Universidade do Quindio, Faculdade de Ciências da Saúde, Armênia, Quindio, Colombia.
Universidade Federal do Ceará, Faculdade de Enfermagem, Fortaleza, Ceará, Brazil.
Rev Lat Am Enfermagem. 2022 Nov 7;30(spe):e3756. doi: 10.1590/1518-8345.6250.3756. eCollection 2022.
highlight health inequalities of homeless adolescents based on the conceptual framework of social determinants of health.
this is a convergent parallel mixed-methods study. The population consisted of adolescents who are homeless, with purposeful sampling and data saturation. Quantitative data were obtained with a questionnaire and qualitative data through semi-structured interviews.
19 homeless adolescents participated in the study, 13 (68.4%) aged 16 to 19 years; 11 (57.9%) were male, 3 (15.8%) were female, and 5 (26.3%) were transgender adolescents. Participants experienced different levels of exposure and vulnerabilities to conditions that affect health and were directly related to intermediate determinants of health.
this study provides an understanding of the inequalities related to the health of homeless adolescents and shows evidence that supports strategies to promote equity and dignity in health care.
(1) Contribute with strategies towards equal access to health services and dignity in adolescent care. (2) Understand the health needs of homeless adolescents. (3) Reflect on adolescent health care. (4) Support the health system and reduce health inequities.
根据健康决定因素的概念框架，强调无家可归青少年的健康不平等问题。
这是一项汇聚式平行混合方法研究。研究人群为无家可归的青少年，采用目的性抽样和数据饱和方法。定量数据通过问卷调查获得，定性数据通过半结构化访谈获得。
19 名无家可归的青少年参与了这项研究，其中 13 名（68.4%）年龄在 16 至 19 岁之间；11 名（57.9%）为男性，3 名（15.8%）为女性，5 名（26.3%）为跨性别青少年。参与者经历了不同程度的与健康相关的条件暴露和脆弱性，这些条件与健康的中间决定因素直接相关。
本研究提供了对无家可归青少年健康不平等问题的理解，并提供了支持促进卫生保健公平和尊严的策略的证据。
（1）为平等获得卫生服务和青少年保健尊严提供策略。（2）了解无家可归青少年的健康需求。（3）反思青少年保健。（4）支持卫生系统并减少卫生不平等。
