Revista espanola de salud publica最新文献_第6页

[Emotional well-being and gender in university Nursing education during the pandemic: implications for education and mental health]. [大流行期间大学护理教育中的情感幸福感和性别：对教育和心理健康的影响]。

IF 0.8

Revista espanola de salud publica Pub Date : 2025-12-29

Jorge Martín-Pereira, Nadine Badillo-Sánchez, Juan Gómez-Salgado, Miguel Garrido-Bueno, Macarena Romero-Martín, Andrés Castillejo-Del-Río, Javier Fagundo-Rivera

{"title":"[Emotional well-being and gender in university Nursing education during the pandemic: implications for education and mental health].","authors":"Jorge Martín-Pereira, Nadine Badillo-Sánchez, Juan Gómez-Salgado, Miguel Garrido-Bueno, Macarena Romero-Martín, Andrés Castillejo-Del-Río, Javier Fagundo-Rivera","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The COVID-19 pandemic affected the mental health of university students, particularly those enrolled in health-related degrees. In Nursing, the high proportion of female students and exposure to clinical settings may have influenced emotional well-being and academic engagement. The aim of this study was to analyze gender differences in anxiety, fear, and academic engagement among Nursing students in Spain during the pandemic.Methods: A cross-sectional observational study was conducted using snowball sampling. Between October 2021 and May 2022, 1,197 online questionnaires were collected, from which a balanced subsample of 175 men and 175 women was selected. The AMICO Scale and the UWES-S were administered. Data were analyzed using the Mann-Whitney U test, Spearman correlations, and MANOVA (p<0.05).Results: Women showed higher levels of anxiety and fear (M=4.06; SD=1.01) than men (M=3.54; SD=0.98; p=0.002). Men demonstrated higher academic engagement (M=3.81; SD=0.85) than women (M=3.58; SD=0.79; p=0.047), with statistically significant differences. A positive correlation was observed between academic engagement and perceived health (ρ=0.163; p=0.002), and a negative correlation between anxiety and perceived health (ρ=-0.129; p=0.015). MANOVA confirmed a significant effect of gender (p=0.011).Conclusions: Women present higher levels of anxiety and fear, whereas men show greater academic engagement, highlighting the influence of gender in nursing education. These findings support the implementation of gender-sensitive psychoeducational interventions, particularly in university settings and during public health crises.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145852142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Studies of loneliness among older people with a migrant background: a systematic review in Europe]. [有移民背景的老年人孤独感研究：欧洲的系统回顾]。

IF 0.8

Revista espanola de salud publica Pub Date : 2025-12-19

Lorena P Lorena P Gallardo-Peralta, María Ángeles Molina-Martínez, Virginia Fernández Fernández, Vicente Rodríguez Rodríguez, Pablo De Gea Grela

{"title":"[Studies of loneliness among older people with a migrant background: a systematic review in Europe].","authors":"Lorena P Lorena P Gallardo-Peralta, María Ángeles Molina-Martínez, Virginia Fernández Fernández, Vicente Rodríguez Rodríguez, Pablo De Gea Grela","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Europe is experiencing an ageing process in its societies, and within this population are migrants, meaning that older people are diverse in their ethnic composition. Numerous studies indicate the risk of loneliness and other psychosocial factors that negatively affect older people from ethnic minorities. The aim of this study was to examine studies on older people of migrant origin in Europe over the last fifteen years.Methods: A systematic review was conducted following the PRISMA format in the electronic databases Web of Science, Scopus, Dialnet and SciELO between October and November 2024. The Rayyan Manager tool was used to eliminate duplicates and screen according to the inclusion and exclusion criteria.Results: A total of 2,013 references were found and after full text assessment a total of 14 articles were included. The results on the prevalence of loneliness were heterogeneous, although six articles showed a prevalence greater than 40%. In general terms, the studies indicated the influence of socio-demographic, migratory, ethnic-cultural, psychosocial, life course, medical and other factors such as discrimination.Conclusions: Specific knowledge on how loneliness affects older migrants needs to be further developed, along with culturally relevant assessments and reflected in public policies.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145852108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Health plans, addiction plans and information systems: the approach to addictions in the Spanish Autonomous Communities]. [健康计划、成瘾计划和信息系统：西班牙自治区的成瘾方法]。

