Health status of Afro-Asian refugees in an Italian urban area: a cross-sectional monocentric study
Health status of Afro-Asian refugees in an Italian urban area: a cross-sectional monocentric study
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DOI：
10.1016/j.puhe.2018.03.011
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发表时间：
2018-05-01
期刊：
影响因子：
5.2
通讯作者：
Ferri, C.
中科院分区：
文献类型：
--
作者：
Del Pinto, R.;Pietropaoli, D.;Ferri, C.
目标：地中海和中东地区最近发生的社会政治事件对国际移民流动产生了重大影响。由于西方国家和亚非国家的疾病流行率和类型不同，治疗难民的医生应了解他们的具体健康需求。我们的目的是评估难民抵达拉奎拉（意大利）市区时的健康状况和疾病史。研究设计：这是一项单中心横断面研究。方法：对 2014 年 7 月至 2014 年 12 月期间在拉奎拉（意大利）当地接待中心收容的难民进行横断面评估，了解其记忆、临床和实验室特征。随机选择的一部分参与者接受了进一步评估（结核病、乙型肝炎/丙型肝炎、人类免疫缺陷病毒、梅毒筛查；动态血压测量 [ABPM]），以更好地确定他们的健康状况。 结果：来自非洲 (76%) 和亚洲 (24%) 的 93 名成年男性难民（27.34 +/- 7.41 岁）被纳入。总体而言，根据《国际疾病和相关健康问题统计分类》第 10 次修订版，最流行的疾病影响消化道 (15.6%) 和肌肉骨骼器官 (14.4%)。按原产地进行的分析并未显示疾病分布存在显着差异，但观察到存在一些差异的趋势。与亚洲人相比，非洲难民的病毒性肝炎（乙型肝炎病毒，P = 0.004；丙型肝炎病毒，P = 0.007）患病率明显更高。通过动态血压监测 (ABPM) 检测到的高血压并不常见。没有书面的疫苗接种史。结论：我们的亚非难民样本的健康问题涵盖非传染性疾病和传染性疾病，需要关注个人和社区的安全。国家卫生系统应为卫生专业人员提供关于确定和管理难民健康需求的充分信息和共享指南。 (c) 2018 英国皇家公共卫生学会。由爱思唯尔有限公司出版。保留所有权利。
Objectives: The recent sociopolitical events in the Mediterranean and Middle Eastern areas have significantly impacted international migration flows. As disease prevalence and type are different among western and Afro-Asian countries, physicians dealing with refugees should be aware of their specific health needs. We aimed at evaluating the health status and disease history of refugees at their arrival in the urban area of L'Aquila (Italy). Study design: This is a monocentric cross-sectional study.Methods: Refugees hosted at the local reception center in L'Aquila (Italy) between July 2014 and December 2014 were cross-sectionally evaluated for anamnestic, clinical, and laboratory features. A subset of randomly selected participants underwent further assessments (screening for tuberculosis, hepatitis B/C, human immunodeficiency virus, syphilis; ambulatory blood pressure measurement [ABPM]) to better define their health status.Results: Ninety-three adult male refugees (27.34 +/- 7.41 years) from Africa (76%) and Asia (24%) were enrolled. Overall, the most prevalent diseases according to the International Statistical Classification of Diseases and Related Health Problems 10th revision affected the digestive tract (15.6%) and musculoskeletal apparatus (14.4%). The analysis by continent of origin did not show significant differences in the distribution of diseases, although a trend toward some differences was observed. African refugees had a significantly greater prevalence of viral hepatitis (hepatitis B virus, P = 0.004; hepatitis C virus, P = 0.007) compared with Asians. Hypertension, as detected by ABPM, was uncommon. No written vaccination history was available.Conclusions: Health issues of our sample of Afro-Asian refugees span both non-communicable and communicable diseases, requiring attention for the safety of the individual and the community. National health systems should provide adequate information and shared guidelines for health professionals regarding identification and management of refugees' health needs. (c) 2018 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.