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Original article
Relationship between the sociodemographic characteristics of participants in the DIADA project and the rate of compliance with follow-up assessments in the initial stage of the intervention
Relación entre las características sociodemográficas de los participantes del proyecto DIADA y la tasa de cumplimiento al seguimiento en la fase inicial de la intervención
María Paula Cárdenas Charrya,
Corresponding author
m-cardenasc@javeriana.edu.co

Corresponding author.
, Maria Paula Jassir Acostaa, José Miguel Uribe Restrepoa, Magda Cepedaa, Pablo Martinez Camblorb, Leonardo Cubillosb, Sophia M. Bartelsb, Sergio Castroa, Lisa A. Marschb, Carlos Gómez-Restrepoa,c,d
a Departamento de Epidemiología Clínica y Bioestadística, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Colombia
b Center for Technology and Behavioral Health, Geisel School of Medicine, Dartmouth College, Lebanon, United States of America
c Departamento de Psiquiatría y Salud Mental, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Colombia
d Hospital Universitario San Ignacio, Bogotá, Colombia
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Mental health has a variety of definitions&#59; Colombian Law 1616 of 2013&#44; which seeks to guarantee the full exercise of mental health&#44; defines mental health as&#58; &#8220;a dynamic state that is expressed in everyday life through behavior and interaction in such a way that it allows individuals to deploy their emotional&#44; cognitive and mental resources to move through daily life&#44; to work&#44; to establish meaningful relationships and to contribute to the community &#34;&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Likewise&#44; the 2015 National Mental Health Survey in Colombia defines it as a synonym of emotional well-being and quality of human interactions that favor dignified living conditions and humanization&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">While interpreting the above definitions&#44; mental health is understood as an indispensable psychological and psychosocial resource for the proper functioning and integral development of a human being&#44; which is needed to face vicissitudes and situations that generate emotional tension&#46; However&#44; there are currently limitations that make mental health an ideal&#44; which is not fully embraced as a priority by society&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;3</span></a> Indeed&#44; preserving mental health is a challenge for both individual development and&#44; in turn&#44; population development&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">In recent years&#44; diagnoses of mental illness have increased globally&#44; with depression being the most prevalent&#46;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;5</span></a> Depression affects more than 300 million people and is recognized as the leading cause of disability worldwide&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> According to the 2015 National Mental Health Survey&#44; 1 out of every 20 Colombian adults suffers from depression&#46; Not treating it can bring financial&#44; academic and work problems for both the patient and their family&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Likewise&#44; harmful use of alcohol results in 3 million deaths every year worldwide and is a casual factor in more than 200 disease and injury conditions&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> In Colombia&#44; 12&#37; of the population between 18 and 44 years of age consume alcohol at risk levels&#44; with a higher proportion of men than women &#40;16&#37; and 9&#46;1&#37; respectively&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> This results in health consequences for the individual&#44; relationship difficulties and a decrease in productivity&#44; which also affects the national economy&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Despite their high prevalence&#44; mental disorders continue to be a challenge for public health&#44; since most of the people who suffer from them face barriers in access to mental health services&#46; In Colombia&#44; there is a wide gap between coverage and actual access to services&#46; In the case of mental health&#44; the main barriers that prevent access are&#58; attitudinal &#40;stigma and negative beliefs about the health system&#41;&#44; structural and financial &#40;distant geographic location and costs in transportation&#41;&#44; among others&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">These barriers can markedly impact treatment adherence and retention&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> Moreover&#44; it is known that some determinants of health could also interfere with adherence&#59; the age&#44; level of education&#44; employment situation and sociocultural environment of the patient play an important role&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Due to this confluence of factors&#44; it may be useful to embed screening and treatment for mental health within a general&#44; primary care setting and highlight its importance in the field of public health&#46; In so doing&#44; it may be useful to train primary care physicians to diagnose&#44; guide treatment and educate the population on mental health disorders to increase knowledge about mental health disorders&#44; their symptoms&#44; their possible treatment and when one may benefit from mental health care&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">The DIADA Project &#40;Detection and Integrated Care for Depression and Alcohol Use in Primary Care&#41; is an implementation project that proposes a new model of care which integrates mental health into primary care settings in Colombia&#46; Through training of clinicians and the use of mobile technology in behavioral health&#44; the project facilitates the diagnosis and treatment of depression and risky alcohol consumption in the primary care setting&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Objective</span><p id="par0045" class="elsevierStylePara