Health of undocumented migrants in primary care in Switzerland

Health of undocumented migrants in primary care in Switzerland
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DOI:
10.1371/journal.pone.0201313
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发表时间:
2018-07-27
期刊:
影响因子:
3.7
通讯作者:
Delicado, Noelia
Delicado, Noelia
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Jackson, Yves;Paignon, Adeline;Delicado, Noelia

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背景无证移民忍受不利的生活条件,同时面临获得医疗保健的障碍。缺乏关于他们的保健需求的证据,特别是关于慢性病的证据。我们的目标是调查无证移民参加在初级保健setting.MethodsThis研究的健康状况进行了初级保健门诊诊所,日内瓦大学医院,瑞士。我们回顾性地记录了731名无证移民的随机样本的所有医疗条件,并使用国际初级保健分类第二版(ICPC-2)进行编码。我们将慢性或非慢性的条件二分法,并认为在存在三个或更多的慢性conditions.ResultsParticipants起源于72个国家,主要是女性(65.5%),平均年龄为42.4(标准差[SD]:11.4)年的多发病。他们的平均健康状况为2.9(SD:2.1;范围:1-17)。在多变量分析中,疾病的数量与女性(p = 0.011)和老年(p
BackgroundUndocumented migrants endure adverse living conditions while facing barriers to access healthcare. Evidence is lacking regarding their healthcare needs, notably in regards to chronic diseases. Our goal was to investigate health conditions in undocumented migrants attended in primary care setting.MethodsThis study was conducted at the primary care outpatient clinic, Geneva University Hospitals, Switzerland. We retrospectively recorded and coded all medical conditions of a random sample of 731 undocumented migrants using the International Classification of Primary Care, 2nd version (ICPC-2). We dichotomized conditions as chronic or non-chronic and considered multimorbidity in the presence of three or more chronic conditions.ResultsParticipants originated from 72 countries and were mainly female (65.5%) with a mean age of 42.4 (standard deviation [SD]: 11.4) years. They presented a mean of 2.9 (SD: 2.1; range: 1-17) health conditions. In multivariable analysis, the number of conditions was associated with female gender (p = 0.011) and older age (p