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Comparative study on benzodiazepine use in Canada and Chile.

Benzodiazepines are the most prescribed psychotropic drugs in the world. Comparative international data on benzodiazepine use, specifically among developed and developing countries, are unavailable. To determine the different patterns of benzodiazepine use in two representative countries, use of benzodiazepines in Chile (a developing country) and Canada (a developed country) was undertaken. Wholesale data as provided by the Intercontinental Medical statistics and drug import data were used as databases. Data on trends of benzodiazepine use was determined for 5 years using the methodology recommended by the WHO for drug use research, the defined daily dose/1000 inhabitants/day. Total benzodiazepine use was similar in both countries, but Canadian use had increased slowly. Patterns of use, however, differ widely among the two countries. A linear increase of rapidly eliminated benzodiazepines was observed in Canada, whereas the reverse occurs in Chile: the slowly eliminated benzodiazepines are the ones that have increased use. Hypnotic benzodiazepines are used twice as frequently in Canada than in Chile. Striking differences in the use of individual benzodiazepines are observed. Differences in healthcare systems determine wide differences in the way these drugs are prescribed. Demographic characteristics of the two countries also may account for the differences in benzodiazepine use. The authors conclude that, although total benzodiazepine consumption is similar in the two countries, patterns of benzodiazepine use vary widely. The different patterns of use may determine differences in the morbidity rates associated with the use of these drugs.

Anti-Anxiety Agents↗

Intragroup antigenic diversity of human respiratory syncytial virus (group A) isolated in Argentina and Chile.

The intragroup antigenic diversity of the G glycoprotein of 226 human respiratory syncytial virus (HRSV) strains isolated in Buenos Aires (Argentina) and Santiago (Chile) between 1995 and 2002 was evaluated by ELISA with a panel of 14 anti-G monoclonal antibodies (MAbs). Out of 226 strains characterized, 172 (76%) belonged to group A and 54 (24%) to group B. Strains from both groups cocirculated throughout the study period in both countries, except in 1996, 2000, and 2002 when only group A strains were isolated. Within group A 23 different antigenic patterns were found as defined by the combination of reactivities with eight strain-specific anti-G MAbs. These antigenic patterns showed different behavior regarding their circulation. Some major patterns were observed in most years with variable proportions; other minor patterns were present in low proportions during 1 or 2 years and then were apparently replaced by new patterns. Some antigenic patterns occurred both in Argentina and Chile during the same epidemics. Since no strain-specific MAbs were available for group B, we could not evidence the antigenic variability within group B. These are the first data on antigenic characterization of HRSV strains isolated in Argentina and Chile. It is shown that the ELISA with MAbs directed against the G protein of RSV is a valuable tool. These results will also provide useful information for further studies to evaluate the antigenic variability of HRSV strains in relation with genetic characteristics.

Antigenic Variation↗

International comparison of asthma prevalence in children: Australia, Switzerland, Chile.

The aim of the study was to determine if the prevalence of symptoms suggestive of asthma in school-age children was similar in three countries with differing language and culture. To answer this question, we used the same instrument, translated appropriately, for schoolchildren in Melbourne, Australia, St. Gallen, Switzerland, and La Serena, Chile. A three page respiratory symptoms questionnaire was issued to schools for distribution to children for completion by parents and return to the school. Three age groups were selected for study, based on the average age of the school grade. Grades were used with average ages of 7, 12, and 15 years, respectively. A total of 26,628 questionnaires were issued to parents (Australia, 10,981; Switzerland, 4,464; Chile, 11,183). The response rates for each country were 89% for Australia, 97.5% for Switzerland, and 71% for Chile. The prevalence of wheezing in the last 12 months for 7 year olds was 23.1% in Melbourne, 7.4% in St. Gallen, and 26.5% in La Serena; for 12 year olds it was 20.9% in Melbourne, 6.0% in St. Gallen, and 21.1% in La Serena; for 15 year olds it was 18.6% in Melbourne, 4.5% in St. Gallen, and 17.7% in La Serene. A history of wheezing was more common in boys than girls at age 7 in Melbourne and St. Gallen, but not La Serena. This difference was less at age 12 and was not seen at age 15. Among those who had reported wheezing in the last 12 months, bronchodilator use was reported by 83% (1,611/1,948) from Melbourne, 46% (118/259) from St. Gallen, and 47% (538/1,140) from La Serena.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Mercury contamination in chile: a chronicle of a problem foretold.

