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Discriminación y exclusión hacia migrantes en el sistema de salud chileno. Una revisión sistematizada 智利卫生系统对移民的歧视和排斥。系统回顾
Pub Date : 2019-11-15 DOI: 10.22199/issn.0718-7475-2019-02-012
Carolina Viviana Zepeda Vega, M. C. González Campos
The purpose of this article is to carry out a systematic review of the literature, in the electronic databases: Redalyc, Dialnet and Scielo, with the key words: health "and" migrants. Carrying out for it, a complete reading of the articles, where finally one works with twenty-one, of which sixteen belong to primary studies and five to secondary studies; ten describe the situation of migrants in Chile; eleven relate access to health of migrants from power, perceived discrimination, socio-cultural integration, poverty, public policies, coverage and transnational use of health services. To do this, a content analysis is carried out, revealing the emerging categories: "migration" and "health, health systems and access to health care" and seven subcategories. Among the results, it stands out that in general, health care is usually experienced in the midst of ignorance, lack of information and discrimination, as access barriers, which affects especially the quality of life of the segment of the migrant population living in conditions precarious, due to scarce labor supply, lack of economic resources, violation of rights, discrimination and social exclusion.
本文的目的是对电子数据库:Redalyc、Dialnet和Scielo中的文献进行系统审查,关键词是:健康”和“移民”。为此,进行了一篇完整的文章阅读,最后一篇文章有21篇,其中16篇属于初级研究,5篇属于二级研究;10个描述智利移民的状况;11项涉及移徙者从权力、感知歧视、社会文化融合、贫困、公共政策、覆盖面和跨国使用保健服务等方面获得保健的机会。为此,进行了内容分析,揭示了新出现的类别:“移徙”和“健康、卫生系统和获得卫生保健”以及七个子类别。在这些结果中,值得注意的是,一般来说,保健服务通常是在无知、缺乏信息和歧视的情况下获得的,这是获得保健服务的障碍,由于劳动力供应不足、缺乏经济资源、侵犯权利、歧视和社会排斥,这尤其影响了生活在不稳定条件下的移民人口部分的生活质量。
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引用次数: 8
Propiedades psicométricas de la versión adaptada del Internet Addiction Test 网络成瘾测试改编版的心理测量学特性
Pub Date : 2019-11-15 DOI: 10.22199/issn.0718-7475-2019-02-007
Daileny Rebeca Alvarez Portela, Evelyn Fernández Castillo
Introduction: The increase of the accessibility to Internet and technology in the Cuban university context has caused an increment in its use and, associated to it, the appearance of academic problems in the students. This makes that arise the necessity to have a validated instrument that it allows to explore how the cyberaddiction is manifest in the Cuban university context. Objective: To evaluate the psychometric properties that it presents the adapted version of the Internet Addiction Test for the Cuban university context. Method: The sample was composed of 740 university students from 36 careers than belong to 11 faculties of the Central University “Marta Abreu” of Las Villas, in ages between 17 and 47 years old (SD=3.324). The Exploratory and Confirmatory Factor Analysis and the reliability analysis were used. Results: A structure of two factors was determined, the first one denominated Interference in the interpersonal relationships and the second one Lack of control and avoidance of the reality. This factorial structure demonstrated appropriate psychometric properties for the university context. Conclusions: The results indicate that the instrument possesses a two-factor factorial structure and appropriate psychometric properties for the selected sample, what allows its use for the study of the cyberaddiction in the worked context.
