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
中科院分区:
文献类型:
--
作者:
Jackson, Yves;Paignon, Adeline;Delicado, Noelia
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