elsevierViewall">Analyze the relationship between the sociodemographic profile of the DIADA project participants and the rate of compliance with the follow-up assessments in the early stage of the intervention&#46; The follow-up assessments allow the evaluation of the participants&#8217; clinical progress since their enrollment through time&#44; as well as the use of Laddr&#174; &#40;Square2 Systems&#41;&#46; Both allow us to analyze the impact of the implementation of the model of care on the health of participants&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Methods</span><p id="par0050" class="elsevierStylePara elsevierViewall">The protocol for this study was approved by the institutional review boards of Dartmouth College in the U&#46;S&#46; and Pontificia Javeriana University in Colombia&#46;</p><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Data collection</span><p id="par0055" class="elsevierStylePara elsevierViewall">On September 12&#44; 2019&#44; our research team extracted sociodemographic data of the DIADA study participants who had been enrolled in the project for at least three months from the study&#8217;s REDCap database&#46; These data included&#58; site location&#44; date of the interview&#44; date of birth&#44; sex &#40;at birth&#41;&#44; civil status&#44; highest level of education&#44; socioeconomic status&#44; employment situation&#44; use of smartphone&#44; use of Internet&#44; score from the screening scales for depression and alcohol consumption &#40;Patient Health Questionnaire and Alcohol Use Disorders Identification Test&#44; respectively&#41; and the age of the participants&#46; At the time of this data collection&#44; the participants were coded by study number&#44; and no names or identification documents were used&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Statistical analysis</span><p id="par0060" class="elsevierStylePara elsevierViewall">The continuous variables&#44; including age&#44; PHQ-9 and AUDIT score are described by means&#44; standard deviations&#44; and the minimum and maximum values&#46; Subsequently&#44; these variables are categorized for analysis&#46; The variables&#44; including site location&#44; sex &#40;at birth&#41;&#44; civil status&#44; highest level of education&#44; socioeconomic status&#44; employment situation&#44; use of smartphone and use of the Internet are treated as categorical and are described by absolute and relative frequencies&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">The compliance rate to follow-up assessments in the initial phase of the intervention is reported together with its 95&#37; confidence interval&#46; The association of each of the variables with compliance to the follow-up assessment was studied using Chi-squared tests&#46; Those differences whose p-value was less than 0&#46;05 were considered statistically significant&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Categorizing variables</span><p id="par0070" class="elsevierStylePara elsevierViewall">Age was grouped according to the stages of human development in 4 subgroups&#44; from 18 to 29 years old&#44; from 30 to 49&#44; from 50 to 69 and over 70&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a></p><p id="par0075" class="elsevierStylePara elsevierViewall">Regarding civil status&#44; the data were grouped into 4 categories&#58; single &#40;including divorced&#41;&#44; in a relationship &#40;married or in free union&#41;&#44; widowed and those who preferred not to answer&#46; The level of education was grouped into 7 components according to the degree achieved&#58; none&#44; only primary school&#44; middle school&#44; high school graduate&#44; technician degree&#44; college degree&#44; and postgraduate degree&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">PHQ-9 data were grouped according to the questionnaire score&#58; 0&#8211;4 negative result&#44; 5&#8211;9 mild symptoms of depression&#44; 10&#8211;14 moderate symptoms&#44; 15&#8211;19 moderate to severe and 20&#8211;27 severe&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a></p><p id="par0085" class="elsevierStylePara elsevierViewall">The socioeconomic status of the participants was determined according to participants&#8217; self &#8211; report of information from their utility bill &#40;for example&#58; water&#44; electricity&#41;&#46; The data were grouped as dictated by the Department on National Planning into rural area&#44; socioeconomic strata 1&#44; 2 and 3 &#40;low strata&#41; and socioeconomic strata 4&#44; 5 and 6 &#40;middle &#8211; high strata&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> This socioeconomic stratification system in Colombia was created in 1994&#44; classifying urban households into six different categories&#46; Strata 1 households correspond to those of lesser quality and strata 6 to the best conditions&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">12</span></a></p><p id="par0090" class="elsevierStylePara elsevierViewall">The employment status of participants was grouped according to their available time into the following categories&#58; housewife&#44; not working &#40;not looking for work&#44; looking for work&#44; disabled and retired&#41;&#44; working &#40;part-time&#44; full-time&#44; independent&#41; and student&#46; This distribution and grouping of the data were chosen by estimating the time spent at home and the time the participants might have available&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">DIADA follow-up protocol</span><p id="par0095" class="elsevierStylePara elsevierViewall">The DIADA project participants&#44; who had been diagnosed with depression and&#47;or harmful alcohol consumption when they joined the DIADA study&#44; and had agreed to join the project and signed informed consent&#44; began their follow-up assessments as follows&#58;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">1</span><p id="par0100" class="elsevierStylePara elsevierViewall">Initial assessment</p><p id="par0105" class="elsevierStylePara elsevierViewall">Upon entering the study&#44; participants completed