Margareth Corzo-Contreras, Esther P Polo-Payares, María C Murgas-Quintero, Luz A Hurtado-Luján, Belkis V Cuesta-Morato
{"title":"[Obstetric violence from the perception and experiences of women in labor, Valledupar, Colombia].","authors":"Margareth Corzo-Contreras, Esther P Polo-Payares, María C Murgas-Quintero, Luz A Hurtado-Luján, Belkis V Cuesta-Morato","doi":"10.15446/rsap.V26n6.115923","DOIUrl":"10.15446/rsap.V26n6.115923","url":null,"abstract":"<p><p>Obstetric violence has been defined by Latin American legislatures as all actions or omissions that health personnel exercise on the body and reproductive processes of women, consisting of dehumanizing treatment, abuse of medicalization, pathologization and affecting their childbirth experience.</p><p><strong>Objective: </strong>To make visible from the women's voices their perception of the violation of sexual and reproductive rights generated by obstetric violence.</p><p><strong>Methodology: </strong>Qualitative, descriptive exploratory study. Intentional sample of 30 women who met the inclusion criteria, users of health institutions in Valledupar, Colombia, between 2020-2021; in-depth interview and oral accounts were used, theoretical and emergent categorization. Theoretical sample with saturation principle, internal and external validation by triangulation and consideration of ethical aspects.</p><p><strong>Results: </strong>The participants' narratives show their perception of actions that violate their rights reflected in expressions that are interpreted in the light of the recommendations of the World Health Organization (WHO), respected childbirth, as abuse of medicalization and non-recommended routines, in addition to reflecting hegemonic and non-therapeutic relationships, silencing and invasion of their corporeality and risks to their health and that of their child.</p><p><strong>Conclusion: </strong>Submission, lack of warmth, experienced in a moment of vulnerability of women, produces in their psychological sphere the memory of their deliveries as negative experiences.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"26 6","pages":"115923"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Narratives of suicidal behavior in female students at a public university in Mexico].","authors":"Nancy Araceli Méndez-Romero","doi":"10.15446/rsap.V26n6.116184","DOIUrl":"10.15446/rsap.V26n6.116184","url":null,"abstract":"<p><strong>Introduction: </strong>Suicidal behavior includes different phases: ideation, planning and suicide attempt. In Mexico, suicide represents the third and fourth cause of death in women aged 10 to 14 and 15 to 24, respectively.</p><p><strong>Objective: </strong>To analyze the experiences of suicidal ideation and attempts of women who are studying at a public university in the state of Mexico (Mexico).</p><p><strong>Methods: </strong>Qualitative research carried out from June 2023 to May 2024. An intentional sample of five women selected according to certain criteria was obtained: being of legal age, having a moderate to high risk of suicide on the Plutchik Suicide Risk Scale, having received orientation for mental health care, a strategy used to obtain personal statements about suicidal behavior. The information collected was systematized in Atlas ti, three categories were obtained which were analyzed with a gender focus on health.</p><p><strong>Results: </strong>It was identified that the study participants have attempted suicide at some time and that suicidal ideation and attempts occurred from early stages, causing persistent psychoemotional discomfort. The experiences of suicidal behavior are linked to the demand for traditional gender roles, as well as such as living in environments of violence and/or lack of support.</p><p><strong>Conclusions: </strong>The university needs to strengthen academic and solidarity support activities, as well as carry out suicide prevention actions, identifying conditions of violence or others that affect female students. Cases at risk need to be identified and referred to specialized services.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"26 6","pages":"116184"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mirko J Ortiz-Álvarez, Edgardo R Santander-Pulgar, Alejandra K Allendes-Siles, Marcelo A Vicencio-Ahumada
