Prevalence of torture and trauma history among immigrants in primary care in Denmark: do general practitioners ask?

Autor:	Ostergaard LS; Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Danish Research Center on Migration, Ethnicity and Health, Section of Health Services Research, Copenhagen, Denmark., Wallach-Kildemoes H; Department of Pharmacy, Faculty of Health and Medical Sciences, University of Copenhagen, Section for Social and Clinical Pharmacy, Copenhagen, Denmark., Thøgersen MH; Department of Rehabilitation, Dignity - Danish Institute Against Torture, København, Denmark., Dragsted UB; Amnesty Internationals Danish Medical Group, Amnesty International Denmark, The Medical Group, Copenhagen, Denmark., Oxholm A; Amnesty Internationals Danish Medical Group, Amnesty International Denmark, The Medical Group, Copenhagen, Denmark., Hartling O; Amnesty Internationals Danish Medical Group, Amnesty International Denmark, The Medical Group, Copenhagen, Denmark., Norredam M; Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Danish Research Center on Migration, Ethnicity and Health, Section of Health Services Research, Copenhagen, Denmark.
Jazyk:	angličtina
Zdroj:	European journal of public health [Eur J Public Health] 2020 Dec 11; Vol. 30 (6), pp. 1163-1168.
DOI:	10.1093/eurpub/ckaa138
Abstrakt:	Background: Torture survivors typically present with varied and complex symptoms, which may challenge assessment by general practitioners (GPs). This study explored the prevalence of torture and trauma history among immigrants born in non-Western countries presenting to GPs in Denmark and the extent to which GPs ask this population about torture or trauma history. Methods: Based on a self-reported questionnaire among non-western immigrant patients, we used bivariate analyses to determine the prevalence of torture and trauma history and the proportion of patients being asked by their GP about this. Data were analysed using multivariate logistic regression. Results: From 46 GP clinics, 300 questionnaires were finalized by immigrant patients. Twenty-eight percent of the patients had a history of torture. Of these, significantly more were men (70%) than women (29%). About half of the torture survivors (55%) had been asked by their GP about torture history. The odds ratio (OR, 95% confidence interval) for being asked about torture history by the GP was 1.28 (0.46-3.53) among women compared with men. Compared with Southeast Europe, OR for being a torture survivor among male immigrants from Middle East-North African region and South and East Asia was 1.83 (0.81-4.15) and 0.25 (0.08-0.82), respectively. Conclusions: Our results suggest that torture and trauma are widespread among immigrants presenting to GPs. In our study, the GPs had managed to detect half of the torture survivors. A more systematic approach to detection in General Practice is advisable, and more knowledge on how and when to ask is needed. (© The Author(s) 2020. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu