Time In Spain Research Articles

Changes in Alcohol Intake by Educational Level among Older Men and Women in Spain during the 21st Century

Abstract Background and objectives Despite alcohol use being very common in older adults, studies are scarce and suggest alcohol use may be increasing. Furthermore, despite the known relationship between education and alcohol consumption, there is limited evidence of educational differences in older adults. Our objective was to describe trends in alcohol consumption in individuals aged ≥65 by sex and educational level in Spain. Research design and methods 43,157 participants aged ≥65 years were drawn from Spain’s national health surveys between 2001-2020, representing the non-institutionalized population. The outcomes were various measures of self-reported past-year alcohol intake. Age-standardized rates and negative binomial regression models were used to examine trends and differences in alcohol intake by educational level, sex, and period (2001-2009 vs. 2011-2020). Results The average daily alcohol intake and prevalence of heavy average drinking (>20/10 g/day) decreased over time, especially among men, while moderate average drinking remained unchanged or even increased. Alcohol intake increased with increasing educational levels. All drinking measures showed educational inequalities, and these were greater in women than men. The mean amount of drinking showed the greatest inequality, with and adjusted prevalence ratio of 2.6 in women and 1.1 in men between university relative to primary education level. Discussion and implications Alcohol intake in older adults decreased over time in Spain for heavy average drinking and average drinking amount, although not for moderate average drinking. Consumption remains highest among the highest educational levels, which may negatively affect health. Programs addressing alcohol consumption among older adults are needed to minimize alcohol-related harm.

The obscure object of desire: The role of political reflections, strategic calculations and informal networks in the development of national social dialogue across time in Spain over five decades

This article provides an in-depth analysis of the dynamics of social dialogue in Spain and highlights that to understand the relations between organised labour and the state a greater degree of historical sensibility in the way risks and calculations are developed in terms of exchanges and expectations is required. It goes beyond traditional institutionalist analysis to further understand how social dialogue at the state level occurs across different and complex trade-offs within political networks, even in weaker state contexts such as that of Spain. The article uses interviews with union leaders from the main Spanish unions involved in different historical moments to understand a range of uneven or opaque activities, the features of which can only be understood by expanding what we mean by the notion of political exchange, as well as the deliberate or conscious calculations and longer-term risks of such exchanges during different points in time.

Genomic analysis of multi-drug resistant coagulase-negative staphylococci from healthy humans and animals revealed unusual mechanisms of resistance and CRISPR-Cas system.

Coagulase-negative staphylococci (CoNS) are evolving as major reservoirs and vectors of unusual and critical antimicrobialresistance (AMR) mechanisms. In this study, the genomic characterization of 26 multidrug-resistant (MDR)-CoNS (S. borealis, S. saprophyticus, S. sciuri, S. hominis, S. epidermidis, S. pasteuri, S. hyicus, S. simulans, S. haemolyticus, and S. arlettae) previously obtained from the nasal cavity of healthy nestling storks, humans who had no contact with animals, pigs, and pig farmers, as well as dogs and dog owners from Spain was performed. High-quality draft genomes obtained by Illumina sequencing technology were used to determine their resistome, virulome, mobile genetic elements, and CRISPR-Cas types. The relatedness of three CoNS species with publicly available genomes was assessed by core-genome single nucleotidepolymorphisms (SNPs). AMR genes to all classes of antibiotics in staphylococci were detected including unusual ones (mecC, ermT, and cfr), of which their corresponding genetic organizations were analyzed. About 96.1% of the MDR-CoNS strains harbored diverse adherence or immune evasion genes. Remarkably, one enterotoxin-C and -L-carrying S. epidermidis-ST595 strain from a nestling stork was detected. Moreover, various plasmid bound-biocide resistance genes (qacACGJ) were identified in 34.6% of the MDR-CoNS. Two genes that encode for cadmium and zinc resistance (cadD, czrC) were found, of which czrC predominated (42.3%). Complete CRISPR-Cas system was detected in 19.2% of the CoNS strains, of which cas-1, -2, and -9 predominated, especially in 75% of the S. borealis strains. The phylogenetic analysis identified clusters of related S. epidermidis lineages with those of other countries (SNP < 100). Also, highly related S. borealis isolates (SNP < 10) from pigs was confirmed for the first time in Spain. These findings showed that various ecological niches harbor CoNS that presented MDR phenotypes mediated by multiple AMR genes carried by mobile genetic elements with relatively low frequency of intact CRISPR-Cas systems. Furthermore, the transmission of some CoNS species in humans and animals is strongly suggested.