{"title":"[Epidemiological surveillance of bacterial agents causing foodborne diseases in northern Chile, 2016-2022].","authors":"Mirko J Ortiz-Álvarez, Edgardo R Santander-Pulgar, Alejandra K Allendes-Siles, Marcelo A Vicencio-Ahumada","doi":"10.15446/rsap.V26n6.111847","DOIUrl":"10.15446/rsap.V26n6.111847","url":null,"abstract":"<p><strong>Objective: </strong>To describe the bacteria reported in matrices related to foodborne diseases (FBDs) in the Tarapacá region (Chile).</p><p><strong>Materials and methods: </strong>A descriptive study was conducted on the total number of notifications reported by the surveillance system in Tarapacá from 2016 to 2022. The analyzed variables included the causative bacteria, the implicated food, the surveillance program, and the temporal distribution of the reported bacteria during this period.</p><p><strong>Results: </strong>During the analyzed period, 184 strains of different bacteria <i>(Salmonella spp., Staphylococcus aureus, Listeria monocytogenes, Vibrio parahaemolyticus, Vibrio cholerae,</i> and <i>Bacillus cereus)</i> were reported. Meat products and prepared dishes, together with seafood products, were the most frequently detected with bacterial contamination. The regional food surveillance program reported all the aforementioned bacteria and had the highest number of notifications, followed by imports. More bacteria were reported in food than in water. 2019 had the highest number of reported bacteria (68 strains). <i>Salmonella spp.</i> and <i>Staphylococcus aureus</i> were reported every year. <i>Salmonella spp.</i> and Vibrio parahaemolyticus had the highest number of notifications, 34.8% and 22.8%, respectively. During the period analyzed 184 strains of different bacteria (Salmonella spp, <i>Staphylococcus aureus, Listeria monocytogenes, Vibrio parahaemolyticus, Vibrio cholerae</i> and <i>Bacillus cereus)</i> were reported. Meat products and prepared dishes, together with fishery products, contain the most bacterial detections. The regional food surveillance program has reported all the above-mentioned bacteria and has the most notifications, followed by imports. More bacteria were reported in food than in water. The year 2019 had the highest number of bacteria reported (68 strains). Salmonella spp and <i>Staphylococcus</i> aureus were the bacteria reported every year. <i>Salmonella spp</i> and <i>Vibrio parahemolyticus</i> had the highest number of notifications, with 34.8% and 22.8%, respectively.</p><p><strong>Conclusion: </strong>The information obtained through active transparency from the Regional Ministerial Secretariat of Health of Tarapacá and the Public Health Institute allowed for the identification of the most prevalent and frequent bacteria. It was also determined that the regional and import surveillance programs need to be strengthened, and that meat products, along with seafood products, require closer monitoring.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"26 6","pages":"111847"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Geographic information systems tools to delimit areas in Chilean family health centers. Concepts from practice].","authors":"Sandra Soto-Provoste, Angela Rebolledo-Poblete, Greys González-González","doi":"10.15446/rsap.V26n5.116376","DOIUrl":"10.15446/rsap.V26n5.116376","url":null,"abstract":"<p><p>The use of geographic information systems (SIG) in health planning has proven to be essential, especially when considering factors such as mobility, transportation, and urban growth. Unregulated urban growth tends to concentrate and segregate services, leaving the most needy populations on the periphery without adequate access to healthcare. The analysis of geospatial information and its integration into health planning not only improves the distribution of services but also facilitates decision-making based on a more comprehensive understanding of the territory. Implementing GIS strategies can contribute to better equity in healthcare and more inclusive and effective urban planning. An essay presents reflections on using GIS in a city of southern Chile.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"26 5","pages":"116376"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maritza Sora-Gutiérrez, Gloria C Deossa-Restrepo, Cristian D Santa, Difariney González
{"title":"[Anthropometric indices, physical activity and eating patterns in nutrition and dietetics students in Colombia].","authors":"Maritza Sora-Gutiérrez, Gloria C Deossa-Restrepo, Cristian D Santa, Difariney González","doi":"10.15446/rsap.V26n4.114092","DOIUrl":"10.15446/rsap.V26n4.114092","url":null,"abstract":"<p><strong>Objective: </strong>To analyze changes in body composition (Body Mass Index and Waist/Height Index), physical activity and eating patterns in Nutrition and Dietetics students from Colombian universities, between 2017 and 2018.</p><p><strong>Materials and methods: </strong>Study longitudinal descriptive. With secondary data corresponding to the multicenter study of Nutrition and Dietetics students from universities in Colombia and Mexico. Sample of 228 students from Colombian universities, between 18 and 31 years old, evaluated at two moments with a difference of one year. It included sociodemographic, anthropometric, physical activity and food consumption variables. Descriptive statistics and inferential analysis were applied. Eating patterns were deter-mined by confirmatory factor analysis.</p><p><strong>Results: </strong>The Body Mass Index and the Waist/Height Index presented statistically significant differences between evaluations 1 and 2 (p<0.05), with increased cardiovascular risk; without significant differences in physical activity between the two evaluations (p>0.05). Three dietary patterns were determined: a) cardioprotective, b) high in sugar and c) high in fat, with no changes between evaluations.</p><p><strong>Conclusion: </strong>The present study showed critical aspects in the nutrition, body composition and physical activity of the students, which are maintained or worsen over time, despite the progress in their academic training in the area of food, dietetics and health.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"26 4","pages":"114092"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gabriela Castañeda-Millán, David A Hernández-Aparicio, David Castañeda-Millán, Javier H Eslava-Schmalbach
{"title":"[Frequency of genitourinary trauma in motorcycle traffic accidents: scoping review].","authors":"Gabriela Castañeda-Millán, David A Hernández-Aparicio, David Castañeda-Millán, Javier H Eslava-Schmalbach","doi":"10.15446/rsap.V26n4.115133","DOIUrl":"10.15446/rsap.V26n4.115133","url":null,"abstract":"<p><strong>Objective: </strong>To describe the frequency of genitourinary trauma (GUT) caused by motorcycle traffic accidents.</p><p><strong>Methodology: </strong>Scoping review conducted according to the methodology proposed by Arksey and O'Malley and the Prisma extension for scoping reviews. Searches were conducted in PubMed and Embase. All studies that described the frequency of GUT in adults (>18 years) as a result of motorcycle traffic accidents were included. Two independent reviewers were responsible for the selection based on titles and abstracts and subsequently evaluated the eligibility and quality of the studies using full-text articles.</p><p><strong>Results: </strong>The frequency of GUT was higher in men, ranging from 94.5% to 96.5%, compared to 3.4% to 5.5% in women. Drivers were more affected than passengers, with a proportion of 96.4%. The testicles were the primary organs affected, with reported trauma frequencies ranging from 0.4% to 41%, followed by the kidney (2.4% to 35%), scrotum (0% to 14%), penis (0% to 13%), bladder (0.4% to 4%), ureter (0% to 0.02%), urethra (0.2% to 2%), vagina (1%), and vulva (1%).</p><p><strong>Conclusion: </strong>The frequency of gut in patients involved in motorcycle accidents is high. It primarily affects young male motorcycle drivers; the most affected organs are the male external genitalia, kidneys, and bladder. However, in women, it is a significant cause of non-obstetric gut.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"26 4","pages":"115133"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Interprofessional education and collaborative practice: Strategies to transform a health system].","authors":"Arturo José Parada-Baños","doi":"10.15446/rsap.V26n3.114943","DOIUrl":"10.15446/rsap.V26n3.114943","url":null,"abstract":"<p><p>In a world where health care is increasingly complex and fragmented, effective collabo-ration between different health professionals becomes essential. Interprofessional education and collaborative practice (EIPC) emerge as innovative approaches that have the potential to transform health systems and reevaluate education models for the training of human talent in health. This essay examines the need for EIPC in the training of health professionals and its impact on the improvement of health systems and explores the depth and scope of this pedagogical strategy, arguing that its implementation can significantly improve the quality and equity of health care, and the satisfaction of users and professionals. However, the implementation of EIPC faces significant challenges, including lack of institutional support, limited resources, and cultural and professional barriers. The article concludes that, despite these challenges, EIPC has the potential to positively transform health systems and health sciences education, promoting more collaborative and integrated care.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"26 3","pages":"114943"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francisco Camargo-Assis, Yeimi Lopez-Mejia, Ameth Salim-Mattar, Salim-Mattar
{"title":"Migrations in Latin America: the corridor to the American dream is a public health problem.","authors":"Francisco Camargo-Assis, Yeimi Lopez-Mejia, Ameth Salim-Mattar, Salim-Mattar","doi":"10.15446/rsap.V25n3.114016","DOIUrl":"10.15446/rsap.V25n3.114016","url":null,"abstract":"<p><strong>Introduction: </strong>Migrant movements have tripled, and it is evident throughout the Americas. On the way to North America, people come from South America, the Caribbean, mainly Haiti, Cuba, Asia, and Africa. People migrate for work, study, humanitarian situations, poverty, violence in their territories, lifestyle change, or family reunification.</p><p><strong>Objetive: </strong>The aim of this study is to assess the impact of most frequent infectious conditions of the population exposed to migratory movement through the Americas.</p><p><strong>Materials and methods: </strong>The present review focuses on the leading infectious diseases migrants acquired during the arduous journey through the tropical areas. Official migration web sides, journals, and scientific journals were used to get information.</p><p><strong>Results: </strong>Some infectious diseases have re-emerged in transit countries used by migrants, and the increase in migratory phenomena, triggered cases of HIV/AIDS, Tuberculosis, arbovirosis, Malaria, and hepatitis, among others.</p><p><strong>Conclusions: </strong>Migrants suffer infectious diseases as they pass the countries to the USA; besides, they suffer violence and even sexual assault. The receiving countries should establish public policies to regularize the access of migrants to health services, which include preventive programs and easily accessible vaccination plans. Some of the pathologies suffered by migrants are preventable, although there are groups of populations in extreme social conditions and with compromised nutritional status. The need to establish a primary medical care center to apply an innovative border and transnational protocols for infectious diseases for migrant populations is highlighted.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"26 3","pages":"114016"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shanti Raman, Sharanya Napier-Raman, María Camila Pinzón-Segura
{"title":"Exploring cultural influences in perinatal and early childhood nutrition.","authors":"Shanti Raman, Sharanya Napier-Raman, María Camila Pinzón-Segura","doi":"10.15446/rsap.V26n3.115569","DOIUrl":"10.15446/rsap.V26n3.115569","url":null,"abstract":"<p><strong>Objective: </strong>This review analyzes socio-cultural factors impacting maternal and infant nutrition in low-resource settings, covering the perinatal period including pregnancy, childbirth, and early infancy.</p><p><strong>Methodology: </strong>It examines qualitative studies from 1990 to 2021, identified through databases such as Medline, Embase, and Scopus, using broad search terms including 'traditional beliefs,' 'practices' and 'perinatal'.</p><p><strong>Results: </strong>The synthesis highlights strong cultural support for breastfeeding across diverse cultures, although traditional taboos and beliefs often undermine exclusive breastfeeding. A deep cultural appreciation for the therapeutic benefits of foods is observed, with prevalent, albeit varied, notions of 'good' and 'bad' foods influencing dietary choices during the perinatal period. Intergenerational support plays a crucial role, though it often conflicts with biomedical advice, particularly in migrant populations. Crosscutting themes include the enduring role of women as 'good mother' in perinatal care, the impact of poverty on nutritional choices, and the evolving nature of cultural practices, the direction of which is not always predictable.</p><p><strong>Conclusions: </strong>Cultural beliefs profoundly shape perinatal and infant nutrition. It advocates the need for public health strategies that are culturally sensitive and tailored to specific community needs to optimize health outcomes for mothers and infants. Future interventions should integrate cultural understanding into public health practices, promoting beneficial traditions while modifying detrimental ones.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"26 3","pages":"115569"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[[Long covid: new tool to assess clinical manifestations and conditions]].","authors":"Roxana De Las Salas","doi":"10.15446/rsap.V26n2.116477","DOIUrl":"https://doi.org/10.15446/rsap.V26n2.116477","url":null,"abstract":"","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"26 2","pages":"116477"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}