Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 1.636
Filtrar
1.
BMC Public Health ; 19(1): 1485, 2019 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-31703660

RESUMO

BACKGROUND: Refugees are particularly vulnerable to poor mental health outcomes due to exposure to pre migration trauma and post migration stressors. Research has demonstrated evidence to suggest that the professional help-seeking among refugee groups is low or problematic. This study seeks to examine help-seeking for emotional problems in two large samples of Iraqi and Afghan refugees in Australia. METHODS: This study uses data from two waves of the Building a New Life in Australia, the longitudinal study of Humanitarian migrants. The data was collected face-to-face between 2013 and 2016, among humanitarian migrants. All participants held a permanent protection visa and had arrived in Australia or been granted their visa between period of May to December 2013. The study sample included 1288 participants born in Iraq and Afghanistan (aged 15 and over). In the Wave 3 interview (2015-2016) participants reported on professional help received to deal with emotional problems. RESULTS: Approximately 36 and 37% of the Iraqi and Afghan groups respectively, reported seeking help for emotional problems. Within the Iraqi group, associations between mental health status, namely general psychological distress and PTSD and help-seeking were found but this was not present in the Afghan group, where age seemed to play a role in help-seeking. Frequency of help received was low with approximately 47% of the Iraqi and 57% of the Afghan groups reporting having received help 5 times or less in the last 12 months. CONCLUSIONS: Findings from this study provide clear directions on areas where culturally tailored mental health promotion programs should target in these two refugee communities. Further, the differences in help-seeking behaviour of these communities should be noted by both clinicians and policy makers as efforts to provide culturally responsive mental health services.


Assuntos
Transtornos Mentais/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Refugiados/psicologia , Migrantes/psicologia , Adolescente , Adulto , Afeganistão/etnologia , Austrália , Bases de Dados Factuais , Feminino , Humanos , Iraque/etnologia , Estudos Longitudinais , Masculino , Transtornos Mentais/etnologia , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde/etnologia , Adulto Jovem
2.
BMC Public Health ; 19(1): 1534, 2019 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-31730454

RESUMO

BACKGROUND: Since Nepali cross-border migrants can freely enter, work and stay in India, they are largely undocumented. The majority is involved in semi-skilled or unskilled jobs with limited labour rights and social security, a fact which predisposes them to psychological distress. We aimed to assess the prevalence of and factors associated with psychological morbidity among Nepali migrants upon their return from India. METHODS: A community based cross-sectional study was conducted in six districts of Nepal between September 2017 and February 2018. A total of 751 participants who had worked at least six months in India and returned to Nepal were interviewed from 24 randomly selected clusters. The General Health Questionnaire (GHQ)-12 was used to measure the psychological morbidity. Data were analysed using Poisson regression analysis. RESULTS: The majority was younger than 35 years (64.1%), male (96.7%), married (81.8%), had at least a primary education (66.6%), and belonged to Dalit, Janajati and religious minorities (53.7%). The prevalence of psychological morbidity was 13.5% (CI: 11.2-16.1%). Participants aged 45 years and above (adjusted prevalence ratio (aPR) = 2.74), from the Terai (aPR = 3.29), a religious minority (aPR = 3.64), who received no sick leave (aPR = 2.4), with existing health problems (aPR = 2.0) and having difficulty in accessing health care (aPR = 1.88) were more likely than others to exhibit a psychological morbidity. CONCLUSION: This study demonstrated that psychological morbidity was prevalent in the study participants and varied significantly with individual characteristics, work conditions and health. Multifaceted approaches including psychological counselling for returnees and protection of labour and health rights in the workplace are recommended to help reduce psychological morbidity.


