Health Profile of Precarious Migrants Attending the Médecins Du Monde’s Health and Social Care Centres in France: a Cross-Sectional Study
Objective: The present study aimed to compare the precarious migrants’ health problems managed in Médecins du Monde’s health and social care centres (CASO) with those of patients attending general practice in France. Methods: We compared the most frequent health problems managed in the 19 CASO in me...
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| Veröffentlicht in: | International journal of public health Jg. 66; S. 602394 |
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| Format: | Journal Article |
| Sprache: | Englisch |
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Basel
Frontiers Media SA
11.08.2021
Fontiers Media Frontiers Media S.A |
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| Abstract | Objective:
The present study aimed to compare the precarious migrants’ health problems managed in Médecins du Monde’s health and social care centres (CASO) with those of patients attending general practice in France.
Methods:
We compared the most frequent health problems managed in the 19 CASO in metropolitan France with those of a national sample of usual general practice consultations, after standardisation for age and sex.
Results:
Precarious migrants had fewer health problems managed per consultation than other patients (mean: 1.31 vs. 2.16), and these corresponded less frequently to chronic conditions (21.3% vs. 46.8%). The overrepresented health problems among CASO consultations were mainly headache (1.11% vs. 0.45%), viral hepatitis (1.05% vs. 0.20%), type 1 diabetes (1.01% vs. 0.50%) and teeth/gum disease (1.01% vs. 0.23%). Their underrepresented health problems were mainly lipid disorder (0.39% vs. 8.20%), depressive disorder (1.36% vs. 5.28%) and hypothyroidism (0.50% vs. 3.08%). Prevention issues were nominal in precarious migrants (0.16%).
Conclusion:
Both chronic somatic and mental conditions of precarious migrants are presumably underdiagnosed. Their screening should be improved in primary care. |
|---|---|
| AbstractList | Objective: The present study aimed to compare the precarious migrants’ health problems managed in Médecins du Monde’s health and social care centres (CASO) with those of patients attending general practice in France.Methods: We compared the most frequent health problems managed in the 19 CASO in metropolitan France with those of a national sample of usual general practice consultations, after standardisation for age and sex.Results: Precarious migrants had fewer health problems managed per consultation than other patients (mean: 1.31 vs. 2.16), and these corresponded less frequently to chronic conditions (21.3% vs. 46.8%). The overrepresented health problems among CASO consultations were mainly headache (1.11% vs. 0.45%), viral hepatitis (1.05% vs. 0.20%), type 1 diabetes (1.01% vs. 0.50%) and teeth/gum disease (1.01% vs. 0.23%). Their underrepresented health problems were mainly lipid disorder (0.39% vs. 8.20%), depressive disorder (1.36% vs. 5.28%) and hypothyroidism (0.50% vs. 3.08%). Prevention issues were nominal in precarious migrants (0.16%).Conclusion: Both chronic somatic and mental conditions of precarious migrants are presumably underdiagnosed. Their screening should be improved in primary care. Objective: The present study aimed to compare the precarious migrants’ health problems managed in Médecins du Monde’s health and social care centres (CASO) with those of patients attending general practice in France. Methods: We compared the most frequent health problems managed in the 19 CASO in metropolitan France with those of a national sample of usual general practice consultations, after standardisation for age and sex. Results: Precarious migrants had fewer health problems managed per consultation than other patients (mean: 1.31 vs. 2.16), and these corresponded less frequently to chronic conditions (21.3% vs. 46.8%). The overrepresented health problems among CASO consultations were mainly headache (1.11% vs. 0.45%), viral hepatitis (1.05% vs. 0.20%), type 1 diabetes (1.01% vs. 0.50%) and teeth/gum disease (1.01% vs. 0.23%). Their underrepresented health problems were mainly lipid disorder (0.39% vs. 8.20%), depressive disorder (1.36% vs. 5.28%) and hypothyroidism (0.50% vs. 3.08%). Prevention issues were nominal in precarious migrants (0.16%). Conclusion: Both chronic somatic and mental conditions of precarious migrants are presumably underdiagnosed. Their screening should be improved in primary care. Objective: The present study aimed to compare the precarious migrants' health problems managed in Médecins du Monde's health and social care centres (CASO) with those of patients attending general practice in France. Methods: We compared the most frequent health problems managed in the 19 CASO in metropolitan France with those of a national sample of usual general practice consultations, after standardisation for age and sex. Results: Precarious migrants had fewer health problems managed per consultation than other patients (mean: 1.31 vs. 2.16), and these corresponded less frequently to chronic conditions (21.3% vs. 46.8%). The overrepresented health problems among CASO consultations were