Revista Panamericana De Salud Publica-pan American Journal of Public Health最新文献

{"title":"Towards 2030: ministerial agreements on information systems and digital transformation for resilient health systems.","authors":"Jarbas Barbosa da Silva, Nísia Trindade Lima, Sebastian Garcia-Saisó, James Fitzgerald, Ernesto Bascolo, Socorro Gross Galiano, Ana Emilia Solis Ortega, Cristian Morales, Myrna Marti, Ana Estela Haddad, Marcelo D'Agostino","doi":"10.26633/RPSP.2024.137","DOIUrl":"https://doi.org/10.26633/RPSP.2024.137","url":null,"abstract":"","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"48 ","pages":"e137"},"PeriodicalIF":2.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11583508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping priority areas for measles surveillance: stratifying reintroduction and transmission risk in Rio de Janeiro, Brazil.","authors":"Yasmin T Dos Santos, Heitor L Praça, Alexandre San Pedro, Larissa N M Reis, Paula B Conceição, Gerusa Gibson","doi":"10.26633/RPSP.2024.123","DOIUrl":"10.26633/RPSP.2024.123","url":null,"abstract":"<p><strong>Objective: </strong>To stratify areas at risk of measles transmission in the state of Rio de Janeiro, using the risk assessment tool developed by the World Health Organization and Centers for Disease Control and Prevention, with adaptations to the regional context.</p><p><strong>Methods: </strong>This ecological study used municipalities of Rio de Janeiro state as the units of analysis. The overall risk of measles transmission was evaluated based on the scores of indicators grouped into four categories: vaccination, threat assessment, quality of health care services, and living conditions. After summing and normalizing the scores for each category, weights were assigned to obtain the risk index. The 20%, 60%, and 90% centiles were used to establish cut-off points, classifying municipalities as low risk, medium risk, high risk, and very high risk. To evaluate the performance of the measles transmission risk index, a spatial overlay was performed with the cases reported in the epidemic period 2018-2020.</p><p><strong>Results: </strong>A progressive increase in incidence rates of measles cases was observed across municipalities, corresponding to escalating transmission risk in different strata. About 97% of measles cases occurred in municipalities classified as high or very high risk, primarily located in the state's metropolitan region.</p><p><strong>Conclusion: </strong>Given the potential risk of measles transmission during the post-elimination period, our findings reinforce the importance of developing and implementing tools to identify priority areas for surveillance. The spatial overlay indicated the method's effectiveness in identifying vulnerabilities associated with transmission other than low vaccine coverage, such as precarious living conditions and poor quality of health care services.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"48 ","pages":"e123"},"PeriodicalIF":2.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11577482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Strengthening doctoral programs in nursing based on health care needsFortalecimento dos programas de doutorado em enfermagem com base nas necessidades de saúde].","authors":"Silvia Helena De Bortoli Cassiani, Bruna Moreno Dias, Carla Aparecida Arena Ventura, Juliana Gazotti, Rosalina Aparecida Partezani Rodrigues, Maria Lucia do Carmo Cruz Robazzi, Elucir Gir, Pedro Fredemir Palha","doi":"10.26633/RPSP.2024.119","DOIUrl":"10.26633/RPSP.2024.119","url":null,"abstract":"<p><p>This article aims to analyze and contextualize the training of nurses at the postgraduate level, and to present strategic orientations to expand their doctoral education in Latin America and the Caribbean. This paper presents strategies to advance the potential of nurses' contribution to health systems and the development of scientific competencies through postgraduate studies-at the doctoral level-with emphasis on cooperation and internationalization, training aligned with the health needs of the population, transfer of knowledge to practice and sustainability of actions. Nurses are well positioned to act as researchers, faculty members and leaders, and to contribute to the development of more effective strategies for future actions and policies that are required by health systems. However, investment and commitment from different key stakeholders will be needed to transform nursing education.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"48 ","pages":"e119"},"PeriodicalIF":2.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11565449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Key clinical manifestations to differentiate Oropouche fever from dengue and other arboviral diseases: a living systematic reviewRevisão sistemática viva das manifestações clínicas da febre do Oropouche: características-chave para diferenciá-la da dengue e de outras arboviroses].","authors":"Fernando Tortosa, Gamaliel Gutiérrez Castillo, Ariel Izcovich, Kleber Luz, Thais Dos Santos, Gabriel Gonzalez-Escobar, Martin A Ragusa, Lionel Gresh, Jairo A Mendez-Rico, Ludovic Reveiz","doi":"10.26633/RPSP.2024.136","DOIUrl":"10.26633/RPSP.2024.136","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the frequency of symptoms in patients with Oropouche fever and compare them with those observed in patients with dengue and other arboviral diseases.