Open-access Civic participation among young people in Chile: an association analysis in times of COVID-19

Participação cívica entre jovens no Chile: uma análise de associação em tempos de COVID-19

ABSTRACT

Objective:  To analyze the association between sociodemographic and socio-health factors on the civic participation of young people in Chile.

Method:  A cross-sectional study using the Tenth National Youth Survey. Descriptive statistics and models were used to examine associations between sociodemographic, socio-health, social participation, and sociopolitical variables in Chile.

Results:  Female sex and education levels indicated greater political participation. Being single, not being heads of household, being happy, having a positive outlook on their future, being satisfied with their finances, health, leisure time, having time available to spend with friends and family, and the country’s characteristic democracy showed significant associations. No identification with specific political sectors, interest in political matters, and self-identification as not actively participating in politics had significant associations.

Conclusion:  Young people are essential for building future citizenship. Their unique characteristics must be strengthened through effective citizen participation strategies, mediated by education that fosters awareness of their own value as individuals who impact public policy.

DESCRIPTORS:
Young Adult; Adolescent; Health Promotion; Disease Prevention; Community Participation; Health Policy

RESUMEN

Objetivo:  Analizar la asociación entre factores sociodemográficos y sociosanitarios sobre la participación ciudadana de personas jóvenes en Chile.

Método:  Estudio transversal utilizando la Décima Encuesta Nacional de Juventudes. Se utilizaron estadística descriptiva y modelos para examinar asociaciones entre variables sociodemográficas, sociosanitarias, de participación social y sociopolítica en Chile.

Resultados:  Sexo femenino y escolaridad refieren mayor participación política. Soltería, no jefes de hogar, felices, mirada positiva propia vida en el futuro, satisfechos con economía, salud, tiempo de descanso, tiempo disponible para compartir con amigos y familia y democracia que caracteriza el país demostraron asociaciones significativas, sin identificación alguna en sectores políticos determinados, intereses en materias políticas, autodefinición como no participante activo en política, con asociaciones significativas.

Conclusión:  Personas jóvenes son fundamentales para construir ciudadanía futura. Se deben fortalecer características propias mediante estrategias de participación ciudadana efectivas, mediadas por educación que permitan ser conscientes del propio valor como personas que impactan en política pública.

DESCRIPTORES:
Adulto Joven; Adolescente; Promoción de la Salud; Prevención de Enfermedades; Participación de la Comunidad; Política de Salud

RESUMO

Objetivo:  Analisar a associação entre fatores sociodemográficos e sociossanitários na participação cívica de jovens no Chile.

Método:  Estudo transversal utilizando a Décima Pesquisa Nacional de Juventude. Estatísticas descritivas e modelos foram usados ​​para examinar associações entre variáveis sociodemográficas, sociosanitárias, de participação social e sociopolíticas no Chile.

Resultados:  Sexo feminino e escolaridade indicam maior participação política. Solteiros, não chefes de família, felizes, com uma perspectiva positiva sobre o próprio futuro, satisfeitos com suas finanças, saúde, tempo de lazer, tempo disponível para passar com amigos e familiares e com a democracia que caracteriza o país apresentaram associações significativas, sem qualquer identificação com setores políticos específicos, interesses em assuntos políticos, autodefinição como não participante ativo na política, com associações significativas.

Conclusão:  Os jovens são essenciais para a construção da cidadania futura. As características individuais devem ser fortalecidas por meio de estratégias efetivas de participação cidadã, mediadas por uma educação que permita que os cidadãos tomem consciência do seu próprio valor como indivíduos que impactam as políticas públicas.

DESCRITORES:
Adulto Jovem; Adolescente; Promoção da Saúde; Prevenção de Doenças; Participação da Comunidade; Política de Saúde

INTRODUCTION

Citizen participation (CP) and community involvement are a fundamental principle in healthcare, oriented towards social justice and a means to positively impact people’s lives(1,2). Public healthcare emerges as a fundamental pillar in democratic societies(2,3,4,5), especially in the sphere of public policies (PP), allowing citizens to directly influence the decisions that affect their lives. In the health sector, where universal health coverage is advancing towards global consolidation, public healthcare takes on special relevance in defining public priorities. The search for fair criteria for the distribution of healthcare in the face of scarce resources has generated intense debate in the fields of health, bioethics and philosophy, highlighting the urgent need for an inclusive approach and the promotion of participatory strategies aligned with the population’s values and preferences(6).

