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1.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1047809

RESUMEN

Objetivo: caracterizar a produção científica acerca da violência contra mulher e suas repercussões sociais, em periódicos online no âmbito da saúde, publicados no período de 2011 a 2016. Método: trata-se de uma revisão integrativa da literatura, realizada através das bases de dados Medical Literature Analysis and Retrieval System On-Line (MEDLINE), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Bases de Dados de Enfermagem (BDENF). Resultados: a análise dos 15 artigos evidenciou a caracterização da violência, a atuação e percepção dos profissionais de saúde acerca da violência e do aborto legal, destacando a relevância de estudar a violência e suas repercussões sociais, com o objetivo de proporcionar uma melhor assistência. Conclusão: conclui-se que fortalecer às políticas de erradicação da violência contra a mulher, oferecer uma rede de apoio multiprofissional eficiente e a intensificar as políticas de conscientização são imprescindíveis a nossa sociedade


Objective: to characterize the scientific production about violence against women and its social repercussions in online health journals published in the period from 2011 to 2016. Method: this is an integrative review of the literature, carried out through databases Medical Literature Analysis and Retrieval System On-Line (MEDLINE), Latin American and Caribbean Literature in Health Sciences (LILACS), Nursing Databases (BDENF). Results: the analysis of the 15 articles showed the characterization of violence, the performance and perception of health professionals about violence and legal abortion, highlighting the relevance of studying violence and its social repercussions, in order to provide better care. Conclusion: it is concluded that strengthening policies to eradicate violence against women, providing an efficient multiprofessional support network, and intensifying awareness-raising policies are essential to our society


Objetivo: caracterizar la producción científica acerca de la violencia contra la mujer y sus repercusiones sociales, en periódicos online en el ámbito de la salud, publicados en el período de 2011 a 2016. Método: se trata de una revisión integrativa de la literatura, realizada a través de las bases de datos (MEDLINE), Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS), Bases de Datos de Enfermería (BDENF). Resultados: el análisis de los 15 artículos evidenció la caracterización de la violencia, la actuación y percepción de los profesionales de salud acerca de la violencia y del aborto legal, destacando la relevancia de estudiar la violencia y sus repercusiones sociales, con el objetivo de proporcionar una mejor asistencia. Conclusión: se concluye que fortalecer a las políticas de erradicación de la violencia contra la mujer, ofrecer una red de apoyo multiprofesional eficiente intensificar las políticas de concientización son imprescindibles para nuestra sociedad


Asunto(s)
Humanos , Femenino , Adolescente , Adulto , Persona de Mediana Edad , Delitos Sexuales , Sistema Único de Salud , Violencia Doméstica , Violencia contra la Mujer , Salud Pública , Aborto Legal , Políticas Públicas de Salud , Promoción de la Salud
2.
Int J Gynaecol Obstet ; 148(1): 127-132, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31677270

RESUMEN

This article celebrates the remarkable changes which have occurred in the provision of abortion care in Ireland following the vote to remove the restrictive Eighth Amendment to the Constitution of Ireland in May 2018. However, it also identifies ways in which the emerging legal, ethical and clinical landscape is still impeding the conscientious provision of abortion care. It argues that in order to address these impediments, more attention needs to be paid to the ethical context for conscientious provision. This requires political leadership as well as ongoing leadership by professional bodies to develop both the clinical and the ethical guidance for conscientious provision.


Asunto(s)
Aborto Legal/ética , Aborto Legal/psicología , Actitud del Personal de Salud , Femenino , Política de Salud , Humanos , Irlanda , Masculino , Embarazo , Negativa al Tratamiento/ética
3.
Lancet Psychiatry ; 6(12): 1031-1038, 2019 12.
Artículo en Inglés | MEDLINE | ID: mdl-31757590

