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Beyond domination
(Routledge, 2026-01-29)
Alejandra Carreño-Calderón
;
OBACH KING, ALEXANDRA ALICE
1
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Addressing health inequalities and barriers to access among adolescent migrants in Chile: a mixed methods study
(Springer Science and Business Media LLC, 2025-09-26)
Alejandra Carreño-Calderón
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OBACH KING, ALEXANDRA ALICE
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CABIESES VALDES, BALTICA BEATRIZ
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Marcela Oyarte
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Alicia Arias Schreiber
>The presence of adolescents in migration flows through Latin America and Caribbean (LAC) has increased in recent years. Adolescents are usually considered healthy due to their low mortality rates compared to the general population. However, existing research shows that adolescence is a phase of life in which mental health, sexual and reproductive health and other needs may increase. Migration, as a social determinant of health, can lead to experiencing compounded vulnerabilities among adolescent migrants, especially those already living in disadvantaged conditions.</jats:p> </jats:sec> <jats:sec> <jats:title>Objective</jats:title> <jats:p>aims to estimate and compare social inequalities in health faced by adolescent migrants from LAC living in Chile versus locals, as well as to unveil perceptions and experiences related to additional barriers to accessing to healthcare in the country.</jats:p> <jats:sec> <jats:title>Method</jats:title> <jats:p>A mixed methods study was designed to socially and epidemiologically characterise the adolescent migrant population in Chile. First, two population-based surveys (CENSO 2017; CASEN 2022; REM 2021 and EH 2021) and national epidemiological records were analysed. Second, perceptions and experiences of accessing primary healthcare services were explored through 42 in-depth interviews with healthcare teams (<jats:italic>n</jats:italic> = 18) and parents of adolescent migrants (<jats:italic>n</jats:italic> = 24). Quantitative and qualitative data were analysed separately and then integrated to identify the main findings. The study was approved by the Ethics Committee of the Universidad del Desarrollo.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>The study identified social inequalities negatively affecting adolescent migrant compared with their Chilean peers, including lower access to education, housing and higher chances of having to work. Regarding health, sexual and reproductive needs and experiences are identified, including adolescent pregnancy. Barriers to access to primary healthcare programmes dedicated to adolescent health, which are little known and underused by the migrant population, were also identified.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>Adolescent migrants in Chile face important social inequalities in health compared to locals and additional barriers to exercise their right to health, putting their current and future health at risk. Priority actions are needed for this specific group, and must focus on increasing the acceptability and coverage of preventive care, as well as strengthening their participation in the social and health decisions affecting them.</jats:p> </jats:sec>
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Individual and structural barriers to Latin American refugees and asylum seekers' access to primary and mental healthcare in Chile: A qualitative study
(2020)
Alejandra Carreño-Calderón
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CABIESES VALDES, BALTICA BEATRIZ
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M. Eliana Correa-Matus
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Webster Mavhu
<jats:sec id="sec001"> <jats:title>Background</jats:title> <jats:p>Since 2010 there has been a growing population of refugees and asylum seekers in Latin America. This study sought to investigate the perceived experiences and healthcare needs of refugees and asylum seekers of Latin American origin in Chile in order to identify main barriers to healthcare and provide guidance on allied challenges for the public healthcare system.</jats:p> </jats:sec> <jats:sec id="sec002"> <jats:title>Methods</jats:title> <jats:p>Descriptive qualitative case study with semi-structured interviews applied to refugees and asylum seekers (n = 8), healthcare workers (n = 4), and members of Non-Governmental Organizations and religious foundations focused on working with refugees and asylum seekers in Chile (n = 2).</jats:p> </jats:sec> <jats:sec id="sec003"> <jats:title>Results</jats:title> <jats:p>Although Chilean law guarantees access to all levels of healthcare for the international migrant population, the specific healthcare needs of refugees and asylum seekers were not adequately covered. Primary care and mental healthcare were the most required types of service for participants, yet they appeared to be the most difficult to access. Difficulties in social integration -including access to healthcare, housing, and education- upon arrival and lengthy waiting times for legal status of refugees also presented great barriers to effective healthcare provision and wellbeing. Healthcare workers and members of organizations indicated the need for more information about refugee and asylum-seeking populations, their rights and conditions, as well as more effective and tailored healthcare interventions for them, especially for emergency mental healthcare situations.</jats:p> </jats:sec> <jats:sec id="sec004"> <jats:title>Conclusions</jats:title> <jats:p>All participants perceived that there was disinformation among institutional actors regarding the healthcare needs of refugees and asylum seekers in Chile. They also perceived that there were barriers to access to primary care and mental healthcare, which might lead to overuse of emergency services. This study highlights a sense of urgency to protect the social and healthcare needs of refugees and asylum seekers in Latin America.</jats:p> </jats:sec>
Scopus© Citations 7 1
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Movilidad y accesibilidad a la salud
(2020)
Alejandra Lazo
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Alejandra Carreño-Calderón
;
Sofía Astorga
<jats:p>El estudio de la influencia que tienen las condiciones geográficas y la movilidad como barreras de acceso a la salud se ha focalizado principalmente en áreas urbanas y suburbanas. En este escenario, el objetivo de esta revisión es presentar una sistematización de las investigaciones existentes sobre movilidad y accesibilidad a la salud en territorios archipelágicos e isleños. Para ello, durante el año 2019 se realizó una revisión de literatura usando ISI Web of Science. Específicamente, fueron revisados 54 artículos que abordaban aspectos relacionados con la movilidad, como son la distancia, la organización geográfica de los sistemas de salud, las experiencias de viaje y los sistemas de transporte en estos territorios. Los resultados que emergen de la búsqueda se agruparon en cuatro categorías: 1) artículos relacionados con las disparidades en el acceso a prestaciones médicas específicas; 2) artículos de discusión metodológica sobre la medición de la accesibilidad a salud; 3) estudios de caso sobre la movilidad del personal de salud y 4) artículos sobre sistemas de transporte y movilidad cotidiana de usuarios en sus viajes hacia la salud. Finalmente, se observa que la mayor parte de los estudios identificados mantienen un enfoque tradicional que pone a la distancia y la distribución de los servicios médicos al centro del debate. Sin embargo, se evidencia un escaso interés por abordar la accesibilidad desde el punto de vista de la movilidad, incorporando en algunos casos dimensiones subjetivas del viaje, así como la especificidad del territorio como variables que determinan el acceso a salud. En este sentido, constatamos que la movilidad por motivos de salud en archipiélagos e islas ha sido escasamente problematizada.</jats:p>
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