Blanca Estela Pelcastre‐villafuerte
Datos Biográficos
| ID | 4875854 |
|---|---|
| NOMBRE | Blanca Estela Pelcastre‐villafuerte |
| NOMBRES | Blanca Estela |
| APELLIDO | Pelcastre‐villafuerte |
| FIRMA | VILLAFUERTE B E P |
| AFILIACIONES | Instituto Nacional de Salud Pública |
| ORCID | 0000-0003-4755-1881 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 27 |
| TOTAL DE CITAS | 56 |
| TOTAL COMO AUTOR | 27 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1997 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 4 |
Multiple deprivations as drivers of suboptimal basic child vaccination in Latin America and the Caribbean
In LACs, geographic inequalities and multiple deprivations increase the risk of suboptimal BCV. These countries should prioritize efforts to vaccinate children whose mothers lack access to one or more key health services, especially those from poor families
Use of Outpatient Health Services by Mexicans Aged 15 Years and Older, According to Ethnicity
The aim of this study was to estimate the prevalence of health needs and use of outpatient services for indigenous (IP) and non-indigenous (NIP) populations aged ≥15 years, and to explore the associated factors and types of need. A cross-sectional study was conducted based on the 2018-19 National Health and Nutrition Survey. The population aged ≥15 years who had health needs and used outpatient services was identified. Logistic models were develo…
Incorporation of Professionals with Training in Interculturality into Sexual and Reproductive Health Services
This study evaluates the political, legal, organizational, and availability of resources for the onboarding of health professionals trained in interculturality for sexual and reproductive health care of the indigenous population in public health services. A case study was carried out using a qualitative methodology that implemented intercultural care strategies in reproductive health in two Mexican states with the presence of indigenous populatio…
Content Validity of a Scale Designed to Measure the Access of Older Adults to Outpatient Health Services
The objective of this work was to validate the content of a scale formulated in Spanish for older adults in Mexico, with the aim of comprehensively measuring the access of this population group to outpatient primary-care services. To this end, we carried out a methodological content-validity study in four stages: (1) construction of the scale; (2) evaluation of item legibility; (3) quantitative content evaluation by two groups of judges selected …
Concerted Model of Healthcare for Awá Indigenous of Nariño, Colombia
Indigenous communities in Colombia are facing a critical health situation; alternative health care models based on the vision of the communities themselves are needed. The objective of this research was to create a health care model that decreases health inequities for the Indigenous Awá population of Nariño, Colombia. This study was guided by the paradigm of community-based participatory action research; the process was carried out in 2015 and 2…
Loss of ancestral food practices and perception of its effect on children’s health among Inga indigenous grandmothers, Nariño, Colombia
The findings suggest that it is necessary to prevent the loss of the Inga food culture, and policies need to be created that promote and protect ancestral knowledge and that help to regain the value of the "chagra" farming system, with the support of elders, authorities who are recognized by the community, and government technicians, as recommended by the grandmothers who participated in this study
Ethnic Disparities in Sexual and Reproductive Health in Mexico After 25 Years of Social Policies
Vulnerability as a palimpsest
Vulnerability is a concept associated with the effects of social inequities to access health care services. On a hospital level, vulnerable populations must be identified and favored over others. The aims of this study were the analysis of the conceptions and practices of social workers regarding vulnerable patients, and the identification of theoretical elements of vulnerability given by academics. Hospital ethnography and a focus group were imp…
The challenges facing indigenous communities in Latin America as they confront the Covid-19 pandemic
The coronavirus disease 2019 (COVID-2019) pandemic struck Latin America in late February and is now beginning to spread across the rural indigenous communities in the region, home to 42 million people. Eighty percent of this highly marginalized population is concentrated in Bolivia, Guatemala, Mexico and Peru. Health care services for these ethnic groups face distinct challenges in view of their high levels of marginalization and cultural differe…
Health needs of indigenous Mayan older adults in Mexico and health services available
