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在澳大利亚西部重新安置的青少年难民的医疗需求。

Medical needs of adolescent refugees resettling in Western Australia.

机构信息

Department of Adolescent Medicine and Eating Disorders, Princess Margaret Hospital for Children, Perth, Western Australia, Australia.

Division of Paediatrics, School of Medicine, University of Western Australia, Perth, Western Australia, Australia.

出版信息

Arch Dis Child. 2019 Sep;104(9):880-883. doi: 10.1136/archdischild-2018-315105. Epub 2018 Jul 3.

Abstract

OBJECTIVE

To investigate the medical needs and socioeconomic determinants of health among adolescent refugees resettling in Western Australia.

DESIGN

Comprehensive medical and socioeconomic health data of resettling adolescent refugees aged 12 years and above attending a Refugee Health Service over a 1-year period were analysed.

RESULTS

Medical records of 122 adolescents, median (range) age of 14 (12-17) years, were reviewed. Socioeconomic vulnerabilities included dependence on government financial support (50%), housing issues (27%) and child protection service involvement (11%). Medical concerns included non-communicable disorders (85%), infectious diseases (81%), nutrition/growth (71%) and physical symptoms of non-organic origin (43%). One quarter (27%) of female adolescents had sexual/reproductive health issues. A median (range) of 5 (2-12) health concerns were identified for each adolescent with 49% requiring referral to subspecialty services.

CONCLUSION

Resettling adolescent refugees are socioeconomically vulnerable with a range of medical issues that frequently require additional subspecialty health referrals.

摘要

目的

调查在澳大利亚西部重新安置的青少年难民的医疗需求和社会经济健康决定因素。

设计

对在难民健康服务中心接受服务的 1 年内年龄在 12 岁及以上的重新安置青少年难民的综合医疗和社会经济健康数据进行了分析。

结果

共审查了 122 名青少年的医疗记录,中位数(范围)年龄为 14 岁(12-17 岁)。社会经济脆弱性包括依赖政府财政支持(50%)、住房问题(27%)和儿童保护服务介入(11%)。医疗问题包括非传染性疾病(85%)、传染病(81%)、营养/生长(71%)和非器质性躯体症状(43%)。四分之一(27%)的少女有性/生殖健康问题。每名青少年确定了中位数(范围)为 5(2-12)个健康问题,其中 49%需要转介到专科服务。

结论

重新安置的青少年难民在社会经济上处于弱势地位,存在一系列医疗问题,这些问题经常需要额外的专科健康转介。

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