the sociodemographic form as well as the WHODAS&#44; GAD - 7&#44; HPQ&#44; QDS and NMED&#47;NSOMS measures&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a> &#40;see <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">2</span><p id="par0110" class="elsevierStylePara elsevierViewall">Clinical follow-up</p><p id="par0115" class="elsevierStylePara elsevierViewall">Five clinical assessments were scheduled with each participant every fifteen days &#40;on study days 15&#44; 30&#44; 45&#44; 60 and 75&#41; from the initial assessment&#44; with data collection allowable within a window of seven days around the targeted assessment date&#46; These assessments are conducted by the DIADA team staff over the phone&#44; who inquire about participants&#8217; medical visits in recent days and about their use of the Laddr&#174; digital therapeutic application &#40;Square2 Systems&#41; which provides tools aimed at changing health behavior through an integrated platform that allows self-regulation monitoring for a wide range of populations&#46;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">13&#44;14</span></a> Finally&#44; the PHQ-9 is conducted with participants with depression and the QDS is conducted with participants with harmful alcohol consumption&#59; and if both are present&#44; both tools are applied&#46;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">3</span><p id="par0120" class="elsevierStylePara elsevierViewall">DIADA study assessment follow- up</p><p id="par0125" class="elsevierStylePara elsevierViewall">Within each year of the DIADA project&#44; there are four official study follow-up assessments&#44; which are performed every three months with a two-week window around the targeted assessment date&#46; In the first and third follow-ups &#40;3 and 9 months&#41;&#44; the WHODAS&#44; GAD-7&#44; QDS&#44; NMED &#47; NSOMS and PHQ-8 tools are used&#46; In the second and fourth follow-ups &#40;6 and 12 months&#41; the aforementioned tools are used and the IMICO and HPQ are also added&#46; Additionally&#44; between the first three and six months of participation in the project&#44; a semi-structured qualitative interview is carried out with a sample of participants &#40;n&#8239;&#61;&#8239;30&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a></p></li></ul></p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Results</span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Characterization of the population</span><p id="par0130" class="elsevierStylePara elsevierViewall">At the date of the evaluation&#44; 584 participants were identified&#44; of which 389 had been involved in the project for more than 3 months&#44; enough time to carry out the initial assessment&#44; the clinical follow-ups and the first DIADA follow-up&#46; From the participants included&#44; 320 performed the first follow-up&#44; while 69 did not&#46; The compliance rate to the first follow-up was 82&#46;3&#37; &#40;95 &#37; &#91;CI&#93; 78&#46;1&#37;&#8211;86&#37;&#41;&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Data from the sociodemographic profile of the 389 patients were collected&#46; Of those&#44; 208 belong to primary care site &#35;1 located in the urban area of &#8203;&#8203;the country&#39;s capital city&#44; 111 to primary care site &#35;2 located in a rural area of Boyac&#225; department&#44; and finally 70 participants were from primary care site &#35;3 located in an intermediate city of Boyac&#225;&#44; where patients from rural and urban areas of the country are treated&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">The mean age of participants was 52 years&#44; with a minimum age of 18 and a maximum of 87 &#40;SD 17&#46;25&#41;&#46; It was found that a little less than half of the participants &#40;45&#46;7&#37;&#41; are between 50 and 69 years old&#46; Of the total&#44; 305 are women&#44; representing 78&#37; of the participants&#46; Regarding civil status&#44; 46&#46;2&#37; of the participants are single &#40;including divorced&#41;&#44; 43&#46;4&#37; in a relationship &#40;married or in free union&#41;&#44; 9&#46;8&#37; widowed and 0&#46;6&#37; prefer not to answer&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">The majority of the participants reached only primary education&#44; representing 29&#46;8&#37; of the total participants&#44; followed by the high school degree with 20&#46;5&#37;&#46; 16&#46;2&#37; have college degree&#44; 14&#46;9&#37; technician degree and 12&#46;8&#37; middle school education&#46; Only 3&#46;9&#37; of the participants report not having any level of education and 1&#46;8&#37; have a postgraduate degree&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">Likewise&#44; the scores from the screening tools for depression and alcohol consumption were analyzed&#46; The mean AUDIT score was 2&#46;05 &#40;low risk consumption&#41; with a minimum value of 0 and a maximum of 22 &#40;SD of 4&#46;45&#41;&#46; For the PHQ-9 the mean score was 10&#46;8 points &#40;moderate symptoms of depression&#41; with a minimum value of 0 and a maximum of 27 &#40;SD 5&#46;30&#41;&#46; These screening tools were applied to all participants regardless of initial diagnosis&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">Finally&#44; with depression as the main diagnosis within the study participants&#44; the data from the PHQ-9 score were pooled across all participants&#46; It was found that 0&#46;8&#37; of the participants had a negative result&#44; 48&#46;6&#37; had mild symptoms of depression&#44; 28&#37; moderate symptoms&#44; 13&#46;6&#37; moderate to severe and 9&#37; severe symptoms&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Socioeconomic status</span><p id="par0160" class="elsevierStylePara elsevierViewall">In Colombia&#44; there are 6 different socioeconomic strata &#40;SES&#41; in the urban area and a single stratum in the rural area&#46; The rural area strata represented 16&#46;2&#37; of the total&#44; strata 1&#44; 2 and 3 represented 61&#46;4&#37;&#44; strata 4&#44; 5 and 6 represented 21&#46;9&#37;&#44; and 0&#46;5&#37; preferred not to answer &#40;see <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#41;&#46; A total of 92&#46;1&#37; of the participating population from rural areas completed the three month DIADA study follow-up assessments&#44; while 80&#46;3&#37; of participants from strata 1&#44; 2 and 3 and 81&#46;2&#37; of participants from strata 4&#44; 5 and 6 completed these follow-up assessments&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Smartphone use</span><p id="par0165" class="elsevierStylePara elsevierViewall">Within the sociodemographic information form&#44; participants were asked whether or not they had a smartphone&#46; 64&#46;7&#37; of the participants reported having a smartphone&#46; This was crossed with data of participation in the first follow-up assessment&#46; A non-significant trend was found between the variables&#58; 79&#46;8&#37; of the participants with a smartphone and 86&#46;9&#37; without a smartphone carried out the first DIADA follow-up &#40;see <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#44; <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Employment status</span><p id="par0170" class="elsevierStylePara elsevierViewall">A total of 37&#37; of participants were currently working&#44; followed by 30&#46;3&#37; who were housewives&#44; 27&#46;8&#37; of participants who were not working and finally 4&#46;6&#37; who were students &#40;see <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#41;&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall">Employment data were crossed with the follow-up participation data&#44; in order to identify compliance by employment status&#46; A statistically significant association was found &#40;p&#8239;&#61;&#8239;0&#46;041&#41;&#46; The highest percentage of compliance to the first follow-up of the intervention was among the participants who consider themselves housewives &#40;87&#46;3&#37;&#41; and those who are not working &#40;82&#46;4&#37;&#41;&#46; Participants who are currently working or studying showed less compliance&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Internet use</span><p id="par0180" class="elsevierStylePara elsevierViewall">Finally&#44; 68&#46;4&#37; of participants reported Internet use&#46; These data were crossed with follow-up compliance data&#46; A statistically significant association was found &#40;p&#8239;&#61;&#8239;0&#46;012&#41;&#46; Participants who did not use the Internet showed a higher compliance rate to the first follow-up of the intervention &#40;89&#46;4&#37;&#41; compared to those using the Internet &#40;78&#46;9&#37;&#41;&#46;</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Discussion</span><p id="par0185" class="elsevierStylePara elsevierViewall">The results of this study show a high rate of compliance with the first follow-up assessment of the intervention for depression and harmful alcohol use under study in the DIADA project&#44; regardless of age&#44; sex&#44; territorial division&#44; level of education&#44; civil status&#44; socioeconomic status&#44; use of smartphone or score on the PHQ-8 and AUDIT tools&#46; The percentage of participation is high&#44; over 82&#37;&#44; and was generally consistent independent of participants&#8217; differing socioeconomic characteristics&#46;</p><p id="par0190" class="elsevierStylePara elsevierViewall">Moreover&#44; it has a heterogeneous population of participants&#44; the majority from urban areas &#40;83&#46;3&#37;&#41; and a smaller proportion from rural areas &#40;16&#46;2&#37;&#41;&#46; These findings are representative when compared with the total population that has used the screening tools in the first year of implementation of the DIADA project&#44; where 73&#46;2&#37; came from urban areas and 26&#46;8&#37; from rural areas&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a></p><p id="par0195" class="elsevierStylePara elsevierViewall">Likewise&#44; age was variable in this sample&#46; The data were grouped according to the stages of the life cycle&#44; finding that many participants are between 50 and 69 years old &#40;45&#46;7&#37;&#41;&#46; This result is similar to that found in the population screened during the first year of the DIADA project&#44; where 63&#37; of the participants were &#8805;45 years old&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a> However&#44; it differs from what was found in the 2015 National Mental Health Survey&#44; where the majority of people with a mental disorder were between 18 and 45 years old&#44; with a lower prevalence in those over 45 years of age&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> This can be attributed to the method of recruitment of the DIADA study &#40;primary health care centers&#41; which makes the populations not comparable&#46;</p><p id="par0200" class="elsevierStylePara elsevierViewall">Results also show a higher participation of women&#44; with a representation of 78&#37; of the sample&#44; which is similar to that of the population screened in the study&#44; where the majority were women seeking health care&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a> The latter are factors associated with an increased risk of depression&#44; a diagnosis that varies according to sex in a 2&#58; 1 ratio and is the main diagnosis in the current study&#46;<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5&#44;6&#44;21</span></a></p><p id="par0205" class="elsevierStylePara elsevierViewall">It was found that participants from rural areas have a higher compliance rate to the follow-up &#40;92&#46;1&#37;&#41; compared to those from urban areas &#40;80&#46;5&#37;&#41;&#44; although this difference did not reach statistical significance&#46; This could be the result of the implementation of a model that focuses on the primary care setting&#44; managing to overcome some of the structural and financial barriers &#40;remote geographic location and costs of transportation&#41; that hinder access&#44; opportunity and quality in health care&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;22</span></a></p><p id="par0210" class="elsevierStylePara elsevierViewall">Despite the fact that the proportion of participants from rural areas is lower&#44; the compliance rate found is high and confirms that having a program that addresses mental health in a primary care setting is feasible and&#44; in turn&#44; improves access to health services&#44; follow-up and likely adherence to treatment&#46;<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">22</span></a></p><p id="par0215" class="elsevierStylePara elsevierViewall">Similarly&#44; a trend was found between smartphone use and compliance to the initial phase of the project&#46; Participants who do not use a smartphone had a higher rate of participation in the first follow-up assessment &#40;86&#46;9&#37;&#41;&#46; Likewise&#44; a statistically significant association was found between Internet use and participation in the first follow-up&#46; Participants who did not use the Internet showed a higher compliance rate to the follow-up &#40;89&#46;4&#37;&#41;&#46; It can be inferred that Internet access is not a limitation for the proposed intervention&#44; since the DIADA project&#44; in addition to the mobile application&#44; also has physical facilities at the primary care sites where the participants find trained staff and access to the Laddr&#174; application&#44; resources that may facilitate their participation in the intervention&#46;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">13&#44;14&#44;23</span></a></p><p id="par0220" class="elsevierStylePara elsevierViewall">Finally&#44; notwithstanding depression being one of the factors mainly associated with absenteeism and lost productivity&#44; it was found that most of the study participants are currently working &#40;37&#37;&#41;&#44; which may indicate that the proposed model allows early diagnosis and management of their pathology&#46;<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">24</span></a> In addition&#44; a statistically significant association was found&#58; participants who do housework or do not have work showed a higher compliance rate to the first follow-up &#40;87&#46;3&#37; and 82&#46;4&#37; respectively&#41;&#44; probably due to available time they can invest in the intervention and assessments included in the model&#46; Nonetheless&#44; complementary strategies could be necessary to increase the participation of those who are working and studying &#40;with less available time&#41;&#44; to continue and help facilitate a high compliance rate to the intervention and assessments in those groups as well&#46;</p></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Outreach</span><p id="par0225" class="elsevierStylePara elsevierViewall">The data allow for the characterization of the study sample and the identification of facilitators and limitations in the execution of the early stages of the DIADA project&#46; These findings may aid in the creation of strategies to enhance engagement in the DIADA project and support its reception in the Colombian population&#46;</p></span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">Limitations</span><p id="par0230" class="elsevierStylePara elsevierViewall">This study only analyzes participation in the early stages of the DIADA project&#46; A follow-up should be done in future stages to identify any changes in the characterization of the population and determine if the results reported herein are persist or differ over time&#46;</p></span></span><span id="sec0085" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0145">Conclusion</span><p id="par0235" class="elsevierStylePara elsevierViewall">The present study made it possible to characterize the population included in the first stage of the DIADA project&#44; estimate their participation in the first follow-up assessment&#44; and assess the rate of compliance to the initial phase of the study&#46;</p><p id="par0240" class="elsevierStylePara elsevierViewall">A high compliance rate to the first follow-up of the intervention was found&#44; regardless of the sociodemographic variables that could affect compliance&#46; Likewise&#44; the limitations of the project appear to have been mitigated by having both a mobile application as well as physical centers with trained personnel&#44; technology&#44; and Internet access that support the broad inclusion of the participants in the intervention model&#46;</p><p id="par0245" class="elsevierStylePara elsevierViewall">Finally&#44; it could be concluded that integrating mental health into primary care allows breaking down structural and financial barriers that hinder access to health in Colombia by raising awareness about mental illness&#44; its high prevalence and the importance of timely medical management available to everyone&#46; It is hoped that the implementation of the DIADA project may also be able to help break down attitudinal barriers to mental health&#46;</p></span><span id="sec0090" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0150">Funding</span><p id="par0250" class="elsevierStylePara elsevierViewall">The investigation reported in this publication was financed by the <span class="elsevierStyleGrantSponsor" id="gs0005">National Institute of Mental Health</span> &#40;NIMH of the <span class="elsevierStyleGrantSponsor" id="gs0010">National Institutes of Health</span> &#40;NIH&#41; via Grant&#35; <span class="elsevierStyleGrantNumber" refid="gs0005">1U19MH109988</span> &#40;Multiple Principal Investigators&#58; Lisa A&#46; Marsch&#44; PhD and Carlos G&#243;mez-Restrepo&#44; MD PhD&#41;&#46; The content of this article is only the opinion of the authors and does not reflect the viewpoints of the NIH or the Government of the United States of America&#46;</p></span><span id="sec0095" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0155">Conflicts of interest</span><p id="par0255" class="elsevierStylePara elsevierViewall">Authors report not having any conflicts of interest&#46; Dr&#46; Lisa A&#46; Marsch&#44; one of the principal investigators on this project&#44; is affiliated with the business that developed the mobile intervention platform that is being used in this research&#46; This relationship is extensively managed by Dr&#46; Marsch and her academic institution&#46;</p></span></span>"
