Publications by authors named "Rodrigo Garcia-Cerde"

5 Publications

  • Page 1 of 1

What is associated with the increased frequency of heavy episodic drinking during the COVID-19 pandemic? Data from the PAHO regional web-based survey.

Drug Alcohol Depend 2021 04 16;221:108621. Epub 2021 Feb 16.

Universidade Federal de São Paulo - UNIFESP, Department of Preventive Medicine, São Paulo, Brazil. Electronic address:

Background: To estimate the prevalence of changes in the frequency of self-reported heavy episodic drinking (HED) among drinkers in Latin America and Caribbean countries on alcohol consumption during the COVID-19 pandemic, and to assess self-reported factors associated with the increased frequency of HED.

Methods: Data from 12,328 adults who responded to the cross-sectional survey conducted in 33 countries of Latin America and the Caribbean by Pan American Health Organization were used. Logistic regression analyses were performed to estimate the effect of the sociodemographic characteristics, quarantine practices, and anxiety symptoms on the increase in frequency of HED among the 2019 drinkers.

Results: 65 % of drinkers in 2019 self-reported HED during the COVID-19 pandemic with 13.8 % of the drinkers reporting an increase in HED compared to a 33.38 % decrease in HED. Multivariable analysis indicated that male gender (aOR 1.29, 95 %CI 1.13; 1.49), higher income (aOR 1.64, 95 %CI 1.35; 1.99) and higher level of quarantine practices (aOR 1.10, 95 %CI 1.04; 1.16) were positively associated with increased frequency of HED; unemployment (aOR 0.78, 95 %CI 0.64; 0.96), student status (aOR 0.53, 95 %CI 0.43; 0.64) and living with children (aOR 0.91, 95 %CI 0.84; 0.99) were negatively associated with increased frequency of HED. A gradient of association was found between generalized anxiety disorder and an increase in HED frequency during the pandemic.

Conclusion: Along with other measures to decrease the spread of COVID-19, it is important to include measures to reduce alcohol consumption and address mental health conditions in the national response to the pandemic.
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April 2021

Attitudes are associated with the drug use profiles of middle school adolescents: A latent class analysis.

Psychiatry Res 2021 Jan 25;295:113592. Epub 2020 Nov 25.

Department of Preventive Medicine, Universidade Federal de São Paulo, Rua Botucatu, 740, Bairro Vila Clementino. São Paulo, São Paulo, Brazil. Electronic address:

The association between positive and negative attitudes and drug use profiles is examined. Participants were public middle school students (N = 5213; 49.9% girls; M age= 13.2 years) in three Brazilian cities. Analysis was performed using baseline surveys of a randomized controlled trial of the #Tamojunto2.0 drug use prevention program. We validated the attitudes construct via a confirmatory factor analysis and performed a simultaneous multinomial regression with a latent class analysis. Three latent classes were identified: abstainers/low users (ABS) (63.4%), alcohol users/binge drinkers (ALC) (29.5%), and polydrug users (POL) (7.1%). An association gradient was found between attitudes and latent classes. Using ABS as reference, a direct association was identified between positive attitudes and ALC and POL. An inverse association was found between negative attitudes and POL only. Girls and older students were more likely to be ALC and POL. These findings, from a large probabilistic sample, provide guidance that drug use prevention programs should focus on deconstructing positive attitudes -mainly- and broadening negative attitudes, and should adapt their thematic content by considering the differential drug use possibilities among girls and older students.
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January 2021

[Discrimination and homophobia associated to the human immunodeficiency virus epidemic].

Salud Publica Mex 2015 ;57 Suppl 2:s190-6

Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.

Objective: To describe a political mapping on discrimination and homophobia associated to human immunodeficiency virus (HIV) in the context of public institutions in Mexico.

Materials And Methods: The political mapping was conducted in six Mexican states. Stakeholders who were involved in HIV actions from public and private sectors were included. Semistructured interviews were applied to explore homophobia and discrimination associated with HIV. Information was systematized using the Policy Maker software, which is a good support for analyzing health policies.

Results: Discriminatory and homophobic practices in the public domain occurred, damaging people´s integrity via insults, derision and hate crimes. Most stakeholders expressed a supportive position to prevent discrimination and homophobia and some of them had great influence on policy-making decisions. It was found that state policy frameworks are less specific in addressing these issues.

Conclusions: Homophobia and discrimination associated to HIV are still considered problematic in Mexico. Homophobia is a very sensitive issue that requires further attention. Also, an actual execution of governmental authority requires greater enforcement of laws against discrimination and homophobia.
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July 2017

[Sexually transmitted infections: profile of care in border areas of Central America (2007-2010)].

Salud Publica Mex 2013 Jul;55 Suppl 1:S47-57

Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública, Cuernavaca, México.

Objective: To analyze the profile of care for sexually transmitted infections (STIs) in health centers in border areas of Central America during 2007-2010.

Materials And Methods: Cross-sectional study in a sample of 3 357 patients. Doctors were trained and medicines, condoms and HIV testing (basic package of care [BPC]) were supplied. Sample was characterized according to sociodemographic variables. Factors associated with the probability of receiving the BPC were identified.

Results: Sixty six percent were 25-59 years old, and 93.2% were women. The most frequently diagnosed syndrome was vaginal discharge associated with candidiasis, bacterial vaginosis, trichomoniasis and gonorrhea. Sixty six percent of prescriptions were adhered to the international recommendations. Only 10% received the complete BPC.The likelihood of receiving it was lower in women.

Conclusions: It is not enough to increase service delivery capacity to change care practices. These are deeply rooted in the sociocultural context. Highlights gendered medical practices that adversely affect the profile of care.
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July 2013

Migrants suffering violence while in transit through Mexico: factors associated with the decision to continue or turn back.

J Immigr Minor Health 2014 Feb;16(1):53-9

Centre for Evaluation and Survey Research, National Institute of Public Health, Cuernavaca, Mexico.

To identify and analyze the factors associated with the decision of migrants suffering violence while in transit through Mexico, to continue on their trip or turn back. Cross-sectional study combining quantitative and qualitative analyses. Socio-demographic and health characteristics, as well as types of violence and factors associated with the decision to continue on the trip, were explored for 862 migrants. 35 migrants were interviewed to explore their perceptions of migration, socioeconomic and political situations in their countries of origin, risks, violence experienced, and the decision to continue on their trip. Of the 862 migrants, 21.1% experienced violence during their transit through Mexico towards the USA. Of these, 88.5% decided to continue on their journey. This decision was positively associated with age (OR = 1.075, p < 0.05), number of children (OR = 3.161, p < 0.10), homicide rate in the country of origin (OR = 1.043, p < 0.10) and proximity to the northern border. No differences were observed by sex, schooling, days in transit and the presence of health problems. The decision to continue the journey to the United States was related to structural factors in the countries of origin, rather than risks in transit. It is necessary to implement mechanisms to promote and protect the human rights of migrants during their whole journey (origin, transit and destination).
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February 2014