Browsing by Author "Silva, Claudia"
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Item Diáspora, integración social y arraigo de migrantes en Santiago de Chile: imaginarios de futuro en la comunidad venezolana(2019) Gissi, Emiliano; Ghio, Gonzalo; Silva, ClaudiaEl presente artículo tiene como propósito comprender los procesos de integración, arraigo y desarraigo de migrantes venezolanos residentes en Santiago de Chile, los que han llegado crecientemente durante los últimos cinco años, producto de la crisis económico-política que vive Venezuela. Buscamos ampliar los conocimientos sobre la movilidad Sur-Sur y en particular en América Latina. Presentamos resultados de una investigación cualitativa realizada en 2017 y 2018, a partir de tres ejes temporales: éxodo y decisión de migrar hacia Chile; asentamiento y trayectorias; y evaluación e imaginarios de futuro. Se concluye que hay una positiva integración social, siendo relevante tanto la percepción de lograr éxito laboral como la experiencia de participar en un paulatino proceso de mestizaje cultural, aportando a la construcción de convivencia intercultural en Santiago. Estas condiciones y situaciones están generando arraigo, al menos en el corto plazo.Item Feeling prepared to face COVID-19 pandemic among Venezuelans in Chile: findings from an opinion poll - Medwave(2021) Cabieses, Báltica; Darrigrandi, Florencia; Blukacz, Alice; Obach, Alexandra; Silva, ClaudiaIntroduction International migration is a social determinant of health. The past decade has seen a large exodus of Venezuelans within Latin America, including Chile. In the past months, the world has been facing the SARS-CoV-2 coronavirus pandemic and its respiratory disease COVID-19. Objective To explore what factors are associated with feeling prepared to face the COVID-19 pandemic among the Venezuelan population residing in Chile. Methods Cross-sectional quantitative study with an opinion poll design. An online self-reported survey in Spanish and Creole was designed and piloted with experts and international migrants. It was disseminated to various international migrant groups through networks of migrant and promigrant organizations and the Chilean public health care network across the national territory. An effective sample size for analysis of 1690 participants was reached, of which 1008 (60%) were from Venezuela and included in this analysis. Feeling prepared to face the COVID-19 pandemic (yes/no) among Venezuelan migrants was described, as well as relevant variables like sex, level of education, length of stay, healthcare provision, anxiety or depression due to COVID-19, confinement, and evaluation of the quality of the information provided by the COVID-19 government. Results 65% of the Venezuelan participants reported not feeling prepared for the pandemic. Compared to Venezuelan migrants who feel prepared to face the COVID-19 pandemic, migrants who reported not feeling prepared were in a higher proportion female, with secondary education level, had arrived in Chile in the past year, do not have a job but want to work, and belong to the public healthcare provision. Discussion Receiving good quality information on the pandemic and mental health symptoms are important factors associated with feeling prepared to face COVID-19 in Venezuelan migrants in Chile, suggesting that increased attention towards the physical and mental health of Venezuelan migrants in Chile and the region is needed.Item Inequalities in infant vaccination coverage during the COVID-19 pandemic: a population-based study in Perú(2022) Al kassab, Ali; Silva, Claudia; Mendez, Carolina; Sangster, Lucero; Arroyave, Iván; Cabieses, Báltica; Mezones, EdwardObjective: To identify the associated factors and assess the inequalities of full vaccination coverage (FVC) among Peruvian infants aged 12–23 months during the COVID-19 pandemic in a nationally representa-tive sample. Methods: We carried out a population-based cross-sectional study based on a secondary data analysis using the 2021 Peruvian Demographic Health Survey (DHS) in infants aged 12 to 23 months. The sam-pling design was probabilistic, multistage, stratified, and independent at both departmental and area of residence levels. FVC was defined according to the WHO definition. We performed generalized linear models (GLM) Poisson family log link function to estimate crude (aPR) and adjusted prevalence ratios (aPR). Also, for inequality assessment, we calculated the concentration