Horizonte Sanitario
type: channel
description: Horizonte Sanitario is a publication published since 2002 by the Universidad Juárez Autónoma de Tabasco. It publishes articles in English, Portuguese and Spanish on topics related to Public Health Sciences and Health Administration in the form of editorials, review articles and originals (scientific research products). The journal is freely accessible and does not charge authors for submission or publication. IMPORTANT NOTICE The journal "Horizonte Sanitario", published by the Juárez Autonomous University of Tabasco, invites the academic and professional community to contribute to its special issue: “Humanization of Care: Advances in Scientific Research”
publisher: Universidad Juárez Autónoma de Tabasco
language: en
publication name: Horizonte Sanitario
issn: 1665-3262
items: Bisphenol A Regulation: An International Comparative Analysis and Challenges for Costa Rica
items: Didactic conception of diagnostic imaging skill as a systemic contribution in Family Medicine
items: Wellness experiences for firefighters and paramedics after an aquatic fitness program
items: Cross-cultural adaptation of the stress scale in people with Arterial Hypertension
items: Perceived barriers to effective access to public health services in Oaxaca, Mexico.
items: Quality of Service and Satisfaction among Caregivers of Pediatric Patients with Autism Spectrum Disorder
items: Correlation between sexual resilience and risky sexual behaviors among health science students in northwestern Mexico
items: Motives and factors associated with the utilization of medical clinics adjacent to private pharmacies in Veracruz
items: Depressive symptoms and alcohol and tobacco use in university students
items: Factors associated with screen time: a binational study across the Mexico-US migration gradient
items: Knowledge about oral cancer among stomatology interns at a Peruvian university
items: Brief family intervention strategy in Mexican adolescents with self-harm in primary health
items: It is time to improve cigarette package health warning labels in Mexico
items: From manufacturing to resale: the impact of global disruption on Mexican pharmaceutical industry (2020-2025)
items: Social networks, body perception, and nutrition quality in nursing students
items: Perceived quality and satisfaction of medical care in hospitalized COVID-19 patients: a qualitative study
items: Self-managed learning experiences of clinical nursing tutors during online training
items: Effectiveness of a social marketing strategy aimed at people with excess body fat
items: Paid work, chronic diseases, and consumption behaviors among older adults, Mexico 2021
items: Empathy in professionals at the first level of health care. Havana, 2025
items: Evaluation of the campaign “if you use drugs, you harm yourself”: conalep case
items: Loneliness and life satisfaction in institutionalized older adults
items: Sociodemographic factors associated with quality of life in Mexican older adults with type 2 diabetes
items: Altruism, gender and biosecurity in blood donation in Oaxaca
items: Educational initiative with primary school children to increase their perception of pesticide risk
items: Regional patterns and associated factors of self-medication in Peru: analysis of a national survey
items: Brief interventions to reduce alcohol consumption in college students: A systematic review
items: Assessment of the supply, storage and stability of donated medicines
items: Characterization of the hematological profile of patients with suspected dengue in a Mexican population
items: Overweight and obesity in rural areas of Mexico

Bisphenol A Regulation: An International Comparative Analysis and Challenges for Costa Rica
type: item
description: Objective: To describe national and international regulations governing the use of Bisphenol A (BPA) in food-contact materials and to select four countries based on defined inclusion criteria to compare their regulations with those currently in force in Costa Rica, with the aim of identifying opportunities for improvement in Costa Rica’s regulatory framework. Materials and methods: A qualitative documentary study was conducted by reviewing international regulations on the use of BPA in food-contact materials and by comparing the official regulations of France, Canada, the United States, Paraguay, and Costa Rica from a neo-corporatist and public health perspective. Results: 21 countries with current regulations or official measures related to BPA were identified. 76,2 % of these regulations implemented partial bans on BPA. 85,7 % of the regulatory authorities were national health authorities. France and Canada have greater institutionalization and stakeholder participation. Costa Rica maintains regulations limited to packaging intended for children under 18 months, with little stakeholder participation, and no systems for policy monitoring or follow-up were identified. Conclusions: The regulations implemented in different countries vary in terms of their regulatory scope, governance mechanisms, and elements of the neo-corporatist approach. These findings suggest that strengthening BPA regulation, monitoring, and surveillance in Costa Rica could reduce public exposure to BPA and protect public and environmental health. Keywords: BPA; Endocrine disruptors; Food packaging; Food legislation.
subject: Research article
  topic: section
creator: Dayana Vargas Sanabria
creator: Horacio Alejandro Chamizo Garcia
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-08-11
publication date: 2026-08-11
starting page: e6321
ending page: e6321
doi: 10.19136/hs.a25n3.6321

Didactic conception of diagnostic imaging skill as a systemic contribution in Family Medicine
type: item
description: Objective: To validate a didactic conception for the development of diagnostic imaging skill as a systemic contribution to an educational problem in Family Medicine residency. Materials and methods: Educational technological development research in two stages. First: theoretical construction based on dialectical materialism, Vygotsky's Cultural-Historical Theory, and contemporary didactics, with Problem-Based Learning as its core. Second: validation through consultation with 15 experts (K>0.8) in a mixed consensus process (two anonymous Delphi rounds and a nominal group) and a pre-experimental pilot study with 28 residents (42 weeks, repeated pre-during-post measurements). Cognitive, procedural, and affective-motivational dimensions were evaluated. Results: A conception with four components was defined: theoretical-conceptual (operational definition, six functional invariants, three dimensions), content (cross-cutting knowledge), methodological-strategic, and evaluation (five instruments and expected achievement levels per residency year). Expert assessment was favorable: Results were an agreement of 60-93.3 % in the first round (Kappa=0.65), and a unanimous verdict of "Valid with modifications" after consensus. The pilot study showed significant improvements (p<0.001) with large effect sizes: cognitive (d=2.34), procedural (r=0.88), affective-motivational (d=1.87), and a procedural-metacognition correlation (r=0.74). All first-year residents exceeded the minimum expected level (Basic), and the majority of senior residents reached the mastery level foreseen for their training stage. Conclusions: The didactic conception proved to be an original, validated, and feasible construct, which allows the cross-sectional development of complex skills in curricular scenarios where lack specific spaces. This constitutes a significant contribution to postgraduate medical education. Keywords: Didactic; Conception; Skill; Diagnostic imaging; Family Practice; Medical education.
subject: Research article
  topic: section
creator: Miguel Angel Amaró Garrido
creator: Manuel Horta Sánchez
creator: Andel Pérez González
creator: Carlos Lázaro Jiménez Puerto
creator: Eliecer González Valdéz
creator: Jim Alex González Consuegra
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-07-30
publication date: 2026-07-30
starting page: e6264
ending page: e6264
doi: 10.19136/hs.a25n3.6264

