Medwave最新文献

{"title":"Effects of novel multicomponent exercise programs on brain-derived neurotrophic factor levels and physical fitness in older women.","authors":"Mayara Imaizumi, Walter Sepulveda-Loyola, Bruna Prado Gomes, Camila Pereira, Fabiana Cristina Scherer, Regina Célia Poli-Frederico, Andréa Name Colado Simão, Vanessa Suziane Probst, Denilson de Castro Teixeira","doi":"10.5867/medwave.2025.04.3010","DOIUrl":"10.5867/medwave.2025.04.3010","url":null,"abstract":"<p><strong>Introduction: </strong>Multicomponent exercise programs have demonstrated benefits for both cognitive and physical function. However, their effects on brain-derived neurotrophic factor (BDNF) levels remain inconsistent, particularly in protocols incorporating functional exercises. This study aimed to evaluate the impact of two distinct multicomponent exercise protocols on BDNF levels and physical fitness in older women.</p><p><strong>Methods: </strong>Ninety physically active. community-dwelling older women (70.4 ± 7.2 years) were allocated to three different groups: 1) Multicomponent program 1: Circuit-based functional training; 2) Multicomponent program 2: Pilates Method; and 3) control group that received only health education. Both multicomponent programs were conducted over a 12-week period, with 50-minute sessions held three times per week. The control group participated in 12-week Health Education intervention with 90-minute sessions once a week. Brain-derived neurotrophic factor levels, short physical performance battery, agility, six-minute walk, and handgrip tests were measured.</p><p><strong>Results: </strong>Brain-derived neurotrophic factor levels increased significantly in both the functional training group (p<0.001) and Pilates group (p=0.005), with a more pronounced increase observed in the functional training group. The distance covered in the six-minute walk test also increased significantly in the functional training group (p=0.001) and was greater compared to both the Pilates (p<0.001) and control (p<0.001) groups.</p><p><strong>Conclusions: </strong>Both multicomponent exercise programs led to increased BDNF levels after 12-week intervention. However, functional training yielded superior results compared to the Pilates method, possibly mediated by improvement in physical function.</p>","PeriodicalId":18597,"journal":{"name":"Medwave","volume":"25 4","pages":"e3010"},"PeriodicalIF":1.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of different treatment modalities on the sexual function of breast cancer survivors: An observational ambispective study.","authors":"Natalia Camejo Martinez, Cecilia Castillo Leska, María Rosina Servetto Martinez, Miriam Gianina Muñoz Arce, Joaquín Manzanares Cuevas, Dahiana Lourdes Amarillo Hernández, María Gabriela Guerrina Valeta, Guadalupe Rocío Herrera Álvarez, María Carolina Dörner Cabrera, Gabriel David Krygier Waltier","doi":"10.5867/medwave.2025.04.3045","DOIUrl":"10.5867/medwave.2025.04.3045","url":null,"abstract":"<p><strong>Introduction: </strong>Advances in treatment have improved the survival rates of patients diagnosed with breast cancer. However, the number of women experiencing long-term consequences has also increased, affecting their quality of life, including sexual function.</p><p><strong>Objectives: </strong>To evaluate the prevalence of sexual dysfunction as measured by the Female Sexual Function Index, its association with treatment modalities in Uruguayan breast cancer survivors, and to compare the questionnaire scores by age group (50 years or older versus under 50 years).</p><p><strong>Methods: </strong>This ambispective observational study included patients diagnosed with early-stage breast cancer (I to III) who had completed surgery, chemotherapy, and radiotherapy treatments at least 12 months before inclusion. Patients completed the Female Sexual Function Index questionnaire, and the data were analyzed using simple and multiple binary logistic models to assess the relationship between treatment modalities and sexual dysfunction. Additionally, differences in Female Sexual Function Index scores between age groups were analyzed.</p><p><strong>Results: </strong>A total of 149 patients were included; 67.1% underwent breast-conserving surgery, 68.5% received chemotherapy, 92.6% radiotherapy, and 95.3% hormone therapy. Sexual dysfunction, defined as a score ≤ 26.55 on the questionnaire, was present in 58.3% of patients. Multivariate analysis indicated a higher risk of sexual dysfunction in patients who underwent total mastectomy, were treated with chemotherapy, or used gonadotropin-releasing hormone agonists.