IF 0.8

Revista espanola de salud publica Pub Date : 2025-12-17

Nerea Mourino, Jessica Rial-Vázquez, Sara Correia, Ana Teijeiro, Leonor Varela-Lema, Alberto Ruano-Ravina, Cristina Candal-Pedreira, Julia Rey-Brandariz, Mónica Pérez-Ríos

{"title":"[Health plans, addiction plans and information systems: the approach to addictions in the Spanish Autonomous Communities].","authors":"Nerea Mourino, Jessica Rial-Vázquez, Sara Correia, Ana Teijeiro, Leonor Varela-Lema, Alberto Ruano-Ravina, Cristina Candal-Pedreira, Julia Rey-Brandariz, Mónica Pérez-Ríos","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Addictive behaviors are an important direct cause of avoidable morbidity and mortality in Spain. Our aim was to evaluate the available data on addictions in the most recent health plans and specific addiction plans of the autonomous cities and communities (AACC) of Spain, and to examine the systems of information and surveillance used.Methods: A review of the different institutional websites of each autonomous city and community was performed; the search was completed in August 2025, and those plans whose final implementation period extended into the last decade (after 2014) were selected.Results: Seventeen autonomous health plans and nineteen specific addiction plans were selected. The substance addictions covered in these plans differed according to the Autonomous community, but most included data on tobacco, alcohol, hypnosedatives, and cannabis. Cantabria, the Community of Madrid, the Valencian Community, the Principality of Asturias, and Melilla focused exclusively on substance addictions in their addiction plans. Gambling and compulsive use of the Internet were the most common non-substance addictions. The main sources of information and surveillance that provided data on prevalence were the EDADES and ESTUDES surveys, regional health or drug surveys, and state or regional systems of information on drug addictions. The Autonomous Observatories on drugs were present in eleven AACC.Conclusions: The data included in the regional plans and the sources of information on addictions are heterogeneous. It is necessary to update, extend and homogenize the health and addiction plans, as well as the systems of information and surveillance, of each AC to be able to adequately analyze and monitor addictive behaviors.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145770434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Development of a tool for responsible use of veterinary antibacterial drugs in a One Health context]. [开发在同一健康环境下负责任地使用兽药抗菌药物的工具]。

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Revista espanola de salud publica Pub Date : 2025-12-15

Juan Antonio Gilabert Santos

{"title":"[Development of a tool for responsible use of veterinary antibacterial drugs in a One Health context].","authors":"Juan Antonio Gilabert Santos","doi":"","DOIUrl":"","url":null,"abstract":"Objective: This review is justified by promoting better knowledge of the antibacterials used in veterinary medicine among all health professionals. For this purpose, a quick reference tool has been developed for the prudent and responsible use of authorized antibacterial agents in animals, according to their categorization to reserve those critical in human medicine, to face the growing problem of the growth of resistant or multi-resistant bacteria.Methods: Information was collected and organized for each of the active ingredients authorized and marketed in Spain and its use in different animal species in a panel table that includes their most relevant characteristics along with categorization for prudent and responsible use in animals, recommended by the European Medicines Agency (EMA).Results: The table lists a total of 68 active substances in 761 specialties used in 12 animal species. In dogs and cats, 30 are available and 54 in production animals. The main classes with the largest number of specialties are beta-lactams (penicillins and cephalosporins), aminoglycosides, macrolides and fluoroquinolones. Cephalosporins of the 3rd and 4th generation and fluoroquinolones should not be used as a first-line treatment.Conclusions: This table aims to contribute to the improvement of an adequate and prudent clinical prescription and promote the learning and teaching of antibacterial and the fight against bacterial resistance in a One Health context interrelating human, animal and environmental health. The table can be adapted to antibacterial drugs available in other countries.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145759043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Organization, training and leadership of infection prevention and control nurses in Spanish hospitals: a cross-sectional descriptive study]. [西班牙医院感染防控护士的组织、培训和领导：一项横断面描述性研究]。