Emergence of Two Different Genotypes of Bagaza Virus (BAGV) Affecting Red-Legged Partridges in Spain, in 2019 and 2021.

Bagaza virus (BAGV) is a flavivirus that affects avian species. In Europe, it was detected for the first time in Spain in 2010, exhibiting high genetic relatedness to Israel turkey meningoencephalomyelitis virus (ITMV) isolates from Israel. After a period of epidemiological silence, BAGV re-emerged, causing important outbreaks in 2019 and 2021. This study aims to characterize the newly detected strains and to elucidate if these recent outbreaks were caused by single or different virus introductions into the country. Hence, Spanish BAGV isolates from 2019 (n = 3) and 2021 (n = 1) outbreaks, obtained from red-legged partridges in Cádiz, were sequenced and further characterized. The phylogenetic analyses showed that they belong to two different genotypes: BAGV-Genotypes 1 and 2. Isolates from 2019 belong to BAGV-Genotype 1, closely related to isolates from Senegal, where BAGV has been circulating for decades. In turn, the 2021 isolates belong to BAGV-Genotype 2, closely related to those detected in Spain in 2010. Additionally, the comparison of the viral polyproteins of several BAGV isolates from both genotypes supports and confirms the phylogenetic findings. To conclude, BAGV has been introduced into Spain on at least three independent occasions, with alternating genetic clades, thus confirming that BAGV is able to sporadically reach Southern Europe.

Early treatment for children with mental health problems and genetic conditions through a parenting intervention (The GAP): study protocol for a pragmatic randomized controlled trial

BackgroundChildren with genetic conditions are at increased risk for mental health and neurodevelopmental problems, often accompanied by significant parental distress. Genetic and family factors can impact children and parents’ mental health. Early parenting interventions, like the Incredible Years® programs, have demonstrated to improve parental distress and children’s mental health. The recent version for young children with language delays or autism spectrum disorder (IY-ASLD®) has shown to be feasible and effective to support parents in their children’s developmental trajectories. The effectiveness of treatments for children with genetic conditions and neurodevelopmental problems is largely unexplored, leaving significant gaps in evidence-based options. Clinicians lack guidance, especially when patients exhibit language or social communication impairments but do not meet diagnostic criteria for a full-blown autism spectrum disorder (ASD). We aim to fill this gap, providing evidence on the feasibility and effectiveness of the IY-ASLD® intervention for such patients.MethodsWe designed a prospective multicenter pragmatic randomized controlled trial including approximately 68 children aged 3 to 7 years, recruited from three tertiary care reference hospitals. Inclusion criteria will necessitate genetic confirmation of a neurodevelopmental disorder along with language, communication, or socialization difficulties. Individuals with an ASD diagnosis will be excluded. All subjects are included in a territorial register for rare conditions (ReMin, Registre de Malalties Minoritàries de Catalunya). Families will randomly be assigned to the intervention or the control group. The intervention will be held online by clinical psychologists and child and adolescent psychiatrists.DiscussionOur group has recently piloted the online implementation of the IY-ASLD® intervention for the first time in Spain, for parents of children with language delays, socialization difficulties, or ASD, but not genetically determined. Our multicenter research consortium is well-positioned to recruit patients with rare conditions and implement efficient treatment pathways within the National Health System. Given the geographical dispersion of families affected by rare conditions, the online format offers logistical advantages and improved therapy access, enhancing homogeneity across all patients. The results of this study will inform clinicians and policymakers about evidence-based treatment options for this vulnerable and overlooked group of young children.Trial registrationClinicalTrials.gov NCT06125093. Date of registration: first submitted 2023–10-23; first posted 2023–11-09. URL of trial registry record.

