Marina Piazza
Biographic Data
| ID | 4004923 |
|---|---|
| NAME | Marina Piazza |
| GIVEN NAMES | Marina |
| FAMILY NAME | Piazza |
| SIGNATURE | PIAZZA M |
| AFFILIATIONS | Universidad Peruana Cayetano Heredia |
| ORCID | 0000-0002-8446-6419 |
| VERIFIED | Yes |
| TOTAL WORKS | 28 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 28 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2001 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Patterns and predictors of the transition between minimally adequate treatment and effective treatment coverage for mental disorders: Results from the World Mental Health Survey
BACKGROUND: The quality of mental disorder treatment varies widely, with many patients not receiving treatments based on evidence-based guidelines. We examine data from the World Mental Health (WMH) surveys to investigate prevalence and correlates of receiving effective treatment coverage (ETC) among patients receiving minimally adequate treatment (MAT) in the 12 months before interview. METHODS: Data come from 25 WMH surveys carried out in 21 co…
Untangling the complex web of alcohol policy needs and potential solutions in Brazil: Evidence from civil society and political stakeholders
Implementing evidence-based alcohol policies can reduce the negative impact of alcohol consumption on public health. However, Brazil has permissive alcohol policies and weakly adheres to World Health Organization’s recommendations as the ‘best buys’. To explore stakeholders’ perceptions of alcohol policy needs and barriers in Brazil, we conducted semi-structured interviews with 31 stakeholders, including 15 from civil society and 16 policymakers.…
Age of onset and cumulative risk of mental disorders: A cross-national analysis of population surveys from 29 countries
BACKGROUND: Information on the frequency and timing of mental disorder onsets across the lifespan is of fundamental importance for public health planning. Broad, cross-national estimates of this information from coordinated general population surveys were last updated in 2007. We aimed to provide updated and improved estimates of age-of-onset distributions, lifetime prevalence, and morbid risk. METHODS: In this cross-national analysis, we analyse…
Development of community strategies supporting brief alcohol advice in three Latin American countries: A protocol
Brief alcohol advice offered to patients was shown to be a clinically- and cost-effective intervention to prevent and manage alcohol-related health harm. However, this intervention is not yet optimally implemented in practice. A suggested strategy to improve the implementation of brief alcohol advice is through community actions which would enhance the environment in which primary healthcare providers must deliver the intervention. However, there…
Protocol for a process evaluation of SCALA study – Intervention targeting scaling up of primary health care-based prevention and management of heavy drinking and comorbid depression in Latin America
This paper describes the plan for a process evaluation of a quasi-experimental study testing the municipal level scale-up of primary health care-based measurement and brief advice programmes to reduce heavy drinking and comorbid depression in Colombia, Mexico, and Peru. The main aims of the evaluation are to assess the implementation of intervention components; mechanisms of impact that influenced the outcomes; and characteristics of the context …
Country and policy factors influencing the implementation of primary care-based alcohol screening: A comparison of Colombia, Mexico and Peru
Researchers and practitioners recognise the importance of context when implementing healthcare interventions, but the influence of wider environment is rarely mapped. This paper identifies the country and policy-related factors potentially explaining the country differences in outcomes of an intervention focused on improving detection and management of heavy alcohol use in primary care in Colombia, Mexico and Peru. Qualitative data obtained throu…
Reduced alcohol consumption during the Covid-19 pandemic: Analyses of 17 000 patients seeking primary health care in Colombia and Mexico
Background: During the COVID-19 pandemic, an increase of heavy alcohol use has been reported in several high-income countries. We examined changes in alcohol use during the pandemic among primary health care (PHC) patients in two middle income countries, Colombia and Mexico. Methods: Data were collected during routine consultations in 34 PHC centres as part of a large-scale implementation study. Providers measured patients' alcohol consumption wi…
Tailoring an evidence-based clinical intervention and training package for the treatment and prevention of comorbid heavy drinking and depression in middle-income country settings: The development of …
BACKGROUND: Effective interventions exist for heavy drinking and depression but to date there has been limited translation into routine practice in global health systems. This evidence-to-practice gap is particularly evident in low- and middle-income countries. The international SCALA project (Scale-up of Prevention and Management of Alcohol Use Disorders and Comorbid Depression in Latin America) sought to test the impact of multilevel implementa…
