Health Profile of Precarious Migrants Attending the Médecins Du Monde's Health and Social Care Centres in France: a Cross-Sectional Study.

Autor:	Halley E; Collège universitaire de médecine générale, Université Claude Bernard Lyon 1, Univ. Lyon, Lyon, France., Giai J; Service de Biostatistique-Bioinformatique, Hospices Civils de Lyon, Pierre-Bénite, France., Chappuis M; Médecins du Monde, Paris, France., Tomasino A; Médecins du Monde, Paris, France., Henaine R; Unité d'enseignement Libre Médecine Humanitaire et SAMU Social, Université Claude Bernard Lyon 1, Lyon, France.; Service de chirurgie cardiaque C, Hôpital Cardiologique Louis Pradel, Bron, France., Letrilliart L; Collège universitaire de médecine générale, Université Claude Bernard Lyon 1, Univ. Lyon, Lyon, France.; Research on Healthcare Performance (RESHAPE), INSERM U1290, Université Claude Bernard Lyon 1, Lyon, France.
Jazyk:	angličtina
Zdroj:	International journal of public health [Int J Public Health] 2021 Aug 11; Vol. 66, pp. 602394. Date of Electronic Publication: 2021 Aug 11 (Print Publication: 2021).
DOI:	10.3389/ijph.2021.602394
Abstrakt:	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. Competing Interests: The author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Halley, Giai, Chappuis, Tomasino, Henaine and Letrilliart.)
Databáze:	MEDLINE
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