Estado de salud, discapacidad y consumo de sustancias entre las mujeres sin hogar en Nicaragua

  1. Berrios-Ballesteros: Alberto 1
  2. Panadero: Sonia 2
  3. Lenta: Malena 3
  4. Vázquez: José Juan 4
  1. 1 Universidad Nacional Autónoma de Nicaragua
    info

    Universidad Nacional Autónoma de Nicaragua

    Managua, Nicaragua

    ROR https://ror.org/04084tn63

  2. 2 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

  3. 3 Universidad de Buenos Aires
    info

    Universidad de Buenos Aires

    Buenos Aires, Argentina

    ROR https://ror.org/0081fs513

  4. 4 Universidad de Alcalá
    info

    Universidad de Alcalá

    Alcalá de Henares, España

    ROR https://ror.org/04pmn0e78

Revista:
Población y Salud en Mesoamérica

ISSN: 1659-0201

Año de publicación: 2024

Volumen: 22

Número: 2

Tipo: Artículo

Otras publicaciones en: Población y Salud en Mesoamérica

Resumen

Nicaragua es uno de los países con menor renta de Latinoamérica. En Nicaragua se carece de información sobre las mujeres sin hogar, quienes conforman un colectivo especialmente vulnerable, que experimenta condiciones de extrema pobreza y exclusión social. Este trabajo analiza el estado de salud, discapacidad y consumo de sustancias en una muestra de mujeres que sufren sinhogarismo (n = 30) en las ciudades de León y Chinandega (Nicaragua). Las participantes respondieron a una entrevista estructurada. Los resultados mostraron que este grupo de mujeres en Nicaragua presenta una mala percepción de su propia salud, un elevado padecimiento de enfermedades graves o crónicas y una elevada tasa de discapacidad. El consumo de alcohol o drogas (principalmente pegamento inhalado) parece afectar, en mayor medida, a las mujeres más jóvenes y durante el período de deslizamiento al sinhogarismo. Se observaron grandes similitudes entre las mujeres sin hogar de países de renta baja y países de renta alta, pese a las considerables diferencias culturales. El estilo de vida derivado de la adaptación a la vida en la calle somete a estas mujeres a un proceso acelerado de deterioro. La inadecuada alimentación, la falta de higiene y las barreras para acceder al sistema de salud perjudican su situación sanitaria, lo cual parece incidir importantemente en su prolongada permanencia en el sinhogarismo.