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Revista espanola de salud publica Pub Date : 2025-12-09

Inmaculada Fernández Moreno, Alexander Almendral González

{"title":"[Organization, training and leadership of infection prevention and control nurses in Spanish hospitals: a cross-sectional descriptive study].","authors":"Inmaculada Fernández Moreno, Alexander Almendral González","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Infection Prevention and Control nurses (IPCN) are members of infection prevention and control (IPC) teams in healthcare facilities. The aim of the study was to describe the composition of the IPC teams, the profile of the IPCN and to describe structural and functional dependencies in both the team and the organization.Methods: A cross-sectional descriptive study was carried out between July 2019 and January 2020 in Spanish hospitals with recruitment of IPCN through non-probabilistic snowball sampling. Based on the variables collected, a univariate and bivariate descriptive analysis was performed.Results: 108 surveys were received from 108 centers, 83% public. 26 models of IPC were described. Of the centers, 45% declared ratios of one IPCN for more than 200 beds and only 13% declared ratios of one for less than 150 beds. Only 22% had all nurses trained at the postgraduate level. 84% of IPCN were structurally dependent on nursing and 70% were functionally dependent on physicians. According to the opinion of the IPCN, efficiency would be favored with: 1) multidisciplinarity (72.2%); 2) having reference nurses (93.5%); 3) IPCN with a management position (64.8%).Conclusions: Spanish IPCN are part of heterogeneous IPC teams, with ratios far from recommendations, deficient training and structurally dependent on nursing and functionally on medical services.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Anesthesiologists' self-reported sustainable attitudes and practices to mitigate climate change]. [麻醉师自我报告的缓解气候变化的可持续态度和做法]。

IF 0.8

Revista espanola de salud publica Pub Date : 2025-12-04

Adriana Marroquí-Calero, José Cruz Mañas, Clara Bermúdez-Tamayo

{"title":"[Anesthesiologists' self-reported sustainable attitudes and practices to mitigate climate change].","authors":"Adriana Marroquí-Calero, José Cruz Mañas, Clara Bermúdez-Tamayo","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Healthcare systems are a major source of greenhouse gas (GHG) emissions. In hospitals, the areas with the greatest environmental impact are anesthetic-surgical practice and intensive care. The aim of the study was to identify self-reported sustainable practices and attitudes of anesthesiologists at a public university hospital, their opinion on priority practices and barriers to their implementation.Methods: A cross-sectional study was carried out using an anonymous self-administered questionnaire adapted from an internationally validated instrument. All anesthesiology staff at the aforementioned hospital were invited to participate. Descriptive statistics and bivariate analysis using prevalence ratios were used.Results: The participation rate was 71.6% (44 specialists and 4 residents). The most frequent sustainable practices were the choice of anesthetic gases according to their environmental impact and the use of prefilled drug syringes (58.3%). A total of 85.4% expressed a desire to recycle, although only 22.9% reported actually doing so. The majority (95.8%) considered that the environmental impact of products should be taken into account; however, 52.1% indicated that their knowledge to do so was insufficient. It was observed that women were less likely to consider carbon footprint when choosing inhalation anesthetics; this effect was statistically significant. For the rest of the factors analyzed, the variations did not reach statistical significance.Conclusions: Although there is a predisposition to consider sustainable practices in Anesthesiology, their implementation is scarce. This highlights the urgency of improving the environmental training of professionals, developing multilevel strategies to facilitate individual decisions, encouraging support of decision-makers, and creating participatory environmental hospital goals.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145673110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Relationship between semen quality and anthropometric parameters in males]. 男性精液质量与人体测量参数的关系