Wellness experiences for firefighters and paramedics after an aquatic fitness program
type: item
description: Objective: To analyze the experiences and perceptions of subjective well-being among firefighters and paramedics in the municipality of Emiliano Zapata, Morelos, Mexico, after their participation in an aquatic fitness program designed to strengthen their physical, mental, and socio-occupational health. Materials and methods: This was a qualitative study with a phenomenological design, in which semi-structured interviews were conducted with six firefighters and paramedics who completed the 16-week fitness program. Results: Latent content analysis allowed us to identify that this group of first responders works under highly demanding, stressful, precarious, and sedentary conditions. However, participation in the program generated a perception of well-being among the participants. In the physical dimension, they described improvements in endurance, flexibility, and speed, as well as a decrease in chronic pain. Regarding psychological well-being, the activity improved their mood, self-esteem, and motivation, allowing for a positive reconnection with their own bodies. The impact of the Aquatic Activity Program (AAP) on socio-occupational well-being resulted in improved group dynamics and a perceived improvement in operational performance. Conclusions: Aquatic physical activity is presented as an effective and rewarding strategy for strengthening the physical and mental health of participants, providing essential subjective resources to cope with the critical demands of their profession. Keywords: Physical conditioning; Health promotion; Paramedics.
subject: Research article
  topic: section
creator: Paola Hernández Salazar
creator: Andrés Cano Rosas
creator: María Fernanda Martínez Salazar
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-07-30
publication date: 2026-07-30
starting page: e6308
ending page: e6308
doi: 10.19136/hs.a25n3.6308

Cross-cultural adaptation of the stress scale in people with Arterial Hypertension
type: item
description: Objective: To adapt and validate the "Stress Scale for People with Arterial Hypertension" for its subsequent use in the assessment of stress in hypertensive patients. Materials and methods: An observational, cross-sectional study was conducted. An anonymous and voluntary survey was administered. The sample consisted of 181 individuals (110 women and 71 men) residing in the city of Saltillo, Coahuila, Mexico, with diagnosis of arterial hypertension, with a mean age of 55.34 years (SD = 13.93). The instrument included sociodemographic data and 17 Likert-type items. Results: Using an exploratory factor analysis (EFA) with principal axis factoring and direct Oblimin rotation on the 17 items, a three-factor solution was established. This three-factor structure explained 66.61% of the total variance and showed an acceptable internal consistency index for the global scale (α = 0.94). Confirmatory factor analysis (CFA) yielded practical indices of (BBNFI = .91, BBNNFI = .93, and CFI = .95), demonstrating a satisfactory fit between the theoretical model and the empirical data, along with an RMSEA value of .08, indicating a reasonable fit. Conclusions: The scale for measuring stress in individuals with arterial hypertension proved to be reliable and valid for assessing this variable in this population. Keywords: Cross-cultural adaptation; Stress; Arterial hypertension; Validity.
subject: Research article
  topic: section
creator: Doris Berdazco Pintado
creator: Ana Laura Carrillo Cervantes
creator: Nissa Yaing Torres Soto
creator: Reyna Torres Obregón
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-08-19
publication date: 2026-08-19
starting page: e6174
ending page: e6174
doi: 10.19136/hs.a25n3.6174

Perceived barriers to effective access to public health services in Oaxaca, Mexico.
type: item
description: Objetivo. Analizar las barreras percibidas para el acceso a los servicios de salud y su asociación con el sexo, la edad y la región de residencia en adultos de las regiones Mixteca y Costa de Oaxaca, México. Material y métodos. Se realizó estudio observacional, transversal y analítico en 247 personas adultas de 18 a 59 años, seleccionados mediante muestreo por conveniencia. Se aplicó el cuestionario Actitud ante la enfermedad, validado previamente. Las barreras se describieron mediante frecuencias. Las asociaciones bivariadas se evaluaron con χ² de Pearson o Fisher. Se ajustaron modelos de regresión logística binaria para estimar razones de momios ajustadas (ORa) e IC95%. Resultados. Las principales barreras fueron la insatisfacción con el servicio recibido (59.1%), el trato inadecuado del personal de salud (48.6%) y la falta de disponibilidad del médico (47.0%). El análisis multivariado mostró asociaciones independientes según sexo y región. Los hombres presentaron mayor probabilidad de percibir el costo, la falta de confianza en los servicios y la preferencia por la medicina tradicional como obstáculos, mientras que los residentes de la Mixteca reportaron diferencias en la disponibilidad del personal médico y la calidad de la atención respecto a la Costa. Conclusiones. Las barreras para el acceso efectivo estuvieron determinadas por factores individuales y por aspectos relacionados con la organización de los servicios. Se requieren estrategias con enfoque territorial e intercultural para fortalecer la disponibilidad y la calidad de la atención y reducir las desigualdades en el acceso efectivo. Palabras clave: Accesibilidad a los servicios de salud; Servicios de salud; Atención primaria de salud; Salud pública.
subject: Research article
  topic: section
creator: Edgar Ulises Osorio Guzmán
creator: Juan José Barrios Gutiérrez
creator: Gregorio García Aguilar
creator: Ana M. González Villoria
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-08-12
publication date: 2026-08-12
starting page: e6247
ending page: e6247
doi: 10.19136/hs.a25n3.6247

Quality of Service and Satisfaction among Caregivers of Pediatric Patients with Autism Spectrum Disorder
type: item
description: Objective: To analyze the relationship between service quality and satisfaction among caregivers of pediatric patients with Autism Spectrum Disorder (ASD). Materials and Methods: An observational cross-sectional study with a quantitative and correlational approach was conducted. The sample consisted of 102 caregivers of children diagnosed with ASD. Two instruments adapted to the study population were applied: the SERVPERF questionnaire to assess service quality based on perceived performance and the User Satisfaction Outpatient (USO) questionnaire to measure satisfaction in outpatient care. Data were analyzed using RStudio through descriptive statistics and Spearman’s correlation coefficient. Results: A total of 93.1% of caregivers reported a high perception of service quality, while 6.9% reported a moderate perception. The highest-rated dimensions were tangibles (98%), safety (96.1%), empathy (93.1%), reliability (91.2%), and responsiveness (90.2%). Regarding satisfaction, 93.1% of participants reported a high level and 6.9% a moderate level, with no cases of overall dissatisfaction. A significant association (p < 0.05) was identified between service quality and satisfaction. The strongest correlations were observed with reliability, responsiveness and empathy, particularly in administrative care. Conclusions: A significant relationship was found between service quality and caregiver satisfaction highlighting the importance of human and organizational factors in pediatric care. Keywords: Patient Satisfaction; Autism Spectrum Disorder; Caregivers; Child.
subject: Research article
  topic: section
creator: Flor De María Chumpitaz Chávez
creator: Hugo Florencio Gutiérrez Crespo
creator: Cecilia Claudia Montesinos Valencia
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-08-10
publication date: 2026-08-10
starting page: e6203
ending page: e6203
doi: 10.19136/hs.a25n3.6203

