CRIS

Permanent URI for this communityhttps://investigadores.udd.cl/handle/123456789/1

Browse

Search Results

Now showing 1 - 10 of 31
  • Some of the metrics are blocked by your 
    Item type:Publication,
      2
  • Some of the metrics are blocked by your 
    Item type:Publication,
    Scopus© Citations 1  2
  • Some of the metrics are blocked by your 
    Item type:Publication,
    NUTRICIÓN, NIÑEZ Y MIGRACIÓN: DESAFÍOS PARA SU ABORDAJE DESDE UN ENFOQUE DE INTERCULTURALIDAD EN SALUD
    (Medwave Estudios Limitada, 2024-06-01) ; ;
    Alice Blukacz
    La presencia de niños y niñas migrantes en Chile ha crecido numéricamente, especialmente de aquellos provenientes de América Latina y el Caribe. Hoy se calcula que en Chile un 10,4% de los niños entre 0-14 años son migrantes (CASEN 2020). Desde la determinación social de la salud, la bibliografía indica que la presencia de niñez migrante implica diversos desafíos en temas como inequidades en la afiliación a servicios, el acceso a programas de prevención y promoción de salud, así como mayor exposición a pobreza multidimensional y condiciones de vida desfavorables para su bienestar integral. Sin embargo, una de las dimensiones menos exploradas de estas inequidades se refiere a los temas nutricionales que a nivel internacional han sido identificados como prioritarios tanto por los efectos que la transición alimentaria tiene sobre los niños migrantes, como el registro de desnutrición en niños provenientes de países a alto riesgo de inseguridad alimentaria.</jats:p> Objetivos</jats:title> <jats:p>La propuesta pretende indagar en las percepciones de padres, madres y tutores migrantes así como de personal de atención primaria, sobre las necesidades nutricionales que enfrentan los niños durante su trayectoria migratoria (en país de origen, tránsito y destino) y los desafíos que enfrenta el sistema de salud para abordar las temáticas nutricionales desde un enfoque de interculturalidad</jats:p> </jats:sec> <jats:sec> <jats:title>Método</jats:title> <jats:p>Enmarcado en un proyecto cualitativo-etnográfico mayor se desarrollaron 10 entrevistas en profundidad a padres, madres y tutores de niños, niñas y adolescentes que pasaron por paso no habilitado en Chile entre los años 2019-2023, a 10 miembros de equipos de atención primaria encargados de atención directa a población migrantes, a 5 informantes clave, encargados de programas sociales y de salud dedicados a infancia y adolescencia y a 5 miembros de ONG’s dedicados al abordaje de temas migratorios, logrando un N=30. Las entrevistas fueron transcritas y se realizó análisis temático a través de la codificación de las mismas.</jats:p> </jats:sec> <jats:sec> <jats:title>Resultados principales</jats:title> <jats:p>Si bien en Chile existen desde hace años esfuerzos importantes para el abordaje de la desnutrición por exceso durante la infancia y adolescencia, los hallazgos demuestran: 1) el resurgimiento de temas de desnutrición por déficit, especialmente en niños que se encuentran en situación migratoria irregular y en madres migrantes que viven gestaciones en condiciones de vulnerabilidad social; 2) las dificultades que encuentran los equipos de salud para abordar temáticas nutricionales desde un enfoque de interculturalidad, especialmente en temas como la introducción de alimentación sólida en lactantes y la adecuación de recomendaciones alimentarias y 3) la necesidad de profundizar sobre los efectos de la transición alimentaria en niños, niñas y adolescentes migrantes considerando el mayor acceso en Chile a alimentación ultraprocesada, el mayor consumo de carbohidratos como el pan y la adecuación de las dietas a ritmos laborales que reducen los tiempos para el acceso y preparación de alimentos considerados saludables.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusiones</jats:title> <jats:p>Se presentan resultados sobre la situación nutricional de niños, niñas y adolescentes migrantes en Chile. Se destaca el resurgimiento de la desnutrición por déficit como problemática que afecta a población infanto-juvenil, las posibles consecuencias de la transición alimentaria debido al mayor acceso a alimentos ultraprocesados y la necesidad de incorporar el enfoque intercultural en los programas de atención dedicados a la nutrición de niños y niñas.</jats:p> </jats:sec>
      11
  • Some of the metrics are blocked by your 
    Item type:Publication,
      1
  • Some of the metrics are blocked by your 
    Item type:Publication,
    Scopus© Citations 1  2
  • Some of the metrics are blocked by your 
    Item type:Publication,
    Health conditions of migrant children and adolescents from Latin America and Caribe: A narrative review