</p><p><strong>Methods: </strong>A systematic review was conducted following the MOOSE and PRISMA reporting guidelines. The review included studies on acute clinical manifestations in patients with Oropouche fever. Searches were conducted in PubMed, Virtual Health Library, Cochrane Library, and Google Scholar up to September 2024. The symptoms of Oropouche fever were compared to those of dengue and other arboviral diseases. Certainty of evidence was assessed using the GRADE approach.</p><p><strong>Results: </strong>A total of 23 studies covering 3648 patients with Oropouche fever were included. The most frequent symptoms in patients with Oropouche virus infection were fever (97%) and headache (86%). There was no difference in frequency of fever or headache between patients with Oropouche and dengue. However, odynophagia (28%) and abdominal pain (15%) were more frequent in Oropouche than in dengue, with odds ratios (ORs) of 3.20 and 2.50, respectively. Myalgia (69%) and arthralgia (57%) were less frequent in Oropouche fever than in dengue.</p><p><strong>Conclusions: </strong>Fever and headache are common in Oropouche virus infection, but do not help discriminate it from dengue. However, odynophagia and abdominal pain are more frequent in patients with Oropouche fever, while myalgia, arthralgia, and rash are more prevalent in dengue. These findings may aid in differential diagnosis in areas of arboviral co-circulation. Further studies on the recurrence and duration of symptoms are needed to improve diagnostic strategies.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"48 ","pages":"e136"},"PeriodicalIF":2.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11565446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Evidence Map of Interventions to Reduce Alcohol ConsumptionMapa de la evidencia sobre intervenciones para reducir el consumo de alcohol].","authors":"Paula Aballo Nunes Machado, Gabriela Vasconcellos de Barros Vianna, Luciana Grucci Maya Moreira, Maria Eduarda Leão Diogenes, Fabio Fortunato Brasil de Carvalho, Carmen Verônica Mendes Abdala, Camila Belo Tavares Ferreira, Mayara Rodrigues Batista, Raphael Duarte Chança, Thainá Alves Malhão","doi":"10.26633/RPSP.2024.124","DOIUrl":"https://doi.org/10.26633/RPSP.2024.124","url":null,"abstract":"<p><strong>Objective: </strong>Systematize evidence on the effect of global interventions to reduce the consumption and/or sale of alcoholic beverages.</p><p><strong>Method: </strong>Evidence map based on searches in nine bibliographic databases, including 182 studies of systematic reviews with or without meta-analysis, reviews of interventions, and reviews of reviews. The studies evaluated the effect of interventions grouped into comprehensive sets of actions: communication for behavior change; health-promoting environments; and systemic changes. Two outcomes of interest were considered: reduction in alcohol consumption and reduction in its purchase/sale.</p><p><strong>Results: </strong>A total of 207 associations between different interventions and outcomes were recorded, with emphasis on communication for behavior change (81.64%) and reduction of consumption (98.55%). Most of the associations showed a positive (40.58%), inconclusive (28.99%), or potentially positive (26.57%) effect. The main interventions with positive or potentially positive results were: a government monopoly on the sale of alcoholic beverages, control of the density of points of sale, charging a minimum price per unit, health warnings on alcoholic beverage labels, and multiple integrated interventions.</p><p><strong>Conclusion: </strong>It is hoped that this map will help public policy makers and healthcare professionals adapt experiences to their own contexts, stimulating intersectoral actions to reduce alcohol consumption.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"48 ","pages":"e124"},"PeriodicalIF":2.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11552058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Building Health Capacities Through the HEARTS Initiative in the Dominican RepublicDesenvolvimento de capacidades em saúde por meio da iniciativa HEARTS na República Dominicana].","authors":"Vhania Batista, Yenny Rodríguez, Tomiris Estepan, Andelys De La Rosa","doi":"10.26633/RPSP.2024.110","DOIUrl":"https://doi.org/10.26633/RPSP.2024.110","url":null,"abstract":"<p><p>Continuous education of health teams is essential to ensure outcomes that have a positive impact on community health. In 2019, through an agreement with the Ministry of Public Health and Social Assistance (MISPAS), the Dominican Republic began implementing HEARTS, an initiative of the Pan American Health Organization (PAHO). This aligned MISPAS with global best practices for the prevention and management of hypertension and cardiovascular disease, with a view to reducing mortality rates due to this noncommunicable disease (NCD). Hypertension is the leading cause of cardiovascular disease, which is the NCD responsible for the most deaths worldwide. Medical interns in the Dominican Republic have the enormous task of providing timely diagnosis and treatment for people with high blood pressure and various cardiovascular risk factors. In the country's health system, therefore, it is a priority to train and educate undergraduate students before they become medical interns. The HEARTS initiative has produced a series of high-quality virtual courses that are free of charge and available year-round at PAHO's Virtual Campus for Public Health. Through an agreement with MISPAS, these courses are a unique opportunity for medical schools that are members of the Dominican Association of Medical Schools and Faculties (ADOFEM) to use e-learning as an innovative and powerful tool to train members of healthcare teams.