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Burden of infectious diseases among undocumented migrants in France: Results of the Premiers Pas survey.
Vignier, Nicolas; Moussaoui, Sohela; Marsaudon, Antoine; Wittwer, Jérome; Jusot, Florence; Dourgnon, Paul.
Afiliação
  • Vignier N; Institut de recherche et documentation en économie de la santé, IRDES, Paris, France.
  • Moussaoui S; Centre d'Investigation Clinique Antilles Guyane, CIC INSERM 1424, Centre hospitalier de Cayenne, Cayenne, French Guiana.
  • Marsaudon A; Sorbonne Université, INSERM UMR 1136, Institut Pierre Louis d'Épidémiologie et de Santé Publique, IPLESP, Department of Social Epidemiology, Paris, France.
  • Wittwer J; French Collaborative Institute on Migration, Institut Convergences Migrations, ICM, Aubervilliers, France.
  • Jusot F; Université Sorbonne Paris Nord, UFR SMBH, IAME, INSERM UMR 1137, Hôpital Avicenne, Hôpitaux Universitaires Paris Seine-Saint-Denis, AP-HP, Department of Infectious and Tropical diseases, Bobigny, France.
  • Dourgnon P; Institut de recherche et documentation en économie de la santé, IRDES, Paris, France.
Front Public Health ; 10: 934050, 2022.
Article em En | MEDLINE | ID: mdl-35991026
Introduction: An increase in migration rates to the European Union has been observed over the last few years. Part of these migrants is undocumented. This work aimed to describe the reported frequency of infectious diseases and their associated factors among unselected samples of undocumented migrants in France. Methodology: The Premier Pas survey is a cross-sectional epidemiological survey of a random sample (two-stage sample design) conducted among undocumented migrants recruited in Paris and the Bordeaux region, in places and facilities likely to be frequented by undocumented migrants. The percentages were weighted. The analysis was performed using Stata 15.1 software. Results: A total of 1,223 undocumented migrants were recruited from 63 places and facilities, with a participation rate of 50%. Most of them were between 30 and 40 years of age (36%), 69% were men, aged mainly 30-40 (36%) years old, from sub-Saharan Africa (60%) or North Africa (25%), and 60% had arrived <3 years earlier. Among the participants, 24.8% declared a poor perceived health status and 33.5% a chronic health condition. Dental infections concerned 43.2% of the participants. Apart from dental issues, 12.9% reported suffering from at least one infectious disease: HIV infection (3.5%), chronic hepatitis B virus infection (3.1%), upper respiratory tract infection (1.7%), skin mycosis (1.2%), skin and soft tissue infection (0.8%), chronic hepatitis C infection (0.8%), urinary tract infection (0.7%), lower respiratory tract infection (0.7%), scabies (0.3%), tuberculosis disease (0.2%), vaginal mycosis (0.6%), and herpes (0.1%). Regarding HIV, HBV, and HCV infections, 56, 71, and 89%, respectively, were diagnosed after their arrival. Chronic viral infections were more often reported by undocumented migrants from sub-Saharan Africa and Latin America. In multivariate analysis, a higher risk of reporting chronic viral infection was observed among people food insecure. Conclusion: This original study on a large random sample confirms the frequency of infectious diseases among undocumented migrants in France and the importance of integrating their screening during a health Rendezvous and their management into early access to care and inclusive medico-psycho-social management.
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Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 3_ND Base de dados: MEDLINE Assunto principal: Migrantes / Infecções por HIV / Hepatite C / Hepatite B Crônica Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Patient_preference Limite: Aged / Female / Humans / Male Idioma: En Revista: Front Public Health Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 3_ND Base de dados: MEDLINE Assunto principal: Migrantes / Infecções por HIV / Hepatite C / Hepatite B Crônica Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Patient_preference Limite: Aged / Female / Humans / Male Idioma: En Revista: Front Public Health Ano de publicação: 2022 Tipo de documento: Article