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    Dinámicas y determinantes de la transición demográfica en Perú
    (Universidad Autónoma del Estado de México, 2024-03-19)
    La transición demográfica designa la reducción progresiva de las tasas brutas de la natalidad y de la mortalidad según ritmos diferenciados entre los países. El objetivo del artículo es evidenciar la periodización de este proceso en Perú, mostrando su tipificación entre los modelos identificados en América latina y caracterizando su heterogeneidad territorial. A partir de la información brindada por CEPALSTAT, los censos de población y las ENDES, se propone una delimitación temporal de la transición demográfica y un análisis de los determinantes del descenso de la fecundidad en torno a variables asociadas con la “modernización sociocultural”, como la expansión de la educación y el mayor acceso a la planificación familiar. Asimismo, la desagregación territorial de los resultados da cuenta de un desfase de dos a tres décadas en los ritmos de transición demográfica entre las áreas urbanas y rurales del país.
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    Childhood Cancer Survivors in Latin America: Insights Into Health Outcomes and Information Needs
    (Wiley, 2025-09-01)
    BACKGROUND: Childhood cancer survivors (CCSs) face long-term health challenges, yet the health and specific needs of Latin American survivors remain underexplored. This study aimed to describe the health-related, psychosocial late effects, and information needs among CCSs in the region. METHODS: This mixed-method study combined quantitative data from an online survey with qualitative insights from follow-up interviews, involving CCSs from the largest regional survivor network and additional participants recruited through snowball sampling. We report the quantitative results here. The survey was adapted from the Childhood Cancer Survivor Study Survey Follow-Up and the Needs Assessment Questionnaire (CCSS-NAQ). RESULTS: A total of 135 CCSs from 16 Latin American countries participated (mean age 26.1 years). The most frequent late effects were mental health (61.2%), endocrine (58.6%), and cardiovascular (42.1%). Infertility was prevalent (16.9%), with nearly one-third unsure of their fertility status. Anxiety (51.1%) and depression (31.8%) were common. Significant findings included higher rates of endocrine disorders in females (p = 0.0018) and those who had received radiation (p = 0.048), respiratory problems in stem cell transplantation recipients (p = 0.026), and auditory impairment in survivors of a solid tumor (p = 0.0031). While most felt informed about their health, only one-third had regular medical follow-up and access to psychological care. Survivors expressed a strong interest in learning more about fertility and mental health, with a preference for digital information. CONCLUSIONS: The study documents the need for region-specific survivorship care that addresses both the physical and mental health challenges of Latin American CCSs.
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