000126980 001__ 126980 000126980 005__ 20241125101146.0 000126980 0247_ $$2doi$$a10.3389/fpubh.2023.1067249 000126980 0248_ $$2sideral$$a134428 000126980 037__ $$aART-2023-134428 000126980 041__ $$aeng 000126980 100__ $$aMartí-Lluch, Ruth 000126980 245__ $$aRole of personal aptitudes as determinants of incident morbidity, lifestyles, quality of life, use of health services, and mortality (DESVELA cohort): quantitative study protocol for a prospective cohort study in a hybrid analysis 000126980 260__ $$c2023 000126980 5060_ $$aAccess copy available to the general public$$fUnrestricted 000126980 5203_ $$aIntroductionThe healthcare and well-being of the population depend on multiple factors and should adapt to societal changes. The opposite is also occurring; society has evolved concerning the individuals’ approach to their care, which includes participation in decision-making processes. In this scenario, health promotion and prevention become crucial to provide an integrated perspective in the organization and management of the health systems.Health status and well-being depend on many aspects, determinants of health, which in turn may be modulated by individual behavior. Certain models and frameworks try to study the determinants of health and individual human behaviors, separately. However, the interrelation between these two aspects has not been examined in our population.Our main objective is to analyze whether personal aptitudes related to behaviors are independently associated with the incidence of morbidity. A secondary objective will enquire whether these personal aptitudes are independently associated with lower all-cause mortality, enhanced adoption of healthy lifestyles, higher quality of life, and lower utilization of health services during follow-up.MethodsThis protocol addresses the quantitative branch of a multicenter project (10 teams) for the creation of a cohort of at least 3,083 persons aged 35 to 74 years from 9 Autonomous Communities (AACC). The personal variables to evaluate are self-efficacy, activation, health literacy, resilience, locus of control, and personality traits. Socio-demographic covariates and social capital will be recorded. A physical examination, blood analysis, and cognitive evaluation will be carried out.Several sets of six Cox models (one for each independent variable) will analyze the incidence of morbidity (objective 1); all-cause mortality and the rest of the dependent variables (objective 2). The models will be adjusted for the indicated covariates, and random effects will estimate Potential heterogeneity between AACC.DiscussionThe analysis of the association of certain behavioral patterns and determinants of health is essential and will contribute to improving health promotion and prevention strategies. The description of the individual elements and interrelated aspects that modulate the onset and persistence of diseases will allow the evaluation of their role as prognostic factors and contribute to the development of patient-tailored preventive measures and healthcare.Clinical Trial Registration: ClinicalTrials.gov, NCT04386135. Registered on April 30, 2020. 000126980 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI19-00115$$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI19-00147$$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI19-00434$$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI19-00997$$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI19-01076$$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI19-01140$$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI19-01264$$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI19-01285$$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI19-01314$$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI19-01459$$9info:eu-repo/grantAgreement/ES/ISCIII-RedIAPP/RD16-0007-0001$$9info:eu-repo/grantAgreement/ES/ISCIII-RedIAPP/RD16-0007-0002$$9iinfo:eu-repo/grantAgreement/ES/ISCIII-RedIAPP/RD16-0007-0003$$9iinfo:eu-repo/grantAgreement/ES/ISCIII-RedIAPP/RD16-0007-0004$$9info:eu-repo/grantAgreement/ES/ISCIII-RedIAPP/RD16-0007-0005$$9iinfo:eu-repo/grantAgreement/ES/ISCIII-RedIAPP/RD16-0007-0006$$9iinfo:eu-repo/grantAgreement/ES/ISCIII-RedIAPP/RD16-0007-0008$$9iinfo:eu-repo/grantAgreement/ES/ISCIII-RedIAPP/RD16-0007-0009$$9iinfo:eu-repo/grantAgreement/ES/ISCIII-RedIAPP/RD16-0007-0010$$9iinfo:eu-repo/grantAgreement/ES/ISCIII-RedIAPP/RD16-0007-0012$$9info:eu-repo/grantAgreement/ES/ISCIII-RICAPPS/RD21-0016-0001$$9info:eu-repo/grantAgreement/ES/ISCIII-RICAPPS/RD21-0016-0003$$9info:eu-repo/grantAgreement/ES/ISCIII-RICAPPS/RD21-0016-0005$$9info:eu-repo/grantAgreement/ES/ISCIII-RICAPPS/RD21-0016-0009$$9info:eu-repo/grantAgreement/ES/ISCIII-RICAPPS/RD21-0016-0010$$9info:eu-repo/grantAgreement/ES/ISCIII-RICAPPS/RD21-0016-0012$$9info:eu-repo/grantAgreement/ES/ISCIII-RICAPPS/RD21-0016-0022$$9info:eu-repo/grantAgreement/ES/ISCIII-RICAPPS/RD21-0016-0025$$9info:eu-repo/grantAgreement/ES/ISCIII-RICAPPS/RD21-0016-0029 000126980 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000126980 590__ $$a3.0$$b2023 000126980 592__ $$a0.895$$b2023 000126980 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b115 / 408 = 0.282$$c2023$$dQ2$$eT1 000126980 593__ $$aPublic Health, Environmental and Occupational Health$$c2023$$dQ1 000126980 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b115 / 408 = 0.282$$c2023$$dQ2$$eT1 000126980 594__ $$a4.8$$b2023 000126980 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000126980 700__ $$aBolíbar, Bonaventura 000126980 700__ $$aLlobera, Joan 000126980 700__ $$aMaderuelo-Fernández, José A 000126980 700__ $$0(orcid)0000-0002-5494-6550$$aMagallón-Botaya, Rosa$$uUniversidad de Zaragoza 000126980 700__ $$aSánchez-Pérez, Álvaro 000126980 700__ $$aFernández-Domínguez, Ma José 000126980 700__ $$aMotrico, Emma 000126980 700__ $$aVicens-Pons, Enric 000126980 700__ $$aNotario-Pacheco, Blanca 000126980 700__ $$aAlves-Cabratosa, Lia 000126980 700__ $$aRamos, Rafel 000126980 700__ $$a 000126980 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina 000126980 773__ $$g11 (2023), [12 pp.]$$pFront. public health.$$tFrontiers in public health$$x2296-2565 000126980 8564_ $$s795020$$uhttps://zaguan.unizar.es/record/126980/files/texto_completo.pdf$$yVersión publicada 000126980 8564_ $$s2492848$$uhttps://zaguan.unizar.es/record/126980/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000126980 909CO $$ooai:zaguan.unizar.es:126980$$particulos$$pdriver 000126980 951__ $$a2024-11-22-12:04:42 000126980 980__ $$aARTICLE