This review analyzes the effects of environmental mercury contamination in Chile. This contamination generates one of the most important environmental conflicts in the country in that it affects air, ground, and water (rivers and oceans), which are fundamental in maintaining natural biotic equilibrium and at the same time important for the nation's economy. Chile possesses extraordinarily wealthy mining resources between Regions I and IV that have developed into an extraction industry essential for the economy of the country. However, waste discharges from this production have created an environmental problem in that the majority of the mines are located in the Andes mountain range, or areas close by, and the water used in the extraction process is deposited into the rivers, significantly increasing the amount of chemical contamination. Therefore, the cities and downstream waters used in agriculture suffer the negative consequences of a natural resource that is becoming more and more scarce. In addition, minerals released from mills into the atmosphere are deposited onto the soil, drastically affecting the biological resources of these areas. One of these affected areas is the Metropolitan region, where one of the highest contamination levels of mercury in the country was found in one of its affluents due to industrial and domestic waste discharge. In a country that is only 200 km in width, the gathering of all these contaminants in the rivers results in a rapid flow to the ocean, thereby contaminating coastal waters and the biota. In general, this contamination has been detected in semiclosed bodies of water (bays). Between Regions VII and IX, the principal sources of mercury contamination are related to cellulose industrial sites (Regions VII and VIII) and, until the 1980s, the bleach-soda industry. The most important industrial and fishing activity is also found in this area. In San Vicente Bay, waste discharges released into the ocean include sewage, industrial residues, residues from fishing and mining industries, hydrocarbons, petrochemical derivatives, oils, and detergents. This combination of chemical assault makes the San Vicente Bay the most contaminated in the country and the area where the majority of mercury contamination studies have been carried out. Between Regions X and XII, mercury contamination is reduced due to decreased release of domestic residues, especially batteries and sanitary waste. Beginning with the decade of the 1990s, Chile made a great effort to decrease contamination through governmental organizations (CONAMA, SERNAGEOMIN, DGA, ECOMIN, SONAMI), nongovernmental organizations (NGOs), universities, government mining industries (CODELCO, ENAMI), and private mining industries (El Indio, La Escondida, La Candelaria, Fachinal, etc). These reduction efforts within the last 10 years exceed $900 million, and in the private mining sector alone more than 1,100 monitoring stations have been installed and more than 100,000 environmental measurements have been carried out each year. Furthermore, an important educational program on the use of mercury has been implemented in the small mining area to decrease contamination to the air, water, and soil. However, the consequences of mercury accumulation are seen in their damaging effects to the rivers that deliver water to crops and cities, in the bays where food is extracted, and in the air of some cities where there exist mills that release chemical substances into the atmosphere.

Animals↗

Health care for the elderly in Chile: a country in transition.

Chile's demographic and epidemiological transitions are among the most advanced in Latin America. This article documents the new importance of chronic disease and conditions that significantly affect the quality of life of the older population, noting that primary care-sensitive conditions such as poor vision, hearing, and dental care are among the most common unmet health needs of the older population. An overview of the health care system in Chile shows that it is a mixed public-private system in both insurance and provision, but the organization of the system forces most elderly persons into the public system. The dominance of the public system in the care of the aged has the potential to improve the organization and delivery of needed services, but up to now health care for older persons has not been a top priority compared to broader macro system issues. We discuss directions that Chile could take within its current economic and institutional structure that would make it more responsive to the aging population.

Aged↗

Molecular phylogeny of human T-cell leukemia virus type I and II of Amerindians in Colombia and Chile.

Six human T-cell leukemia virus type I (HTLV-I) and eight human T-cell leukemia virus type II (HTLV-II) cases newly isolated from the South American countries of Colombia and Chile were analyzed together with the two Amerindian HTLV-I isolates previously reported. All of the HTLV-I isolates belonged to the transcontinental subgroup of the "cosmopolitan" group, and Colombian isolates, including those from native Amerindians and Negroes, formed a single tight cluster within this subgroup. The transcontinental subgroup consisted of isolates from various regions such as the Caribbean basin, India, Iran, South Africa, Sakhalin, and Japan, and included isolates from the "Ainu" and "Okinawa" people, regarded as relatively pure Japanese descended from the prehistoric "Jomon" period which began more than 10,000 years ago. This implied a dissemination of the subgroup associated with the movement of human beings in ancient times. On the other hand, all of the HTLV-II isolates from native Amerindians in Colombia and Chile belonged to the HTLV-IIb subtype which has previously been reported to be mainly endemic in certain populations of native Amerindians. The southernmost isolate from Chile, showing wide distribution of the IIb subtype in native South Amerindians and largest heterogeneity of the subtype in Colombian isolates, supported the idea that the HTLV-IIb subtype has been endemic for a long time in native Indians of South America.

