Salud ColectivaPub Date : 2025-04-01DOI: 10.18294/sc.2025.5334
Gabriela Sánchez López, Rosa Elena Sandoval Zapata, Michelle Mir Trejo, Ana Cristina Skinfield Vértiz, María de Los Ángeles Téllez Flores, Mónica Michelle Rojas Medina
{"title":"[\"They rape us and they kill us\": Feminicidal violence and institutional neglect in the experiences of girls and adolescents in social care centers in Jalisco, Mexico.]","authors":"Gabriela Sánchez López, Rosa Elena Sandoval Zapata, Michelle Mir Trejo, Ana Cristina Skinfield Vértiz, María de Los Ángeles Téllez Flores, Mónica Michelle Rojas Medina","doi":"10.18294/sc.2025.5334","DOIUrl":"10.18294/sc.2025.5334","url":null,"abstract":"<p><p>This article examines the continuum of feminicidal violence and its connection to protection systems in Mexico from the perspective of girls and adolescents. Based on a qualitative study conducted between 2022 and 2024 in two social care centers - one public and one private - it analyzes the experiences of 31 girls and adolescents who have gone through this cycle of violence. Through in-depth interviews, body mapping, and ethnographic observation, the study reveals that the violence rooted in their communities of origin does not cease upon entering the social care centers; instead, it is transformed into new forms of institutional control and violence. Their narratives reveal a continuity of violence that constitutes a web of dispossession and dehumanization, in which institutionalization does not represent a refuge but rather an extension of the same system of oppression. The findings show that social care centers do not break the cycle of previous violence, but rather form part of the same continuum of control, exclusion, and the precarization of life, becoming embedded within the broader framework of impunity upheld by the state.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"21 ","pages":"e5334"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12303867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037644","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":"Body modification technologies and transvestite and trans people in Argentina: A quantitative study on inequalities in use and access.","authors":"Anahí Farji Neer, María Alejandra Dellacasa, Sebastián Ezequiel Sustas, Melina Antoniucci, Cecilia Rustoyburu, Clara Inés Noceti, Natacha Mateo, Alejandra Rosario Roca","doi":"10.18294/sc.2025.5206","DOIUrl":"10.18294/sc.2025.5206","url":null,"abstract":"<p><p>Collective health has provided valuable analytical perspectives for understanding the social determinants of health and how dynamics of inequality, inequity, and injustice contribute to suffering, disease, morbidity, and mortality. From this perspective, this study identifies and analyzes the ways in which transvestite and trans people in Argentina appropriate and use different hormones and body modification interventions, aiming to highlight the vulnerabilities associated with these practices, both those performed outside the healthcare system and those carried out with professional support in an institution. A quantitative methodological strategy was adopted, with a descriptive, observational, and cross-sectional design. In 2023, a nationwide survey was conducted using a questionnaire targeting transvestite and trans people aged 16 and older (n=1,196). The analyzed data reveal vulnerability processes that do not extend uniformly across the entire population and are linked to health inequalities.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"21 ","pages":"e5206"},"PeriodicalIF":1.0,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12303868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044936","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}
Salud ColectivaPub Date : 2025-03-06DOI: 10.18294/sc.2025.5563
María Reneses
{"title":"Pharmaceutical subjectivity in times of crisis in Madrid: Between survival, chronicity, and \"It Must Be Me\".","authors":"María Reneses","doi":"10.18294/sc.2025.5563","DOIUrl":"10.18294/sc.2025.5563","url":null,"abstract":"<p><p>In recent years, mental health has gained significant relevance, accompanied by a gradual reduction in stigma. As a result, more people are understanding and analyzing their suffering in psychological terms. However, for many individuals accessing public mental health services in a city like Madrid, medication remains the primary treatment option. This study aims to analyze the type of subjectivity produced through this form of intervention, based on the findings of an ethnographic research conducted between 2012 and 2014. The research included observation in mental health center consultations, 19 in-depth interviews with psychotropic drug users, and a reflection group with periodic meetings. Key findings highlight ambivalence towards medication and the need for continuous adjustments to minimize side effects. The resulting subjectivity revolves around central aspects such as the fear of relapse and side effects; autonomy, which conflicts with the notion of not trying on one's own; accountability, feelings of vulnerability and self-governance, core aspects of neoliberal subjectivity.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"21 ","pages":"e5563"},"PeriodicalIF":1.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12303866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020063","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}
Salud ColectivaPub Date : 2025-02-21DOI: 10.18294/sc.2025.5419
José Ricardo de Carvalho Mesquita Ayres, Valéria Monteiro Mendes, Isabella Silva de Almeida, Macarena Urrestarazu Devincenzi, Jamile Silva Guimarães, Gabriela Junqueira Calazans, Pamela Cristina Bianchi, Alberto Shodi Yamashiro, Grupo de Pesquisa Em Saúde de Jovens E Direitos Humanos
