RESUMO
Chile has sailed in troubled waters in recent months. The effects of the social crisis at the end of 2019 were not yet fully evident, when the Covid-19 pandemic forced the government to take drastic measures to try to slow down the advance of the virus. The restrictions imposed on displacement, dynamic quarantines and the suspension of non-essential activities had a strong impact on the employment and economic conditions of the inhabitants of Chile, and more dramatically on the migrant population. This article aims to make visible the vulnerability and precariousness of the migrant population in Chile in this context of a pandemic, as well as the need to generate situated and inclusive social policies.
RESUMO
Chronic pain represents a common public health concern worldwide. It is a complex phenomenon, owing to the interaction of different factors, including biological, physiological, psychological, environmental, and social variables. Some groups, such as women and immigrants, are particularly vulnerable. However, little is known about how Chinese women in Italy live with and face chronic pain. The present study aimed at filling this knowledge gap by examining the burden of chronic pain in Chinese immigrants in Italy in terms of acculturation processes, perceived control over disease, social networks, and coping strategies. A qualitative approach was used, performing a thematic field analysis. We interviewed 82 Chinese women from different Italian towns (Genoa, Milan, Turin, Bologna, Florence, and Prato) in depth. The sense of belonging to the host culture was strong in our sample. However, this did not simply reflect or translate into a linear engagement with medical systems, as health care pathways were more complex and dual (both Chinese and Western). Chinese women who felt deeply rooted in the Italian environment did not discontinue the use of traditional Chinese medicine. Chronic pain extensively and adversely affected daily life, particularly interfering with work. Coping strategies were mainly adaptive behaviors, being problem focused or maladaptive, relying upon "cope and avoid" mechanisms. Chinese women preferred to use traditional Chinese remedies rather than conventional medicine, while using the Italian system in emergencies. Perceived control over chronic pain was usually external. Finally, Chinese women with chronic pain benefit from social networks and support, which were mainly composed of Chinese peers. In conclusion, our findings underline the tremendous burden of chronic pain affecting all aspects of Chinese women's lives. Health care workers and providers should be aware of the complexity of chronic pain Therefore, a holistic approach, involving different stakeholders, should be adopted when managing chronic pain and approaching immigrant patients.
RESUMO
El propósito primordial de la evaluación de necesidades fue enriquecer la habilidad del CEPEP para incrementar la salud sexual y reproductiva adolescente en Asunción al construir un entendimiento de la comunidad circundante y población adolescente a fin de desarrolloar y lograr las actividades planeadas.