导读:古巴大学中互联网和技术的使用增加,导致其使用增加,与此相关的是,学生出现学术问题。这就需要有一个有效的工具来探索网络成瘾在古巴大学背景下是如何表现的。目的:评价古巴大学背景下改编版网络成瘾测试的心理测量学特征。方法:样本由位于Las Villas的“Marta Abreu”中央大学11个院系36个专业的740名大学生组成,年龄在17 ~ 47岁之间(SD=3.324)。采用探索性、验证性因子分析和信度分析。结果:确定了两种因素的结构,第一种是干扰人际关系,第二种是缺乏控制和逃避现实。这种析因结构显示了大学背景下适当的心理测量特性。结论:结果表明,该工具具有双因素析因结构和适当的心理测量特性,适用于所选样本,这使得它可以用于研究工作环境中的网络成瘾。
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引用次数: 1
Estructura Interna e Invarianza Métrica de la Escala de Autoeficacia Académica ASES ASES学术自我效能量表的内部结构与度量不变性
Pub Date : 2019-11-15 DOI: 10.22199/issn.0718-7475-2019-02-011
Carlos Calderón Carvajal, Beatriz Carreño Mendoza, Sonia Micin Carvallo, Sergio Urzúa Martínez
AIM: The study presents the results of the adaptation of an academic self-efficacy scale. Specifically, the purpose of the study was to analyse the internal structure of the translation and adaptation of the ASES scale by Chemers, Hu y Garcia (2001). METHOD: 4950 Chilean university students participated. Additionally, to study the Equivalence/Invariance of Measurement between different groups of students, we have performed a factorial invariance analysis. RESULTS: The results indicate that the scale has adequate psychometric properties; they also show the existence of a two-factor structure consistent from the substantive point of view and with an adequate statistical adjustment. Factorial invariance analysis shows the existence of metric invariance between the compared groups, CONCLUSIONS: The evidence shows the validity of the scores and their equivalence among groups of students.
目的:本研究介绍了学术自我效能量表的适应性结果。具体而言,本研究的目的是分析Chemers,Huy Garcia(2001)对ASES量表的翻译和改编的内部结构。方法:4950名智利大学生参加。此外,为了研究不同学生群体之间测量的等价性/不变性,我们进行了析因不变性分析。结果:该量表具有足够的心理测量特性;它们还表明,从实质性角度来看,存在着一种双因素结构,并进行了适当的统计调整。因子不变性分析表明,比较组之间存在度量不变性。结论:证据表明,分数的有效性及其在学生组之间的等价性。
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引用次数: 1
Blogs brasileiros sobre suicídio 关于自杀的巴西博客
Pub Date : 2019-06-21 DOI: 10.22199/S07187475.2019.0001.00001
Nadja Cristiane Lappann Botti, Camila Corrêa Matias Pereira
Introduction: Suicidal behavior is an internet wide spread complex topic. Some websites support it; others are against it. Objective: To analyze the content of Brazilian blogs about suicide. Method: This is a descriptive-exploratory study. Blogs against and in favor of suicide were collected through Google. The criteria for the search included Brazilian blogs with more than one post about suicide, those with frequent posts about suicide in a year and blogs with posts until December 2014. Computer-mediated discourse analysis was used to analyze the sample. Results: Five blogs supporting suicide and five against were identified with features related to the levels of computer-mediated discourse analysis. Blogs against suicide present higher time of activity, higher number of messages, higher diversity regarding social networks connectivity, higher visits. They also include profile descriptions and use of real names in comparison with blogs supporting suicide. Conclusion: Internet holds relevant content that allows investigating risk factors and protection against suicide as well as the development of online prevention strategies.