RESUMEN

BACKGROUND: Suicidal ideation due to abortion has been used to justify restrictive US abortion policies. Much research examining abortion and mental health has relied on self-report, has had low participation rates, and did not consider confounding factors. In the present study, we used data that do not rely on self-report and are not affected by low participation rates to examine the association between abortion and non-fatal suicide attempts, adjusting for confounding factors. METHODS: In this longitudinal cohort study of Danish population registries, we linked data on a cohort of women born in Denmark between Jan 1, 1980, and Dec 30, 1998, who did not die or emigrate from Denmark before their 18th birthday or before study entry. Follow-up started on the woman's 18th birthday or Jan 1, 2000, whichever came last. Follow-up ended at the date of first suicide attempt, date of emigration from Denmark, date of death, or Dec 31, 2016, whichever came first. Women were between the ages of 18 and 36 years during the study period. We used a survival analysis to examine the risk of first suicide attempts or self-harm associated with a first abortion compared with no abortion, in the complete study cohort. To examine incidence rate ratios (IRRs) associated with abortion, we used Poisson regression with the logarithm of woman-years at risk as an offset. We also examined whether the risk of suicide attempts changed before and after the abortion, adjusting for age, calendar year, socioeconomic status, and history of childbirth, mental health, parental mental health, and physical health. FINDINGS: Data on 523 280 women were included in this study. Of these, 48 990 (9·4%) women had a record of at least one first-trimester abortion, and 10 216 (2·0%) had a suicide attempt during the study period. Among 48 990 women who had an abortion, 1402 (2·9%) had a first suicide attempt after the first abortion. In our fully-adjusted model which adjusted for all covariates, the risk of first-time non-fatal suicide attempts was similar in the year before an abortion (IRR 2·46 [95% CI 2·22-2·72]) and the year after an abortion (IRR 2·54 [2·29-2·81], p=0·509) compared with women who had not had an abortion, and decreased with increasing time since the abortion (1-5 years IRR 1·90 [1·75-2·06]; ≥5 years IRR 1·73 [1·53-1·96]). INTERPRETATION: We found that women who had abortions had a higher risk of non-fatal suicide attempts compared with women who did not have an abortion. However, because the increased risk was the same both the year before and after the abortion, it is not attributable to the abortion. Thus, policies based on the notion that abortion increases women's risk of suicide attempts are misinformed. FUNDING: Society of Family Planning, American Foundation for Suicide Prevention, and The Lundbeck Foundation Initiative for Integrative Psychiatric Research.


Asunto(s)
Aborto Legal/estadística & datos numéricos , Intento de Suicidio/estadística & datos numéricos , Aborto Legal/psicología , Adolescente , Adulto , Estudios de Cohortes , Dinamarca/epidemiología , Femenino , Humanos , Estudios Longitudinales , Trastornos Mentales/psicología , Embarazo , Sistema de Registros , Factores de Riesgo , Intento de Suicidio/psicología , Adulto Joven
5.
Ciudad Autónoma de Buenos Aires; Ministerio de Salud y Desarrollo Social. Secretaria de Salud; Noviembre 2019. 78 p.
Monografía en Español | BINACIS, ARGMSAL | ID: biblio-1025689

RESUMEN

Los derechos sexuales y los derechos reproductivos están garantizados en nuestro país por un amplio marco legal que tiene como base la Constitución Nacional, el Código Civil y Comercial y el Código Penal, como pilares fundamentales sobre los que se apoyan las leyes nacionales y provinciales. Por otro lado, a partir de la reforma constitucional de 1994 se incorporan en nuestra Constitución Nacional los pactos y tratados internacionales que nos someten a Tribunales y Comités a los que nuestro país debe responder para garantizar los derechos que dichos acuerdos internacionales establecen. En ese marco, uno de los ejes prioritarios de trabajo de la Dirección de Salud Sexual y Reproductiva de la Secretaría de Gobierno de Salud de la Nación es la política pública diseñada y sostenida para garantizar el acceso a la interrupción legal del embarazo en todos los casos contemplados por el Código Penal y refrendados por el Fallo F., A. L. de la Corte Suprema de Justicia de la Nación. La publicación de este Protocolo para la Atención Integral de las Personas con Derecho a la Interrupción Legal del Embarazo es parte de esa política pública ya que responde a la necesidad de actualizar la normativa adaptándola al Código Civil y Comercial de 2015 y la Resolución 65/2015 del Ministerio de Salud de la Nación, actualizar, también, las recomendaciones internacionales acerca de los procedimientos para la interrupción legal del embarazo - dosis de medicamentos y aspiración manual endouterina (AMEU) - y reforzar la importancia del acceso rápido a la atención integral y a la práctica, haciendo hincapié en la atención en primer nivel y los tratamientos con medicamentos.