Current data indicate that inequitable health service access is one of the major problems faced by indigenous people in Mexico and around the world. The aim of this study was to analyse the perceived health needs of indigenous older adults in a Mayan region of Mexico and the health services provided to address these needs. It used a qualitative design which explored health needs, perceptions of well-being, experiences with public health services …
Condiciones de salud y uso de servicios en pueblos indígenas de México
IPs use less health services. An epidemiological panorama of double burden and inequity in access indicators that affect IP is configured. Reproductive health is the area where the greatest inequali-ties are observed
Socioeconomic inequalities in survival of children with acute lymphoblastic leukemia insured by social security in Mexico
We did not find evidence of socioeconomic inequalities in the survival of children with ALL associated with family income, educational and occupational level of parents. However, we found a relevant gradient related social security protection: the longer children's life insured by social security, the higher their probability of surviving ALL was. These results add evidence of the effectiveness of social security, as a mechanism of wealth redistr…
Empoderamiento y apoyo social en pacientes con enfermedad renal crónica
Objetivo Identificar el nivel de empoderamiento y las características del apoyo social de los individuos con enfermedad renal crónica (ERC) . Métodos Estudio transversal en personas con enfermedad renal crónica que habitan en el municipio de Hidalgo, Michoacán, México, y que asisten a la Asociación de Enfermos del Riñón, Asociación Civil (A.C.). Se indagó sobre el perfil sociodemográfico y las características personales asociadas a la enfermedad,…
Development and validation of a Screening Questionnaire of Family Mistreatment against Older Adults for use in primary care settings in Mexico
The abuse of older adults is a serious public health issue that can be difficult to identify at the first level of care. Medical and nursing personnel are sometimes unable to identify older adults who suffer family mistreatment. This can occur when victims feel shame or as a result of cultural factors. In the light of this, healthcare personnel require a screening tool that can be used to identify signs of mistreatment. The aim of this study was …
Governance and mental health
OBJECTIVE To analyze the conceptualization of the term governance on public mental health programs. METHODS In this systematic review, we analyzed the scientific literature published in the international scenario during 15 years (from 2000 to 2015). The databases analyzed were: Medline, CINAHL, PsycINFO and PubMed. Governance and mental health were the descriptors. We included relevant articles according to our subject of study and levels of anal…
Surviving the Distance
Aging in rural, indigenous communities
From an ethno-gerontological perspective, new models are needed to fulfill the health needs of the indigenous older adult population in Mexico. In this paper we developed a comprehensive healthcare model, interculturally appropriate, designed to meet the needs of Mexican indigenous older adults. The model was constructed using a qualitative design with semi-structured interviews of older adults, health providers, and available health resources in…
Labor and delivery service use
Evidence from the study suggests the presence of important barriers to the utilization of institutional labor and delivery services in indigenous communities, in spite of the intercultural strategies implemented. It is important to consider strengthening intercultural models of care, to sensitize personnel towards cultural needs, beliefs, practices and preferences of indigenous women, with a focus on human rights, gender equity and quality of car…
La investigación social en salud en un contexto de violencia
Durante el sexenio presidencial 2006-2012 inició una lucha contra el narcotráfico, la cual continuó con el actual presidente y sigue ocupando uno de los primeros lugares en la agenda política de México. Esta lucha ha movilizado las fuerzas de seguridad nacional y sus consecuencias han traspasado el ámbito político y trastocado a la sociedad en su conjunto. Éste es tan sólo uno de los escenarios que enfrenta el país, históricos conflictos comunita…
Community-based health care for indigenous women in Mexico
The model's cultural and linguistic competency, and contributions to increased referrals for obstetric emergencies and abuse are notable successes. The flexibility and community-based nature of the model has allowed it to be adapted to the particularities of diverse indigenous contexts. Local, culturally appropriate implementation has been facilitated by the fact that the Casas have been implemented with local leadership and local women have take…
