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Introduction: Introduction: in the student population, the transition from the school system to the university system often involves a normative life crisis; one of the central challenges of this stage is the shift from an external normative system in permanent operation to individual self-regulation of behavior. One of the areas most affected by this change are self-care habits, including the changes associated with the eating behavior of students, which tend to have a greater impact on accelerated body weight gain, especially during the first years. Objective: to characterize the presence of eating styles-restrictive eating, emotional eating, and external eating-in a sample of Chilean university population. Methods: this was an exploratory, descriptive, cross-sectional study. The sample consisted of 1230 university students (59.1 % women, 41.9 % men) with a mean age of 21 years (SD ± 3.32). The version adapted to the Chilean population of the Dutch Eating Behavior Questionnaire was applied. Results: the average scores of the total population for restrictive eating, emotional eating, and external eating were 2.56, 2.48, and 3.13, respectively. Gender differences were observed for all three styles. Discussion: External eating appears as the dominant intake style. This is key to understand the factors affecting the eating behavior of Chilean university students, and then develop effective interventions to consolidate eating habits appropriate for adult life.

Background: Simple and brief questionnaires with adequate psychometric properties are useful for the early detection of depressive disorders., Aim: To analyze the psychometric behavior of the Patient Health Questionnaire (PHQ-9) in Chile., Material and Methods: Data were collected from 1,738 adult patients, consulting in primary health care centers. The values obtained in the PHQ-9 were compared with those of the Composite International Diagnostic Interview (CIDI)., Results: The mean score of PHQ-9 was 4.85 ± 5.57. Internal consistency indices were high. McDonald's ω coefficient of was 0.90 and Cronbach alpha 0.89. A confirmatory factor analysis showed a good fit of the one-dimensional model. Using a cutoff score of seven determined with the receiver operating characteristic (ROC) curve, the sensitivity and specificity of the instrument were 0.8 and 0.7, when compared with CIDI diagnoses., Conclusions: PHQ-9 is a useful instrument for the screening of depressive disorders in primary health care centers in Chile.

A determinant of particular relevance in human development is the socioeconomic status (SES) and, specifically, low SES and poverty. Likewise, family environment is essential in the development of children and a potential mediator or moderator of the effect of broader social conditions., Objective: To analyze the role of parenting stress as a mediating variable of the relationship between SES and both externalized and internalized behaviors in preschool children., Subjects and Method: Descriptive secondary base study based on the Longitudinal Survey of Chilean First Infancy that selected a stratified sample, representative by clusters, of 9.996 children from 3 to 5 years old and their caregivers, that completed a battery of instruments for measuring SES variables, parenting stress and externalized and internalized behaviors. The analysis used a linear model with least square estimate. As hypothesis testing, the Dm (an adaptation of the F-test for multiple imputation method) was used., Results: The mediation model of parenting stress in the relationship between SES and both externalized and internalized behaviors was confirmed for the latter; regarding externalized behaviors a model of moderation was observed, being the stress influence lower on the low SES., Conclusions: Parental stress showed a clear relationship with the presence of externalized and internalized behaviors, stronger than the SES. The relationship between SES and parenting stress is very important to understand the processes that affect children’s development.

Objective To identify elements that either facilitate or hinder implementation of Chile's intercultural health policy. Methods A descriptive study was conducted with the participation of health services users from the Mapuche ethnic group, biomedical health professionals, intercultural facilitators, and key informants in two health facilities serving towns with a high density of Mapuche population. The information was obtained through semi-structured interviews that were analyzed thematically. Results Factors identified as facilitating the implementation of this policy include laws and regulations pertaining to the rights of indigenous peoples, the empowerment of users around their rights, the formation of implementation teams, the presence of professionals of Mapuche origin in health facilities, and the existence of processes for systematization of the work carried out. The asymmetric relationship between the Mapuche people and the state, and between the Mapuche health system and the biomedical model, constitutes a fundamental barrier. Other obstacles include the lack of theoretical and practical clarity around the concept of intercultural health and a lack of resources. Conclusions Despite the facilitators identified and the achievements to date, meaningful progress in implementation of an intercultural health policy is limited by barriers that are hard to change. These include the usual forms of government planning and the hegemony of the biomedical model.

Background: Suicide mortality rates are increasing among teenagers., Aim: To study the prevalence and predictive factors of suicide attempts among Chilean adolescents., Material and Methods: A random sample of 195 teenagers aged 16 ± 1 years (53% males) answered an anonymous survey about their demographic features, substance abuse, the Osaka suicidal ideation questionnaire, Smilksten familial Apgar. Beck hopelessness scale, Beck depression scale and Coppersmith self-esteem inventory., Results: Twenty five percent of respondents had attempted suicide at least in one occasion during their lives. These attempts were significantly associated with female gender, absent parents, family dysfunction, drug abuse, smoking, low self-esteem, hopelessness, depression and recent suicidal ideation. A logistic regression analysis accepted female gender, smoking and recent suicidal ideation as significant independent predictors of suicide attempt., Conclusions: Suicide attempted is common among teenagers and its predictors are female sex, smoking and previous suicidal ideation.