Assuntos
Emigração e Imigração , Transtornos Mentais/etnologia , Transtornos Mentais/epidemiologia , Migrantes/psicologia , Adolescente , Adulto , Análise por Conglomerados , Estudos Transversais , Emprego/psicologia , Feminino , Acesso aos Serviços de Saúde , Humanos , Índia/epidemiologia , Masculino , Pessoa de Meia-Idade , Nepal/etnologia , Aceitação pelo Paciente de Cuidados de Saúde/etnologia , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Distribuição de Poisson , Prevalência , Adulto Jovem
3.
BMC Public Health ; 19(1): 1397, 2019 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-31660916

RESUMO

BACKGROUND: Travellers visiting friends and relatives (VFR) define a specific population of travellers exposed to higher risks for health and safety than tourists. The aim of this study was to assess differentials in pre-travel health care in VFR travellers compared to other travellers. METHODS: A retrospective cohort study was performed including attendees of the Travel Medicine Clinic of the Hospital Universitari de Bellvitge, Barcelona, Spain, between January 2007 and December 2017. RESULTS: Over the 10-year period, 47,022 subjects presented to the travel clinic for pre-travel health care, 13.7% of whom were VFR travellers. These showed higher rates of vaccination against yellow fever and meningococcus, but lower rates for hepatitis A, hepatitis B, influenza, rabies, cholera, polio, typhoid IM vaccine and tetanus vaccine boosters. Regarding malaria prevention measures, results highlighted that VFR travellers, when compared with tourists, were more likely to be prescribed with chemoprophylaxis, particularly with mefloquine, than with atovaquone/proguanil. CONCLUSIONS: Findings from this large-scale study indicated differences in vaccination rates and completion, as well as in chemoprophylaxis for malaria, between VFR and non-VFR travellers, fostering specific interventions for promoting adherence to pre-travel health advice among migrant travellers.


Assuntos
Migrantes/psicologia , Medicina de Viagem/estatística & dados numéricos , Viagem/estatística & dados numéricos , Adulto , Família , Feminino , Amigos , Hospitais Universitários , Humanos , Malária/prevenção & controle , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Espanha , Migrantes/estatística & dados numéricos , Vacinação/estatística & dados numéricos
4.
Rev Prat ; 69(6): 672-675, 2019 Jun.
Artigo em Francês | MEDLINE | ID: mdl-31626432

RESUMO

Recently arrived migrants arriving in Europe have been particularly exposed to many difficult events, including potentially traumatic violence. Their pre-migratory experience, the conditions of their journey to Europe, the way they were received, and the intercultural situation are the different factors that, while interacting, weaken them. The available epidemiological data, although disparate and difficult to compare, show that more than a quarter of them have psychological disorders (post-traumatic stress disorder and depression in particular) that require care. Their access to care is difficult and psychological disorders are not always highlighted. Every doctor should be able to make the hypothesis of post-traumatic disorders in such a context and be able to refer to appropriate care if necessary. The future of patients, their ability to assert their rights, to find their place in our society and sometimes their survival depend on it.


Assuntos
Saúde Mental , Transtornos de Estresse Pós-Traumáticos , Migrantes , Europa (Continente) , Humanos , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Transtornos de Estresse Pós-Traumáticos/terapia , Migrantes/psicologia , Violência
5.
Rev Prat ; 69(6): 676-678, 2019 Jun.
Artigo em Francês | MEDLINE | ID: mdl-31626433

RESUMO

Today, people all over the world are on the move. Women and girls account for nearly half of the 244 million migrants. They are sometimes forced to leave their country of origin to flee physical, psychological or sexual violence and gender discrimination. Then the migratory route and the new life in the country of asylum expose them to situations of vulnerability and they are therefore at risk of physical, psychological or sexual abuse. The risk of HIV infection is high. Practitioners in host countries receive these women for various reasons in consultation. Knowing their background allows us to support them and offer them care adapted to their needs and requests. The first step is systematic screening by professionals. Secondly, multidisciplinary care is essential: social actors, psychologists, sexologists, infectiologists, gynaecologists, pain specialists, etc. This requires specific training for professionals confronted with these populations.


