IDENTIFICATION OF UNDERPRIVILEGED AREAS

IDENTIFICATION OF UNDERPRIVILEGED AREAS
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DOI:
10.1136/bmj.286.6379.1705
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发表时间:
1983-01-01
影响因子:
--
通讯作者:
JARMAN, B
JARMAN, B
中科院分区:
医学1区
文献类型:
--
作者:
JARMAN, B

文献摘要

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我认为提请读者注意少数族裔移民妇女在先天性风疹方面面临的明显特殊风险是有用的。该地区最近一例先天性风疹发生在一位不说英语的亚裔母亲所生的婴儿身上。与亚洲口译员的非正式讨论表明,亚洲妇女不仅缺乏对风疹及其可能后果的了解,而且在一些亚洲语言中没有描述这种疾病的词汇。在本港一间实验室进行的一项有关风疹血清学报告的粗略调查显示,约半数对风疹敏感的产前病人来自亚洲或东方,远高于前往产前诊所求诊的比例。他们中的许多人不会接触到我们的女学生免疫接种计划。这些研究结果表明,移民少数民族妇女在怀孕期间感染风疹的风险特别高。因此,我要求医生继续认识到确保所有育龄妇女病人对德国麻疹具有免疫力的重要性,特别是要了解少数民族病人在这方面的特殊需要。
I think that it would be useful to bring to readers' attention the apparent special risk faced by immigrant women of ethnic minorities in relation to congenital rubella. The most recent case of congenital rubella in this district occurred in a baby born to a non-English speaking Asian mother. Informal discussion with Asian interpreters showed that not only is there a lack of knowledge of rubella or of its possible consequences among Asian women but also that in some Asian languages there is no word to describe the disease. A crude survey of rubella serology reports in one of our local laboratories showed that about half the antenatal patients who are susceptible to rubella are of Asian or Oriental origin, a far higher proportion than attend antenatal clinics. Many of them would not have been exposed to our schoolgirl immunisation programme. These findings suggest that immigrant ethnic minority women are at particular risk of contracting rubella during pregnancy. I would therefore ask that doctors continue to recognise the importance of ensuring that all their women patients of childbearing age are immune to rubella and in particular to be aware of the special needs in this respect of their patients from ethnic minorities.