mainly headache (1.11% vs. 0.45%), viral hepatitis (1.05% vs. 0.20%), type 1 diabetes (1.01% vs. 0.50%) and teeth/gum disease (1.01% vs. 0.23%). Their underrepresented health problems were mainly lipid disorder (0.39% vs. 8.20%), depressive disorder (1.36% vs. 5.28%) and hypothyroidism (0.50% vs. 3.08%). Prevention issues were nominal in precarious migrants (0.16%). Conclusion: Both chronic somatic and mental conditions of precarious migrants are presumably underdiagnosed. Their screening should be improved in primary care.Objective: The present study aimed to compare the precarious migrants' health problems managed in Médecins du Monde's health and social care centres (CASO) with those of patients attending general practice in France. Methods: We compared the most frequent health problems managed in the 19 CASO in metropolitan France with those of a national sample of usual general practice consultations, after standardisation for age and sex. Results: Precarious migrants had fewer health problems managed per consultation than other patients (mean: 1.31 vs. 2.16), and these corresponded less frequently to chronic conditions (21.3% vs. 46.8%). The overrepresented health problems among CASO consultations were mainly headache (1.11% vs. 0.45%), viral hepatitis (1.05% vs. 0.20%), type 1 diabetes (1.01% vs. 0.50%) and teeth/gum disease (1.01% vs. 0.23%). Their underrepresented health problems were mainly lipid disorder (0.39% vs. 8.20%), depressive disorder (1.36% vs. 5.28%) and hypothyroidism (0.50% vs. 3.08%). Prevention issues were nominal in precarious migrants (0.16%). Conclusion: Both chronic somatic and mental conditions of precarious migrants are presumably underdiagnosed. Their screening should be improved in primary care. |
| Author | Halley, Emeraude Chappuis, Marielle Henaine, Roland Tomasino, Anne Giai, Joris Letrilliart, Laurent |
| AuthorAffiliation | 4 Unité d’enseignement Libre Médecine Humanitaire et SAMU Social, Université Claude Bernard Lyon 1, Lyon , France 3 Médecins du Monde, Paris , France 2 Service de Biostatistique-Bioinformatique, Hospices Civils de Lyon, Pierre-Bénite , France 5 Service de chirurgie cardiaque C, Hôpital Cardiologique Louis Pradel, Bron , France 1 Collège universitaire de médecine générale, Université Claude Bernard Lyon 1, Univ. Lyon, Lyon , France 6 Research on Healthcare Performance (RESHAPE), INSERM U1290, Université Claude Bernard Lyon 1, Lyon , France |
| AuthorAffiliation_xml | – name: 3 Médecins du Monde, Paris , France – name: 1 Collège universitaire de médecine générale, Université Claude Bernard Lyon 1, Univ. Lyon, Lyon , France – name: 2 Service de Biostatistique-Bioinformatique, Hospices Civils de Lyon, Pierre-Bénite , France – name: 4 Unité d’enseignement Libre Médecine Humanitaire et SAMU Social, Université Claude Bernard Lyon 1, Lyon , France – name: 6 Research on Healthcare Performance (RESHAPE), INSERM U1290, Université Claude Bernard Lyon 1, Lyon , France – name: 5 Service de chirurgie cardiaque C, Hôpital Cardiologique Louis Pradel, Bron , France |
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| Cites_doi | 10.1093/eurpub/ckx210 10.1016/j.gaceta.2014.07.007 10.1093/bmb/ldw057 10.1371/journal.pone.0141715 10.1097/YCO.0000000000000065 10.1007/s00038-010-0145-4 10.1111/j.1475-6773.2006.00629.x 10.1038/nrendo.2018.18 10.1371/journal.pone.0044611 10.1016/j.healthpol.2016.03.012 10.1093/eurpub/cku112 10.1186/2F1471-2296-8-48 10.1093/fampra/cmh407 10.1080/09540120600908440 10.1186/1471-2296-14-151 10.1016/S0140-6736(13)62402-2 10.1161/CIRCULATIONAHA.113.005757 10.7861/clinmedicine.12-3-248 10.1136/bmj.i1030 10.1016/j.diabres.2013.11.008 10.1016/j.eclinm.2020.100315 10.1093/jtm/tax016 |
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| Copyright | 2021. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Copyright © 2021 Halley, Giai, Chappuis, Tomasino, Henaine and Letrilliart. Distributed under a Creative Commons Attribution 4.0 International License Copyright © 2021 Halley, Giai, Chappuis, Tomasino, Henaine and Letrilliart. 2021 Halley, Giai, Chappuis, Tomasino, Henaine and Letrilliart |
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The present study aimed to compare the precarious migrants’ health problems managed in Médecins du Monde’s health and social care centres (CASO)... Objective: The present study aimed to compare the precarious migrants’ health problems managed in Médecins du Monde’s health and social care centres (CASO)... Objective: The present study aimed to compare the precarious migrants' health problems managed in Médecins du Monde's health and social care centres (CASO)... |
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| SubjectTerms | chronic condition Chronic illnesses Computer Science Cross-sectional studies Diabetes Health insurance Hepatitis Insurance coverage Mathematics Metabolism migrants Patients prevention Primary care Public Health Archive screening Statistics |
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| Title | Health Profile of Precarious Migrants Attending the Médecins Du Monde’s Health and Social Care Centres in France: a Cross-Sectional Study |
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| Volume | 66 |
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