Assuntos
Violência Doméstica , Refugiados , Delitos Sexuais , Migrantes , Feminino , Infecções por HIV , Humanos , Refugiados/psicologia , Migrantes/psicologia , Violência
6.
Rev Prat ; 69(6): 679-682, 2019 Jun.
Artigo em Francês | MEDLINE | ID: mdl-31626434

RESUMO

The health of migrants is a complex issue in public health. In French Guyana, as elsewhere, globalization, through migrants in particular, has transformed the care of diseases previously geographically distant. In this context, the borders now concern the entire territory and not just the peripheries. These borders contribute to the aggravation of the migrants health determinants through the complex and sometimes risky paths that they generate. Transboundary areas are also areas of high vulnerability. However, these cross-border spaces and routes can also constitute health resources, in the original interfaces that they can produce in terms of cooperation promoting shared screening and monitoring programs.


Assuntos
Emigrantes e Imigrantes , Indicadores Básicos de Saúde , Programas de Rastreamento , Migrantes , Emigrantes e Imigrantes/estatística & dados numéricos , Guiana Francesa , Humanos , Migrantes/psicologia , Migrantes/estatística & dados numéricos , Populações Vulneráveis
7.
BMC Public Health ; 19(1): 1410, 2019 Oct 29.
Artigo em Inglês | MEDLINE | ID: mdl-31664963

RESUMO

BACKGROUND: The Woman's Condom, a newly designed condom for women, has obtained market approval in China, but it remains relatively unfamiliar to the migrant population. The aim of this study is to evaluate the short-term acceptability of the Woman's Condom and influencing factors among internal migrants. METHODS: A longitudinal study was conducted among 1800 migrants in Beijing, Chongqing, and Shanghai in China between August 2013 and August 2014.Three-level model was implemented with the Statistical Analysis System software (v.9.4 SAS Institute) to analyze within-individual changes, between-individuals effects, and between-group effects. RESULTS: Three-level model analysis revealed statistically higher short-term acceptability of the Woman's Condom among subjects who lived in Shanghai (ß = 6.50, t = 2.76, p < 0.01), unmarried and not in a cohabiting relationship (ß = 3.05, t = 2.76, p < 0.01) than those who lived in Beijing, married and in a cohabiting relationship. Female (ß = - 1.69, t = - 7.55, p < 0.01) and lower educational attainment (ß = - 2.30, t = - 1.94, p = 0.05) were negatively related, while occupations of education, health, and civil staff (ß = 1.50, t = 2.92, p < 0.01) were positively related to acceptability. It was predicted that migrants' acceptability of the Woman's Condom would significantly increase over time (ß = 1.09, t = 5.54, p < 0.01). CONCLUSIONS: The findings indicate that the Woman's Condom enjoyed relatively high short-term acceptability among migrants in China. In order to popularize the Women's Condoms in migrants, more publicity, consultation and training in open and prosperous areas should be strengthened.


Assuntos
Preservativos Femininos/estatística & dados numéricos , Comportamento Sexual/psicologia , Migrantes/psicologia , Adulto , Pequim , China , Feminino , Humanos , Relações Interpessoais , Estudos Longitudinais , Estado Civil/estatística & dados numéricos , Pessoa de Meia-Idade , Características de Residência/estatística & dados numéricos , Migrantes/estatística & dados numéricos , Adulto Jovem
8.
Int J Equity Health ; 18(1): 157, 2019 10 16.
Artigo em Inglês | MEDLINE | ID: mdl-31619247

RESUMO

BACKGROUND: A higher risk of common mental health disorders has been found for first-generation migrants in high income countries, but few studies have examined the use of mental health care. This study aimed to identify the level of antidepressant use amongst the largest first generation migrant groups resident in Finland. METHODS: This cohort study used record-based data linkage methodology to examine the hazard of antidepressant use between migrant groups in Finland using Cox proportional hazard models. Data was derived using socio-demographic and prescription data from Statistics Finland and the Finnish Population Registry. The cohort included a random sample of 33% of the working age population in 2007 (N = 1,059,426, 49.8% women, 2.5% migrants) and dispensed antidepressant prescriptions from 2008 to 2014. RESULTS: After adjustment for socio-demographic characteristics, results show higher antidepressant use for female migrants from North Africa and the Middle East compared to the Finland-born majority, a similar level of use for migrants from Western countries, and lower use for migrants from other non-Western countries. CONCLUSIONS: The gender and country of origin dependent use of antidepressant medication is discussed in terms of socio-political and cultural between-group differences. Recommendations are made to address inequalities in accessing services, particularly for migrants from non-Western countries.