Género y trabajo
OBJETIVO: Identificar, a través del discurso de prestadoras de servicio de las Casas de Salud de las Mujeres Indígenas de México en Ometepec, Guerrero y Matías Romero, Oaxaca, el papel de género en el desempeño de su rol como trabajadoras. METODOLOGÍA: Estudio cualitativo, basado en un análisis secundario de las entrevistas realizadas como parte del proyecto "Rescatando la experiencia de la Casa de la Mujer Indígena: sistematización y evaluación …
Apoyo social y condiciones de vida de adultos mayores que viven en la pobreza urbana en México
El objetivo del artículo fue analizar el apoyo social y las condiciones de vida de adultos mayores en zonas urbanas empobrecidas. Estudio cualitativo con 8 grupos focales, realizado en Guerrero, Jalisco, Morelos y Sinaloa, México, durante 2005-2006. Participaron 40 varones y 63 mujeres. El principal apoyo para la vida cotidiana y la condición de salud de los adultos mayores proviene de los familiares cercanos, en algunos casos de vecinos. Los apo…
La capacidad de las Organizaciones de la Sociedad Civil para mejorar la calidad de vida de los adultos mayores
Recently, the proportion of elderly people (EP) has increased considerably in Mexico, as well as the number of Civil Society Organizations (CSOs) dedicated to helping poor people. Our objective was to analyze the capacity of the CSOs to implement actions in order to improve the quality of life of the poor EP in urban areas. In 2005, fourteen interviews were conducted with personnel of ten CSOs who worked in poor zones of four Mexican cities. The …
HIV Vulnerability and Condom Use Among Migrant Women Factory Workers in Puebla, Mexico
International migration is associated with increased HIV vulnerability, but little is known about the vulnerability of internal migrants. This qualitative study explored perceptions of HIV and condom use among Mexican migrant female factory workers. Migration and male sexual infidelity contributed to increased HIV vulnerability and unprotected sex was ubiquitous. The dominant cultural discourse that dichotomizes "good" (monogamous) and "bad" (sex…
Relación del personal de salud con los pacientes en la Ciudad de México
OBJETIVO: Analizar la calidad de la relación del personal de salud con los pacientes hospitalizados. MÉTODOS: Estudio cualitativo realizado de febrero a julio del 2005, en la Ciudad de México. Se aplicaron 40 entrevistas a profundidad a pacientes internados en un hospital de tercer nivel. Las categorías de análisis para explorar la percepción del trato entre los informantes fueron las siguientes: actitudes y acciones del personal médico y de enfe…
The Inevitability of Infidelity
Marriage presents the single greatest risk for HIV infection among women in rural Mexico. We drew on 6 months of participant observation, 20 marital case studies, 37 key informant interviews, and archival research to explore the factors that shape HIV risk among married women in one of the country’s rural communities. We found that culturally constructed notions of reputation in this community lead to sexual behavior designed to minimize men’s so…
Condiciones de salud y uso de servicios en pueblos indígenas de México
IPs use less health services. An epidemiological panorama of double burden and inequity in access indicators that affect IP is configured. Reproductive health is the area where the greatest inequali-ties are observed
Health needs of indigenous Mayan older adults in Mexico and health services available
Current data indicate that inequitable health service access is one of the major problems faced by indigenous people in Mexico and around the world. The aim of this study was to analyse the perceived health needs of indigenous older adults in a Mayan region of Mexico and the health services provided to address these needs. It used a qualitative design which explored health needs, perceptions of well-being, experiences with public health services …
Aging in rural, indigenous communities
From an ethno-gerontological perspective, new models are needed to fulfill the health needs of the indigenous older adult population in Mexico. In this paper we developed a comprehensive healthcare model, interculturally appropriate, designed to meet the needs of Mexican indigenous older adults. The model was constructed using a qualitative design with semi-structured interviews of older adults, health providers, and available health resources in…
Apoyo social y condiciones de vida de adultos mayores que viven en la pobreza urbana en México
El objetivo del artículo fue analizar el apoyo social y las condiciones de vida de adultos mayores en zonas urbanas empobrecidas. Estudio cualitativo con 8 grupos focales, realizado en Guerrero, Jalisco, Morelos y Sinaloa, México, durante 2005-2006. Participaron 40 varones y 63 mujeres. El principal apoyo para la vida cotidiana y la condición de salud de los adultos mayores proviene de los familiares cercanos, en algunos casos de vecinos. Los apo…
