Browsing by Author "Fernandez Gonzalez, Loreto"

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    HPV vaccine implementation in Chile: an appraisal from the social determinants of health model
    (SOC MEDICA SANTIAGO, 2017) Fernandez Gonzalez, Loreto
    Cervical cancer is the fourth most common neoplasm in women worldwide and its incidence is associated with profound social inequities. In Chile, it is the second cause of death in women of reproductive age. The Chilean clinical guideline identifies the vaccine against Human Papillomavirus (HPV) as the main preventive measure. Since 2014, the Ministry of Health has implemented free immunization against HPV for girls and female adolescents. This article critically analyzes this public policy from the viewpoint of health equity, using as framework the Social Determinants of Health Model. Specifically, we address the structural determinants of income and gender, which act as material and social barriers for achieving immunization, affecting protection against cervical cancer. These barriers correspond to the high cost of the vaccine, and social attitudes/cultural beliefs towards sexual behavior in Latin America and Chile that affect the acceptability of vaccination. The Social Determinants of Health Model constitutes a useful tool for identifying health inequities and understanding public policy from an equity viewpoint that complements the biomedical and epidemiological understanding of disease. In this topic, the initiative aims to strengthen the idea of health as a human right and health promotion as an essential function of public health policy.
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    Validación del instrumento Informed Choice para medir la decisión informada de mamografía en mujeres chilenas usuarias de atención primaria
    (2021) Bravo, Paulina; Dois, Angelina; Fernandez Gonzalez, Loreto; Hernandez Leal, Maria Jose; Villarroel, Luis
    Objective: To adapt and validate for the Chilean context the instrument Informed Choice (IC) to measure informed decision for mammography.