Holistic approach to the analysis of sexual health within Chilean sub-cultures

Holistic approach to the analysis of sexual health within Chilean


L.L. Purcell, H.S. Povea-Pacci

University of Newcastle, Faculty of Health, Newcastle, Australia

Context: The concept of ‘sexual health’ encompasses physical,

mental and social aspects, each incorporating further integral components. All

sub-factors combine to determine the subjective quality of sexual health, and in

essence the status and modality of sexual health. As such, it is important to

consider these qualities, in analysis and/or comparison of sexual health in a

community and/or it’s sub-sectors.

Objectives: To reflect utilising a holistic approach, the status of

sexual health in Chile by demonstrating the variance in sexual health, and

access to appropriate healthcare across a sub-cultural spectrum.

Methods: An investigation into the variance in sexual health and

access to healthcare across diverging sub-cultures was accomplished; utilising

the techniques of participant observation and 3-dimensional inquisition/interview

conducted in the native language (Spanish). The research method basis remained

grounded in the integration of existing health indicator models; in addition to

specifically devised questionnaires, of both quantitative and qualitative nature.

All completed questionnaires were fielded for transcription, translation and


Main Outcomes: The 13 sub-cultures selected for analysis reflected a

discrepancy in sexual health quality within the Chilean community, surpassing

socio-economical and gender barriers. The results of the study indicated that

indeed the community is anti-gregariously sectioned on the basis of

socio-economical determinants, and that this division impairs the distribution

of access to healthcare and one’s sexual health. A further derivation from the

investigation demonstrated the importance and efficacy of individual perception

of ‘good’ sexual health, in determining and evaluating sexual health as a


Conclusion: The Chilean community is non-egalitarian; producing a

fragmented society, segmented on the basis of socioeconomic dynamics. This

subdivision adversely impacts health equity as a concept, causing a stratified

distribution of healthcare. This inherent societal fragmentation impinges upon

the quality of sexual health maintained by an individual, and thereby influences

the direction of the sexual health of the community as an entity.

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