Referencias bibliográficas

  • Agans, R. P., Jefferson, M. T., Bowling, J. M., Zeng, D., Yang, J., y Silverbush, M. (2014). Enumerating the hidden homeless: Strategies to estimate the homeless gone missing from a point-in-time count. Journal of Official Statistics, 30(2), 215–229. https://doi.org/10.2478/jos-2014-0014
  • Aubry, T., Klodawsky, F., y Coulombe, D. (2012). Comparing the housing trajectories of different classes within a diverse homeless population. American Journal of Community Psychology, 49(1-2), 142-155. https://doi.org/10.1007/s10464-011-9444-z
  • Barrow, S. M., Herman, D. B., Cordova, P., y Struening, E. L. (1999). Mortality among homeless shelter residents in New York City. American Journal of Public Health, 89(4), 529-534. https://doi.org/10.2105/AJPH.89.4.529
  • Bretherton, J. (2017). Reconsidering gender in homelessness. European Journal of Homelessness, 11(1), 1-21.
  • Bowpitt, G., Dwyer, P., Sundin, E., y Weinstein, M. (2011). Comparing men's and women's experiences of multiple exclusion homelessness. Social Policy and Society, 10(4), 537-546. https://doi.org/10.1017/S1474746411000285
  • Busch-Geertsema, V., Culhane, D., y Fitzpatrick, S. (2016). Developing a global framework for conceptualising and measuring homelessness. Habitat International, 55, 124-132. https://doi.org/10.1016/j.habitatint.2016.03.004
  • Calvo, F., Carbonell, X., Heriot-Watt, Panadero, S., Vázquez, J. J., Calvet, A., McInnes, K., y Font-Mayolas, S. (en prensa). Mortality and suicide among persons experiencing homelessness: A seven years follow-up study. Psycothema.
  • Caton, C. L., Dominguez, B., Schanzer, B., Hasin, D. S., Shrout, P. E., Felix, A., ... y Hsu, E. (2005). Risk factors for long-term homelessness: Findings from a longitudinal study of first-time homeless single adults. American Journal of Public Health, 95(10), 1753-1759. https://doi.org/10.2105/AJPH.2005.063321
  • Chant, C., Wang, A., Burns, K. E., dos Santos, C. C., Hwang, S. W., Friedrich, J. O., y Smith, O. M. (2014). Critical illness in homeless persons is poorly studied: a systematic review of the literature. Intensive Care Medicine, 40(1), 123-125. https://doi.org/10.1007/s00134-013-3124-4
  • Corus, C., Saatcioglu, B., Kaufman-Scarborough, C., Blocker, C. P., Upadhyaya, S., y Appau, S. (2016). Transforming poverty-related policy with intersectionality. Journal of Public Policy & Marketing, 35(2), 211-222. https://doi.org/10.1016/10.1509/jppm.15.141
  • Cross, C., Seager, J., Erasmus, J., Ward, C., y O'Donovan, M. (2010). Skeletons at the feast: A review of street homelessness in South Africa and other world regions. Development Southern Africa, 27(1), 5-20. https://doi.org/10.1080/03768350903519291
  • Fazel, S., Khosla, V., Doll, H., y Geddes, J. (2008). The prevalence of mental disorders among homeless in western countries: Systemic review and meta-regression analysis. Plos Medicine, 5(12), e225. https://doi.org/10.1371/journal.pmed.0050225
  • Gelberg, L., Browner, C. H., Lejano, E., y Arangua, L. (2004). Access to women's health care: A qualitative study of barriers perceived by homeless women. Women & Health, 40(2), 87–100. http://doi.org/10.1300/J013v40n02_06
  • Greenberg, G. A., y Rosenheck, R. A. (2009). Correlates of past homeless in the National Epidemiological Survey on Alcohol and Related Conditions. Administration and Policy in Mental Health and Mental Health Services Research, 37, 357-366. https://doi.org/10.1007/s10488-009-0243-x
  • Guillén, A. I., Panadero, S., y Vázquez, J. J. (2021). Disability and its effects on discrimination, mental health and quality of life: A longitudinal study among homeless women. American Journal of Orthopsychiatry, 91(4), 569-577. https://doi.org/10.1037/ort0000559
  • Hatch, S. L., y Dohrenwend, B. P. (2007). Distribution of traumatic and other stressful life events by race/ethnicity, gender, SES, and age: A review of the research. American Journal of Community Psychology, 40, 313-332. https://doi.org/10.1007/s10464-007-9134-z
  • Hwang, S. W., Ueng, J. J., Chiu, S., Kiss, A., Tolomiczenko, G., Cowan, L., Levinson, W., y Redelmeier, D. A. (2010). Universal health insurance and health care access for homeless persons. American Journal of Public Health, 100(8), 1454-1461. https://doi.org/10.2105/AJPH.2009.182022
  • Kurtzman, T. L., Otsuka, K. N., y Wahl, R. A. (2001). Inhalant abuse by adolescents. Journal of Adolescent Health, 28(3), 170-180. http://dx.doi.org/10.1016/S1054-139X(00)00159-2
  • Lenta, M., Di Iorio, J., y Vázquez, J. J. (2023). Stressful life events among women living homelessness in Argentina. Journal of Loss and Trauma, 28(6), 522-536. https://doi.org/10.1080/15325024.2022.2115206
  • Lenta, M., Panadero, S., Cabrera, A., y Vázquez, J. J. (2023). Health situation and perceived health status among women experiencing homelessness: A longitudinal study in Spain. Public Health Nursing, 40(1), 9-16. https://doi.org/10.1111/phn.13130
  • Leonori, L., Muñoz, M., Vázquez, C., Vázquez, J. J., Bravo, M., Nuche, M., Brandt, P., Bento, A., y Horenbek, B. (2000). The mental health and social exclusion European network: A research activity report on European homeless citizens. European Psychologist, 5(3), 245-251. https://doi.org/10.1027//1016-9040.5.3.245
  • Lewis, J. H., Andersen, R. M., y Gelberg, L. (2003). Health care for homeless women. Journal of General Internal Medicine, 18(11), 921–928. http://doi.org/10.1046/j.1525-1497.2003.20909.x
  • Matulič, M. V., De-Vicente, I., Boixadós, A., y Caïs, J. (2019). Las mujeres sin hogar: realidades ocultas de la exclusión social. Trabajo Social Global – Global Social Work, 9(16), 49-68. https://doi.org/10.30827/tsg-gsw.v9i16.8198