</p><p><strong>Conclusions: </strong>Although this study highlights the impact of certain treatment modalities on sexual function, the results should be interpreted considering the characteristics of the population and potential biases. These findings can guide clinicians in planning treatments to improve the quality of life of sexually active breast cancer patients.</p>","PeriodicalId":18597,"journal":{"name":"Medwave","volume":"25 4","pages":"e3045"},"PeriodicalIF":1.2,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sociodemographic and spatiotemporal distribution of tuberculosis and human immunodeficiency virus co-infection in three cantons of Guayas, Ecuador: A cross-sectional study.","authors":"Ronald Cedeño Vega, Inti Kory Quevedo, Jaime Angamarca-Iguago, Jaen Carlos Cagua-Ordoñez, Juan Marcos Parise-Vasco, Daniel Simancas-Racines","doi":"10.5867/medwave.2025.03.3042","DOIUrl":"https://doi.org/10.5867/medwave.2025.03.3042","url":null,"abstract":"<p><strong>Introduction: </strong>Tuberculosis (TB) and human immunodeficiency virus (HIV) co-infection are major public health problems in Latin America and Africa. The province of Guayas in Ecuador has a high proportion of cases but there is limited information on their sociodemographic characteristics and spatial distribution. The aim of this study was to analyze the sociodemographic and spatiotemporal characteristics of TB/HIV coinfection patients in three cantons of the Guayas province, Ecuador, in 2018.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using secondary data from the Ministry of Public Health of Ecuador. The study population was all adult patients with a diagnosis of TB/HIV co-infection residing in the three cantons of the three cantons. Data were analyzed to determine prevalence, incidence and mortality, as well as socio-demographic variables such as age, sex, educational level and housing conditions. Spatial distribution was assessed using QGIS software version 3.24 to identify high-prevalence areas.</p><p><strong>Results: </strong>A total of 379 cases of TB/HIV coinfection were identified, with a predominance of males (80.74%) and a mean age of 35 years. The prevalence was 1.24 per 100 000 inhabitants, with a case fatality rate of 15.57%. Individuals below the poverty line showed a stronger association with co-infection (PR=6.773, 95% CI: 4.985 to 9.202). Spatially, cases were concentrated in socioeconomically disadvantaged municipalities of Guayaquil.</p><p><strong>Conclusions: </strong>TB/HIV co-infection shows a clear association with social determinants, especially poverty and educational level. The heterogeneous spatial distribution among the three cantons and the high case fatality rate suggests the need to strengthen epidemiological surveillance and implement targeted interventions addressing social determinants in the most vulnerable areas.</p>","PeriodicalId":18597,"journal":{"name":"Medwave","volume":"25 3","pages":"e3042"},"PeriodicalIF":1.2,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dimensions related to telemedicine and telehealth competencies of health professionals: A scoping review.","authors":"Jacqueline Ibarra-Peso, Marcela Hechenleitner-Carvallo, Carlos Zúñiga-San Martín, Angelica Avendaño-Veloso, Eileen Sepúlveda-Valenzuela","doi":"10.5867/medwave.2025.03.3003","DOIUrl":"https://doi.org/10.5867/medwave.2025.03.3003","url":null,"abstract":"<p><strong>Introduction: </strong>Telehealth and telemedicine have proven to be useful in complementing face-to-face care, especially when long distances exist or when it is difficult to access specialists. New competencies are required to implement telehealth and telemedicine, not only in the use of technologies, but also in areas such as communication and ethics.</p><p><strong>Objective: </strong>To identify the dimensions associated with competencies in telemedicine and telehealth from the perspective of professionals in the area based on research developed in the last ten years.</p><p><strong>Methods: </strong>A Scoping Review was carried out by reviewing the WoS, Scopus, PubMed, and Scielo databases. The selection of publications included only original articles in both Spanish and English available under Open Access between the years 2013 and 2023.</p><p><strong>Results: </strong>The review identified twelve key dimensions in telemedicine and telehealth, highlighting \"Technological knowledge in general and in telehealth technologies\", present in 25 papers. Seventeen papers addressed the dimensions of \"coordination, cooperation and management\", highlighting the effective integration of multidisciplinary teams. Ethical competencies, professionalism and legal aspects, essential to guarantee privacy, informed consent and safety in telehealth, were also highlighted. Professionalism includes effective communication, technical skills and clinical reasoning, while safety encompasses data protection, promoting ethical and patient-centered care.