Suchergebnisse

The conspiracy of silence is extremely important due to both its high incidence and its consequences. This process usually occurs in situations of palliative care, or death; however, this concept is also mentioned in the literature linked to other contexts. Therefore, our objective was to study whether the conspiracy of silence may be extrapolated to the context of decision-making on the location of care in old age. To this end, we first analyzed the in-depth semi structured qualitative interviews conducted with older people, caregivers, and professionals, about decision-making on the location of care in old age. Subsequently, a comparative analysis was performed between the basic elements of the conspiracy of silence and this decision-making. Our findings revealed an avoidance process developed by all three groups. Furthermore, this decision-making presents similarities with the conspiracy of silence in the process of avoidance coping and denial that is developed. However, there are significant differences, as information is not withheld from the older person, who has an active attitude in the process of avoidance. Decision-making on the location of care in old age does not exactly match the conspiracy of silence process, but it does seem to correspond to a pact of silence.

Objective: To determine the sociodemographic characteristics and opinions that predict citizens' attitudes towards the anti-tobacco law in Spain. Methods: Data was analyzed from a telephone survey on smoking habits conducted among citizens of Spain in 2008 by the Centro de Investigaciones Sociológicas (CIS). The sample was stratified by region and size of habitat, establishing age and sex quotas. A descriptive analysis is provided of the main results. A forward stepwise logistic regression analysis was performed with opinions about the anti-tobacco law as a dependent variable and sociodemographic characteristics of the respondents as independent variables. Results: The perceived effectiveness of the law in terms of health benefits and reduction in number of smokers and cigarettes consumed has the greatest predictive power on support for the anti-tobacco law. Conclusion: Policies aimed at improving public health must meet with the support of citizens. In order to garner this support it is essential that citizens be informed about the effectiveness and health benefits of restrictive legislation such as anti-tobacco laws. ; Analizar qué características sociodemográficas y de opinión predicen el respaldo de los ciudadanos a la Ley antitabaco en España. Métodos: Se han analizado los datos de una encuesta telefónica realizada en 2008 por el Centro de Investigaciones Sociológicas (CIS) sobre hábitos relacionados con el tabaco a población española, estableciendo cuotas de sexo y edad y con distribución por comunidades autónomas y tamaño de hábitat. Se ha realizado un análisis descriptivo de los principales resultados y un análisis de regresión logística (stepwise forward). La variable dependiente es la posición ante la ley antitabaco, y las variables independientes, las características sociodemográficas del entrevistado y las opiniones sobre la ley. Resultados: Lo que más predice la posición favorable a la ley es la apreciación de su efectividad, es decir, la percepción de que la ley ayuda a mejorar la salud de la población y a reducir el número de fumadores y la cantidad de cigarrillos fumados. Conclusión: Es necesario que la población apoye políticas sanitarias que son claramente beneficiosas para la salud pública en general. En este sentido, la información sobre la efectividad de la ley se postula como un elemento decisivo para conseguir el respaldo popular necesario para llevar a cabo políticas restrictivas y/o prohibitivas.