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Technology-facilitated sexual violence (TFSV) is a significant public health issue, profoundly impacting women’s health. This systematic review aimed to synthesize evidence on the association between TFSV and mental and physical health in women aged 16 years and older. Following PRISMA guidelines, a systematic search was conducted across seven databases (CINAHL, Embase, PubMed, PsycINFO, Web of Science Core Collection, Scopus, and Sociological Abstracts) up to May 2025. The protocol was pre-registered in PROSPERO (CRD420251053409). Data synthesis was conducted using a mixed-methods approach, specifically a convergent segregated design, in which quantitative and qualitative evidence were analyzed separately and later integrated during the interpretation phase to provide a comprehensive understanding of TFSV’s impact. Across 21 studies (17 quantitative, 3 qualitative and 1 mixed-methods) from 11 countries, quantitative research consistently linked TFSV exposure to depression, anxiety, post traumatic stress disorder (PTSD), stress, and negative feelings or perceptions about one’s own body, capturing the prevalence and magnitude of these outcomes. Most quantitative studies were cross-sectional, limiting insight into long-term effects, and reported effect sizes were generally small to moderate. This review additionally highlighting that very few studies isolated the unique effect of TFSV from co-occurring forms of violence. Qualitative studies complemented these findings by detailing the enduring emotional and relational consequences of TFSV, including shame, guilt, loss of control, social isolation, and difficulties in intimate relationships, as well as coping strategies such as social support, activism, and selective digital withdrawal. This review provides evidence that TFSV is significantly associated with adverse mental health outcomes, challenging the misconception that it is less severe than offline violence. It underscores the need for clearer analytical approaches to isolate TFSV from other forms of violence and highlights critical gaps in research on physical health impacts. Evidence on physical health outcomes was scarce, with few studies reporting small associations with somatic symptoms, medication use, or general health, underscoring a critical gap in the literature. This evidence should inform public health responses, policy, and support services to address this pervasive form of structural violence.
This article analyses food practices from a gender perspective. It belongs to the //anonymised// project. The approach is based on the Sociology of Food, which has found notable inequalities between men and women in three areas: in relation to food tastes, in terms of concern for health and the body and, finally, in terms of the division of food work. These issues have traditionally been associated with gendered habitus or eating style. The aim is to test whether, in the context of social change marked by globalisation and homogenisation, the classic gender differentiation persists. For this purpose, a quantitative and descriptive analysis is used with data from a survey carried out in Spain among the population aged 18 and over. The results indicate that gender continues to be an explanatory variable for eating behaviour, tastes and concerns. Good nutrition is associated in women with healthy, balanced and fresh food, and in men the activity of eating is associated to a greater extent with pleasure. Women's concern for health is associated with a greater propensity to diet, as well as to consume fortified products and supplements. Finally, despite their increased participation in the labour market, women continue to be largely responsible for domestic work in relation to food, maintaining, despite social transformations, a second shift in the household (Hochschild, 2021).
Childhood obesity figures in Spain have stabilized but remain among the highest in Europe, with 34.1% of the population aged three to twenty-four showing excess weight, 10.3% obesity, and 31.2% abdominal obesity. Between 2019 and 2023, rates of overweight and obesity among children aged six to nine fell by 3.1 and 1.4 percentage points, respectively, yet remained stable in low-income families, thereby widening the social gap associated with the issue. Paradoxically, a follow-up study involving over a million Spanish children revealed that between 2006 and 2016-the decade following the launch of the NAOS Strategy (Nutrition, Physical Activity, and Obesity Prevention)-obesity prevalence rose solely among those in the most disadvantaged areas; consequently, the ratio of obesity in the lower class compared to the upper class increased from 1.59 to 2.03.
OBJECTIVE:To assess the impact of the Healthcare Triad Model (HTM) on Primary Care accessibility by analyzing changes in Average Response Time (ART). DESIGN:Multicenter, retrospective, quasi-experimental before-and-after study. SETTING:Three primary care centers within the Jerez, Costa Noroeste and Sierra de Cádiz Health Management Area (Andalusia, Spain). PARTICIPANTS:Thirty physicians with continuous clinical activity throughout the study period. Data from the two months before and two months after implementation were analyzed, excluding the rollout phase and summer months. INTERVENTIONS:Implementation of the Healthcare Triad Model, which integrates family physicians, nurses, and citizen care units to reorganize care demand management. MAIN OUTCOME MEASURE:Average Response Time (ART), defined as the number of days until a scheduled medical appointment. RESULTS:Median ART decreased from 8.93 to 4.61 days, representing a median relative reduction of 39.5% (interquartile range [IQR]: 31.1-55.3; p <0.0001). Improvement was observed in 28 of 30 physicians. Multivariable analysis showed no significant associations between ART reduction and individual professional or workload characteristics. CONCLUSIONS:The Healthcare Triad Model significantly improves Primary Care accessibility through organizational redesign, independently of individual professional factors.
INTRODUCTION:As a consequence of major therapeutic advances that have transformed multiple myeloma (MM) into a manageable chronic condition, treatment sequencing has become highly complex. According to current practices, novel therapies are predominantly reserved for later disease stages, yet limited evidence suggests that this approach yields optimal long-term outcomes. Understanding the drivers of current practices and identifying strategies to strengthen evidence-informed sequencing are therefore critical. AREAS COVERED:This paper synthesizes insights from a multi-stakeholder discussion involving patient representatives, clinical experts, health technology assessment (HTA) specialists, and industry representatives. Drivers of current sequencing practices include constraints of clinical development pathways, limitations of guideline development, methodological challenges within HTA, financial pressures, and the high disease burden in advanced disease stages. Several options for optimizing treatment sequencing have been explored, including new evidence-generation approaches, whole-disease modeling, meaningful patient involvement, and expanding evaluation frameworks. EXPERT OPINION:Uncertainty plays a central role in shaping sequencing practices in MM, underscoring the need for better evidence to guide decisions and avoid suboptimal use of treatment options. As the therapeutic landscape continues to expand, sequencing will be even more complex, which necessitates international coordinated efforts. The multi-stakeholder discussion presented here represents an initial step toward enabling such joint actions.