    <jats:p>The presence of children and adolescents in migratory flows is growing in Latin America and the Caribbean. Little is known about migration's effects on these groups' health. This article aims to investigate the evidence available on the access and use of healthcare services by migrant children and adolescents in Latin America and the Caribbean. We seek to explore the role of social determinants of health at different levels in the health conditions of these groups. Also, to identify potential recommendations for healthcare systems and public policy to address them. For this purpose, a narrative review of 52 publications was carried out based on a search of scientific literature in the Web of Science and Google Scholar databases. Five relevant topics were identified: use of emergency care associated with lack of healthcare access, preventive services, and other social determinants of health; exposure to preventable infectious diseases; mental health; sexual and reproductive health; and vaccinations and dental health. We conclude that the evidence shows the need to address the inequities and disadvantages faced by migrant children from a perspective of social determinants of health and policies that consider health as a human right regardless of the migratory status of children and adolescents, as well as that of their parents or primary caregivers.</jats:p>
      14
  • Some of the metrics are blocked by your 
    Item type:Publication,
    Adequate housing as a social determinant of the health of international migrants and locals in Chile between 2013 and 2022
    (2024)
    Alice Blukacz
    ;
    Marcela Oyarte
    ;
    <jats:title>Abstract</jats:title><jats:sec> <jats:title>Background</jats:title> <jats:p>Adequate housing is a fundamental right and a social determinant of health. It also represents a historically contentious topic in Latin America. Migratory flows to Chile have become increasingly precarious in the past few years, limiting opportunities for adequate housing, with potential repercussions on the health of international migrants and the general population. This study aims to analyse adequate housing as a social determinant of health among international migrants and locals between 2013 and 2022 in Chile.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>Observational cross-sectional study based on repeated versions of the nationally representative Socioeconomic Characterization Survey in Chile. Adequate housing indicators adapted from the United Nations Housing Rights Programme guidelines were analyzed with relation to individual health, distinguishing between the local and international migrant populations. Logistic regression models were fitted for housing indicators with migration as the main independent variable and for short-term and long-term healthcare needs in locals and immigrants with housing as the main dependent variables. Models were adjusted for sociodemographic variables and considered the complex sample design.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>Descriptive findings indicated higher availability of services and infrastructure among international migrants, and a disadvantage for habitability, location, and affordability by quintiles compared to locals. Logistic regression models, adjusting for demographic variables, revealed significant associations between migration status and overcrowding (OR 6.14, 2022), poor housing materiality (OR 5.65, 2022) and proximity to healthcare centres (OR 1.4, 2022) compared to locals. Experiencing hazardous situations consistently predicted short-term healthcare needs in both migrants (OR = 1.4, 2022) and locals (OR = 2.8, 2022). Overcrowding predicted both long and short-term healthcare needs among locals across the years and long term needs among migrants in 2013 and 2015.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusions</jats:title> <jats:p>We found significant inequities in adequate housing between migrant populations and locals in Chile, and some inequities among both populations based on structural socioeconomic deprivation. Experiencing hazardous situations emerged as a social determinant of health among international migrants in 2022, potentially suggesting growing challenges related to social exclusion in urban areas. However, limitations such as exclusion criteria of the survey and sample sizes for data on the migrant population potentially suggest that housing challenges and their impact on health are underestimated.</jats:p> </jats:sec>
    Scopus© Citations 2  2
  • Some of the metrics are blocked by your 
    Item type:Publication,
    Barriers and facilitators to access sexual and reproductive health services among young migrants in Tarapacá, Chile: a qualitative study
    <jats:title>Abstract</jats:title><jats:sec> <jats:title>Background</jats:title> <jats:p>Chile has become a destination country for immigrants from Latin America, including youth. Guaranteeing access and use of sexual and reproductive health services for young migrants is crucial because of their overlapping experiences of transitioning to a new country and to adulthood. However, the existing evidence shows barriers to accessing sexual and reproductive healthcare among young migrant populations. In this context, the main objective of this article is to identify the barriers and facilitators that young migrants experience to access sexual and reproductive healthcare in the Tarapacá region of Chile.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>A qualitative study was conducted in the Tarapacá region of Chile. Semi-structured interviews with 25 young migrants from Venezuela, Colombia, and Ecuador, as well as 10 health workers, were carried out. The interviews were transcribed and thematically analysed. The study was approved by the Ethics Committee of the Universidad del Desarrollo (#2019-22).