Pain as a Symptom of Mental Health Conditions Among Undocumented Migrants in France: Results From a Cross-Sectional Study.

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Journal of Public Health Pub Date : 2025-01-06 eCollection Date: 2024-01-01 DOI:10.3389/ijph.2024.1607254

Sohela Moussaoui, Nicolas Vignier, Stephanie Guillaume, Florence Jusot, Antoine Marsaudon, Jérôme Wittwer, Paul Dourgnon

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Abstract

Objectives: This study aimed to explore the associations between mental health status and experienced pain among undocumented migrants (UMs) in France.

Methods: We used data from the multicentric cross-sectional "Premier Pas" study conducted in the Parisian and Bordeaux regions from February to April 2019. Participants over 18 years of age were recruited from sixty-three sites. Pain was assessed through two variables: overall pain and musculoskeletal pain. Mental health conditions, including anxiety, sleep disorders, depression, and posttraumatic stress disorder (PTSD) were evaluated. Logistic regression models were used to explore associations, controlling for social determinants of health (SDHs).

Results: Our findings revealed significant associations between mental health status and pain among the 1,188 included participants. Sleep disorder was associated to higher odds of musculoskeletal pain (aOR = 2.53, 95% CI [1.20-5.33], p = 0.014). Stratified results indicated that among women, depression was associated to higher odds of pain (aOR = 4.85, 95% CI [1.53-13.36], p = 0.007).

Conclusion: This large study confirms the connection between mental health status and pain among UMs, providing valuable evidence for clinicians to address mental health issues in this population.

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疼痛是法国无证移民心理健康状况的一种症状：一项横断面研究的结果

目的：本研究旨在探讨法国无证移民（UMs）的心理健康状况与经历疼痛之间的关系。方法：我们使用了2019年2月至4月在巴黎和波尔多地区进行的多中心横断面“Premier Pas”研究的数据。18岁以上的参与者是从63个地点招募的。疼痛通过两个变量进行评估：整体疼痛和肌肉骨骼疼痛。心理健康状况，包括焦虑、睡眠障碍、抑郁和创伤后应激障碍（PTSD）进行了评估。使用逻辑回归模型探索关联，控制健康的社会决定因素（sdh）。结果：我们的研究结果揭示了1188名参与者的心理健康状况与疼痛之间的显著关联。睡眠障碍与较高的肌肉骨骼疼痛发生率相关（aOR = 2.53, 95% CI [1.20-5.33], p = 0.014）。分层结果显示，在女性中，抑郁与较高的疼痛发生率相关（aOR = 4.85, 95% CI [1.53-13.36], p = 0.007）。结论：这项大型研究证实了UMs患者的心理健康状况与疼痛之间的联系，为临床医生解决这一人群的心理健康问题提供了有价值的证据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

2.20%

发文量

269

审稿时长

12 months

期刊介绍： The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.