos (TM) en la ciudad de Huelva en el periodo 1992-2007.
La provincia de Cádiz (1,25 millones hab.) presenta una elevada mortalidad por cardiopatía isquémica en el contexto de España, además de destcadas desigualdades en el acceso a la atención precoz al IAM entre los Distritos de Atención Primaria de la provincia de Cádiz. El poster presenta los resultados derivados de la evaluación de la efectividad de...
Two towns in Campo de Gibraltar, southern Spain, with a small foreign population and higher tuberculosis (TB) incidence and human immunodeficiency virus (HIV) prevalence than the national average.
To determine the relationship between HIV-TB and non-HIV-TB incidence and social deprivation and other potential individual and contextual determinants....
SUMMARY Background: In this article we evaluate the prognostic value of the immunohistochemical expression of p53 protein in breast cancer. Material and methods: We collected 100 cases of breast carcinoma treated with mastectomy and investigated the relationship between immu- nohistochemical expression of p53 protein and disease-free survival and o...
To examine environmental exposure and incidence and mortality of cancer in the village of San Carlos surrounded by oil fields in the Amazon basin of Ecuador.
Water samples of the local streams were analyzed for total petroleum hydrocarbons (TPHs). A preliminary list of potential cancer cases from 1989 to 1998 was prepared. Cases were compared with...
Unlabelled:
The 25-50% of the outpatients who ask for medical assistance give up the treatment before the end for several reasons. The immediate consequences are the waste of economic and assistance resources, professional insatisfaction, phenomena like revolving door and bad results in prescribed treatments. These patients usually come back in th...
Conocer según dos criteriosdistintos, el de los Centers for Disease Controland Prevention (CDC) y el del ConsensoNacional (CN), la tasa de conversión tuberculínicay los factores asociados a este fenómeno.Pacientes y métodosSe diseñó una cohorteretrospectiva sobre 475 trabajadores sanitarios.Los factores de riesgo se identificaronmediante una regres...
To address the question whether there are simple clinical predictors of need for insulin in the first 18 months of treatment of diabetes presenting in young adult subjects, a prospective study of 24 patients with diabetes mellitus (age: 18-40 years) was designed. At diagnosis of diabetes, age, sex, body mass index (BMI), glycemia, ketonuria, C-pept...
To know from two different criteria, CDC's and Spanish national consensus (NC), the tuberculin conversion rate and the factors associated to this phenomenon.
A retrospective cohort study was designed over 475 health care workers. Risk factors were identified by using a Cox's proportional hazards model for each criteria.
Not being vaccinated with BC...
Métodos: Se realizó un diseño caso-control. Se midieron un total de 15 variables que fueron clasificadas como: variables socio-demográficas:edad, sexo, estado civil, domicilio, profesión, situación laboral actual; variables asistenciales:procedencia, agente de la demanda, referente,cambio del profesional referente, número de citas, tiempo en tratam...
The study's objectives were to determine the frequency of biological-risk accidents involving percutaneous exposure and to identify factors associated with underreporting. Two hundred fifty healthcare professionals from inpatient services at high risk for exposure at the Puerta del Mar University Hospital of Cádiz, Spain, participated in the study....
The effect on walking of portable liquid oxygen therapy (PLOT), which involves carrying a tank, remains unclear. Our aim was to evaluate the repercussion of PLOT on performance in the 6 minute walking test. We enrolled 30 patients receiving home oxygen therapy in a randomized crossover study, collecting data on arterial blood gases at baseline, spi...
Correspondencia: Avda. Amílcar Barca, 17, I.° A. 11008 Cádiz.
The objective of this study was to describe the profile and evolution of accidents involving risk of transmission of hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) reported in a large Spanish hospital, together with the preventive measures administered and the factors associated with high-risk accidents.
Da...
Pneumococcal disease was studied prospectively to determine the risk factors associated with resistance to penicillin and
other antibiotics. One hundred twelve clinically significant pneumococcal isolates were recovered from 95 patients. Approximately
one-half (49.47%) of the cases were due to penicillin-resistant strains. Multivariate analysis sho...
To analyze the clinical features and possible prognostic factors involved in the clinical course of a series of 26 patients with the diagnosis of thyroid medullar carcinoma (TMC).
An analysis was made of the variables age, sex, clinical course to diagnosis, paraneoplastic manifestations (flush, diarrhoea), clinical type (sporadic, non-associated, f...
In this study we make a measurement of the case-mix of the neonatology section in Hospital Puerta del mar in Cadiz during the year 1990, through two methods: Diagnosis Related Groups (GRDs), an Patient Management Cathegories (PMCs). We compare this case-mix with other hospitals. We compare this case mix with others hospitals. We also compare both m...
To analyse, quantitatively and qualitatively, the pharmaceuticals prescribed by doctors within two models of Primary Care: the reformed (RM) and non-reformed (NRM). To study which variables of the doctor, work-centre or community attended explain prescription variations.
An observational crossover study.
Primary Health Care centres in the province...
