OBACH KING, ALEXANDRA ALICE
Preferred name
OBACH KING, ALEXANDRA ALICE
Main Affiliation
Email
aobach@udd.cl
ORCID
0000-0002-7412-4159
Scopus Author ID
57200399284
94 results
Now showing 1 - 10 of 94
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Item type:Publication, 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; ; ;Marcela OyarteAlicia 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>2 - Some of the metrics are blocked by yourconsent settings
Item type:Product, Dataset - “If I get sick here, I will never see my children again”: The mental health of international migrants during the COVID-19 pandemic in Chile(Figshare (United Kingdom), 2022) ;ALICE CATHERINE LAURE BLUKACZ; ; 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Mapping the continuum of COVID-19 vaccine acceptance and hesitancy in Chile: Insights from qualitative research among nationals and migrants(Elsevier BV, 2026-04); ;Paula Madrid; ;Alice BlukaczMichelle SadlerScopus© Citations 1 2 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Social determinants of the health of international migrant children in Chile: Qualitative evidence [Determinantes sociales de la salud de niños migrantes internacionales en Chile: Evidencia cualitativa](2018) ;MARGARITA MARIA BERNALES SILVA; ;Ana MarĂa McIntyre ;Macarena ChepoJaviera Flaño<jats:p>Objetivo. Explorar los determinantes sociales de la salud (DSS) de niños migrantes, a partir de las percepciones de cuidadores y trabajadores/autoridades de salud en las zonas más densas de poblaciĂłn migrante en Chile. Material y mĂ©todos. Se realizĂł un análisis de datos secundario de un estudio realizado entre los años 2014 y 2017 desde un paraÂdigma cualitativo de investigaciĂłn. El estudio original incluyĂł entrevistas semiestructuradas y grupos focales. El análisis temático secundario de datos contemplĂł todos los temas emergentes referidos a niños migrantes y condiciones de vida, incluyendo utilizaciĂłn de servicios de salud. Resultados. Los DDS fueron agrupados de acuerdo con el Modelo de Determinantes Sociales de la Salud, el cual permite reflexionar en torno a las condiciones de vida de niños migrantes y su situaciĂłn de salud. ConclusiĂłn. Esta investigaciĂłn muestra el impacto de los DSS en salud de niños migrantes en Chile, resaltando temáticas relevantes en torno a este grupo.</jats:p>1Scopus© Citations 11 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Salud y migraciones: relevancia, consideraciones generales y desafĂos para el Chile de hoy”,<jats:p>Esta obra, que nos acerca a experiencias de personas migrantes internacionales y reflexiona sobre polĂticas e intervenciones en salud, aborda la migraciĂłn internacional y la salud desde la mirada del sistema de salud, polĂticas de salud, acceso, uso del sistema y de la figura de facilitadores/mediadores interculturales en salud. Luego, refiere a resultados y experiencias de salud en diversas etapas del ciclo vital, recogiendo evidencia original para Chile, y cierra con abordajes especĂficos territoriales, de salud mental y de enfermedades infecciosas.</jats:p>2 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, 18 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Barriers and facilitators to access sexual and reproductive health services among young migrants in Tarapacá, Chile: a qualitative study(2024); ;Alice Blukacz ;Michelle Sadler; <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 yourconsent settings
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