Correlation between sexual resilience and risky sexual behaviors among health science students in northwestern Mexico
type: item
description: Objective: To determine the relationship between sexual resilience and risky sexual behaviors in students of health-related degree programs. Materials and methods: A cross-sectional correlational study was conducted, including students who had recently begun their sexual lives and who were enrolled in Nursing, Medicine, Dentistry, and Physical Therapy programs at a public university in northwestern Mexico. A sample of 229 students was established. Results: The average age at the onset of sexual activity was 16 years. Regarding risky sexual behaviors, the mean score was 3.85, indicating that the students have a moderate level of sexual behavior. Sexual resilience scores averaged 82.30, indicating moderate resilience. Using Pearson's correlation coefficient, no significant relationship was found between the two variables. Conclusion: Based on the research results, the participants demonstrated an adequate level of sexual resilience, which could indicate an ability to cope with and manage risky situations. They also demonstrated various sexual and reproductive health skills. Keywords: Sexual health; Sexual behavior; Sexually transmitted infections; Students.
subject: Research article
  topic: section
creator: Luis Diego García González
creator: Abraham Isaac Esquivel Rubio
creator: Lorena Simental Chávez
creator: Laura Alicia Velarde Valenzuela
creator: Roberto Carlos Sánchez Estrada
creator: María Eugenia Cervera Baas
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-08-14
publication date: 2026-08-14
starting page: e6275
ending page: e6275
doi: 10.19136/hs.a25n3.6275

Motives and factors associated with the utilization of medical clinics adjacent to private pharmacies in Veracruz
type: item
description: Objective: To analyze the factors associated with the use of medical clinics adjacent to pharmacies (MCAP) of Farmacias Similares (FS) and Farmacias del Ahorro (FA) in the municipality of Xalapa, Veracruz. Materials and methods: A cross-sectional study conducted in 2025 using a questionnaire administered to 224 individuals selected through convenience sampling, who were treated at 42 MCAPs in the municipality of Xalapa selected at random. Descriptive, bivariate analyses using the Chi-square test, and logistic regression models were performed to identify factors associated with use frequency (once a week, twice a month). Results: In both pharmacies, more than half of the population treated were women (56.7%) between the ages of 18 and 39 (53.1%). 39.3% did not have medical insurance, and 38% were IMSS beneficiaries. Respiratory problems were the leading cause of consultation, and proximity was the main reason for seeking care at MCAPs (64.2%). Factors associated with frequent use were basic schooling (OR = 2.04; 95% CI: 1.03–4.06; p = 0.040) and paying for care (OR = 4.14; 95% CI: 1.70–10.07; p = 0.002). Conclusions: The main reason for using MCAPs was their proximity, and they were frequently used by both people without social security coverage and IMSS beneficiaries. Factors associated with frequent use included having only a basic schooling and paying for care. Keywords: Private health institutions; Pharmacy; Doctor's office visit; Motivation; Mexico.
subject: Research article
  topic: section
creator: Citlalli Citlalli Hernández Posadas
creator: Joel Jahaziel Díaz Vallejo
creator: José Locia Espinoza
creator: Natan Nahum García Martínez
creator: Julieta López Vázquez
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-07-09
publication date: 2026-07-09
starting page: e6251
ending page: e6251
doi: 10.19136/hs.a25n3.6251

Depressive symptoms and alcohol and tobacco use in university students
type: item
description: Objective: To analyze the association between depressive symptoms and alcohol and tobacco use among young university students. Materials and Methods: A descriptive correlational study was conducted on a probabilistic sample of 320 university students of both sexes in the state of Tabasco. Descriptive and inferential statistics were used. The provisions of the Regulations of the General Health Law on Health Research were complied with. Results: The findings showed an overall prevalence of alcohol use at 81.3% and tobacco use at 31.6%; regarding the most common pattern of consumption, moderate alcohol use was the most prevalent (46.3%), and current tobacco use was the most prevalent (14.1%). The most frequent depressive symptom was mild depression (55.3%). Depressive symptoms showed a positive and significant correlation with alcohol consumption (AUDIT) (rs = .152, p <.05) and the types of dependent (rs = .179, p <.05) and harmful (rs = .182, p <.05) consumption; no significant association was found between depressive symptoms and types of tobacco use (p > .05). Conclusion: Depressive symptoms showed a significant positive correlation between alcohol use and dependent and harmful use types. key words: Depression; Alcohol Drinking; Tobacco use; Students.
subject: Research article
  topic: section
creator: Matilde del Carmen Frías de la Cruz
creator: María Magdalena Alonso Castillo
creator: Karla Selene López García
creator: Nora Nelly Oliva Rodríguez
creator: Manuel Antonio López Cisneros
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-07-10
publication date: 2026-07-10
starting page: e6304
ending page: e6304
doi: 10.19136/hs.a25n3.6304

Factors associated with screen time: a binational study across the Mexico-US migration gradient
type: item
description: Objective: This study aimed to assess whether screen time differs across combined migration-obesity and migration-smoking profiles among Mexican-born non-migrants living in Mexico, Mexican-born immigrants residing in the United States, and U.S.-born individuals of Mexican origin. Material and Methods: We conducted a cross-sectional comparison using two national databases. Multinomial regression models were used to assess differences in screen time across combined migration-obesity and migration-smoking profiles. The study population was classified into three groups: U.S.-born individuals of Mexican origin, Mexican-born migrants residing in the United States, and Mexican-born non-migrants residing in Mexico. Results: Migration status was significantly associated with screen time, with significant associations involving smoking and obesity. In adjusted analyses, U.S.-born individuals of Mexican origin who reported tobacco use or obesity had the highest Adjusted Relative Risk Ratio (ARRR) for spending more than 4 hours per day on screen time compared to the reference < 2 hours per day. Mexican immigrants in the U.S. Additionally, Mexican immigrants in the U.S. showed increased risks of obesity and smoking, along with higher screen time (> 4 vs. < 2hours/day), compared to non-migrants residing in Mexico. Conclusions: This cross-sectional binational study highlights that migrant populations exhibit higher screen time combined with risk factors such as obesity and smoking. This profile reflects a risky pattern for Mexican populations migrating to the U.S., highlighting the need for binational public health strategies that address lifestyle impacts in the migration process. Keywords: Sedentary behavior; Smoking; Obesity; Migration.
subject: Research article
  topic: section
creator: Katia Gallegos Carrillo
creator: Lourdes Baezconde Garbanati
creator: Nayeli Macias Morales
creator: Jonathan M. Samet
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-07-06
publication date: 2026-07-06
starting page: e6220
ending page: e6220
doi: 10.19136/hs.a25n3.6220