Distribution, diversity and genetic structure of alders (Alnus lusitanica and A. glutinosa) in Spain

Alders (Alnus spp., Betulaceae) are keystone pioneer species in riparian habitats. In the Mediterranean Basin, where the diploid Alnus glutinosa coexists with the recently discovered tetraploid A. lusitanica, the distribution, diversity and genetic structure of alder species is unknown. The main objectives of this study were to report the distribution of A. glutinosa and A. lusitanica, quantify the local genetic diversity of populations and explore the presence of putative hybrids resulting from the coexistence of A. lusitanica and A. glutinosa individuals in Spain. We assessed 627 individuals from 22 natural alder populations by combining chromosome counts, flow cytometry and microsatellite markers (SSRs) analyses. The ploidy analysis, validated through chromosome counts, revealed the presence of 92 diploid and 535 tetraploid trees from three A. glutinosa and 18 A. lusitanica pure populations, respectively. Notably, no hybrids were detected, not even in Assa, the only population where both species co-occur. The occurrence of mixed ploidy level in alder is reported for the first time in Spain (Assa, Logroño, within the Ebro basin). SSR analysis revealed robust genetic differentiation between the two species and distinctive patterns of variation within A. glutinosa. The high level of differentiation observed was supported by the most probable population clustering determined through pca and structure analyses, along with the identification of a high number of private alleles. For A. lusitanica, the results revealed three distinct genetic groups, geographically distributed. Positive genetic and geographical distance correlations indicated that differentiation could have been driven by isolation by distance. In light of the results, A. lusitanica is the most representative, widespread and genetically variable alder species in Spain, and A. glutinosa is restricted to the north-east of the country. The Ebro riverbank is a contact zone between A. lusitanica and A. glutinosa species, in which no evidence of hybridization was detected yet. Finally, with focus on management, our findings may suggest considering A. lusitanica as a new species, which should be regulated by the forest reproductive material legislation.

El audiovisual como patrimonio: evolución histórica y situación actual del patrimonio cinematográfico y audiovisual español

The historical evolution of the Spanish Cinematographic and Audiovisual Heritage, since the creation of the Spanish Film Archive (formerly National) in 1953, has been conditioned by the constant transformation of the audiovisual industry and the successive legislative regulations since the Historical Heritage Law was passed in 1985. incorporated for the first time in Spain. Successive attempts to update and develop this regulation have been truncated for various reasons, including the lack of agreement between the central and regional administrations; which is intended to be solved with a new cinema law that incorporates all audiovisual heritage into the corpus of works to be protected. There is unanimity that it should be considered as part of this heritage, which has increased in recent years with new technologies and digital development.

First detection in Spain of NDM-1-producing Pseudomonas aeruginosa in two patients transferred from Ukraine to a university hospital

