Department of Public Health and Infectious Diseases of Sapienza University of Rome, Rome, Italy.
J Public Health (Oxf). 2017 Sep 1;39(3):440-446. doi: 10.1093/pubmed/fdw056.
The aim of this study is to evaluate the level of Health-Related Quality of Life (HRQoL) and its determinants among migrants in irregular situations in Italy.
This cross-sectional study was held in Rome in 2014. HRQoL was assessed through SF-12 questionnaire and physical (PCS) and mental component scores (MCS) were calculated; socio-demographic information and medical conditions were collected. Bivariate and multivariate analyses were performed to assess the impact of demographic and pathological variables on the HRQoL.
The median PCS among the 200 migrants enrolled was 46.5 and the median MCS was 37.9, some points below the Italian average. The multivariate analysis revealed a negative association between PCS and age (P < 0.01), respiratory (P: 0.03) and Poverty-Related Diseases (PRDs) (P < 0.01). MCS, on the other hand, resulted negatively associated with neuropsychiatric diseases (P: < 0.01) and PRDs (P < 0.01).
Although multivariate analyses revealed that gender acts as an effect modifier the negative association between PRDs and the two dimensions of HRQoL is confirmed in both genders. This suggests a great impact of socio-economic status on the HRQoL. Public health could contribute to improve the HRQoL of migrants only taking into account social aspects of diseases and tailoring intervention on the specific needs of migrants.
本研究旨在评估意大利非正常移民的健康相关生活质量（HRQoL）水平及其决定因素。
本横断面研究于 2014 年在罗马进行。使用 SF-12 问卷评估 HRQoL，并计算生理（PCS）和心理成分评分（MCS）；收集社会人口统计学信息和医疗状况。进行了单变量和多变量分析，以评估人口统计学和病理变量对 HRQoL 的影响。
纳入的 200 名移民的 PCS 中位数为 46.5，MCS 中位数为 37.9，略低于意大利的平均水平。多变量分析显示，PCS 与年龄（P < 0.01）、呼吸系统疾病（P：0.03）和与贫困相关的疾病（PRDs）（P < 0.01）呈负相关。另一方面，MCS 与神经精神疾病（P：< 0.01）和 PRDs（P < 0.01）呈负相关。
尽管多变量分析表明性别是一个效应修饰因素，但 PRDs 与 HRQoL 两个维度之间的负相关在两性中均得到证实。这表明社会经济地位对 HRQoL 有很大影响。公共卫生机构只有考虑到疾病的社会方面，并根据移民的具体需求调整干预措施，才能有助于提高移民的 HRQoL。