Knowledge about oral cancer among stomatology interns at a Peruvian university
type: item
description: Objective: To determine the level of knowledge about oral cancer among stomatology interns at a Peruvian university. Materials and Methods: A descriptive study with a cross-sectional design was developed in 151 interns who completed their hospital internship between 2020 and 2022. A previously validated instrument of 24 items was used, organized into four thematic areas: epidemiological aspects, diagnostic criteria, therapeutic alternatives and preventive measures. Each correct answer received one point, while incorrect ones received zero points. The total score allowed the knowledge to be classified as low, intermediate and high. The data were processed using descriptive statistics (absolute frequencies and percentages). Pearson's Chi-square test was used to analyse the association between the period of hospital stay and the level of knowledge about oral cancer. Results: 81.5% of the interns had an intermediate level of knowledge about oral cancer, while 13.9% showed a low level and only 4.6% reached a high level. The greatest weaknesses were identified in the treatment dimension and in certain aspects of epidemiology and diagnosis. Pearson's Chi-square test did not show a statistically significant association between the period of internship and the level of knowledge about oral cancer (χ² = 5.84; df = 4; p = 0.212). Conclusion: The results suggest the need to strengthen clinical training during the internship period, particularly in the early identification of suspicious lesions, the recognition of associated factors, and the initial clinical approach to oral cancer. Keywords: Oral cancer; Knowledge; Stomatology.
subject: Research article
  topic: section
creator: Annel Mendoza Sánchez
creator: Delci Vergara Sánchez
creator: Julio César Romero Gamboa
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-06-29
publication date: 2026-06-29
starting page: e6240
ending page: e6240
doi: 10.19136/hs.a25n3.6240

Brief family intervention strategy in Mexican adolescents with self-harm in primary health
type: item
description: Objective: To evaluate the effect of a family intervention on self-harming behaviors and family functioning in adolescents from a secondary school in Villahermosa, Tabasco, Mexico. Materials and methods: A quasi-experimental pretest-posttest single-group study, nested within an initial cross-sectional diagnostic phase, was conducted between May 2024 and June 2025 at Comprehensive Educational Center No. 1 in Villahermosa, Tabasco. A probabilistic sample of 200 adolescents aged 12 to 15 years participated. The Self-Harm Questionnaire (SHQ) and the Family Functionality Scale (FF-SIL) were administered after obtaining informed consent. Of the 39 adolescents identified with self-harm, 28 participated with their families in six group intervention sessions with a systemic approach and cognitive-behavioral techniques. Analysis included descriptive statistics, Pearson's Chi-square test, and Student's t-test (p≤0.05). Results: The prevalence of self-harm was 19.5% and that of family dysfunction was 24.5%, with a significant association between them (χ²=22.556; p<0.001). After the intervention, family functionality improved from 39.32 to 52.71 points (t=6.863; p<0.001), and self-harming behaviors decreased from 2.64 to 1.36 points on the SHQ (t=-10.329; p<0.001). Conclusions: There is a significant relationship between self-harm and family dysfunction in adolescents. A brief family intervention, implemented in the school setting with a systemic approach, improves family functioning and reduces self-harming behaviors. This strategy represents a viable, low-cost alternative for primary health and school health services. Keywords: Self-harm; Adolescents; Family relationships; Health services; Innovation in management.
subject: Research article
  topic: section
creator: Susana Guadalupe Sarracino Clemente
creator: Silvia María Guadalupe Garrido Pérez
creator: Rosa María Sánchez Rodríguez
creator: María Isabel Avalos García
creator: María Luisa Castillo Orueta
creator: Nidia Arlene Mendoza Hernández
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-07-08
publication date: 2026-07-08
starting page: e6201
ending page: e6201
doi: 10.19136/hs.a25n3.6201

It is time to improve cigarette package health warning labels in Mexico
type: item
description: Mexico has been a leader in tobacco control; however, 15.5% of Mexican adults still smoke, and although most wish to quit, nicotine dependence and the tobacco industry’s constant innovations make this difficult. Health warnings with images on cigarette packets have succeeded in raising awareness of the harms of tobacco and encouraging cessation behaviours, but information on risks alone is insufficient to help smokers quit. Against this backdrop, it is proposed to strengthen Mexico’s labelling policy by incorporating ‘efficacy messages’ that highlight the benefits of quitting smoking and offer practical advice on how to do so. Health communication theories and empirical evidence indicate that these messages complement risk-based warnings, helping smokers to turn motivation into concrete action. The experience of Canada (the only country with an established policy of efficacy messages inside cigarette packets) shows that those who read them have greater self-efficacy to quit smoking, make more attempts to quit, and maintain abstinence more successfully. Experimental studies also confirm that these messages increase motivation and behaviours aimed at quitting smoking. For Mexico, this strategy represents a scalable, low-cost opportunity that can be implemented through inserts in cigarette packets or within the text area already required on packaging, with the potential to reduce the health inequalities associated with smoking and lessen its burden of disease. Keywords: tobacco control; smoking cessation; drug labeling; health communication
subject: Editorial
  topic: section
creator: James F. Thrasher
creator: Desiree Vidaña
creator: Edna Judith Arillo Santillán
creator: Inti Barrientos Gutierrez
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-06-10
publication date: 2026-06-10
starting page: e6338
ending page: e6338
doi: 10.19136/hs.a25n3.6338

From manufacturing to resale: the impact of global disruption on Mexican pharmaceutical industry (2020-2025)
type: item
description: Objective: To evaluate trade fluctuations, import volumes of critical medical supplies, and the decline of local pharmaceutical manufacturing in Mexico during the 2020-2025 period through analysis of official customs and economic repositories. Materials and Methods: A cross-sectional and longitudinal descriptive study was conducted based on an iterative analytical reasoning process. Official repositories were consulted: UN Comtrade, BCMM-INEGI, Data México, ENIFARM, DENUE, and EMIM. Inclusion criteria were applied based on institutional provenance, temporal continuity, and granularity of tariff categorical variables (HS and SCIAN). Values were deflated using the INPC to obtain constant prices, and the Real Annual Variation Rate was calculated. Results: Vaccine imports (HS 300220) from the United States grew 6.57% in value and 51.60% in physical volume between 2022 and 2024, with a reduction in the implicit unit price. Exports to France and the European Union fell between 48.83% and 49.30% between 2023 and 2024. The industry imported 205,412 million pesos in medicines for resale without transformation (2019-2022). Corporations with R&D activities contracted 16.5% between 2021 and 2022. Conclusions: Mexico presents a structural pharmaceutical trade deficit that was consolidated following the 2020 health disruption. The industry shifted toward importation for direct resale, with contraction of local manufacturing and the research and technological development ecosystem. Keywords: Economics, Pharmaceutical; Drug Industry; Commerce; Vaccines; Mexico.
subject: Research article
  topic: section
creator: Germán Martínez Prats
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-05-27
publication date: 2026-05-27
starting page: e6282
ending page: e6282
doi: 10.19136/hs.a25n2.6282