Asunto(s)
Derechos de la Mujer , Aborto Legal
8.
Medicina (Kaunas) ; 55(8)2019 Aug 13.
Artículo en Inglés | MEDLINE | ID: mdl-31412605

RESUMEN

Background and Objectives: In pregnancies resulting from incest, the adolescent maintains close family and emotional relations with the aggressor, different from what occurs when pregnancy results from sexual violence by strangers. Evidence indicates that this type of relationship with the aggressor may interfere in the dynamics of such violence and the adolescent's access to health services. Materials and Methods: The objective of this research was to describe and correlate aspects associated with pregnancy when resulting from rape of adolescents in situations of incest; rape when perpetrated by an unknown aggressor and an abortion as allowed by law was sought. Method: A cross-sectional, epidemiological study of adolescents treated at the Pérola Byington Hospital, São Paulo, Brazil, bringing an allegation of pregnancy, resulting from sexual violence and a request for abortion as allowed by law. A total of 311 adolescents, being 134 in the "pregnancy from incest group", and 174 in the group "pregnancies resulting from rape by a stranger" were considered under the study variables; relationships were investigated using the chi-squared test and Poisson regression with robust variance. Results: The study included 137 cases (44.1%) of pregnancy resulting from incest, and 174 cases (55.9%) of pregnancy from rape by a stranger. In cases of incest, a declaration of religion (92.0%) was significantly more frequent, and the adolescents were approached in spaces considered safe or private (92.7%); the aggressor taking advantage of the adolescent's legal condition of vulnerability as a function of age (83.3%). Cases of incest presented a lower median adolescent age and greater gestational development, with gestations being ≥ 13 weeks prevailing. Conclusion: Cases of pregnancy by incest presented indicators suggesting both proximity and relationship with the aggressor, and pregnancy at a very early age, which postponed the adolescent's procurement of health service, and interfered negatively with abortion assistance as allowed by law.


Asunto(s)
Aborto Legal/estadística & datos numéricos , Incesto/psicología , Embarazo en Adolescencia/estadística & datos numéricos , Delitos Sexuales/estadística & datos numéricos , Adolescente , Brasil , Estudios Transversales , Femenino , Accesibilidad a los Servicios de Salud , Humanos , Embarazo
9.
Pan Afr Med J ; 32: 146, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31303917

RESUMEN

Introduction: there are controversies surrounding the practice of abortion especially in developing countries of Africa. Cameroon is not an exception to this and hence this study aims at assessing knowledge on the awareness of abortion laws, the factors that determine abortion and people's perceptions on the legality of abortion in Cameroon. Methods: the study is cross-sectional in its design. A total of 224 women were randomly sampled. Data for the study were collected through the use of questionnaires from the sampled women of child bearing age. These were used to assess knowledge on the awareness of abortion laws and the determinants of abortion. The data were analysed using STATA 15. Results: the prevalence of induced abortion was 21%. The major determinants of abortion among these women were; desire to stay in school (28%), fear of parents (24%) and shame of being pregnant out of wedlock (26%). Furthermore, many women are not aware of the situations where abortion is allowed and hence some still undertake illegal abortions even when they find themselves in situations deserving a legal abortion. Conclusion: induced abortion is still common in Buea, Cameroon despite the fact that it is illegal. Cameroon's legal and health system needs to work in harmony in order to lessen the legal processes of having a legal abortion.


Asunto(s)
Aborto Criminal/estadística & datos numéricos , Aborto Inducido/estadística & datos numéricos , Aborto Legal/estadística & datos numéricos , Conocimientos, Actitudes y Práctica en Salud , Aborto Inducido/legislación & jurisprudencia , Aborto Inducido/psicología , Camerún , Estudios Transversales , Países en Desarrollo , Miedo/psicología , Femenino , Humanos , Embarazo , Vergüenza
10.
Reprod Health ; 16(1): 105, 2019 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-31307474

