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丹麦新抵达的寻求庇护未成年的健康状况:一项全国范围内基于登记的研究。

The health status of newly arrived asylum-seeking minors in Denmark: a nationwide register-based study.

机构信息

Centre for Global Health (GloHAU), Department of Public Health, Aarhus University, Aarhus, Denmark.

Section of Immigrant Medicine, Department of Infectious Diseases, Copenhagen University Hospital, Hvidovre, Denmark.

出版信息

Int J Public Health. 2020 Dec;65(9):1763-1772. doi: 10.1007/s00038-020-01501-4. Epub 2020 Oct 21.

Abstract

OBJECTIVES

Asylum-seeking minors are known to be at increased risk of physical and mental diseases compared to both native children and adult asylum seekers. We present a nationwide register-based study based on the health assessment of 7210 newly arrived minors in Danish asylum centres from 1 January 2011 to 31 December 2015.

METHODS

We describe socio-demographic characteristics, trauma history and symptoms of physical and mental health. To associate the reporting of traumatic events and signs of anxiety or depression, we performed logistic regression analysis.

RESULTS

We found a high, albeit varying, prevalence of traumatic experiences, sleeping and eating problems, and head- and toothache. In the subgroup that was assessed for need of urgent support, more than two of every five minor scored above the threshold. In the subgroup examined by a doctor, one of every four had at least one abnormal finding.

CONCLUSIONS

The prevalence of trauma and mental health symptoms and the association of the two were striking. Our findings underline that timely recognition and appropriate treatment of childhood traumas should be given high priority in the receiving communities.

摘要

目的

与本地儿童和成年寻求庇护者相比,寻求庇护的未成年人已知存在更高的身心疾病风险。我们根据 2011 年 1 月 1 日至 2015 年 12 月 31 日期间在丹麦庇护中心抵达的 7210 名新未成年人的健康评估,进行了一项全国范围内的基于登记的研究。

方法

我们描述了社会人口统计学特征、创伤史以及身心健康症状。为了关联创伤事件的报告和焦虑或抑郁的迹象,我们进行了逻辑回归分析。

结果

我们发现,尽管存在差异,但存在高度的创伤经历、睡眠和饮食问题以及头痛和牙痛。在接受紧急支持评估的亚组中,超过五分之二的未成年人得分高于阈值。在接受医生检查的亚组中,每四个未成年人中就有一个至少有一个异常发现。

结论

创伤和心理健康症状的流行率以及两者之间的关联引人注目。我们的研究结果强调,在收容社区中,应高度重视及时识别和适当治疗儿童创伤。

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