Impact des violences subies sur la santé de femmes migrantes consultant dans deux policliniques parisiennes.

IF 0.3 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sante Publique Pub Date : 2025-01-01 DOI:10.3917/spub.252.0073

Bacha Kaoutar, Sigolène Roumieu, Laeticia Audiffred, Olivier Cha

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Abstract

Introduction: Migrants are people who settle in a foreign country. In 2020, the global migrant population was estimated at about 281 million. Of the patients seen by the Comité pour la santé des exilés (a French non-profit that works to improve the health of refugees), 62% report having experienced violence. Migrant women are particularly exposed to gender-based violence. Among women who have migrated from the Democratic Republic of the Congo to Cameroon, 39% report having experienced sexual violence, significantly more than the rate among the host population (3.9%).

Purpose of the study: To analyze the impact of violence on the physical and mental health of migrant women consulting primary health care centers in Paris.

Methods: This was a cross-sectional analytical study carried out in two Parisian outpatient clinics. Migrant women were interviewed about whether they had experienced violence prior to their arrival in France. Their medical history and current state of health were also analyzed in light of the violence experienced.

Results: 131 migrant female patients were included over a period of three weeks. They were mainly from sub-Saharan Africa (75%), with an average age of 43 years, and 59% of them had experienced violence. Post-traumatic stress disorder (PTSD) was found in 66% of patients who had experienced violence, and half had symptoms of depression or anxiety, while these symptoms were only present in 22% and 20% respectively of migrant women in the group that had not experienced violence. Furthermore, among the patients who had experienced violence, 48% had cardiac symptoms versus 26%, 53% had respiratory symptoms versus 20%, and 58% had gastrointestinal symptoms versus 23% (p<0.05).

Conclusions: These results indicate the need for particular vigilance regarding the history of violence in the migrant population, due to an increased risk of post-traumatic stress disorder frequently associated with physical symptoms.

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暴力对在巴黎两家综合诊所就诊的移徙妇女健康的影响。

移民是指在外国定居的人。2020年，全球移民人口估计约为2.81亿。在流亡委员会（一个致力于改善难民健康的法国非营利组织）所见的病人中，62%的人报告说经历过暴力。移徙妇女特别容易遭受基于性别的暴力。在从刚果民主共和国移民到喀麦隆的妇女中，39%的人报告遭受过性暴力，大大高于东道国人口的比例（3.9%）。研究目的：分析暴力对巴黎初级卫生保健中心的移民妇女身心健康的影响。方法：这是一项在巴黎两家门诊诊所进行的横断面分析研究。对移徙妇女进行了采访，询问她们在抵达法国之前是否遭受过暴力。根据所遭受的暴力，还分析了他们的病史和目前的健康状况。结果：131名流动女性患者在三周内被纳入研究。他们主要来自撒哈拉以南非洲（75%），平均年龄为43岁，其中59%经历过暴力。66%经历过暴力的患者发现创伤后应激障碍（PTSD），一半患者有抑郁或焦虑症状，而在没有经历过暴力的移民妇女中，分别只有22%和20%的人出现这些症状。此外，在遭受暴力的患者中，48%有心脏症状对26%，53%有呼吸道症状对20%，58%有胃肠道症状对23% （p<0.05）。结论：这些结果表明，由于创伤后应激障碍的风险增加，通常与身体症状相关，因此需要特别警惕移民人口的暴力史。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

0.40

自引率

33.30%

发文量

252

审稿时长

>12 weeks

期刊介绍： La revue Santé Publique s’adresse à l’ensemble des acteurs de santé publique qu’ils soient décideurs, professionnels de santé, acteurs de terrain, chercheurs, enseignants ou formateurs, etc. Elle publie des travaux de recherche, des évaluations, des analyses d’action, des réflexions sur des interventions de santé, des opinions, relevant des champs de la santé publique et de l’analyse des services de soins, des sciences sociales et de l’action sociale. Santé publique est une revue à comité de lecture, multidisciplinaire et généraliste, qui publie sur l’ensemble des thèmes de la santé publique parmi lesquels : accès et recours aux soins, déterminants et inégalités sociales de santé, prévention, éducation pour la santé, promotion de la santé, organisation des soins, environnement, formation des professionnels de santé, nutrition, politiques de santé, pratiques professionnelles, qualité des soins, gestion des risques sanitaires, représentation et santé perçue, santé scolaire, santé et travail, systèmes de santé, systèmes d’information, veille sanitaire, déterminants de la consommation de soins, organisation et économie des différents secteurs de production de soins (hôpital, médicament, etc.), évaluation médico-économique d’activités de soins ou de prévention et de programmes de santé, planification des ressources, politiques de régulation et de financement, etc