Chile↗

Cost-effectiveness of universal childhood hepatitis A vaccination in Chile.

Hepatitis A is an important public health problem in Chile. Childhood vaccination has reduced hepatitis A rates in several countries, prompting this evaluation of its cost-effectiveness in Chile. Using a Markov model, we project mass vaccination would reduce hepatitis A cases among birth cohort members and their personal contacts >80%. Vaccination costs of US dollars 5.3-6.4 million would be offset by US dollars 9.2-9.4 million reductions in disease costs. Further, approximately 70 fatal infections would be averted and >4600 quality-adjusted life years would be saved. This analysis supports the cost-effectiveness of universal childhood hepatitis A vaccination in Chile.

Child, Preschool↗

[Study of variables associated with skin cancer in Chile using principal component analysis].

BACKGROUND: The incidence of skin cancer in Chile has increased in recent years. OBJECTIVE: To associate variables with skin cancer in Chile through indices generated using multivariate descriptive statistical techniques. MATERIAL AND METHOD: During May 2004, information was gathered from demographic, meteorological and clinical data from Chile corresponding to fiscal year 2001, the latest complete, official information available for the country's Health Services as a whole. The variables developed by the following were studied: the National Statistics Institute (INE), the Ministry of Health (MINSAL), the Ministry of Planning and Cooperation (MIDEPLAN), the National Health Fund (FONASA), the Chilean Meteorological Directorate, Federico Santa María Technical University and the Directorate-General for Water. A Principal Component Analysis (PCA) was then performed on the data obtained. RESULTS: The first three principal components were selected, with a cumulative explained variance percentage of 54.48 %. The first principal component explains 24.92 % of the variance, and is related to climatic and geographic variables. The second principal component explains 15.77 % of the variance, and is mainly related to FONASA's beneficiary population and the poverty rate. The mortality rate from skin cancer runs significantly against this component. The third principal component explains 13.79 % of the variance, and is related to population characteristics, such as total catchment population, female population and urban population. CONCLUSION: Performing PCA is useful in studying the factors associated with skin cancer.

Adult↗

Treating depression in primary care in low-income women in Santiago, Chile: a randomised controlled trial.

BACKGROUND: Depression in women is one of the commonest problems encountered in primary care. We aimed to compare the effectiveness of a stepped-care programme with usual care in primary-care management of depression in low-income women in Santiago, Chile. METHODS: In a randomised controlled trial, in three primary-care clinics in Chile, 240 adult female primary-care patients with major depression were allocated stepped care or usual care. Stepped care was a 3-month, multicomponent intervention led by a non-medical health worker, which included a psychoeducational group intervention, structured and systematic follow-up, and drug treatment for patients with severe depression. Data were analysed on an intention-to-treat basis. The primary outcome measure was the Hamilton depression rating scale (HDRS) administered at baseline and at 3 and 6 months after randomisation. FINDINGS: About 90% of randomised patients completed outcome assessments. There was a substantial between-group difference in all outcome measures in favour of the stepped-care programme. The adjusted difference in mean HDRS score between the groups was -8.89 (95% CI -11.15 to -6.76; p<0.0001). At 6-months' follow-up, 70% (60-79) of the stepped-care compared with 30% (21-40) of the usual-care group had recovered (HDRS score <8). INTERPRETATION: Despite few resources and marked deprivation, women with major depression responded well to a structured, stepped-care treatment programme, which is being introduced across Chile. Socially disadvantaged patients might gain the most from systematic improvements in treatment of depression.

Adult↗

Preliminary validation of the Child Abuse Potential Inventory in Chile.

