What is the Impact of Human Trafficking on the Biopsychosocial Health of Victims: A Systematic Review.

The health consequences of human trafficking have been poorly researched compared to other aspects of this crime. A systematic review was carried out to study health from a broader perspective, beyond psychophysical symptoms, to understand the global impact of human trafficking on sexual, social, physical, and psychological health. The search identified many studies focused on the violence of sex trafficking in female samples. This work leads us to conclude that social health is an important dimension of the well-being of trafficking victims. More studies are needed on aspects of social health, especially regarding research gaps related to spirituality and nutrition, thus continuing preventing and combating human trafficking. Many gender biases were also discovered: unlike studies of trafficking in women, the few studies on men did not look at parenting, sexual health, marital status, or sex trafficking.

Nobody Should Die Alone. Loneliness and a Dignified Death During the COVID-19 Pandemic.

During the direst months of the COVID-19 pandemic, thousands of people died alone. This study analyzes these deaths, which occurred without the presence of loved ones, and seeks to a) examine the significance for relatives, as well as professionals, of dying alone, b) determine if these solitary deaths can be considered dignified, or good deaths, and c) evaluate if the treatment of the cadavers and the funeral rites transpired with the desired dignity and sensitivity. The study was carried out in the autonomous community of Madrid using a qualitative, phenomenological, and interpretative approach through in-depth interviews of 49 informants, professionals and relatives. Interviews were conducted between July and November of 2020, followed by an interpretive, categorical, qualitative analysis. Among the key findings are that during the most critical months, deaths lacked the desired dignity, even though the involved professionals did their best to accompany and dignify the deaths.

"The worst thing that has happened to me": Healthcare and social services professionals confronting death during the COVID-19 crisis.

Objectives: This study analyzes the subjective emotional impact COVID-19 deaths have had on healthcare, social services, and funeral services professionals, it explores the different implications, and analyzes the different reactions of health and social care professionals and funeral professionals to the volume of deaths. Methods: This work is based on a qualitative, phenomenological, and interpretative approach through in-depth interviews with 42 informants, including 36 social and healthcare professionals, as well as 6 family members of those who died from COVID-19 in Madrid. The interviews were processed through a qualitative, interpretative, categorical analysis. Results: Healthcare professionals were overexposed to a significant number of deaths under dramatic circumstances. Many of these professionals had difficulties processing their experiences and expressed the need for psychological help. The fact that certain professionals had previous exposure to high mortality rates was not a protective factor. Some coping differences were seen between healthcare professionals and professionals dedicated to the care of the deceased (undertakers or firemen), particularly in the degree to which they personalized the care they provided. Conclusion: The overexposure to death with the circumstances that existed during the state of emergency had a significant emotional impact on the professionals, which can lead to mental health problems in the near term.

Chewing Revenge or Becoming Socially Desirable? Anger Rumination in Refugees and Immigrants Experiencing Racial Hostility: Latin-Americans in Spain.

This paper explores how real scenarios of racial hostility and discrimination trigger anger rumination tendencies in refugees, asylum seekers and immigrants (hereafter RASI). Undergoing discrimination often leads to the development of negative thoughts and behaviors, and to a loss of meaning and self-worth. This could make young RASI particularly vulnerable to being recruited and exploited by extremist groups as they search for identity. We developed a picture-elicitation instrument (the PEI) to provide professionals with a tool that could identify groups of RASI according to their reactions to discrimination scenarios and explore how racial hostility might influence withdrawal levels. The tool was applied with the Anger Rumination Scale (ARS_19) to 509 RASI of Latin American origin living in Spain. Four categories were identified, according to how RASI processed anger when observing discrimination scenarios: "Social desirability", "Chewing", "Grudge", and "Vengeful". Further analyses showed that the youngest (18-29) fell under the "Grudge" and "Vengeful" categories and revealed more despair and social isolation. This study makes a positive contribution by being the first to investigate the problem of anger rumination in RASI undergoing racial hostility. Moreover, it equips professionals with two tools that, once validated, may help plan and implement strategies to reduce the impact of hostility on both RASI and their host societies.

