University of L'Aquila, Department of Life, Health and Environmental Sciences, San Salvatore Hospital, 67100, L'Aquila, Italy.
Public Health. 2018 May;158:176-182. doi: 10.1016/j.puhe.2018.03.011. Epub 2018 Apr 5.
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).
This is a monocentric cross-sectional study.
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.
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.
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.
地中海和中东地区近期的社会政治事件对国际移民流动产生了重大影响。由于西方和亚非国家的疾病流行情况和类型不同，处理难民问题的医生应该了解他们的具体健康需求。我们旨在评估抵达意大利拉奎拉市（意大利）的难民的健康状况和疾病史。
这是一项单中心横断面研究。
2014 年 7 月至 2014 年 12 月期间，在意大利拉奎拉（意大利）的当地接待中心收容的难民进行了横断面评估，评估内容包括病史、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。
93 名成年男性难民（27.34±7.41 岁）来自非洲（76%）和亚洲（24%）。总体而言，根据国际疾病分类和相关健康问题第 10 次修订版，最常见的疾病影响消化道（15.6%）和肌肉骨骼系统（14.4%）。按原籍大陆进行分析，疾病分布无显著差异，但观察到一些差异的趋势。与亚洲人相比，非洲难民乙型肝炎病毒（乙肝病毒，P=0.004；丙型肝炎病毒，P=0.007）和丙型肝炎病毒的流行率显著更高。ABPM 检测到的高血压并不常见。没有书面的疫苗接种史。
我们的亚非难民样本的健康问题涉及非传染性和传染性疾病，需要关注个人和社区的安全。国家卫生系统应向卫生专业人员提供有关难民健康需求的识别和管理的充分信息和共享指南。
