Salud ColectivaPub Date : 2023-03-16DOI: 10.18294/sc.2023.4280
Ana Victoria Morán Pérez
{"title":"[\"What choice do people have other than us?\": The role of doctors' offices adjacent to private pharmacies in the Covid-19 pandemic].","authors":"Ana Victoria Morán Pérez","doi":"10.18294/sc.2023.4280","DOIUrl":"10.18294/sc.2023.4280","url":null,"abstract":"<p><p>With the arrival of coronavirus in Mexico, doctors' offices adjacent to private pharmacies (DAPPs) played a major role in the diagnosis, care, and prevention of Covid-19, providing treatment for 11.7% to 23% of people with Covid-19 symptoms according to national surveys. Therefore, this article seeks to identify the role of DAPPs as a private health system providing care for patients with Covid-19 symptoms in the city of Oaxaca, and to describe and analyze the factors that influenced their utilization. Using a qualitative methodology, twelve physicians were interviewed and 59 users responded to a questionnaire at doctors' offices adjacent to pharmacies in the municipality of Oaxaca de Juárez between September 2020 and August 2022. Secondary data were also collected. Among the findings, the function of these offices at the front line of care for Covid-19 and other health needs that emerged with the public health crisis is described, and the determining factors in care trajectories of users that sought care there are analyzed, such as the increase in perception of risk and mistrust towards public services or strategies implemented by the federal government.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"19 ","pages":"e4280"},"PeriodicalIF":0.6,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9740831","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 : 2023-03-09DOI: 10.18294/sc.2023.4365
Hugo Spinelli
{"title":"[Interest in disinterestedness in the epidemiology of health systems and services].","authors":"Hugo Spinelli","doi":"10.18294/sc.2023.4365","DOIUrl":"10.18294/sc.2023.4365","url":null,"abstract":"<p><p>This article intends to critique of the cultural authority of the medical sciences, opening up a discussion on its publicization from a political standpoint. At the same time, from a more technical standpoint, it proposes the implementation of an epidemiology of health systems and services. Based on Pierre Bourdieu's concept of interest in disinterestedness and Joseph Gusfield's notion of the cultural authority of public problems, it analyzes why epidemiological information is so rarely used in the evaluation and monitoring of clinical, population, institutional, and territorial practices. That is, why does the dominant culture of decision making eschew epidemiological information? Within this conceptual framework, a body of documental evidence is analyzed that sheds light on the weak scientific basis that upholds or that has underpinned certain practices in the health field at different historical moments. The discussion is organized around three major themes: assistentialist professional practice, medication, and biomedical technologies.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"19 ","pages":"e4365"},"PeriodicalIF":0.6,"publicationDate":"2023-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9749910","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":"[COVID-19 risk groups and their strategies for navigating information overload during the first year of the pandemic in Chile].","authors":"Verónica Rocamora Villena, Macarena Peña Y Lillo, Patricia Junge Cerda, Cecilia Prieto Bravo","doi":"10.18294/sc.2023.4305","DOIUrl":"10.18294/sc.2023.4305","url":null,"abstract":"<p><p>As a part of the EIS-COVID project on the access and use of information during the COVID-19 pandemic in Chile, the objective of this paper was to ascertain how people's informational environment was constructed during the first stage of the pandemic. It discusses the results of a qualitative study of people belonging to risk groups for COVID-19: people over 18 and under 65 with chronic diseases (hypertension and diabetes) and people 65 and over. Ninety semi-structured interviews were conducted in the Metropolitan and Valparaíso regions between September 2020 and January 2021. The results reveal the problematic nature of the information overload encountered by these groups and the strategies they used to navigate it: a) information avoidance; b) content corroboration and active search for reliable sources; and c) differentiated media use.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"19 ","pages":"e4305"},"PeriodicalIF":0.6,"publicationDate":"2023-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9746934","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 : 2023-02-01DOI: 10.18294/sc.2023.4203
Carol Toro-Huerta, Carolina Vidal, Luis Araya-Castillo