</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>Young migrants face barriers linked to structural shortcomings within the healthcare system, which may be similar to those faced by the local population. Barriers are also derived from reductionist sexual and reproductive health approaches, which prioritise the prevention of pregnancy, sexually transmitted infections, and HIV, with a predominantly heteronormative focus. The prevailing narratives from the health system are those of risk and lack of control and self-care among young people, and they are exacerbated in the case of migrants. Young migrants, especially from the Caribbean, are stereotyped as over-sexualised and liberal in comparison to the local population and believed to be engaging in riskier sexual behaviours that should be kept under check. This may translate into experiences of discrimination and mistreatment when receiving care. Facilitators include good-quality information and community-level interventions.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusions</jats:title> <jats:p>This study shows a limited approach to the sexual and reproductive health of young migrants in Chile, severely hampering their reproductive and sexual rights. Policies and initiatives must work towards removing structural barriers, changing narratives, and empowering young migrants regarding their sexual and reproductive health.</jats:p> </jats:sec>
    Scopus© Citations 3  1
  • Some of the metrics are blocked by your 
    Item type:Publication,
    International migration, food insecurity, and mental health: A scoping review protocol
    (2024)
    Alice Blukacz
    ;
    ;
    Catalina Huerta
    ;
    Amelia A. Lake
    ;
    Jo Smith
    <jats:p>Introduction Food insecurity is a global priority that has been found to negatively impact mental health, increasing the risk of mental disorders and severe mental illness. International migrants may face food insecurity throughout their migratory cycle due to a range of risk factors, such as poor transit conditions, precarious employment, financial pressure, discrimination, and lack of availability and access to culturally relevant food, among others. Although there are multiple reviews on migration, food insecurity, and health in general, no scoping review has been conducted on food insecurity among international migrants focusing on mental health. Objective To investigate the available evidence on food insecurity and mental health among international migrants. Methods A search of scientific literature in English, Spanish, French, Italian, and Portuguese published since 2013 will be performed in the Web of Science, PubMed, Medline, APA PsycArticles, Cinahl, and ASSIA databases, including grey literature available in Google Scholar. Two authors will independently review titles, abstracts, and full texts before extracting data from publications complying with the eligibility criteria. Extracted data will be descriptively mapped according to emerging thematic categories. Expected results The review will contribute to identifying what is known about international migration, food insecurity, and mental health, gaps in the literature, opportunities for specific research subtopics, and how food insecurity and mental health can be linked in the existing literature.</jats:p>
      6Scopus© Citations 2
  • Some of the metrics are blocked by your 
    Item type:Publication,
    Emergency preparedness and response sensitive of migrant populations in Chile: post-pandemic perspectives
    <jats:p>On August 31, 2023, the Chilean government ended the health alert for COVID-19. This milestone invites us to reflect on lessons learned in emergency preparedness and response regarding migrant populations in the country. In this context, three perspectives are presented. The first focuses on avoiding pointing to individual responsibility for non-compliance with prevention measures, as this approach ignores structural and historical inequities. Emergency recommendations should be constructed considering a collective approach and diverse sociocultural and political contexts. The second perspective calls for considering and addressing migration as a social determinant of health. During the pandemic, changes in the governance of migration around the world made migration processes more precarious, with risks to the physical and mental health of migrants, which needs better planning and evidence-based decision-making in future pandemics. The third perspective focuses on promoting intercultural health, as effective communication of contagion risks and preventive measures were hampered among migrant populations with diverse worldviews and interpretations of health and disease processes. Responding to the needs of historically marginalized communities requires establishing ways of life that respect diversity in narratives and everyday practices. Governments and health systems must incorporate migration into their emergency preparedness and response strategies, creating the conditions for optimal compliance.</jats:p>
      1