RESUMEN

BACKGROUND: Although Nepal legalised abortion in 2002, a significant number of women continue to access unsafe abortions. An estimated 60% of all abortions performed in 2014 were unsafe, with unsafe abortion continuing to be a leading contributor to maternal mortality. Despite medical abortion access being solely permitted through government accredited safe abortion services, medical abortion pills are readily available for illegal purchase at pharmacies throughout the country. METHODS: Utilising an Assets Focused Rapid Participatory Appraisal (AFRPA) research methodology, underpinned by a health information pyramid conceptual framework, this qualitative exploratory study collected data from in-depth, open-ended interviews. The study explored the medical abortion and sexual and reproductive health experiences of ten women who accessed medical abortion through an accredited safe abortion service, and ten women who accessed unsafe medical abortion through pharmacies. RESULTS: Thematic content analysis revealed emerging themes relating to decision-making processes in accessing safe or unsafe medical abortion; knowledge of safe abortion services; and SRH information access and post-abortion contraceptive counselling. Findings emphasised the interconnectivity of sexual and reproductive health and rights; reproductive coercion; education; poverty; spousal separation; and women's personal, social and economic empowerment. CONCLUSIONS: While barriers to safe abortion services persist, so will the continued demand for medical abortion provision through pharmacies. Innovated and effective harm reduction implementations combined with access and information expansion strategies offer the potential to increase access to safe medical abortion while decreasing adverse health outcomes for women.


Asunto(s)
Aborto Inducido/psicología , Aborto Legal/psicología , Servicios de Planificación Familiar/métodos , Servicios de Planificación Familiar/estadística & datos numéricos , Farmacias/estadística & datos numéricos , Salud Reproductiva/normas , Aborto Inducido/estadística & datos numéricos , Aborto Legal/estadística & datos numéricos , Adolescente , Adulto , Femenino , Accesibilidad a los Servicios de Salud , Humanos , Persona de Mediana Edad , Nepal , Embarazo , Investigación Cualitativa , Adulto Joven
11.
Reprod Health ; 16(1): 94, 2019 Jul 03.
Artículo en Inglés | MEDLINE | ID: mdl-31269958

RESUMEN

BACKGROUND: Telemedicine may help women comply with onerous legislative requirements for accessing abortion services. In Utah, there are three mandatory steps: a state-mandated information visit, a 72-h waiting period, and finally the abortion procedure itself. We explored women's experiences of using telemedicine for the first step: the information visit. METHODS: We conducted 20 in-depth interviews with women recruited from Planned Parenthood Association of Utah in 2017 and analyzed them using iterative thematic techniques, using a framework based on Massey's conceptualization of space as comprising temporal, material and social dimensions. RESULTS: Temporal, material and social dimensions of women's access to abortion services intertwined to reduce access and cause discomfort and inconvenience among women in our sample. The 72-h waiting period and travel distance were the key temporal and material barriers, while social dimensions included fear of social judgement, religious influence, and negative stereotyping about people who have abortions. Women described traveling long distances alone and risking excessive pain (e.g. denying pain medication in order to drive immediately after the procedure) to try to overcome these barriers. CONCLUSION: Using telemedicine helped patients reduce burdens created by policies requiring attendance at multiple appointments in a state with limited abortion services. Attending to spatial aspects of abortion provision helps identify how these different dimensions of abortion access interact to reduce access and impose undue burdens. Telemedicine can improve privacy, reduce travel expenses, and reduce other burdens for women seeking abortion care.


Asunto(s)
Aborto Inducido/normas , Aborto Legal/normas , Aborto Espontáneo , Instituciones de Atención Ambulatoria/estadística & datos numéricos , Accesibilidad a los Servicios de Salud/estadística & datos numéricos , Telemedicina , Adolescente , Adulto , Femenino , Humanos , Embarazo , Investigación Cualitativa , Adulto Joven
12.
Rev. argent. salud publica ; 39(9): 31-34, Julio 2019.
Artículo en Español | LILACS, BINACIS, ARGMSAL | ID: biblio-1007196

