Social Determination of the Health of Families from Two Neighborhoods in Medellín, Colombia.
Dora Lucía Gaviria Noreña, Rusbert Fernando Álvarez Del Río, Nora Eugenia Zapata Gómez and 1 others
PMID 36264702WHAT IT FOUND
Displaced families in two Medellín neighborhoods described violence, poverty and missing services as health problems.
They also described collective work, women's caregiving and solidarity as helping them rebuild homes and stay connected.
Key findings
01Of 40 families, 29 had experienced displacement, five had internal displacement in Medellín, and three were immigrants from Venezuela.
02Protective family processes included family participation in decision making (92%), knowledge regarding health care (79.5%), schooling for children and adolescents (79.2%), and care of housing (79.1%).
03Unhealthy processes included transportation barriers (61.4%), children in labor activities (54.5%), and difficulty exercising the right to health and procurement of food (47.7%).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was non-probabilistic and came from 40 families in two neighborhoods, so it cannot be generalized to all displaced families in Medellín or Colombia. The study reported experiences and descriptive counts, not a clinical outcome or a tested intervention. Data came from documents, community leaders, focal groups, field diaries, and family visits, and the analysis was organized by a social-determination framework.
The easy way to misread this
Do not read the percentages or community descriptions as evidence that an intervention works. They come from 40 non-randomly selected families in two neighborhoods, and the study did not compare treatment groups or test outcomes.