The incorporation of CP into health policymaking and health technology assessment has proven indispensable for the design of informed and responsible health technologies. CP focuses on capturing a diversity of viewpoints, extending beyond the actors traditionally involved in the process. Thus, CP draws on methods such as in-person debates and digital forums that foster constructive dialogue among different participants, in which citizens have the opportunity to consider the social and ethical implications inherent in health technologies(7).

There is widespread recognition that the participation of service users and their caregivers in health system planning and policy processes can strengthen health systems. However, most of these patients come from high-income countries(2,3,6), and there is little evidence of the relationship between perceived causes and solutions to health inequalities among citizens(5).

It is critical to keep in mind that CP is also impacted by people’s health, limiting their ability to act(3). In this regard, nursing plays a fundamental role in CP. For this development, the discipline proposes six patterns of knowledge, emphasizing the emancipatory pattern, in which Chinn and Kramer recognize the importance of social justice in nursing as a science with a critical awareness of the social and political status quo(8).

In this way, CP promotes an active and empowered citizenry to have a responsible and receptive participation in PP in health(3). Decision-makers should consider strategies that encourage different methods of CP, with multiple forms of expression of ideas(5,9), and inform and listen to the population, using the feedback obtained in decision-making(3). Local residents are the ones who become leading figures of collective well-being(10).

In Chile, CP has been recognized through Law 20,500, also known as the Law of Associations and Citizen Participation in Public Management(11). This law emphasizes the importance of actively involving citizens, especially young people (YP), in deliberation and decision-making.

Research has shown that by working with communities, it is possible to develop services that utilize assets and are meaningful to the local population(12).

In this regard, a first step towards identifying aspects related to youth CP is the National Youth Survey, which seeks to obtain relevant and timely information for diagnosing the realities in Chile. The 2022 Tenth National Youth Survey(13) was characterized by confinement due to COVID-19. In this context, public space is understood beyond the physical, fitting into a logic of production of social integration and CP, with its development being crucial(10).

Seen in these terms, the present research process aims to analyze the association of sociodemographic factors, aspects related to life and health, on CP of YP in Chile, with the purpose of contributing with evidence that allows a redefinition of public priorities that guide the development of participatory humanitarian environments, health strategies related to health promotion and disease prevention in Chile focused on YP, in addition to representing an input in terms of professional training that emphasizes the importance of CP in care decisions of people and their environment.

METHOD

Study Design

This is a cross-sectional design study, with a descriptive and inferential scope based on data from the 2022 Tenth National Youth Survey(13), which has anonymized and freely accessible data.

Survey Overview

Chile conducted the 2022 Tenth National Youth Survey with a random sample of YP between 15–29 years old from all socioeconomic groups and living in all regions, with a margin of error of + or − 1% for the total results with maximum variance and 95% confidence.

Data Collection and Sample

Data were collected from December 2021 to May 2022 through in-person, in-home surveys of YP aged 15 to 29 using tablets, lasting an average of 40 minutes. Stratified sampling was used proportionally for each of the participants’ regions of residence in Chile. A total of 9,700 YP were surveyed.

Data Analysis

All measures were summarized using means, standard deviations, and ranges for continuous measures, and frequencies and percentages for categorical measures. Sociodemographic characteristics were analyzed. Association analyses were performed using the chi-square (X2) test and Fisher’s exact test for categorical variables. After identifying associations, a logistic regression analysis was performed to observe the prediction of sociodemographic variables on CP. However, no statistically significant models were found. All analyses were completed using the Statistical Package for the Social Sciences version 26(14).

RESULTS

A summary of the study population characteristics is presented in Tables 1, 2, and 3. The majority of YP between 15 and 29 years of age in the 2022 Tenth National Youth Survey(13) were women, living in urban areas, with a medium level of education completed in public schools, single, without employment activity, and economically dependent on others. No political sector is recognized, nor do they show interest in participating in national politics. Furthermore, they are mostly happy, satisfied with life and the economy. Concerning health, leisure time, and interactions with family, they perceive themselves as very satisfied. They are not mostly satisfied with democracy, and their view of Chile in 5 years does not seem to be different from the current one. In relation to active CP in the last 12 months, around 53% claim to have done so as well as active participation at the unrecognized leadership level and in PP development processes.

