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Unravelling the potential relationship between the climate crisis and the health of migrant children in LAC: perceptions from migrant parents and healthcare professionals in Chile
(BMJ, 2024-12)
CARREÑO CALDERON, ALEJANDRA ANGELICA
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Alice Bluckaz
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CABIESES VALDES, BALTICA BEATRIZ
<jats:sec><jats:title>Introduction</jats:title><jats:p>Latin America and the Caribbean (LAC) is one of the regions most affected by the climate crisis, which is connected to international migration through a complex nexus. During the last years, migratory flows on the continent have increasingly included children and adolescents who are migrating through non-authorised crossing points. The existing literature shows how inequities negatively affect migrant children and the role that healthcare systems can play to mitigate them.</jats:p></jats:sec><jats:sec><jats:title>Objective</jats:title><jats:p>Based on a qualitative study, the paper aims to analyse the role of the climate crisis on the healthcare needs of migrant children from LAC who are currently living in Chile, from the point of view of parents from five main countries of immigration in Chile and healthcare professionals.</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>An exploratory study was conducted in Arica, Antofagasta and Santiago. In-depth interviews with 20 migrant parents and 20 healthcare professionals were carried out. The interviews were transcribed verbatim and a thematic analysis was performed.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Three findings emerged from this study: (1) food insecurity affects LAC migrant children in their country of origin and during their migratory trajectories to Chile, (2) natural disasters and environmental degradation in the countries of origin are not the only drivers of migration for LAC families but also prevent returns, even when they remain undocumented and (3) LAC migrant children are exposed to urban pollution and contaminants in informal settlements due to difficulties in accessing formal housing, among others.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>The climate crisis must be integrated into the study of migrant health in LAC, considering the current context of multiple political, health and economic crises in the region. Healthcare professionals and communities play a central role in creating interventions to build sustainable and resilient universal healthcare systems.</jats:p></jats:sec>
Scopus© Citations 1 1
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Global research priorities for COVID-19 in maternal, reproductive and child health: Results of an international survey
(2021)
Melanie Etti
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Jackeline Alger
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Sofía P. Salas
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Robin Saggers
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Tanusha Ramdin
<jats:sec id="sec001"> <jats:title>Background</jats:title> <jats:p>The World Health Organization’s “<jats:italic>Coordinated Global Research Roadmap</jats:italic>: <jats:italic>2019 Novel Coronavirus</jats:italic>” outlined the need for research that focuses on the impact of COVID-19 on pregnant women and children. More than one year after the first reported case significant knowledge gaps remain, highlighting the need for a coordinated approach. To address this need, the Maternal, Newborn and Child Health Working Group (MNCH WG) of the COVID-19 Clinical Research Coalition conducted an international survey to identify global research priorities for COVID-19 in maternal, reproductive and child health.</jats:p> </jats:sec> <jats:sec id="sec002"> <jats:title>Method</jats:title> <jats:p>This project was undertaken using a modified Delphi method. An electronic questionnaire was disseminated to clinicians and researchers in three different languages (English, French and Spanish) via MNCH WG affiliated networks. Respondents were asked to select the five most urgent research priorities among a list of 17 identified by the MNCH WG. Analysis of questionnaire data was undertaken to identify key similarities and differences among respondents according to questionnaire language, location and specialty. Following elimination of the seven lowest ranking priorities, the questionnaire was recirculated to the original pool of respondents. Thematic analysis of final questionnaire data was undertaken by the MNCH WG from which four priority research themes emerged.</jats:p> </jats:sec> <jats:sec id="sec003"> <jats:title>Results</jats:title> <jats:p>Questionnaire 1 was completed by 225 respondents from 29 countries. Questionnaire 2 was returned by 49 respondents. The four priority research themes which emerged from the analysis were 1) access to healthcare during the COVID-19 pandemic, 2) the direct and 3) indirect effects of COVID-19 on pregnant and breastfeeding women and children and 4) the transmission of COVID-19 and protection from infection.</jats:p> </jats:sec> <jats:sec id="sec004"> <jats:title>Conclusion</jats:title> <jats:p>The results of these questionnaires indicated a high level of concordance among continents and specialties regarding priority research themes. This prioritized list of research uncertainties, developed to specifically highlight the most urgent clinical needs as perceived by healthcare professionals and researchers, could help funding organizations and researchers to answer the most pressing questions for clinicians and public health professionals during the pandemic. It is hoped that these identified priority research themes can help focus the discussion regarding the allocation of limited resources to enhance COVID-19 research in MNCH globally.</jats:p> </jats:sec>
3Scopus© Citations 8