ObjectivesCarbapenemase-mediated carbapenem resistance in Pseudomonas aeruginosa is a relevant health problem. We detected for the first time in Spain two clinical NDM-producing P. aeruginosa (NDM-Pa) isolates in two Ukrainian patients admitted to our hospital between April and August 2022. MethodsAntimicrobial susceptibility was studied by microdilution and MIC gradient strips (EUCAST-2022 criteria). Carbapenemase genes were detected by the Xpert Carba-R and immunochromatography assays. WGS (Illumina and Oxford-Nanopore) was also performed. ResultsIn May 2022, we detected an NDM-Pa in a sternotomy wound in a patient. In June-2022, a second NDM-Pa along with an OXA-48-Klebsiella pneumoniae (OXA-48-Kp) isolate was detected in a mandibular abscess from an unrelated patient. Moreover, an NDM+OXA-48-K. pneumoniae (NDM+OXA-48-Kp) was also found in a rectal sample of this patient. Both patients had undergone surgery in Ukraine before their transfer to our hospital. NDM-Pa isolates were resistant to all tested antimicrobials with the exception of aztreonam (MIC = 8 mg/L), colistin (MIC =2 mg/L) and cefiderocol (MIC range = 0.75–2 mg/L). WGS confirmed that both P. aeruginosa isolates were NDM-1 producers, belonged to ST773 and shared an identical resistome. blaNDM-1 was located on a ∼117-Kb chromosomally integrated integrative conjugative element (ICE). OXA-48-Kp and NDM+OXA-48-Kp belonged to ST147 and contained blaOXA-48 on an identical ∼300-Kb IncHIB-plasmid. blaNDM-1 was located on a 51-Kb IncFIB-plasmid only found in NDM+OXA-48-Kp. ConclusionsThis is the first description of NDM-Pa in Spain. We highlight the threat of further cross-border dissemination of NDM-1 through P. aeruginosa along with K. pneumoniae high-risk clones also carrying OXA-48, which draws a complex epidemiological scenario.

Percutaneous cementoplasty of periprosthetic aseptic hip loosening

Progressive population aging and improved healthcare have led to a significant increase in patients with hip arthroplasty (HA). In this patient group, the proportion of those who require a new arthroplasty (prosthetic replacement or secondary revision of the hip), has also increased. For this subgroup of patients in whom surgical prosthetic replacement should be considered but is contraindicated, a new technique has been developed since 2010: percutaneous injection of periprosthetic cement under fluoroscopic or CT control ("femoroplasty; FMP") as an alternative and less invasive treatment compared to surgery to stabilize the HA without replacing it, with excellent results on patients' quality of life. In this brief communication, we describe our positive experience regarding FMP, which we have performed for the first time in Spain on four patients (age range between 74–83 years, 2 female and 2 male patients, 3 right HA and 1 left HA), without post-complications. We highlight both the relative simplicity of this technique, which can be incorporated into radiological intervention even in regional hospitals, and the significant clinical improvement observed in all patients. In conclusion, we hope that our experience can contribute to the increased adoption of this innovative technique within the scientific community.

Contribution to the Knowledge of Gastrointestinal Nematodes in Roe Deer (Capreolus capreolus) from the Province of León, Spain: An Epidemiological and Molecular Study.