自杀行为是一个在互联网上广泛传播的复杂话题。一些网站支持它;其他人则反对。目的:分析巴西博客中有关自杀的内容。方法:采用描述性探索性研究。反对和支持自杀的博客是通过谷歌收集的。搜索的标准包括有不止一篇关于自杀的文章的巴西博客,在一年内频繁发表自杀文章的博客,以及在2014年12月之前发表文章的博客。使用计算机中介语篇分析对样本进行分析。结果:5个支持自杀的博客和5个反对自杀的博客被识别出与计算机中介话语分析水平相关的特征。反对自杀的博客呈现出更高的活动时间,更多的信息,更多的社交网络连接多样性,更高的访问量。与支持自杀的博客相比,它们还包括个人资料描述和使用实名。结论:互联网拥有相关的内容,可以调查自杀的风险因素和预防措施,以及制定在线预防策略。
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引用次数: 0
Papeles, características y consecuencias del acoso escolar entre estudiantes observadores: una revisión integradora de la literatura 观察学生中欺凌的角色、特征和后果:文献综述
Pub Date : 2019-06-21 DOI: 10.22199/s07187475.2019.0001.00005
Claudio Romualdo, Wanderlei Abadio de Oliveira, Jorge Luiz da Silva, Olga Elena Cuadros Jiménez, Marta Angélica Iossi Silva
Objective: to identify evidence of the main characteristics of bullying bystanders. Method: integrative literature review conducted using the Web of Science, Eric, Cinahl, and Pubmed databases and on the electronic library Scielo, using the terms “bullying” and “bystanders” and their equivalents in Portuguese and Spanish. The guiding question was: “How are students identified as bystanders addressed in studies on bullying?” The studies selected were assessed in terms of methodological quality and were presented in a narrative and critical manner. Results: 29 papers composed the corpus of analysis. Data were organized into three groups: 1) characteristics of students who witness bullying situations; 2) Roles assigned to bystanders; and 3) Issues reported as a consequence of having witnessed bullying. The results indicate the active role of bystanders in the dynamics of bullying, their motivations as whether to defend the victims or not, and the role they play in inhibiting or reinforcing the phenomenon. Conclusion: evidence found can guide anti-bullying practices and intervention programs in the Brazilian health field.
目的:找出霸凌旁观者的主要特征证据。方法:使用Web of Science、Eric、Cinahl和Pubmed数据库以及电子图书馆Scielo进行综合文献综述,使用葡萄牙语和西班牙语中的术语“霸凌”和“旁观者”及其对应词。指导问题是:“在欺凌研究中,如何将学生定义为旁观者?”选定的研究在方法学质量方面进行了评估,并以叙述和批评的方式提出。结果:29篇论文组成分析语料库。数据分为三组:1)目击霸凌事件的学生特征;2)旁观者的角色分配;3)因目睹欺凌而报告的问题。结果表明,旁观者在欺凌动态中的积极作用,他们是否保护受害者的动机,以及他们在抑制或加强欺凌现象方面所起的作用。结论:发现的证据可以指导巴西卫生领域的反欺凌行为和干预方案。
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引用次数: 3
Autolesiones no suicidas y su relación con el estilo de apego en una muestra no clínica de adolescentes chilenos 智利青少年非临床样本的非自杀性自残及其与依恋方式的关系
Pub Date : 2019-06-21 DOI: 10.22199/S07187475.2019.0001.00006
Jorge Eduardo Leiva Pereira, Ana Matilde Concha Landeros
Objective: to establish the relationship between the presence of non-suicidal self-harm with the type of attachment in a sample of Chilean adolescents.  Method: A questionnaire was used to evaluate non-suicidals self-harm (American Psychiatric Association, 2014); and two questionnaires to measure attachment style (Gonzalez & Mendez, 2006; Moran, Lecannelier, & Rodriguez, 2014). A non-experimental, transversal and analytical study was carried out, was used Chi square  for comparisons between the attachment style between those who self-harm and those who do not.  Results: 186 adolescents, with ages between 14 and 18 years old (M = 15.8, SD = 1.1), 57% correspond to women. 11% (22) of the subjects reported self-harm, 77.3% corresponded to women.  In subjects reporting with self-harm, 80.9% had an insecure type of attachment (4.8% avoidance attachment, 33.3% ambivalent attachment, and 42.8% disorganized attachment). 95.4% have medium to high scores on subscale signs of anger and anguish towards the figure of attachment.  Conclusions: Insecure and disorganized attachment styles are a factor of vulnerability that predisposes subjects to emotional deregulation.  Adolescents who report self-harm they tend to have less secure attachments, in contrast to those who do not self-harm (Hallab & Covic, 2010).