</p><p><strong>Interpretation: </strong>The dimensions identified can guide researchers to better understand the competencies needed in the field of telehealth. Moreover, they can provide key elements for the development of a contextualized training framework leading to quality, flexible and more equitable remote care, responding to the needs of a society that is changing and adapting daily.</p>","PeriodicalId":18597,"journal":{"name":"Medwave","volume":"25 3","pages":"e3003"},"PeriodicalIF":1.2,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective study on disparities in time-to-treatment by health insurance system in Chilean breast cancer patients.","authors":"Johanna Acevedo, Teresa Ip, Lea Maureira, Cesar Sanchez, Claudia Osorio, Claudia Carvajal, Rafael Araos, Hernan Letelier, Francisco Acevedo, Tomas Merino","doi":"10.5867/medwave.2025.03.3033","DOIUrl":"https://doi.org/10.5867/medwave.2025.03.3033","url":null,"abstract":"<p><strong>Introduction: </strong>Breast cancer is the most common malignancy in the Americas, and the second leading cause of cancer death. Disparities in the time to treatment can significantly impact patient outcomes and typically affect lower socioeconomic individuals and/or ethnic minorities. Our study sought to evaluate disparities in time to treatment at three health institutions in Chile according to their type of health insurance (public or private).</p><p><strong>Methods: </strong>Our study analyzed a database of breast cancer patients diagnosed between 2017 and 2018. Analyses included descriptive statistics and a linear regression model that incorporated clinical and demographic variables. Additionally, using a proportional risks model, we analyzed the association between clinical variables and mortality.</p><p><strong>Results: </strong>Public health insurance (National Health Fund, FONASA) was associated with longer time-to-treatment and extended treatment times versus private health insurance (Social Security Institutions, ISAPRE; p < 0.0001). As expected, a more advanced stage at diagnosis was associated with lower survival. Our proportional risks model found that age was a predictor of breast cancer mortality in stage II patients. Also, total treatment time significantly increased the risk of breast cancer mortality in stage I patients. Conversely, total treatment time did not affect mortality on stages II or III.</p><p><strong>Conclusions: </strong>We found significant disparities in the time to treatment of Chilean breast cancer patients using FONASA versus private ISAPRE. FONASA patients experience delays in the initiation of treatment and longer total treatment times compared to their private insurance counterparts. Finally, longer time-to-treatment was associated with more advanced stages and increased mortality.</p>","PeriodicalId":18597,"journal":{"name":"Medwave","volume":"25 3","pages":"e3033"},"PeriodicalIF":1.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics and quality assessment of GRADE practice guidelines on maternal-fetal care.","authors":"Andelys De la Rosa, Patxis Taveras, Reveiz Ludovic, Torres Ana Marcela, Mordan José, López-Bencosme Yanely, Sánchez Fernández Salma Arisbel, Camilo Pantaleón Elsa, Buchanan Cecilia","doi":"10.5867/medwave.2025.03.2937","DOIUrl":"https://doi.org/10.5867/medwave.2025.03.2937","url":null,"abstract":"<p><p>The study aimed to assess the quality and applicability of current maternal-fetal health clinical practice guidelines that countries can adopt or adapt. A systematic search was conducted in the International Database of GRADE Guidelines (BIGG) for practice guidelines developed with the GRADE system (Grades of Recommendation, Assessment, Development, and Evaluation) and related to maternal-fetal care. The selected guidelines were evaluated with the AGREE-REX (Appraisal of Guidelines REsearch and Evaluation-Recommendations Excellence) tool to assess clinical applicability (domain-1), values and preferences (domain-2) and applicability (domain-3). The variables were presented descriptively, and a statistical analysis was performed on the domains according to institution and country of origin. Of 1,212 clinical practice guidelines, 72 met the inclusion criteria. According to the type of collaborating organization, the World Health Organization predominated with 58.3%, versus specialized medical societies. Domain 1, \"Clinical applicability,\" was the best rated by the reviewers (68.5%) compared to domain 2, \"Values and preferences\" (60%). According to the type of institution that developed the clinical practice guideline, a significant difference was demonstrated in domains 1 (p= 0.000), 2 (p= 0.006) and 3 (p= 0.000). Only domains 1 (p= 0.000) and 3 (p= 0.018) were statistically significant based on country of origin. This study emphasizes the importance of improving the quality of maternal-fetal clinical practice guidelines developed by organizations and governmental institutions and the need to strengthen the institutionalization of the use of evidence to develop, adapt and implement practice guidelines in countries such as the United Kingdom, Canada, Spain, Colombia, the United States, among others.