OBJECTIVE: The objective of this work is a preliminary validation in Chile of the Child Abuse Potential (CAP) Inventory (Milner, 1986). METHOD: A sample of 134 participants was drawn from Santiago's Metropolitan Area and the city of Iquique in Chile, divided into two groups: people identified as physical abusers of their own children and people identified as nonabusers. As a result of the sampling procedure, the study group was composed of 64 women and three men. This distribution was matched in the control group. A reliability analysis, a predictive and construct validity analysis, and an item analysis of the Abuse Scale proposed by Milner were performed. RESULTS: The Abuse Scale items were tabulated both with the weighted scores proposed by Milner and with simple scores. The results were more consistent with simple scores. It correctly classified 90% of respondents (91% in the abuse group and 88% in the control group). Of the 76 items of the Abuse Scale, 55 were highly discriminatory, six of them were nonsignificant and 15 of them had differences that were not great enough so as to discriminate people well. To evaluate the dimensionality of the items, a factor analysis was carried out. The best solution (Oblimin rotation) was obtained with 6 factors, which accounts for 53.8% of the variance. CONCLUSION: Milner's Abuse Scale discriminated between abusing and nonabusing individuals, and showed a factor analysis similar to the original one. Some items reflected cultural conducts in Chile instead of potential abuse: they are related with socially desirable neatness and cleanliness of children and home, specially in low-income families.

Adolescent↗

Seabird eggs as bioindicators of chemical contamination in Chile.

Seabird eggs were used as bioindicators of chemical contamination in Chile. Brown-hooded Gull (Larus maculipennis), Kelp Gull (Larus dominicanus), Trudeau's Tern (Sterna trudeaui), Neotropic Cormorant (Phalacrocorax brasilianus), and Pink-footed Shearwater (Puffinus creatopus) eggs were sampled at different breeding sites during the 1990s. Mercury and organochlorines (PCBs, DDT, HCB, HCH, and PCP) were quantified to reveal the interspecific differences, spatial and temporal trends in contamination levels. Trudeau's Tern displayed the highest levels of mercury (486 ng g(-1) wet weight). The highest sumDDT concentrations were measured in Brown-hooded Gulls (726 ng g(-1)). PCB levels were similar among the species (102-236 ng g(-1)), but the composition of the PCB mixture was different in Pink-footed Shearwaters. With the exception of the Brown-hooded Gull, all species studied presented similar and low levels of organochlorines (sumOHa). Residues of PCB and related compounds were not detected in any of the seabird eggs analyzed in Chile. Geographical variation was low, although levels of industrial chemicals were slightly higher in eggs from Concepción Bay, and agricultural chemicals in eggs from Valdivia. Also interannual variation was low, but some evidence was found of decreasing levels in gull eggs throughout the time of the study. The causes of the low levels and small variability in space and time of environmental chemicals in Chilean seabirds are discussed. We propose the use of seabirds in future monitoring of the development of chemical contamination in Chile.

Animals↗

Three species of plagioporine opecoelids (Digenea), including a new genus and two new species, from marine fishes from off the coast of Chile.

Villarrealina peruanus (syn. Pirupalkia queulensis) is described from Cilus gilberti, off the Talcahuano region, Chile. It is considered an opecoelid and is distinguishable by the combination of its extensive uterus, which reaches to the posterior extremity, and the vitellarium restricted to the hindbody. Jerguillicola leonora n. g., n. sp. from Aplodactylus punctatus, off the Talcahuano region, Chile, is distinguished by the uterus reaching into the post-testicular region, the lack of a seminal receptacle, the eggs attached together is strings formed by a matrix, the large cirrus-sac filled mainly with fairly dense connective tissue, a long coiled seminal vesicle and a long coiled ejaculatory duct. Neolebouria georgenascimentoi n. sp. from Pinguipes chilensis and Prolatilus jugularis, off the Talcahuano region, Chile, can be distinguished from its congeners by a its elongate cirrus-sac and oblique entire to weakly lobed testes.

Animals↗

Causes of childhood blindness: results from west Africa, south India and Chile.

