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1.
Medwave ; 21(1): e8103, 2021 Feb 08.
Artigo em Inglês | MEDLINE | ID: mdl-33617522

RESUMO

Introduction: 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 pro-migrant 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.


Assuntos
Atitude Frente a Saúde , COVID-19 , Migrantes/psicologia , Adulto , Chile , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Opinião Pública , Venezuela/etnologia
3.
Trop Doct ; 51(3): 422-424, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33356918

RESUMO

Imported malaria has increased in Colombia since 2015 and has been attributed to migrants coming from Venezuela. We present a series of malaria cases, nested in a retrospective cross-sectional study between 2017 and 2018, aimed at calculating the prevalence of medical diseases among immigrants in a University Hospital in Colombia. Among 154 immigrants admitted for medical causes between 2017 and 2018, 8 were diagnosed with malaria, all due to Plasmodium vivax. Of these, seven had uncomplicated malaria, five had a previous history of malaria, one was critically ill, but none died. We highlight that, similar to other case series of imported malaria, Latin American migrants were young, with similar clinical profiles, having a low proportion of severe cases, and P. vivax was the most frequent cause.


Assuntos
Malária/etnologia , Plasmodium falciparum/isolamento & purificação , Plasmodium vivax/isolamento & purificação , Migrantes , Colômbia/epidemiologia , Estudos Transversais , Hospitais , Humanos , Malária/epidemiologia , Prevalência , Estudos Retrospectivos , Venezuela/etnologia
4.
Medwave ; 21(1): e8103, 2021.
Artigo em Inglês, Espanhol | LILACS | ID: biblio-1282817

RESUMO

Introducción La migración internacional es un determinante social de la salud que puede influir en los resultados de salud de un individuo y su comunidad. La última década ha experimentado un gran éxodo desde Venezuela a otros países de la región, incluido Chile. En los últimos meses, el mundo se ha enfrentado a la pandemia de coronavirus del SARS-CoV-2 y su enfermedad respiratoria COVID-19. Objetivo Explorar qué factores están asociados con sentirse preparado para enfrentar la pandemia de COVID-19 entre la población venezolana que reside en Chile. Métodos Estudio cuantitativo transversal, siguiendo el diseño de una encuesta de opinión. Encuesta auto-aplicada en línea en español y Creol haitiano, que fue diseñada y puesta a prueba con expertos y migrantes internacionales. Se difundió a varios grupos internacionales de migrantes a través de redes de organizaciones de migrantes y pro-migrantes, así como a través de la red chilena de atención de salud pública en todo el territorio nacional. Tamaño de muestra de 1690 participantes, de los cuales 1008 (60%) eran de Venezuela y se incluyeron en este análisis descriptivo. Se analizó en forma descriptiva la variable principal sentirse preparado para enfrentar la pandemia de COVID-19 (sí/no) así como las variables sexo, nivel educacional, tiempo de estadía en Chile, tipo de previsión de salud, ansiedad o depresión debido a COVID-19, cumplimiento de confinamiento y evaluación de calidad de la información sobre COVID-19 que se ha recibido de autoridades y equipos de salud. Resultados 65% de los participantes venezolanos informaron no sentirse preparados para la pandemia. En comparación con los migrantes venezolanos que se sienten preparados para enfrentar la pandemia de COVID-19, los migrantes venezolanos que reportaron no sentirse preparados eran en mayor proporción mujeres, con nivel de educación secundaria, habían llegado a Chile en el último año, no tienen trabajo pero quieren trabajar, y pertenecer a la prestación sanitaria pública. Discusión Recibir información de buena calidad sobre la pandemia y la salud mental son factores importantes asociados con sentirse preparado para enfrentar COVID-19 en migrantes venezolanos en Chile, lo cual sugiere que se necesita más atención en la salud física y mental de los migrantes venezolanos en Chile y en la región.


Introduction 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 pro-migrant 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.