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            0 => "Caracter&#237;sticas sociodemogr&#225;ficas"
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Analyse the relationship between the sociodemographic profile of the DIADA study participants and the rate of compliance with the follow-up assessments in the early stage of this project&#8217;s intervention for depression and unhealthy alcohol use offered within primary care&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A non-experimental quantitative analysis was conducted&#46; The sociodemographic data of DIADA <span class="elsevierStyleItalic">&#91;Detecci&#243;n y Atenci&#243;n Integral de Depresi&#243;n y Abuso de Alcohol en Atenci&#243;n Primaria &#40;</span>Detection and Integrated Care for Depression and Alcohol Use in Primary Care&#41;&#93; study participants had been previously collected&#46; At the time of the evaluation &#40;September 12&#44; 2019&#41;&#44; only the participants who had been in the project for a minimum of 3 months were included&#46; By using univariate &#40;Chi-squared&#41; analyses&#44; we studied the association between participants&#8217; sociodemographic profile and their rate of compliance with the first follow-up assessment at 3 months after study initiation&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">At the date of the evaluation&#44; 584 adult participants were identified&#44; of which 389 had been involved in the project for more than 3 months&#46; From the participants included&#44; 320 performed the first follow-up&#44; while 69 did not&#46; The compliance rate to the first follow-up was 82&#46;3&#37; &#40;95 &#37; &#91;CI&#93; 78&#46;1&#37;&#8211;86&#37;&#41; and was not affected by&#58; site location&#44; age&#44; sex&#44; civil status&#44; level of education&#44; use of smartphone&#44; PHQ9 score &#40;measuring depression symptomatology&#41; or AUDIT score &#40;measuring harmful alcohol use&#41;&#46; Participants who do not use a smartphone&#44; from rural areas and with a lower socioeconomic status&#44; tended to show higher compliance rates&#46; Statistically significant associations were found&#59; participants with lower job stability and a lack of access to the Internet showed higher compliance rates to the early initial follow-up assessment&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The compliance rate was high and generally constant in spite of the variability of the sociodemographic profiles of the participants&#44; although several sub-groups of participants showed particularly high rates of compliance&#46; These findings may suggest that integrating mental health into primary care allows the structural and financial barriers that hinder access to health in Colombia to be broken down by raising awareness about mental illnesses&#44; their high prevalence and the importance of timely and accessible medical management&#46;</p></span>"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Evaluar la relaci&#243;n entre las caracter&#237;sticas sociodemogr&#225;ficas de los participantes del proyecto DIADA y su tasa de cumplimiento al seguimiento en la fase inicial de la intervenci&#243;n en atenci&#243;n primaria para depresi&#243;n y consumo riesgoso del alcohol&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todos</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Se llev&#243; a cabo un an&#225;lisis cuantitativo no experimental&#46; Se utilizaron los datos sociodemogr&#225;ficos de los participantes del proyecto DIADA&#44; previamente recolectados&#44; que hasta el 12 de septiembre del 2019 hab&#237;an completado al menos tres meses dentro del proyecto&#46; Se evalu&#243; la asociaci&#243;n entre las variables sociodemogr&#225;ficas y el cumplimiento al primer seguimiento de forma uni-variante &#40;&#967;<span class="elsevierStyleSup">2</span>&#41;&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Se identificaron 584 participantes&#44; de los cuales 389 llevaban m&#225;s de 3 meses involucrados en el proyecto&#46; De &#233;stos&#44; 320 realizaron el primer seguimiento&#44; mientras que 69 participantes no&#46; La tasa de cumplimiento al seguimiento en la fase inicial de la intervenci&#243;n fue superior al 82&#37; &#40;95 &#37; &#91;IC&#93; 78&#46;1&#37;&#8211;86&#37;&#41; y no se vio afectada por las variables&#58; centro de atenci&#243;n&#44; edad&#44; sexo&#44; estado civil&#44; nivel m&#225;s alto de educaci&#243;n&#44; puntaje PHQ9 &#40;evaluando sintomatolog&#237;a de depresi&#243;n&#41; ni puntaje AUDIT &#40;evaluando consumo riesgoso de alcohol&#41;&#46; Pacientes de &#225;reas rurales&#44; con nivel socioecon&#243;mico m&#225;s bajo y que no usan <span class="elsevierStyleItalic">smartphone&#44;</span> mostraron una tendencia a tener mayor cumplimiento al primer seguimiento&#46; Se encontraron asociaciones estad&#237;sticamente significativas&#59; los participantes con menor estabilidad laboral y sin acceso a Internet evidenciaron mayor tasa de cumplimiento al seguimiento en la fase inicial de la intervenci&#243;n&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusiones</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">A pesar de la variabilidad del perfil sociodemogr&#225;fico de los participantes incluidos&#44; la tasa de cumplimiento al seguimiento en la fase inicial del modelo fue alto y constante&#46; Aunque varios subgrupos de participantes mostraron tasas de cumplimiento particularmente altas&#46; A partir de estos hallazgos se podr&#237;a concluir que integrar la salud mental a la atenci&#243;n primaria permite romper barreras estructurales y financieras que dificultan el acceso a la salud en Colombia&#59; ya que permite crear conciencia sobre las enfermedades mentales&#44; su alta prevalencia y la importancia de que el manejo m&#233;dico oportuno est&#233; al alcance de todos&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Please cite this article as&#58; C&#225;rdenas Charry MP&#44; Jassir Acosta MP&#44; Uribe Restrepo JM&#44; Cepeda M&#44; Martinez Camblor P&#44; Cubillo L&#44; et al&#46; Relaci&#243;n entre las caracter&#237;sticas sociodemogr&#225;ficas de los participantes del proyecto DIADA y la tasa de cumplimiento al seguimiento en la fase inicial de la intervenci&#243;n&#46; Rev Colomb Psiquiat&#46; 2021&#59;50&#58;102&#8211;109&#46;</p>"
