Prevalence of anxious and depressive symptoms in Colombian migrants in ChileBackground: Migratory processes may affect mental health. Data on the health status of migrants are necessary for an adequate public health approach. Aim: To describe the prevalence of anxious and depressive symptoms in Colombian migrants living in Chile and to compare it with the Chilean population. Material and Methods: Beck and BDI scales for depression and BAI anxiety scale were applied to 1,932 participants living in Arica, Antofagasta and Santiago. Of these, 976 participants (51% women) aged 35 ± 10 years were first generation Colombian migrants and 956 participants aged 34 ± 14 years were Chilean. Results: The scores for depressive and anxious symptoms were higher in Chileans than in Colombians. Women reported worse mental health in both groups. Chilean and Colombian respondents residing in Arica and Antofagasta had a higher degree of anxiety and depression than their counterparts residing in Santiago. Conclusions: Chileans have worse mental health indicators than Colombian migrants. There are differences by sex and city of residence.
Background
migration is a worldwide phenomenon that is growing at an accelerated pace. When people who migrate come into contact with a new culture, they are immersed in a process called acculturation. In this process, people oscillate between maintaining their own culture or acquiring the culture and customs of the host country, resulting in the so-called acculturation strategies. According to Berry’s proposal, there are four main acculturation strategies: assimilation, integration, marginalization and separation. The few existing studies of Latinos in an Anglo-Saxon country relate the use of the integration strategy (biculturalism) with lower cortisol levels. No studies have been found on the subject in Latino migrants in a Latino country.
Method
a cross-sectional design was used to analyze the relationship between acculturation strategies and blood cortisol levels, based on the hypothesis that an integration strategy or biculturalism would be linked to lower cortisol levels. The study involved 314 Colombian migrants in Chile, who were evaluated with a scale of acculturation strategies according to the model proposed by Berry, in addition to providing blood samples to analyze cortisol levels.
Results
migrants who show a preference for leave behind the culture of the country of origin have higher levels of cortisol ng/ml in blood. According to multiple comparisons the mean cortisol value was significantly different between integrated and assimilated subjects, with the mean cortisol of the integrated being significantly lower than that of the subjects typed as marginalized.
Conclusion
The patterns of the relationship between biculturalism and cortisol found in Latino migrants in Anglo-Saxon countries are repeated in Latino migrants in a Latino country. It is necessary to explore the influence of other variables in this relationship, since it seems that the best adaptive strategy, and therefore the cortisol response, will vary according to the socio-cultural context of the host country.
RESUMEN: Se sabe de los beneficios que la radiología dental ha significado para mejorar la calidad de vida de las personas en todo el mundo, sin embargo, también conocemos los riesgos asociados a su uso. Para disminuir estos riegos, diferentes organizaciones a nivel internacional han desarrollado un SISTEMA DE PROTECCIÓN RADIOLÓGICA (SRP) basado en los principios de: Justificación, optimización y limitación de dosis, los cuales a su vez han evolucionado en base al desarrollo de la ciencia, los valores éticos, y la experiencia acumulada en la práctica cotidiana de los profesionales de la protección radiológica. Al revisar la normativa que regula el uso de las radiaciones ionizantes en Chile, analizamos que no se tienen en cuenta los aspectos o valores éticos al momento de hablar y aplicar el SPR en procedimientos de radiología dental. Por todo lo anterior, el objetivo del presente trabajo de revisión narrativa fue elaborar un nuevo documento de consulta para los odontólogos, que contenga de manera resumida y con definiciones precisas, los principales aspectos a tener en cuenta a la hora de comprender como funciona el SPR y los valores éticos que lo fundamentan, ayudando de esta manera a resolver objetivamente los juicios de valor que se pueden presentar durante la solicitud, ejecución e interpretación de los procedimientos de radiología dental.PALABRAS CLAVE: radiaciones ionizantes, protección radiológica, valores éticos, radiología dental.
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