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丹麦新获得庇护儿童的健康筛查。

Health screening among children newly granted asylum in Denmark.

作者信息

Frederiksen Nicoline Willum, Christoffersen Nanna Marie, Haugaard Anna Karen, Ahmadi Afsaneh, Poulsen Anja, Norredam Marie, Kruse Alexandra

机构信息

Department of Infectious Diseases, Immigrant Health Clinic, Copenhagen University Hospital, Hvidovre, Denmark.

Department of Paediatrics and Adolescence, Copenhagen University Hospital, Hvidovre, Denmark.

出版信息

Acta Paediatr. 2021 Aug;110(8):2389-2395. doi: 10.1111/apa.15879. Epub 2021 Jul 8.

Abstract

AIM

To describe the findings and recommendations of the general health assessment (GHA) of newly resettled refugee children in Denmark.

METHODS

This cross-sectional study included children (aged <18 years) undergoing GHA from 2017 to 2019 at a university hospital Section of Immigrant Medicine. GHA was offered to all refugees newly resettled in the Municipality of Copenhagen. It comprised of a structured questionnaire, clinical examination, blood test and recommendations.

RESULTS

In the study period, 107 children were eligible, 100 children had a GHA performed and of whom all were included in the study. Trauma was reported in 61% (n = 61/100) of children. The median duration of the asylum-seeking process was 18 months (IQR: 8-24), and the highest number of relocations was nine. Latent tuberculosis (n = 2/100 [2%]) was the only infectious disease diagnosed. Specific recommendations for follow-up were frequent and included referral to specialist departments (n = 26/100 [26%]), suggestions for family doctor (n = 96/100 [96%]) and for municipality (n = 62/100 [62%]).

CONCLUSION

Self-reported trauma was frequent among 100 newly resettled refugee children. For most children, the asylum process was protracted and included several relocations. Specific follow-up recommendations were given to the vast majority. GHA may contribute to improving health, which could possibly support integration for the child and family.

摘要

目的

描述丹麦新安置难民儿童的一般健康评估(GHA)结果及建议。

方法

这项横断面研究纳入了2017年至2019年在一家大学医院移民医学科接受GHA的18岁以下儿童。哥本哈根市所有新安置的难民均接受了GHA。它包括一份结构化问卷、临床检查、血液检测及建议。

结果

在研究期间,107名儿童符合条件,100名儿童接受了GHA,所有这些儿童均纳入研究。61%(n = 61/100)的儿童报告有创伤经历。寻求庇护过程的中位时长为18个月(四分位间距:8 - 24),最高搬迁次数为9次。仅诊断出2例(n = 2/100 [2%])潜伏性结核病。后续的具体建议很常见,包括转诊至专科部门(n = 26/100 [26%])、给家庭医生的建议(n = 96/100 [96%])以及给市政当局的建议(n = 62/100 [62%])。

结论

在100名新安置的难民儿童中,自我报告的创伤经历很常见。对大多数儿童而言,庇护过程漫长且涉及多次搬迁。绝大多数儿童都得到了具体的后续建议。GHA可能有助于改善健康,这可能支持儿童及其家庭融入社会。

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