Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 1.837
Filtrar
1.
BMJ Open ; 11(1): e045794, 2021 01 31.
Artigo em Inglês | MEDLINE | ID: mdl-33518530

RESUMO

SETTING: The State of Qatar has had one of the highest COVID-19 infection rates globally and has used state-managed quarantine and isolation centres to limit the spread of infection. Quarantine and isolation have been shown to negatively affect the mental health of individuals. Qatar has a unique population, with around 90% of the population being economic migrants and a majority being blue-collar workers and labourers. OBJECTIVES: This study was carried out to evaluate the psychological impact of institutional isolation and quarantine during the COVID-19 pandemic outbreak in Qatar. The study also explored the sociodemographic correlates of this psychological impact. DESIGN, PARTICIPANTS AND INTERVENTION: A cross-sectional study involving 748 consenting individuals in institutional quarantine and isolation in Qatar during the months of June and July 2020 was carried out. Relevant sociodemographic data along with depressive and anxiety symptomatology scores were collected from consenting adults at these facilities. RESULTS: 37.4% (n=270) of respondents reported depressive symptoms and 25.9% (n=189) reported anxiety symptoms. The scores were higher for individuals in isolation facilities and higher for migrants from poor socioeconomic group (p<0.001 for both). Within this group, although worries about infection were widely reported, lack of contact with the family was cited as one of the most important sources of distress. Respondents reported that contact with the family and reliable information were important factors that helped during the duration of isolation and quarantine. CONCLUSIONS: Our study reported significantly elevated scores for depression and anxiety during institutional quarantine, which is in keeping with emerging evidence. However, in contrast to other studies reporting mostly from native populations, this study of a population with an overwhelming majority of immigrants highlights the special mental health needs of this specific group and can inform future healthcare policies.


Assuntos
Ansiedade , Controle de Doenças Transmissíveis , Depressão , Angústia Psicológica , Quarentena/psicologia , Adulto , Ansiedade/epidemiologia , Ansiedade/etiologia , /prevenção & controle , Controle de Doenças Transmissíveis/métodos , Controle de Doenças Transmissíveis/estatística & dados numéricos , Estudos Transversais , Demografia , Depressão/epidemiologia , Depressão/etiologia , Feminino , Humanos , Masculino , Saúde Mental/estatística & dados numéricos , Determinação de Necessidades de Cuidados de Saúde , Catar/epidemiologia , Fatores Socioeconômicos , Migrantes/psicologia
5.
Soins ; 65(850): 56-58, 2020 Nov.
Artigo em Francês | MEDLINE | ID: mdl-33357743

RESUMO

Somatic difficulties, solitude and the loss of independence are challenges facing ageing people, whatever their culture. However, when one is far from one's home, one's country, one's family, in a complex political and social context, this stage of life can be even more of an ordeal.


Assuntos
Envelhecimento , Migrantes , Idoso , Humanos , Migrantes/psicologia
6.
Isr J Health Policy Res ; 9(1): 61, 2020 11 02.
Artigo em Inglês | MEDLINE | ID: mdl-33138855

RESUMO

BACKGROUND: Israel hosts nearly 70,000 migrant careworkers. Migrant careworkers work and live with populations extremely vulnerable to the novel Coronavirus, including the elderly and people with pre-existing physical conditions. This rapid assessment aimed to explore psychosocial status and mental wellbeing of migrant careworkers in Israel during the ongoing Covid-19 pandemic and determine risk and protective factors associated with mental distress, anxiety, and depression. METHODS: This quantitative study was conducted via an online survey. The online survey collected social and demographic data, including country of origin, residence, age, sex, and time in Israel. In addition, questions were asked about knowledge of COVID-19 guidelines, access to supplies, and COVID-related racism. Respondents also completed a psychosocial screening tools, the Hopkins Symptom Checklist-10 (HSCL-10), which was used to screen for depression and anxiety. RESULTS: As of May 3rd, 2020, 307 careworkers responded to the online survey, of whom 120 (39.1%) were found symptomatic using the HSCL-10. Separating the HSCL-10 into subscales, 28.0% were symptomatically anxious, and 38.1% were symptomatic for depression. In multivariate regression, emotional distress was associated with household food insecurity (OR: 5.85; p < 0.001), lack of confidence to care for oneself and employer during the pandemic (OR: 3.85; p < 0.001), poorer general health (OR: 2.98; p < 0.003), non-Philippine country of origin (OR: 2.83; p < 0.01), female sex (OR: 2.34; p < 0.04),, and inversely associated with age (p < 0.03). While 87.6% of careworkers reported having access to hand sanitization materials regularly, only 58.0% had regular access to a medical grade mask, and 21.5% reported household food insecurity. Moreover, 40.0% of careworkers claimed to lack confidence to care for themselves and their employer during the COVID-19 pandemic. CONCLUSIONS: Migrant careworkers exhibited high levels of mental distress during the COVID-19 lockdown, associated with lack of confidence or resources to properly care for themselves and their employer. Guidelines and support programs specific to the carework sector, that respect their rights and guard their health, must be developed as part of a coordinated COVID-19 response.