I can't believe they are dead. Death and mourning in the absence of goodbyes during the COVID-19 pandemic.

The circumstances surrounding the deaths during the COVID-19 pandemic and the subsequent mourning process transpired in completely atypical conditions. This study analyses the experience of losing a loved one without traditional, culture-specific rituals for saying goodbye, explores the different factors affecting the onset of mourning by family members and studies the existence of complicating risk factors associated with grief from this distinct type of loss. A qualitative, phenomenological and interpretive research study was undertaken through in-depth interviews of 48 informants, key and general, in the autonomous Community of Madrid. The interviews were conducted between July and November of 2020 and were followed by an interpretive categorical qualitative analysis. The principal results include (a) the finding that deaths caused by the pandemic are, due to their characteristics, a complicating factor for bereavement, (b) evidence that the professionals who supported these deaths with a holistic approach, facilitating the process for the family members, have been a determining factor in enabling the beginning of the mourning process and reducing anguish for the family members and (c) the conclusion that a need exists for a resignification of the funeral rite. Finally, before future crises, it is recommended that access protocols be developed for relatives, including methods that permit them to say goodbye to their loved ones, no matter the situation.

Alcohol consumption in adolescents: The predictive role of drinking motives.

BACKGROUND: Several studies have shown differences in the motivational processes that lead to excessive alcohol consumption among adolescents. The paper focuses on the analysis of the reasons for alcohol consumption among minors, and compare the differences according to sex, age, and level of consumption. METHOD: A representative sample (N = 2,865) of adolescents aged 12 to 18 years (mean age 14.24, dt = 1.33) was collected. The variables abuse, binge drinking and drinking motives were evaluated using a questionnaire designed ad hoc, which identified the Cooper's four categories of motives. RESULTS: The analyses (ANOVA, Pearson correlation, and logistic regression) showed that there were no differences between young men and women regarding consumption or binge drinking. Minors who abused alcohol experience consumption as pleasurable in itself, as an important source of intrinsic reinforcement. Conformity predicted the problematic consumption of alcohol among boys and a decrease in the frequency of binge drinking among girls. In addition, the larger group showed more presence of enhancement and social motives. CONCLUSIONS: This study suggests that it would not be of interest to focus prevention on the negative consequences of consumption, but rather on the training of specific skills.

[Adolescents, risk situations and road safety]. / Adolescentes, situaciones de riesgo y seguridad vial.

OBJECTIVE: Describe the risk behaviour relationships with road safety in adolescents. DESIGN: Cross-sectional descriptive study. SETTING: Madrid and Andalusia Regions, representative samples. PARTICIPANTS: The sample included 3,612 in secondary school pupils from Madrid (n=1708) and Andalusia (n=1904). The survey was carried out during May and June 2007. MAIN MEASUREMENTS: The data collected included sociodemographic areas (age, sex, grade, father's profession, birth place, etc.) and risk situation and behaviour (risk behaviour as driver or passenger). RESULTS: 16.2% of the adolescents have been involved in a dangerous situation with motorcycles during the last year. 16.7% never use a helmet when riding a motorcycle and 62% do not wear one when riding a bicycle on the road; 17.4% frequently ride a motorcycle over the speed limit and 24.5% when driving a car. There are significant differences regarding sex, grade and region (Madrid or Andalusia). There are four factors which explain 62% of the variance: drug factor, speed factor, security factor and passenger factor. Two of these have twice the probability of having a dangerous situation when riding a motorcycle: drug factor (OR=1.96; 95% CI, 1.77-2.18) and the speed factor ((OR=2.13; 95% CI, 1.92-2.36). CONCLUSIONS: Adolescents in higher grades and living in Andalusia were less road safety conscious. This pattern should be taken into account when designing preventive actions in Road Safety Education.