移民人口的健康状况:意大利北部帕尔马一个特别接待中心的调查。

IF 3.7 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Riccardo Mazzoli, Anna Laura Santunione, Francesca Marezza, Alessandra Sannella, Francesca Berghenti, Tommaso Filippini, Marco Vinceti, Rossana Cecchi
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引用次数: 0

摘要

移民的稳定流动是一项持续的挑战,要求卫生系统适应独特的卫生需求并解决不平等问题。因此,全面筛查、早期干预和对文化敏感的护理对于改善移徙者的健康状况至关重要。我们评估了2015年至2018年在意大利北部帕尔马的一个特别接待中心“svolare ONLUS”安置的536名移民的移民史和健康状况。重点是移徙旅程的特点和动机,以及对乙型肝炎(HBV)和丙型肝炎(HCV)、艾滋病毒、结核病(TB)、梅毒和寄生虫病等传染病进行检测。移民绝大多数是男性(95.9%),平均(范围)年龄为26岁(18-50岁)。大多数来自撒哈拉以南非洲(83.2%),以尼日利亚为主要国家。大多数移民通过利比亚进入(87.1%),主要在意大利南部登陆,特别是西西里岛(75.4%)。HBV(48.8%)、TB(27.8%)和寄生虫病(23.1%)的流行率很高,特别是在西非。HCV(2.61%)、慢性肝炎(5.41%)、梅毒(2.99%)和HIV(1.31%)较少见。这些趋势与移徙者原籍国以及移徙途中所访问国家的疾病流行病学相一致。鉴于意大利移徙者中传染病的流行率高于一般人口,必须加强公共卫生措施。这包括实施及时的筛查服务、有针对性的监测和抵达接待中心后的迅速治疗,以保护移民和社区健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health status of a migrant population: a survey within an Extraordinary Reception Centre in Parma, Northern Italy.

The steady flow of migrants is an ongoing challenge that requires health systems to adapt to unique health needs and to address inequalities. For this reason, comprehensive screening, early intervention, and culturally sensitive care are vital to improve migrants' health outcomes. We assessed migration history and health status in 536 migrants housed at "Svoltare ONLUS", an Extraordinary Reception Centre in Parma (Northern Italy), from 2015 to 2018. The focus was on migration journey characteristics and motivations, and testing for infectious diseases such as hepatitis B (HBV) and C (HCV), HIV, tuberculosis (TB), syphilis, and parasitosis. Migrants were overwhelmingly male (95.9%), with a mean (range) age of 26 (18-50) years. The majority originated from Sub-Saharan Africa (83.2%), with Nigeria as the predominant country. Most migrants entered via Libya (87.1%), disembarking primarily in Southern Italy, particularly Sicily (75.4%). High prevalence rates were found for HBV (48.8%), TB (27.8%), and parasitosis (23.1%), particularly among those from Western Africa. In contrast, HCV (2.61%), chronic hepatitis (5.41%), syphilis (2.99%), and HIV (1.31%) were less common. These trends are consistent with disease epidemiology in migrants' countries of origin as well those visited during the journey. Given the higher prevalence of infectious diseases among migrants compared to the general population in Italy, it is essential to enhance public health measures. This includes implementing timely screening services, targeted surveillance, and prompt treatment upon arrival at reception centers to protect both migrant and community health.

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来源期刊
European Journal of Public Health
European Journal of Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
2.30%
发文量
2039
审稿时长
3-8 weeks
期刊介绍: The European Journal of Public Health (EJPH) is a multidisciplinary journal aimed at attracting contributions from epidemiology, health services research, health economics, social sciences, management sciences, ethics and law, environmental health sciences, and other disciplines of relevance to public health. The journal provides a forum for discussion and debate of current international public health issues, with a focus on the European Region. Bi-monthly issues contain peer-reviewed original articles, editorials, commentaries, book reviews, news, letters to the editor, announcements of events, and various other features.
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