Costs of an Alcohol Measurement Intervention in Three Latin American Countries
Alcohol measurement in health care settings is an effective intervention for reducing alcohol-related harm. However, in many countries, costs related to alcohol measurement have not yet been transparently assessed, which may hinder its adoption and implementation. Costs of an alcohol measurement programme in three upper-middle-income Latin American countries were assessed via questionnaires and compared, as part of the quasi-experimental SCALA st…
Oficina de saúde e sexualidade: Residentes de saúde promovendo educação sexual entre adolescentes de escola pública
Objetivo: Relatar a experiência da implementação de oficinas de saúde e sexualidade por residentes de saúde da família com adolescentes do 8o ano de uma escola pública em Florianópolis. Relato de experiência: As oficinas foram organizadas sob a forma de encontros mensais, com turmas do 8o ano dos períodos matutino e vespertino, da Escola de Ensino Básico Hilda Teodoro, situada no bairro da Trindade, em Florianópolis, entre os meses de março a dez…
Treatment gap for anxiety disorders is global: Results of the World Mental Health Surveys in 21 countries
BACKGROUND: Anxiety disorders are a major cause of burden of disease. Treatment gaps have been described, but a worldwide evaluation is lacking. We estimated, among individuals with a 12-month DSM-IV (where DSM is Diagnostic Statistical Manual) anxiety disorder in 21 countries, the proportion who (i) perceived a need for treatment; (ii) received any treatment; and (iii) received possibly adequate treatment. METHODS: Data from 23 community surveys…
The cross-national epidemiology of social anxiety disorder: Data from the World Mental Health Survey Initiative
BACKGROUND: There is evidence that social anxiety disorder (SAD) is a prevalent and disabling disorder. However, most of the available data on the epidemiology of this condition originate from high income countries in the West. The World Mental Health (WMH) Survey Initiative provides an opportunity to investigate the prevalence, course, impairment, socio-demographic correlates, comorbidity, and treatment of this condition across a range of high, …
The descriptive epidemiology of DSM-IV Adult ADHD in the World Health Organization World Mental Health Surveys
Undertreatment of people with major depressive disorder in 21 countries
BACKGROUND: Major depressive disorder (MDD) is a leading cause of disability worldwide. AIMS: To examine the: (a) 12-month prevalence of DSM-IV MDD; (b) proportion aware that they have a problem needing treatment and who want care; (c) proportion of the latter receiving treatment; and (d) proportion of such treatment meeting minimal standards. METHOD: Representative community household surveys from 21 countries as part of the World Health Organiz…
Trauma and PTSD in the WHO World Mental Health Surveys
Background: Although post-traumatic stress disorder (PTSD) onset-persistence is thought to vary significantly by trauma type, most epidemiological surveys are incapable of assessing this because they evaluate lifetime PTSD only for traumas nominated by respondents as their ‘worst.’Objective: To review research on associations of trauma type with PTSD in the WHO World Mental Health (WMH) surveys, a series of epidemiological surveys that obtained r…
Posttraumatic stress disorder in the World Mental Health Surveys
Background Traumatic events are common globally; however, comprehensive population-based cross-national data on the epidemiology of posttraumatic stress disorder (PTSD), the paradigmatic trauma-related mental disorder, are lacking. Methods Data were analyzed from 26 population surveys in the World Health Organization World Mental Health Surveys. A total of 71 083 respondents ages 18+ participated. The Composite International Diagnostic Interview …
Contextualización del inicio sexual y barreras individuales del uso de anticonceptivos en adolescentes de Lima, Huamanga e Iquitos
Objetivos. Contextualizar el inicio sexual y las barreras individuales hacia el uso de anticonceptivos en adolescentes, con conocimiento adecuados sobre anticoncepción y enfermedades de transmisión sexual. Materiales y métodos. Se desarrolló un estudio cuanticualitativo en adolescentes procedentes de ciudades con altas tasas de embarazo: Iquitos, Huamanga y Lima. La convocatoria se realizó a través de Facebook, luego se aplicaron encuestas para s…
Association of Mental Disorders With Subsequent Chronic Physical Conditions: World Mental Health Surveys From 17 Countries
These findings suggest that mental disorders of all kinds are associated with an increased risk of onset of a wide range of chronic physical conditions. Current efforts to improve the physical health of individuals with mental disorders may be too narrowly focused on the small group with the most severe mental disorders. Interventions aimed at the primary prevention of chronic physical diseases should optimally be integrated into treatment of all…
The epidemiology of traumatic event exposure worldwide: Results from the World Mental Health Survey Consortium