Social networks, body perception, and nutrition quality in nursing students
type: item
description: Objective: To evaluate the interaction between social media use, body perception, and diet quality in nursing students. Materials and methods: This analytical and cross-sectional study selected 110 nursing students, calculated from a population of 154, with a 95% confidence interval and a 5% margin of error. Body mass index (BMI) was assessed using anthropometric techniques, and validated instruments were used to measure diet quality (DQI) and social media addiction (SNA). A body perception questionnaire was also included. Ethical principles were followed, and informed consent was obtained. Statistical analysis was performed using SPSS v.27, using chi-square tests and Spearman's correlation with a p < 0.05. Results: The average BMI was 24.45 kg/m², but the students perceived a lower BMI (22.65 kg/m²), indicating body underestimation. 82.7% reported a diet that required changes. WhatsApp (99.1%) and TikTok (76.4%) were the most frequently used social media platforms. The actual daily average usage was 3.74 hours. 55.5% showed a moderate level of social media addiction. No significant relationship was found between diet quality and addiction index (p=0.63; Rho=-0.04). Conclusions: No significant relationship was found between social media use and dietary quality; habits depend on multiple factors. It is suggested to leverage social media for effective nutritional education. Keywords: Healthy eating; Social media; Body perception.
subject: Research article
  topic: section
creator: Karina Edalid Domínguez Carranza
creator: César Uziel Estrada Reyes
creator: Ángel Esteban Torres Zapata
creator: Teresa del Jesús Brito Cruz
creator: Alejandra Karina Pérez Jaimes
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-05-14
publication date: 2026-05-14
starting page: e6190
ending page: e6190
doi: 10.19136/hs.a25n1.6190

Perceived quality and satisfaction of medical care in hospitalized COVID-19 patients: a qualitative study
type: item
description: Objective: To explore the perceived quality and satisfaction of medical care in hospitalized COVID-19 patients. Materials and method: Qualitative, exploratory study. 14 cases of patients hospitalized for COVID-19 in a high-specialty hospital in the state of Veracruz, Mexico, were selected. Results: Requests for medical care from the hospital were postponed due to fear of contagion and fear of death; serious health status was the main reason for seeking care. Perceived quality and satisfaction were related to the work and attitude of nursing and support staff, reflected in actions such as positive interpersonal treatment, emotional support, communication, medication administration, and the execution of clinical procedures; additionally, the adequacy of material and human resources. Restoration of health, and positive assessment of the service encouraged future utilization of the hospital’s healthcare services. Conclusions: Perceived quality and satisfaction of medical care encompass affective components focused on alleviating suffering and restoring health, as well as cognitive components related to establishment of evaluative criteria regarding healthcare services. Keywords: Quality of Health Care; Patient Satisfaction; COVID-19; Hospitalization; Qualitative Research.
subject: Research article
  topic: section
creator: Joaquín Vázquez Cruz
creator: Gaudencio Gutiérrez Alba
creator: Clara Juárez Ramírez
creator: José Alberto Muños Hernández
creator: José Bernabé Ramírez Cabrera
creator: Joel Jahaziel Díaz Vallejo
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-05-18
publication date: 2026-05-18
starting page: e6259
ending page: e6259
doi: 10.19136/hs.a25n2.6259

Self-managed learning experiences of clinical nursing tutors during online training
type: item
description: Objective. Understanding the self-directed learning experiences of clinical instructors during online training. Materials and methods. Qualitative study with a phenomenological approach of descriptive scope. The sample was purposive, consisting of eight clinical tutors recently enrolled in the Single Program of Nursing Specializations (PUEE) from the metropolitan and surrounding areas, specializing in Neonatology, Critical Care Adult Care, Cardiovascular Care, Perinatal Care, Nephrology, and Mental Health, who had completed online training. A focus group script was designed and sent to expert judges who validated its relevance and clarity. The script consisted of eight questions. The focus group was conducted on a digital platform and lasted two hours. Results. The thematic analysis identified four dimensions: cognitive, where time management emerged as a critical limitation; intellectual, confirming the effectiveness of online training within clinical tutoring; value-based, identifying a significant tension between motivation for training and workload; and socio-affective, observing that attitudes and disciplinary identity influence academic persistence. Categories and subcategories were also identified, such as "off-hours training," and the following code was presented: "We have to make adjustments to the schedules to hold the established classes, and we try to accommodate them so that classes can be held and courses taken." (Green). Conclusion. Online training promotes self-directed learning, as it offers suitable educational resources for clinical tutors. Self-directed learning is a critical area of opportunity, especially in its socio-affective and emotional aspects. Key words: Mentor; Self-learning; Distance learning.
subject: Research article
  topic: section
creator: Rosa Isela Tapia Munguia
creator: Graciela González Juárez
creator: Martha Lilia Bernal Becerril
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-05-21
publication date: 2026-05-21
starting page: e6226
ending page: e6226
doi: 10.19136/hs.a25n2.6226

Effectiveness of a social marketing strategy aimed at people with excess body fat
type: item
description: Objective: To evaluate the effectiveness of a social marketing strategy targeting individuals with excess body fat in enrolling in and completing the comprehensive SIN MEDIDA program. Materials and methods: A mixed research was carried out, with descriptive and cross-sectional scope carried out in two phases, the first without and the second with social marketing strategies. Results: In the first phase of thirteen locations visited, only 66 people expressed interest, and eleven completed the program, achieving a completion rate of 16.7%. These participants primarily came from the Municipal Institute of Physical Culture and Sports and the Faculty of Behavioral Sciences (FACICO). In the second phase, when the SIN MEDIDA social marketing campaign was launched, the completion rate increased to 43.1%, mainly from individuals who learned about the program through FACICO's Facebook page and via institutional email. There was a statistically significant difference between phases one and two, indicating that SIN MEDIDA's social marketing strategies were effective (χ² = 10.46; p = 0.001). Conclusions: Implementing social marketing strategies makes health programs visible on social networks. With half of the spaces visited, almost the same number of participants who started the intervention was achieved, but the number of people who completed the program doubled. This represents an opportunity to save time and effort in finding participants for primary care interventions. Keywords: Social Marketing; Obesity; Primary Health Care.
subject: Research article
  topic: section
creator: María de Jesús Serrano Plata
creator: Patricia Balcázar Nava
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-05-22
publication date: 2026-05-22
starting page: e6187
ending page: e6187
doi: 10.19136/hs.a25n2.6187