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Revista espanola de salud publica Pub Date : 2025-12-02

Clara Piera-Jordán, Verónica Serrano de la Cruz Delgado, Laura Prieto, M Belén García Velert, Cristina Tordera, José Tuells, Laura Martín Manchado, Miriam Sánchez-San Segundo, Jose Antonio Hurtado-Sánchez, Ana Zaragoza Martí

{"title":"[Relationship between semen quality and anthropometric parameters in males].","authors":"Clara Piera-Jordán, Verónica Serrano de la Cruz Delgado, Laura Prieto, M Belén García Velert, Cristina Tordera, José Tuells, Laura Martín Manchado, Miriam Sánchez-San Segundo, Jose Antonio Hurtado-Sánchez, Ana Zaragoza Martí","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Infertility problems affect 15% of the world's population, with male factors accounting for up to 30% of cases. The relationship between male infertility and nutritional status remains inconclusive, as most studies rely on BMI without considering other parameters in their evaluation. Therefore, this study aimed to comprehensively assess male body composition and its impact on semen parameters. The aim of our study was to evaluate the relationship between seminal quality (seminogram) and nutritional status (body mass index, waist-hip index and percentage of muscle, fat and visceral mass).Methods: 117 men from infertile couples were recruited from December 2021 to October 2023 who attended the Gynecology-Esterility consultation at the Hospital of Denia (Spain). Anthropometric variables were collected by physical examination and clinical variables by semen analysis. Statistical analysis was performed using the Mann-Whitney U test and linear regression models.Results: Our work showed a direct and significant linear relationship (p=0.027) between hip circumference and seminal volume. No association was found between the rest of anthropometric parameters and seminal quality.Conclusions: The results of this study suggest that there is a statistically significant positive association between seminal volume and hip circumference, but we found no association between the rest of anthropometric parameters and seminal quality.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145656590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Functions of the speech therapist in spanish Stroke Units and their interrelation with other disciplines. A review]. 语言治疗师在西班牙语卒中单元中的作用及其与其他学科的相互关系。审查)。

IF 0.8

Revista espanola de salud publica Pub Date : 2025-12-01

Narcisa Pérez Naranjo, Gustavo Sevilla Torrijos, Oyanguren Rodeño Beatriz, Lucía Ramírez Pérez

{"title":"[Functions of the speech therapist in spanish Stroke Units and their interrelation with other disciplines. A review].","authors":"Narcisa Pérez Naranjo, Gustavo Sevilla Torrijos, Oyanguren Rodeño Beatriz, Lucía Ramírez Pérez","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Stroke Units (SU) are specialized in-hospital spaces in our Public Health system. They require multidisciplinary professional specialization and an exhaustive evaluation and treatment of patients. The aim of this study was to describe the presence and usefulness of the work performed by speech therapists in Spanish SU and to define their professional functions.Methods: A non-systematized narrative literature review was carried out on the professional role of the speech therapist in the SUs in the last ten years. The descriptors used were: stroke AND speech therapy; stroke unit AND speech therapy. A total of twenty eight papers were extracted. The method of synthesis and summary of the data was integrative-narrative. The results were compared with international stroke care guidelines.Results: Great importance is given to intensive, quality and early language rehabilitation in the acute phase of stroke. There is sufficient consensus regarding the professional contribution of speech-language pathologists in language/communication intervention and associated neurogenic dysphagia. However, their competencies need to be defined and updated at the national level, which vary heterogeneously from center to center and province to province.Conclusions: Most of the studies consulted take into account the professional work of speech therapists in the SU, their intervention being favorable for the overall improvement of the patient. It is necessary to refer the data in each autonomous community in Spain. In the international comparison, these professionals are already fully integrated in all the SUs.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145650614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Suicide epidemiology in the province of Málaga (Spain) [2024]: a retrospective analysis using machine learning techniques]. [西班牙Málaga省自杀流行病学[2024]：使用机器学习技术的回顾性分析]。