Assuntos
Antidepressivos/uso terapêutico , Transtornos Mentais/tratamento farmacológico , Migrantes/psicologia , Adolescente , Adulto , Estudos de Coortes , Feminino , Finlândia , Humanos , Armazenamento e Recuperação da Informação , Masculino , Pessoa de Meia-Idade , Migrantes/estatística & dados numéricos , Adulto Jovem
10.
Nervenarzt ; 90(11): 1103-1108, 2019 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-31559479

RESUMO

Poverty and social exclusion are closely related to an increased risk for the deterioration of mental health. In 2018 approximately 19% of the German population were threatened by poverty and the associated social ostracization. Migrant groups in particular often show an increased risk for poverty and are often exposed to multiple socioeconomic stress factors depending on the context of migration, pre-migration and post-migration social factors. Numerous studies have shown that societal exclusion, precarious living conditions and the residential environment negatively affect mental health beyond the effects of pre-migration risk factors. This article provides a review and discussion on the relationship between mental health, poverty and related constructs, such as social cohesion, social capital and social exclusion in general as well as in specific risk groups, such as migrant and refugee populations.


Assuntos
Saúde Mental , Pobreza , Refugiados , Migrantes , Humanos , Refugiados/psicologia , Fatores Socioeconômicos , Migrantes/psicologia
11.
Int J Equity Health ; 18(1): 139, 2019 09 03.
Artigo em Inglês | MEDLINE | ID: mdl-31481094

RESUMO

BACKGROUND: Migrant women at risk of social exclusion often experience health inequities based on gender, country of origin or socioeconomic status. Traditional health promotion programs designed for this population have focused on covering their basic needs or modifying lifestyle behaviors. The salutogenic model of health could offer a new perspective enabling health promotion programs to reduce the impact of health inequities. This study evaluated the effectiveness of a salutogenic health promotion program focused on the empowerment of migrant women at risk of social exclusion. METHODS: A four-session salutogenic health promotion program was conducted over a period of 6 months. In a quasi-experimental pre-test post-test design, an ad hoc questionnaire was administered to 26 women to collect sociodemographic data, together with 5 validated instruments: Antonovsky's Sense of Coherence (SOC-13), Duke-UNC-11 (perceived social support), Quality of Life Short Form-36 (SF-36), Rosenberg's Self-Esteem Scale, and the Cohen et al. Perceived Stress Scale (PSS-10). Descriptive analysis and multiple linear regression models were performed. Statistical tests were considered significant with a two-tailed p value < 0.05. RESULTS: Participants had a low initial SOC-13 score (60.36; SD 8.16), which did not show significant change after the health promotion program. Perceived social support (37.07; SD 6.28) and mental quality of life also remained unchanged, while physical quality of life increased from 50.84 (SD 4.60) to 53.08 (SD 5.31) (p = 0.049). Self-esteem showed an increasing trend from 30.14 (SD 4.21) to 31.92 (SD 4.38) (p = 0.120). Perceived stress decreased from 20.57 (SD 2.91) to 18.38 (SD 3.78) (p = 0.016). A greater effect was observed at the end of the program in women with lower initial scores for SOC-13 and quality of life and higher initial scores of perceived stress. CONCLUSIONS: The health promotion program reduced perceived stress, increased physical quality of life and showed a trend toward increased self-esteem, especially among migrant women with multiple vulnerability factors. The salutogenic model of health should be considered as a good practice to apply in health promotion programs and to be included in national policies to reduce health inequity in migrant populations.


Assuntos
Promoção da Saúde , Migrantes/psicologia , Adolescente , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Avaliação de Programas e Projetos de Saúde , Qualidade de Vida , Medição de Risco , Autoimagem , Distância Social , Estresse Psicológico/prevenção & controle , Estresse Psicológico/psicologia , Migrantes/estatística & dados numéricos , Adulto Jovem
12.
Ned Tijdschr Geneeskd ; 1632019 08 29.
Artigo em Holandês | MEDLINE | ID: mdl-31483583

RESUMO

OBJECTIVE Many healthcare professionals are confronted in their practice with migrants who don't have a valid residence permit. With this study, we want to provide more insight in the health problems and healthcare consumption of this group. DESIGN Retrospective file study. METHOD Data were taken from files created by municipal health-service physicians when medically screening people who present to the municipality to apply for 24-hour shelter on the basis of their health condition. Symptoms and disorders were coded according to the International Classification of Primary Care (ICPC), and use of medication according to the Anatomical Therapeutic Chemical Classification (ATC). RESULTS The study population consisted of 356 people, mainly men, 39 years of age on average (range: 18-80 years). Compared with the total population of people without a valid residence permit who presented to the municipality (n = 1010), in the study population both women (25.6%) and people in age categories above 45 years of age (32.0%) were overrepresented. At the time of screening, 45.2% had a regular, stable place of residence. Most people without a valid residence permit (98.6%) reported one or more health problems. Psychological symptoms, such as stress (78.5%), insomnia (69.7%) and feelings of depression, were the most common ones. At the same time, many people without a valid residence permit were receiving medical care (86.8%). CONCLUSION A majority of people without a valid residence permit who present to apply for 24-hour shelter have health problems. Stress and other psychological symptoms are the most common ones. At the same time, a large part is receiving adequate care. This means that barriers to care, at least in Amsterdam, do not seem too high.


Assuntos
Assistência à Saúde , Emigrantes e Imigrantes , Nível de Saúde , Migrantes , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Depressão/epidemiologia , Transtorno Depressivo , Emigrantes e Imigrantes/legislação & jurisprudência , Emigrantes e Imigrantes/psicologia , Feminino , Habitação , Humanos , Masculino , Pessoa de Meia-Idade , Países Baixos/epidemiologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Atenção Primária à Saúde , Estudos Retrospectivos , Fatores Sexuais , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Estresse Psicológico/epidemiologia , Migrantes/legislação & jurisprudência , Migrantes/psicologia , Adulto Jovem
13.
Soins Psychiatr ; 40(323): 41-43, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31402039

RESUMO

A new type of patient has been arriving in psychiatry over recent years, migrants, with complex psychological, social, cultural and political issues. How and with what means can we, as caregivers, take this complexity on board? What do these patients make of their healthcare experience and how do they deal with the pathway imposed by hospitalisation?


Assuntos
Transtornos Mentais/terapia , Migrantes/psicologia , Humanos , Psiquiatria
14.
Artigo em Inglês | MEDLINE | ID: mdl-31408940

RESUMO

Inability to work due to reported mental strain and psychiatric disorders is rising in Germany these days. Meanwhile the country's net migration is positive. While there is empirical evidence for a healthy migrant effect regarding the physical health in the beginning (mostly accompanied by a subsequent convergence effect), the mental health of migrants remains partly understudied. In order to evaluate the migrant's share in the rise of reported mental strain in Germany, 4000 employees were surveyed by means of an online access panel. About 16 percent of them revealed a migration background. Their Copenhagen Burnout Inventory (CBI) score is slightly yet significantly above the German autochthonous' one both using bi- and multivariate analysis, indicating that there is a specific vulnerability rather than a healthy migrant effect regarding mental strain at work.


Assuntos
Esgotamento Profissional/epidemiologia , Migrantes/psicologia , Adulto , Feminino , Alemanha/epidemiologia , Humanos , Masculino , Saúde Mental , Pessoa de Meia-Idade , Inquéritos e Questionários , Local de Trabalho/psicologia
15.
Public Health ; 174: 134-144, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31369927

RESUMO

OBJECTIVE: This article presents empirical evidence on the quality of life (QoL) of Sub-Saharan African (SSA) migrants in Germany, exploring its association with subjective integration and the influence of some socio-economic and sociodemographic characteristics. STUDY DESIGN: This is a cross-sectional study design using quantitative data from 518 SSA migrants collected across the 16 federal states of Germany, and these data were analysed in this study. METHODS: Association between participants' QoL, measured by the four domains of the Bref version of the World Health Organisation QoL measure, subjective integration and sociodemographic characteristics were evaluated using Pearson product-moment correlations. Stepwise multiple linear regressions were performed to explore the contribution of predictor variables on the QoL domain. RESULTS: Participants' age averaged 32.5 years (standard deviation [SD] 7.93). The sample reported a low QoL score with a mean score of 64.3 (SD 14.4, range 70.2). Multiple linear regression analyses revealed that subjective integration, age, education and gender had significant associations and explained up to 27% of the variance in the QoL domain scores. CONCLUSION: The findings of this study support the conclusion that subjective integration positively and significantly associates with the physical health, psychological health, social relationships and environmental domains of SSA migrants' QoL in Germany.


Assuntos
Qualidade de Vida , Migrantes/psicologia , Adulto , África ao Sul do Saara/etnologia , Estudos Transversais , Pesquisa Empírica , Feminino , Alemanha , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Socioeconômicos , Migrantes/estatística & dados numéricos , Adulto Jovem
16.
Artigo em Alemão | MEDLINE | ID: mdl-31420715

RESUMO

BACKGROUND AND OBJECTIVES: Diversity is increasing, including among workers. Traditional approaches in occupational safety and health are no longer sufficient to meet the emerging challenges in the workplace. Currently, knowledge about specific needs of workers with a migrant background is insufficient to develop suitable interventions under participatory methods. The aim of this work is to gain knowledge about diversity in the workplace and discuss considerations for suitable prevention and health promotion. MATERIALS AND METHODS: Research in reports, analyses of the German Socio-Economic Panel, as well as a review of the literature in relevant databases served to collate current findings about health indicators, stress and strain, structural conditions, and occupational prevention and health promotion. RESULTS: Differentiated results about health in the workplace and stress and strain could be identified. In particular, workers with a migrant background are more often exposed to physical stress and harsh environmental conditions. Furthermore, structural conditions are worse for these workers, e.g. due to lower employment rates, as well as enhanced atypical employment among the target group. CONCLUSION: Plausible explanations for the reported differences are discussed and useful implications are given. However, the overall lack of data and challenges in data collection must be considered.


Assuntos
Saúde do Trabalhador , Migrantes/estatística & dados numéricos , Carga de Trabalho , Local de Trabalho , Alemanha , Nível de Saúde , Humanos , Migrantes/psicologia
18.
Artigo em Inglês | MEDLINE | ID: mdl-31330883

RESUMO

No study has been conducted linking Chinese migrants' subjective well-being (SWB) with urban inequality. This paper presents the effects of income and inequality on their SWB using a total of 128,000 answers to a survey question about "happiness". We find evidence for a satiation point above which higher income is no longer associated with greater well-being. Income inequality is detrimental to well-being. Migrants report lower SWB levels where income inequality is higher, even after controlling for personal income, a large set of individual characteristics, and province dummies. We also find striking differences across socio-economic and geographic groups. The positive effect of income is more pronounced for rural and western migrants, and is shown to be significantly correlated with the poor's SWB but not for the well-being of more affluent respondents. Interestingly, high-income earners are more hurt by income inequality than low-income respondents. Moreover, compared with migrants in other regions, those in less developed Western China are found to be more averse to income inequality. Our results are quite robust to different specifications. We provide novel explanations for these findings by delving into psychological channels, including egalitarian preferences, social comparison concerns, expectations, perceived fairness concerns and perceived social mobility.


Assuntos
Felicidade , Disparidades nos Níveis de Saúde , Renda , Migrantes/psicologia , Adolescente , Adulto , China , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Pobreza/psicologia , Saúde da População Rural/economia , Saúde da População Urbana/economia , Adulto Jovem
19.
Reprod Health ; 16(1): 112, 2019 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-31331344

RESUMO

BACKGROUND: Migrant mothers in high-income countries often encounter more complications during pregnancy, delivery, and the postpartum period. To enlighten health care providers concerning potential barriers, the objective of this study was to explore positive and negative experiences with maternal health services in the University Hospitals of Geneva and Zurich and to describe barriers to maternity services from a qualitative perspective. METHODS: In this qualitative study, six focus groups (FGs) were conducted involving 33 women aged 21 to 40 years. All FG discussions were audio-recorded and later transcribed. Data were analysed using a thematic analysis approach assisted by the Atlas.ti qualitative data management software. RESULTS: Positive experiences included not only the availability of maternity services, especially during emergency situations and the postpartum period, but also the availability of specific maternity services for undocumented migrants in Geneva. Negative experiences were classified into either personal or structural barriers. On the personal level, the main barriers were a lack of social support and a lack of health literacy, whereas the main themes on the structural level were language barriers and a lack of information. CONCLUSION: Structural adaptation is necessary to meet the needs of the extremely diverse population. The needs include (1) the provision of specific information for migrant women in multiple languages, (2) the availability of trained interpreters who are easily accessible to health care providers, (3) specifically trained nurses or social assistance providers to guide migrants through the health system, and (4) a cultural competence-training programme for health care providers.


Assuntos
Barreiras de Comunicação , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde/normas , Serviços de Saúde Materna/normas , Mães/psicologia , Parto/psicologia , Migrantes/psicologia , Adulto , Competência Cultural , Feminino , Grupos Focais , Acesso aos Serviços de Saúde , Humanos , Serviços de Saúde Materna/organização & administração , Período Pós-Parto , Gravidez , Pesquisa Qualitativa , Suíça , Adulto Jovem
20.
Health Qual Life Outcomes ; 17(1): 119, 2019 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-31299967

RESUMO

BACKGROUND: The purpose of this study is to evaluate the reliability and validity of the multiple happiness questionnaire (MHQ) in new-generation migrant workers (NGMW), to compare the difference of well-being and Health-Related Quality of Life (HRQOL) in NGMW with first-generation migrant workers (FGMW) and urban workers (UW), and to explore the relationship between well-being and HRQOL and analyze influential factors to well-being in NGMW in Zhejiang province, China. METHODS: By stratified sampling, 542 NGMW, 226 FGMW and 200 UW had completed the questionnaires in 2018. Cronbach's alpha coefficient (a) for internal consistency of the multiple happiness questionnaire (MHQ) was used. Factor analysis was applied for construct validity. Scores of well-being and HRQOL were compared between NGMW and control groups. Spearman's correlation was performed to clarify the relationship between well-being and HRQOL in NGMW. Multiple linear regression analytical methods were used to adjust confounding effects and to identify the variables that were associated with well-being. RESULTS: MHQ had good internal consistency (Cronbach's alpha overall was 0.960, subscales ranged from 0.754 to 0.957) and structural validity based on factor analysis. Except for life satisfaction and altruism commitment, there was a positive correlation between well-being and HRQOL in NGMW. There were significant differences in psychological well-being (PWB), health concern, subjective vitality, physical component summary (PCS) and mental component summary (MCS) between NGMW and FGMW. Compared to UW, NGMW's general well-being (GWB), subjective well-being (SWB), life satisfaction, positive relation and altruism commitment scores were lower and their negative affect was higher. The GWB score was related to MCS, PCS, self-reported social status, marital status, age and monthly income. CONCLUSION: The results suggest that the MHQ is a reliable and valid measure for well-being in NGMW. There is a significant difference in well-being and HRQOL between NGMW and control groups. Well-being is higher in NGMW than in FGMW, but is lower than in UW. Well-being is related with HRQOL and may be affected by MCS, PCS, self-reported social status, marital status, age and monthly income in NGMW.


Assuntos
Qualidade de Vida , Inquéritos e Questionários/normas , Migrantes/psicologia , Adulto , China , Análise Fatorial , Feminino , Felicidade , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Adulto Jovem
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA