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[无人陪伴未成年难民的健康状况与医疗保健需求——基于德国比勒费尔德的定性和定量研究的评估]

[The health situation and health care needs of unaccompanied minor refugees - an approximation based on qualitative and quantitative studies from Bielefeld, Germany].

作者信息

Spallek Jacob, Tempes Jana, Ricksgers Hannah, Marquardt Louisa, Prüfer-Krämer Luise, Krämer Alexander

机构信息

Fakultät für Gesundheitswissenschaften, AG 3 Epidemiologie & International Public Health, Universität Bielefeld, 100131, Bielefeld, 33501, Deutschland.

Institut für Gesundheit, Brandenburgische TU Cottbus-Senftenberg, Großenhainer Straße 57, 01968, Senftenberg, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2016 May;59(5):636-41. doi: 10.1007/s00103-016-2339-2.

Abstract

Unaccompanied minor refugees are children or adolescents below the age of 18 years who are not accompanied by their parents. International studies show that unaccompanied minor refugees represent a special risk group. Currently, empirical study results about the health status of unaccompanied minor refugees barely exist for Germany. Therefore, the goal of this article is an assessment of the health status and health care of unaccompanied minor refugees in Bielefeld, Germany. For this purpose, two qualitative studies and one quantitative study from Bielefeld are used.Results demonstrate that the health care of unaccompanied minor refugees underlies certain peculiarities that indicate major medical needs: Firstly, the need for psychological/psychiatric care and secondly the need for health care regarding infectious diseases. Further challenges in the health care needs of this population group result from its specific situation, and comprise legal conditions, as well as language and cultural competencies on behalf of the health care providers and the unaccompanied minor refugees themselves.

摘要

无人陪伴的未成年难民是指未满18岁且未由父母陪伴的儿童或青少年。国际研究表明,无人陪伴的未成年难民是一个特殊的风险群体。目前,德国几乎没有关于无人陪伴的未成年难民健康状况的实证研究结果。因此,本文的目标是评估德国比勒费尔德市无人陪伴的未成年难民的健康状况和医疗保健情况。为此,使用了来自比勒费尔德的两项定性研究和一项定量研究。结果表明,无人陪伴的未成年难民的医疗保健存在某些特殊情况,表明存在重大医疗需求:首先,需要心理/精神科护理,其次,需要针对传染病的医疗保健。这一人群医疗保健需求的进一步挑战源于其特殊情况,包括法律条件以及医疗保健提供者和无人陪伴的未成年难民自身的语言和文化能力。

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