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一项定性研究表明,在日内瓦的高危拉丁美洲移民中,恰加斯病并非健康方面的首要关注问题。

Chagas disease is a low health priority among high-risk Latin American migrants in Geneva, a qualitative study.

作者信息

Gold Marina, Jackson Yves, Parrat David

机构信息

Fundación Mundo Sano and Zurich University, Switzerland.

University of Geneva, Switzerland.

出版信息

J Migr Health. 2024 Jun 24;10:100239. doi: 10.1016/j.jmh.2024.100239. eCollection 2024.

DOI:10.1016/j.jmh.2024.100239
PMID:39036036
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11260342/
Abstract

This qualitative study of the situation of Latin American migrants with Chagas Disease in Geneva analyses how precarious migration-related socioeconomic conditions determine health priorities and disease perception. The study was conducted between 2016 and 2019 and is based on survey data collected in three Chagas-related community events, as well as on open-ended interviews with Bolivian migrants. This research contributes to more appropriate development of public health policies for migrants, as well as to a more nuanced and culturally sensitive understanding of how precarity affects the delivery of, and access to, healthcare in Western Europe. The significance of this research is to highlight how perceptions of Chagas Disease provide a lens to better understand the links between precarity and health among Bolivian migrants.

摘要

这项关于日内瓦地区患有恰加斯病的拉丁美洲移民状况的定性研究,分析了与移民相关的不稳定社会经济状况如何决定健康优先事项和疾病认知。该研究于2016年至2019年期间进行,基于在三次与恰加斯病相关的社区活动中收集的调查数据,以及对玻利维亚移民的开放式访谈。这项研究有助于更恰当地制定针对移民的公共卫生政策,也有助于更细致入微且具有文化敏感性地理解不稳定状况如何影响西欧医疗保健的提供与获取。这项研究的意义在于凸显对恰加斯病的认知如何为更好地理解玻利维亚移民中不稳定状况与健康之间的联系提供一个视角。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3e4/11260342/8e8befdb98a0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3e4/11260342/329b7bfc05a8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3e4/11260342/42a10b024a14/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3e4/11260342/8e8befdb98a0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3e4/11260342/329b7bfc05a8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3e4/11260342/42a10b024a14/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3e4/11260342/8e8befdb98a0/gr3.jpg

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本文引用的文献

1
Association Between Residence Status Regularization and Access to Healthcare for Undocumented Migrants in Switzerland: A Panel Study.瑞士居住身份合法化与无证移民获得医疗保健之间的关联:一项面板研究。
Front Public Health. 2022 May 19;10:832090. doi: 10.3389/fpubh.2022.832090. eCollection 2022.
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Leveraging the Domain of Work to Improve Migrant Health.利用工作领域改善移民健康。
Int J Environ Res Public Health. 2017 Oct 19;14(10):1248. doi: 10.3390/ijerph14101248.
3
[On site-screening for Chagas disease supported by a community intervention: can it improve accessibility for diagnosis and treatment?].
[社区干预支持下的恰加斯病现场筛查:能否提高诊断和治疗的可及性?]
Gac Sanit. 2017 Sep-Oct;31(5):439-440. doi: 10.1016/j.gaceta.2017.04.007. Epub 2017 Jun 20.
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Cross-sectional, descriptive study of Chagas disease among citizens of Bolivian origin living in Munich, Germany.对居住在德国慕尼黑的玻利维亚裔公民中恰加斯病的横断面描述性研究。
BMJ Open. 2017 Jan 16;7(1):e013960. doi: 10.1136/bmjopen-2016-013960.
5
Knowledge and experiences of Chagas disease in Bolivian women living in Spain: a qualitative study.居住在西班牙的玻利维亚女性对恰加斯病的认知与经历:一项定性研究。
Glob Health Action. 2016 Mar 11;9:30201. doi: 10.3402/gha.v9.30201. eCollection 2016.
6
Blaming Machismo: How the Social Imaginary is Failing Men with HIV in Santa Cruz, Bolivia.指责大男子主义:玻利维亚圣克鲁斯地区社会想象如何辜负感染艾滋病毒的男性
Med Anthropol. 2017 Feb-Mar;36(2):157-169. doi: 10.1080/01459740.2016.1142989. Epub 2016 Jan 26.
7
A global systematic review of Chagas disease prevalence among migrants.一项关于移民中恰加斯病患病率的全球系统性综述。
Acta Trop. 2016 Apr;156:68-78. doi: 10.1016/j.actatropica.2016.01.002. Epub 2016 Jan 8.
8
Controlled but not cured: Structural processes and explanatory models of Chagas disease in tropical Bolivia.可控但未治愈:玻利维亚热带地区恰加斯病的结构过程与解释模型
Soc Sci Med. 2015 Nov;145:7-16. doi: 10.1016/j.socscimed.2015.09.022. Epub 2015 Sep 15.
9
Chagas Disease in a Non-endemic Country: A Multidisciplinary Research, Bologna, Italy.非流行国家的恰加斯病:一项多学科研究,意大利博洛尼亚
J Immigr Minor Health. 2016 Jun;18(3):616-623. doi: 10.1007/s10903-015-0214-0.
10
Economic crisis and increased immigrant mobility: new challenges in managing Chagas disease in Europe.经济危机与移民流动性增加:欧洲恰加斯病管理面临的新挑战。
Bull World Health Organ. 2014 Oct 1;92(10):771-2. doi: 10.2471/BLT.13.134072. Epub 2014 Sep 9.