Assuntos
Cuidadores/psicologia , Infecções por Coronavirus/prevenção & controle , Transtornos Mentais/epidemiologia , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Quarentena/psicologia , Migrantes/psicologia , Adulto , Idoso , Ansiedade/epidemiologia , Cuidadores/estatística & dados numéricos , Infecções por Coronavirus/epidemiologia , Depressão/epidemiologia , Feminino , Inquéritos Epidemiológicos , Humanos , Israel/epidemiologia , Masculino , Pessoa de Meia-Idade , Pneumonia Viral/epidemiologia , Fatores de Proteção , Angústia Psicológica , Fatores de Risco , Migrantes/estatística & dados numéricos
7.
PLoS One ; 15(10): e0239747, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33052914

RESUMO

This study provides an exploration of the meanings of leisure for humanitarian migrants in regional Australia and these meanings' implications for health. It uses mixed-methods to explore leisure-time physical activity participation and day-to-day experiences of leisure and health. A sample representing approximately one third of the Coffs Coast adult humanitarian migrant population completed the survey, as well as 32 individuals who participated in interviews and focus groups. Findings were organised into three themes and explored issues around mental health and time for leisure, cultural differences in experiencing leisure, and the connections with experiences of other disadvantaged groups. We conclude by arguing that leisure needs to be brought to the fore of discussions around service provision and policy making concerned with the wellbeing of the refugee migrant population, particularly focusing on support for the (re)development of a vocabulary for recreation, as a step forward in the journey to healing and belonging.


Assuntos
Altruísmo , Exercício Físico/fisiologia , Atividades de Lazer/psicologia , Recreação/fisiologia , Recreação/psicologia , Adulto , Austrália , Feminino , Grupos Focais , Humanos , Masculino , Saúde Mental , Pessoa de Meia-Idade , Refugiados/psicologia , Migrantes/psicologia , Vocabulário , Adulto Jovem
10.
Psychiatr Danub ; 32(Suppl 3): 386-395, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33030459

RESUMO

The use of violence and aggression on civilians during the war has become one of the most prominent military events of the 20th and 21st centuries, resulting in an increasing number of refugees and displaced persons in the midst of regional and tribal conflicts. We are witnessing a daily increase in the number of migrants when people are fleeing from their homes because of human rights violations, persecution, poverty, and conflict. When found in "host" countries, they often encounter bad conditions, with uncertainty and instability. Many come to Europe in search of economic and personal opportunities for progress, where they face different types of process of acculturation. 'Place loss', acute and chronic trauma, family disorders, and family reunification issues became more and more important issues. Refugees, asylum seekers and irregular migrants have a higher risk for certain mental health disorders, including posttraumatic stress, depression and psychosis. In addition to being exposed to various risk factors for mental disorders, migrants often face barriers to access to adequate health care to address these issues. Some of the biggest challenges for migrant populations within "host" countries include: lack of knowledge of health care rights and health systems; poor knowledge of the language; different belief systems and cultural expectations of health care; and the general lack of trust in experts and in government. The rates of depressive and anxiety disorders usually increase over time, and poor mental health is associated with poor socioeconomic conditions - particularly with social isolation and unemployment. Acculturative stress often implies a high discrepancy in the acculturation between parents and their children. This dislocation of families in new conditions has been caused by the different degrees of acceptance of "new culture" by children and parents, which causes serious difficulties, especially in bilingual terms.


