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揭示拉丁美洲和加勒比地区气候危机与移民儿童健康之间的潜在关系:来自智利移民父母和医疗保健专业人员的看法。

Unravelling the potential relationship between the climate crisis and the health of migrant children in LAC: perceptions from migrant parents and healthcare professionals in Chile.

作者信息

Carreno Calderon Alejandra, Bluckaz Alice, Cabieses Baltica

机构信息

Universidad del Desarrollo Facultad de Medicina Clnica Alemana, Santiago, Chile

Facultad de Medicina CAS - UDD, Las Condes, Chile.

出版信息

BMJ Paediatr Open. 2024 Dec 24;8(1):e002899. doi: 10.1136/bmjpo-2024-002899.

Abstract

INTRODUCTION

Latin America and the Caribbean (LAC) is one of the regions most affected by the climate crisis, which is connected to international migration through a complex nexus. During the last years, migratory flows on the continent have increasingly included children and adolescents who are migrating through non-authorised crossing points. The existing literature shows how inequities negatively affect migrant children and the role that healthcare systems can play to mitigate them.

OBJECTIVE

Based on a qualitative study, the paper aims to analyse the role of the climate crisis on the healthcare needs of migrant children from LAC who are currently living in Chile, from the point of view of parents from five main countries of immigration in Chile and healthcare professionals.

METHOD

An exploratory study was conducted in Arica, Antofagasta and Santiago. In-depth interviews with 20 migrant parents and 20 healthcare professionals were carried out. The interviews were transcribed verbatim and a thematic analysis was performed.

RESULTS

Three findings emerged from this study: (1) food insecurity affects LAC migrant children in their country of origin and during their migratory trajectories to Chile, (2) natural disasters and environmental degradation in the countries of origin are not the only drivers of migration for LAC families but also prevent returns, even when they remain undocumented and (3) LAC migrant children are exposed to urban pollution and contaminants in informal settlements due to difficulties in accessing formal housing, among others.

CONCLUSIONS

The climate crisis must be integrated into the study of migrant health in LAC, considering the current context of multiple political, health and economic crises in the region. Healthcare professionals and communities play a central role in creating interventions to build sustainable and resilient universal healthcare systems.

摘要

引言

拉丁美洲和加勒比地区(LAC)是受气候危机影响最严重的地区之一,气候危机通过复杂的关联与国际移民相联系。在过去几年中,该大陆的移民潮越来越多地包括通过非官方过境点迁移的儿童和青少年。现有文献表明了不平等如何对移民儿童产生负面影响,以及医疗保健系统在缓解这些影响方面可以发挥的作用。

目的

基于一项定性研究,本文旨在从智利五个主要移民来源国的家长和医疗保健专业人员的角度,分析气候危机对目前居住在智利的拉丁美洲和加勒比地区移民儿童医疗保健需求的影响。

方法

在阿里卡、安托法加斯塔和圣地亚哥进行了一项探索性研究。对20名移民家长和20名医疗保健专业人员进行了深入访谈。访谈内容逐字记录,并进行了主题分析。

结果

该研究得出了三个结果:(1)粮食不安全在拉丁美洲和加勒比地区移民儿童的原籍国以及他们前往智利的迁移途中都会对其产生影响;(2)原籍国的自然灾害和环境退化不仅是拉丁美洲和加勒比地区家庭移民的驱动因素,而且即使他们仍然没有合法身份,也会阻碍他们返回原籍国;(3)由于难以获得正规住房等原因,拉丁美洲和加勒比地区的移民儿童在非正规住区面临城市污染和污染物的影响。

结论

鉴于该地区当前面临多重政治、健康和经济危机的背景,必须将气候危机纳入拉丁美洲和加勒比地区移民健康的研究中。医疗保健专业人员和社区在制定干预措施以建立可持续和有韧性的全民医疗保健系统方面发挥着核心作用。

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