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慈善机构的药物发放:无证移民儿童中一个可能的流行病学指标。

Drugs Delivery by Charities: A Possible Epidemiologic Indicator in Children of Undocumented Migrants.

作者信息

Bini S, Clavenna A, Rigamonti A E, Sartorio A, Marazzi N, Fiorini G, Cella S G

机构信息

Department of Clinical Sciences and Community Health, University of Milan, Via Vanvitelli, 32, 20129, Milan, Italy.

IRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.

出版信息

J Immigr Minor Health. 2017 Dec;19(6):1379-1385. doi: 10.1007/s10903-016-0471-6.

Abstract

Describing the health status of a population is difficult, especially in the case of irregular migrants who are now a growing population in western Countries. Data for children of these families are almost inexistent. In the absence of databases on this peculiar pediatric population, we analyzed drugs dispensation by a major Charity to have an insight into their health needs. This observational retrospective study was carried out during the entire 2015 and enrolled 628 undocumented children. A cohort of 8438 adult patients belonging to the same ethnic groups was used for comparison. Respiratory drugs were those most commonly prescribed, followed by those for skin and ocular diseases and by those for gastrointestinal disorders. Also in adults respiratory medications were the most dispensed, but almost in equal measure than cardiovascular drugs.To our knowledge this is the first study on the health needs of undocumented children residing in a western Country. The method we used seems to be a useful method for epidemiological analysis. As could be expected, respiratory and skin diseases ranked first, possibly owing to environmental factors.

摘要

描述人群的健康状况很困难,尤其是对于非正规移民而言,他们在西方国家的数量日益增加。关于这些家庭中儿童的数据几乎不存在。由于缺乏针对这一特殊儿科人群的数据库,我们分析了一家主要慈善机构的药品配发情况,以深入了解他们的健康需求。这项观察性回顾性研究在2015年全年进行,纳入了628名无证儿童。选取了8438名属于相同种族群体的成年患者作为对照队列。呼吸系统药物是最常开具的药物,其次是治疗皮肤和眼部疾病以及胃肠道疾病的药物。在成年人中,呼吸系统药物也是配发最多的,但与心血管药物的配发量几乎相当。据我们所知,这是第一项关于居住在西方国家的无证儿童健康需求的研究。我们使用的方法似乎是一种有用的流行病学分析方法。不出所料,呼吸系统疾病和皮肤疾病位居前列,这可能是环境因素所致。

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