This aim of this paper is to determine the relationship between the consumption of tobacco, cannabis, and alcohol (including drunkenness and binge drinking consumption patterns) in the previous 30 days by Spanish adolescents and the information that is available to adolescents on drug consumption. This cross-sectional study employed data from the Survey on Drug Use in Secondary Education in Spain (ESTUDES 2016), which was conducted on students aged 14 to 18 (n = 35,369). Contingency tables, mean comparison tests, and logistic regression analyses were conducted and prevalence ratios (PR) were obtained. The results show that the probability that an adolescent will smoke tobacco is associated with whether their mother and/or father smoke (PR: 1.30), whether some of their friends smoke (PR: 14.23), whether the majority of their friends smoke (PR: 94.05) and how well informed they perceive themselves to be (PR: 1.30). Cannabis use is mainly associated with whether most of their friends also use cannabis (PR: 93.05) and whether they are sufficiently informed regarding this consumption (PR: 1.59). Alcohol consumption is associated with whether their mothers drink regularly (PR: 1.21), whether most of their friends drink (PR: 37.29), and whether they are well informed (PR: 1.28). Getting drunk and binge drinking are associated with whether their friends have these behaviors (PR: 44.81 and 7.36, respectively) and whether they are sufficiently informed (PR: 1.23 for both behaviors). In conclusion, the consumption of these substances is more frequent among Spanish adolescents who believe that they are better informed and whose friends have similar patterns of consumption.

This paper analyses compulsive Internet use among Spanish adolescents as measured by the Compulsive Internet Use Scale (CIUS) of the ESTUDES 2016 survey (national survey on drug use in secondary schools), which was recently added to the statistical programme of the Spanish National Plan on Drugs. We examined two subsamples of Spanish adolescents (those who suffer from compulsive Internet use and those who do not) while taking into account gender and age. Our general hypothesis was that adolescents who suffer from compulsive Internet use have a greater prevalence of alcohol, tobacco, cannabis, sedative, and new substance consumption as well as a greater prevalence of modes of consumption such as getting drunk, drinking with friends in public places (botellón), and binge drinking. While our results confirm these assumptions, they also suggest that gender and age play an ambivalent role in these associations.

Background Decision-making tools represent a paradigm shift in the relationship between the clinician and the user/patient. Some of their advantages include patient commitment, the promotion of preferences and values, and increased treatment adherence. This study protocol aims to assess the effectiveness of a decision-making tool in contraception (SHARECONTRACEPT) concerning: a) Improvement in counselling on hormonal contraception at the medical consultation, measured in terms of decreasing decisional conflict and improving knowledge of available contraceptive options; b) Improvement in adherence to treatment measured in terms of: persistence in the chosen treatment, compliance with dose or procedure of use, and ability to deal with incidents related to the use of the contraceptive method; and decreasing unwanted pregnancies and voluntary interruption of pregnancy. The SHARECONTRACEPT tool, developed by previous phases of this project, is available at: http://decisionscompartides.gencat.cat/en/decidir-sobre/anticoncepcio_hormonal/ Methods/design A longitudinal, prospective-type, randomized, controlled community clinical trial, carried out in the clinical contraceptive counselling units of 6 autonomous regions in Spain, with an experimental group and a control group. Description of the intervention: The health professionals participating will be randomly assigned to one of the two groups. Clinicians assigned to the experimental group will perform contraceptive counselling assisted by SHARECONTRACEPT, and those of the control group will follow the conventional contraceptive counselling provided in their clinical unit. It is planned to study 1708 users (control group n = 854 and intervention group n = 854), recruited from women who attend the consultations of the health professionals. The selected users will be followed up for one year. The data will be collected through ad-hoc questionnaires, and validated instruments for measuring decisional conflict and adherence to treatment. Discussion The results of this study protocol will offer evidence of the effectiveness of a shared decision-making tool, SHARECONTRACEPT, which may prove a useful tool for users and professionals to promote adherence to contraceptive methods. Trial registration Clinical Register number ISRCTN5827994 . Date: 15/04/2019 (Retrospectively registered)

This article studies the impact of poverty during the process of transition to adult life in Spain within the context of the current crisis. It conceptualises young people by means of social criteria, through a multidimensional analysis of vulnerability and a methodological triangulation that combines quantitative analysis (European Union Statistics on Income and Living Conditions, EU-SILC, 2011) with qualitative analysis, through biographical interviews. It localizes the existence of socially differentiated juvenile social groups within the contemporary social structure of Spain. It also shows how each social position is affected by specific forms of vulnerability. Finally, it evaluates the process of integration of this social position in the subjectivity and practices of Spanish youths in terms of reaction strategies in the face of poverty, degradation of identity, and social isolation: everything from the alternative search (often alegal, illegal and/or stigmatized) for material resources, to subjective mechanisms for relief from or relativization of their living conditions.

We evaluate the efficiency of social expenditure (SE) to reduce poverty in the European Union (EU) between 2007 and 2015. The data are programs provided by the EU‐SILC and the ESSPROS. Incorporating efficiency analysis improves the results of the analysis of that complex relationship. We found that the correlation between SE and the levels of poverty (and the correlation between SE and the capacity to reduce poverty) is not strong. In addition, the correlation between SE and the levels of poverty before SE (and the correlation between SE and the levels of inequality before SE) is not significant. Our analysis of the efficiency identifies four groups of countries. The first group has a correspondence with the Continental and Nordic Welfare models (Esping‐Andersen, 1990). They have a great level of SE, and their efficiency is above the EU‐28 average. The second group presents the highest efficiency values. The third group is formed by the Mediterranean welfare states, which present a moderate level of expenditure but have low efficiency. A fourth group composed of non‐EU‐15 countries presents a low SE with under/on average efficiency. We also observe that SEs in family/children, housing, and sickness/healthcare are significantly and positively correlated with efficiency measures. Likewise, in the EU‐15, social exclusion expense exhibits a great positive relationship with the efficiency in poverty reduction.