Paid work, chronic diseases, and consumption behaviors among older adults, Mexico 2021
type: item
description: Objective: To analyze the associations between sex, age groups, selected chronic diseases, and consumption behaviors among older adults engaged in paid work in Mexico in 2021. Materials and Methods: A quantitative, cross-sectional, descriptive, and exploratory study was conducted using data from the 2021 wave of the Mexican Health and Aging Study (MHAS). Weighted frequencies of diabetes, heart conditions, cancer, alcohol consumption, and tobacco use were estimated among older adults engaged in paid work. Subsequently, a Multiple Correspondence Analysis was applied to identify proximities between sociodemographic categories, selected chronic diseases, and consumption behaviors. Results: In 2021 approximately 5.3 million older adults in Mexico were engaged in paid work. Within this population, the highest estimated frequencies correspond to alcohol consumption, tobacco use, and the presence of diabetes. The Multiple Correspondence Analysis identified two main associations: on the one hand, the proximity between men engaged in paid work, the 60–64 age group, and alcohol and tobacco consumption; on the other hand, the proximity between women engaged in paid work and the presence of diabetes. These findings represent descriptive associations between categories, within the cross-sectional and exploratory scope of the study. Conclusions: The findings show that older adults engaged in paid work constitute a heterogeneous population in terms of specific chronic diseases and consumption behaviors. The identification of differentiated associations by sex and age may contribute to the design of prevention and care strategies targeted at this population group. Keywords: Paid work; Aging; Chronic diseases; Alcohol consumption; Tobacco use.
subject: Research article
  topic: section
creator: Sergio Cuauhtémoc Gaxiola Robles Linares
creator: Diego Isai Barranco Herrera
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-05-26
publication date: 2026-05-26
starting page: e6223
ending page: e6223
doi: 10.19136/hs.a25n2.6223

Empathy in professionals at the first level of health care. Havana, 2025
type: item
description: Objective: To identify the level of empathy among healthcare professionals at the primary care level in Havana province. Materials and methods: A cross-sectional, descriptive, observational study was conducted to measure the level of empathy among professionals at polyclinics in the municipalities of Marianao, Centro Habana, and Arroyo Naranjo in Havana, from January 2025 to June 2025. The Jefferson Scale of Physician Empathy, validated in the Cuban context, was used. Participants were characterized according to sociodemographic variables and their overall empathy levels, as well as their cognitive and affective dimensions. Results: The research revealed that 40.6% of the professionals studied received an overall rating of "Poor," only 21.8% received an excellent rating, and 19.8% received a "Good" rating. Analysis of the empathy dimensions showed that for the cognitive dimension, 28.7% of respondents scored between excellent and good (21.8%), but it should be noted that 30.7% scored "Poor." For the affective dimension, the highest percentage was rated as "Poor" in the components of Compassionate Care and Empathy, with 49.5% and 42.6% respectively. Conclusions: The application of the Jefferson Scale of Physician Empathy to healthcare professionals in Havana showed unsatisfactory empathy results. Identifying the level of empathy is novel in the Cuban context and has high social relevance, providing valuable data for improving clinical practice and implementing training interventions for healthcare professionals. Keywords: Empathy; Professionals; Health.
subject: Research article
  topic: section
creator: María Regla Bolaños Gutiérrez
creator: Liliam Quelle Santana
creator: Marlene García Padín
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-06-11
publication date: 2026-06-11
starting page: e6234
ending page: e6234
doi: 10.19136/hs.a25n3.6234

Evaluation of the campaign “if you use drugs, you harm yourself”: conalep case
type: item
description: Objective: This article presents a diagnostic evaluation of the knowledge, perceptions, and skills of upper secondary students from the CONALEP system in Nuevo León, Mexico, within the framework of the national campaign “If You Do Drugs, You Damage Yourself.” The study aims to identify students’ competencies in audiovisual production and preventive communication as part of a broader educational and public health strategy. Materials and Methods: A quantitative, descriptive, and cross-sectional methodology was used. A non- probabilistic sample of students and teachers was surveyed using a diagnostic instrument designed to assess variables such as knowledge of psychoactive substances, prior experience in prevention campaigns, communication skills, video editing, graphic design, and use of social media for preventive messaging. Results: The results indicate that most students have limited or partial knowledge of the consequences of drug use and little prior involvement in preventive initiatives. Moreover, there are significant gaps in the technical skills required to make audiovisual content and in the strategic use of digital platforms for awareness- raising. A large proportion of participants expressed a strong need for training in audiovisual production, digital communication strategies, and substance abuse prevention. Conclusions: The conclusions highlight the importance of integrating training programs that strengthen media literacy, preventive communication, and youth participation in public health ampaigns. The article proposes educational strategies that incorporate digital competencies, communication tools, and preventive content into the school environment, aiming to foster a culture of self-care and reduce risk behaviors among adolescents. This study contributes to the field of health promotion and public education by offering empirical evidence to support the design of more effective drug prevention campaigns for youth populations, particularly in school and…
subject: Research article
  topic: section
creator: Janet García González
creator: Selene Céspedes Del Fierro
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-06-15
publication date: 2026-06-15
starting page: e6095
ending page: e6095
doi: 10.19136/hs.a25n3.6095

Loneliness and life satisfaction in institutionalized older adults
type: item
description: Objective: To examine, within a group of older adults, the relationship between the frequency of visits received, the length of stay in the institution, and the levels of loneliness and life satisfaction. Material and Methods: A quantitative approach was adopted, employing a correlational study with a cross-sectional design. A non-probabilistic sampling method was used to study 25 elderly residents of a care facility in Carmona (Seville, Span). Data collection included interviews, review of social records, the Life Satisfaction Scale, and a version of the University of California, Los Angeles (UCLA) Loneliness Scale. Results: Findings indicated moderate levels of both loneliness and life satisfaction. Loneliness was inversely correlated with the duration of institutionalization. No significant relationship was found between the number of visits received and perceived loneliness; however, a positive association was observed between the frequency of maintained contacts and the level of life satisfaction. Conclusion: The study concluded that family support did not show a clear influence on levels of loneliness or life satisfaction. These results underscore the need for further research on this topic and the importance of considering other determinants of well-being, such as relationships with healthcare staff and interactions with other residents. Keywords: Life satisfaction; Loneliness; Institutionalization; Social support.
subject: Research article
  topic: section
creator: Elisabet del Estal Rosendo
creator: Dunia Mercedes Ferrer Lozano
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-04-14
publication date: 2026-04-14
starting page: e6230
ending page: e6230
doi: 10.19136/hs.a25n2.6230