Assuntos
Aculturação , Saúde Mental/estatística & dados numéricos , Refugiados , Migrantes , Transtornos de Ansiedade/epidemiologia , Transtorno Depressivo/epidemiologia , Europa (Continente) , Humanos , Refugiados/psicologia , Refugiados/estatística & dados numéricos , Migrantes/psicologia , Migrantes/estatística & dados numéricos
11.
BMC Public Health ; 20(1): 1477, 2020 Sep 29.
Artigo em Inglês | MEDLINE | ID: mdl-32993614

RESUMO

BACKGROUND: Many migrants suffer from discrimination and poor health in China. We sought to examine the associations between experiences of discrimination and self-reported health among internal migrants in China, as well as the mediators of social integration and perceived stress. METHODS: The data was obtained from a specific survey of migrants, as a part of the National Health and Family Planning Dynamic Monitoring for Migrants conducted in 2014. A total of 15,999 migrants aged 15 to 59 years were recruited by a stratified, multistage clustered sampling procedure in eight Chinese cities. Structural Equation Modeling (SEM) was conducted. RESULTS: The results indicated that experiences of discrimination were associated with worse self-reported health (ß = - 0.32, P < 0.001), less social integration (ß = - 0.25, P < 0.001), as well as higher perceived stress (ß = 0.21, P < 0.01). Both objectively measured socioeconomic status (ß = 0.21, P < 0.001) and subjective social status (ß = 0.21, P < 0.01) had significantly positive correlations with self-reported health. CONCLUSIONS: The discrimination, social exclusion and perceived stress experienced by migrants have significant implications on their health.


Assuntos
Comportamentos Relacionados com a Saúde , Preconceito/psicologia , Autorrelato , Estresse Psicológico/psicologia , Migrantes/psicologia , Adolescente , Adulto , China/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Dinâmica Populacional , Preconceito/estatística & dados numéricos , Classe Social , Fatores Socioeconômicos , Estresse Psicológico/epidemiologia , Migrantes/estatística & dados numéricos , Adulto Jovem
12.
BMC Public Health ; 20(1): 1442, 2020 Sep 23.
Artigo em Inglês | MEDLINE | ID: mdl-32967642

RESUMO

BACKGROUND: There has been an increase in older rural-to-urban migrant workers (aged 50 and above) in mainland China, little known about their depressive symptoms. The aim of this study was to identify depressive symptoms among older rural-to-urban migrant workers, as well as explored the factors leading to differences in depressive symptoms between older rural-to-urban migrant workers and their rural counterparts (older rural dwellers) and urban counterparts (older urban residents) in mainland China. The results provided a comprehensive understanding of the depressive symptoms of older rural-to-urban migrant workers, and had great significance for improving the depressive symptoms for this vulnerable group. METHODS: Data were derived from the China Health and Retirement Longitudinal Study (CHARLS) conducted in 2015, and coarsened exact matching (CEM) method was employed to control confounding factors. This study employed a Chinese version 10-item short form of the Center for Epidemiologic Studies-Depression Scale (CES-D 10) to measure depressive symptoms, and used the Social-Ecological Model as a framework to explore influential factors related to depressive symptoms. Specifically, the approach of Fairlie's decomposition was used to parse out differences into observed and unobserved components. RESULTS: After matching, our findings indicated that the prevalence of depressive symptoms in older rural-to-urban migrant workers was lower than older rural dwellers; and the prevalence of depressive symptoms in older rural-to-urban migrant workers was higher than older urban residents. Fairlie's decomposition analysis indicated that type of in-house shower, sleeping time at night and ill in the last month were proved to be major contributors to the differences in depressive symptoms between older rural-to-urban migrant workers and older rural dwellers; self-reported health and sleeping time at night were proved to be major contributors to the differences in depressive symptoms between older rural-to-urban migrant workers and older urban residents. CONCLUSIONS: Differences in depressive symptoms between older rural-to-urban migrant workers and their rural and urban counterparts did exist. Our findings contributed to a more reliable understanding in depressive symptoms among older rural-to-urban migrant workers. Our findings would be of referential significance for improving older rural-to-urban migrant workers' depressive symptoms.


