[意大利移民的健康:意大利国家健康、移民和贫困研究所(INMP)的观点]。

IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Epidemiologia & Prevenzione Pub Date : 2024-07-01 DOI:10.19191/EP24.4-5.S1.109
Anteo Di Napoli, Martina Ventura, Alessio Petrelli
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引用次数: 0

摘要

外籍人口占居民总数的 8.6%(约 500 万),因此有必要监测他们的健康状况。外国人的标准死亡率约为意大利人的一半。在住院方面,由于外国人的平均年龄较小,因此住院率和住院原因也大不相同。特别是,在产科护理方面,外国妇女的住院负担要高得多。外国人因普通急诊住院的比例较高,因本可在门诊治疗的病因住院的风险较高,以及因急诊室的白色/绿色分诊代码就诊的频率较高,都证实了他们在获得和使用基本和专门的地区服务方面存在困难。大流行病加剧了健康方面的不平等,因为它在感染和结果方面对包括移民在内的最弱势社会阶层造成了更严重的影响。移民可能成为人口中最不健康的部分,这与在移民传统较长的国家观察到的情况类似,即使在意大利这样一个普遍保障获得医疗服务的国家也是如此。
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[The health of immigrants in Italy: the viewpoint of the Italian National Institute for Health, Migration and Poverty (INMP)].

The foreign population accounts for 8.6 percent (about 5 million) of the total number of residents, so it is necessary to monitor their health status. Foreigners have standardized mortality rates of about half that of Italians. In terms of hospitalization, rates and causes of hospitalization differ substantially due to the younger average age of foreigners. In particular, a much higher burden of hospitalizations in obstetrical care is observed among foreign women. Maternal and child health is a major concern for foreigners, especially for pregnancy care, which is also reflected in worse health outcomes for newborns.Difficulties in accessing and using basic and specialized territorial services are confirmed by the higher proportion of ordinary emergency hospitalizations among foreigners, the higher risk of being hospitalized for causes that could be treated in an outpatient setting, and the higher frequency of access to emergency rooms with a white/green triage code.The pandemic exacerbated health inequalities because it affected the most disadvantaged social strata of the population, including immigrants, more severely in terms of infection and outcomes.Immigrants could become the least healthy part of the population, similar to what is observed in countries with a longer tradition of migration, even in a country like Italy, where access to care is universally guaranteed.

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来源期刊
Epidemiologia & Prevenzione
Epidemiologia & Prevenzione 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.60
自引率
14.30%
发文量
0
审稿时长
>12 weeks
期刊介绍: Epidemiologia & Prevenzione, oggi organo della Associazione italiana di epidemiologia, raccoglie buona parte delle migliori e originali esperienze italiane di ricerca epidemiologica e di studio degli interventi per la prevenzione e la sanità pubblica. La rivista – indicizzata su Medline e dotata di Impact Factor – è un canale importante anche per la segnalazione al pubblico internazionale di contributi che altrimenti circolerebbero soltanto in Italia. E&P in questi decenni ha svolto una funzione di riferimento per la sanità pubblica ma anche per i cittadini e le loro diverse forme di aggregazione. Il principio che l’ha ispirata era, e rimane, che l’epidemiologia ha senso se è funzionale alla prevenzione e alla sanità pubblica e che la prevenzione ha ben poche possibilità di realizzarsi se non si fonda su valide basi scientifiche e se non c’è la partecipazione di tutti i soggetti interessati. Modalità di comunicazione aggiornate, metodologia statistica ed epidemiologica rigorosa, validità degli studi e solidità delle interpretazioni dei risultati sono la solida matrice su cui E&P è costruita. A questa si accompagna una forte responsabilità etica verso la salute pubblica, che oggi ha ampliato in forma irreversibile il suo orizzonte, e include in forma sempre più consapevole non solo gli esseri umani, ma l’intero pianeta e le modificazioni che l’uomo apporta all’universo in cui vive. L’ambizione è che l’offerta di nuovi strumenti di comunicazione, informazione e formazione, soprattutto attraverso l''uso di internet, renda la rivista non solo un tradizionale veicolo di contenuti e analisi scientifiche, ma anche un potente strumento a disposizione di una comunità di interessi e di valori che ha a cuore la salute pubblica.
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