Table 1
Participant sociodemographic characteristics – Santiago, Chile 2025.
Table 2
Socio-health variables and aspects related to life – Santiago, Chile 2025.
Table 3
Participant citizen participation – Santiago, Chile 2025.

The analysis of the associations between sociodemographic characteristics and participation is shown in Table 4.

Table 4
Associations between sociodemographic characteristics and active political participation in the last 12 months – Santiago, Chile 2025.

Under the assumption of normality, significant associations can be identified between the study population characteristics and active political participation in the past 12 months. Females were the most prominent political participants, compared to males, with considerable significance (p-value = 0.00). Those who self-report average levels of education report significant political participation (p-value = 0.00) in other types of education achieved in the age group. Single YP (p-value = 0.00), not heads of household (p-value = 0.00), self-defined as happy (p-value = 0.053), with a positive view of their own life in the future (p-value = 0.00), satisfied with the current economy (p-value = 0.051), with health (p-value = 0.00), with time to rest (p-value = 0.013), with time available to share with friends and family (p-value = 0.017) and with the country’s democracy (p-value = 0.023) showed significant associations. And YP without any identification in specific political sectors (p-value = 0.00) or with interests in political matters (p-value = 0.00) define themselves as not active participants in politics, with significant associations.

DISCUSSION

This research process identified certain associations between sociodemographic factors and aspects related to life and health as well as CP of YP in Chile. This is significant because understanding age-related expectations for community participation can help policymakers design and adapt appropriate services.

The results show a level of interest in politics of 27.1%, which is positive considering that when people engage as public representatives, they are able to raise collective concerns(7,10) on diverse subjects, with health being of great interest. This is demonstrated by the fact that 88.9% see their lives improving in five years. In the same context, it is suggested that CP is necessary to achieve a distribution of political power, achieve community power to impact PP and achieve social change(15). They developed a CP ladder, where with the implementation of long-term community control mechanisms and investment of resources, citizens will be able to carry out CP. They also introduced the idea of private financing for this type of process. This is critical because the level of satisfaction with the country’s democracy is significantly associated with active participation in the past 12 months.

The level of satisfaction with health stands out, with 78.2% very satisfied or satisfied in the context of COVID-19, where a period of confinement was experienced in the country, showing 52% with a very good or good perception of healthcare services(10). A study in Argentina suggests that the non- in-person modality provided peace of mind in preserving people’s health(10).

It is complex, since almost half of people (46.9%) do not usually respond about their level of satisfaction with democracy. According to a study conducted in Canada, people need health policies to consider public opinion(16). Thus, in Colombia, 89% would approve of government management if it developed social cohesion policies(17).

In addition, the literature emphasizes that greater public participation in political processes is expected, as involvement could foster agreement on priorities in decision-making. The results show that only 5.8% of YP are willing to participate in the development of PP for youth, consistent with research in Colombia that mentions an antipathy toward political issue(17). The low levels of political participation over the past 12 months could be related to the COVID-19 lockdown, due to the isolation itself and the lack of prioritization of needs. This pandemic process can be linked to an increase in participation in community service or volunteering over the past 12 months, compared to other participations, with an increase in participation in neighborhood councils, soup kitchens, among others(10).

Hence, 56.5% of survey participants are very satisfied with their family relationships, according to a study conducted in Colombia, which shows that people interact most with their family (77.3%). Furthermore, this is the group with the greatest relationship (88.6%). At the collective level, 73.5% declare interest in participating in their localities(17). This point is fundamental, as research conducted in the United Kingdom and South Africa highlights the importance of mutual benefit in achieving CP. In teams where there was no vision for collaborative work, with decisions depending on a single person, the team disintegrated without achieving participation. The former emphasizes CP through publicly funded research, and the latter emphasizes a social justice approach with results that benefit the community(1).

This research showed a significant association between CP and the level of satisfaction with health, as well as a study in Sweden, where participation is impacted by good healthcare(2).

Health promotion and disease prevention are significant when they are intended to be enhanced through health education, since with educated populations it is possible to strengthen CP in care decisions(18). This is supported by the fact that 89% of the population would like to be trained in topics related to politics, as well as participate in meetings with government authorities, in order to propose solutions and not just obtain information about the problems that afflict them(17).