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"48 ","pages":"e110"},"PeriodicalIF":2.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11552059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HIV prevalence among cervical (pre)cancer diagnoses in Suriname: a retrospective population study.","authors":"Deborah Stijnberg, Regillio Charles, Mike Mc Kee, Mikel Chan, Antoon Grunberg, Ward Schrooten, Malti Adhin","doi":"10.26633/RPSP.2024.122","DOIUrl":"https://doi.org/10.26633/RPSP.2024.122","url":null,"abstract":"<p><strong>Objective: </strong>To determine the prevalence of HIV in women with (pre)cancerous cervical lesions in Suriname and their retention in care.</p><p><strong>Methods: </strong>A retrospective population study including all women diagnosed with (pre)invasive cervical intraepithelial neoplasia (CIN I to III or cervical cancer) in the only pathology department, during 2010-2020. The HIV test coverage and the HIV positivity ratio were determined through matching pathology data with the national HIV test database. The relation between retention in HIV care up to 2022 and different covariates was determined through Kaplan-Meier survival analysis and log-rank tests.</p><p><strong>Results: </strong>There were 2 901 (1 395 CIN I, 396 CIN II, 444 CIN III, and 666 cervical cancer) diagnoses of (pre)invasive cervical neoplasia. An overall HIV test coverage of 57.5% and a positivity ratio of 5.8% were found, with no difference among the (pre)cancer stages. The undiagnosed prevalence (women not previously known HIV-positive at cervical diagnosis) was 1.6% and 2.9% among precancer and cancer diagnoses, respectively. The median time in care of women with cervical cancer was 8 months for those not on antiretroviral therapy (ART) and 4 years for those starting ART. Among women with precancer stages this was 5 and 10 years, respectively (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>HIV testing, followed by treatment initiation when found HIV-positive, should be prioritized in women diagnosed with cervical neoplasia. This will enhance the individual clinical outcomes and facilitate the control of the HIV epidemic in Suriname.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"48 ","pages":"e122"},"PeriodicalIF":2.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11552060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal mortality in Panama from 1998 to 2022.","authors":"Yovani Chavez, Tania Herrera","doi":"10.26633/RPSP.2024.114","DOIUrl":"https://doi.org/10.26633/RPSP.2024.114","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To examine maternal mortality in Panama, analyzing its direct obstetric deaths, indirect obstetric deaths, and contributory conditions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This cohort study used publicly available data from the National Institute of Statistics and Census to present a 25-year retrospective analysis of maternal deaths in the Republic of Panama from 1998 to 2022. Public data were sourced from the National Institute of Statistics and Census website of Panama. Relevant codes from the &lt;i&gt;International Statistical Classification of Diseases and Related Health Problems, Tenth Revision&lt;/i&gt; (ICD) were used. The maternal mortality ratio (MMR) was defined as the number of maternal deaths per 100 000 live births. Trendline reliability with &lt;i&gt;R&lt;/i&gt; &lt;sup&gt;2&lt;/sup&gt; was performed to analyze the data.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 1 026 maternal deaths occurred in Panama from 1998 through 2022, of which 61.2% were attributed to direct obstetric causes; 23.9%, indirect obstetric causes; 13.6%, contributory conditions; and 1.4% were unknown or undetermined. The average MMR was 60.1. The trendline reliability resulted in &lt;i&gt;R&lt;/i&gt; &lt;sup&gt;2&lt;/sup&gt; = 0.1 (y = -0.5147x + 1094.7), which is not statistically significant but meets the 2030 Sustainable Development Goals. The specific primary causes of direct obstetric deaths were: 12.9% due to postpartum hemorrhage (ICD O72); 9.2%, eclampsia (ICD O15); 6.7%, puerperal sepsis (ICD O85); and 6.3%, pre-eclampsia (ICD O14). For indirect obstetric deaths, the primary causes were: 14.9% due to other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth, and the puerperium (ICD O99); and 7.3%, maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth, and the puerperium (ICD O98).