Using World Health Organization definitions of visual loss and a standardised methodology, 905 children were examined in Chile, West Africa and South India. Of these 806 (89%) suffered from blindness (BL) or severe visual impairment (SVI). Causes of SVI and BL were classified anatomically and aetiologically, and avoidable causes identified. In W. Africa (n = 284) the major anatomical cause of SVI/BL was corneal scar/phthisis bulbi (35.9%). Retinal disease accounted for 20.4%, cataract 15.5% and glaucoma 13.0%. Aetiologically 33.8% of SVI/BL was due to childhood factors and 21.1% to hereditary disease. In S. India (n = 305) the major anatomical cause of SVI/BL was corneal scar/phthisis bulbi (38.4%). Retinal disease accounted for 22.6%, cataract 7.4% and glaucoma 3%. Aetiologically 37.0% of SVI/BL was due to childhood factors and 29.8% to hereditary disease. In Chile (n = 217) the major anatomical cause of SVI/BL was retinal disease (47.0%). Cataract accounted for 9.2%, glaucoma 8.3% and 6.9% was due to corneal pathology. Aetiologically 30.4% of SVI/BL was due to hereditary factors, and 20.8% to perinatal factors of which four-fifths (16.6%) was due to retinopathy of prematurity. Avoidable conditions accounted for 70%, 47% and 54% of cases in W. Africa, S. India and Chile respectively.

Adolescent↗

Total energy expenditure, resting metabolic rate and physical activity level in free-living rural elderly men and women from Cuba, Chile and México.

OBJECTIVE: The objective of this study was to assess total energy expenditure (TEE), resting metabolic rate (RMR) and physical activity level (PAL), and to estimate energy requirements (ERs) in free-living elderly subjects from Cuba, Chile and Mexico. DESIGN: Cross-sectional study designed to estimate ERs. SETTING: Rural regions of Cuba, Chile and Mexico. SUBJECTS: Forty subjects >60 years old were selected to participate in this study. INTERVENTIONS: A dose of doubly labeled water (DLW) was administered and urine samples were collected in the following 12-14 days. From the isotopic analysis, TEE was derived. RMR was measured by indirect calorimetry. RESULTS: TEE in Chilean (8.8+/-1.6 MJ/day) and Cuban (8.3+/-1.3 MJ/day) elderly was not different, and was higher for the Mexican group (9.5+/-1.5 MJ/day) (P < 0.0001). RMR was not different between countries. PAL and activity energy expenditure (AEE) were only different between Chile and Mexico (P < 0.002). For the three regions, overall PALs were 1.70+/-0.16 for male and 1.62+/-0.13 for female subjects (P < 0.02), and AEE was 3.05+/-0.66 and 2.27+/-0.66 MJ/day for male and female subjects, respectively (P < 0.001). Predictive equations (MJ/day) were RMR = 1.6447 + 0.05714 x weight (kg) + 0.449 sex (male = 1; female = 0) (R2 = 0.75; SEE = 0.479) and TEE = 3.414 + 0.0795 x weight (kg) + 1.227 x sex (male = 1; female = 0) (R2 = 0.75; SEE = 0.668). CONCLUSIONS: There were differences in TEE and PAL owing to sex and region. The average PAL in men was higher than the PAL reported either with factorial approach or with the DLW method in elderly. Predictive ER equations based on RMR and TEE gave very similar results to calculations from the 2004 FAO/WHO/UNU report.

Aged↗

Genetic structure and clonal diversity of an introduced pest in Chile, the cereal aphid Sitobion avenae.

In Chile, the aphid Sitobion avenae is of recent introduction, lives on cultivated and wild Poaceae, and is thought to reproduce by permanent parthenogenesis. In order to study the genetic variability and population structure of this species, five microsatellite loci were typed from individual aphids collected from different cultivated and wild host plants, from different geographical zones, and years. Chilean populations showed a high degree of heterozygosity and a low genetic variability across regions and years, with four predominant genotypes representing nearly 90% of the sample. This pattern of low clonal diversity and high heterozygosity was interpreted as the result of recent founder events from a few asexually reproducing genotypes. Most geographical and temporal variation observed in the genetic composition resulted from fluctuations of a few predominant clones. In addition, comparisons of the genotypes found in Chile with those described in earlier surveys of S. avenae populations in Western Europe led us to identify 'superclones' with large geographical distribution and high ecological success, and to make a preliminary exploration of the putative origin(s) of S. avenae individuals introduced to Chile.

Agriculture↗

Leptin levels distribution and ethnic background in two populations from Chile: Caucasian and Mapuche groups.