Likewise, this research supports that active political participation in the last 12 months has a significant association with the lack of identification in political sectors, interests in the subject matter or not self-defining as an active participant in politics. Communication strategies, such as communication campaigns framed in a balance between effectiveness and ethics(19), represent public health approaches.

In this context, in Chile, recent socio-political and health tensions due to the COVID-19 pandemic may have generated some stress and fatigue among citizens(20). However, CP strategies such as promoting spaces for constructive dialogue allow differences to be addressed productively and agreements to be reached that are acceptable to the majority of the community(21,22).

YP show a significant association between available time to share with friends and family and CP; thus, CP can impact health promotion and prevention. A study in Mexico argues that close social ties and family can enhance and strengthen individuals’ cohesion-participation with their environment(17), resulting in healthier biopsychosocial behaviors(23,24,25). In YP, it is significant, since the development of a substantial perspective of citizenship can favor the incorporation of YP into public life as long as a social, cultural and institutional context is built based on meaningful participation and dialogue with youth(26).

The level of satisfaction with democracy is significantly associated with political participation over the past twelve months. In Colombia, 56% of respondents rate the government 6/10(17). Taking ownership of the right to participate is recognized as one of the essential practices for being an active citizen, where they must be previously informed and present belonging to the community(26). Thus, the COVID-19 lockdown allowed us to perceive the environment differently, creating stronger ties with the neighborhood(10). Thus, it should be kept in mind that people’s perception of their sense of social belonging to their family and place of origin impacts their civic and electoral development(17).

It is recognized that the first step to being an active citizen is being informed(26), but to achieve higher levels of CP it is also necessary to inform and listen to stakeholders and use people’s feedback in decision-making. Similarly, this study in the US suggests that CP is a source of improvement in the face of regulatory violations, and suggests that CP can positively impact administration, quality of care, people’s rights, among others, highlighting the value of participation in areas such as health, which are highly professionalized, where there are a large number of regulations and training(3).

The need for people’s participation in the policies that guide social services is also highlighted, although the path to implementing these policies in PP is difficult. Staff approaches to user participation are crucial for people’s opportunities to participate in decision-making, particularly in the case of those with extensive care needs and limited autonomy(2).

CP has significance in political models(22), as it emphasizes the real needs of people, who, in alliance with other actors, can influence the agenda and participate in their own solutions. It is essential that the government acts as a moderator in decision-making and controls political power(27,28,29). Thus, CP and culture generate a strong social impact(26).

Moreover, CP research is key to the co-production and development of PP(3,4). As opportunities for public participation in health research increase, greater participation is anticipated(16). In this regard, public participation should be considered a requirement for obtaining health funding in various institutions(30).

Finally, the concept of CP has been impacted by pressures to be used as a symbol for groups that prioritize inclusive and diverse CP(4). As a limitation, this study only shows one version of the survey. Other research suggests comparing it with non- pandemic periods to identify the sequence of CP evolution over time in YP.

CONCLUSION

This study allowed us to analyze the association of sociodemographic factors, life-related aspects, and health with CP of YP in Chile. Females describe greater political participation, and educational levels indicate significant political participation. Single YP, not heads of household, who self-identified as happy, with a positive outlook on their own future, satisfied with the current economy, health, leisure time, and time available to spend with friends and family, and with the democracy that characterizes the country demonstrated significant associations. Likewise, YP without any identification with specific political sectors or interests in political matters define themselves as not active participants in politics, with meaningful associations. YP are essential for building future citizenship. In this regard, their unique characteristics must be strengthened through effective CP strategies, mediated by education that allows them to recognize their own value as people who impact PP.

DATA AVAILABILITY

The entire dataset supporting the results of this study is available at the Digital Documentation Center of the National Youth Institute of the Government of Chile at the URL https://www.injuv.gob.cl/encuestanacionaldejuventud in November 2022.

  • Financial support
    IV Concurso de Fortalecimiento de Grupos de Investigación e Innovación Universidad de Chile Nursing Department.

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Edited by

  • ASSOCIATE EDITOR
    Marcia Regina Cubas

Publication Dates

  • Publication in this collection
    28 July 2025
  • Date of issue
    2025

History

  • Received
    21 Nov 2024
  • Accepted
    10 Apr 2025
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