Examinando por Autor "Chacón-Torrico, Horacio"
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Publicación Acceso abierto Gender Differences in the Factors Associated with Alcohol Binge Drinking: A Population-Based Analysis in a Latin American Country(MDPI, 2022-04-19) Hernández-Vásquez, Akram; Chacón-Torrico, Horacio; Vargas-Fernández, Rodrigo; Nicolás Grendas, Leandro; Bendezu-Quispe, Guido“Alcohol consumption is a public health problem in Peru, fostered by traditional practices, where promoting social interaction in celebrations, facilitating field work as a source of energy and warmth, and achieving objectives in certain labor negotiations, play an important role. However, research on the risk factors of binge drinking according to gender is limited. The study aim was to determine the factors associated with binge drinking in the Peruvian adult population by gender. An analytical study of secondary data from the 2018 Peruvian Demographic and Family Health Survey was conducted. The dependent variable was binge drinking in the last 30 days. Adjusted prevalence ratios (aPR) were estimated for the association between sociodemographic and healthrelated variables with binge drinking. A total of 32,020 adults were included. Binge drinking was found in 22.4%. Men (32.6%; 95% confidence interval [CI]: 31.4–33.8) presented a higher consumption pattern compared to women (12.8%; 95% CI: 12.0–13.6). For both genders, differences were found in binge drinking according to sociodemographic characteristics (age and wealth quintile was associated in both genders while the educational level was associated only for men, and ethnic self-identification and marital status for women) and health- characteristics related (health insurance, smoking in the last 30 days, overweight and obesity were associated in both genders). Several factors are associated with binge drinking according to gender in the Peruvian population, including age and education level among men, as well as marital status and ethnic self-identification among women.“Publicación Acceso abierto Gender Differences in the Factors Associated withAlcohol Binge Drinking: A Population-Based Analysis ina Latin American Country(MDPI, 2022-04-19) Hernández-Vásquez, Akram; Chacón-Torrico, Horacio; Vargas-Fernández, Rodrigo; Nicolás Grendas, Leandro; Bendezu-Quispe, GuidoAlcohol consumption is a public health problem in Peru, fostered by traditional practices,where promoting social interaction in celebrations, facilitating field work as a source of energy andwarmth, and achieving objectives in certain labor negotiations, play an important role. However,research on the risk factors of binge drinking according to gender is limited. The study aim was todetermine the factors associated with binge drinking in the Peruvian adult population by gender.An analytical study of secondary data from the 2018 Peruvian Demographic and Family HealthSurvey was conducted. The dependent variable was binge drinking in the last 30 days. Adjustedprevalence ratios (aPR) were estimated for the association between sociodemographic and health-related variables with binge drinking. A total of 32,020 adults were included. Binge drinking wasfound in 22.4%. Men (32.6%; 95% confidence interval [CI]: 31.4–33.8) presented a higher consumptionpattern compared to women (12.8%; 95% CI: 12.0–13.6). For both genders, differences were found inbinge drinking according to sociodemographic characteristics (age and wealth quintile was associatedin both genders while the educational level was associated only for men, and ethnic self-identificationand marital status for women) and health- characteristics related (health insurance, smoking in thelast 30 days, overweight and obesity were associated in both genders). Several factors are associatedwith binge drinking according to gender in the Peruvian population, including age and educationlevel among men, as well as marital status and ethnic self-identification among women.Publicación Acceso abierto Geographic and socioeconomic inequalities in cesarean birth rates in Peru: A comparison between 2009 and 2018(John Wiley and Sons Inc, 2021-07-08) Hernández-Vásquez, Akram; Chacón-Torrico, Horacio; Bendezu-Quispe, GuidoBackground There is a global concern about the high rates of cesarean birth (CB). This study aimed to investigate the geographic and socioeconomic inequalities in CB rates in the Peruvian population. Methods We conducted a population-based study using the Peruvian Demographic and Family Health Surveys (ENDES, the Spanish acronym for Encuesta Demográfica y de Salud Familiar) between 2009 and 2018. ENDES reported data from births registered in the five years preceding survey execution. For the years 2009 (n = 10 289) and 2018 (n = 23 077), we calculated the weighted rates of CB among variables such as natural geographic domain (Coast, Andean, or Amazon), area of residence (rural or urban), wealth index quintile (quintile 1 is poorest, and quintile 5 is richest), and educational level. To assess inequalities, we calculated the concentration index (CIs), the slope index of inequality (SII), and the relative index of inequality (RII). Results The CB rates by year were 21.4% (95% confidence interval [CI]: 20.0-22.9) in 2009 and 34.5% (95% CI: 33.4-35.5) in 2018. Women living in urban and coastal regions and with a higher education level had the highest CB rates. All the CIs were positive, reflecting a prowealthy inequality in CB rates, and both SII and RII were positive, indicating a gap between the use of cesarean in women in the higher wealth quintile compared with those in the lower quintile. Conclusions Cesarean birth rates have increased by 60% during the last decade in Peru. The richest wealth quintiles had the highest CB rates during the study years, which were well above global recommendations.
