Di Napoli Anteo, Ventura Martina, Petrelli Alessio
Istituto Nazionale per la promozione della salute delle popolazioni Migranti e per il contrasto delle malattie della Povertà (INMP), Roma;
Istituto Nazionale per la promozione della salute delle popolazioni Migranti e per il contrasto delle malattie della Povertà (INMP), Roma.
Epidemiol Prev. 2024 Jul-Oct;48(4-5):25-28. doi: 10.19191/EP24.4-5.S1.109.
The foreign population accounts for 8.6 percent (about 5 million) of the total number of residents, so it is necessary to monitor their health status. Foreigners have standardized mortality rates of about half that of Italians. In terms of hospitalization, rates and causes of hospitalization differ substantially due to the younger average age of foreigners. In particular, a much higher burden of hospitalizations in obstetrical care is observed among foreign women. Maternal and child health is a major concern for foreigners, especially for pregnancy care, which is also reflected in worse health outcomes for newborns.Difficulties in accessing and using basic and specialized territorial services are confirmed by the higher proportion of ordinary emergency hospitalizations among foreigners, the higher risk of being hospitalized for causes that could be treated in an outpatient setting, and the higher frequency of access to emergency rooms with a white/green triage code.The pandemic exacerbated health inequalities because it affected the most disadvantaged social strata of the population, including immigrants, more severely in terms of infection and outcomes.Immigrants could become the least healthy part of the population, similar to what is observed in countries with a longer tradition of migration, even in a country like Italy, where access to care is universally guaranteed.
外国人口占居民总数的8.6%(约500万),因此有必要监测他们的健康状况。外国人的标准化死亡率约为意大利人的一半。在住院方面,由于外国人的平均年龄较小,住院率和住院原因存在很大差异。特别是,外国女性在产科护理方面的住院负担要高得多。妇幼健康是外国人的主要关切,尤其是孕期护理,这也反映在新生儿较差的健康结果上。外国人普通急诊住院比例较高、因可在门诊治疗的原因住院的风险较高以及使用白色/绿色分诊代码进入急诊室的频率较高,证实了他们在获得和使用基本及专门的地区服务方面存在困难。疫情加剧了健康不平等,因为它在感染和后果方面对包括移民在内的最弱势社会阶层造成了更严重的影响。即使在像意大利这样普遍保障医疗服务可及性的国家,移民也可能成为人口中健康状况最差的群体,这与在移民传统较长的国家所观察到的情况类似。