</p>","PeriodicalId":18597,"journal":{"name":"Medwave","volume":"25 3","pages":"e2937"},"PeriodicalIF":1.2,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral and oropharyngeal colonization by Enterobacteriaceae: A narrative review on its epidemiology and clinical impact.","authors":"Belén Estefanía Sanmartín Zhunio, Belén Micaela Monge Puma, María de Lourdes Rodríguez Coyago","doi":"10.5867/medwave.2025.03.2938","DOIUrl":"https://doi.org/10.5867/medwave.2025.03.2938","url":null,"abstract":"<p><p>The family encompasses a large group of Gram-negative bacteria of the order Enterobacterales, which are habitual residents of the intestinal and urinary tracts, behaving only as allochthons in the oral cavity. There is no consensus regarding the prevalence, determinants and consequences of high aero-digestive colonization by this family of bacteria. In light of this, a narrative review was conducted on the epidemiology and clinical impact of oral and oropharyngeal colonization by , differentiating by age groups. A bibliographic search was conducted in four digital databases: PubMed/MEDLINE, Scielo, Google Scholar and Cochrane library of clinical and preclinical studies published in the last twenty years (2003 to 2023), on asymptomatic colonization of in the upper aero-digestive tract, its determinants and clinical impact. Oral and oropharyngeal colonization by was 38.24 and 39% on average, respectively. The genera spp. (68.75%), spp. (68.75%), spp. (43.75%), spp. (25%), and spp. (25%) were the most prevalent taxonomic groups in the oral cavity, especially in children and adolescents, while spp. (22.5%), spp. (15.5%) and spp. (8%) were the most prevalent in the oropharyngeal area of senile subjects. This colonization is shown to be associated with an increased risk of infectious and inflammatory episodes such as pneumonia, inflammatory bowel disease, periodontal disease, and progression of renal failure; with determinants that differ depending on age, with periodontal disease being a shared risk factor for senile and non-senile groups. The presence of enterobacteria in the upper aerodigestive tract is significant, predominating in children and adolescents, promoted by various factors that differ according to age and with systemic consequences of an infectious or inflammatory nature in certain types of hosts. Its role in the pathogenesis of oral diseases such as periodontitis is still not possible to specify.</p>","PeriodicalId":18597,"journal":{"name":"Medwave","volume":"25 3","pages":"e2938"},"PeriodicalIF":1.2,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spatial analysis of receptivity and vulnerability to arbovirosis transmission in Ecuador between 2015 and 2019: An ecological study.","authors":"Jaen Cagua-Ordoñez, Inti Quevedo-Bastidas, Daniel Simancas-Racines, Evelyn Frias-Toral, Juan Marcos Parise-Vasco, Jaime Angamarca-Iguago","doi":"10.5867/medwave.2025.03.3025","DOIUrl":"10.5867/medwave.2025.03.3025","url":null,"abstract":"<p><strong>Introduction: </strong>Arboviruses such as dengue, Zika and chikungunya represent a threat to public health in several South American countries, including Ecuador. Accurate identification of local risk areas and detection of critical transmission points are crucial for the effective planning of vector control programs, particularly in the management of the effectively planning vector control programs, particularly in managing mosquito. This study aimed to characterize the variables of receptivity and vulnerability to arboviral transmission at the cantonal level, and to identify hotspots in Ecuador between 2015 and 2019.</p><p><strong>Methods: </strong>Environmental and sociodemographic data at the cantonal level were used to perform a spatial analysis, which included a spatial autocorrelation analysis to identify transmission hotspots at the parish level. GeoDa software was used to detect these hotspots.</p><p><strong>Results: </strong>The provinces of Ecuador with the highest levels of receptivity and vulnerability were Manabí, Guayas, El Oro and Esmeraldas. These levels were mainly related to temperature, altitude, and limited access to clean water services. Fifty-six cantons were identified as high transmission areas. Nine parishes were classified as transmission hotspots for five consecutive years.</p><p><strong>Conclusions: </strong>The spatial analysis allowed for precisely identifying the more susceptible and vulnerable areas for arbovirus transmission in Ecuador. The persistence of transmission hotspots in certain municipalities was evidenced, influenced by environmental and sociodemographic factors. This evidence is key to adapt and improve vector surveillance and control strategies in the most affected regions.</p>","PeriodicalId":18597,"journal":{"name":"Medwave","volume":"25 3","pages":"e3025"},"PeriodicalIF":1.2,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distribution of malignant neoplasms of the oral cavity in Ecuador: an epidemiological study from 2015 to 2019.","authors":"Karina Lalangui, Emmanuelle Quentin, Juan Marcos Parise-Vasco, Claudia Reytor-Gonzalez, Evelyn Frías-Toral, Daniel Simancas-Racines","doi":"10.5867/medwave.2025.03.3024","DOIUrl":"10.5867/medwave.2025.03.3024","url":null,"abstract":"<p><strong>Introduction: </strong>Malignant neoplasms of the oral cavity represent a public health problem worldwide with an increasing incidence, especially in young populations. In Ecuador, the epidemiology of these conditions has been little studied, limiting timely diagnosis and management. The study aims to identify the distribution of hospitalizations and deaths from oral cavity malignant neoplasms in Ecuador during the pre-pandemic years, from 2015 to 2019, describing spatiotemporal patterns by province, gender, and age.</p><p><strong>Methods: </strong>An observational and descriptive study was conducted using the database of hospitalizations and deaths of the National Institute of Statistics and Census of Ecuador. Variables such as age, gender, province, and location of the neoplasms were analyzed, and frequencies, proportions, and crude rates were calculated.</p><p><strong>Results: </strong>Between 2015 and 2019, 4444 hospitalizations and 726 deaths were reported, with a notable increase in 2019. Males predominated in all the studied years. Malignant neoplasms of unspecified sites and other sites of the tongue had the highest frequency of cases and deaths. Geographically, the provinces of Loja, El Oro, Cañar, Carchi, and Bolivar had the highest rates.</p><p><strong>Conclusions: </strong>The study shows an increase in hospitalizations and deaths due to malignant neoplasms of the oral cavity between 2015 and 2019, highlighting the urgency of implementing public health strategies aimed at prevention, early detection, and timely treatment of this disease.</p>","PeriodicalId":18597,"journal":{"name":"Medwave","volume":"25 3","pages":"e3024"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Migration and access to sexual and reproductive health from the perspective of health agents in northern Chile.","authors":"María Belén Reinoso-Cataldo, Mercedes Carrasco-Portiño, Cecilia Bustos-Ibarra, Valeria Stuardo-Ávila","doi":"10.5867/medwave.2025.02.3009","DOIUrl":"10.5867/medwave.2025.02.3009","url":null,"abstract":"<p><strong>Introduction: </strong>Due to the increase and feminization of migration in Chile, and the resulting boost in the demand for sexual and reproductive health consultations, there is a need for analizaing migrants' access to health services from the health agents' perspective.</p><p><strong>Objective: </strong>To characterize migrants' access to sexual and reproductive healthcare from the health agents' perspective.</p><p><strong>Methods: </strong>Exploratory-descriptive qualitative study with a phenomenological approach. Theoretical sampling included midwives from primary health care (n=4) and staff from NGOs working with migrants (n=7). Data was collected through semi-structured interviews and a focus group, and then analyzed with ATLAS.ti.</p><p><strong>Results: </strong>Through healthcare agents, we found that there are gaps in the migrants' access to sexual and reproductive healthcare, which are associated to a lack of information on the Chilean health system, the distance between their living places and the health centers, and health not being migrants' priority, plus other gaps affecting the LGBTQIA+ community. The agents also give suggestions on how to mitigate these gaps, such as increasing information strategies and facilitating cross-sector collaboration. There are positive elements as well, such as the primary healthcare teams' knowledge of health profiles per nationality, ability to fit their speech, and willingness to adapt healthcare to the different cultural practices.</p><p><strong>Conclusión: </strong>There are gaps in the access of health care and use of sexual and reproductive health services by migrants, which are mainly associated to the lack of information on their rights in Chile and ignorance of sexual and reproductive health services. Information strategies should be expanded towards migrants.</p>","PeriodicalId":18597,"journal":{"name":"Medwave","volume":"25 2","pages":"e3009"},"PeriodicalIF":1.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}