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Language: search.filters.language.EnglishSubject: search.filters.subject.Healthcare disparities

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    Missed opportunities for vaccination in Peru 2010–2020: a study of socioeconomic inequalities
    (Elsevier Ltd, 2022-10-01)
    Background: Missed Opportunities for Vaccination (MOV) represent a major risk in the re-emergence of immunopreventable diseases. However, in the region, there are few published studies on MOVs using national databases such as demographic and health surveys (DHS). This study aims to describe the frequency and trends of MOVs for the first dose of vaccines against the leading causes of infant morbidity and mortality, their complete vaccination coverage, and trends in socioeconomic inequalities at the national and departmental levels for an 11-years period. Methods: Using DHS data from an 11-year period (2010–2020), we calculated frequencies and trends in MOVs of vaccines for the leading causes of child morbidity and mortality, estimated inequalities in MOVs using the Slope Inequality Index (SII) and conducted a spatial autocorrelation test to identify clusters of higher or lower inequality in MOVs at the national level. Findings: We found that, at the national level, greater inequality was concentrated in the wealthiest categories of each socioeconomic variable. We identified that departments with higher poverty rates concentrated higher levels of inequality in the MOVs in the lowest strata of the socioeconomic variables. In addition, we found that some departments with similar geographic and socioeconomic characteristics had spatially correlated levels of inequality on MOVs. Interpretation: These findings can help to identify the heterogeneity that exists in the distribution of MOVs among departments and socioeconomic strata, which would help to prioritize specific areas and subpopulations for national immunization strategies. Funding: No additional funding source was required for this study.
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    FIPOL: An initiative to support research collaborations, resource development, scientific communication, and educational opportunities in psychosocial oncology for Latin America
    (Wiley, 2022-03-18)
    Key points The goal of FIPOL (Training and Resources in Psychosocial Oncology for Latin America) is to support the development of psychosocial oncology (PO) in Latin American countries FIPOL aims to increase global awareness of academic opportunities in PO and behavioral medicine and facilitates exchanges and collaborations between Spanish‐speaking clinicians and researchers from diverse backgrounds and Spanish‐speaking countries who work in cancer and psychosocial care Professional organizations and networks such as FIPOL may contribute to the long‐term growth of PO in the region and implementation and sustainability of PO practice FIPOL works towards its goals through efforts in training, resource development, collaborative research initiatives, and communication and dissemination with collaborations of Spanish‐speaking colleagues working on cancer and psychosocial care
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    Use of Telehealth for Psychosocial Oncology: A Mixed Methods Study About Barriers to and Opportunities With Latino Patients from Latin America, Spain, and the United States
    (John Wiley and Sons Ltd, 2023-08-01)
    Telehealth for mental healthcare expanded rapidly with the COVID-19 pandemic's onset; however, global access disparities emerged. Telehealth challenges and opportunities for Latino cancer patients from different geographical regions must be explored. Methods: A cross-sectional online survey (March-July 2021) of mental health providers, serving Latino cancer patients in Latin America, United States, and Spain, contained close-ended questions related to the use of telehealth during the pandemic and open-ended questions on recommending/not recommending telehealth. Results: In a sample of 148 providers from 21 countries, 60.5% reported that at least some of their patients had difficulties with Internet speed and connectivity and lacked knowledge about using electronic devices (43.2%) or the Internet (45.4%). Lacking privacy at home (66.0%) and childcare (26.0%) were reported patient challenges. Internet connectivity or speed were issues for providers (43.2%) themselves. Improving patient reach was a reported telehealth benefit (64.2%). Geographical access (43.2%) and physical limitations (35.8%) were considerations in offering telehealth. Considerations for not recommending telehealth were patient age (24.3%) and lacking technological knowledge (29.1%). Conclusions: Telehealth for mental healthcare may improve patient access issues caused by geographical and transportation conditions and patient functionality. Findings provide insight into telehealth benefits and challenges in Latino patient populations. Future studies should examine patient access and use by region.