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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Bibliographic Details
Published in:International journal of public health Vol. 66; p. 602394
Main Authors: Halley, Emeraude, Giai, Joris, Chappuis, Marielle, Tomasino, Anne, Henaine, Roland, Letrilliart, Laurent
Format: Journal Article
Language:English
Published: Basel Frontiers Media SA 11.08.2021
Fontiers Media
Frontiers Media S.A
Subjects:
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
France
Africa
ISSN:1661-8564, 1661-8556, 1661-8564
Online Access:Get full text
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Summary: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.
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Edited by: Tibor Baska, Comenius University, Slovakia
This article was submitted to, a section of the journal International Journal of Public Health
ISSN:1661-8564
1661-8556
1661-8564
DOI:10.3389/ijph.2021.602394