Mapping the Gypsy Traveller community in England: what we know about their health service provision and childhood immunization uptake
Mapping the Gypsy Traveller community in England: what we know about their health service provision and childhood immunization uptake
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DOI：
10.1093/pubmed/fdt052
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发表时间：
2013-09-01
影响因子：
4.4
通讯作者：
Ramsay, Mary
中科院分区：
文献类型：
--
作者：
Dar, Osman;Gobin, Maya;Ramsay, Mary
过去二十年来的一系列报告得出的结论是，与一般人口相比，联合王国吉普赛游民社区的总体健康状况非常差，与其他弱势群体相比也相对较差。尽管政府承诺减少保健不平等现象，但保健结果以及获得保健和提供服务方面的差异仍然存在。为了了解吉普赛游民的免疫服务情况，健康保护局对英格兰初级保健信托基金进行了一次调查和绘图工作，以确定对当地吉普赛游民的了解情况，估计免疫接种率，并描述目前为增加免疫以及解决更广泛的健康问题所提供的服务。尽管为英格兰吉普赛游民社区提供的专业服务有所改善，但仍有相当多的地区对人口数量知之甚少，提供的服务不是根据需要提供的，免疫接种率很低或不知道。目前需要改进对人口数目的了解，并提供和获得对文化敏感的服务，满足吉卜赛游民社区的需要。虽然我们的重点是描述免疫接种情况，但免疫服务只是通过有效的卫生和社会保健干预措施改善吉卜赛游民健康的更广泛战略的一个组成部分。
A series of reports over the last two decades have concluded that the overall health status of UK Gypsy Traveller Community is very poor when compared with the general population and relatively poor in comparison with other disadvantaged groups. Despite a government commitment to reducing health inequalities, differences in health outcomes and in healthcare access and service provision have persisted.In order to understand immunization services for Gypsy Travellers, the Health Protection Agency conducted a survey and mapping exercise of Primary Care Trusts in England to ascertain what is known about local Gypsy Traveller populations, estimate immunizations rates and describe current services to increase immunization as well as to address wider health issues.Despite improvements in the provision of specialist services for the Gypsy Traveller communities in England, there still remains a considerable number of areas where knowledge of population numbers is poor, service provision is not based on need and the uptake of immunization is low or not known.There is an ongoing need to improve knowledge of population numbers and the provision of and access to services that are culturally sensitive and responsive to the needs of Gypsy Traveller communities. Whilst we have focused on describing immunization uptake, immunization services are only one component of a wider strategy for improving the health of Gypsy Travellers through effective health and social care interventions.