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Muscular Strength of Upper and Lower Limbs and Self-Esteem in Chilean SchoolChildren: Independent Associations with Body Composition Indicators
(2021)
Cristian Cofre Bolados
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Gerson Ferrari
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Mónica Suárez-Reyes
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QUINTILIANO SCARPELLI DOURADO , DAIANA APARECIDA
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Helen Diaz-Peña
<jats:p>The aim of this study was to analyze the relationship between muscular strength from upper and lower limbs with self-esteem among Chilean schoolchildren, drawing independent associations with body composition indicators. The sample consisted of 1078 schoolchildren. The muscular strength of the upper and lower limbs was evaluated using a digital dynamometer and long jump performance. The general strength index was calculated based on Z-score values. Rosenberg’s test was used to determine the level of self-esteem of participants. Body fat and body mass index were employed as body composition indicators. Boys had significantly more upper and lower strength, and a general strength index higher than girls (11.7 vs. 10.6; 109.7 vs. 97.4; 0.19 vs. −0.24, respectively). For boys and girls combined, there were no significant associations between all muscular strength variables and self-esteem. In boys, upper and lower limb strength was positively associated with self-esteem. In girls, no association between muscular strength and self-esteem was found. In both sexes, the general strength index was not associated with self-esteem. Strategies and programs that promote mental health and muscular strength among schoolchildren, specifically in boys, are needed.</jats:p>
5Scopus© Citations 7
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Los inicios de la enseñanza de pediatría en Chile y la fundación de hospitales de niños
(2023)
Luisa Schonhaut Berman
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Pablo Chavez Zuñiga
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Nelson Vargas Catalán
<jats:p>El objetivo del presente manuscrito es revisar antecedentes históricos previos a la creación de la Sociedad Chilena de Pediatría (SOCHIPE) en el año 1922, con el propósito de reflexionar sobre su impacto en la profesionalización de la pediatría nacional, especialmente en la salud y sobrevida de los niños. Se revisaron documentos de la Junta de Beneficencia, libros y estudios especializados de la época. Hasta principios del siglo XX, el país ostentaba una de las tasas de mortalidad infantil más elevadas del mundo, y contaba con precarias instalaciones para enfrentarlas. En aquellos años, el único establecimiento cerrado para la atención de infantes era la Casa de Huérfanos, que estaba al cuidado de religiosas con apoyo de médicos; es ahí donde se desarrollaron los primeros cursos teórico-prácticos de la especialidad. Presionados por la alta mortalidad infantil y las mortíferas epidemias, la Junta de Beneficencia vio la urgencia de mejorar las condiciones higiénicas y crear instalaciones para el cuidado de los niños. El manuscrito aborda el surgimiento de espacios encargados del resguardo de la salud de los menores de cinco años, desde la creación de la cátedra de pediatría y del primer hospital de niños, el Hospital Roberto del Río, lo que marcó el inicio de las políticas de salud pública infantiles.</jats:p>
4Scopus© Citations 3
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Breaking Down Barriers: Findings from a Literature Review on Housing for People with Disabilities in Latin America
(2023)
VALDERRAMA ULLOA, CLAUDIA ALEJANDRA
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FERRADA CALVO, XIMENA VERÓNICA
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Felipe Herrera
Accessibility to housing is crucial for people with disabilities as it provides them with equal opportunities and allows them to live independently. A systematic literature review has been conducted to understand the current research on accessibility in housing for people with disabilities in Latin America. The study analysed 56 papers and used co-word analysis to identify common themes and topics within the documents. The results of the analysis showed that Brazil (61%) is the country with the most research on the subject, physical disability, at 36%, is the impairment most analysed, and interventions or analysis for the older people (45%) in their homes is the most researched type of population. The co-word analysis revealed that topics such as policy, regulations, the use of technologies, ergonomics interventions, and architectural criteria or barriers to the daily life of disabled people were frequently discussed in the papers. Although this work shows a substantial and growing increase in research on housing for people with disabilities in Latin America, it also demonstrates the importance of increasing research on other types of impairment, such as visual and cognitive-intellectual disabilities, and including children, caregivers, or even young adults.
Scopus© Citations 3 9
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Recomendaciones para el manejo inicial del síndrome inflamatorio multisistémico relacionado temporalmente con COVID-19, en niños y adolescentes
(2020)
Guillermo Kohn-Loncarica
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Ana Fustiñana
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Franco Díaz-Rubio
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Juan C. Jaramillo-Bustamante
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Sebastián González-Dambrauskas
Scopus© Citations 12 1
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Cien años de salud en un contexto demográfico, epidemiológico y de políticas públicas: la transición de la morbilidad infantil y sus desafíos
(2022)
Luisa Schonhaut B.
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Ana Zepeda O.
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Paula Rojas B.