RESUMEN

OBJETIVO: revisar el desarrollo de las políticas públicas y el marco legal en Argentina para garantizar el acceso a la interrupción legal del embarazo (ILE) sobre la base de los derechos sexuales y los derechos reproductivos. MÉTODOS: Se revisaron las leyes y jurisprudencia que establecen el marco legal para el acceso a la interrupción legal del embarazo, documentos técnicos oficiales y otros materiales bibliográficos que hacen referencia a dicho marco legal. RESULTADOS: Los resultados del análisis bibliográfico mostraron que Argentina cuenta con un marco legal, encabezado por el Código Penal de la Nación (CPN), que permite la ILE por las siguientes causales: peligro para la salud o la vida de la persona gestante o embarazo como producto de violación. El Fallo F., A. L. de la Corte Suprema de Justicia de la Nación estableció una lectura aclaratoria del CPN, propiciando las políticas públicas que garanticen el derecho a la ILE. CONCLUSIONES: Por un lado, a pesar del marco legal vigente en Argentina, todavía se presentan barreras para el acceso a la ILE; por el otro, es necesario reforzar las políticas públicas destinadas a garantizar dicho acceso, lo que implica seguir capacitando a los equipos de salud y continuar con la tarea de gestión de la Dirección de Salud Sexual y Reproductiva de la Secretaría de Gobierno de Salud de la Nación, junto con los ministerios provinciales.


Asunto(s)
Humanos , Femenino , Embarazo , Política Pública , Aborto Legal/legislación & jurisprudencia , Derechos Sexuales y Reproductivos/legislación & jurisprudencia , Argentina , Salud Pública , Derechos del Paciente/legislación & jurisprudencia
14.
J Int Bioethique Ethique Sci ; 30(1): 61-81, 2019 05 28.
Artículo en Español | MEDLINE | ID: mdl-31210526

RESUMEN

After Cuba, Uruguay is the first country that has adopted a legal regime which allows the abortion. The law is from November 2012 and has presented problems for its interpretation and implementation. Was a correct solution for Uruguay? Were not other alternatives more convenient to be tried before? The author exposes different measures to be taken, that can avoid the abortion from its roots, as well as the effect produced by permissive laws. He also presents the role to be accomplish by Criminal Law in relation with the subject, and if the Uruguayan law has created a new cause of justification, a new right, or a new cause of impunity The abortion can be considered a woman's right? or should we talk about a family right? In the law, it is practically denied the participation of the father of the child, consequently it is transformed as a new instrument for family/domestic violence.


Asunto(s)
Aborto Inducido , Aborto Legal , Legislación como Asunto , Derechos de la Mujer , Niño , Femenino , Humanos , Embarazo , Uruguay
16.
Issues Law Med ; 34(1): 3-13, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31179669

RESUMEN

Bernard A. Nathanson (1926-2011), was a professionally well-recognized and successful New York obstetrician and gynecologist. An avowed atheist as a young man through his middle age, Nathanson was a co-founder of the National Association for the Repeal of Abortion Laws, whose activities are credited with hastening the liberalization of abortion law in New York State. Intent on increasing the accessibility and promoting the acceptance of abortion on demand, Dr. Nathanson taught and published journal articles on the operative techniques and on the results from large numbers of these procures. During his tenure as director of the largest abortion clinic in the Western World, Nathanson presided over 60,000 abortions, and he performed more than 1,500 in his own practice. His studies of embryology and evidence from emerging technologies to monitor and examine intrauterine fetal development led Nathanson to question the morality of voluntarily interrupting pregnancy, thence to rejecting abortion procedures from his own clinical practice altogether, and eventually to become involved in anti-abortion, pro-life activities. An influential writer, speaker and film maker, these experiences and witnessing the love and prayer of other pro-life supporters turned Nathanson to notions of God, and finally reading and personal prayer guided him from secular atheism to Christianity.


Asunto(s)
Aborto Inducido , Aborto Legal , Aborto Inducido/ética , Aborto Inducido/historia , Aborto Legal/ética , Aborto Legal/historia , Instituciones de Atención Ambulatoria , Cristianismo , Femenino , Historia del Siglo XXI , Humanos , New York , Embarazo
17.
Issues Law Med ; 34(1): 43-75, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31179671

RESUMEN

In the U.S., legal abortion is considered extremely safe, and abortion-related mortality is reported to be far lower than mortality associated with term childbirth. Yet, the voluntary nature of abortion complication reporting and ideological selection biases obscure the poor quality of the data used to support these assumptions. Worldwide, the World Health Organization reports that illegal abortion is extremely unsafe, killing and injuring vast numbers of women yearly. They advocate for the liberalization of abortion laws so that women can access safer abortions. Yet, their calculations are based largely on subjective opinions from a limited number of health care providers, with little objective verification from external sources. The limitations in the data should prompt calls for improved studies and more objective estimates of complications and deaths resulting from abortion, both legal and illegal.


Asunto(s)
Aborto Criminal , Aborto Inducido , Aborto Legal , Femenino , Humanos , Embarazo
18.
BMC Womens Health ; 19(1): 78, 2019 06 19.
Artículo en Inglés | MEDLINE | ID: mdl-31215464

RESUMEN

BACKGROUND: To estimate the proportion of pregnant women in Louisiana who do not obtain abortions because Medicaid does not cover abortion. METHODS: Two hundred sixty nine women presenting at first prenatal visits in Southern Louisiana, 2015-2017, completed self-administered iPad surveys and structured interviews. Women reporting having considered abortion were asked whether Medicaid not paying for abortion was a reason they had not had an abortion. Using study data and published estimates of births, abortions, and Medicaid-covered births in Louisiana, we projected the proportion of Medicaid births that would instead be abortions if Medicaid covered abortion in Louisiana. RESULTS: 28% considered abortion. Among women with Medicaid, 7.2% [95% CI 4.1-12.3] reported Medicaid not paying as a reason they did not have an abortion. Existing estimates suggest 10% of Louisiana pregnancies end in abortion. If Medicaid covered abortion, this would increase to 14% [95% CI 12, 16]. 29% [95% CI 19, 41] of Medicaid eligible pregnant women who would have an abortion with Medicaid coverage, instead give birth. CONCLUSIONS: For a substantial proportion of pregnant women in Louisiana, the lack of Medicaid funding remains an insurmountable barrier to obtaining an abortion. Forty years after the Hyde Amendment was passed, lack of Medicaid funding for abortion continues to have substantial impacts on women's ability to obtain abortions.


Asunto(s)
Aborto Inducido/economía , Aborto Legal/economía , Accesibilidad a los Servicios de Salud/economía , Medicaid/economía , Aborto Inducido/legislación & jurisprudencia , Aborto Legal/estadística & datos numéricos , Adulto , Femenino , Accesibilidad a los Servicios de Salud/estadística & datos numéricos , Humanos , Louisiana , Medicaid/legislación & jurisprudencia , Embarazo , Mujeres Embarazadas , Estados Unidos , Adulto Joven
19.
N Z Med J ; 132(1497): 9-20, 2019 06 21.
Artículo en Inglés | MEDLINE | ID: mdl-31220061

RESUMEN

AIMS: The present study examined the sociodemographic correlates of support for legalised abortion in New Zealand. METHOD: Data (N=19,973) were from the 2016/17 New Zealand Attitudes and Values Study, a national longitudinal panel sample of New Zealand adults aged 18 and older. The survey measured support for legalised abortion (a) regardless of the reason and (b) when the woman's life is endangered, as well as (c) focal sociodemographic correlates. RESULTS: Our sample expressed moderate-to-high support for legalised abortion regardless of the reason and high support for abortion when the woman's life is endangered. Being religious, living in a more deprived neighbourhood and having more children all correlated negatively with support for both measures of abortion. Men were less supportive of abortion for any reason but did not differ from women's support for legalised abortion when the woman's life is endangered. Furthermore, age correlated negatively with support for abortion for any reason, but positively with support for abortion when a woman's life is endangered. CONCLUSIONS: A majority of our respondents expressed high levels of support for legalised abortion. Several sociodemographic factors were significantly associated with support for legalised abortion.


Asunto(s)
Aborto Legal , Aborto Terapéutico , Opinión Pública , Adolescente , Adulto , Factores de Edad , Anciano , Grupos de Población Continentales , Escolaridad , Grupos Étnicos , Femenino , Humanos , Modelos Lineales , Masculino , Persona de Mediana Edad , Nueva Zelanda/epidemiología , Embarazo , Religión , Características de la Residencia , Factores Sexuales , Clase Social , Encuestas y Cuestionarios , Adulto Joven
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