2018, Número 5
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salud publica mex 2018; 60 (5)
Determinantes sociales de la salud de niños migrantes internacionales en Chile: evidencia cualitativa
Bernales M, Cabieses B, McIntyre AM, Chepo M, Flaño J, Obach A
Idioma: Español
Referencias bibliográficas: 54
Paginas: 566-578
Archivo PDF: 280.75 Kb.
RESUMEN
Objetivo. Explorar los determinantes sociales de la salud
(DSS) de niños migrantes, a partir de las percepciones de
cuidadores y trabajadores/autoridades de salud en las zonas
más densas de población migrante en Chile.
Material y
métodos. Se realizó un análisis de datos secundario de un
estudio realizado entre los años 2014 y 2017 desde un paradigma
cualitativo de investigación. El estudio original incluyó
entrevistas semiestructuradas y grupos focales. El análisis
temático secundario de datos contempló todos los temas
emergentes referidos a niños migrantes y condiciones de vida,
incluyendo utilización de servicios de salud.
Resultados.
Los DDS fueron agrupados de acuerdo con el Modelo de
Determinantes Sociales de la Salud, el cual permite reflexionar
en torno a las condiciones de vida de niños migrantes y su
situación de salud.
Conclusión. Esta investigación muestra
el impacto de los DSS en salud de niños migrantes en Chile,
resaltando temáticas relevantes en torno a este grupo.
REFERENCIAS (EN ESTE ARTÍCULO)
Naciones Unidas. Trends in international migration 2015. Nueva York: Naciones Unidas, 2015 [citado julio 2017]. Disponible en: http://www. un.org/en/development/desa/population/migration/publications/populationfacts/ docs/MigrationPopFacts20154.pdf
UNICEF. International Migrant Children and Adolescents. Houston: UNICEF, 2012 [citado julio 2017]. Disponible en: www.unicef.org
Ministerio de Desarrollo Social Chile. Encuesta CASEN. Santiago de Chile: Ministerio de Desarrollo Social Chile. 2015. [citado julio 2017]. Disponible en: http://observatorio.ministeriodesarrollosocial.gob.cl/casenmultidimensional/ casen/casen_2015.php
Cabieses B, Chepo M, Oyarte M, Markkula N, Bustos P, Pedrero V, et al. [Health inequality gap in inmigrant versus local children in Chile]. Rev Chil Pediatr. 2017;88(6):707-16. https://doi.org/10.4067/s0370- 41062017000600707
Fazel M, Reed RV, Panter-Brick C, Stein A. Mental health of displaced and refugee children resettled in high-income countries: risk and protective factors. Lancet. 2012;379(9812):266-82. https://doi.org/10.1016/S0140- 6736(11)60051-2
Irwin A, Valentine N, Brown C, Loewenson R, Solar O, Brown H, et al. The commission on social determinants of health: tackling the social roots of health inequities. PLoS Med. 2006;3(6):e106. https://doi.org/05-PLMEHIA- 0287 [pii]10.1371/journal.pmed.0030106
Reed RV, Fazel M, Jones L, Panter-Brick C, Stein A. Mental health of displaced and refugee children resettled in low-income and middle-income countries: risk and protective factors. Lancet. 2012;379(9812):250-65. https://doi.org/10.1016/S0140-6736(11)60050-0
Solar O, Irwin A. Social determinants, political contexts and civil society action: a historical perspective on the Commission on Social Determinants of Health. Health Promot J Austr. 2006;17(3):180-5.
International Organization for Migration. World Migration Report 2015. Migrants and Cities: New Partnerships to Manage Mobility. Geneva: International Organization for Migration, 2015 [citado julio 2017]. Disponible en: https://www.iom.int/world-migration-report-2015
Cabieses B, Bernales M, McIntyre A, eds. La migración internacional como determinante social de la salud en Chile: evidencia y propuestas para políticas públicas. Santiago, Chile: Universidad del Desarrollo, 2017 [citado julio 2017]. Disponible en: http://www.udd.cl/dircom/pdfs/Libro_ La_migracion_internacional.pdf
United Nations Institute for Training and Research. Migration and Youth: Overcoming Health Challenges. New York: UNITAR, 2011 [citado julio 2017]. Disponible en: http://www.unitar.org/ny/international-law-andpolicy/ migration-and-development-series/MigrationYouthovercominghealthchallenges
Hertzman C, Siddiqi A, Hertzman E, Irwin LG, Vaghri Z, Houweling TA, et al. Bucking the inequality gradient through early child development. BMJ. 2010;340:c468. https://doi.org/10.1136/bmj.c468
