危机中的危机：2019 冠状病毒病（COVID-19）疫情期间世界范围内难民的心理健康状况。
A crisis within the crisis: The mental health situation of refugees in the world during the 2019 coronavirus (2019-nCoV) outbreak.
机构信息
Department of Internal Medicine, Santa casa de Misericórdia de Fortaleza, Fortaleza, Ceará, Brazil.
Department of Production Engineering, Catolic University, Quixadá, CE, Brazil.
出版信息
Psychiatry Res. 2020 Jun;288:113000. doi: 10.1016/j.psychres.2020.113000. Epub 2020 Apr 15.
BACKGROUND
68.5 million people around the world have been forced to leave their houses. Refugees have mainly to face their adaption in a host country, which involves bureaucracy, different culture, poverty, and racism. The already fragile situation of refugees becomes worrying and challenged in the face of the new coronavirus (COVID-19) epidemic. Therefore, we aimed to describe the factors that can worsen the mental health of refugees.
METHOD
The studies were identified in well-known international journals found in three electronic databases: PubMed, Scopus, and Embase. The data were cross-checked with information from the main international newspapers.
RESULTS
According to the literature, the difficulties faced by refugees with the COVID-19 pandemic are potentiated by the pandemic state. There are several risk factors common to coronavirus and psychiatric illnesses as overcrowding, disruption of sewage disposal, poor standards of hygiene, poor nutrition, negligible sanitation, lack of access to shelter, health care, public services, and safety. These associated with fear and uncertainty create a closed ground for psychological sickness and COVID-19 infection.
CONCLUSIONS
There should be not only a social mobilization to contain the virus, but also a collective effort on behalf of the most vulnerable populations.
背景
全球有 6850 万人被迫逃离家园。难民主要面临在收容国的适应问题，其中涉及官僚主义、不同文化、贫困和种族主义。在面对新型冠状病毒（COVID-19）疫情时，难民本已脆弱的处境变得令人担忧和充满挑战。因此，我们旨在描述可能恶化难民心理健康的因素。
方法
研究在三个电子数据库：PubMed、Scopus 和 Embase 中找到的知名国际期刊中确定。数据与主要国际报纸的信息进行了交叉核对。
结果
根据文献，难民在 COVID-19 大流行期间面临的困难因大流行状态而加剧。有几个与冠状病毒和精神疾病共有的风险因素，如过度拥挤、污水排放中断、卫生条件差、营养不良、卫生条件差、缺乏住所、医疗保健、公共服务和安全。这些因素加上恐惧和不确定性，为心理疾病和 COVID-19 感染创造了一个封闭的环境。
结论
不仅应该进行社会动员以遏制病毒，还应该代表最弱势群体进行集体努力。
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