{"title":"Temporal trends and factors associated with preterm birth in Chile, 1992-2018.","authors":"Carol Toro-Huerta, Carolina Vidal, Luis Araya-Castillo","doi":"10.18294/sc.2023.4203","DOIUrl":"10.18294/sc.2023.4203","url":null,"abstract":"<p><p>An analytical study based on Chilean birth records obtained from the Department of Statistics and Health Information (DEIS) was conducted. This study aimed to evaluate temporal trends in preterm births by maternal age in Chile from 1990 to 2018. Results show that the preterm birth rate in 1992 was 5.0% and increased to 7.2% in 2018. The average annual percent change (AAPC) was 1.44. Age groups at the extremes (19 and under and 35 and over) presented the highest rates of preterm birth, both at the beginning and at the end of the study period. The latter group showed a smaller decrease at the beginning (1992 to 1995), with an annual percentage change (APC) of -3.00. The probability of preterm birth in both groups was higher compared to the 20-34 year old group. Although Chile boasts some of the best maternal and child health indicators in the region, repercussions associated with the current postponement of maternity - including preterm birth - must be monitored.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"19 ","pages":"e4203"},"PeriodicalIF":0.6,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9740830","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 : 2023-01-23DOI: 10.18294/sc.2023.4252
Francisco José Eiroa-Orosa, Cecilia Sánchez-Moscona
{"title":"Implementing the figure of peer support workers in mental health: an international perspective from the context of its implementation in Catalonia.","authors":"Francisco José Eiroa-Orosa, Cecilia Sánchez-Moscona","doi":"10.18294/sc.2023.4252","DOIUrl":"10.18294/sc.2023.4252","url":null,"abstract":"<p><p>In the context of debates surrounding the training of mental health peer support workers and their incorporation into the Catalan Health System, this article presents a literature review complemented by interviews carried out between 2020 and 2021 with both international and Spanish experts. Based on the information obtained, content analysis of elements of their training and integration within the health system was performed. German-speaking countries offer the most homogeneous training and recruitment programs. In the case of English- and French-speaking countries, non-profit or third sector organizations are usually in charge of training programs and recruitment. Various experiences with training programs exist in the Ibero-American world, although they are not recognized as professional qualifications. Recommendations are offered for the development of this figure in Catalonia, which include advancing towards professional training with recognition as health care providers, as well as contracting options from both socio-health or health care providers or from third sector entities.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"19 ","pages":"e4252"},"PeriodicalIF":0.6,"publicationDate":"2023-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9749908","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 : 2022-12-04DOI: 10.18294/sc.2022.4258
Daniela Bruno, Andrés Pereira, María Florencia Mena, Flavia Demonte
{"title":"[Tensions between social acceptance and individual reticence to COVID-19 vaccination: the perspective of fathers and mothers residing in the Autonomous City of Buenos Aires in the context of the COVID-19 pandemic].","authors":"Daniela Bruno, Andrés Pereira, María Florencia Mena, Flavia Demonte","doi":"10.18294/sc.2022.4258","DOIUrl":"https://doi.org/10.18294/sc.2022.4258","url":null,"abstract":"<p><p>The decline in vaccination coverage associated with the population's mistrust of vaccines has been defined as a global health threat. Adopting a qualitative approach centered on the social significance of vaccines, we conducted semi-structured interviews with mothers and fathers in the City of Buenos Aires between July and December 2020. We describe and analyze their knowledge and the arguments used to justify their acceptance or reluctance to vaccinate their children in the context of COVID-19. The results show that the studied population possesses knowledge about vaccines and accepts them as a preventive practice. Nonetheless, it was possible to identify a broad spectrum of attitudes towards vaccination, including more reticent positions based on concerns regarding their safety, adverse effects, and the need to apply them for eradicated diseases, proposing vaccination as an optional and complementary practice to other care practices. Arguments are organized under the assumption of individual and moral responsibility for health care, an expression of the current sociocultural and health backdrop.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"18 ","pages":"e4258"},"PeriodicalIF":0.8,"publicationDate":"2022-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10456795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud ColectivaPub Date : 2022-12-03DOI: 10.18294/sc.2022.4225
Eduardo L Menéndez
{"title":"[The origins and development of traditional medicine: an ideological issue].","authors":"Eduardo L Menéndez","doi":"10.18294/sc.2022.4225","DOIUrl":"https://doi.org/10.18294/sc.2022.4225","url":null,"abstract":"<p><p>Most analysts identify three main foundations of the development of traditional Mexican medicine between the 15th and 18th centuries (pre-Hispanic, Hispanic, and African), as well as a number of complementary sources incorporated over the course of the 18th and 19th centuries. However, a significant proportion of leading specialists consider pre-Hispanic medicine to be the primary basis of traditional medicine, downplaying Hispanic influence and disregarding African influence. Furthermore, they either ignore or give only cursory treatment to the role of biomedicine in the present-day medicalization of traditional medicine. Although this trend can be traced back to the 1930s and 1940s, it intensified from the 1970s onward and peaked around the time of the Fifth Centennial in 1992, transforming the question of the origins and development of traditional medicine into a largely ideological issue.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"18 ","pages":"e4225"},"PeriodicalIF":0.8,"publicationDate":"2022-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10465805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud ColectivaPub Date : 2022-11-16DOI: 10.18294/sc.2022.4233
