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Social Determination of the Health of Families from Two Neighborhoods in Medellín, Colombia

OBJECTIVE. To understand the health process, from the approach of the social determination of health in two neighborhoods in Medellín - Colombia, to contribute to the care of people, families, and collectives in their multidimensional reality. METHODS. Qualitative research from the ethnographic pers...

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Autores principales: Gaviria Noreña, Dora Lucía, Álvarez Del Río, Rusbert Fernando, Zapata Gómez, Nora Eugenia, González Giraldo, Maribel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Imprenta Universidad de Antioquia 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9714987/
https://www.ncbi.nlm.nih.gov/pubmed/36264702
http://dx.doi.org/10.17533/udea.iee.v40n2e14
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author Gaviria Noreña, Dora Lucía
Álvarez Del Río, Rusbert Fernando
Zapata Gómez, Nora Eugenia
González Giraldo, Maribel
author_facet Gaviria Noreña, Dora Lucía
Álvarez Del Río, Rusbert Fernando
Zapata Gómez, Nora Eugenia
González Giraldo, Maribel
author_sort Gaviria Noreña, Dora Lucía
collection PubMed
description OBJECTIVE. To understand the health process, from the approach of the social determination of health in two neighborhoods in Medellín - Colombia, to contribute to the care of people, families, and collectives in their multidimensional reality. METHODS. Qualitative research from the ethnographic perspective, approaching the general dimension with documentary analysis of social policies and community documents, the particular dimension through focal groups and interviews to community leaders, and the singular dimension with the family visit. RESULTS. Families and collectives live within a sociocultural setting of resistance, overshadowed by moments of flight and displacement derived from violence, with scant participation in city plans and programs and with structural problems of economic and political exclusion. They constructed the territory as space and shelter in the weave that protects and violates them, with processes from uprooting to rooting. The families have maintained protective processes, like family participation in decision making, knowledge on health care, among others, and destructive processes, like informal labor and job instability, without spaces for recreation and with limitations in transportation, in access to health programs and in obtaining food. CONCLUSION. The health of the families has been determined by historical exclusion to work to obtain resources for a minimum vital subsistence, which is why they suffer social vulnerability due to few opportunities for development; they have lived a transformation process of the territory with resistance, solidarity, and construction of social networks.
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spelling pubmed-97149872022-12-02 Social Determination of the Health of Families from Two Neighborhoods in Medellín, Colombia Gaviria Noreña, Dora Lucía Álvarez Del Río, Rusbert Fernando Zapata Gómez, Nora Eugenia González Giraldo, Maribel Invest Educ Enferm Original Article OBJECTIVE. To understand the health process, from the approach of the social determination of health in two neighborhoods in Medellín - Colombia, to contribute to the care of people, families, and collectives in their multidimensional reality. METHODS. Qualitative research from the ethnographic perspective, approaching the general dimension with documentary analysis of social policies and community documents, the particular dimension through focal groups and interviews to community leaders, and the singular dimension with the family visit. RESULTS. Families and collectives live within a sociocultural setting of resistance, overshadowed by moments of flight and displacement derived from violence, with scant participation in city plans and programs and with structural problems of economic and political exclusion. They constructed the territory as space and shelter in the weave that protects and violates them, with processes from uprooting to rooting. The families have maintained protective processes, like family participation in decision making, knowledge on health care, among others, and destructive processes, like informal labor and job instability, without spaces for recreation and with limitations in transportation, in access to health programs and in obtaining food. CONCLUSION. The health of the families has been determined by historical exclusion to work to obtain resources for a minimum vital subsistence, which is why they suffer social vulnerability due to few opportunities for development; they have lived a transformation process of the territory with resistance, solidarity, and construction of social networks. Imprenta Universidad de Antioquia 2022-09-20 /pmc/articles/PMC9714987/ /pubmed/36264702 http://dx.doi.org/10.17533/udea.iee.v40n2e14 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Article
Gaviria Noreña, Dora Lucía
Álvarez Del Río, Rusbert Fernando
Zapata Gómez, Nora Eugenia
González Giraldo, Maribel
Social Determination of the Health of Families from Two Neighborhoods in Medellín, Colombia
title Social Determination of the Health of Families from Two Neighborhoods in Medellín, Colombia
title_full Social Determination of the Health of Families from Two Neighborhoods in Medellín, Colombia
title_fullStr Social Determination of the Health of Families from Two Neighborhoods in Medellín, Colombia
title_full_unstemmed Social Determination of the Health of Families from Two Neighborhoods in Medellín, Colombia
title_short Social Determination of the Health of Families from Two Neighborhoods in Medellín, Colombia
title_sort social determination of the health of families from two neighborhoods in medellín, colombia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9714987/
https://www.ncbi.nlm.nih.gov/pubmed/36264702
http://dx.doi.org/10.17533/udea.iee.v40n2e14
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