Browsing by Author "Calvo, Esteban"

Now showing 1 - 4 of 4
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    Comparative analysis of aging policy reforms in Argentina, Chile, Costa Rica, and Mexico
    (2019) Calvo, Esteban; Berho, Maureen; Roque, Monica; Sebastian Amaro, Juan; Morales-Martinez, Fernando; Rivera-Meza, Emiliana; Gutierrez Robledo, Luis Miguel F.; Caro Lopez, Elizabeth; Canals, Bernardita; Kornfeld, Rosa
    This investigation uses case studies and comparative analysis to review and analyze aging policy in Argentina, Chile, Costa Rica, and Mexico and uncovers similarities and relevant trends in the substance of historical and current aging policy across countries. Initial charity-based approaches to poverty and illness have been gradually replaced by a rights-based approach considering broader notions of well-being, and recent reforms emphasize the need for national, intersectoral, evidence-based policy. The results of this study have implications for understanding aging policy in Latin America from a welfare regime and policy makers' perspective, identifying priorities for intervention and informing policy reforms in developing countries worldwide.
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    Older adults' accounts of the relationships between retirement timing and health: a descriptive qualitative analysis in Chile
    (2022) Shura, Robin; Opazo, Sebastian; Calvo, Esteban
    Retirement timing can have important health implications. Little is known, however, about older adults' views on this issue and whether they consider it better to retire later, earlier, on time or anytime. This knowledge gap about older adults' views is particularly true outside North America and Europe. This qualitative study aims to examine older Chileans' ideas about the relationship between retirement timing and health and to explore gender and class patterns in qualitative themes identified, knowledge which may strengthen quantitative population-based approaches. Framework analysis was conducted on qualitative accounts from a purposive, non-random sample of 40 older Chileans in six focus groups, stratified by gender and class as marked by lifetime occupation. Transcriptions were coded by two independent reviewers (inter-coder reliability = 81%) according to four deductive categories of retirement timing as well as inductive coding of emergent themes. The content and sequence of codes were visually represented in MAXQDA's document portraits and illustrated with descriptive quotes. Results indicate that participants' views about when to retire in order to maximise health did not highlight retirement age or timing (later, earlier, on time, anytime). Instead, these older Chileans emphasised that the optimal retirement age depends on other conditions, such as employment quality, retirement income and gender. These views were patterned: lower occupational-class participants emphasised income and job hazards, higher-class males emphasised job satisfaction and higher-class females emphasised gendered patterns. Women and lower-class participants were relatively more favourable to earlier retirements than men and higher-class participants. Overall, qualitative analyses of lay perspectives from understudied country contexts complement and extend population-based models focused on timing or retirement age, suggest specific characteristics of retirement transitions that may moderate health consequences, and highlight class and gender differences in views of retirement timing. More research is needed using mixed-methods approaches and leveraging both purposive and random samples.
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    Polydrug Use and Co-occurring Substance Use Disorders in a Respondent Driven Sampling of Cocaine Base Paste Users in Santiago, Chile
    (2022) Olivari, Carla F.; Gaete, Jorge; Rodriguez, Nicolas; Pizarro, Esteban; Del Villar, Paloma; Calvo, Esteban; Castillo-Carniglia, Alvaro
    We characterized substance use patterns and co-occurring substance use disorders among active cocaine base paste (CBP) users in Santiago, Chile using data from respondent-driven sampling (RDS) in three areas of Metropolitan Santiago. Recruitment began with nine seeds, reaching 398 active CBP users (18% women; mean age 37.7 years), defined as persons consuming CBP at least twice per week in the last three months. Population proportions and uncertainty were estimated accounting for individuals' social network and homophily. The median CBP age of initiation was 21 years, and the median number of years using CBP was 7 for women and 15 for men. The median days of use in the past month was 25 days, with a median of 56 doses per week. The proportion of monthly income spent on CBP was 65%. The prevalence of substance use disorders (SUDs) were: 98% for CBP, 67% for alcohol, 60% for marijuana, and 41% for cocaine hydrochloride. Heavy polydrug use patterns and co-occurring SUDs are frequent among active CBP users in the metropolitan area of Santiago. Traditional surveillance strategies may have underestimated polysubstance use and co-occurring SUDs in active CBP users. RDS proved to be a feasible methodology that could be effectively used for substance use surveillance among hard-to-reach populations.
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    The relationship between patient object relations and the therapeutic alliance in a naturalistic psychotherapy sample
    (2015) Errázuriz Arellano, Paula; Constantino, Michael J.; Calvo, Esteban