Salud mental del talento humano en salud durante el covid-19 en Colombia

Introducción: la salud mental ha tenido un impacto en la pandemia por COVID-19 en el personal de salud. Comprender y abordar la salud mental en esta población se ha constituido como un reto de la fase actual de la pandemia. Objetivo: describir los riesgos en salud mental, consumo de sustancias psicoactivas y violencias en en trabajadores de la salud durante el periodo de aislamiento debido a la pandemia por COVID-19. Métodos: estudio descriptivo-correlacional de corte transversal. La muestra estuvo compuesta por 3163 profesionales de la salud, mediante un muestreo no probabilístico incidental, con uso de instrumentos como el Self-Reported Questionnaire (SRQ), Escala Reducida de Resiliencia de Connor-Davidson, ASSIST, además de datos sociodemográficos que indagaron por violencias y por búsqueda de ayuda durante la primera fase de la pandemia. Resultados: El 27.4% presentó síntomas de ansiedad o depresión, 4.9% presentó riesgo de suicidio, 14,1% presentó consumo moderado o alto de alguna sustancia y 7.2% estuvo expuesto a algún tipo de violencia. En cuanto a la resiliencia, se encontró una media de 28.4. Conclusión: los síntomas encontrados son validados por la literatura mundial, además el nivel de resiliencia es considerablemente menor en las personas que presentan estos riesgos. La salud mental durante la pandemia en Colombia mostró importantes implicaciones a nivel afectivo y en relación al consumo de sustancias en los trabajadores de salud, en relación frente al consumo de sustancias psicoactivas, al aumento de las violencias y a la búsqueda de ayuda a dichas problemáticas

Indigenous and tribal peoples' health (The Lancet-Lowitja Institute Global Collaboration):a population study

Background International studies of the health of Indigenous and tribal peoples provide important public health insights. Reliable data are required for the development of policy and health services. Previous studies document poorer outcomes for Indigenous peoples compared with benchmark populations, but have been restricted in their coverage of countries or the range of health indicators. Our objective is to describe the health and social status of Indigenous and tribal peoples relative to benchmark populations from a sample of countries. Methods Collaborators with expertise in Indigenous health data systems were identified for each country. Data were obtained for population, life expectancy at birth, infant mortality, low and high birthweight, maternal mortality, nutritional status, educational attainment, and economic status. Data sources consisted of governmental data, data from non-governmental organisations such as UNICEF, and other research. Absolute and relative differences were calculated. Findings Our data (23 countries, 28 populations) provide evidence of poorer health and social outcomes for Indigenous peoples than for non-Indigenous populations. However, this is not uniformly the case, and the size of the rate difference varies. We document poorer outcomes for Indigenous populations for: life expectancy at birth for 16 of 18 populations with a difference greater than 1 year in 15 populations; infant mortality rate for 18 of 19 populations with a rate difference greater than one per 1000 livebirths in 16 populations; maternal mortality in ten populations; low birthweight with the rate difference greater than 2% in three populations; high birthweight with the rate difference greater than 2% in one population; child malnutrition for ten of 16 populations with a difference greater than 10% in five populations; child obesity for eight of 12 populations with a difference greater than 5% in four populations; adult obesity for seven of 13 populations with a difference greater than 10% in four populations; educational attainment for 26 of 27 populations with a difference greater than 1% in 24 populations; and economic status for 15 of 18 populations with a difference greater than 1% in 14 populations. Interpretation We systematically collated data across a broader sample of countries and indicators than done in previous studies. Taking into account the UN Sustainable Development Goals, we recommend that national governments develop targeted policy responses to Indigenous health, improving access to health services, and Indigenous data within national surveillance systems