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2.
West J Emerg Med ; 20(5): 791-798, 2019 Aug 12.
Artigo em Inglês | MEDLINE | ID: mdl-31539336

RESUMO

In the United States, undocumented residents face unique barriers to healthcare access that render them disproportionately dependent on the emergency department (ED) for care. Consequently, ED providers are integral to the health of this vulnerable population. Yet special considerations, both clinical and social, generally fall outside the purview of the emergency medicine curriculum. This paper serves as a primer on caring for undocumented patients in the ED, includes a conceptual framework for immigration as a social determinant of health, reviews unique clinical considerations, and finally suggests a blueprint for immigration-informed emergency care.


Assuntos
Serviço Hospitalar de Emergência/estatística & dados numéricos , Emigrantes e Imigrantes/legislação & jurisprudência , Emigração e Imigração/estatística & dados numéricos , Política de Saúde , Acesso aos Serviços de Saúde/organização & administração , Imigrantes Indocumentados/legislação & jurisprudência , Adulto , Feminino , Humanos , Estados Unidos
3.
BMC Health Serv Res ; 19(1): 624, 2019 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-31481042

RESUMO

BACKGROUND: A physician shortage is a worldwide problem and foreign-born physicians fill in the shortage of physicians in many developed countries. One problem that is associated with the physician shortage is increased physician turnover. Also, regarding foreign-born physicians, migration can be costly. The present study aimed to examine the turnover intentions and intentions to leave the country of foreign-born physicians. We examined how demographics, discrimination, language problems, perceived employment barriers, satisfaction with living in Finland, team climate, job satisfaction and patient-related stress were associated with these factors. METHODS: The present study was a cross-sectional questionnaire study among 371 foreign-born physicians in Finland that were aged between 26 and 65 (65% women). Binary logistic regression analyses were conducted to examine the associations. RESULTS: Half of the respondents had turnover intentions and 14.5% had considered leaving the country. High satisfaction with living in Finland was associated with a lower likelihood of both turnover intentions and intentions to leave the country. High levels of discrimination and employment barriers were associated with a high likelihood of turnover intentions whereas good team climate was associated with a low likelihood of turnover intentions. High levels of language problems were associated with a high likelihood of intentions to leave the country. CONCLUSIONS: The present study showed the importance of satisfaction with living in the host country, the prevention of discrimination and employment barriers, language skills and a good team climate for the retention of foreign-born physicians in their current job and in the host country. Thus, to keep their foreign-born physicians, health care organisations should implement measures to tackle these challenges. Organisations could arrange, for example, diversity training, self-assessment, team reflections, leadership coaching and culturally-specific networks. Moreover, internships associated with the qualification process could be utilised better in order to give a thorough introduction to the host country's health care environment and the possibilities for learning the language.


Assuntos
Médicos Graduados Estrangeiros/estatística & dados numéricos , Reorganização de Recursos Humanos/estatística & dados numéricos , Adulto , Idoso , Atitude do Pessoal de Saúde , Estudos Transversais , Emigração e Imigração/estatística & dados numéricos , Emprego/psicologia , Emprego/estatística & dados numéricos , Feminino , Finlândia , Médicos Graduados Estrangeiros/psicologia , Humanos , Intenção , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/etiologia , Satisfação Pessoal , Médicos/psicologia , Médicos/estatística & dados numéricos , Preconceito/psicologia , Preconceito/estatística & dados numéricos , Inquéritos e Questionários
4.
Public Health ; 175: 120-128, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31473368

RESUMO

OBJECTIVES: Previous research indicates that the impact of immigration on health tends to be specific as it is influenced by many factors such as life stage and host country. The aim of this study was to examine the relationship between immigration and adolescent health within the multicultural context of the Brussels-Capital Region in Belgium. STUDY DESIGN: The study was based on the 2014 Health Behaviour in School-aged Children survey. The sample consisted of 2962 adolescents from the fifth grade of primary to the last grade of secondary schools in Brussels. METHODS: Associations between health indicators and immigration status were analysed using multivariable logistic regression models adjusted for sociodemographic characteristics. RESULTS: Natives, first-generation immigrants, second-generation immigrants with both parents born abroad and second-generation immigrants with one parent born abroad represented 19%, 23%, 36% and 22% of the respondents, respectively. Sociodemographic characteristics and health behaviours varied according to immigrant status. Young immigrants were more likely to present overweight (odds ratio [OR] first-generation immigrants vs. natives = 1.76 [95% confidence interval {CI} = 1.16-2.65]; OR second-generation immigrants with both parents born abroad vs. natives = 2.06 [95% CI = 1.41-3.02]; OR second-generation immigrants with one parent born abroad vs. natives = 1.69 [95% CI = 1.12-2.56]). This effect turned out to be partially explained by sociodemographic status and health-related behaviours. No association was detected between immigration and self-rated health and multiple recurrent symptoms. CONCLUSIONS: Discrepancies in health behaviours and weight status were identified between adolescents of different immigration background, whereas this was not the case for well-being. Socio-economic status, cultural characteristics and specific behaviours partly explained these findings. Future research is needed to better understand immigration-related risk and protective factors, at individual and school levels.


Assuntos
Saúde do Adolescente/estatística & dados numéricos , Diversidade Cultural , Emigrantes e Imigrantes/estatística & dados numéricos , Emigração e Imigração/estatística & dados numéricos , Adolescente , Bélgica , Criança , Feminino , Humanos , Masculino , Adulto Jovem
5.
BMC Res Notes ; 12(1): 390, 2019 Jul 11.
Artigo em Inglês | MEDLINE | ID: mdl-31296262

RESUMO

OBJECTIVE: Individuals from low-income countries often migrate abroad for employment. The association between such migration and investment in education as well as other societal and familial outcomes has previously been examined. However, we have a limited understanding of the association between migration and children's nutrition. We aim to determine the extent to which migration of household members influences children's diet in a semi-urban region of Nepal. RESULTS: In our study setting, children in households with a migrant had higher dietary diversity scores, 0.69 on average, than their counterparts in households without a migrant. These children were approximately 43% points more likely to meet a minimum requirement for dietary diversity. These differences originated primarily from higher consumption of meat (41% points) and eggs (20% points). Approximately 37 percent of children in the sample consumed processed food during the 24 h preceding the survey. However, we found no evidence that migration was associated with the consumption of processed foods or with reduced frequency of breastfeeding. Our finding that migration is associated with higher consumption of meat and eggs is particularly encouraging, given that the protein deficiency in Nepal is estimated to be nearly 43 percent.


Assuntos
Dieta , Emigração e Imigração/estatística & dados numéricos , Abastecimento de Alimentos/estatística & dados numéricos , Estado Nutricional , Migrantes/estatística & dados numéricos , Pré-Escolar , Características da Família , Feminino , Humanos , Lactente , Fenômenos Fisiológicos da Nutrição do Lactente , Masculino , Nepal , População Rural/estatística & dados numéricos , População Urbana/estatística & dados numéricos
6.
Int J Equity Health ; 18(1): 104, 2019 07 03.
Artigo em Inglês | MEDLINE | ID: mdl-31269954

RESUMO

OBJECTIVE: A lack of education among migrants remains an important but overlooked issue that indirectly contributes to HIV transmission. It is necessary to know who has received HIV education and who has a lower probability of being educated among migrants across different regions and age groups in China. METHODS: We used pooled data from the 2014 and 2015 Migrants Population Dynamic Monitoring Survey. The study population included 406,937 Chinese migrants. Participants were asked whether they had received any HIV education after migrating to the destination city. Regions were categorized into east-coast, central, northwest, southwest, west-Tibet, west-Uyghur, and northeast regions. Hierarchical logistic regression modeling was conducted to investigate the relationships between the independent variables and HIV education. RESULTS: Of 406,937 participants, half (50.6%) had reported receiving HIV education. Individuals in the west-Uyghur region had the highest proportion of receiving HIV education (73.0%), followed by the southwest region (67.9%) and the west-Tibet region (54.8%). Methods of receiving HIV education varied among different age groups. Individuals who were in a region with a higher prevalence of HIV, a lower density of medical professionals, and a higher density of migrants were more likely to receive HIV education. CONCLUSIONS: The study showed significant regional disparities among migrants in China. More HIV resources need to be allocated to regions with large-scale floating populations, such as the east-coast region. Providing multiple options, including both new and traditional media, for both young and elderly migrants is essential. HIV education should be tailored to the age of migrants with low educational and income levels.


Assuntos
Emigração e Imigração/estatística & dados numéricos , Infecções por HIV/prevenção & controle , Acesso aos Serviços de Saúde/estatística & dados numéricos , Migrantes/estatística & dados numéricos , Adulto , Idoso , China/epidemiologia , Feminino , Infecções por HIV/psicologia , Humanos , Masculino , Dinâmica Populacional , Classe Social , Inquéritos e Questionários , Tibet
8.
BMC Public Health ; 19(1): 913, 2019 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-31288788

RESUMO

BACKGROUND: Cohort-type data are increasingly used to compare health outcomes of immigrants between countries, e.g. to assess the effects of different national integration policies. In such international comparisons, small differences in cardiovascular diseases risk or mortality rates have been interpreted as showing effects of different policies. We conjecture that cohort-type data sets available for such comparisons might not provide unbiased relative risk estimates between countries because of differentials in migration patterns occurring before the cohorts are being observed. METHOD: Two simulation studies were performed to assess whether comparisons are biased if there are differences in 1. the way migrants arrived in the host countries, i.e. in a wave or continuously; 2. the effects on health of exposure to the host country; or 3., patterns of return-migration before a cohort is recruited. In the first simulation cardiovascular disease was the outcome and immortality in the second. Bias was evaluated using a Cox regression model adjusted for age and other dependant variables. RESULTS: Comparing populations from wave vs. continuous migration may lead to bias only if the duration of stay has a dose-response effect (increase in simulated cardiovascular disease risk by 5% every 5 years vs. no risk: hazard-ratio 1.20(0.15); by 10% every 5 years: 1.47(0.14)). Differentials in return-migration patterns lead to bias in mortality rate ratios (MRR). The direction (under- or overestimation) and size of the bias depends on the model (MRR from 0.92(0.01) to 1.09(0.01)). CONCLUSION: The order of magnitude of the effects interpreted as due to integration policies in the literature is the same as the bias in our simulations. Future studies need to take into account duration and relevance of exposure and return-migration to make valid inferences about the effects of integration policies on the health of immigrants.


Assuntos
Viés , Estudos de Coortes , Emigrantes e Imigrantes/estatística & dados numéricos , Nível de Saúde , Doenças Cardiovasculares/epidemiologia , Simulação por Computador , Emigração e Imigração/estatística & dados numéricos , Humanos , Internacionalidade , Mortalidade/tendências
9.
Public Health ; 173: 75-82, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31255961

RESUMO

OBJECTIVES: Many children are insufficiently active, and children with a migration background appear to be even less active and at a higher risk of developing obesity. This study evaluated the weight status, and the frequencies and intensities of objectively assessed physical activity (PA) of children with and without a migration background. STUDY DESIGN: Cross-sectional study. METHODS: PA was assessed objectively for 6 days in 273 children (aged 7.1 ± 0.6 years). In total, 74 children (27%) were classified as having a migration background. PA was grouped in light and moderate-to-vigorous (MVPA) intensities. Body mass index (BMI) percentiles (BMIPCT) were determined. RESULTS: Children without a migration background spent more time in MVPA compared with children with a migration background (138.2 ± 62.6 vs 121.7 ± 54.9 min, respectively; P < 0.01). On weekends, time in MVPA decreased significantly for all children (112.3 ± 66.0 min, P < 0.01), especially for children with a migration background (97.7 ± 56.7 min, P < 0.01). Children with a migration background displayed significantly higher BMIPCT than children without a migration background (55.7 ± 29.6 vs 44.3 ± 26.8, respectively; P < 0.01) and were significantly more often overweight and/or obese (13.5% vs 8.5%, respectively; P < 0.02). CONCLUSIONS: Children with a migration background are less physically active and more often overweight, resulting in higher risks of developing secondary diseases. The results of this study should be considered when designing interventions to increase PA in children with a migration background. TRIAL REGISTRATION: German Clinical Trials Register (DRKS), DRKS-ID: DRKS00000494.


Assuntos
Peso Corporal , Emigração e Imigração/estatística & dados numéricos , Exercício , Acelerometria , Criança , Estudos Transversais , Feminino , Alemanha/epidemiologia , Humanos , Masculino , Obesidade Pediátrica/epidemiologia , Instituições Acadêmicas
10.
Metas enferm ; 22(6): 73-78, jul. 2019. ilus
Artigo em Espanhol | IBECS | ID: ibc-184049

RESUMO

La salud de las personas migrantes se ve amenazada por múltiples factores, entre los que se encuentran los relacionados con las condiciones de vida y trabajo desfavorables a las que se ven expuestas, experiencias de discriminación y bajo apoyo social, así como con el propio proceso migratorio. La arteterapia constituye un enfoque que puede contribuir a mejorar el bienestar de las personas que han vivido procesos de migración, ya que aporta vías y espacios de expresión y de relación a través del arte, así como la identificación y puesta en juego de recursos individuales y grupales para la salud. Su aplicación en el ámbito de la atención sanitaria puede contribuir al abordaje biopsicosocial de este colectivo, a la vez que permite avanzar en el empoderamiento de estas personas para la mejora de su salud. El presente artículo, sexto de la serie Arteterapia, tiene como objetivo explorar las posibilidades que dicha terapia puede aportar en personas que han vivido procesos migratorios, ofreciendo en primera instancia una contextualización acerca de la intervención arterapeútica en estas personas y mostrando una experiencia a través del programa "Tu barrio, tu casa" de Médicos del Mundo Navarra, y concluir con unas consideraciones finales en torno al tema


The health of migrant persons is threatened by multiple factors, including those associated with the exposure to unfavorable life and work conditions, discriminatory experiences and low social support, as well as the migration process itself. Art Therapy represents an approach that can contribute to the improvement in wellbeing for persons who have experienced migration processes, because it offers forms and spaces of expression and connection through art, as well as the identification and implementation of individual and group resources for heath. Its application in the healthcare setting can contribute to the biopsychosocial approach of this group, as well as allowing to move forward in terms of empowering these people for their health improvement. This is the sixth article in the Art Therapy series, and its objective is to explore the possibilities that said therapy can offer to persons who have experiences migration processes, first offering a contextualization about the Art Therapy intervention in these people, and showing an experience through the "Tu barrio, tu casa" ("Your neighbourhood, your home") by Médicos del Mundo ("Doctors of the World") from Navarra, and to end up with some final considerations regarding the subject


Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Terapia pela Arte/instrumentação , Terapia pela Arte/organização & administração , Atenção à Saúde , Migrantes/psicologia , Migrantes/estatística & dados numéricos , Promoção da Saúde/métodos , Terapia pela Arte/métodos , Emigração e Imigração/estatística & dados numéricos
12.
Int J Public Health ; 64(5): 763-772, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31139848

RESUMO

OBJECTIVES: Current regional conflicts are creating a surge in forced migration, and heightened visa restrictions are increasingly being applied. The current study aimed to examine the relationship between visa insecurity and psychological outcomes within a large clinical sample of refugees and people seeking asylum in Australia. METHODS: The sample comprised 781 clients (53.9% male, 16-93 years) attending a clinic for trauma survivors. Country of birth was most frequently identified as Afghanistan (18.1%), Iraq (15.3%) and Iran (15.1%). The Hopkins Symptom Checklist was administered at admission. RESULTS: Latent class analyses identified four groups varying in severity of symptoms, namely very high (16.1%), high (38.1%), moderate (31.5%), and low (14.3%). People with insecure visa status were at least five times more likely to report high (OR = 5.86, p < 0.001) or very high (OR = 5.27, p < 0.01) depression and anxiety symptoms than those with permanent residency. Women were almost twice as likely to report high (OR = 1.96 p < 0.01) or very high (OR = 1.96, p < 0.05) symptoms. CONCLUSIONS: The findings suggest that temporary visas play a significant role in psychological distress and that timely immigration processing has important implications for health outcomes.


Assuntos
Transtornos de Ansiedade/psicologia , Registros , Refugiados/psicologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Sobreviventes/psicologia , Tortura/psicologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Transtornos de Ansiedade/etnologia , Austrália/etnologia , Emigração e Imigração/estatística & dados numéricos , Feminino , Humanos , Análise de Classes Latentes , Masculino , Pessoa de Meia-Idade , Transtornos de Estresse Pós-Traumáticos/etnologia , Adulto Jovem
13.
Disasters ; 43(3): 459-477, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31106454

RESUMO

The land borders of Evros, Greece, have been a common entry point for undocumented migrants on their way to Europe through Turkey. Adverse conditions, however, have resulted in many human casualties over the years. On the Greek side, 334 cadavers were retrieved between 2000 and 2014. This study provides a detailed forensic account of the humanitarian disaster in Evros to create an official scientific record of the situation. It showcases the gravity of the global issue of migration relating to health and mortality, and encourages communication and continual improvement of the approach and patterns of practices surrounding the subject. A retrospective statistical research review was conducted of border-related fatalities between 2000 and 2014, assessing the age and gender of victims, the cause of death, the location of bodies, identification rates, and country of origin. Age ranged generally from 24 to 29 years, but infants and children were among the deceased.


Assuntos
Emigração e Imigração/estatística & dados numéricos , Mortalidade/tendências , Migrantes/estatística & dados numéricos , Grécia/epidemiologia , Humanos , Estudos Retrospectivos
14.
Gynecol Oncol ; 154(1): 118-123, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31088688

RESUMO

AIM: In countries like Denmark, cervical cancer incidence is at present relatively high in elderly women, while routine screening stops at age 65 years. On this background, all women aged 69 and above were invited to human papillomavirus (HPV)-screening in Denmark in 2017. METHODS: Women were identified from the Central Population Register and personally invited by digital or ordinary mail to have a screening sample taken by their general practitioner. In four regions, samples were tested for high risk (HPV) with the cobas 4800® HPV-assay, and in the last region with the BD Onclarity® HPV-assay. Participation rate, prevalence of high risk HPV, and proportion of positive samples with HPV16, HPV18, and other high risk HPV-types were tabulated by 5-year age-groups. RESULTS: 455,612 women were invited, and 30.2% (95 confidence interval (CI) 30.0-30.3) participated. Average age of participants was 74.6 years. Overall, 4.3% (95% CI 4.1-4.4) of participants were HPV-positive, of whom 24% had HPV 16/18. HPV-prevalence decreased slightly from 4.5% in women aged 69-73 years to 3.1% in women aged 84-88 years, but was 5.2% in the very small group of participants aged 89+ years. CONCLUSION: Invitation to HPV-screening was well received by elderly women. The HPV-prevalence decreased slightly with increasing age. No rebound of HPV-prevalence after menopause was found when our data were combined with previously published Danish data from younger women. The presently relatively high cervical cancer incidence in elderly women was not reflected in the HPV-prevalence.


Assuntos
Infecções por Papillomavirus/epidemiologia , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Dinamarca/epidemiologia , Detecção Precoce de Câncer/estatística & dados numéricos , Emigração e Imigração/estatística & dados numéricos , Feminino , Papillomavirus Humano 16/isolamento & purificação , Papillomavirus Humano 18/isolamento & purificação , Humanos , Infecções por Papillomavirus/mortalidade , Pós-Menopausa , Prevalência , Sistema de Registros , Neoplasias do Colo do Útero/diagnóstico , Neoplasias do Colo do Útero/epidemiologia , Neoplasias do Colo do Útero/virologia
15.
BMC Med ; 17(1): 100, 2019 05 23.
Artigo em Inglês | MEDLINE | ID: mdl-31122233

RESUMO

BACKGROUND: Prediabetes appears to be increasing worldwide. This study examined the incidence of prediabetes among immigrants to Canada of different ethnic origins and the age at which ethnic differences emerged. METHODS: We assembled a cohort of Ontario adults (≥ 20 years) with normoglycemia based on glucose testing performed between 2002 and 2011 through a single commercial laboratory database (N = 1,772,180). Immigration data were used to assign ethnicity based on country of origin, mother tongue, and surname. Individuals were followed until December 2013 for the development of prediabetes, defined using either the World Health Organization/Diabetes Canada (WHO/DC) or American Diabetes Association (ADA) thresholds. Multivariate competing risk regression models were derived to examine the effect of ethnicity and immigration status on prediabetes incidence. RESULTS: After a median follow-up of 8.0 years, 337,608 individuals developed prediabetes. Using definitions based on WHO/DC, the adjusted cumulative incidence of prediabetes was 40% (HR 1.40, CI 1.38-1.41) higher for immigrants relative to long-term Canadian residents (21.2% vs 16.0%, p < 0.001) and nearly twofold higher among South Asian than Western European immigrants (23.6%; HR 1.95, CI1.87-2.03 vs 13.1%; referent). Cumulative incidence rates based on ADA thresholds were considerably higher (47.1% and 32.3% among South Asians and Western Europeans, respectively). Ethnic differences emerged at young ages. South Asians aged 20-34 years had a similar prediabetes incidence as Europeans who were 15 years older (35-49 years), regardless of which prediabetes definition was used (WHO/DC 14.4% vs 15.7%; ADA 38.0% vs 33.0%). CONCLUSION: Prediabetes incidence was substantially higher among non-European immigrants to Canada, highlighting the need for early prevention strategies in these populations.


Assuntos
Emigrantes e Imigrantes/estatística & dados numéricos , Grupos Étnicos/estatística & dados numéricos , Estado Pré-Diabético/epidemiologia , Adulto , Grupo com Ancestrais do Continente Asiático , Canadá/epidemiologia , Estudos de Coortes , Emigração e Imigração/estatística & dados numéricos , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Ontário/epidemiologia , Estado Pré-Diabético/etnologia , Adulto Jovem
16.
Am J Bioeth ; 19(4): 51-57, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30994422

RESUMO

Because the United States has failed to provide a pathway to citizenship for its long-term undocumented population, clinical ethicists have more than 20 years of addressing issues that arise in caring for this population. I illustrate that these challenges fall into two sets of issues. First-generation issues involve finding ethical ways to treat and discharge patients who are uninsured and ineligible for safety-net resources. More recently, ethicists have been invited to help address second-generation issues that involve facilitating the presentation for care of undocumented patients. In the current environment of widespread fear of deportation in the immigrant community, ethicists are working with health care providers to address patient concerns that prevent them from seeking care. I illustrate that in both generations of issues, values implicit within health care, namely, caring, efficiency, and promotion of public health, guide the strategies that are acceptable and recommended.


Assuntos
Acesso aos Serviços de Saúde/ética , Disparidades em Assistência à Saúde/ética , Discriminação Social/ética , Imigrantes Indocumentados/estatística & dados numéricos , Emigração e Imigração/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/ética , Humanos , Cobertura do Seguro/ética , Fatores Socioeconômicos , Estados Unidos
18.
PLoS One ; 14(4): e0215124, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30990846

RESUMO

The impact of environmental change on internal migration has received wide attention in recent years. Mass internal migration has been a significant economic and social phenomenon in China, and soil erosion is a major environmental problem that impacts sustainable socioeconomic development. This study aims to identify the impact of soil erosion on internal migration in China at the county level based on gravity model by analyzing related data, such as the sixth national population census data and the soil and water conservation survey data. The results of spatial overlay could not identify an obvious relationship between soil erosion and net outmigration in China. The traditional gravity model of migration is modified to analyze the impact of soil erosion on net outmigration while other variables are controlled. The results indicate that only serious soil erosion increases the possibility of outmigration and that the impact is considerably higher in agricultural counties than in non-agricultural counties. In general, the impact of soil erosion on internal migration is far less than the impact of socioeconomic factors.


Assuntos
Agricultura/estatística & dados numéricos , Conservação dos Recursos Naturais , Emigração e Imigração/estatística & dados numéricos , Fenômenos Geológicos , Modelos Teóricos , Dinâmica Populacional , Solo/química , China , Demografia , Ecossistema , Humanos
20.
Wien Klin Wochenschr ; 131(Suppl 1): 229-235, 2019 May.
Artigo em Alemão | MEDLINE | ID: mdl-30980158

RESUMO

The article deals with the demographic data of migration in Austria and with therapeutic advice concerning drug therapy and diabetes education for patients with migration background. In this context sociocultural specifics are discussed. These suggestions are seen complementary to the general treatment guidelines of the Austrian Diabetes Association.The fasting month Ramadan is widely practiced by the Muslim population worldwide. Ensuring the optimal care of the many people with diabetes who fast during Ramadan is crucial. The IDF-DAR Practical Guidelines (International Diabetes Federation - Diabetes and Ramadan International Alliance) provide healthcare professionals with relevant background information and practical recommendations to enable them to help patients with diabetes participate in fasting during Ramadan while minimizing the risk of complications.


Assuntos
Diabetes Mellitus , Emigração e Imigração , Jejum , Guias de Prática Clínica como Assunto , Religião , Áustria/etnologia , Cultura , Diabetes Mellitus/etnologia , Emigração e Imigração/estatística & dados numéricos , Pessoal de Saúde , Humanos , Islamismo , Educação de Pacientes como Assunto , Fatores Socioeconômicos , Migrantes/psicologia , Migrantes/estatística & dados numéricos
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