HPV vaccine implementation in Chile: an appraisal from the social determinants of health model

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dc.contributor.authorFernandez Gonzalez, Loreto
dc.date.accessioned2024-01-10T12:05:55Z
dc.date.available2024-01-10T12:05:55Z
dc.date.issued2017
dc.description.abstractCervical 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.
dc.fechaingreso.objetodigital2024-06-25
dc.format.extent5 páginas
dc.fuente.origenWOS
dc.identifier.eissn0717-6163
dc.identifier.issn0034-9887
dc.identifier.pubmedidMEDLINE:29652958
dc.identifier.urihttp://dx.doi.org/10.4067/s0034-98872017001201605
dc.identifier.wosidWOS:000429615300013
dc.information.autorucMedicina;Fernandez L;S/I;150926
dc.issue.numero12
dc.language.isoes
dc.nota.accesoContenido completo
dc.pagina.final1609
dc.pagina.inicio1605
dc.publisherSOC MEDICA SANTIAGO
dc.revistaREVISTA MEDICA DE CHILE
dc.rightsacceso abierto
dc.subjectHealth Equity
dc.subjectHealth Policy
dc.subjectPapillomavirus Vaccines
dc.subjectSocial Determinants of Health
dc.subjectUterine Cervical Neoplasms
dc.subject.ods03 Good Health and Well-being
dc.subject.ods05 Gender Equality
dc.subject.odspa03 Salud y bienestar
dc.subject.odspa05 Igualdad de género
dc.titleHPV vaccine implementation in Chile: an appraisal from the social determinants of health model
dc.typeartículo
dc.volumen145
sipa.codpersvinculados150926
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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