Background Considerable research has documented that exposure to traumatic events has negative effects on physical and mental health. Much less research has examined the predictors of traumatic event exposure. Increased understanding of risk factors for exposure to traumatic events could be of considerable value in targeting preventive interventions and anticipating service needs. Method General population surveys in 24 countries with a combined …
Contribución del Perú en las iniciativas para promover la seguridad sanitaria mundial
This article describes the concept of global health security and its development over time. It emphasizes the need to control challenges against global health such as those produced by biologic agents both natural and intentional. It presents world initiatives that have developed during the last two decades and the contribution of Peru to the Global Health Security Agenda (GHSA) and the Monitoring and Evaluation Framework. In order to accelerate …
Uso de la evidencia en politicas y programas de salud aportes del Instituto Nacional de Salud
This article analyzes some examples about how the Ministry of Health of Peru has used evidence for policy and program formulation, implementation and evaluation. It describes the process by which health budget programs are based and strengthened with scientific evidence. Provides an overview about how the development of clinical guidelines methodology is facilitating the generation of high quality evidence based clinical guidelines.It presents so…
Anxious and non-anxious major depressive disorder in the World Health Organization World Mental Health Surveys
Background. To examine cross-national patterns and correlates of lifetime and 12-month comorbid DSM-IV anxiety disorders among people with lifetime and 12-month DSM-IV major depressive disorder (MDD). Method. Nationally or regionally representative epidemiological interviews were administered to 74 045 adults in 27 surveys across 24 countries in the WHO World Mental Health (WMH) Surveys. DSM-IV MDD, a wide range of comorbid DSM-IV anxiety disorde…
Prevalencia anual de trastornos y uso de servicios de salud mental en el Perú: Resultados del estudio mundial de salud mental, 2005
More than 13 out of 100 Peruvians reported having a mental health disorder in the last year. The magnitude of mental health disorders and the gap in those receiving care highlights the urgent need to direct care and resources towards the detection and timely treatment of mental diseases in Peru
Disponibilidad de medicamentos psicotrópicos en establecimientos del Ministerio de Salud del Perú, 2011
There is a significant gap in the availability of psychotropic medications in the health care facilities of the Ministry of Health of Peru. This was observed both in hospitals and in primary care facilities. Actions are needed in health policy and management, including more funding and greater mental health training for staff in primary care, among other initiatives
Comentarios a los artículos: “Prevalencia anual de trastornos y uso de servicios de salud mental en el Perú: resultados del estudio mundial de salud mental, 2005” y “prevalencia de vida y edad de inic…
No prominent works on this page.
Peers, schools, and adolescent cigarette smoking
Prevalencia anual de trastornos y uso de servicios de salud mental en el Perú: Resultados del estudio mundial de salud mental, 2005
More than 13 out of 100 Peruvians reported having a mental health disorder in the last year. The magnitude of mental health disorders and the gap in those receiving care highlights the urgent need to direct care and resources towards the detection and timely treatment of mental diseases in Peru
Disponibilidad de medicamentos psicotrópicos en establecimientos del Ministerio de Salud del Perú, 2011
There is a significant gap in the availability of psychotropic medications in the health care facilities of the Ministry of Health of Peru. This was observed both in hospitals and in primary care facilities. Actions are needed in health policy and management, including more funding and greater mental health training for staff in primary care, among other initiatives
Comentarios a los artículos: “Prevalencia anual de trastornos y uso de servicios de salud mental en el Perú: resultados del estudio mundial de salud mental, 2005” y “prevalencia de vida y edad de inic…
Aceptabilidad del castigo físico en la crianza de los niños en personas que fueron víctimas de violencia física en la niñez en Perú
Objectives. This study evaluated the association between having been a victim of physical violence during childhood and the acceptability, in later life, towards the use of physical punishment in child rearing. Materials and methods. A secondary analysis was conducted of a study on violence in 6,399 people over 14 years of age living in the cities of Lima, Callao, Maynas, Arequipa, Cusco, Trujillo and Huamanga. Univariate and multivariate logisti…
Prevalencia de vida y edad de inicio de trastornos mentales en el Perú urbano: Resultados del estudio mundial de salud mental, 2005
Almost a third of the adult population of five cities in Peru has had some psychiatric disorder at a given time in their lives, and comorbidity is common. Most disorders begin before age 30