Sociodemographic factors associated with quality of life in Mexican older adults with type 2 diabetes
type: item
description: Objective: To evaluate the sociodemographic factors associated with quality of life in older people with type 2 diabetes mellitus. Materials and methods: This is an analytical and cross-sectional study in 251 older adults with type 2 diabetes mellitus (T2D) who are users of three day care centers for the elderly in Hidalgo, Mexico. Sociodemographic characteristics were obtained with a general data questionnaire. The WHOQOL-BREF instrument was used to assess Health-Related Quality of Life (HRQoL) in four domains. Logistic regression models were applied to estimate odds ratios, adjusted for confounding variables. Results: The dimensions with the highest proportion of deficient HRQoL were psychological health (20.7%) and physical health (19.1%). Older adults, with low education, without a partner or who lived alone, and those who had two or more comorbidities showed a higher probability of deficient HRQoL. Conclusions: A considerable proportion of older adults with T2D have deficient HRQoL, particularly in the physical and psychological areas. Sociodemographic factors such as advanced age, low educational level, and living alone have a negative influence on HRQoL. These results consolidate the importance of implementing comprehensive interventions that address both clinical and social factors in the care of this population. Keywords: Aged; Social factors; Quality of life.
subject: Research article
  topic: section
creator: Alexis Arias Anaya
creator: José Ángel Hernández Mariano
creator: Ana Cristina Castañeda Márquez
creator: José Antonio Guerrero Solano
creator: Edith Araceli Edith Araceli Canon Estrada
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-04-21
publication date: 2026-04-21
starting page: e6163
ending page: e6163
doi: 10.19136/hs.a25n2.6163

Altruism, gender and biosecurity in blood donation in Oaxaca
type: item
description: Objective: To estimate and analyze gender differences in altruistic blood donation and in the biosafety of the donation process among donors attended at the State Blood Transfusion Center (CETS) in Oaxaca, Mexico. Materials and Methods: Cross-sectional study with a mixed approach. The demographic distribution of altruistic donation, the characteristics of altruism by gender, the causes of rejection prior to donation and subsequent self-exclusion were evaluated. Records from the CETS Oaxaca from 2006 to 2021 (n=118,153) were reviewed and 88 semi-structured interviews were conducted with donors between 2022 and 2023. Results: One in five blood donors at CETS Oaxaca is a woman (20.2 %), yet women are 52 % more likely to be altruistic donors. Pre-donation deferral based on interview, physical examination, and blood screening was higher among women than among men (7.4 % vs. 4.5 %). Among deferral causes, inadequate hematological values were more frequent in women, whereas preexisting conditions, risk practices, and the biosafety category showed higher proportions in men. Post-donation self-exclusion was below 1 % in both sexes and tended to be slightly higher in replacement donation than in altruistic donation. Conclusions: Important differences were identified between men and women in both motivations for altruistic blood donation and key biosafety indicators of the donation process. These findings provide elements to strengthen donor recruitment and selection strategies, as well as to improve transfusion safety and the health of women and the general population. Keywords: Blood donation; Altruism; Blood safety.
subject: Research article
  topic: section
creator: Jorge Domínguez Sánchez
creator: Austreberta Nazar Beutelspacher
creator: Benito Salvatierra Izaba
creator: Arturo Torres Dosal
creator: María Georgina Rivas Bocanegra
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-05-25
publication date: 2026-05-25
starting page: e6087
ending page: e6087
doi: 10.19136/hs.a25n2.6087

Educational initiative with primary school children to increase their perception of pesticide risk
type: item
description: Objective: Exposure to pesticides is a significant health risk factor for occupationally exposed populations, their families, and those residing in areas near agricultural fields. The objective of this educational initiative was to increase the knowledge and risk perception of schoolchildren at a primary school located in a town dedicated to the cultivation of flowers and ornamental plants, in order to encourage the adoption of environmental hygiene habits that reduce pesticide exposure. Materials and methods: Between April and June 2024, an educational initiative consisting of 5 sessions was conducted, based on elements of popular education, child-to-child methodology, and meaningful learning. 53 fifth- and sixth-grade primary school students participated. Mixed methods (knowledge questionnaire and focus groups) were used to explore the students' knowledge, risk perception, and hygiene practices before (pre) and after (post) the intervention. Results: After the intervention, a significant increase in knowledge about pesticide uses (56.13%pre vs 96.23%post, p <0.01), exposure routes (dermal: 30.19%pre vs 69.81%post, p <0.005; inhalation 54.72%pre vs 73.58%post, p <0.005), perception of health risks (54.72%pre vs 92.45%post, p <0.001) and identification of storage places (50.94%pre vs 75.47%post, p 0.007). The didactic methodologies used encouraged the participation, motivation and interest of the students in the topics reviewed. Conclusions: Meaningful learning strategies increase risk perception and promote practices that reduce pesticide exposure. However, periodic interventions are required to achieve sustainable changes in the medium and long term. Keywords: Pesticides; Health risks; Schoolchildren.
subject: Research article
  topic: section
creator: Dulce María Castañeda Gutiérrez
creator: Luz Arenas Monreal
creator: Esteban de Jesús Cruz Gama
creator: Julia Blanco Muñoz
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-04-30
publication date: 2026-04-30
starting page: e6189
ending page: e6189
doi: 10.19136/hs.a25n2.6189

Regional patterns and associated factors of self-medication in Peru: analysis of a national survey
type: item
description: Objective. To assess the factors associated with self-medication across Peru’s macroregions using data from the National Health User Satisfaction Survey 2016 (ENSUSALUD 2016). Materials and methods. To assess the factors associated with self-medication across Peru’s macroregions using data from the National Health User Satisfaction Survey 2016 (ENSUSALUD 2016). Results. Self-medication was most frequent in the Eastern macroregion (82.3%). In the Northern macroregion, lower prevalence was associated with having secondary (aPR: 0.83) or higher education (aPR: 0.80), affiliation with the Comprehensive Health Insurance (aPR: 0.85) or EsSalud (aPR: 0.86), purchasing antibiotics (aPR: 0.80) and knowledge of the duration of the treatment (aPR: 0.52-0.54). Higher prevalence of self-medication was associated with having private insurance (aPR: 1.21), being convalescent, retired or a domestic worker (aPR: 1.91), and knowledge of drug dosage (aPR: 4.50-4.78). Conclusions. Regional variations were identified across the Central, Southern, Eastern and Lima Metropolitana macroregions, associated with sociodemographic and knowledge differences. These findings highlight the need to implement region-specific interventions to promote safe and rational medicine use. Keywords: Self-medication; Associated factors; Prescription; Peru; Antibiotics
subject: Research article
  topic: section
creator: Maria Pinedo Bardales
creator: Emiliana Rizo Patrón
creator: Maribel Riveros
creator: Brayan E. E. Gonzales
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-03-26
publication date: 2026-03-26
starting page: e6202
ending page: e6202
doi: 10.19136/hs.a25n2.6202

Brief interventions to reduce alcohol consumption in college students: A systematic review
type: item
description: Objective: To review the effectiveness of brief interventions specifically implemented in university students for reducing alcohol consumption. Materials and Methods: A systematic review was carried out following the recommendations of the Cochrane Handbook and the PRISMA statement, with PROSPERO 420261353502 record. We searched for original articles published between 2014 and 2025 in PubMed, Scopus, SciELO and APA PsycNet. Given the methodological heterogeneity and outcome measures, a narrative synthesis of the findings was made. Results: A total of 14 studies were included. Most (n=12) demonstrated consistent effects in reducing the number of drinks and frequency of drinking days, as well as associated negative consequences. The number of sessions ranged from one to seven, and most interventions incorporated personalized feedback. However, some studies (n=2) found no differences between conditions, attributable to assessment reactivity, low statistical power, and lack of personalization. Conclusions: Brief interventions are an effective strategy for reducing alcohol consumption levels among university students. The evidence supports the use of motivational approaches and flexible delivery modalities. Key words: Young adults; Alcohol consumption; Alcohol use.
subject: Reviewed Articles
  topic: section
creator: Leslie Guadalupe Graniel Thompson
creator: María Magdalena Alonso Castillo
creator: Nora Angélica Armendáriz García
creator: Manuel Antonio López Cisneros
creator: Karla Selene López García
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-06-10
publication date: 2026-06-10
starting page: e6157
ending page: e6157
doi: 10.19136/hs.a25n3.6157

Assessment of the supply, storage and stability of donated medicines
type: item
description: Objective: To evaluate the quality of donation-based procurement and storage processes, as well as the stability of medicines in a medicine bank operated by a public social assistance institution. Materials and methods: This study used a descriptive, cross-sectional design. Procurement and storage quality were assessed using checklists based on World Health Organization guidelines and Mexican Official Standard NOM-059-SSA1-2015. For the stability testing, two medicines were selected according to their inventory turnover: paracetamol 500 mg tablets and effervescent acetylsalicylic acid 300 mg tablets. Physical and chemical tests were performed in accordance with NOM-073-SSA1-2015 and the Mexican Pharmacopeia. Results: Supply obtained a compliance of 21% and storage of 18%, which indicates low compliance with the regulatory criteria considered. In the stability analysis, paracetamol complied with 50% of the tests carried out and acetylsalicylic acid complied with 46%. The main deficiencies were related to packaging conditioning, airtightness, resistance to rupture, moisture content, titration and dissolution. Conclusions: Deficiencies were identified in the supply and storage processes, as well as modifications in the stability of the drugs analyzed. These findings support the need to strengthen control and oversight mechanisms in drug redistribution systems to ensure safe access to treatments in vulnerable populations. Keywords: Drug dispensaries; Drug storage; Quality control; Drug stability, Health services.
subject: Research article
  topic: section
creator: Alba Guadalupe Alarcón Márquez
creator: Betzaida Salas García
creator: María Gabriela Alcántara López
creator: María del Carmen Gogeascoechea Trejo
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-04-30
publication date: 2026-04-30
starting page: e6273
ending page: e6273
doi: 10.19136/hs.a25n2.6273

Characterization of the hematological profile of patients with suspected dengue in a Mexican population
type: item
description: Objective: To analyze and compare the hematological profile of patients with positive and negative diagnoses for dengue. Materials and methods: Sixty-six samples from patients with febrile syndrome were retrospectively analyzed, classified according to molecular detection of the dengue virus, recorded in SPSS software version 25, applying measures of central tendency. Results: A mean of 37 years was found, the different viral variables of dengue were obtained, in terms of the hematological profile, leukopenia, thrombocytopenia and neutropenia were found, showing a significance between patients with positive and negative tests. It was observed that the mean of positive patients was below the minimum limit of the normal range, in contrast to the group of negative patients. Conclusions: The clinical importance of determining the hematological profile in patients with dengue should be considered, since diagnostic confirmation alone does not guide comprehensive patient management to establish an adequate prognosis. The analysis of hematological profiles is of vital importance for decisions in clinical practice, given that hemodynamic values are altered during infection. Keywords: Dengue; Diagnostic Techniques and Procedures; Hematology.
subject: Research article
  topic: section
creator: Berty Jhoann García Leiva
creator: Juan Carlos Gálvez Layna
creator: Afelio De la Fuente Padrón
creator: Guzmán Priego Crystell Guadalupe
creator: Guadalupe del Carmen Baeza Flores
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-03-02
publication date: 2026-03-02
starting page: e6184
ending page: e6184
doi: 10.19136/hs.a25n1.6184

Overweight and obesity in rural areas of Mexico
type: item
description: Objective: To analyze the socioeconomic and health variables that determine the condition of excess weight in the inhabitants of rural Mexico. Materials and methods: Based on the National Health and Nutrition Survey (NHNS) 2018, the Body Mass Index (BMI) of the inhabitants was calculated, and they were grouped by age to later estimate the multinomial logit models and marginal effects that would allow identifying which variables have influenced overweight and obesity. Results: In children, the age and schooling of the mother explained the probability of being both overweight and obese by 1%. In young people, overweight was explained by tobacco consumption (21%) and 11% by concern about gaining weight; while in obesity it was related in 6% to concern about weight gain. In adults, being overweight was associated with being a woman and depression; obesity was more likely in men. Finally, in older adults, overweight was more likely in women (12%) and obesity in men (18%), as well as depression (5%), not receiving government support (3%) and alcohol consumption (10%). Conclusions: The role of mothers has small but significant impacts on the excess weight of children and young people. The health conditions of rural households are related to the dynamics within the home in terms of the decisions or strategies of food purchases made by those in charge of the household, depending on the number of members and available resources. Keywords: Body Weight; BMI- age; Rural areas.
subject: Research article
  topic: section
creator: Elena Fuentes
creator: Ceyla Antonio Anderson
creator: Victor Manuel Gerónimo Antonio
rights: Copyright (c) 2026 Horizonte Sanitario https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-07-01
publication date: 2026-07-01
starting page: e6249
ending page: e6249
doi: 10.19136/hs.a25n3.6249