United Nations International Children’s Emergency Fund. Estado Mundial de la Infancia: una oportunidad justa para cada niño. Nueva York: UNICEF, 2016 [citado julio 2017]. Disponible en: https://www.unicef.org/ spanish/publications/files/UNICEF_SOWC_2016_Spanish.pdf
Devi S. Unaccompanied migrant children at risk across Europe. Lancet. 2016;387(10038):2590. https://doi.org/10.1016/S0140-6736(16)30891-1
The Lancet. Migrant and refugee children need our actions now. Lancet. 2016;388(10050):1130. https://doi.org/10.1016/S0140-6736(16)31642-7
Benadof D, Polk D, Documet P. Stages and transitions in the development of tooth brushing skills in children of Mexican immigrant families: a qualitative study. Journal of public health dentistry. 2015;75(4):337-42. https://doi.org/10.1111/jphd.12108
Wang LD, Lam WW, Wu JT, Liao Q, Fielding R. Chinese immigrant parents’ vaccination decision making for children: a qualitative analysis. BMC public health. 2014;14:133. https://doi.org/10.1186/1471-2458-14-133
Klassen AF, Gulati S, Granek L, Rosenberg-Yunger ZR, Watt L, Sung L, et al. Understanding the health impact of caregiving: a qualitative study of immigrant parents and single parents of children with cancer. Quality of Life Research. 2012;21(9):1595-605. https://doi.org/10.1007/s11136-011- 0072-8
Lindsay AC, Wallington SF, Greaney ML, Hasselman MH, Tavares-Machado MM, Mezzavilla RS. Brazilian Immigrant Mothers’ Beliefs and Practices Related to Infant Feeding: A Qualitative Study. Journal of Human Lactation. 2016;33(3). https://doi.org/10.1177/0890334416676267
Berger-Jenkins E, Jarpe-Ratner E, Giorgio M, Squillaro A, McCord M, Meyer D. Engaging caregivers in school-based obesity prevention initiatives in a predominantly Latino immigrant community: a qualitative analysis. J Nutr Educ Behav. 2017;49(1):53-59. https://doi.org/10.1016/j. jneb.2016.08.004
Lindsay AC, de Oliveira MG, Wallington SF, Greaney ML, Machado MM, Freitag Pagliuca LM, et al. Access and utilization of healthcare services in Massachusetts, United States: a qualitative study of the perspectives and experiences of Brazilian-born immigrant women. BMC health services research. 2016;16:467. https://doi.org/10.1186/s12913-016-1723-9
Lee FH, Wang HH, Yang YM, Tsai HM. Barriers faced by Vietnamese immigrant women in Taiwan who do not regularly undergo cervical screenings: a qualitative study. Journal of Advanced Nursing. 2014;70(1):87-96. https://doi.org/10.1111/jan.12168
Sangaramoorthy T, Guevara EM. Immigrant Health in Rural Maryland: A Qualitative Study of Major Barriers to Health Care Access. J Immigr Minor Health. 2016;19(4):939-46. https://doi.org/10.1007/s10903-016-0417-z
Choi YJ. Mental health problems and acculturative issues among married immigrant women in Korea: A qualitative study. Women & Health. 2016;56(6):713-29. https://doi.org/10.1080/03630242.2015.1118724
O’Brien MJ, Shuman SJ, Barrios DM, Alos VA, Whitaker RC. A qualitative study of acculturation and diabetes risk among urban immigrant Latinas: implications for diabetes prevention efforts. Diabetes Educ. 2014;40(5):616-25. https://doi.org/10.1177/0145721714535992
Godfrey EB, Wolf S. Developing critical consciousness or justifying the system? A qualitative analysis of attributions for poverty and wealth among low-income racial/ethnic minority and immigrant women. Cultur Divers Ethnic Minor Psychol. 2016;22(1):93-103. https://doi.org/10.1037/ cdp0000048
Sin MK. A qualitative analysis of stress and coping in Korean immigrant women in middle-age and older-adulthood. Issues Ment Health Nurs. 2015;36(1):52-9. https://doi.org/10.3109/01612840.2014.942447
Bramberg EB, Nystrom M, Dahlberg K. Patient participation: A qualitative study of immigrant women and their experiences. Int J Qual Stud Health Well-being. 2010;5(1). https://doi.org/10.3402/qhw.v5i1.4650
Schwartz SJ, Kim SY, Whitbourne SK, Zamboanga BL, Weisskirch RS, Forthun LF, et al. Converging identities: dimensions of acculturation and personal identity status among immigrant college students. Cultur Divers Ethnic Minor Psychol. 2013;19(2):155-65. https://doi.org/10.1037/ a0030753
Fuligni AJ, Tsai KM. Developmental flexibility in the age of globalization: autonomy and identity development among immigrant adolescents. Annu Rev Psychol. 2015;66:411-31. https://doi.org/10.1146/annurevpsych- 010814-015111
Bernosky-de Flores CH. A conceptual framework for the study of social capital in new destination immigrant communities. J Transcult Nurs. 2010;21(3):205-11.
