Control of the COVID-19 pandemic largely depends on the effectiveness of the vaccination process. An understanding of the factors that underlie the willingness to accept vaccination contributes pivotal information to controlling the pandemic. We analyzed the association between the willingness to accept the available COVID-19 vaccines and vaccine determinants amidst the Chilean vaccination process. Individual-level survey data was collected from 744 nationally representative respondents and multivariate regression models were used to estimate the association between outcome and explanatory variables. We found that trust in COVID-19 vaccines, scientists, and medical professionals significantly increased the willingness to: accept the vaccines and booster doses, as well as annual vaccinations and the vaccination of children. Our results are critical to understanding the acceptance of COVID-19 vaccines in the context of a country with one of the world’s highest vaccination rates. We provide useful information for decision-making and policy design, in addition to establishing guidelines regarding how to effectively explain vaccination programs to citizens.
Chagas is a complex, multidimensional phenomenon in which political, economic, environmental, biomedical, epidemiological, psychological, and sociocultural factors intersect. Nonetheless, the hegemonic conceptualisation has long envisioned Chagas as primarily a biomedical question, while ignoring or downplaying the other dimensions, and this limited view has reinforced the disease's long neglect. Integrating the multiple dimensions of the problem into a coherent approach adapted to field realities and needs represents an immense challenge, but the payoff is more effective and sustainable experiences, with higher social awareness, increased case detection and follow-up, improved adherence to care, and integrated participation of various actors from multiple action levels. Information, Education, and Communication (IEC) initiatives have great potential for impact in the implementation of multidimensional programs of prevention and control successfully customised to the diverse and complex contexts where Chagas disease persists.
Control of the COVID-19 pandemic largely depends on the effectiveness of the vaccination. Several factors including vaccine hesitancy can affect the vaccination process. Understanding the factors that underlie the willingness to accept vaccination brings pivotal information to control the pandemic. We analyzed the association between the willingness level to accept the COVID-19 vaccine, and vaccine determinants amidst the Chilean vaccination process. Individual-level survey data was collected from nationally representative samples of 744 respondents, and multivariate regression models used to estimate the association between outcome and explanatory variables. We found that trust in the COVID-19 vaccine, scientists, and medical professionals increased the willingness to: accept the vaccine, a booster dose, annual vaccination, and children vaccination. Our results are critical to understand the acceptance of COVID-19 vaccines in the context of a country with one of the world’s highest vaccination rates. We provide information for decision-making, policy design and communication of vaccination programs.
Currently, Chagas disease is a complex global health problem with local and global implications. In the present article, we approach this complexity from the perspective of human mobility and its effects on people’s health in places of origin and in transit and destination. We raise key concepts such as human mobility - understood as a possible socio-structural and economic determination of health -, the associated social and institutional barriers and the processes of social exclusion related to Chagas disease. We also propose what we identify as emerging opportunities from the perspective of health as a right. Finally, we propose strategies aimed at addressing Chagas disease from a multidimensional and intersectional perspective in complex, diverse and interconnected territories through migration.
Control of the COVID-19 pandemic largely depends on the effectiveness of the vaccination process. Understanding the factors that underlie the willingness to accept vaccination contributes pivotal information to control the pandemic. We analyzed the association between the willingness to accept the COVID-19 vaccines available and vaccine determinants amidst the Chilean vaccination process. Individual-level survey data was collected from 744 nationally representative respondents and multivariate regression models were used to estimate the association between outcome and explanatory variables. We found that trust in COVID-19 vaccines, scientists, and medical professionals increased the willingness to: accept the vaccines, booster doses, annual vaccinations, and the vaccination of children. Our results are critical to understanding the acceptance of COVID-19 vaccines in the context of a country with one of the world’s highest vaccination rates. We provide information for decision-making and policy design, as well as guidelines regarding how to effectively explain vaccination programs to citizens.
Objetivo Conocer, en contexto de la pandemia por SARS-CoV-2, las vulnerabilidades psicosociales y socioeconómicas de la población migrante internacional en Chile y los recursos y capitales sociales reportados desde la propia comunidad. Métodos Estudio cualitativo descriptivo. Se realizaron 40 entrevistas semiestructuradas a migrantes (N=30) e informantes claves (N=10), ejecutadas virtualmente durante el 2020. El material fue analizado mediante análisis temático. El proyecto fue aprobado por el Comitè de Ètica Científico de la Facultad de Medicina de la Universidad del Desarrollo. Resultados Como principales vulnerabilidades enfrentadas por parte de personas migrantes en pandemia se identifican: hacinamiento, precariedad laboral y necesidades económicas, uso del transporte público, desinformación y creencias en torno al COVID-19, discriminación, falta de redes de apoyo, y estatus migratorio. Como recursos se reconocen: contar con redes de apoyo, posibilidad de teletrabajo o salir a trabajar, acceso a información y a la red asistencial y municipal, apoyo gubernamental y de la sociedad civil. Adicionalmente, se reportan experiencias de diagnóstico de COVID-19, identificando dificultades en acceso a PCR y adaptaciones familiares y laborales como cambios en los hábitos de vida dentro y fuera del hogar. Discusión El estudio entrega información relevante e inédita para la construcción de políticas en salud para migrantes internacionales con foco en crisis sanitarias. Se destaca la necesidad de fortalecer adecuaciones interculturales en las estrategias de prevención del contagio y de promoción de la salud y aumentar la disponibilidad de respuesta en el acceso a salud en el marco de la pandemia, mitigando así la vulnerabilidad social en migrantes y potenciando sus recursos de afrontamiento.
RESUMENEl presente artículo vincula la temática de la maternidad y la migración. Las mujeres se incorporan al mundo laboral, cumpliendo roles productivos y también reproductivos. Actualmente las mujeres migran más que los hombres. La migración de la mujer-madre, en el ámbito familiar, modifica el ejercicio de la maternidad. La maternidad pasa de ser cotidiana figura física, a una presencia a pesar de la distancia. Entenderemos la prolongación de este vínculo como "maternidad transnacional". Este texto aborda los desafíos que deben enfrentar las mujeres-madres que migran al ejercer su maternidad a distancia. Nos referiremos a las formas en que se ejerce la maternidad, los afectos y experiencias relacionadas con estar lejos de los hijos/as. Por último, abordaremos el ejercicio de la intervención profesional en este ámbito desde el Trabajo Social.Palabras clave: Maternidad transnacional, cadena de cuidado, familia transnacional, migración peruana. Maternidade Transnacional, um desafio para as mulheres peruanas migrantes trabalhadoras do bairro Meiggs RESUMOO presente artigo vincula o tema da maternidade e a migração. As mulheres se incorporam no mundo laboral, cumprindo papéis produtivos e também reprodutivos. Atualmente as mulheres migram mais que os homens. A migração da mulher-mãe, no âmbito familiar, modifica o exercício da maternidade. A maternidade passa de ser uma cotidiana figura física, a uma 1
El presente artículo aborda las transformaciones de las agencias en estudiantes en práctica profesional, luego de intervenir en violencia de género, siendo una de las repercusiones de intervenir en temáticas de alta complejidad como es la violencia. Se pretende relevar la intervención social en temáticas, que, por su dificultad, trascienden y traen consecuencias, produciéndose de igual forma, en profesionales, como en practicantes. Se presenta los resultados de la investigación, reflexionando cómo su práctica profesional, transforma la manera en que se posicionan desde la construcción de sus agencias, en sus historias familiares, con una estructura social permeada por la violencia.
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