Assuntos
Depressão/epidemiologia , Disparidades nos Níveis de Saúde , População Rural/estatística & dados numéricos , Migrantes/psicologia , População Urbana/estatística & dados numéricos , Idoso , China/epidemiologia , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Migrantes/estatística & dados numéricos
13.
Sante Publique ; 32(2): 229-237, 2020 09 15.
Artigo em Francês | MEDLINE | ID: mdl-32989952

RESUMO

OBJECTIVE: The HIV self-test has been on sale in France since September 2015. What is the point of view of pharmacists and key populations with regard to accessing self-tests in community pharmacies ? METHOD: One year after the HIV self-test came onto the market, the points of view of pharmacists and key populations with regard to HIV were collected during six focus groups: the pharmacists themselves; people who had already used HIV self-tests; potential users from two key populations with regard to HIV: migrants from sub-Saharan Africa and men who have sex with men; potential users from populations with active sex lives but not particularly vulnerable with regard to HIV: young adults (<25 years of age), multi-partner heterosexual adults. RESULTS: The HIV self-test in community pharmacies is perceived by all participants as a significant step forward for accessing screening for HIV. However, issues around discretion and anonymity were seen to create significant tensions with regard to accessing the test itself, but also the information necessary to use it correctly both at a technical level and above all concerning how to interpret test results. CONCLUSION: Although the present study underlines the role of the pharmacist as a significant public health actor in the dispensation of the self-test, the sales price and questions of anonymity are seen as major obstacles. Priority actions include renewing communication campaigns concerning the existence and the use of the product for the upcoming generations of young people but also specific campaigns targeting more vulnerable populations.


Assuntos
Atitude do Pessoal de Saúde , Infecções por HIV/diagnóstico , Homossexualidade Masculina/psicologia , Programas de Rastreamento/métodos , Farmacêuticos/psicologia , Autocuidado , Migrantes/psicologia , África ao Sul do Saara/etnologia , Grupos Focais , França , Homossexualidade Masculina/estatística & dados numéricos , Humanos , Masculino , Farmácias , Migrantes/estatística & dados numéricos , Adulto Jovem
14.
PLoS One ; 15(9): e0239187, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32941533

RESUMO

OBJECTIVES: Sexual violence can have a destructive impact on the lives of people. It is more common in unstable conditions such as during displacement or migration of people. On the Greek island of Lesvos, Médecins Sans Frontières provided medical care to survivors of sexual violence among the population of asylum seekers. This study describes the patterns of sexual violence reported by migrants and asylum seekers and the clinical care provided to them. METHODS: This is a descriptive study, using routine program data. The study population consisted of migrants and asylum seekers treated for conditions related to sexual violence at the Médecins Sans Frontières clinic on Lesvos Island (September 2017-January 2018). RESULTS: There were 215 survivors of sexual violence who presented for care, of whom 60 (28%) were male. The majority of incidents reported (94%) were cases of rape; 174 (81%) of survivors were from Africa and 185 (86%) of the incidents occurred over a month before presentation. Half the incidents (118) occurred in transit, mainly in Turkey, and 76 (35%) in the country of origin; 10 cases (5%) occurred on Lesvos. The perpetrator was known to the survivor in 23% of the cases. The need for mental health care exceeded the capacity of available mental care services. CONCLUSION: Even though the majority of cases delayed seeking medical care after the incident, it is crucial that access to mental health services is guaranteed for those in need. Such access and security measures for people in transit need to be put in place along migration routes, including in countries nominally considered safe, and secure routes need to be developed.


Assuntos
Refugiados/estatística & dados numéricos , Delitos Sexuais/estatística & dados numéricos , Migrantes/estatística & dados numéricos , Adolescente , Adulto , Criança , Feminino , Grécia , Humanos , Masculino , Saúde Mental/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Campos de Refugiados/estatística & dados numéricos , Refugiados/psicologia , Sociedades Médicas/estatística & dados numéricos , Migrantes/psicologia
15.
Soins Pediatr Pueric ; 41(315): 28-30, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32951693

RESUMO

The family provides a holding and benevolent environment, allowing the subject to construct himself psychically. Beyond the family, the group of belonging allows an individual to feel that he or she exists. During migration, belonging can be broken: loss of country, language, family, social status, etc. In France, a reception programme for migrants in families helps them to integrate and rebuild their lives. The initial family dynamic is modified. Some important points need to be taken into account during this reception: motivations, consequences on family dynamics and psychological reshuffling.


