Les mineurs isolés étrangers et le système de soins français : étude qualitative

Abstract

UFMs need better information about the health care system and their rights. The educators' health care support training, their knowledge of the rights of UFMs and the role of healthcare professionals need to be improved. Screening of mental illness needs to be developed.

Pediatric urogenital schistosomiasis diagnosed in France

“…However, the sex ratio found in epidemiological studies in endemic areas is close to 1.1 (25,26). The predominance of infected boys in our study can be partly attributed to the fact that the majority of included children were unaccompanied minors (65%) who are predominantly male (22). Other factors such as underreporting of urinary symptoms in girls or limited acces to healthcare for woman may also contribute to this gender imbalance (27).…”

“…To address this issue, the French health authority has recommended systematic screening for schistosomiasis in individuals returning from endemic areas since 2017 (13, 21). Screening of migrant patients is mainly carried out by health care access services or by general practitioners (22) while hospitals are more likely used to symptomatic patients. Our retrospective collection of data in university hospitals may introduce bias, as the study population may over-represent the most severe cases and those less involved in conventional follow-up.…”

The mental health of migrant people: Western medical systems facing a globalized society

“…A reflection on the mental health of the foreign population, in addition to considering individual characteristics such as legal status and personal social capital, cannot fail to take into account how the organization of health services, tools, and procedures affect accessibility and patient behaviors (Quaglia et al., 2020), as well as the development of a degree of trust in the welfare system of the country of arrival (Terraneo & Tognetti Bordogna, 2018). Difficulties in accessing services seem to be linked to a lack of knowledge of the organization of the health system and the bureaucratization of access procedures, as well as language barriers (Guégan & Rivollier, 2017); indeed, linguistic intermediation and educational skills play a fundamental role in promoting access to care (Béal & Chambon, 2015; Pian et al., 2018). Nevertheless, the low rate of use of health services is not only associated with language barriers, but also socio‐political phenomena, racism, and discrimination.…”

Motifs et résultats de consultations de mineurs non accompagnés dans une permanence d’accès aux soins

“…Par exemple, la bilharziose, parasitose chronique à l'origine de lésions urogénitales et intestinales, n'est pas systématiquement recherchée ; les dépistages des infections sexuellement transmissibles (IST) et de la tuberculose sont le plus souvent confiés à des partenaires extérieurs, ce qui ne garantit pas leur réalisation ultérieure. Par ailleurs, une étude qualitative menée auprès de MNA ayant consulté dans les PASS de Chambéry (73) et Saint-Étienne (42) a mis en évidence leurs difficultés à comprendre le rôle des dépistages [23].…”

“…D'une part, les plaintes psychiques des migrants sont rarement spontanées et souvent reléguées au second plan par rapport aux plaintes physiques [25]. Selon l'étude qualitative réalisée dans les PASS de Chambéry et Saint-Étienne, les MNA considèrent les troubles psychiques comme en dehors du champ de la santé [23]. Selon certains psychologues, ils sont exposés au « paradoxe de l'accueil », qui consiste à internaliser leur souffrance psychique [26].…”