目的:探讨智利青少年非自杀性自残行为与依恋类型的关系。方法:采用问卷法对非自杀性自残行为进行评估(American Psychiatric Association, 2014);以及测量依恋类型的两份问卷(Gonzalez & Mendez, 2006;Moran, Lecannelier, & Rodriguez, 2014)。我们进行了一项非实验的、横向的和分析性的研究,使用卡方对自残者和不自残者的依恋类型进行比较。结果:青少年186例,年龄14 ~ 18岁(M = 15.8, SD = 1.1),女性占57%。11%(22人)的受试者报告有自残行为,其中77.3%为女性。在自残的被试中,80.9%的被试存在不安全型依恋(4.8%为回避型依恋,33.3%为矛盾型依恋,42.8%为无序型依恋)。95.4%的人在对依恋形象的愤怒和痛苦的子量表上得分中高。结论:不安全和无组织的依恋类型是易受伤害的因素,易导致被试情绪放松。与不自残的青少年相比,自残的青少年往往有更少的安全依恋(Hallab & Covic, 2010)。
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引用次数: 0
Compreendo o processo de medicalização contemporânea no contexto da saúde mental 我理解当代心理健康背景下的医学化过程
Pub Date : 2019-06-21 DOI: 10.22199/S07187475.2019.0001.00002
Rayssa Becchi dos Santos, Gustavo Zambenedetti
Purpose: Medicalization is understood as a process that occurs as a transformation of socialissues to individual and organic problems that require medical intervention. This research proposed to analyze the scientific literature on medicalization related to the context of mental health. Method: Articles search was carried out on Scielo and Pepsic databases, raging dates from 2000 to 2015, using the following descriptors: medicalization, mental health and psychiatric reform. The analysis of the data was envisaged by the analytical-institutional reference, assisting in the composition of two analytical lines. Results: In the first one, we sought to identify the understandings about medicalization, while discussing the differences between medicalization and medicamentalization. In the second line we seek to map the forces that permeate the process ofmedicalization, highlighting biomedical knowledge, biological psychiatry and pharmaceutical industry, social participation and attention models. Conclusion: We conclude that the concept of medicalization, in its different nuances, allows denaturalization movements of mental health practices, allowing to interrogate the relationships of established knowledge and power.
目的:医疗化被理解为将社会问题转变为需要医疗干预的个人和有机问题的过程。本研究旨在分析与心理健康相关的医学化的科学文献。方法:在Scielo和Pepsic数据库中检索2000 - 2015年的文献,描述词为:医学化、心理健康和精神病学改革。分析机构参考机构设想对数据进行分析,协助组成两条分析线。结果:在第一篇文章中,我们试图识别对医疗化的理解,同时讨论了医疗化和药物化的区别。在第二行中,我们试图描绘渗透到医疗化过程中的力量,突出生物医学知识,生物精神病学和制药工业,社会参与和关注模式。结论:我们得出的结论是,医学化的概念,在其不同的细微差别,允许心理健康实践的变性运动,允许审问既定的知识和权力的关系。
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引用次数: 1
Efectos negativos del uso de benzodiacepinas en adultos mayores: Una breve revisión 老年人使用苯二氮卓类药物的负面影响:简要回顾
Pub Date : 2019-06-21 DOI: 10.22199/s07187475.2019.0001.00003
Claudio Rojas-Jara
Introduction: One part of polypharmacy is related to different medical conditions that come with age in senior patients. Whether they are adequately prescribed or not, most pharmaceutical compounds may potentially produce negative effects in consumers. One of the most highly prescribed psychopharmaceutics in seniors is benzodiazepine. This drug, usually prescribed to treat insomnia or anxiety, is said to be potentially risky for patients’ health. Objective: To determine the existence of scientific evidence of benzodiazepine negative effects in seniors. Method: Scientific publications from 2007 through to 2017 were systematic ally consulted. The database was Scielo, Pubmed, Redalyc, Ebscohost, and Google Scholar.  Keywords for the search included seniors, benzodiazepines, physical and psychological effects, psychopharmaceutics, both in English and Spanish. Findings: The most hig hly consumed benzodiazepine by seniors is Diazepam. Anxiety and insomnia are among the most frequent reasons for its prescription. Regarding negative effects, this drug is highly addictive. Side effects include a high probability of falling, leaving bone fractures as a result, decline of cognitive abilities, and a paradoxical increase of the symptoms for which it was originally prescribed. Senior consumers of benzodiazepine are more frequently female.