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The findings of this study confirmed that there were substantially more direct obstetric causes (61.2%) than indirect obstetric causes (23.9%), contributory causes (13.6%), or unknown/undetermined causes (1.4%) of maternal mortality, despite being highly preventable. Although Panama is right on track to fulfill the target of 70 MMR by 2030, these results highlight the lack of health care access due to the absence of obstetrician-gynecologists per 100 000 population in indigenous comarcas, where 30.8% of the maternal mortalities occur. Furthermore, the health system in Panama is not immune to pandemics and crises. From 1998 to 2022, there were 5 years when the MMR in Panama exceeded 70: 2001, 2002, 2006, 2011, and 2020. These findings also underscore the dichotomy between statistics and health policy. While the trendline reliability was insignificant (&lt;i&gt;R&lt;/i&gt; &lt;sup&gt;2&lt;/sup&gt; = 0.1), the MMR satisfies requirements for the 2030 Sustainable Development Goals. Future studies should consider factors related to indirect obstetrics and contributory causes of deaths, health care access, COVID-19, cesarean s","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"48 ","pages":"e114"},"PeriodicalIF":2.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11552061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The private market for antimicrobials: an exploration of two selected mining and frontier areas of Guyana.","authors":"Horace Cox, Friederike Roeder, Lucy Okell, Reza Niles-Robin, Kashana James, Olivia Valz, Katharina Hauck, Elisa Sicuri","doi":"10.26633/RPSP.2024.109","DOIUrl":"10.26633/RPSP.2024.109","url":null,"abstract":"<p><strong>Objective: </strong>To identify challenges that may raise pathogens' resistance to antimicrobial drugs by exploring the private market for antimicrobials in two selected mining and frontier areas of Guyana.</p><p><strong>Methods: </strong>The private sector supply was mapped by approaching all authorized pharmacies and informal outlets, e.g., street vendors and grocery stores, around the two selected towns. Interviews were conducted with a) sellers on the availability of drugs, expiration dates, prices, and main producers; and b) customers on purchased drugs, diagnoses, and prescriptions received before purchasing drugs, and intention to complete the treatment. The information collected was described, and the determinants of the self-reported intention of customers to complete the whole treatment were identified.</p><p><strong>Results: </strong>From the perspective of the supply of antimicrobials, essential medicines faced low and insecure availability, and prescriptions frequently deviated from diagnoses. From the perspective of the demand for antimicrobials, one-third of purchased antibiotics had a high potential for antimicrobial resistance as per the World Health Organization AWaRe classification. A high price reduced the self-reported intention to complete the treatment among those who had a prescription, while buying the medication in a licensed pharmacy increased such intention.</p><p><strong>Conclusions: </strong>In Guyana, there persists a need to establish and revise policies addressing both supply and demand, such as restricting the sale of antimicrobials to licensed pharmacies and upon prescription, improving prescription practices while reducing the financial burden to patients, guaranteeing access to first-line treatment drugs, and instructing patients on appropriate use of antimicrobials. Revising such policies is an essential step to contain antimicrobial resistance in the analyzed areas and across Guyana.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"48 ","pages":"e109"},"PeriodicalIF":2.0,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11528820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Challenges to the Digital Inclusion of Women in a Vulnerable Area in ColombiaDesafios da inclusão digital das mulheres em uma área vulnerável na Colômbia].","authors":"Sara Arango Valencia, Sara Pérez Arias, Juan Guillermo Barrientos Gómez, María Camila Gómez Ramírez, Iván Felipe Luna","doi":"10.26633/RPSP.2024.108","DOIUrl":"10.26633/RPSP.2024.108","url":null,"abstract":"<p><strong>Objective: </strong>To identify women's technological capabilities and describe their appropriation and use of technology in a community in a vulnerable area of Colombia.</p><p><strong>Method: </strong>Observational cross-sectional study conducted in the subregion of Urabá, Colombia. A survey was conducted in primary health care centers, in which 1478 women between 18 and 49 years of age responded to questions about their technological capabilities, their experience with the use of web-based information, and their appropriation of technology.</p><p><strong>Results: </strong>Access to and use of information and communication technologies (ICTs) varied according to age, educational level, and socioeconomic stratum, with observed differences in preferences and critical consumption of information.</p><p><strong>Conclusion: </strong>The women in this study faced multiple access barriers to appropriate use of ICTs for health promotion. The appropriation of these tools in Colombia, specifically in the Urabá subregion, is a complex challenge that requires a comprehensive and multidimensional approach.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"48 ","pages":"e108"},"PeriodicalIF":2.0,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11528815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}