Anxious and non-anxious major depressive disorder in the World Health Organization World Mental Health Surveys
Background. To examine cross-national patterns and correlates of lifetime and 12-month comorbid DSM-IV anxiety disorders among people with lifetime and 12-month DSM-IV major depressive disorder (MDD). Method. Nationally or regionally representative epidemiological interviews were administered to 74 045 adults in 27 surveys across 24 countries in the WHO World Mental Health (WMH) Surveys. DSM-IV MDD, a wide range of comorbid DSM-IV anxiety disorde…
Association of Mental Disorders With Subsequent Chronic Physical Conditions: World Mental Health Surveys From 17 Countries
These findings suggest that mental disorders of all kinds are associated with an increased risk of onset of a wide range of chronic physical conditions. Current efforts to improve the physical health of individuals with mental disorders may be too narrowly focused on the small group with the most severe mental disorders. Interventions aimed at the primary prevention of chronic physical diseases should optimally be integrated into treatment of all…
The epidemiology of traumatic event exposure worldwide: Results from the World Mental Health Survey Consortium
Background Considerable research has documented that exposure to traumatic events has negative effects on physical and mental health. Much less research has examined the predictors of traumatic event exposure. Increased understanding of risk factors for exposure to traumatic events could be of considerable value in targeting preventive interventions and anticipating service needs. Method General population surveys in 24 countries with a combined …
Contribución del Perú en las iniciativas para promover la seguridad sanitaria mundial
This article describes the concept of global health security and its development over time. It emphasizes the need to control challenges against global health such as those produced by biologic agents both natural and intentional. It presents world initiatives that have developed during the last two decades and the contribution of Peru to the Global Health Security Agenda (GHSA) and the Monitoring and Evaluation Framework. In order to accelerate …
Uso de la evidencia en politicas y programas de salud aportes del Instituto Nacional de Salud
This article analyzes some examples about how the Ministry of Health of Peru has used evidence for policy and program formulation, implementation and evaluation. It describes the process by which health budget programs are based and strengthened with scientific evidence. Provides an overview about how the development of clinical guidelines methodology is facilitating the generation of high quality evidence based clinical guidelines.It presents so…
The cross-national epidemiology of social anxiety disorder: Data from the World Mental Health Survey Initiative
BACKGROUND: There is evidence that social anxiety disorder (SAD) is a prevalent and disabling disorder. However, most of the available data on the epidemiology of this condition originate from high income countries in the West. The World Mental Health (WMH) Survey Initiative provides an opportunity to investigate the prevalence, course, impairment, socio-demographic correlates, comorbidity, and treatment of this condition across a range of high, …
The descriptive epidemiology of DSM-IV Adult ADHD in the World Health Organization World Mental Health Surveys
Undertreatment of people with major depressive disorder in 21 countries
BACKGROUND: Major depressive disorder (MDD) is a leading cause of disability worldwide. AIMS: To examine the: (a) 12-month prevalence of DSM-IV MDD; (b) proportion aware that they have a problem needing treatment and who want care; (c) proportion of the latter receiving treatment; and (d) proportion of such treatment meeting minimal standards. METHOD: Representative community household surveys from 21 countries as part of the World Health Organiz…
Trauma and PTSD in the WHO World Mental Health Surveys
Background: Although post-traumatic stress disorder (PTSD) onset-persistence is thought to vary significantly by trauma type, most epidemiological surveys are incapable of assessing this because they evaluate lifetime PTSD only for traumas nominated by respondents as their ‘worst.’Objective: To review research on associations of trauma type with PTSD in the WHO World Mental Health (WMH) surveys, a series of epidemiological surveys that obtained r…
Posttraumatic stress disorder in the World Mental Health Surveys
Background Traumatic events are common globally; however, comprehensive population-based cross-national data on the epidemiology of posttraumatic stress disorder (PTSD), the paradigmatic trauma-related mental disorder, are lacking. Methods Data were analyzed from 26 population surveys in the World Health Organization World Mental Health Surveys. A total of 71 083 respondents ages 18+ participated. The Composite International Diagnostic Interview …
Contextualización del inicio sexual y barreras individuales del uso de anticonceptivos en adolescentes de Lima, Huamanga e Iquitos