多药疗法的一部分与老年患者随年龄增长而出现的不同医疗状况有关。无论处方是否充分,大多数药物化合物都可能对消费者产生负面影响。老年人最常用的精神药物之一是苯二氮卓类药物。这种药物通常用于治疗失眠或焦虑,据说对患者的健康有潜在风险。目的:确定老年人苯二氮卓类药物不良反应是否存在科学依据。方法:系统查阅2007 ~ 2017年发表的科学文献。数据库为Scielo、Pubmed、Redalyc、Ebscohost和谷歌Scholar。搜索关键词包括老年人、苯二氮卓类药物、生理和心理影响、精神药物,英文和西班牙文均有。研究结果:老年人消耗最多的苯二氮卓类药物是地西泮。焦虑和失眠是服用这种药物最常见的原因。至于负面影响,这种药很容易上瘾。副作用包括摔倒的可能性很高,导致骨折,认知能力下降,以及最初处方的症状矛盾地增加。服用苯二氮卓类药物的老年人多为女性。
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引用次数: 0
Impacto de las advertencias sanitarias en las cajetillas de cigarrillos sobre los fumadores cubanos. 香烟包装上的健康警告对古巴吸烟者的影响。
Pub Date : 2018-12-30 DOI: 10.22199/S07187475.2018.0003.00008
Justo R. Fabelo-Roche, Elba Lorenzo-Vázquez, Serguei Iglesias-Moré, Elisa M. Álvarez-Martínez
Objective: To evaluate the efficacy of mandatory cigarette sanitary warnings to persuade smokers. Method: The Tobacco Consumption Questionnaire (TCQ) was applied to a sample of 205 smokers from La Habana and Santiago de Cuba. Results: A 100 % of the sample classifies as high risk smokers according to the TCQ. Most of them do not read the cigarette sanitary warnings. These warnings have never prevented them from smoking. Conclusion: Mandatory cigarette sanitary warnings have no effect whatsoever on smokers. Some possible reasons might be historical and socio-cultural factors, insufficient contributions of Cuban laws, and other inconsistent public policies.
目的:评价强制性香烟卫生警告对吸烟者的说服作用。方法:采用烟草消费量表(TCQ)对哈瓦那和古巴圣地亚哥的205名吸烟者进行抽样调查。结果:根据TCQ,100%的样本被归类为高危吸烟者。他们中的大多数人没有阅读香烟卫生警告。这些警告从未阻止他们吸烟。结论:强制性的香烟卫生警告对吸烟者没有任何影响。一些可能的原因可能是历史和社会文化因素、古巴法律贡献不足以及其他不一致的公共政策。
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引用次数: 2
A participação em Oficina de Intervenção Psicossocial: Uma análise com adolescentes e jovens de diabéticos da cidade Tiradentes. 参加心理社会干预讲习班:对特拉德特斯市青少年和年轻糖尿病患者的分析。
Pub Date : 2018-12-30 DOI: 10.22199/s07187475.2018.0003.00004
Eva Vilma Muniz de Oliveira, Marcos Vieira Silva
{"title":"A participação em Oficina de Intervenção Psicossocial: Uma análise com adolescentes e jovens de diabéticos da cidade Tiradentes.","authors":"Eva Vilma Muniz de Oliveira, Marcos Vieira Silva","doi":"10.22199/s07187475.2018.0003.00004","DOIUrl":"https://doi.org/10.22199/s07187475.2018.0003.00004","url":null,"abstract":"","PeriodicalId":90336,"journal":{"name":"Salud y Sociedad","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68298499","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
期刊
Salud y Sociedad
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