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Author: search.filters.author.Edward Mezones-HolguinSubject: search.filters.subject.female

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    Immigration, perceived discrimination and mental health: evidence from Venezuelan population living in Peru
    (2021)
    Benoît Mougenot
    ;
    Elard Amaya
    ;
    Edward Mezones-Holguin
    ;
    Alfonso J. Rodriguez-Morales
    ;
    CABIESES VALDES, BALTICA BEATRIZ  
    <jats:title>Abstract</jats:title><jats:sec> <jats:title>Background</jats:title> <jats:p>The association between international migration and mental health is conditioned to several factors, and discrimination may play a significant role. Currently, Peru is one of the principal Venezuelan migrant-receiving countries in Latin America. There are around one million Venezuelan refugees and migrants in the country. This study evaluates the association between self-perceived discrimination and mental health problems in Venezuelan population living in Peru.</jats:p> </jats:sec><jats:sec> <jats:title>Method</jats:title> <jats:p>We analyzed data from the Venezuelan Population Residing in Peru Survey 2018, a nationally representative urban sample aimed at collecting information on several dimensions of Venezuelan population wellbeing. We applied logistic regression models to assess the association between self-perceived discrimination and mental health problems. Moreover, we applied the propensity score matching method as a robustness check of our results.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>Of 9487 Venezuelans surveyed, 6806 included complete information. From this sample, 6.3% reported mental health problems related to fear, anger, anxiety, or stress. Logistic regression models showed that Venezuelans who perceived being discriminated against had 2.4 higher odds of presenting mental health problems than their non-discriminated counterparts. Moreover, propensity score matching models showed that Venezuelans who perceived being discriminated against increased by 3.5 percentage points their probability of presenting mental health problems compared to their non-discriminated counterparts.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusions</jats:title> <jats:p>There is evidence that self-perceived discrimination is associated with mental health deterioration in Venezuelan migrants living in Peru. Our findings are relevant in the current geopolitical context and could be useful in the decision making processes in international health.</jats:p> </jats:sec>
    Scopus© Citations 41  1
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    Inequalities in infant vaccination coverage during the COVID-19 pandemic: A population-based study in Peru
    (2023)
    Ali Al-kassab-Córdova
    ;
    Claudia Silva-Perez
    ;
    Carolina Mendez-Guerra
    ;
    Lucero Sangster-Carrasco
    ;
    Iván Arroyave
      13Scopus© Citations 6
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    Disparities in scientific research activity between doctors and nurses working in the Peruvian health care system: Analysis of a nationally representative sample
    (2022)
    Angélica Vergara-Mejía
    ;
    Roberto Niño-Garcia
    ;
    Ludwing Zeta-Solis
    ;
    Percy Soto-Becerra
    ;
    Ali Al-kassab-Córdova
    <jats:sec id="sec001"> <jats:title>Aim</jats:title> <jats:p>To evaluate disparities in the frequency of scientific activity between medical doctors and nurses in Peru.</jats:p> </jats:sec> <jats:sec id="sec002"> <jats:title>Methods</jats:title> <jats:p>We carried out a secondary data analysis of the National Health Services Users’ Satisfaction Survey (ENSUSALUD), 2016. This nationally representative survey evaluates doctors and nurses working in clinical settings. We defined scientific activity as i) having published an original article (journal indexed in Web of Science, Scopus or Medline); and ii) having authored an abstract in a national or international conference. We estimated crude and adjusted disparities prevalence ratios (aDPR) and 95% confidence intervals (95%CI).</jats:p> </jats:sec> <jats:sec id="sec003"> <jats:title>Results</jats:title> <jats:p>We included 2025 doctors and 2877 nurses in the analysis; 71% of doctors doctor were male, and 93% of nurses were female (p&lt;0.001). Among doctors, 13.9% had published an article, and 8.4% presented an abstract at a conference in the last two years, while these proportions were 0.6% and 2.5% for nurses, respectively. The adjusted models showed that doctors, when compared to nurses, were approximately 27 times likely to have published a paper (aDPR = 27.86; 95% CI 10.46 to 74.19) and twice as likely to have authored a conference abstract (aDPR = 2.51; 95% CI 1.39 to 4.53).</jats:p> </jats:sec> <jats:sec id="sec004"> <jats:title>Conclusions</jats:title> <jats:p>There are important disparities in scientific activity between doctors and nurses working in clinical settings in Peru. Disparities are more significant for article publication than for authoring in conference abstracts. We suggest public policies that promote research dissemination between health professionals, with emphasis on nurses.</jats:p> </jats:sec>
    Scopus© Citations 2  2
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    Relationship between job satisfaction, burnout syndrome and depressive symptoms in physicians: a cross-sectional study based on the employment demand–control model using structural equation modelling
    (2022)
    David Villarreal-Zegarra
    ;
    Wilder Iván Lázaro-Illatopa
    ;
    Ronald Castillo-Blanco
    ;
    CABIESES VALDES, BALTICA BEATRIZ  
    ;
    Alice Blukacz
    <jats:sec><jats:title>Objective</jats:title><jats:p>To evaluate the relationship between job satisfaction, burnout syndrome (BS) and depressive symptoms (DS) based on the job demand–control framework model on a nationally representative sample of physicians working in the Peruvian Health System.</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>We carried out a secondary data analysis of the National Survey of Satisfaction of Users in Health 2016 in Peru.</jats:p></jats:sec><jats:sec><jats:title>Primary and secondary outcome measures</jats:title><jats:p>Our study assessed the development of the predictive model and had two parts: (1) to evaluate the association among the variables based on the job demand–control framework, and (2) to assess the proposed model acceptability using the structural equation modelling approach to estimate goodness-of-fit indices (GOFIs).</jats:p></jats:sec><jats:sec><jats:title>Participants</jats:title><jats:p>We excluded physicians older than 65 years, who did not report income levels or who had missing data related to the workplace. Thus, we analysed 2100 participants.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The prevalence of DS was 3.3%. Physicians’ work-related illnesses had more probability to result in DS (prevalence ratio=2.23). DS was moderately related to BS dimensions (r&gt;0.50); nevertheless, the relationships between DS and the three job satisfaction scales were weak (r&lt;0.30). The first predictive model based on the variables, DS, BS and job satisfaction, had low GOFIs (comparative fit index (CFI)=0.883; root mean square error of approximation (RMSEA)=0.125). In a second evaluation, we used models with correlated errors obtaining optimal GOFIs (CFI=0.974; RMSEA=0.060).</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Our study identified a stable model to explain the relationship between job satisfaction, BS and DS among physicians. The results are consistent with the job demand–control framework. They could be applied to decision-making in occupational contexts in Latin American low/middle-income countries.</jats:p></jats:sec>
    Scopus© Citations 14  3