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流离失所人群的皮肤病学研究:重要性、挑战及建议的解决方案

Dermatologic Research in Displaced Populations: Importance, Challenges, and Proposed Solutions.

作者信息

Maas Derek, Marji Jackleen S

机构信息

New York University Grossman School of Medicine, New York, NY, United States.

The Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, 335 West 52nd St, 6th Floor, New York, NY, 10016, United States, 1 646-754-2100.

出版信息

JMIR Dermatol. 2025 May 5;8:e64828. doi: 10.2196/64828.

Abstract

Displaced populations face complex dermatologic challenges. Contributing factors include low immunization rates, poor sanitation, crowded living conditions, and physical abuse. Chronic inflammatory conditions and infectious diseases, including fungal infections and scabies, are prevalent. Research is crucial to reduce the spread of disease, improve care in these populations, and develop sustainable frameworks for long-term dermatologic health care in crisis settings. The paucity of dermatologist support in this field exacerbates the issue. Ethical considerations include nonmaleficence and culturally sensitive practices, and proposed solutions include trauma-informed care training, advocacy for equitable research funding, teledermatology, and the development of shared international screening guidelines. Further research is essential to enhance dermatologic care for displaced populations.

摘要

流离失所人群面临着复杂的皮肤病学挑战。促成因素包括免疫接种率低、卫生条件差、居住环境拥挤以及身体虐待。慢性炎症性疾病和传染病,包括真菌感染和疥疮,很普遍。开展研究对于减少疾病传播、改善这些人群的医疗护理以及制定危机环境下长期皮肤病医疗保健的可持续框架至关重要。该领域皮肤科医生支持的匮乏加剧了这一问题。伦理考量包括不伤害原则和具有文化敏感性的做法,而提议的解决方案包括创伤知情护理培训、倡导公平的研究资金、远程皮肤病学以及制定共享的国际筛查指南。进一步的研究对于加强对流离失所人群的皮肤病护理至关重要。

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