This study developed and then tested the feasibility, acceptability and initial efficacy of a 3-session, culturally adapted, intervention combining motivational enhancement therapy (MET) and strengths-based case management (SBCM) delivered by promotoras in Spanish to reduce heavy drinking among male, Latino day laborers. A pilot two-group randomized trial (N=29) was conducted to evaluate the initial efficacy of MET/SBCM compared to Brief Feedback (BF). Alcohol-related measures were assessed at 6, 12 and 18 weeks after baseline. Most intervention group participants (12/14) attended all counseling sessions and most participants (25/29) remained in the study at 18 weeks. Alcohol related measures improved in both groups over time with no statistically significant differences observed at any of the time points. However the comparative effect size of MET/SBCM on weekly drinking was in the large range at 6-weeks and in the moderate range at 12-weeks. Post hoc analyses identified a statistically significant reduction in number of drinks over time for participants in the intervention group but not for control group participants. Despite the extreme vulnerability of the population, most participants completed all sessions of MET/SBCM and reported high satisfaction with the intervention. We feel our community partnership facilitated these successes. Additional studies of community-partnered and culturally adapted interventions are needed to reduce heavy drinking among the growing population of Latinos in the U.S.

Background Guidance on SARS-CoV-2 contact tracing indicators have been recently revised by international public health agencies. The aim of the study is to describe and analyse contact tracing indicators based on Catalonia’s (Spain) real data and proposing to update them according to recommendations. Methods Retrospective cohort analysis including Catalonia’s contact tracing dataset from 20 May until 31 December 2020. Descriptive statistics are performed including sociodemographic stratification by age, and differences are assessed over the study period. Results We analysed 923,072 contacts from 301,522 SARS-CoV-2 cases with identified contacts (67.1% contact tracing coverage). The average number of contacts per case was 4.6 (median 3, range 1–243). A total of 403,377 contacts accepted follow-up through three phone calls over a 14-day quarantine period (84.5% of contacts requiring follow-up). The percentage of new cases declared as contacts 14 days prior to diagnosis evolved from 33.9% in May to 57.9% in November. All indicators significantly improved towards the target over time (p < 0.05 for all four indicators). Conclusions Catalonia’s SARS-CoV-2 contact tracing indicators improved over time despite challenging context. The critical revision of the indicator’s framework aims to provide essential information in control policies, new indicators proposed will improve system delay’s follow-up. The study provides information on COVID-19 indicators framework experience from country’s real data, allowing to improve monitoring tools in 2021–2022. With the SARS-CoV-2 pandemic being so harmful to health systems and globally, is important to analyse and share contact tracing data with the scientific community.

Fundamento: La inmigración de países de bajo desarrollo socio-económico ei relativamente reciente en nuestro país. Analizar el impacto de enfermedade\ como el VIH/sida y la tuberculosis en estas poblaciones, presenta especial interés en materia de salud pública.Métodos: Estudio de casos y controles. reahzado en el Centro Penitenciario de Hombres de Barcelona. entre el l/Ol p el 30/09 de 1996. siendo lo\ casos los inmigrantes extranjeros de países de bajo desarrollo socio-económico. y los controles los internos autóctonos apareado\ por edad (+i-5 años). Se describen las características epidemiológica\ y sociodemográficas de los inmigrantes. 1 se comparan ambas poblaciones.Resultados: Se incluyeron 450 internos. 300 autóctonos y 150 inmlgrantea. El 63% de loq inmigrantes eran magrebíes. un 72% se hallaban en situación irregular. el 559 llevaban rná\ de 5 año< de residencia en nuestro país y el 53% no disponía de convivencia familiar. Los inmigrantes consumían menos drogas por vía parenteral que los autóctonos (OR: 0 .2: ICsj, i 0.09-0,411, presentaban menos infección VIH (0R:O.Z: ICSS~ 0.0%0,491 y vivían menos en familia (OR: 0.2: IC95r, 0.1 I-0.36). No había diferenaas en cuanto a Infección por ~~cohac~te~~ron fuh~~ir~~lo.tis ni a enfermedad tuberculosa. Los inmigrante< regularizado< eran mayore\ (OR: 1.07: ICc)>c, 1 .Ol-1.13 1. convivían mL en f.lmilia (OR:2.7: ICW, 1.23-5.801 y consumían má5 alcohol (OR: 1.7: IC W, 1.07. 2.59) que los no regularifado\.Conclusiones: Los interno< autóctonos estaban má\ afectados por el VIH que Io\ inmigrantes, influyendo el uso parenteral de drogaî. más frecuente entre loj autóctonos. En los inmigrante5 la elevada frecuencia de situacione\ no regulariza-da> 4 la ausencia de núcleo familiar estable constituyen indicadores de marginación social.Palabras Clave: Imnigrante. prisión. VIH, SIDA. tuberculosis. enfermedadeî infeccio\as, alcohol, droga\.

de Olalla Rizo (1), Martí Val1 Mayans (2), Montserrat Miret Mases (2), Roser Clos Guix (l), Jordi Casabona Barbar& (2), Joan A. Cay15 Buqueras (l), y Grupo Colaborador *.

No abstract