Analyse du profil socio-démographique et médical des patients de 5 permanences d’accès aux soins de santé (PASS) parisiennes

Kaoutar, Bacha; Gatin, B; Champs-Léger, Hélène de; Vasseur, V.; Aparicio, C.; Gennes, C. De; Lebas, J.; Chauvin, Pierre; Cirot, Georges

doi:10.1016/j.revmed.2014.05.013

Cited by 12 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A survey conducted among 1218 migrants in 11 countries showed that 32% suffered at least one chronic condition [ 28 ]. In a clinical setting similar to Geneva, chronic diseases accounted for 22% of conditions with 6.5% patients having three or more conditions [ 36 ]. An indirect confirmation was brought by Fiorini et al showing that drugs for chronic conditions (hypertension, hypercholesterolemia and diabetes) were the most frequently prescribed in a large cohort of undocumented migrants in Milan (Italy) [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Health of undocumented migrants in primary care in Switzerland

2018

View full text Add to dashboard Cite

BackgroundUndocumented migrants endure adverse living conditions while facing barriers to access healthcare. Evidence is lacking regarding their healthcare needs, notably in regards to chronic diseases. Our goal was to investigate health conditions in undocumented migrants attended in primary care setting.MethodsThis study was conducted at the primary care outpatient clinic, Geneva University Hospitals, Switzerland. We retrospectively recorded and coded all medical conditions of a random sample of 731 undocumented migrants using the International Classification of Primary Care, 2nd version (ICPC-2). We dichotomized conditions as chronic or non-chronic and considered multimorbidity in the presence of three or more chronic conditions.ResultsParticipants originated from 72 countries and were mainly female (65.5%) with a mean age of 42.4 (standard deviation [SD]: 11.4) years. They presented a mean of 2.9 (SD: 2.1; range: 1–17) health conditions. In multivariable analysis, the number of conditions was associated with female gender (p = 0.011) and older age (p <0.001), but not with origin (p = 0.373). The body systems most frequently affected were endocrine, metabolic and nutritional (n = 386; 18.4%), musculoskeletal (n = 308, 14.7%) and digestive (n = 266, 12.8%). Hypertension (17.9%; 95% CI: 15.2%, 29.9%), obesity or overweight (16%; 95% CI: 13.4%, 18.9%) and gastric problems (14.1%; 95% CI: 11.6%, 16.8%) were most prevalent. Overall, 71.8% (95% CI: 68.5%, 75%) participants had at least one chronic condition while 20% (95% CI: 17.2%, 23.1%) had three or more. In multivariable analysis, age (p <0.001) was the only predictor of presenting at least one or three or more chronic conditions.ConclusionsUndocumented migrants present multiple health problems in primary care settings and bear an important burden of chronic diseases. The extent of multimorbidity highlights the need to provide and facilitate the access to comprehensive and long-term primary healthcare services.

show abstract

Section: Discussionmentioning

confidence: 99%

Health of undocumented migrants in primary care in Switzerland

2018

View full text Add to dashboard Cite

show abstract

“…Thanks to the community-based actions of the mobile unit of the CBO Afrique Avenir, the recruitment strategy implemented by the project Makasi can bridge a missing link in the prevention chain among sub-Saharan African migrants: not only newly arrived migrants who live in precarious situations but also those who have been in France for several years but are still affected by different kinds of social hardships. 20 Comparing the population reached by this mobile unit with other healthcare providers highlights the fact that although low-threshold, specifically designed precarious situation care facilities play a major role in providing healthcare for the most excluded migrant populations living in social hardship, 21 other interventions and outreach strategies are needed to reach the migrants who live in social situations that may be less harsh but are harmful to the migrants’ health nonetheless.…”

Section: Discussionmentioning

confidence: 99%

Finding the missing link: when community-based outreach in public space is key to engage migrants in health prevention programmes in Paris, France