<jats:p>Chile se encuentra en una etapa avanzada de la transición demográfica y epidemiológica. Es ese escenario sobrevino la crisis política, económica y sanitaria, con el estallido social el 2019 y luego la pandemia de COVID-19. La mortalidad de niños(as) y adolescentes cayó significativamente, no obstante, los cambios en los estilos de vida y la desmotivación, asociada a largo confinamiento y empeoramiento de la salud de los padres y cuidadores desencadenaron una epidemia de problemas de salud mental, del desarrollo y nutricionales. Los pediatras se tuvieron que reinventar, exponiéndose al distrés y burnout. El objetivo del manuscrito es describir el contexto demográfico, epidemiológico y de políticas públicas de la salud infantil en Chile en el último siglo, como telón de fondo para dimensionar el impacto inmediato de la pandemia de COVID-19. Se discuten los nuevos desafíos en la salud para este grupo etario a mediano y largo plazo. Se exponen algunas teorías, conceptualizaciones e hitos relevantes del sistema de la salud pública en Chile. Se plantea la emergencia de “morbilidad post-pandemia”, como son el sedentarismo, inseguridad alimentaria, adicción a las pantallas, conflictos de identidad, violencia, trastornos en la esfera de la salud mental y reemergencia de morbimortalidad por enfermedades infectocontagiosas. Los profesionales encargados del cuidado de los niños tienen que redoblar sus esfuerzos para otorgar una atención integral, acompañando a las familias en los nuevos desafíos, para rehabilitar una infancia saludable.</jats:p>
8Scopus© Citations 3
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Development and Validation of a Set of Instruments to Measure Food Environments
(2022)
Jacqueline Araneda-Flores
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Patricio Oliva Moresco
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Gladys Quezada-Figueroa
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Luz Lobos-Fernandez
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Barbara Leyton
<jats:p>Background: There is worldwide interest in measuring local food environments (FEs). The aim of this study was to develop and validate a set of instruments to evaluate FEs in Chile. Methods: Based on the development and validation of four instruments to measure FEs, a literature review, an evaluation by experts, and the implementation of a pilot tool in the FEs of schoolchildren from nine public schools in the commune of Chillán, Chile, were used. Results: A tool to evaluate FEs was provided, based on three dimensions: availability, variety, and advertising of healthy foods. A total of 1928 foods points of purchase were evaluated. The reliability was evaluated by Cronbach’s alpha. Some 74% of the foods’ points of purchase were store locations. The reliability of the four instruments was high to acceptable (store: 0.90; institution: 0.77; street food: 0.74; restaurant: 0.68). Unhealthy foods were highlighted by the scores obtained: store (6.08 ± 4.07; range: 0–13), restaurant (3.95 ± 1.75; range: 0–10), street food (1.18 ± 1.56; range: 0–7), and institution FEs (3.38 ± 2.78; range: 0–9). Conclusions: The results of this tool can provide information to governments for incorporating structural measures to ensure adequate availability, variety, and advertising of healthy foods in different FEs.</jats:p>
3 1Scopus© Citations 3
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Food Parenting Practices and Feeding Styles and Their Relations with Weight Status in Children in Latin America and the Caribbean
(2022)
Luisa Pérez
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Marcela Vizcarra
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Sheryl O. Hughes
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Maria A. Papaioannou
<jats:p>While a growing body of literature looks at the associations between food parenting practices, and feeding styles, and child’s weight status in developed countries, little is known for less developed countries, in general, and the Latin America and the Caribbean (LAC) region, in particular. This study systemically reviews and synthesizes existing evidence on the associations between child caregivers’ food parenting practices and feeding styles and 2 to 12-year-old child weight status. Keywords were used to search in PubMed, Web of Science, PsycINFO, and Cumulative Index to Nursing and Allied Health Literature. Among the ten eligible articles, all of them reported significant associations between food parenting practices and feeding styles and child weight status. Existing studies have limitations, mainly related to cross-sectional convenience samples, which limit the generalization of the results. Additionally, small sample, heterogeneous feeding measures and weight related outcomes were other limitations. Future research is needed to understand caregiver–child interactions in the food situation and its link to child weight status in 2 to 12-year-old children in areas of LAC with diverse forms of malnutrition and contextual factors of countries.</jats:p>
10Scopus© Citations 12
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Victims of Cyberbullying: Feeling Loneliness and Depression among Youth and Adult Chileans during the Pandemic
(2022)
VARELA TORRES, JORGE JAVIER
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Cristóbal Hernández
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Rafael Miranda
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Christopher P. Barlett
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RODRIGUEZ RIVAS, MATIAS ENRIQUE
<jats:p>In Chile, during the COVID-19 pandemic, reports of cyberbullying victimization increased for adolescents and younger adults. Research has shown that cyber-victims—adolescents and young adults alike—are at greater risk for mental health problems such as depression as a result of this negative type of aggression. Yet, a paucity of research has examined the individual mechanisms germane to cyber-victim depression. We focused on loneliness for the current study. We hypothesized that cyber-victimization would be positively related to depressive symptoms through increased fears of loneliness and that this effect would differ between adolescents and younger adults. Thus, we examined a sample of 2370 participants from all main regions of Chile aged from 15 to 29 years. Moderated mediation results showed a negative effect of cyberbullying on depression, which was mediated by increased fears of being alone. The effect of frequency of cyberbullying on fear of loneliness was stronger for younger adults compared to adolescents. Our results suggest different mechanisms for both age groups, which can inform prevention programs and their specific activities.</jats:p>
Scopus© Citations 21 3

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