Clinical and laboratory evaluation of new immigrant and refugee children arriving in Greece

Autor: Evangelia Samoli, Olga D. Boleti, Pavlos Nisianakis, Stavroula K. Dikalioti, Ioanna D. Pavlopoulou, Marsela Tanaka, Konstantinos Tsoumakas
Rok vydání: 2016
Předmět:
Male
Pediatrics
Health Status
Logistic regression
0302 clinical medicine
Outpatient clinic
Health Status Indicators
030212 general & internal medicine
Prospective Studies
Child
education.field_of_study
Refugees
Latent tuberculosis
Greece
Confounding
Vaccination
lcsh:RJ1-570
Child Health
3. Good health
Europe
Child
Preschool
Female
Research Article
medicine.medical_specialty
Hepatitis B virus
Tuberculosis
Asia
Adolescent
Anemia
Population
Adolescent Health
Emigrants and Immigrants
03 medical and health sciences
030225 pediatrics
Migrant children
medicine
Humans
Infant Health
education
Blood lead levels
business.industry
Clinical Laboratory Techniques
Infant
lcsh:Pediatrics
medicine.disease
Health indicator
Cross-Sectional Studies
Logistic Models
Pediatrics
Perinatology and Child Health
Africa
business
Demography
Zdroj: BMC Pediatrics
BMC Pediatrics, Vol 17, Iss 1, Pp 1-10 (2017)
ISSN: 1471-2431
Popis: Background Migrant children are a population at risk for various health problems. Despite the increased inflow of migrants in Greece, data regarding their health assessment are lacking. This study aims to describe the clinical and certain laboratory characteristics and identify possible associations in a group of new immigrant (I) and refugee (R) children, arriving in Athens, Greece. Methods A prospective, cross- sectional study was performed in a migrant outpatient clinic of a tertiary Children’s hospital. All immigrant and refugee children, examined to obtain a health certificate, within 3 months of their arrival in the country, were enrolled. Clinical and laboratory information was collected in a pre- designed form. We applied multiple logistic regression models to investigate the association between the child’s status (immigrant vs refugee) and health indicators controlling for possible confounding effects, mainly of age and area of origin. Results From 2010 to 2013, a total of 300 children (I/R:138/162) with a mean age of 7.08 (range 1–14) years were included. Overall, 79.3% presented unknown vaccination status, 21.3% dental and 7.3% additional clinical problems. Latent tuberculosis was identified in 2.7%, while anemia, low serum ferritin and eosinophilia were found in 13.7%, 17.3%, and 22.7% of subjects, respectively. 57.7% had protective antibodies to hepatitis B surface antigen (anti-HBs ≥ 10 IU/L) and 30.6% elevated blood lead levels (EBLLs). Immigrants had less likely unknown immunization (OR = 0.25, p
Databáze: OpenAIRE
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