{"title":"Comprehensive health care for adolescents and young people from the perspective of primary care professionals, San Pablo, Brazil.","authors":"José Ricardo de Carvalho Mesquita Ayres, Valéria Monteiro Mendes, Isabella Silva de Almeida, Macarena Urrestarazu Devincenzi, Jamile Silva Guimarães, Gabriela Junqueira Calazans, Pamela Cristina Bianchi, Alberto Shodi Yamashiro, Grupo de Pesquisa Em Saúde de Jovens E Direitos Humanos","doi":"10.18294/sc.2025.5419","DOIUrl":"10.18294/sc.2025.5419","url":null,"abstract":"<p><p>Comprehensiveness is a globally recommended principle for effective health care, particularly for adolescents and young people, whose needs combine biomedical aspects with sociocultural processes of subjectivity construction and citizenship exercise. However, significant challenges hinder its effective implementation. This study aims to identify the aspects of work carried out in primary health care units in the state of São Paulo, Brazil, that professionals perceive as facilitators or obstacles to providing comprehensive health care for adolescents and young people. This qualitative study, conducted between January and November 2023, involved workplace observations and semi-structured interviews with 73 health professionals. The findings highlight the predominance of decontextualized, fragmented, and prescriptive actions within a context of resource shortages and weak intersectoral coordination. The study underscores the need for adolescents and young people to participate as rights-bearing subjects in the development of intersectoral health actions and policies.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"21 ","pages":"e5419"},"PeriodicalIF":1.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12296365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049555","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}
Salud ColectivaPub Date : 2025-02-19DOI: 10.18294/sc.2025.5202
Constanza Lupi, Daniela Paola Bruno, Diego Daniel Salusso, Estefanía Panizoni, Lara Weitz, Cecilia Valeriano, Inés Aristegui
{"title":"[Approach to the use and complications of injectable liquid silicone in the trans and travesti population: experiences of healthcare professionals in Argentina].","authors":"Constanza Lupi, Daniela Paola Bruno, Diego Daniel Salusso, Estefanía Panizoni, Lara Weitz, Cecilia Valeriano, Inés Aristegui","doi":"10.18294/sc.2025.5202","DOIUrl":"10.18294/sc.2025.5202","url":null,"abstract":"<p><p>The use of injectable liquid silicone (ILS) in the travesti and trans population poses a public health challenge in Argentina and worldwide. Although ILS and other unauthorized polymers represent a significant risk for this population, there is no consensual and effective approach, nor has the issue been addressed through health policy. This study aimed to explore the experiences of healthcare professionals from various specialties and levels of care regarding the use, management, and treatment of ILS-related complications in trans and travesti individuals. Between August and December 2023, a qualitative, exploratory and descriptive study was carried out with 14 semi-structured interviews with health professionals from four Argentine provinces. According to their accounts, ILS users constitute a population facing multiple vulnerabilities, resorting to these practices due to the immediacy of results and the barriers to accessing safe gender-affirming procedures. Professionals agree on the lack of information and guidelines for addressing ILS-related complications, particularly in managing chronic pain. Furthermore, ILS use is identified as a public health issue requiring an intersectoral and interdisciplinary approach.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"21 ","pages":"e5202"},"PeriodicalIF":0.6,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516971","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}
Salud ColectivaPub Date : 2025-02-06DOI: 10.18294/sc.2025.5200
María Laura Cordero, Lorena Saletti-Cuesta
{"title":"[Barriers and strategies for healthcare accessibility for trans people in Cordoba, Argentina].","authors":"María Laura Cordero, Lorena Saletti-Cuesta","doi":"10.18294/sc.2025.5200","DOIUrl":"10.18294/sc.2025.5200","url":null,"abstract":"<p><p>The life trajectories of transgender individuals are marked by multiple vulnerabilities. This study aims to explore healthcare accessibility for trans people in the province of Córdoba, Argentina. Using a narrative design and a biographical approach, eight semi-structured interviews were conducted between 2022 and 2023 with trans individuals to examine the barriers to healthcare access and the strategies they employed. The accounts reveal that while discrimination and mistreatment remain the primary barriers, a notable concern is the lack of training and knowledge about trans health among healthcare professionals. Among the strategies highlighted are the involvement and efforts of collective spaces and LGBTTTIQ+ social organizations, which play a key role in facilitating access to healthcare. Social networks for disseminating information emerge as critical strategies, alongside inclusive comprehensive healthcare clinics within health services.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"21 ","pages":"e5200"},"PeriodicalIF":0.6,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426261","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}
Salud ColectivaPub Date : 2024-12-26DOI: 10.18294/sc.2024.4899
Nuria Caimmi
{"title":"[Racial inequality in the production of fresh vegetables and cut flowers in Argentina: an analysis in Greater La Plata].","authors":"Nuria Caimmi","doi":"10.18294/sc.2024.4899","DOIUrl":"10.18294/sc.2024.4899","url":null,"abstract":"<p><p>This study aims to analyze the configuration of inequalities in one of Argentina's most significant production zones for fresh vegetables and cut flowers, located in Greater La Plata, Buenos Aires Province. This ongoing anthropological research, initiated in 2021, employs methods such as participant observation, interviews, food mapping, and digital ethnography. Among the main findings, we highlight that this production zone exhibits, in both its origins and daily operations, certain racist dynamics that are not solely generated by the host society toward migrants but are disseminated throughout the social fabric, including by migrant producers themselves. Positive valuations of ultra-processed foods by those living and working in the area reflect the importance of belonging to the host society, running parallel to strategies for preserving food preparations from before migration. These include the recreation of a \"food identity\" and the proliferation of \"legumbrerías\" (legume shops) and \"paisano eateries\" (restaurants serving traditional food). These transformations are intertwined with the productive changes migrants have experienced, shifting from peasant economies in their places of origin to intensive production in Greater La Plata.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"20 ","pages":"e4899"},"PeriodicalIF":0.6,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899143","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}
