Efectos de la violencia en la salud de víctimas del conflicto armado en el municipio de Tumaco, Colombia: una revisión narrativa.
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| Title: | Efectos de la violencia en la salud de víctimas del conflicto armado en el municipio de Tumaco, Colombia: una revisión narrativa. |
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| Alternate Title: | Effects of violence on the health of Colombian armed conflict victims in the municipality of Tumaco, Colombia: a narrative review. Efeitos da violência na saúde de vítimas do conflito armado no município de Tumaco, Colômbia: uma revisão narrativa. |
| Authors: | Rocha-Buelvas, Anderson1 rochabuelvas@udenar.edu.co, Corchuelo Ojeda, Jairo2 jairo.corchuelo@correounivalle.edu.co, Paola Mogollón, Ana3 anapaolamogollon3002@gmail.com |
| Source: | Revista Facultad Nacional de Salud Pública. 2024, Vol. 42, p1-12. 12p. |
| Subjects: | MENTAL health services, WAR, SOCIAL determinants of health, PUBLIC services, SOCIAL disorganization |
| Geographic Terms: | COLOMBIA |
| Abstract (English): | Objective: To review the existing literature on the effects of violence on the health of Colombian armed conflict victims in the municipality of Tumaco, Colombia. Methodology: A narrative review of literature was conducted between 2012 and 2022. Potentially relevant qualitative studies on the municipality of Tumaco were included. Quality assessment was supported by the CASPe critical reading program. The analysis considered the theoretical model of the social determinants of health. Results: Fourteen qualitative studies were included. In these, 93% referred to murders, 50% to the deficit in the health system, 43% to physical health problems, 36% to the repercussion on mental health, 14% to the consumption of psychoactive substances, 14% to the presence of disabilities, and 7% to the limited access to mental health care as consequences of the Colombian armed conflict's violence. Conclusion: The dynamics of the Colombian armed conflict in Tumaco exacerbate the vulnerability conditions found in political and economic determinants (poor quality and limited access to public services, employment, and health), sociocultural determinants (fragmentation of social environments), and environmental determinants (presence of contaminants that affect natural resources). The findings provide decision-makers in health matters with elements to perform risk assessments oriented to prevent and mitigate harm to victims of the Colombian armed conflict. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo: Revisar la literatura existente sobre los efectos de la violencia en la salud de víctimas del conflicto armado del municipio de Tumaco en Colombia. Metodología: Se efectuó una revisión narrativa de literatura entre los años 2012-2022. Se incluyeron estudios cualitativos potencialmente relevantes realizados sobre el municipio de Tumaco. La evaluación de la calidad se apoyó mediante el programa de lectura crítica caspe. El análisis tuvo en cuenta el modelo teórico de los determinantes sociales de la salud. Resultados: Se incluyeron 14 estudios cualitativos. El 93 % refirió a los asesinatos; el 50 % al déficit en el sistema de salud; el 43 % a los problemas de salud físicos; el 36 % al impacto en la salud mental; el 14 % al consumo de sustancias psicoactivas; otro 14 % a la presencia de discapacidades; y el 7 % a las limitaciones en el acceso a la salud mental como efectos de la violencia del conflicto armado. Conclusión: Las dinámicas del conflicto armado en Tumaco, exacerban las condiciones de vulnerabilidad presentes en determinantes políticos y económicos (mala calidad y acceso limitado a servicios públicos, empleo y salud), determinantes socioculturales (fragmentación de entornos sociales) y determinantes ambientales (presencia de contaminantes que alteran recursos naturales). Los hallazgos aportan elementos para que tomadores de decisiones en salud puedan realizar evaluaciones de riesgo orientadas a la prevención y mitigación del daño en víctimas del conflicto armado. [ABSTRACT FROM AUTHOR] |
| Abstract (Portuguese): | Objetivo: Revisar a literatura existente sobre os efeitos da violência na saúde de vítimas do conflito armado no município de Tumaco na Colômbia. Metodologia: Foi feita uma revisão narrativa de literatura entre os anos 2012-2022. Incluíram-se estudos qualitativos potencialmente relevantes realizados sobre o município de Tumaco. A avaliação da qualidade contou com o apoio do programa de leitura crítica CASPe. A análise considerou o modelo teórico dos determinantes sociais da saúde. Resultados: Incluíram-se 14 estudos qualitativos. 93% fizeram referência aos assassinatos; 50% ao déficit no sistema de saúde; 43% aos problemas de saúde físicos; 36% ao impacto na saúde mental; 14% ao consumo de substâncias psicoativas; outro 14% à presença de deficiências; e, 7% às limitações no acesso à saúde mental como efeitos da violência do conflito armado. Conclusão: As dinâmicas do conflito armado em Tumaco aguçam as condições de vulnerabilidade presentes em determinantes políticos e econômicos (má qualidade e acesso limitado a serviços públicos, emprego e saúde), determinantes socioculturais (fragmentação de entornos sociais) e determinantes ambientais (presença de poluentes que alteram os recursos naturais). As descobertas fornecem elementos para que tomadores de decisões em saúde possam fazer avaliações de risco encaminhadas à prevenção e à mitigação do dano em vítimas do conflito armado. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
| Abstract: | Objective: To review the existing literature on the effects of violence on the health of Colombian armed conflict victims in the municipality of Tumaco, Colombia. Methodology: A narrative review of literature was conducted between 2012 and 2022. Potentially relevant qualitative studies on the municipality of Tumaco were included. Quality assessment was supported by the CASPe critical reading program. The analysis considered the theoretical model of the social determinants of health. Results: Fourteen qualitative studies were included. In these, 93% referred to murders, 50% to the deficit in the health system, 43% to physical health problems, 36% to the repercussion on mental health, 14% to the consumption of psychoactive substances, 14% to the presence of disabilities, and 7% to the limited access to mental health care as consequences of the Colombian armed conflict's violence. Conclusion: The dynamics of the Colombian armed conflict in Tumaco exacerbate the vulnerability conditions found in political and economic determinants (poor quality and limited access to public services, employment, and health), sociocultural determinants (fragmentation of social environments), and environmental determinants (presence of contaminants that affect natural resources). The findings provide decision-makers in health matters with elements to perform risk assessments oriented to prevent and mitigate harm to victims of the Colombian armed conflict. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 0120386X |
| DOI: | 10.17533/udea.rfnsp.e355086 |
