Programa de Estudios Sociales en Salud, Instituto de Ciencias e Innovación en Medicina, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago 7610658, Chile.
Department of Health Sciences, University of York, York YO10 5DD, UK.
Int J Environ Res Public Health. 2022 Nov 17;19(22):15175. doi: 10.3390/ijerph192215175.
In parallel to the COVID-19 pandemic, Chile has experienced a significant influx of international migrants, many of whom are Venezuelan women who have entered the country through unauthorized crossing points. In this context, gender and migration intersect as the social determinants of health, leading to their experiencing a range of adverse events. This poses important challenges in terms of short- and long-term health outcomes, the social determinants of health, and access to healthcare. This study aims at describing Venezuelan women's perceptions of their health needs as they migrate to Chile via an unauthorized crossing point, with a focus on adverse events throughout the migration cycle, self-reported health needs, and responses. A qualitative case study was carried out with 22 participants in the Antofagasta region of Chile, including Venezuelan migrant women, healthcare professionals, and social workers from the public healthcare system, stakeholders from non-governmental and international organizations, and local government officials. The semi-structured, individual interviews were analyzed thematically. The results show that Venezuelan women face a range of adverse events throughout the migration cycle. The perceived health needs that are reported are sometimes linked to these adverse events or existed prior to migration and were exacerbated throughout the migratory cycle. Addressing these physical and mental health needs is essential for short- and long-term individual and public health; however, despite substantial efforts to ameliorate the situation, persisting gaps in access to care are reported.
在应对 COVID-19 大流行的同时,智利也经历了大量国际移民的涌入,其中许多是通过非正规过境点进入该国的委内瑞拉妇女。在这种情况下,性别和移民相互交织,成为健康的社会决定因素,导致她们经历一系列不良事件。这对短期和长期健康结果、健康的社会决定因素以及获得医疗保健服务都构成了重要挑战。本研究旨在描述通过非正规过境点移民到智利的委内瑞拉妇女对其健康需求的看法,重点关注整个移民周期中的不良事件、自我报告的健康需求以及应对措施。在智利安托法加斯塔地区进行了一项定性案例研究,共有 22 名参与者,包括委内瑞拉移民妇女、公共医疗保健系统的医疗保健专业人员和社会工作者、非政府和国际组织的利益相关者以及当地政府官员。采用半结构化个体访谈进行分析。结果表明,委内瑞拉妇女在整个移民周期中面临一系列不良事件。所报告的感知健康需求有时与这些不良事件相关,或者在移民前就存在,并在整个移民周期中加剧。解决这些身心健康需求对于短期和长期的个人和公共健康至关重要;然而,尽管为改善这种情况做出了巨大努力,但仍存在着持续的获得医疗服务差距。