Stoyanova A, Diaz-Serrano L. [Differential impact of social capital on mental health in the native-born and immigrant populations living in Catalonia (Spain)]. Gac Sanit. 2009;23(Suppl 1):93-9. https://doi.org/10.1016/j. gaceta.2009.08.003
Teng L, Robertson-Blackmore E, Stewart DE. Healthcare worker’s perceptions of barriers to care by immigrant women with postpartum depression: an exploratory qualitative study. Arch Womens Ment Health. 2007;10(3):93-101. https://doi.org/10.1007/s00737-007-0176-x
Kokanovic R, Manderson L. Exploring doctor-patient communication in immigrant Australians with type 2 diabetes: a qualitative study. J Gen Intern Med. 2007;22(4):459-63. https://doi.org/10.1007/s11606-007-0143-2
Heaton J. Secondary Analysis of Qualitative Data: An Overview. Hist Soz Forsch. 2008;33(3):33-45. [citado julio 2017]. Disponible en: https:// www.ssoar.info/ssoar/handle/document/19143
Creswell J. Philosophical, paradigm, and interpretative frameworks. In: Creswell J, ed. Qualitative inquiry and research design: choosing among five approaches. Thousand Oaks: Sage, 2007:15-34.
Scribano A, Sena Ad. Las segundas partes sí pueden ser mejores: algunas reflexiones sobre el uso de datos secundarios en la investigación cualitativa. Sociologias. 2009:100-18. https://doi.org/10.1590/S1517- 45222009000200006
Vasquez A, Cabieses B, Tunstall H. Where are socioeconomically deprived immigrants located in Chile? A spatial analysis of census data using an index of multiple deprivation from the last three decades (1992- 2012). PLoS One. 2016;11(1):e0146047. https://doi.org/10.1371/journal. pone.0146047
Patton M. Variety in Qualitative Inquiry: Theoretical Orientations. Qualitative Research & Evaluation Methods 3ed. Thousand Oaks: Sage, 2002.
Thomas D. A general inductive approach for qualitative data analysis 2003. Auckland: University of Auckland, 2011:1-11. [citado julio 2017]. Disponible en: http://www.fmhs.auckland.ac.nz/soph/centres/hrmas/_docs/ Inductive2003.pdf
Guba E, Lincoln Y. Competing paradigms in qualitative research. In: Denzin N, Lincoln Y, ed. The Landscape of Qualitative Research. London: SAGE, 1998.
Johnson R, Waterfield J. Making word count: the value of qualitative research. Physiother Res Int. 2004;9(3):121-31. https://doi.org/10.1002/pri.312
Abrego L. Legal consciousness of undocumented Latinos: fear and stigma as barriers to claims-Making for First- and 1.5-Generation Immigrants. Law Soc Rev. 2011;45(2):337-70. https://doi.org/10.1111/j.1540- 5893.2011.00435.x
Ministerio del Interior y Seguridad Pública de Chile. Minuta: Reforma Migratoria y Política Nacional de Migraciones y Extranjería. Santiago de Chile: Ministerio del Interior y Seguridad Pública Chile, 2018 [citado julio 2017]. Disponible en: https://cdn.digital.gob.cl/filer_public/d2/39/d239d0dfc4e9- 488e-a36f-8b1ac2ca00ef/nueva_ley_de_migracion.pdf
Cutter-Mackenzie A. Multicultural school gardens: creating engaging garden spaces in learning about language, culture, and environment. Canadian Journal of Environmental Education. 2009;14(1):122-35.
Ministerio de Educación de Chile. Lineamientos e instrucciones para la política nacional migratoria Santiago de Chile, 2016 [citado julio 2017]. Disponible en: http://migrantes.mineduc.cl/wp-content/uploads/ sites/88/2017/04/7-ORD.894-Mineduc-Migrante.pdf
Bekteshi V, Kang SW. Contextualizing acculturative stress among Latino immigrants in the United States: a systematic review. Ethn Health. 2018:1- 18. https://doi.org/10.1080/13557858.2018.1469733
Griner D, Smith TB. Culturally adapted mental health intervention: A meta-analytic review. Psychotherapy (Chicago, Ill). 2006;43(4):531-48. https://doi.org/10.1037/0033-3204.43.4.531
McDonald WF. Exploiting Immigrant Vulnerability. In: Macmillan P, ed. The Criminal Victimization of Immigrants Palgrave Studies in Victims and Victimology. Cham: 2018:47-54. https://doi.org/10.1007/978-3-319-69062- 9_4
Gualdi-Russo E, Toselli S, Masotti S, Marzouk D, Sundquist K, Sundquist J. Health, growth and psychosocial adaptation of immigrant children. Eur J Public Health. 2014;24(Suppl 1):16-25. https://doi.org/10.1093/eurpub/ cku107
Toselli S, Gualdi-Russo E, Marzouk D, Sundquist J, Sundquist K. Psychosocial health among immigrants in central and southern Europe. Eur J Public Health. 2014;24(Suppl 1):26-30. https://doi.org/10.1093/eurpub/cku100
Stevens G, Vollebergh W. Mental health in migrant children. J Child Psychol Psychiatry. 2008;49(3):276-94. https://doi.org/10.1111/j.1469- 7610.2007.01848.x
Markkula N, Cabieses B, Lehti V, Uphoff E, Astorga S, Stutzin F. Use of health services among international migrant children - a systematic review. Global Health. 2018;14(1):52. https://doi.org/10.1186/s12992-018-0370-9
Anderson L, Scrimshaw S, Fullilove M, Fielding J, Normand J. Culturally competent healthcare systems. Am J Prev Med. 2003;24(3):68-79. https:// doi.org/10.1016/S0749-3797(02)00657-8