A study of gastrointestinal nematodes in roe deer was carried out in the regional hunting reserves of Riaño and Mampodre, Province of León, Spain, to provide information on their prevalence and intensity of infection in relation to the sampling areas, age of the animals, and body weight. Through a regulated necropsy of the animals, all of them harbored gastrointestinal nematodes in their digestive tract, with a mean intensity of parasitism of 638 ± 646.1 nematodes/infected animal. Eleven genera were found and 18 species of gastrointestinal nematodes were identified, three of them polymorphic: Trichostrongylus axei, Trichostrongylus vitrinus, Trichostrongylus capricola, Trichostrongylus colubriformis, Haemonchus contortus, Spiculopteragia spiculoptera/Spiculopteragia mathevossiani, Ostertagia leptospicularis/Ostertagia kolchida, Ostertagia (Grosspiculopteragia) occidentalis, Teladorsagia circumcincta/Teladorsagia trifurcate, Marshallagia marshalli, Nematodirus europaeus, Cooperia oncophora, Capillaria bovis, Oesophagostomum venulosum, and Trichuris ovis. All of them have already been cited in roe deer in Europe, but Marshallagia marshalli, Capillaria bovis, and Ostertagia (Grosspiculopteragia) occidentalis are reported for the first time in Spain in this host. The abomasum was the intestinal section, where the prevalence (98.9%) and mean intensity (x¯ = 370.7 ± 374.4 worms/roe deer; range 3-1762) were significantly higher, but no statistically significant differences were found when comparing the sampling areas and age of animals. The animals with lower body weight had a higher parasite load than those in better physical condition, finding, in this case, statistically significant differences (p = 0.0020). Seven genera and 14 species were identified. In the small intestine, 88% of the animals examined presented gastrointestinal nematodes, with an average intensity of x¯ = 131.7 ± 225.6 parasites/infected animal, ranging between 4-1254 worms. No statistically significant differences were found when the three parameters studied were compared. Four genera and seven species were identified. In the large intestine/cecum, 78.3% of the examined roe deer presented adult worms, with an average intensity of 6.3 ± 5.5 worms/infected animal; range 1-26 worms. Only statistically significant differences were observed when considering the mean intensity of parasitism and the sampling area (p = 0.0093). Two genera and two species were identified. Several of the species found in the study were studied molecularly, and with the sequences obtained compared with those deposited in GenBank, phylogenetic trees were prepared to determine their taxonomic status. Using coprological techniques, the existing correlation in the shedding of gastrointestinal nematode eggs in roe deer was investigated with that of semi-extensive sheep farms in the same study area to verify the existence of cross-transmission of these parasites between wild and domestic animals. The high values found in the studied parameters show that northern Spain is an area of high-intensity infection for roe deer.

Antimicrobial-resistant Enterobacter cloacae complex strains isolated from fresh vegetables intended for raw consumption and their farm environments in the Northwest of Spain

Antimicrobial resistance is a global concern with significant public health implications. We investigated the role of fresh vegetables and their cultivation environments as reservoirs for antimicrobial-resistant Enterobacter cloacae complex (ECC) strains. The study focused on AmpC-producing ECC isolates and their resistance to colistin, a last resort antibiotic.AmpC-producing ECC isolates were detected and confirmed in 10.2% of the 235 samples examined, with no significant difference (p > 0.05) in prevalence between farm and street market samples. Further analysis of 24 AmpC-ECC isolates revealed that 16.7% exhibited resistance to colistin.A colistin-resistant E. kobei strain (AG07E) was detected in irrigation water from a vegetable farm for the first time in Spain. This strain carried the mcr-9.1 gene, demonstrating transferability. It was included in ST56 which is predominantly reported in clinical E. kobei harbouring the mcr-9 gene. Additionally, we identified a multidrug-resistant E. kobei strain (ZA03E) from carrot samples, exhibiting colistin resistance and potential human pathogenicity. This strain belonged to ST125 which has clonal relationships with strains in ST56.Our findings emphasise the importance of monitoring and addressing antimicrobial-resistant ECC strains in fresh vegetables and their production environments, particularly the water, to mitigate potential risks to public health from a One Health perspective.

P22 Will the real scleroderma please stand up?: a case of a rare scleroderma mimic in ED

P22 Will the real scleroderma please stand up?: a case of a rare scleroderma mimic in ED

Cementación percutánea (femoroplastia) de prótesis de cadera con aflojamiento aséptico

Progressive population aging and improved healthcare have led to a significant increase in patients with hip arthroplasty (HA). In this patient group, the proportion of those who require a new arthroplasty (prosthetic replacement or secondary revision of the hip), has also increased. For this subgroup of patients in whom surgical prosthetic replacement should be considered but is contraindicated, a new technique has been developed since 2010: percutaneous injection of periprosthetic cement under fluoroscopic or CT control (“femoroplasty; FMP”) as an alternative and less invasive treatment compared to surgery to stabilize the HA without replacing it, with excellent results on patients’ quality of life. In this brief communication, we describe our positive experience regarding FMP, which we have performed for the first time in Spain on 4patients (age range between 74-83 years, 2 female and 2 male patients, 3 right HA and 1 left HA), without post-complications. We highlight both the relative simplicity of this technique, which can be incorporated into radiological intervention even in regional hospitals, and the significant clinical improvement observed in all patients. In conclusion, we hope that our experience can contribute to the increased adoption of this innovative technique within the scientific community.