Assuntos
Humanos , Masculino , Feminino , Migrantes/psicologia , Atitude Frente a Saúde , COVID-19 , Opinião Pública , Venezuela/etnologia , Chile , Estudos Transversais
5.
BMC Public Health ; 20(1): 1771, 2020 Nov 23.
Artigo em Inglês | MEDLINE | ID: mdl-33228642

RESUMO

BACKGROUND: Guaranteeing the sexual and reproductive health and rights (SRHR) of populations living in fragile and humanitarian settings is essential and constitutes a basic human right. Compounded by the inherent vulnerabilities of women in crises, substantial complications are directly associated with increased risks of poor SRHR outcomes for displaced populations. The migration of Venezuelans, displaced due to current economic circumstances, is one of the largest in Latin America's history. This study aims to provide an overview of the sexual and reproductive health (SRH) issues affecting migrant Venezuelan women in the state of Roraima, Brazil. METHODS: Face-to-face interviews were conducted from 24 to 30 November 2019. Data collection covered various issues involving access to and use of SRH services by 405 migrant Venezuelan women aged 18-49 years. The Minimum Initial Service Package readiness assessment tools, available from the Inter-Agency Working Group on Reproductive Health in Crises, were used in the data collection. RESULTS: Most commonly, the women reported unmet family planning needs. Of these, a significant proportion reported being unable to obtain contraceptive methods, particularly long-acting reversible contraceptives, either due to the woman's inability to access them or their unavailability at healthcare centres. Although a significant proportion of women were largely satisfied with the attention received at the maternity hospital, both before and during childbirth, 24.0% of pregnant or postpartum women failed to receive any prenatal or postnatal care. CONCLUSION: Meeting the essential SRHR needs of migrant Venezuelan women in Roraima, Brazil is a challenge that has yet to be fully addressed. Given the size of this migrant population, the Brazilian healthcare system has failed to adapt sufficiently to meet their needs; however, problems with healthcare provision are similar for migrants and Brazilian citizens. Efforts need to be encouraged not only in governmental health sectors, but also with academic, non-governmental and international organisations, including a coordinated approach to ensure a comprehensive SRHR response. Given the current high risks associated with the SARS-CoV-2 pandemic, meeting the SRHR needs of migrant populations has become more critical than ever.


Assuntos
Saúde Materna/estatística & dados numéricos , Migrantes/estatística & dados numéricos , Brasil , Feminino , Necessidades e Demandas de Serviços de Saúde , Humanos , Gravidez , Saúde Reprodutiva , Direitos Sexuais e Reprodutivos , Saúde Sexual , Venezuela/etnologia
6.
Biomedica ; 40(Supl. 2): 68-72, 2020 10 30.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-33152189

RESUMO

Despite the positive response of Colombia's health system to the arrival of Venezuelan migrants, the new challenges that accompany the COVID-19 pandemic have triggered a closed-borders response that runs the risk of encouraging a negative view of migrants and increasing their health risks. This manuscript discusses the recommendations that could be proposed in the case of a country with limited resources such as Colombia to respond to the needs of the Venezuelan mixed migrant flows.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Emigração e Imigração/legislação & jurisprudência , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Migrantes , COVID-19 , Colômbia/epidemiologia , Infecções por Coronavirus/epidemiologia , Desinfecção das Mãos , Disparidades em Assistência à Saúde , Humanos , Pneumonia Viral/epidemiologia , Saúde Pública/legislação & jurisprudência , Política Pública , Quarentena , SARS-CoV-2 , Venezuela/etnologia , Populações Vulneráveis
7.
Global Health ; 16(1): 103, 2020 10 22.
Artigo em Inglês | MEDLINE | ID: mdl-33092609

RESUMO

The deteriorating political and economic situation in Venezuela has ramifications far beyond the Latin American country's borders as almost five million Venezuelans fled and migrated into countries in the region due to the crisis at home. The scarcity of health services, the lack of information sharing, and the absence of reliable data in Venezuela create challenges for confronting developing health emergencies and disease outbreaks. The need for accurate data is especially dire given the current COVID-19 pandemic and evolving movement of refugees. While countries and international organizations came together to form a coordinated response to Venezuela's political and humanitarian crisis, this geopolitical progress is threatened by the rapid spread of COVID-19, and the instinct for countries to focus inwards on domestic response priorities, rather than engage in regional cooperation. It is critical that the international community set aside geopolitical differences and cooperate to seek an accurate picture of the conditions on the ground to improve the welfare of Venezuelan migrants and to provide a more robust response to the current pandemic.