Objetivos. Contextualizar el inicio sexual y las barreras individuales hacia el uso de anticonceptivos en adolescentes, con conocimiento adecuados sobre anticoncepción y enfermedades de transmisión sexual. Materiales y métodos. Se desarrolló un estudio cuanticualitativo en adolescentes procedentes de ciudades con altas tasas de embarazo: Iquitos, Huamanga y Lima. La convocatoria se realizó a través de Facebook, luego se aplicaron encuestas para s…
Treatment gap for anxiety disorders is global: Results of the World Mental Health Surveys in 21 countries
BACKGROUND: Anxiety disorders are a major cause of burden of disease. Treatment gaps have been described, but a worldwide evaluation is lacking. We estimated, among individuals with a 12-month DSM-IV (where DSM is Diagnostic Statistical Manual) anxiety disorder in 21 countries, the proportion who (i) perceived a need for treatment; (ii) received any treatment; and (iii) received possibly adequate treatment. METHODS: Data from 23 community surveys…
Oficina de saúde e sexualidade: Residentes de saúde promovendo educação sexual entre adolescentes de escola pública
Objetivo: Relatar a experiência da implementação de oficinas de saúde e sexualidade por residentes de saúde da família com adolescentes do 8o ano de uma escola pública em Florianópolis. Relato de experiência: As oficinas foram organizadas sob a forma de encontros mensais, com turmas do 8o ano dos períodos matutino e vespertino, da Escola de Ensino Básico Hilda Teodoro, situada no bairro da Trindade, em Florianópolis, entre os meses de março a dez…
Reduced alcohol consumption during the Covid-19 pandemic: Analyses of 17 000 patients seeking primary health care in Colombia and Mexico
Background: During the COVID-19 pandemic, an increase of heavy alcohol use has been reported in several high-income countries. We examined changes in alcohol use during the pandemic among primary health care (PHC) patients in two middle income countries, Colombia and Mexico. Methods: Data were collected during routine consultations in 34 PHC centres as part of a large-scale implementation study. Providers measured patients' alcohol consumption wi…
Tailoring an evidence-based clinical intervention and training package for the treatment and prevention of comorbid heavy drinking and depression in middle-income country settings: The development of …
BACKGROUND: Effective interventions exist for heavy drinking and depression but to date there has been limited translation into routine practice in global health systems. This evidence-to-practice gap is particularly evident in low- and middle-income countries. The international SCALA project (Scale-up of Prevention and Management of Alcohol Use Disorders and Comorbid Depression in Latin America) sought to test the impact of multilevel implementa…
Costs of an Alcohol Measurement Intervention in Three Latin American Countries
Alcohol measurement in health care settings is an effective intervention for reducing alcohol-related harm. However, in many countries, costs related to alcohol measurement have not yet been transparently assessed, which may hinder its adoption and implementation. Costs of an alcohol measurement programme in three upper-middle-income Latin American countries were assessed via questionnaires and compared, as part of the quasi-experimental SCALA st…
Age of onset and cumulative risk of mental disorders: A cross-national analysis of population surveys from 29 countries
BACKGROUND: Information on the frequency and timing of mental disorder onsets across the lifespan is of fundamental importance for public health planning. Broad, cross-national estimates of this information from coordinated general population surveys were last updated in 2007. We aimed to provide updated and improved estimates of age-of-onset distributions, lifetime prevalence, and morbid risk. METHODS: In this cross-national analysis, we analyse…
Development of community strategies supporting brief alcohol advice in three Latin American countries: A protocol
Brief alcohol advice offered to patients was shown to be a clinically- and cost-effective intervention to prevent and manage alcohol-related health harm. However, this intervention is not yet optimally implemented in practice. A suggested strategy to improve the implementation of brief alcohol advice is through community actions which would enhance the environment in which primary healthcare providers must deliver the intervention. However, there…
Protocol for a process evaluation of SCALA study – Intervention targeting scaling up of primary health care-based prevention and management of heavy drinking and comorbid depression in Latin America
This paper describes the plan for a process evaluation of a quasi-experimental study testing the municipal level scale-up of primary health care-based measurement and brief advice programmes to reduce heavy drinking and comorbid depression in Colombia, Mexico, and Peru. The main aims of the evaluation are to assess the implementation of intervention components; mechanisms of impact that influenced the outcomes; and characteristics of the context …
Medicine (20 works) · Psychiatry (17 works) · Mental health (16 works) · Psychology (13 works) · Environmental health (10 works) · Mental Health Treatment and Access (10 works) · Political science (9 works) · Substance Abuse Treatment and Outcomes (7 works) · Anxiety (6 works) · Demography (6 works)