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丹麦新定居难民的健康状况。

Health status of refugees newly resettled in Denmark.

出版信息

Dan Med J. 2020 Nov 20;67(12):A08200567.

Abstract

INTRODUCTION

The municipality of Copenhagen offers general health assessment (GHA) to all newly resettled refugees, conducted at the Section of Immigrant Medicine, Hvidovre Hospital. This study described their disease burden and sociodemographic characteristics.

METHODS

In this cross-sectional study, all adult individuals assessed from 1 January 2017 to 30 January 2019 were included. Doctors performed the GHA, including a structured questionnaire, clinical examination and blood testing.

RESULTS

In total, 160 refugees were included. Few suffered from communicable diseases (e.g., 1% hepatitis B virus) or other somatic diseases (4% diabetes Type 2). However, deficiencies such as vitamin D deficiency (76%), vitamin B12 deficiency (31%) and anaemia (12%) were frequent. The majority reported headache (54%) or other pain (53%). Furthermore, signs of post-traumatic stress disorder were frequent (33%) and significantly associated with experience of torture, prison and persecution.

CONCLUSIONS

The population presented with pertinent health issues such as vitamin deficiencies, mental health issues and symptoms of pain. Few suffered from non-communicable or communicable diseases. Our results suggest that an offer of specialised services at municipality level for all newly resettled refugees may be beneficial. Furthermore, the study underlines the need for more research within the field of refugee health.

FUNDING

None.

TRIAL REGISTRATION

Ethical approval was obtained from the Capital Region of Denmark and the Danish Patient Safety Authority.

摘要

简介

哥本哈根市向所有新定居的难民提供一般健康评估(GHA),由 Hvidovre 医院移民医学科进行。本研究描述了他们的疾病负担和社会人口学特征。

方法

在这项横断面研究中,纳入了 2017 年 1 月 1 日至 2019 年 1 月 30 日期间接受评估的所有成年个体。医生进行 GHA,包括结构化问卷、临床检查和血液检测。

结果

共纳入 160 名难民。少数人患有传染病(例如,1%的乙型肝炎病毒)或其他躯体疾病(2 型糖尿病 4%)。然而,维生素 D 缺乏症(76%)、维生素 B12 缺乏症(31%)和贫血症(12%)等缺乏症较为常见。大多数人报告头痛(54%)或其他疼痛(53%)。此外,创伤后应激障碍的迹象较为常见(33%),且与酷刑、监禁和迫害的经历显著相关。

结论

该人群存在相关健康问题,如维生素缺乏症、心理健康问题和疼痛症状。少数人患有非传染性或传染性疾病。我们的研究结果表明,为所有新定居的难民提供市级专门服务可能是有益的。此外,该研究强调了在难民健康领域开展更多研究的必要性。

资助

无。

试验注册

丹麦首都大区和丹麦患者安全局获得了伦理批准。

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