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                  \t\t\t\t">General Anxiety Disorder Screener &#40;GAD-7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Self-reported questionnaire that assess generalized anxiety disorder&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">The Health and Work Performance Questionnaire &#40;HPQ&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">The Quick Drinking Screen &#40;QDS&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">The Non-Medical Expenses for Depression &#40;NMED&#41; y Non-Study Medical and Other Services &#40;NSOMS&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005">&#42;</a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Alcohol Use Disorders Identification Test &#40;AUDIT&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Assesses alcohol consumption&#44; drinking behaviors and alcohol related problems&#46; Total score is organized into four zones of consumption&#58; Zone I &#40;0&#8211;7&#41; low risk&#59; Zone II &#40;8&#8211;15&#41; risky consumption&#59; Zone III &#40;16&#8211;19&#41; harmful consumption&#59; Zone IV &#40;20&#8211;40&#41; dependency&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">19</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Socio-demographic characteristics form&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31 item questionnaire that assesses the socio-demographic characteristics of the participants&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
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                0 => "xTab2752910.png"
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          ]
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            0 => array:3 [
              "identificador" => "tblfn0005"
              "etiqueta" => "&#42;"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0005">These tools are combined due to the similarity of the data collected&#46;</p>"
            ]
            1 => array:3 [
              "identificador" => "tblfn0010"
              "etiqueta" => "&#42;&#42;"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0010">PHQ - 8 is the same PHQ - 9 questionnaire without the component on suicidal ideation&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Measures employed in the follow-up of the DIADA study&#46;</p>"
        ]
      ]
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        "etiqueta" => "Table 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0015"
            "detalle" => "Table "
            "rol" => "short"
          ]
        ]
        "tabla" => array:1 [
          "tablatextoimagen" => array:4 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Socioeconomic status &#40;SES&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="4" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Performed the first follow-up&#63;</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Total</th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Yes &#40;N&#8239;&#61;&#8239;320&#41;</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">No &#40;N&#8239;&#61;&#8239;69&#41;</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#40;N&#8239;&#61;&#8239;389&#41;</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">N</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#37;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">N</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#37;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">N</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#37;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Rural area&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">58&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">181&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">72&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">63&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">162&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">SES&#58; 1&#44; 2&#44; 3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">192&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">600&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">47&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">681&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">239&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">614&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">SES&#58; 4&#44; 5&#44; 6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">69&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">216&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">232&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">219&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">I prefer not to answer&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Do you have a Smartphone&#63;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleBold">Yes &#40;N&#8239;&#61;&#8239;320&#41;</span></th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleBold">No &#40;N&#8239;&#61;&#8239;69&#41;</span></th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleBold">Total</span></th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">201&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">628&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">51&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">739&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">252&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">648&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">119&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">372&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">261&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">137&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">352&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Employment