Community-based health care for indigenous women in Mexico
The model's cultural and linguistic competency, and contributions to increased referrals for obstetric emergencies and abuse are notable successes. The flexibility and community-based nature of the model has allowed it to be adapted to the particularities of diverse indigenous contexts. Local, culturally appropriate implementation has been facilitated by the fact that the Casas have been implemented with local leadership and local women have take…
Ethnic Disparities in Sexual and Reproductive Health in Mexico After 25 Years of Social Policies
Development and validation of a Screening Questionnaire of Family Mistreatment against Older Adults for use in primary care settings in Mexico
The abuse of older adults is a serious public health issue that can be difficult to identify at the first level of care. Medical and nursing personnel are sometimes unable to identify older adults who suffer family mistreatment. This can occur when victims feel shame or as a result of cultural factors. In the light of this, healthcare personnel require a screening tool that can be used to identify signs of mistreatment. The aim of this study was …
Governance and mental health
OBJECTIVE To analyze the conceptualization of the term governance on public mental health programs. METHODS In this systematic review, we analyzed the scientific literature published in the international scenario during 15 years (from 2000 to 2015). The databases analyzed were: Medline, CINAHL, PsycINFO and PubMed. Governance and mental health were the descriptors. We included relevant articles according to our subject of study and levels of anal…
Relación del personal de salud con los pacientes en la Ciudad de México
OBJETIVO: Analizar la calidad de la relación del personal de salud con los pacientes hospitalizados. MÉTODOS: Estudio cualitativo realizado de febrero a julio del 2005, en la Ciudad de México. Se aplicaron 40 entrevistas a profundidad a pacientes internados en un hospital de tercer nivel. Las categorías de análisis para explorar la percepción del trato entre los informantes fueron las siguientes: actitudes y acciones del personal médico y de enfe…
Alcohol consumption and pregnancy in the Mexican national addiction survey
In 1988, the General Directorate of Epidemiology and the Mexican Institute of Psychiatry conducted the first National Addiction Survey (ENA), providing regional and national data on alcohol, tobacco, and drug use. The ENA providing a subsample of women who have been pregnant at some time in their lives. There were 5,234 affirmative responses. Women were asked if they had suffered any of three adverse outcomes during their last pregnancy: spontane…
The Inevitability of Infidelity
Marriage presents the single greatest risk for HIV infection among women in rural Mexico. We drew on 6 months of participant observation, 20 marital case studies, 37 key informant interviews, and archival research to explore the factors that shape HIV risk among married women in one of the country’s rural communities. We found that culturally constructed notions of reputation in this community lead to sexual behavior designed to minimize men’s so…
Relación del personal de salud con los pacientes en la Ciudad de México
OBJETIVO: Analizar la calidad de la relación del personal de salud con los pacientes hospitalizados. MÉTODOS: Estudio cualitativo realizado de febrero a julio del 2005, en la Ciudad de México. Se aplicaron 40 entrevistas a profundidad a pacientes internados en un hospital de tercer nivel. Las categorías de análisis para explorar la percepción del trato entre los informantes fueron las siguientes: actitudes y acciones del personal médico y de enfe…
La capacidad de las Organizaciones de la Sociedad Civil para mejorar la calidad de vida de los adultos mayores
Recently, the proportion of elderly people (EP) has increased considerably in Mexico, as well as the number of Civil Society Organizations (CSOs) dedicated to helping poor people. Our objective was to analyze the capacity of the CSOs to implement actions in order to improve the quality of life of the poor EP in urban areas. In 2005, fourteen interviews were conducted with personnel of ten CSOs who worked in poor zones of four Mexican cities. The …
HIV Vulnerability and Condom Use Among Migrant Women Factory Workers in Puebla, Mexico
International migration is associated with increased HIV vulnerability, but little is known about the vulnerability of internal migrants. This qualitative study explored perceptions of HIV and condom use among Mexican migrant female factory workers. Migration and male sexual infidelity contributed to increased HIV vulnerability and unprotected sex was ubiquitous. The dominant cultural discourse that dichotomizes "good" (monogamous) and "bad" (sex…