Gosselin

Coulibaly

Ravalihasy

et al. 2020

J Epidemiol Community Health

View full text Add to dashboard Cite

BackgroundOne of the classic challenges for prevention programmes is reaching the populations they serve. In France, a substantial number of African migrants living with HIV acquired their infection after migrating. The aim of this paper is to better understand the characteristics of the population reached by a community-based outreach approach.MethodsWe compared sociodemographic characteristics across three different groups in the Paris greater area: (1) the general African migrant population (Population census), (2) the African migrant population using either the regular healthcare system or the system for vulnerable populations (PARCOURS Survey) and (3) the African migrant population reached through a community-based mobile unit (Afrique Avenir). Comparisons were conducted according to sex, age, region of origin, duration of residence and occupational and legal statuses using χ2 tests.ResultsThe migrants reached by the mobile unit were mostly men (69%), 52% of whom were younger than 35 years old. They more often lived in precarious situations than did the general sub-Saharan population (49% vs 35% were unemployed, respectively, p<0.001) and the ones accessing the regular healthcare system. Fewer of them lived in precarious situations than did migrants seeking healthcare consultations for vulnerable populations (42% in the mobile unit vs 54% in healthcare consultations were undocumented, p<0.028).ConclusionOur study shows that the outreach approach can constitute a missing link in the prevention chain among sub-Saharan African migrants, reaching a group that differs from the general migrant population and from the migrant population in healthcare services—not only the newly arrived migrants who live in more precarious situations but also those who have been in France for several years and are still affected by social hardship.

show abstract

“…Different models and services to address homeless health needs have been developed in many European countries (Kaoutar et al, 2014;Keogh, O'Brien, Hoban, O'Carroll, & Fahey, 2015;Lester, Wright, Heath, & RGCP Health Inequalities Standing Group, 2002), however staff with a professional qualification tends to be in a minority of organizations in a number of countries (Bhui, Shanahan, & Harding, 2006). Despite the growing interest in homeless health's needs, knowledge of how homeless people perceive their own health's needs is poorly understood (Baggett, O'Connell, Singer, & Rigotti, 2010).…”

Section: Homelessness and Healthmentioning

confidence: 99%

Factors Associated to Health Needs from Homeless Perspective in Spain

Martín-Baena¹,

Montero-Piñar²,

Fuertes-Lanzuela³

2016

IJSN

View full text Add to dashboard Cite

Purpose: This pilot study aims to identify factors associated to roofless own health self-perception.Design: Cross-sectional study with a sample of homeless people (n=68) who come for help to one of the homeless service centers founded by a non-profit organization. Socio-demographic characteristics, years living on streets, unhealthy habits, chronic morbidity, basic needs and self-reported physical and mental health were described. To identify factors related to mental and physical health from roofless own perspective, a binary logistic analysis was held.Findings: The majority of participants were under 40 years, male and Spanish, alcohol or drug consumers, 80% have lived in the street for one to five years with high levels of pain and poor mental health conditions. Living on the street over a year, exposure to violence, lack of hygiene and female gender, affect negatively the own perception of physical and mental health conditions. Conclusions: Our results show the different and complex homeless health needs. Given the duration of homelessness affected their health condition, recent roofless homeless should be identified as soon as possible.Clinical relevance and further research: Those providing care for homeless people must promote a more coordinated care, maximizing flexibility and fostering relationships to better response to the multiple and different needs of this one vulnerable population. Further study is needed to allow identify the different experiences of homeless women and men.

show abstract

Analyse du profil socio-démographique et médical des patients de 5 permanences d’accès aux soins de santé (PASS) parisiennes

Cited by 12 publications

References 9 publications

Health of undocumented migrants in primary care in Switzerland

Health of undocumented migrants in primary care in Switzerland

Finding the missing link: when community-based outreach in public space is key to engage migrants in health prevention programmes in Paris, France

Factors Associated to Health Needs from Homeless Perspective in Spain

Contact Info

Product

Resources

About