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在柬埔寨的一个非政府组织中,短期欧洲志愿者遇到的健康问题。

Health Problems Encountered by Short-Term European Volunteers in a Nongovernmental Organization in Cambodia.

机构信息

Faculty of Health, Camilo José Cela University, Madrid, Spain.

Foundation for Biosanitary Research and Innovation in Primary Care, Madrid, Spain.

出版信息

Am J Trop Med Hyg. 2022 Jan 10;106(3):985-992. doi: 10.4269/ajtmh.21-0372.

Abstract

Short-term volunteers are susceptible to a wide spectrum of morbidities, mostly infectious diseases preventable with general hygiene and preventive measures. This study aimed to identify the health problems encountered by European short-term volunteers collaborating for 1 month with a nongovernmental organization (NGO) in Cambodia and to describe their characteristics. A prospective, descriptive observational study was conducted on short-term volunteers who collaborated with an NGO in Cambodia during August 2018. Informed consent and sociodemographic, clinical, and preventative health-related questionnaire data were provided by 198 volunteers. The health problems encountered were confirmed in a primary care consultation with healthcare professionals. Univariate and bivariate analyses were performed. The median age of the volunteers was 22 years (interquartile range = 21-24), and 64% were women. Some (18.2%) had allergies, 8.6% had preexisting health conditions, and 10.6% were under regular treatment. A total of 77.3% visited a pretravel consultation clinic, 39.9% completed a specific pretravel health course, 21.7% took malaria prophylaxis, 92.4% received hepatitis A vaccination, and 82.3% received typhoid fever vaccination. Medical assistance was sought by 112 (57.3%) of the volunteers. The average number of health problems was 2.5 (standard deviation = 1.5), and the total number of health problems attended by the medical team was 279. The most common health problems were upper respiratory infections (12.2 per 1,000 person/days), wounds (10.8 per 1,000 person/days), and diarrhea (6.3 per 1,000 person/days). Short-term volunteers experienced a high rate of health problems during their stay in Cambodia, but most of the problems were mild and preventable and resolved quickly. Pretravel consultation and specific pretravel health training seemed to increase disease awareness.

摘要

短期志愿者易患多种疾病,其中大多数传染病可通过一般卫生和预防措施来预防。本研究旨在确定在柬埔寨与非政府组织(NGO)合作一个月的欧洲短期志愿者所遇到的健康问题,并描述其特征。本研究为前瞻性、描述性观察研究,招募了 2018 年 8 月在柬埔寨与 NGO 合作的短期志愿者。198 名志愿者提供了知情同意书和社会人口学、临床和预防保健相关的问卷调查数据。志愿者所遇到的健康问题在与医疗保健专业人员进行的初级保健咨询中得到确认。进行了单变量和双变量分析。志愿者的中位年龄为 22 岁(四分位间距=21-24 岁),64%为女性。有 18.2%的志愿者有过敏史,8.6%有既往健康状况,10.6%正在接受常规治疗。共有 77.3%的志愿者进行了出国前咨询诊所就诊,39.9%的志愿者完成了出国前特定健康课程,21.7%的志愿者接受了疟疾预防治疗,92.4%的志愿者接种了甲型肝炎疫苗,82.3%的志愿者接种了伤寒疫苗。有 112 名(57.3%)志愿者寻求了医疗帮助。志愿者平均出现 2.5 种(标准差=1.5)健康问题,医疗队共处理了 279 种健康问题。最常见的健康问题是上呼吸道感染(12.2/1000 人/天)、伤口(10.8/1000 人/天)和腹泻(6.3/1000 人/天)。短期志愿者在柬埔寨逗留期间经历了较高的健康问题发生率,但大多数问题是轻微的,是可预防的,并且迅速得到解决。出国前咨询和特定的出国前健康培训似乎提高了对疾病的认识。

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