Real world evidence of adjuvant trastuzumab in HER2 positive early breast cancer

Adjuvant trastuzumab in HER2+ breast cancer reduces recurrence and mortality, and has been the standard treatment since 2006. The objective was to analyze health outcomes in the real world. Observational, retrospective study of patients with HER2+ breast cancer, stages I–III, treated with adjuvant trastuzumab in the past 15 years in only one center and for the first time in Spain. Survival was analyzed according to the number of cycles and cardiotoxicity. Two hundred and seventy-five HER2positive patients (18.60%) out of 1479 received adjuvant (73%) or neoadjuvant/adjuvant (26%) trastuzumab, concomitantly (90%) or sequentially (10%) with chemotherapy. The probability of overall and disease-free survival (OS and DFS) at 5 years was 0.93 (95% CI 0.89–0.96), and 0.88 (95% CI 0.83–0.92). The number of cases with a significant and asymptomatic decrease in ventricular ejection fraction and heart failure were 54 (19.64%) and 12 (4.36%), respectively. Sixty-eight patients (24.70%) received 16 or fewer cycles, especially those older than 65 (OR 0.371, 95% CI 0.152–0.903; p = 0.029) and with cardiotoxicity (OR 15.02, 95% CI 7.437–30.335; p < 0.001). The risk of cardiotoxicity was associated with having received radiotherapy (OR 0.0362, 95% CI 0.139–0.938; p = 0.037). Arterial hypertension (HR 0.361, 95% CI 0.151–0.863, p = 0.022), neoadjuvant treatment (HR 0.314, 95% CI 0.132–0.750, p = 0.009) and cardiotoxicity (HR 2.755, 95% CI 1.235–6.143, p = 0.013) maintained significant association with OS. Only neoadjuvant treatment maintained a significant association with DFS (HR 0.437, 95% CI 0.213–0.899, p = 0.024). The effectiveness of neoadjuvant and adjuvant trastuzumab can be considered comparable to those of clinical trials. In the real world, factors such as age, hypertension, radiotherapy, neoadjuvant treatment, and cardiotoxicity should be taken into consideration to optimize outcomes.

Realism and Reconstruction: A Comparative Perspective

Realism and Reconstruction: A Comparative Perspective

Lope de Vega. Lo fingido verdadero

Lope de Vega. <i>Lo fingido verdadero</i>

Transmission Dynamics of COVID-19 with Saturated Treatment: A Case Study of Spain

In this paper, an epidemic compartmental model with saturated type treatment function is presented to investigate the transmission dynamics of COVID-19 with a case study of Spain (in Europe). We obtain the basic reproduction number of the model which plays a very important role in disease spreading. We show that if the basic reproduction number is less than unity then the disease-free equilibrium point is locally asymptotically stable, but making the basic reproduction number less than unity is not sufficient to eradicate COVID-19 infection which is shown through backward bifurcation. The model is validated with the real COVID-19 data of Spain (in Europe), Algeria (in Africa), and India (in Asia) and also estimated important model parameters in all cases. The effect of an important model parameter for controlling the disease spreading is also investigated for the infection scenario of Spain only. We establish that the asymptomatic class plays a very important role for spreading this pandemic disease. The effective reproduction number has been estimated which varies in time in Spain. Finally, the model is reformulated as an optimal control problem which shows that the social distancing due to adapting a partial lockdown by some countries is highly effective for controlling COVID-19.

