Identification of knowledge factors and perceptions that predict screening guideline adherence can inform population-specific recommendations to increase screening and reduce cervical cancer morbidity and mortality among employed Mexican women.

Introduction:In United States, roughly 1/5 of all HIV infected persons remain undiagnosed. Because HIV testing is critical to improve prevention efforts, more research is needed to understand the characteristics of individuals who get tested for HIV.Methods: This secondary analysis of the 2010 Texas Behavioral Risk Factor Surveillance System used data from 9,744 respondents between 18-64 years of age to evaluate the relationship between demographic characteristics (gender, race/ethnicity, age, area of residence, education, marital status, employment status, and income), healthcare characteristics (insurance status, having a primary provider, and access to healthcare), and HIV risk behaviors with ever having received an HIV test.Results: Significant associations between gender, age, area of residence, marital and employment status, and HIV risk behaviors and HIV testing in a Texas population by race/ethnicity were observed.Conclusions:These findings have important implications for future research into racial/ethnic disparities between lifetime HIV testing, and can help guide practitioners who work with populations at risk for HIV/AIDS in Texas.

Objective:Mexico ranks first in childhood obesity worldwide. However, little is known about the factors influencing maternal feeding practices. The present study aimed to estimate the prevalence of feeding practices and explore associations between weight concern, weight perception, sociodemographic characteristics and those feeding practices.Design:Cross-sectional.Setting:North-eastern Mexico.Participants:Mothers aged ≥18 years who were in charge of feeding a singleton child aged 2–6 years with no endocrine disease or visible genetic malformations (n 507). Information on six maternal feeding practices, concern and perception of the child’s weight and demographics were collected by interview. The mother’s and child’s height and weight were measured. The feeding practices questionnaire was subject to content, construct and convergent validity analysis. Then, mean feeding scores were obtained and prevalence and 95 % CI were determined for scores ≥3; multivariate logistic regression was performed.Results:Not modelling (63·5 %; 95 % CI 59·2, 67·8 %) and pressuring to eat (55·6 %; 95 % CI 51·2, 60·0 %) were the most frequent feeding practices, followed by easy access to unhealthy foods (45·4 %; 95 % CI 40·9, 49·8 %) and child control (43·2 %; 95 % CI 38·8, 47·6 %). They prevailed despite concern about the child’s excess weight or a perception of the child as overweight/obese. Education was associated with the highest number of practices (educated mothers used more pressuring to eat, less regulation and less easy access; or monitoring was less absent).Conclusions:The frequency of certain feeding practices needs to be improved. Emphasis on the child’s weight concern, obesity perception and maternal education is essential for optimizing intervention planning.

Introducción: La alimentación es el factor primordial que afecta a la salud, la calidad del patrón de consumo de alimentos puede ser modificada por la pobreza por acceso a los alimentos. Objetivo: Estimar si la calidad de la alimentación está asociada a la pobreza por acceso a los alimentos en población del noreste de México. Material y métodos: Se analizó la base de datos de la Encuesta Estatal de Salud y Nutrición Nuevo León 2011/2012 que contiene una muestra probabilística de 7,290 individuos. La variable calidad del patrón de consumo alimentario se construyó a partir de la Encuesta Estatal de Salud y Nutrición Nuevo León 2011/2012 y la variable pobreza por acceso a los alimentos a partir de registros nacionales. Se utilizaron pruebas estadísticas no paramétricas. Resultados: El mayor porcentaje de la población analizada se encuentra en la categoría de necesidad de cambio en la calidad del patrón de consumo alimentario, el cuartil con menor pobreza tiene mayor porcentaje de calidad adecuada del patrón de consumo alimentario que el cuartil de mayor pobreza, lo contrario sucede en cuanto a la calidad inadecuada. Conclusiones: La calidad del patrón de consumo en general y por grupos de alimentos está asociada a la pobreza de acceso a los alimentos.

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