Apoyo social y condiciones de vida de adultos mayores que viven en la pobreza urbana en México
El objetivo del artículo fue analizar el apoyo social y las condiciones de vida de adultos mayores en zonas urbanas empobrecidas. Estudio cualitativo con 8 grupos focales, realizado en Guerrero, Jalisco, Morelos y Sinaloa, México, durante 2005-2006. Participaron 40 varones y 63 mujeres. El principal apoyo para la vida cotidiana y la condición de salud de los adultos mayores proviene de los familiares cercanos, en algunos casos de vecinos. Los apo…
Género y trabajo
OBJETIVO: Identificar, a través del discurso de prestadoras de servicio de las Casas de Salud de las Mujeres Indígenas de México en Ometepec, Guerrero y Matías Romero, Oaxaca, el papel de género en el desempeño de su rol como trabajadoras. METODOLOGÍA: Estudio cualitativo, basado en un análisis secundario de las entrevistas realizadas como parte del proyecto "Rescatando la experiencia de la Casa de la Mujer Indígena: sistematización y evaluación …
Community-based health care for indigenous women in Mexico
The model's cultural and linguistic competency, and contributions to increased referrals for obstetric emergencies and abuse are notable successes. The flexibility and community-based nature of the model has allowed it to be adapted to the particularities of diverse indigenous contexts. Local, culturally appropriate implementation has been facilitated by the fact that the Casas have been implemented with local leadership and local women have take…
Labor and delivery service use
Evidence from the study suggests the presence of important barriers to the utilization of institutional labor and delivery services in indigenous communities, in spite of the intercultural strategies implemented. It is important to consider strengthening intercultural models of care, to sensitize personnel towards cultural needs, beliefs, practices and preferences of indigenous women, with a focus on human rights, gender equity and quality of car…
La investigación social en salud en un contexto de violencia
Durante el sexenio presidencial 2006-2012 inició una lucha contra el narcotráfico, la cual continuó con el actual presidente y sigue ocupando uno de los primeros lugares en la agenda política de México. Esta lucha ha movilizado las fuerzas de seguridad nacional y sus consecuencias han traspasado el ámbito político y trastocado a la sociedad en su conjunto. Éste es tan sólo uno de los escenarios que enfrenta el país, históricos conflictos comunita…
Surviving the Distance
Aging in rural, indigenous communities
From an ethno-gerontological perspective, new models are needed to fulfill the health needs of the indigenous older adult population in Mexico. In this paper we developed a comprehensive healthcare model, interculturally appropriate, designed to meet the needs of Mexican indigenous older adults. The model was constructed using a qualitative design with semi-structured interviews of older adults, health providers, and available health resources in…
Empoderamiento y apoyo social en pacientes con enfermedad renal crónica
Objetivo Identificar el nivel de empoderamiento y las características del apoyo social de los individuos con enfermedad renal crónica (ERC) . Métodos Estudio transversal en personas con enfermedad renal crónica que habitan en el municipio de Hidalgo, Michoacán, México, y que asisten a la Asociación de Enfermos del Riñón, Asociación Civil (A.C.). Se indagó sobre el perfil sociodemográfico y las características personales asociadas a la enfermedad,…
Development and validation of a Screening Questionnaire of Family Mistreatment against Older Adults for use in primary care settings in Mexico
The abuse of older adults is a serious public health issue that can be difficult to identify at the first level of care. Medical and nursing personnel are sometimes unable to identify older adults who suffer family mistreatment. This can occur when victims feel shame or as a result of cultural factors. In the light of this, healthcare personnel require a screening tool that can be used to identify signs of mistreatment. The aim of this study was …
Governance and mental health
OBJECTIVE To analyze the conceptualization of the term governance on public mental health programs. METHODS In this systematic review, we analyzed the scientific literature published in the international scenario during 15 years (from 2000 to 2015). The databases analyzed were: Medline, CINAHL, PsycINFO and PubMed. Governance and mental health were the descriptors. We included relevant articles according to our subject of study and levels of anal…
Socioeconomic inequalities in survival of children with acute lymphoblastic leukemia insured by social security in Mexico