Omar Bello Sánchez
{"title":"[Childhoods, diagnosis and mental health: discuorses on the diagnosis of attention deficit hyperactivity disorder in the Los Lagos region, Chile (2020-2021)].","authors":"Omar Bello Sánchez","doi":"10.18294/sc.2022.4233","DOIUrl":"https://doi.org/10.18294/sc.2022.4233","url":null,"abstract":"<p><p>The purpose of this article is to identify power-knowledge relationships that shape discourses surrounding attention deficit hyperactivity disorder (ADHD) diagnoses in the region of Los Lagos, Chile. Employing a qualitative methodology based on Foucauldian discourse analysis, three analytical categories were defined: a) meanings, b) configurations, and c) implications of this neuropsychiatric condition. These categories guided eleven in-depth interviews with professionals, family members, and adolescents diagnosed with ADHD, which were conducted between 2020 and 2021. Based on the discourse analysis, the article concludes that: a) Foucauldian biopolitics and Latin American collective health are effective analytical approaches to discourses surrounding ADHD; b) the diagnosis of this disorder is a medicalized phenomenon; and c) diagnosis functions as a classifying tool, a field of controversies, and a strategy that modulates the body and childhood activity.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"18 ","pages":"e4233"},"PeriodicalIF":0.8,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10465806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud ColectivaPub Date : 2022-11-14DOI: 10.18294/sc.2022.4054
Patricia Aguirre
{"title":"[Talking about COVID-19: contributions to the construction of a collective memory of the syndemic through the lens of food].","authors":"Patricia Aguirre","doi":"10.18294/sc.2022.4054","DOIUrl":"https://doi.org/10.18294/sc.2022.4054","url":null,"abstract":"<p><p>This article explores the question of why the nine pandemics prior to COVID-19 - which have affected millions of people since the second half of the 20th century - were not recorded in collective memory despite their magnitude and extent. Thus, it proposes a reading of the pandemic as one component of a wider syndemic made up of contagious diseases, climate change, and malnutrition. This piece offers a narrative of the origins, development, and prospects of the pandemic within the dynamics of the global food system and national economic and political systems, highlighting components and connections. It includes a warning that - along with climate change and malnutrition (undernourishment-obesity) - pandemics are known and expected outcomes of the workings of a socio-political system that, as in the case of other components of the syndemic, by naturalizing causes and individualizing consequences, conspire against the creation of narratives that go beyond cosmetic changes.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"18 ","pages":"e4054"},"PeriodicalIF":0.8,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10465809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The influence of cisnormative discourses on the physical and psycho-emotional care of trans youth in Mexico].","authors":"Sandra Mirely Vázquez Mandujano, Patricia Trujano Ruíz","doi":"10.18294/sc.2022.4136","DOIUrl":"https://doi.org/10.18294/sc.2022.4136","url":null,"abstract":"<p><p>Cisnormativity in the health field has involved the pathologization of identities that do not align with gender binaries. The aim of this study was to analyze the scope and influence of cisnormative discourses on the care and health of trans youth. Semi-structured interviews were carried out between March 2021 and May 2022, and results were analyzed from a social constructivist approach. Five young trans people between 20 and 29 years old participated in the study (2 trans women and 3 trans men). Results showed that aspects of cisnormative gender discourse were evident in their narratives; however, at the same time they generated alternative narratives, where psycho-emotional and bodily care led them to position themselves outside of common tropes such as dysphoria and \"the wrong body\". We conclude that this study contributes to dismantling the medical view of trans people by showing how they adopt self-care practices by mobilizing their own resources. Furthermore, it reflects the importance of building dialogues with trans people that will allow more and better care strategies to be generated.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"18 ","pages":"e4136"},"PeriodicalIF":0.8,"publicationDate":"2022-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10456794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}