OBJECTIVE: Leptin, the product of the human ob gene is increased in obese individuals, suggesting resistance to its effect. We examined the relationship of serum leptin levels with respect to obesity, gender and insulin levels in two populations with different ethnic compositions in Chile. METHODS: Leptin and insulin levels were determined by radioimmunoassay (RIA) and correlated with body mass index (BMI), gender and ethnic background. 79 Caucasian subjects from Santiago and 65 Mapuche natives from the Araucania region, Chile, were included in this study. RESULTS: Leptin concentrations in obese subjects were significantly increased in both ethnic groups in relation to lean status: Caucasian and Mapuche obese 19.3 +/- 11.6 and 10.1 +/- 5.8 (P < 0.001), respectively vs Caucasian and Mapuche lean 10.4 +/- 5.8 and 4.7 +/- 2.9 (P < 0.001, respectively). When we compared Mapuche and Caucasian groups, similar leptin levels were observed among the males of the two populations in both metabolic states (lean and obese). In contrast, the leptin level distributions between women showed a marked difference, having a minor value in the Mapuche women with a comparable value with the male group in this ethnic population. CONCLUSIONS: The leptin concentrations are associated with obesity in both ethnic groups in Chile. However, the leptin levels between the Mapuche natives were significantly decreased compared to the Caucasian group. The gender distribution does not seem to be important in the Mapuche natives. The ethnic composition seems to be important in the leptin distribution in the analysed populations.

Adult↗

Soil delta15N patterns in old-growth forests of southern Chile as integrator for N-cycling.

Old-growth forests of southern Chile represent an important reserve of temperate (rain) forests in the world. Wetter and colder forest ecosystems appear to be more efficient in conserving and recycling N such that mostly non-plant available N species are lost, which could be indicated by more depleted delta15N values of the soil and plants. Hydrological N loss from the old-growth forests in southern Chile occurs mainly via dissolved organic nitrogen and not via dissolved inorganic N. Forest disturbances (e.g. fire, clear-cutting or enhanced N deposition) cause (abrupt) changes in ecosystem N-cycling processes. In this study, we hypothesized that delta15N signatures of soil profiles under old-growth forests could be used as an integrator for ecosystem N-cycling, and changes of these delta15N profiles could be valuable to assess ecosystem resilience towards disturbances. Six old-growth forests were selected in the phytogeographical region of the Valdivian rain forest in southern Chile. One of the sites has been partly burned in February 2002. First, we observed that ecosystems with higher mean annual precipitation and lower mean annual temperature were relatively more depleted in 15N. Secondly, we found that a forest fire caused a 100-fold increase of the nitrate export and induced an enrichment of the soil delta15N signal in the upper 20 cm.

Chile↗

Physical intimate partner violence in Chile, Egypt, India and the Philippines.

BACKGROUND: Violence against women is recognized by globally as a serious health and social problem that impedes development. OBJECTIVES: To determine the magnitude of physical intimate partner violence against women in six selected communities from Chile, Egypt, India and the Philippines. DESIGN: Population-based household surveys. SETTINGS: Selected urban communities in Temuco, Chile; Ismailia, Egypt; Lucknow, Trivandrum, and Vellore non-slum areas of India; and in Manila, the Philippines. PARTICIPANTS: Women aged 15-49 years who cared for at least one child younger than 18 years old. The number of participants per community was 442 (Santa Rosa, Chile), 631 (El-Sheik Zayed, Egypt), 506 (Lucknow, India), 700 (Trivandrum, India), 716 (Vellore, India) and 1000 (Paco, the Philippines). MAIN OUTCOME MEASURES: Lifetime and Current physical intimate partner violence (IPV) was measured using standard definitions and four behaviors of actions--namely slap, hit, kick and beat. Three derived variables for severity included: disabling IPV, IPV-related injury requiring health care and multiple severe IPV (presence of hit and kick and beat). RESULTS: Percentages of lifetime and current physical intimate partner violence (IPV) against women in our sample of 3975 were as follows: 24.9 and 3.6 (Santa Rosa), 11.1 and 10.5 (El-Sheik Zayed), 34.6 and 25.3 (Lucknow), 43.1 and 19.6 (Trivandrum) 31.0 and 16.2 (Vellore), and 21.2 and 6.2 (Paco). Multiple severe physical IPV was more common in the three communities within India (9.0%, 5.9% and 8.0% in Trivandrum, Lucknow and Vellore) than the other three communities (Santa Rosa 2.1%; El-Sheik Zayed 2.9% and Paco 1.9%). CONCLUSIONS: Physical IPV was found to be a common phenomenon in all six communities. Overall, patterns of IPV behaviors were similar among the six communities.

Adolescent↗