curve (CC), concentration index (CI), and Erreygers normalized concentration index (ECI). Results: We included 4,189 infants in our analysis. Nationwide, the prevalence of FVC was 66.19% (95% CI: 64.33–68). Being younger, having a mother with no education or primary education, belonging to a large family, having no access to mass media, having had six or fewer ANC visits, and having a mother whose age was under 20 at first delivery were inversely associated with FVC. Meanwhile, living in the Highlands or on the rest of the coast, and living in rural areas were directly associated with FVC. Wefound a pro-rich inequality in FVC based on wealth-ranked households (CI: 0.0066; ECI: 0.0175). Conclusion: FVC has dropped among Peruvian infants aged between 12 and 23 months. There were sev-eral factors associated with FVC. It was more concentrated among the better-off infants, although in low magnitude.Item Manual de entrenamiento y buenas prácticas: generando capacidades para el encuentro intercultural en equipos de salud, con foco en población migrante internacional en Chile(Universidad del Desarrollo. Facultad de Medicina. ICIM; UCN; UFRO; Universidad de Valparaíso; Trinity College; Minsal, 2023) Báltica Cabieses, Báltica; Obach, Alexandra; Urzúa, Alfonso; Alarcón, Ana María; Torres, Cristián; Ortíz,Manuel; Trostle, James; Alvarez, María Inés; Oyarte, Marcela; Chandía, Sabrita; Correa, María Eliana; Pérez, Claudia; Silva, Claudia; Blukacz, Alice; Larenas, Daniel; Molina, Daniel; Urzúa, AlfonsoEn Chile, la salud intercultural ha estado históricamente relacionada a pueblos originarios. La compleja matriz social actual exige nuevos abordajes conceptuales, empíricos y de acción en salud intercultural. En la actualidad no existe una propuesta conceptual que permita definir, operacionalizar y medir estrategias de acción para el encuentro intercultural en salud con población migrante internacional. Este problema se reconoce como una necesidad urgente sentida de parte de la autoridad sanitaria, de los equipos de salud y de los mismos migrantes internacionales.Item Memoria Programa de Estudios Sociales en Salud: PROESSA/CESGI. 2015-2022(Universidad del Desarrollo. Facultad de Medicina, Clínica Alemana-ICIM. Programa de Estudios Sociales en Salud, 2022) Cabieses, Báltica; Obach, Alexandra; Bernales, Margarita; Pérez, Claudia; Markkula, Niina; Attalah, Celeste; Pedrero, Víctor; McIntyre, Ana María; Oyarte, Marcela; Chandía, Sabrita; Flaño, Javiera; Chepo, Macarena; Covarrubias, Trinidad; Astorga, Sofía; Ajraz, Nassim; Gálvez, Piedad; Carreño, Alejandra; Larenas, Daniel; Darrigrandi, Florencia; Agurto, Herleyn; Correa, Eliana; Moena, Olaya; Molina, Xaviera; Bussenius, Pascale; Sepúlveda, Camila; Urrutia, Carla; Blucakz, Alice; Silva, Claudia; Jaramillo, Karina; Rada, Isabel; Rodriguez, Cecilia; Alvarez, María Inés; Oliva, Alejandra; Vezzani, Francisca; Madrid, Paula; Roberts, Antonia; Campaña, CarlaPrograma interdisciplinario de investigación con foco en diversos procesos sociales que impactan en la salud poblacional en Chile y la región. Parte del Instituto de Ciencias e Innovaciones Médicas, ICIM, de la Facultad de Medicina Clínica Alemana, Universidad del Desarrollo.Item Migrantes venezolanos frente a la pandemia de COVID-19 en Chile: factores asociados a la percepción de sentirse preparado para enfrentarla(2020) Cabieses, Báltica; Darrigrandi, Florencia; Blukacz, Alice; Obach, Alexandra; Silva, ClaudiaSobre la base de una encuesta digital a migrantes internacionales en Chile (1.690 participantes, un 60% de ellos venezolanos), se analizan algunos factores asociados a sentirse preparado ante la enfermedad por coronavirus (COVID-19) entre la población venezolana en ese país. Se estudia la asociación entre dicha percepción y las variables de sexo, nivel educacional, tiempo de estadía en Chile, tipo de previsión de salud, síntomas de ansiedad o depresión debido a la pandemia, cumplimiento del confinamiento y evaluación subjetiva de la calidad de la información proporcionada por autoridades y equipos de salud. El 60% de los participantes venezolanos informaron no sentirse preparados para enfrentar la pandemia. Dicha preparación se asoció positivamente con ser hombre (cociente de probabilidades (OR) = 1,6), haber cumplido la cuarentena (OR = 1,6) y evaluar favorablemente la información recibida (OR = 2,9). Quienes indicaron haber tenido síntomas ansiosos o depresivos en la última semana tendían a sentirse menos preparados (OR = 0,5).