Cartas Ejecutorias de Hidalguía (executory certificates of nobility): a survey in materials analysis, legal, and aesthetic contexts—two case studies

Illuminated manuscripts are relatively well studied, but the available publications greatly focus on religious manuscripts of a geographically limited area. In contrast, technical examinations of illuminated legal documents have received far less attention, e.g., Spanish cartas ejecutorias de hidalguía (executory certificates of nobility). These documents are suitable case studies to deepen current knowledge of manuscript-making in Spain for two reasons: First, they are dated (late fifteenth to early eighteenth centuries); and second, they are unusual and understudied from both the textual and materials analysis standpoints. Cartas contain judicial proceedings whereby a family gained or was re-assigned hidalguía (lower nobility). A key exhibit to achieving this status was proving their “blood purity” which implied they were faithful Catholics, so finding religious representations within the document is common. In addition, families embedded their faith and links to monarchs in their coat of arms through symbols like crowned eagles, trees, and towers. The deliberate choice of heraldic and religious elements is as important as the materials used to produce them. Interested in better understanding illumination in Spain we are studying these unique documents from the historical, materials, and iconographic points of view. Herein, we present the earliest results of an ongoing survey, detailing two case studies: Davila and Nuñez D. Armesto cartas. This research uses a combination of: (a) instrumental techniques (X-ray fluorescence, reflectance, and infrared spectroscopies; peptide mass fingerprinting; and gas chromatography); and (b) historical research using both the manuscript’s contents as primary sources, and published research. The preliminary results are enabling us to shed light onto Spanish (legal) illuminated manuscript-making, and the symbolic role materials played, e.g., use of precious metals adorning monarchical elements, presence of ultramarine mixed with azurite on both coats of arms, and on Virgin Mary’s gown, etc. This survey intends to simultaneously learn more about illumination practices in Spain, inform conservation decisions, and hopefully better understand problems connected to historic ideologies that were legalized in beautiful albeit disturbing documents, e.g., persecution of non-Catholics at the time in Spain.

The polarization of real estate ownership and increasing wealth inequality in Spain

Abstract Recent research has shown that differences in the distribution of real estate wealth across households are the most important explanation for cross-national variation in wealth inequality. We extend this line of research by looking at change over time and quantifying the importance of two opposing trends related to housing for wealth inequality: declining homeownership rates and increases in multiple property ownership. Our analysis is based on data from the Spanish survey Encuesta Financiera de Familias covering the period 2002–2017. We show how real estate ownership is becoming increasingly polarized: both the share of households without any property at all as well as the share of households with multiple properties is increasing. Decomposition models show, first, that inequality between homeowners and non-owners is becoming a more important component of wealth inequality between households. Second, whereas real estate that is not used by households as their main residence constituted a relatively small part of wealth inequality in 2002, its absolute contribution had almost doubled by 2017. We conclude that household investments in non-residence real estate are an important channel through which wealth inequality increased over time in Spain.

Factors Associated with Depression and Anxiety Symptoms among Migrant Population in Spain during the COVID-19 Pandemic.

Migrants are likely to experience mental health conditions, being one of the most vulnerable groups during the COVID-19 pandemic. The present study aims to: (1) estimate the prevalence of depressive and anxious symptoms and (2) examine the impact of risk and protective factors on this symptomatology. A sample of 129 migrants living in Spain during the COVID-19 pandemic completed an anonymous online survey, including information on sociodemographic and individual characteristics, migration, basic needs, social environment and perceived health domains. Multiple Poisson regression models analysed the effects of risk and protective factors on depression and anxiety symptoms. The prevalence of depressive and anxiety symptoms was 22.3% and 21.4%, respectively. Risk factors such as living in a rented house and previous mental health conditions were associated with higher depression symptoms, whereas unemployment was related to anxiety symptoms. Conversely, older age, better self-esteem, and higher levels of social support were associated with fewer depression symptoms. Older age and better quality of life were related to fewer anxiety symptoms. These findings addressing risk and protective factors (e.g., social support, self-esteem) help to design culturally effective programs, particularly in migrants with pre-existing mental health conditions, adjusting the organisation of mental healthcare services in difficult times in Spain.