Assuntos
Infecções por Coronavirus/epidemiologia , Confiabilidade dos Dados , Cooperação Internacional , Pandemias , Pneumonia Viral/epidemiologia , Refugiados/estatística & dados numéricos , COVID-19 , Humanos , Política , Socorro em Desastres , Venezuela/etnologia
8.
Ann Glob Health ; 86(1): 69, 2020 06 29.
Artigo em Inglês | MEDLINE | ID: mdl-32676298

RESUMO

Several characteristics of refugee and migrant populations make them susceptible to acquire COVID-19. To fully understand the impact of COVID-19 on refugees and migrants in the Americas, it is important to consider the broader geopolitical context and appreciate the differences among migratory groups. There are three migrant groups in the Americas that are particularly susceptible to COVID-19: Central American migrants at the northern Mexico border, Venezuelans within South America, and Haitians in the Dominican Republic. Refugees and displaced migrants are the world's collective responsibility, and thus, it would be imprudent to displace their care to resource constrained developing nations.


Assuntos
Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Refugiados , Migrantes , Betacoronavirus , COVID-19 , América Central/etnologia , Países em Desenvolvimento , República Dominicana/epidemiologia , Haiti/etnologia , Humanos , México/epidemiologia , Pandemias , SARS-CoV-2 , América do Sul/epidemiologia , Venezuela/etnologia , Populações Vulneráveis
9.
Addict Behav ; 104: 106269, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-31978757

RESUMO

BACKGROUND: It is estimated that more than 4 million Venezuelans have left their country as a direct result of their nation's widespread social and economic challenges. Although recent research identifies Venezuela as one of the nations with the highest rates of harmful alcohol consumption in the Americas, no research has been conducted on alcohol use among Venezuelan youth in diaspora. METHODS: Data was collected between November 2018 and June 2019 from 373 Venezuelan immigrant youth ages 12-17 in the United States. The prevalence of past-month and lifetime alcohol use among Venezuelan youth is compared to that of other Hispanic and immigrant youth from the National Survey on Drug Use and Health (NSDUH), and the Construyendo Oportunidades Para Adolecentes Latinos (COPAL) study using independent sample t tests. RESULTS: The prevalence of past-month and lifetime alcohol use was significantly higher among Venezuelan immigrant youth (15% and 52%, respectively) compared to other Hispanic (9% and 28%) and immigrant (4.5% and 28%) youth in the NSDUH, and youth ages 14-17 in the COPAL study (4.0% and 22%). Among Venezuelan youth reporting alcohol use initiation, 1.5% of youth ages 12-14 and 19% ages 15-17 report lifetime alcohol intoxication. DISCUSSION: Although preliminary, results indicate that a disconcerting proportion of Venezuelan crisis migrant youth in the US report lifetime alcohol initiation and past-month use. These findings suggest the importance of future research to examine the prevalence and correlates of alcohol use in this population using recruitment and sampling methods that will allow for population-level estimates.


Assuntos
Comportamento do Adolescente/etnologia , Intoxicação Alcoólica/epidemiologia , Emigrantes e Imigrantes , Consumo de Álcool por Menores/etnologia , Adolescente , Criança , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Prevalência , Autorrelato , Estados Unidos/epidemiologia , Venezuela/etnologia
12.
Rev Peru Med Exp Salud Publica ; 36(3): 383-391, 2019.
Artigo em Espanhol | MEDLINE | ID: mdl-31800929

