Alvarez Cutipa, Daniela Carla

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Alvarez Cutipa, Daniela Carla
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Alvarez Cutipa, Daniela Carla
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Alvarez-Cutipa, Daniela Carla
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Universidad Peruana Unión
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  • Publicacion
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    Depression and Abuse During Medical Internships in Peruvian Hospitals
    (2018-10-15)
    Vilchez‐Cornejo, Jennifer
    ;
    Viera-Morón, Ronald David
    ;
    Larico Calla, Gabriel Leonardo  
    ;
    Alvarez Cutipa, Daniela Carla  
    ;
    Sánchez-Vicente, Juan C.
    Objective To estimate the prevalence of depression and abuse and identify the associated factors in medical interns in Peruvian hospitals. Methods We conducted a multicentre, cross-sectional and analytical study during the months of March to May 2016. We included medical interns from 18 Peruvian hospitals, in Lima and provinces. We used a survey that included sociodemographic data and a scale to measure the perception of abuse (psychological, physical and sexual). In addition, we used the Spanish version of the PHQ-9 to evaluate depression. We used Poisson regression with robust variances to calculate prevalence ratios (PRs). Results A total of 402 medical interns participated in the study, the median age was 25 [IQR: 21-33], and 52.7% were male. Moreover, 25.4% of them suffered from depression. In the adjusted model, the variables associated with depression were age (PRa=1.15), the number of hours they sleep per day (PRa=1.23), being a woman (PRa=3.33), performing the internship in a province (PRa=0.25), studying at a public university (PRa=0.64), living with parents (PRa=0.65) or alone (PRa=0.33), and having perceived some type of abuse (PRa=1.07). Conclusions A quarter of surveyed medical interns had depression. Early screening is necessary to identify perceived abuse and other triggering depression factors that may adversely affect work performance and overall mental health during medical internships.
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  • Publicacion
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    Alcohol consumption and suicide risk in medical internship: A Peruvian multicentric study
    (Blackwell Publishing, 2019-01-25)
    Carrasco-Farfan, Carlos Andres
    ;
    Alvarez Cutipa, Daniela Carla  
    ;
    Vilchez-Cornejo, Jennifer
    ;
    Lizana-Medrano, Magaly
    ;
    Durand-Anahua, Paula A.
    Introduction and Aim Suicide and harmful alcohol consumption are major health problems, especially in medical students. This study aimed to evaluate the association between risk for alcohol abuse and suicide risk in medical interns of Peruvian hospitals. Design and Methods We conducted a multicentre cross‐sectional study in medical interns from 18 Peruvian hospitals. We measured suicide risk, risk for alcohol abuse, depression and self‐esteem using the Plutchik Suicide Risk Scale, CAGE, Zung Self‐Rating Depression Scale and Rosenberg Self‐Esteem Scale, respectively. We used χ2 and Student t‐tests for descriptive analysis. To evaluate the association between risk for alcohol abuse and suicide risk we generated crude and adjusted Poisson regression models with robust variance and estimated prevalence ratios with 95% confidence intervals. Results We surveyed 433 medical interns. The prevalence of suicide risk and risk for alcohol abuse was 19.6% and 27.5%, respectively. We found significant differences in suicide risk according to age (P < 0.001), region of origin (P = 0.002), with whom the participant lived (P < 0.001), university of origin (P = 0.040), type of hospital (P = 0.042), family history of attempted suicide (P = 0.043), self‐esteem level (P < 0.001) and alcohol consumption (P < 0.001). In the adjusted model, age (PRa: 1.11, 95% confidence interval 1.05–1.17) and risk for alcohol abuse (PRa: 7.60, 95% confidence interval 4.46–12, 96) were associated with suicide risk. Discussion and Conclusions Two out of 10 medical interns had a positive screening for suicide risk. Age and especially risk for alcohol abuse were the associated variables.
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