Assuntos
Relações Familiares/psicologia , Migrantes/psicologia , Afeganistão/etnologia , Feminino , França , Humanos , Masculino , Migrantes/estatística & dados numéricos
16.
PLoS One ; 15(9): e0238947, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32915875

RESUMO

The paper explores the travelling behaviour of migrant groups using Facebook audience estimates. Reduced geographical mobility is associated with increased risk of social exclusion and reduced socio-economic and psychological well-being. Facebook audience estimates are timely, openly available and cover most of the countries in the world. Facebook classifies its users based on multiple attributes such as the country of their previous residence, and whether they are frequent travellers. Using these data, we modelled the travelling behaviour of Facebook users grouped by countries of previous and current residence, gender and age. We found strong indications that the frequency of travelling is lower for Facebook users migrating from low-income countries and for women migrating from or living in countries with high gender inequality. Such mobility inequalities impede the smooth integration of migrants from low-income countries to new destinations and their well-being. Moreover, the reduced mobility of women who have lived or currently live in countries with conservative gender norms capture another aspect of the integration which is referring to socio-cultural norms and gender inequality. However, to provide more solid evidence on whether our findings are also valid for the general population, collaboration with Facebook is required to better understand how the data is being produced and pre-processed.


Assuntos
Mídias Sociais , Migrantes/psicologia , Viagem/psicologia , Comportamento , Feminino , Humanos , Renda , Análise dos Mínimos Quadrados , Masculino , Modelos Psicológicos , Pobreza/psicologia , Análise de Regressão , Sexismo/psicologia , Fatores Socioeconômicos , Migrantes/classificação , Viagem/economia
17.
AIDS Educ Prev ; 32(3): 229-242, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32749875

RESUMO

Latinxs in the United States are disproportionately affected by HIV and present with more advanced disease than their non-Latinx peers, due to numerous barriers to care including HIV stigma. We describe the adaptation, implementation, and reach of Sólo Se Vive Una Vez (You Only Live Once), Baltimore's first social marketing campaign promoting HIV screening among Spanish-speaking Latinxs. The 6-month campaign promoted free HIV testing by addressing HIV stigma. The campaign included a website, a social marketing campaign, community outreach events, and advertisements via radio, billboards, local partners, and buses. During the campaign, there were 9,784 unique website users, and ads were served to over 84,592 people on social media platforms. Among Latinx HIV testers at the Baltimore City Health Department, 31.6% reported having seen or heard of Sólo Se Vive Una Vez and 25.3% of Latinx HIV testers reported that the campaign influenced them to get tested.


Assuntos
Sorodiagnóstico da AIDS/estatística & dados numéricos , Relações Comunidade-Instituição , Infecções por HIV/diagnóstico , Infecções por HIV/prevenção & controle , Promoção da Saúde/métodos , Hispano-Americanos/educação , Marketing Social , Estigma Social , Migrantes/educação , Baltimore , Infecções por HIV/etnologia , Conhecimentos, Atitudes e Prática em Saúde , Hispano-Americanos/psicologia , Humanos , Masculino , Programas de Rastreamento/métodos , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Mídias Sociais , Migrantes/psicologia , Estados Unidos
18.
BMC Infect Dis ; 20(1): 579, 2020 Aug 05.
Artigo em Inglês | MEDLINE | ID: mdl-32758160

RESUMO

BACKGROUND: Globally, tuberculosis (TB) is the 10th leading cause of death. Despite no country achieved its target, the world health organization (WHO) proposed a 90-90-90 approach to fastening the end TB strategy. Improvement and progression of TB control need good knowledge and a favorable attitude towards the disease. However, interventions designed don't take migrants and seasonal farmworkers into account. Therefore, this study aimed at estimating the level of knowledge and attitude on Tuberculosis among migrant and seasonal farmworkers in northwest Ethiopia. METHODS: Community-based cross-sectional study was conducted in the West Gondar zone from October to November 2018. A two-stage cluster sampling was used to select 949 migrant and seasonal farmworkers. Both bivariate and multivariable logistic regression analyses were performed. A p-value of < 0.05 was used to declare statistical significance. The goodness of fit was checked using Hosmer and Lemeshow test. RESULTS: In this study, (41.8%), (95% CI: 38.73, 45.01) and (50.5%), (95% CI: 47.29, 53.65) of migrants and seasonal farmworkers had good knowledge and a favorable attitude, respectively. The odds of good knowledge among mass media exposed migrants were AOR = 1.42, 95% CI: (1.02, 2.01). Moreover, urban residence and having good knowledge increase the odds of favorable attitude by 1.66, (AOR = 1.7; 95% CI: 1.05, 2.62) and 4.3 (AOR = 4.3, 95%CI: 3.26, 5.75), respectively. CONCLUSION: In this study, the overall knowledge and attitude of migrant and seasonal farmworkers on TB were low. Family size and mass media exposure significantly affect knowledge of the migrants on TB. On the other hand, the attitude was affected by urban residence, health information, and having good knowledge. Health promotion interventions, focused on TB cause, mode of transmission, prevention, and treatment are important to migrant and seasonal farmworkers to improve the knowledge and attitude of migrants and seasonal farmworkers.