RESUMO

OBJECTIVES.: To describe the health-related quality of life (HRQoL) of Venezuelan migrants residing in the cities of Chimbote and Nuevo Chimbote, in Peru, and assess its associated factors. MATERIALS AND METHODS.: Cross-sectional study of 212 Venezuelan migrants recruited by snowball sampling. The QoL was evaluated with the European Quality of Life-5 Dimensions at three levels (EQ-5D-3L). The results were presented descriptively. Linear regressions and Poisson adjusted regressions were used to evaluate the factors associated with QoL. RESULTS.: The percentage of participants affected in each QoL dimension was: mobility (1.4%), self-care (0.5%), usual activities (2.4%), pain/discomfort (18.4%), and anxiety/depression (68.9%). As for the QoL Visual Analog Scale (VAS), the median score was 85 (RIC: 70-90). In evaluating the associated factors, it was found that none of the factors was associated with the VAS score or pain/ discomfort. However, the frequency of anxiety/depression was higher in those with higher education (university) level compared to those with secondary education (RR 1.28; 95% CI: 1.03 to 1.60). CONCLUSIONS.: Venezuelan migrants who participated in the study reported problems in their QoL; more than two-thirds reported anxiety/depression, and one in six experienced pain/discomfort. The frequency of anxiety/depression was higher in those with university-level education.


Assuntos
Qualidade de Vida , Migrantes , Adolescente , Adulto , Ansiedade/epidemiologia , Cidades , Estudos Transversais , Depressão/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Peru/epidemiologia , População Urbana , Venezuela/etnologia , Adulto Jovem
13.
Rev Peru Med Exp Salud Publica ; 36(3): 504-510, 2019.
Artigo em Espanhol | MEDLINE | ID: mdl-31800946

RESUMO

The high level of Venezuelan migration is a great challenge for Peru due to the healthcare needs of immigrants. Worryingly, children under the age of five are the most vulnerable. In order to know the nutritional status of this group in migratory transit to Peru, a descriptive study was carried out with two rounds of data collection (August 2018 and March 2019) at the Binational Border Healthcare Center in Tumbes. In each round, nutritional status, morbidity and food characteristics were determined for 322 and 619 Venezuelan children under the age of five, as well as any health and nutrition actions implemented upon their entry into Peru. For each round, acute malnutrition affected 3.2% and 3.0%; chronic malnutrition 16.5% and 17.9%; anemia 34.8% and 25.0%; cough or shortness of breath was present in 31.3% and 17.6%; diarrhea in 16.6% and 9.9%. Nearly seven out of ten children under the age of two breastfed the day before. During the migratory journey and for each round, 58.3% and 47.0% of children under two years of age increased their frequency of breastfeeding, the minimum meal frequency (MMF) was met only by 13.9% and 18.0%. While the timely reaction in terms of healthcare and nutrition facing the inflow of migrant population is a good first step, the health system needs to generate the conditions so that health services can provide coverage with adequate quality to the entire population residing in the national territory, under the premise that the right to health is for everybody without any type of exclusion.


Assuntos
Serviços de Saúde da Criança , Estado Nutricional , Migrantes , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Desnutrição/epidemiologia , Desnutrição/prevenção & controle , Peru/epidemiologia , Venezuela/etnologia
14.
Rev Peru Med Exp Salud Publica ; 36(3): 497-503, 2019.
Artigo em Espanhol | MEDLINE | ID: mdl-31800945

RESUMO

As a result of the political, social, and economic crisis in the Bolivarian Republic of Venezuela, more than 700,000 people have immigrated to Peru since the second semester of 2017. In the year following the 2017 census, Peru's population grew by nearly one million, some 300,000 of them Peruvian, the rest being predominantly young Venezuelan immigrants. This article describes and analyzes the situation and health implications stemming from the fact that Peru became a migratory destination. To this end, a secondary analysis of surveys applied to the Venezuelan population in Peru was carried out. The main challenges arise from limited access to healthcare. Sexual and reproductive healthcare shows the largest deficits, below Peru's urban populations. The vulnerabilities of the Venezuelan migrant population are not detached from those already faced by Peru's poorest urban populations, whose services do not meet their needs and demands, neither in terms of coverage nor quality. However, immigration also generates opportunities, such as that represented by health professionals and technicians, who could contribute to offset the deficit generated by the emigration of thousands of Peruvian health professionals in recent decades. It is also an opportunity not to lose sight of the fact that inequalities in the right to healthcare are still challenges to inclusive development.


Assuntos
Emigração e Imigração/estatística & dados numéricos , Acesso aos Serviços de Saúde , Migrantes , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Peru , Venezuela/etnologia , Adulto Jovem
15.
Ther Adv Respir Dis ; 13: 1753466619894913, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31840561

RESUMO

Paracoccidioidomycosis (PCM) is a fungal infection caused by Paracoccidioides brasiliensis and P. lutzii. It is endemic to South and Central America. While PCM frequently remains latent, the disease can reactivate years after the initial infection. As the disease is rare outside the endemic area, and symptoms can mimic other pulmonary diseases, correct diagnosis can be challenging for clinicians in developed countries. In this report, we present the case of a 57-year-old female Venezuelan immigrant with PCM. She was initially misdiagnosed with sarcoidosis and treated with corticosteroids, leading to an exacerbation of the infection requiring intensive care. Because cultivation of Paracoccidioides sp. is slow and unsensitive, we opted for microscopic observation of fungal elements and molecular testing on a tissue biopsy and bronchoalveolar lavage (BAL) together with antibody detection. This allowed the diagnosis of PCM, enabling specific management. PCM and other imported mycoses should be considered as a differential diagnosis in patients originating from South and Central America displaying symptoms suggestive of sarcoidosis. The reviews of this paper are available via the supplemental material section.


Assuntos
Pneumopatias Fúngicas/diagnóstico , Paracoccidioidomicose/diagnóstico , Lavagem Broncoalveolar , Doença Crônica , Diagnóstico Diferencial , Erros de Diagnóstico , Progressão da Doença , Feminino , Humanos , Pneumopatias Fúngicas/microbiologia , Pessoa de Meia-Idade , Paracoccidioides/isolamento & purificação , Paracoccidioidomicose/microbiologia , Sarcoidose/diagnóstico , Venezuela/etnologia
16.
Epidemiol Psychiatr Sci ; 29: e40, 2019 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-31364579

RESUMO

AIMS: Despite recent worldwide migratory movements, there are only a few studies available that report robust epidemiological data on the mental health in recent refugee populations. In the present study, post-traumatic stress disorder (PTSD), depression and somatisation were assessed using an epidemiological approach in refugees who have recently arrived in Germany from different countries. METHODS: The study was conducted in a reception facility for asylum-seekers in Leipzig, Germany. A total of 1316 adult individuals arrived at the facility during the survey period (May 2017-June 2018), 569 of whom took part in the study (N = 67 pilot study and N = 502 study sample; response rate 43.2%). The questionnaire (11 different languages) included sociodemographic and flight-related questions as well as standardised instruments for assessing PTSD (PCL-5), depression (PHQ-9) and somatisation (SSS-8). Unweighted and weighted prevalence rates of PTSD, depression and somatisation were presented stratified by sex and age groups. RESULTS: According to established cut-off scores, 49.7% of the respondents screened positive for at least one of the mental disorders investigated, with 31% suffering from somatisation, 21.7% from depression and 34.9% from PTSD; prevalence rates of major depression, other depressive syndromes and PTSD were calculated according to the DSM-5, which indicated rates of 10.3, 17.6 and 28.2%, respectively. CONCLUSIONS: The findings underline the dramatic mental health burden present among refugees and provide important information for health care planning. They also provide important information for health care systems and political authorities in receiving countries and strongly indicate the necessity of establishing early psychosocial support for refugees suffering from psychological distress.


Assuntos
Transtorno Depressivo Maior/epidemiologia , Refugiados/estatística & dados numéricos , Transtornos Somatoformes/epidemiologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Camarões/etnologia , Transtorno Depressivo/epidemiologia , Eritreia/etnologia , Feminino , Alemanha/epidemiologia , Humanos , Iraque/etnologia , Masculino , Pessoa de Meia-Idade , Nigéria/etnologia , Questionário de Saúde do Paciente , Prevalência , Refugiados/psicologia , Inquéritos e Questionários , Síria/etnologia , Turquia/etnologia , Venezuela/etnologia , Adulto Jovem
17.
Harm Reduct J ; 16(1): 44, 2019 07 09.
Artigo em Inglês | MEDLINE | ID: mdl-31288811

RESUMO

BACKGROUND: Compared with Caucasians, Latinxs with the hepatitis C virus (HCV) tend to initiate treatment less often, discontinue treatment, become infected younger, and have higher reinfection rates post-treatment. Little is known about HCV treatment experiences among Latinxs who inject drugs in the Northeastern USA. We assessed knowledge, attitudes, and perceptions tied to HCV, as well as HCV treatment readiness, and explored the overall HCV treatment experience of Latinx people who inject drugs (PWID) in Boston. METHODS: We conducted qualitative interviews with monolingual and bilingual Spanish-speaking Latinx PWID (n = 15) in Boston, Massachusetts, between 2015 and 2016. We used a thematic content analysis approach to code and analyze data to identify knowledge, attitudes, and experiences related to HCV treatment. RESULTS: We identified barriers and facilitators to HCV treatment. Six salient themes emerged from the data. For participants who had not initiated HCV treatment, lack of referral, fear of quitting drugs, and fear of relapse were perceived barriers. Trust in medical providers and a willingness to quit drugs were primary facilitators. Most participants had positive HCV treatment experiences, and several emphasized the need for outreach to Latinxs about the advantages of newer treatment options. Concerns about HCV reinfection were also notable. CONCLUSIONS: We identified a range of experiences tied to HCV treatment among Latinx PWID. HCV care providers play a key role in determining treatment uptake, and more treatment information should be disseminated to Latinx PWID. Healthcare providers should capitalize on treatment facilitators by ensuring referrals to treatment and should continue to address perceived barriers.


Assuntos
Acesso aos Serviços de Saúde/estatística & dados numéricos , Hepatite C/etnologia , Hepatite C/terapia , Hispano-Americanos/estatística & dados numéricos , Abuso de Substâncias por Via Intravenosa/complicações , Abuso de Substâncias por Via Intravenosa/etnologia , População Urbana/estatística & dados numéricos , Adulto , Boston , Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos , Feminino , Guatemala/etnologia , Humanos , Masculino , Pessoa de Meia-Idade , Porto Rico/etnologia , Pesquisa Qualitativa , Venezuela/etnologia
18.
Seizure ; 71: 56-59, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31207393

RESUMO

PURPOSE: We compared various clinical characteristics of pediatric-onset psychogenic nonepileptic seizures (PNES) between patients from five countries. The purpose of this study was to advance our understanding of pediatric-onset PNES cross-culturally. METHODS: In this retrospective study, we compared consecutive patients with PNES with an age at onset of 16 years and younger from epilepsy monitoring units in Iran, Brazil, the USA, Canada, and Venezuela. Age, gender, age at seizure onset, seizure semiology, predisposing factors, and video-EEG recordings of all patients were extracted. Pearson Chi-Square, one-way ANOVA and Bonferroni correction tests were used for statistical analyses. RESULTS: Two hundred twenty-nine patients were studied (83 from Iran, 50 from Brazil, 39 from Canada, 30 from the USA, and 27 from Venezuela). Mean age at the onset of seizures was 12.1 ±â€¯3.2 years (range: 4-16 years). The sex ratio of the patients was 1.83: 1 (148 females and 81 males). Clinical characteristics of pediatric-onset PNES showed some significant differences among the nations. However, factors associated with pediatric-onset PNES in these five nations were similar. CONCLUSION: This study underscores how international cross-cultural studies can make important contributions to our understanding of PNES. Patients with pediatric-onset PNES from different countries were similar on many risk factors associated with PNES. This suggests universality in many features of PNES. However, intriguing differences were also noted with regard to seizure semiology, which might be the result of cultural factors.


Assuntos
Comparação Transcultural , Convulsões/fisiopatologia , Transtornos Somatoformes/fisiopatologia , Adolescente , Idade de Início , Brasil/etnologia , Canadá/etnologia , Criança , Pré-Escolar , Eletroencefalografia , Feminino , Humanos , Irã (Geográfico)/etnologia , Masculino , Estudos Retrospectivos , Fatores de Risco , Convulsões/etnologia , Transtornos Somatoformes/etnologia , Estados Unidos/etnologia , Venezuela/etnologia
19.
Rev Gastroenterol Peru ; 39(1): 78-80, 2019.
Artigo em Espanhol | MEDLINE | ID: mdl-31042241

RESUMO

Primary intestinal lymphangiectasia is a rare clinical condition of unknown etiology. The common age of presentation is during the first 3 years of life, but cases in adults have also been reported. It has a variable symptomatology, but the main clinical manifestation is edema, also diarrhea and weight loss can occur. The loss of lymph fluid into the gastrointestinal tract also leads to hypoproteinemia and lymphopenia. Diagnosis is based on clinical manifestations, laboratory and endoscopic findings, and is confirmed on histopathological examination of biopsy. The main treatment is a protein rich, low in fat and medium chain triglyceride diet. We present the case of a 1-year-old male patient who presents with generalized edema, predominantly in lower limbs, and diarrhea. Laboratory findings show the presence of marked hypoproteinemia. Then an endoscopy and a duodenal biopsy are performed, and the histopathological study confirms the diagnosis of primary intestinal lymphangiectasia. The patient is treated and after a satisfactory evolution, is discharged.


Assuntos
Linfangiectasia Intestinal/diagnóstico , Corticosteroides/uso terapêutico , Terapia Combinada , Diarreia/etiologia , Gorduras na Dieta/uso terapêutico , Proteínas na Dieta/uso terapêutico , Diuréticos/uso terapêutico , Edema/etiologia , Hemodinâmica , Humanos , Hipoproteinemia/dietoterapia , Hipoproteinemia/etiologia , Lactente , Linfangiectasia Intestinal/complicações , Linfangiectasia Intestinal/epidemiologia , Linfangiectasia Intestinal/terapia , Masculino , Peru/epidemiologia , Venezuela/etnologia
20.
Hum Psychopharmacol ; 34(2): e2688, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30698292

RESUMO

OBJECTIVE: The aim of this study was to examine whether or not cultural differences influence beliefs about the necessity of taking prescribed psychiatric drugs and concern about their adverse effects in psychiatric outpatients in Spain, Argentina, and Venezuela. METHODS: This cross-sectional study included 1,372 adult psychiatric outpatients using 2,438 psychotropic drugs and was designed to assess outpatients' beliefs about their prescribed medication. Patients completed sociodemographic, clinical questionnaires, and the Beliefs about Medicines Questionnaire Specific Scale and registered scores ranging from 1 to 5 on each of two subscales: concern and necessity. A "necessity-concern differential" was obtained by calculating the difference (range -4 to +4). RESULTS: The global score, including all drugs in the total sample, had a mean necessity score of 3.50 ± 0.95, a mean concern score of 2.97 ± 0.99, and a mean differential score of 0.54 ± 1.42. The concern and necessity mean scores varied significantly across these three culturally Hispanic countries, probably across drug classes, and were associated with treatment duration. On the other hand, age and education played a very limited role. CONCLUSIONS: Understanding the diverse effects of culture and society on these attitudes is highly relevant for the development of responsive mental health services in multicultural societies.


Assuntos
Comparação Transcultural , Cultura , Etnofarmacologia/métodos , Conhecimentos, Atitudes e Prática em Saúde , Transtornos Mentais/etnologia , Psicotrópicos/uso terapêutico , Adulto , Argentina/etnologia , Estudos Transversais , Feminino , Humanos , Masculino , Transtornos Mentais/tratamento farmacológico , Pessoa de Meia-Idade , Espanha/etnologia , Venezuela/etnologia
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