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巨大股部脂肪瘤:从病例报告到手术入路指南

Giant thigh lipomas: from a case report to a guide for the surgical approach.

作者信息

De Maria Federico, Marra Caterina, Blessent Claudio Gio Francesco, Starnoni Marta, Pappalardo Marco, De Santis Giorgio

机构信息

Unit of Plastic Surgery, Policlinico di Modena, Modena.

Unit of Plastic Surgery, Ospedale Alessandro Manzoni, Lecco.

出版信息

Case Reports Plast Surg Hand Surg. 2024 Apr 25;11(1):2335275. doi: 10.1080/23320885.2024.2335275. eCollection 2024.

Abstract

The issue of international migration and health has received increased attention since its rise due to empirical studies on the immigrant paradox. Less examined has been research focused on countries in the Global South with growing immigrant population share and contentious debates on implications. Using data from the longitudinal National Income Dynamics Study (NIDS) (2008-2017) and panel logistic regression this study focused on evaluating whether reported physical health, mental health, and life satisfaction are all associated with immigrant status in South Africa. Accounting for several sociodemographic factors, results emanating from analysis showed no significant evidence of association between overall immigration status and self-reported health or life satisfaction. This however did not apply to depression as immigrants were found to be significantly less likely to report depressive level scores. Interestingly, preference to migrate was also found to be significantly associated with depression, and life satisfaction. Further evaluation amongst racial groups showed that African immigrants are also significantly more likely to report better health than non-immigrant counterparts. This study argues for the need of contextualisation of the immigrant paradox as evidence thereof varies dependent on specific outcomes and communities. The importance of other associated social determinants of wellbeing is also highlighted since gender, race, age, class, education, relationship status, location, and behavioural factors were found to be significantly associated with wellbeing. Policies should thus be aimed at reducing structural inequalities in broad whilst also introducing social programmes that reduce behavioural or lifestyle activities that have negative implications on wellbeing.

摘要

自因移民悖论的实证研究兴起以来,国际移民与健康问题受到了更多关注。对于全球南方国家的研究较少,这些国家的移民人口比例不断增加,且关于其影响存在争议性辩论。本研究利用纵向国民收入动态研究(NIDS)(2008 - 2017年)的数据和面板逻辑回归,重点评估在南非,报告的身体健康、心理健康和生活满意度是否都与移民身份相关。在考虑了几个社会人口因素后,分析结果显示,总体移民身份与自我报告的健康状况或生活满意度之间没有显著的关联证据。然而,这不适用于抑郁症,因为发现移民报告抑郁水平得分的可能性显著更低。有趣的是,移民偏好也被发现与抑郁症和生活满意度显著相关。在不同种族群体中的进一步评估表明,非洲移民报告的健康状况也显著优于非移民同龄人。本研究认为,需要根据具体情况对移民悖论进行情境化分析,因为其证据会因具体结果和社区的不同而有所差异。还强调了其他相关的幸福社会决定因素的重要性,因为发现性别、种族、年龄、阶级、教育、关系状况、地点和行为因素与幸福显著相关。因此,政策应旨在广泛减少结构性不平等,同时引入社会项目,减少对幸福有负面影响的行为或生活方式活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3fb/11047211/1db772ef7430/ICRP_A_2335275_F0001_B.jpg

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