Assuntos
Atitude , Fazendeiros/psicologia , Conhecimento , Meios de Comunicação de Massa , Migrantes/psicologia , Tuberculose/psicologia , Adolescente , Adulto , Idoso , Estudos Transversais , Etiópia , Características da Família , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estações do Ano , Inquéritos e Questionários , Adulto Jovem
19.
PLoS One ; 15(8): e0237113, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32760157

RESUMO

OBJECTIVE: Adolescent migrants present psychological disorders more frequently than the corresponding host population but their access to care and to follow-up are less effective. The French method of transcultural psychotherapy (TPT) was conceived to respond to these problems. Our objective is to assess how these adolescents and their families perceive the experience and effectiveness of TPT. METHOD: We conducted semistructured interviews with the families of adolescents seen for TPT. The data were analyzed by a qualitative thematic methodology. RESULTS: We spoke to 21 participants in 8 families. The families came to TPT with a sense that the teen's current treatment was at an impasse. During the follow-up, they noted that family communication and relationships had improved, as had their connection to their culture of origin. Besides commenting on what they perceived as limitations, families identified specific elements of TPT as therapeutic. CONCLUSION: The pronounced diversity of the group and the use of both multiperspective narration and an interpreter were specific elements driving the construction of a good therapeutic alliance, despite the initial barriers. Pursuit of the evaluation of TPT is essential to advance the psychiatric care of adolescent migrants.


Assuntos
Medidas de Resultados Relatados pelo Paciente , Psicoterapia/métodos , Migrantes/psicologia , Aculturação , Adolescente , Criança , Características Culturais , Família/psicologia , Feminino , Humanos , Masculino , Psicoterapia/normas , Inquéritos e Questionários , Adulto Jovem
20.
BMC Public Health ; 20(1): 1219, 2020 Aug 10.
Artigo em Inglês | MEDLINE | ID: mdl-32778075

RESUMO

BACKGROUND: Migrant workers are a susceptible population to the hepatitis b virus (HBV) and a vulnerable spot in China's immunization procedures. There is no free HBV immunization program for migrant workers in China, so understanding migrant workers' motivation to receive the HBV vaccine is the first step in designing effective immunization policies. METHODS: A fully specified protection motivation theory (PMT) model of HBV vaccination intention among migrant workers was specified. Data were collected through a cross-sectional survey of 406 migrant workers in three migrant-dense industries in Tianjin, China. Principal component factor analysis was used to produce PMT factors and nested binary logistic regression modeling was applied to assess the associations between protection motivation and HBV vaccination intention of migrant workers. RESULTS: The nested binary logistic regression model suggested that the severity factor and self-efficacy factor were positively related to HBV vaccination intention (OR = 2.15, 95% CI: 1.25-3.71; OR = 2.75, 95% CI: 1.62-4.66) while the response costs was negatively related to the HBV vaccination motivation (OR = 0.50, 95% CI: 0.29-0.83). The socio-demographic variables showed that younger, married and good self-rated health status participants were statistically associated with the intention of taking the HBV vaccine. Sex, education level and income group were not significantly associated with vaccination intention. The migrant-industry variables showed that migrant location had a strong effect on migrant workers' vaccination intention. CONCLUSION: Socio-demographic, migrant-industry variables and PMT factors (severity, self-efficacy and response costs) were statistically associated with migrant workers' intention to vaccinate. Our results suggest that health policy makers should provide more information to migrants on HBV severity; inform migrant workers on where, when and how to get the HBV vaccine; tap into work organizations as a location for vaccinations; and identify migrant worker subgroups for targeted interventions.


Assuntos
Vacinas contra Hepatite B/administração & dosagem , Hepatite B/prevenção & controle , Intenção , Motivação , Migrantes/psicologia , Vacinação/psicologia , Adolescente , Adulto , Idoso , China/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Migrantes/estatística & dados numéricos , Adulto Jovem
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA