解决智利青少年移民的健康不平等和进入障碍:一项混合方法研究
Alejandra Carreño-Calderón1, Alexandra Obach2, Baltica Cabieses2
1Centro de Salud Global Intercultural, Facultad de Medicina Clínica Alemana, Facultad de Psicología, Universidad del Desarrollo, Santiago, Chile. a.carreno@udd.cl.
International journal for equity in health
|September 27, 2025
概括
智利的青少年移民面临着严重的社会不平等和医疗保健接入障碍,影响他们的健康和福祉. 有针对性的干预措施对于改善他们的健康结果和确保公平护理至关重要.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 健康 公平 卫生 公平
背景情况:
- 拉丁美洲和加勒比地区 (LAC) 的青少年移民正在增加.
- 青少年通常被认为是健康的,在这个生命阶段面临着独特的健康需求.
- 移民是健康的社会决定因素,可能会加剧青少年移民的脆弱性.
研究的目的:
- 为了比较来自LAC的青少年移民和当地智利青少年之间的健康方面的社会不平等.
- 确定青少年移民在智利获得医疗保健方面面临的障碍.
- 探索这群人中与获得医疗保健相关的看法和经验.
主要方法:
- 一种混合方法的方法,结合了基于人口的调查和国家流行病学记录.
- 与医疗保健专业人员和青少年移民的家长进行了深入采访.
- 分析整合了定量和定性数据,以获得全面的发现.
主要成果:
- 青少年移民经历了社会不平等,包括减少了教育和住房的机会,以及更高的就业机会.
- 确定的健康问题包括性和生殖健康需求和青少年怀孕.
- 发现了获得初级医疗保健的障碍,移民人口未充分利用青少年健康计划.
结论:
- 与当地同龄人相比,智利的青少年移民面临着重大的社会和健康差异.
- 获得医疗保健的障碍妨碍了他们获得健康的权利,危及了当前和未来的福祉.
- 优先行动应侧重于提高预防护理的可接受性和覆盖率,并赋予青少年移民在健康决策中的权力.
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