  • May, J., Cloke, P., y Johnsen, S. (2007). Alternative cartographies of homelessness: Rendering visible British women's experiences of ‘visible’ homelessness. Gender, Place & Culture, 14(2), 121-140. https://doi.org/10.1080/09663690701213677
  • Montgomery, A. E., Szymkowiak, D., y Culhane, D. (2017). Gender differences in factors associated with unsheltered status and increased risk of premature mortality among individuals experiencing homelessness. Women's Health Issues, 27(3), 256–263. https://doi.org/10.1016/j.whi.2017.03.014
  • Muñoz, M., Vázquez, C., y Vázquez, J. J. (2004) A comparison between homeless, domiciled and vulnerable populations in Madrid. Population, 59(1), 129-141. https://doi.org/10.2307/3654931
  • Okamoto, Y. (2007). A comparative study of homelessness in the United Kingdom and Japan. Journal of Social Issues, 63(3), 525-542. https://doi.org/10.1111/j.1540-4560.2007.00522.x
  • Panadero, S., y Vázquez, J. J. (en prensa). Victimization and discrimination: Forgotten variables in evaluating the results of the "Housing First" model for persons experiencing homelessness. Journal of Social Distress and Homelessness. https://doi.org/10.1080/10530789.2022.2159617
  • Parker, D. (2010). Housing as an intervention on hospital use: Access among chronically homeless persons with disabilities. Journal of Urban Health, 87(6), 912-919. https://doi.org/10.1007/s11524-010-9504-y
  • Pleace, N. (2016). Researching homelessness in Europe: Theoretical perspectives. European Journal of Homelessness, 10(3), 19-44.
  • Rivas-Rivero, E., Panadero, S., y Vázquez, J. J. (2021). Intimate partner sexual violence and violent victimization among women living homeless in Madrid (Spain). Journal of Community Psychology, 49(7), 2493-2505. https://doi.org/10.1002/jcop.22619
  • Rodríguez-Moreno, S., Roca, P., Panadero, S., y Vázquez, J. J. (2021). Differences in stressful life events between men and women experiencing homelessness. Journal of Community Psychology, 49(2), 375-389. https://doi.org/10.1002/jcop.22465
  • Ropers, R. H. y Boyer, R. (1987). Perceived health status among the new urban homeless. Social Science & Medicine, 24(8), 669-678. https://doi.org/10.1016/0277-9536(87)90310-8
  • Ruiz-Coronel, A., Fossion, R., y Sauri-García, J. (2019). Physiological frailty in chronically homeless young adults determined by handgrip strength. Social Medicine, 12(2), 70-78.
  • Ryan, G. W., Stern, S. A., Hilton, L., Tucker, J. S., Kennedy, D. P., Golinelli, D., y Wenzel, S. L. (2009). When, where, why and with whom homeless women engage in risky sexual behaviors: A framework for understanding complex and varied decision-making processes. Sex Roles, 61(7–8), 536–553. http://doi.org/10.1007/s11199-009-9610-z
  • Schanzer, B., Dominguez, B., Shrout, P. E. y Caton, C. L. (2007). Homelessness, health status, and health care use. American Journal of Public Health, 97(3), 464-469. https://doi.org/10.2105/AJPH.2005.076190
  • Shelton, K. H., Taylor, P. J., Bonner, A., y van den Bree, M. (2009). Risk factors for homelessness: evidence from a population-based study. Psychiatric Services, 60(4), 465-472.
  • Springer, S. (2000). Homelessness: a proposal for a global definition and classification. Habitat International, 24(4), 475-484. https://doi.org/10.1016/S0197-3975(00)00010-2
  • Suarez, A., Berrios, A., Bonilla, E., y Vázquez, J. J. (2018). Homeless people in Nicaragua: A point-in-time count in León. Journal of International Development, 30(1), 155-158. https://doi.org/10.1002/jid.3303
  • Tipple, G., y Speak, S. (2009). The hidden millions: Homelessness in developing countries. Routledge.
  • Toro, P. A. (2007). Toward an international understanding of homelessness. Journal of Social Issues, 63(3), 461-481. https://doi.org/10.1111/j.1540-4560.2007.00519.x
  • United Nations Development Programme. (2020). Human Development Report 2020. The next frontier. Human development and the Anthropocene. UNDP.
  • Vázquez, J. J., Berrios, A., Bonilla, E., y Suarez, A. (2019). Homeless people in León (Nicaragua): Conceptualizing and measuring homelessness in a developing country. American Journal of Orthopsychiatry, 89(2), 296-303. https://doi.org/10.1037/ort0000336
  • Vázquez, J. J., Berrios, A., y Suarez, A. (2020). Health, disability and consumption of psychoactive substances among people in a homeless situation in León (Nicaragua). Social Work in Health Care, 59(9-10), 694-708. https://doi.org/10.1080/00981389.2020.1835785
  • Vázquez, J. J., y Panadero, S. (2019). Suicidal attempts and stressful life events among women in a homeless situation in Madrid (Spain). American Journal of Orthopsychiatry, 89(2), 304-311. https://doi.org/10.1037/ort0000387
  • Vázquez, J. J., Panadero, S., y Pascual, I. (2019). The particularly vulnerable situation of women living homeless in Madrid (Spain). Spanish Journal of Psychology, 22, e52. https://doi.org/10.1017/sjp.2019.58
  • Vázquez, J. J., Panadero, S., y Zúñiga, C. (2017). Actors, observers, and causal attributions of homelessness: Differences in attribution for the causes of homelessness among domiciled and homeless people in Madrid. American Journal of Orthopsychiatry, 87(1), 15-22. https://doi.org/10.1037/ort0000130
  • Vázquez, J. J., Suarez, A., Berrios, A., y Panadero, S. (2021). Intersecting vulnerabilities, intersectional discrimination, and stigmatization among people living homeless in Nicaragua. Social Science Quarterly, 102(1), 618-627. https://doi.org/10.1111/ssqu.12879.