Salud ColectivaPub Date : 2024-12-13DOI: 10.18294/sc.2024.4892
Gabriela da Silva Gonçalves Loures, Telmo Mota Ronzani, Patrícia Aparecida Baumgratz de Paula, Magda Dimenstein, Saulo Luders Fernandes, Jáder Ferreira Leite, João Paulo Sales Macedo, Gabriel Martins Silva
{"title":"[Use of psychotropic drugs among Indigenous and Quilombola communities in Brazil].","authors":"Gabriela da Silva Gonçalves Loures, Telmo Mota Ronzani, Patrícia Aparecida Baumgratz de Paula, Magda Dimenstein, Saulo Luders Fernandes, Jáder Ferreira Leite, João Paulo Sales Macedo, Gabriel Martins Silva","doi":"10.18294/sc.2024.4892","DOIUrl":"10.18294/sc.2024.4892","url":null,"abstract":"<p><p>The use of psychotropic drugs has become a public health issue due to their high consumption worldwide. In the context of traditional populations, the literature on the use of these medications is scarce. This study presents a descriptive analysis of psychotropic drug use among Indigenous and Quilombola communities in the states of Minas Gerais, Rio Grande do Norte, Alagoas, and Piauí in Brazil. Data collection was conducted between March and June 2023 using two structured questionnaires with closed-ended questions applied during home visits. These questionnaires gathered sociodemographic profiles of the Indigenous and Quilombola communities and general psychotropic drug usage. Out of 335 individuals from the four states who responded to the questionnaires on general psychotropic drug use, 53 reported using these medications. The users were predominantly adult women with low educational attainment, older age, low income, and reliance on social programs. Antidepressants were the most commonly used therapeutic class. The study concludes that economic and social vulnerability is likely a significant factor in the social determinants of psychological distress and psychotropic drug use.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"20 ","pages":"e4892"},"PeriodicalIF":0.6,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883230","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}
Salud ColectivaPub Date : 2024-12-10DOI: 10.18294/sc.2024.5388
Manuel Alejandro Castro
{"title":"[Experiences and subjective transformations: suffering and coercion in the use of psychotropic drugs in psychiatric treatment in Chile].","authors":"Manuel Alejandro Castro","doi":"10.18294/sc.2024.5388","DOIUrl":"10.18294/sc.2024.5388","url":null,"abstract":"<p><p>This article analyzes the impact of psychotropic drug use on individuals diagnosed with schizophrenia, bipolar affective disorder, and severe depression in Chile. Using a qualitative narrative approach, the experiences of 25 patients from 2018 to 2021 are examined. Participants describe how these medications, while effective in symptom control, generate psychological suffering and a sense of coercion in daily life. The results reveal that prolonged use of psychotropic drugs leads to significant side effects, including physical, cognitive, and social deterioration, as well as a persistent sense of dependence on these medications. Furthermore, the article critiques the medicalization of mental disorders within modern psychiatry, where the biomedical approach predominates, reducing human distress to a neurochemical problem and disregarding social factors. The study concludes that while psychotropic drugs can stabilize patients, they also perpetuate forms of control and suffering.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"20 ","pages":"e5388"},"PeriodicalIF":0.6,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873113","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}
Salud ColectivaPub Date : 2024-12-02DOI: 10.18294/sc.2024.4908
María Alejandra Sánchez Bandala, Paola María Sesia
{"title":"[Racism and mental health in indigenous youth living in the Metropolitan Area of Oaxaca, Mexico].","authors":"María Alejandra Sánchez Bandala, Paola María Sesia","doi":"10.18294/sc.2024.4908","DOIUrl":"10.18294/sc.2024.4908","url":null,"abstract":"<p><p>Indigenous populations show high prevalence rates of mental disorders and limited access to mental health services. The aim of this study was to analyze the mental health care trajectories of indigenous youth living in the Metropolitan Area of Oaxaca, Mexico. Between May and August 2023, we conducted a qualitative study involving non-participant observation, in-depth interviews with seven indigenous youth, and semi-structured interviews with nine health professionals, healers, or leaders of mutual support groups. We identified processes, not exempt of tensions, in how these young people perceive themselves as both young and indigenous, in the development of their mental disorders, and in the ways they seek treatment. Their care involved the use of psychological and psychiatric services, mutual support groups, and, to a limited extent, traditional medicine. This study concludes that these dynamics are interwoven and amplified by interpersonal, institutional and epistemic racism, which must be dismantled to improve the mental health of indigenous youth.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"20 ","pages":"e4908"},"PeriodicalIF":0.6,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847945","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}