IF 0.8

Revista espanola de salud publica Pub Date : 2025-11-21

Carlos Romero-Olóriz, Esperanza López Hidalgo, María Victoria Villalba Soria, Miguel Guerrero Díaz

{"title":"[Suicide epidemiology in the province of Málaga (Spain) [2024]: a retrospective analysis using machine learning techniques].","authors":"Carlos Romero-Olóriz, Esperanza López Hidalgo, María Victoria Villalba Soria, Miguel Guerrero Díaz","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Suicide constitutes a Public Health challenge whose demographic and geographical heterogeneity demands targeted interventions. The paucity of subnational studies integrating advanced data analytics restricts the precise identification of risk patterns. We therefore aimed to characterise the sociodemographic, temporal, and forensic profiles of suicides in Málaga during 2024, through integration of data from the Institute of Legal Medicine and Forensic Sciences (IMLCF).Methods: A retrospective observational study of all suicide cases (N=197) registered by the IMLCF in 2024 was carried out. Sociodemographic, temporal, geographical, and circumstantial variables were analysed using multivariate statistical techniques and machine learning algorithms (hierarchical clustering and k-means) to identify risk patterns and distinctive profiles.Results: There was male predominance (80.2%; male-female ratio=4:1) with a mean age of 54.51 years (SD=17.00). The most frequent methods were hanging (40.61%), jumping from height (26.90%) and substance ingestion (16.24%), with statistically significant sex differences (p<0.001). Geographical distribution showed higher rates in inland municipalities (mean 53.79/100,000 inhabitants) compared with coastal areas (mean 11.56/100,000). Cluster analysis revealed four profiles: middle-aged adults in inland areas, young adults in coastal regions, jumping-related deaths in coastal areas, and older adults in coastal regions.Conclusions: This study represents the first detailed epidemiological mapping of suicide in Málaga, highlightingcontextual vulnerabilities and specific risk patterns, and supports stratified interventions in accordance with the WHO Mental Health Action Plan 2013-2030.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Understanding the health practices of male migrants who engage in prostitution: a qualitative study in Colombia]. [了解从事卖淫的男性移徙者的保健做法：哥伦比亚的一项定性研究]。

IF 0.8

Revista espanola de salud publica Pub Date : 2025-11-19

Freddy Elías Perilla-Portilla, Wimber Ortiz-Martínez

{"title":"[Understanding the health practices of male migrants who engage in prostitution: a qualitative study in Colombia].","authors":"Freddy Elías Perilla-Portilla, Wimber Ortiz-Martínez","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The health of male migrants who engage in prostitution in Colombia has historically been invisible in academic research. This population faces structural and symbolic barriers that shape health practices shaped by exclusion, stigma and precariousness. From the critical perspective of collective health, this research is justified in the need to analyse health practices as an expression of historical, social, economic and cultural processes that structure ways of living, to become ill and take care of oneself, in line with the social determinant of health approach. The aim of this paper was to analyse the health practices of male migrants who engaged in prostitution in the cities of Cali or Popayán (Colombia).Methods: A qualitative approach was used with an ethnographic method focused on participant observation, semi-structured interview and field diary. Triangulation of the data was carried out and the information was analyzed based on what Graham had established. The inclusion criteria were migrant men, over eighteen years of age. The selection of participants was through snowball sampling. Eight interviews with migrant men living in Colombia were analyzed. No statistical analysis was carried out, due to the study methodology.Results: 405 codes, 140 citations, eleven memos and two networks were identified, organized into a main category (health self-management) and an emerging category (living conditions), with three subcategories: access to services, cultural care practices and self-care practices. Health practices were linked to experiences of marginalization, job insecurity and adaptive strategies in the face of institutional barriers.Conclusions: The social determination of health manifests itself as a structural axis that conditions the decisions, knowledge and practices of health in this population, reflecting a web of exclusion, stigmatization and social resilience.","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"99 ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0