We did not find evidence of socioeconomic inequalities in the survival of children with ALL associated with family income, educational and occupational level of parents. However, we found a relevant gradient related social security protection: the longer children's life insured by social security, the higher their probability of surviving ALL was. These results add evidence of the effectiveness of social security, as a mechanism of wealth redistr…
The challenges facing indigenous communities in Latin America as they confront the Covid-19 pandemic
The coronavirus disease 2019 (COVID-2019) pandemic struck Latin America in late February and is now beginning to spread across the rural indigenous communities in the region, home to 42 million people. Eighty percent of this highly marginalized population is concentrated in Bolivia, Guatemala, Mexico and Peru. Health care services for these ethnic groups face distinct challenges in view of their high levels of marginalization and cultural differe…
Health needs of indigenous Mayan older adults in Mexico and health services available
Current data indicate that inequitable health service access is one of the major problems faced by indigenous people in Mexico and around the world. The aim of this study was to analyse the perceived health needs of indigenous older adults in a Mayan region of Mexico and the health services provided to address these needs. It used a qualitative design which explored health needs, perceptions of well-being, experiences with public health services …
Condiciones de salud y uso de servicios en pueblos indígenas de México
IPs use less health services. An epidemiological panorama of double burden and inequity in access indicators that affect IP is configured. Reproductive health is the area where the greatest inequali-ties are observed
Content Validity of a Scale Designed to Measure the Access of Older Adults to Outpatient Health Services
The objective of this work was to validate the content of a scale formulated in Spanish for older adults in Mexico, with the aim of comprehensively measuring the access of this population group to outpatient primary-care services. To this end, we carried out a methodological content-validity study in four stages: (1) construction of the scale; (2) evaluation of item legibility; (3) quantitative content evaluation by two groups of judges selected …
Concerted Model of Healthcare for Awá Indigenous of Nariño, Colombia
Indigenous communities in Colombia are facing a critical health situation; alternative health care models based on the vision of the communities themselves are needed. The objective of this research was to create a health care model that decreases health inequities for the Indigenous Awá population of Nariño, Colombia. This study was guided by the paradigm of community-based participatory action research; the process was carried out in 2015 and 2…
Loss of ancestral food practices and perception of its effect on children’s health among Inga indigenous grandmothers, Nariño, Colombia
The findings suggest that it is necessary to prevent the loss of the Inga food culture, and policies need to be created that promote and protect ancestral knowledge and that help to regain the value of the "chagra" farming system, with the support of elders, authorities who are recognized by the community, and government technicians, as recommended by the grandmothers who participated in this study
Ethnic Disparities in Sexual and Reproductive Health in Mexico After 25 Years of Social Policies
Vulnerability as a palimpsest
Vulnerability is a concept associated with the effects of social inequities to access health care services. On a hospital level, vulnerable populations must be identified and favored over others. The aims of this study were the analysis of the conceptions and practices of social workers regarding vulnerable patients, and the identification of theoretical elements of vulnerability given by academics. Hospital ethnography and a focus group were imp…
Use of Outpatient Health Services by Mexicans Aged 15 Years and Older, According to Ethnicity
The aim of this study was to estimate the prevalence of health needs and use of outpatient services for indigenous (IP) and non-indigenous (NIP) populations aged ≥15 years, and to explore the associated factors and types of need. A cross-sectional study was conducted based on the 2018-19 National Health and Nutrition Survey. The population aged ≥15 years who had health needs and used outpatient services was identified. Logistic models were develo…
Medicine (24 obras) · Nursing (15 obras) · Political science (14 obras) · Population (13 obras) · Sociology (13 obras) · Environmental health (11 obras) · Health care (10 obras) · Indigenous (10 obras) · Public health (10 obras) · Psychology (9 obras)