<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0213-9111</journal-id>
<journal-title><![CDATA[Gaceta Sanitaria]]></journal-title>
<abbrev-journal-title><![CDATA[Gac Sanit]]></abbrev-journal-title>
<issn>0213-9111</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Salud Pública y Administración Sanitaria (SESPAS)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0213-91112020000200004</article-id>
<article-id pub-id-type="doi">10.1016/j.gaceta.2019.03.002</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Salud mental en España y diferencias por sexo y por comunidades autónomas]]></article-title>
<article-title xml:lang="en"><![CDATA[Mental health in Spain and differences by sex, and by autonomous communities]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Henares Montiel]]></surname>
<given-names><![CDATA[Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz-Pérez]]></surname>
<given-names><![CDATA[Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A4"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sordo]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Escuela Andaluza de Salud Pública  ]]></institution>
<addr-line><![CDATA[Granada ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario San Cecilio Unidad de Prevención, Promoción y Vigilancia de la Salud ]]></institution>
<addr-line><![CDATA[Granada ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto de Investigación Biosanitaria  ]]></institution>
<addr-line><![CDATA[Granada ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Complutense de Madrid Facultad de Medicina Departamento de Salud Pública y Materno-Infantil]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<volume>34</volume>
<numero>2</numero>
<fpage>114</fpage>
<lpage>119</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0213-91112020000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0213-91112020000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0213-91112020000200004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo Describir la evolución de la morbilidad psíquica en la población adulta española en 2006, 2011 y 2017. Estudiar la salud mental en 2017, determinando la prevalencia de morbilidad psíquica, consumo de psicofármacos, diagnóstico y salud autopercibida. Todo ello tanto en el ámbito nacional como por comunidades autónomas, y diferenciando entre hombres y mujeres.  Método Estudio transversal. Fuente de información: Encuesta Nacional de Salud de los años 2006, 2011 y 2017. Variables: morbilidad psíquica (GHQ-12), salud autopercibida, diagnóstico de trastorno mental, prescripción de psicofármacos, sexo y comunidad autónoma. Se calcularon los porcentajes y los intervalos de confianza del 95%, y se consideró estadísticamente significativo un valor de p &lt; 0,05 en la prueba de ji al cuadrado.  Resultados La morbilidad psíquica global en España fue del 22,2% en 2006, el 22,1% en 2011 y el 19,1% en 2017. Salvo en Cantabria en 2011, la frecuencia de morbilidad psíquica fue mayor en las mujeres que en los hombres. En 2017, la mayoría de las comunidades autónomas tuvieron una frecuencia de diagnóstico y mala salud autopercibida similar a la media española (15,4% y 33,6%, respectivamente). La media española de prescripción de tranquilizantes fue del 9,2%; destacan Galicia con la frecuencia más elevada y Cantabria (global y hombres), Ceuta y Melilla (mujeres) con las más bajas. La media de prescripción de antidepresivos en España fue del 3,6%. Las frecuencias más altas se observaron en Asturias (global y mujeres) y en Galicia (hombres), y las más bajas en Ceuta y Melilla.  Conclusiones La morbilidad psíquica es un fenómeno prevalente, aunque las cifras en España han descendido ligeramente. Existe una importante variabilidad con respecto a la prescripción de psicofármacos entre comunidades autónomas. Las mujeres presentan peores resultados en todos los indicadores de salud mental estudiados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective To describe the evolution of psychological distress in the adult Spanish population in 2006, 2011 and 2017. To study the mental health status of the population in 2017 analyzing the prevalence of psychological distress, prescription of psychiatric drugs, diagnosis and self-perceived health, in Spain and in the autonomous regions, and differentiating between men and women.  Method Cross-sectional study, using data from the 2006, 2011 and 2017 National Health Surveys in Spain. Variables: psychological distress (GHQ-12), self-perceived health, mental disorder diagnosis, prescription of psychiatric drugs, sex and autonomous community. The frequencies, percentages and confidence intervals at 95% were calculated. The statistical significance level for the chi-square test was p &lt; 0.05.  Results The prevalence of psychological distress in Spain was 22.2% in 2006, 22.1% in 2011 and 19.1% in 2017. With the exception of Cantabria in 2011, in all cases the prevalence of psychological distress was higher in women than men. In 2017, most of the autonomous communities showed prevalence of diagnosis and poor self-perceived health near the Spanish average (15.4% and 33.6%, respectively). The Spanish average of tranquilizer prescription was 9.2%. The highest prevalence was found in Galicia while the lowest was found in Cantabria (overall population and men) and Ceuta and Melilla (women). The Spanish average of antidepressant prescription was 3.6%. The highest prevalence was found in Asturias (overall population and women) and in Galicia (men), while the lowest was found in Ceuta and Melilla.  Conclusions Psychological distress is a prevalent phenomenon although its prevalence in Spain has decreased slightly. There are big differences in the prescription of psychiatric drugs between each autonomous community. Women showed poorer outcomes on each mental health indicator analyzed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Salud mental]]></kwd>
<kwd lng="es"><![CDATA[Desigualdades de género]]></kwd>
<kwd lng="es"><![CDATA[Encuesta Nacional de Salud]]></kwd>
<kwd lng="es"><![CDATA[Comunidades autónomas]]></kwd>
<kwd lng="es"><![CDATA[Psicofármacos]]></kwd>
<kwd lng="en"><![CDATA[Mental health]]></kwd>
<kwd lng="en"><![CDATA[Gender inequalities]]></kwd>
<kwd lng="en"><![CDATA[National Health Survey]]></kwd>
<kwd lng="en"><![CDATA[Autonomous community]]></kwd>
<kwd lng="en"><![CDATA[Psychiatric drugs]]></kwd>
</kwd-group>
</article-meta>
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