situation&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleBold">Yes &#40;N&#8239;&#61;&#8239;320&#41;</span></th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleBold">No &#40;N&#8239;&#61;&#8239;69&#41;</span></th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleBold">Total</span></th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Housewife&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">103&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">322&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">217&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">118&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">303&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Not working&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">89&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">278&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">275&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">108&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">278&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Currently working&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">116&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">363&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">406&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">144&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">370&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Student&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">87&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">I prefer not to answer&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab2752911.png"
              ]
            ]
            3 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Do you use Internet&#63;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleBold">Yes &#40;N&#8239;&#61;&#8239;320&#41;</span></th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleBold">No &#40;N&#8239;&#61;&#8239;69&#41;</span></th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleBold">Total</span></th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">210&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">656&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">56&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">812&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">266&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">684&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">110&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">344&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">188&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">123&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">316&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">320</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">69</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">389</td></tr></tbody></table>
                  """
              ]
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                0 => "xTab2752909.png"
              ]
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        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Participants that performed the first follow-up according to socio-demographic characteristics&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:24 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ley 1616 de 2013&#44; Por medio de la cualse expide la ley de salud mental y se dictan otrasdisposiciones"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "Rep&#250;blica de Colombia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Ley 1616 2013"
                        "fecha" => "2013"
                        "paginaInicial" => "1"
                        "paginaFinal" => "17"
                      ]
                    ]
                    1 => array:1 [
                      "WWW" => array:1 [
                        "link" => "https&#58;&#47;&#47;www&#46;defensoria&#46;gov&#46;co&#47;public&#47;Normograma&#37;202013&#95;html&#47;Normas&#47;Ley&#95;1616&#95;2013&#46;pdf"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Encuesta Nacionalde Salud Mental 2015&#46; Protocolo del estudio"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46; G&#243;mez-Restrepo"
                            1 => "C&#46; De Santacruz"
                            2 => "M&#46;N&#46; Rodriguezc"
                            3 => "V&#46; Rodriguezc"
                            4 => "N&#46; Tamayo Mart&#237;nezc"
                            5 => "D&#46; Matallana"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Rev ColombPsiquiatr&#46;"
                        "fecha" => "2016"
                        "volumen" => "45"
                        "paginaInicial" => "2"
                        "paginaFinal" => "8"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Mental health&#46; Vol&#46; 160"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "G&#46;E&#46; Vaillant"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1176/appi.ajp.160.8.1373"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Psychiatry&#46;"
                        "fecha" => "2003"
                        "volumen" => "160"
                        "paginaInicial" => "1373"
                        "paginaFinal" => "1384"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12900295"
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Article information
ISSN: 25303120
Original language: English
DOI:10.1016/j.rcpeng.2021.06.006
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2024 October 23 4 27
2024 September 33 8 41
2024 August 37 4 41
2024 July 23 6 29
2024 June 16 3 19
2024 May 13 4 17
2024 April 18 11 29
2024 March 24 5 29
2024 February 31 2 33
2024 January 25 6 31
2023 December 29 5 34
2023 November 28 6 34
2023 October 18 4 22
2023 September 9 0 9
2023 August 8 3 11
2023 July 15 3 18
2023 June 16 3 19
2023 May 21 4 25
2023 April 22 2 24
2023 March 28 1 29
2023 February 31 3 34
2023 January 20 5 25
2022 December 24 4 28
2022 November 40 3 43
2022 October 31 6 37
2022 September 26 20 46
2022 August 23 11 34
2022 July 11 7 18
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