Loading...
Please wait, while we are loading the content...
Similar Documents
Pathologies courantes chez les demandeurs d'asile à Montréal : Prévalence et facteurs de risque associés
| Content Provider | Semantic Scholar |
|---|---|
| Author | Ouimet, Marie-Jo Muňoz, Marie Narasiah, Lavanya Rambure, Vanessa Correa, José Antonio González |
| Copyright Year | 2008 |
| Abstract | Abstract Background: Canada received 22,873 asylum seekers in 2006. The screening of specific health problems in this population seems warranted. This study aims to estimate the prevalence of pathologies that were screened at the PRAIDA health service in Montreal, and to identify associations with certain risk factors. Methods: A retrospective study was conducted on the files of patients who were screened between 2000 and 2004. Demographic and clinical information was compiled for computation of prevalence as well as multiple logistic regression analysis. Results: Of the 289 files reviewed, 56.7% are for male and 43.3% for female patients, with a mean age of 34 years; 53% are Asians and 38% Africans. 59.4% of subjects received a psychiatric diagnosis (mainly depression and post-traumatic stress disorder). The paraclinical work-up showed: 20.3% anaemia, 9% eosinophilia, 29.7% HBcAb+, 5% HBsAg+, 1.5% hepatitis C (RNA+), 2.5% HIV+ and 45.9% TST+. 10.5% of stool samples contained a pathogen, and serologies for strongyloidiasis and schistosomiasis were positive in 17.3% and 3.9% of samples respectively. Significant associations included female gender with anaemia, African origin with rates of HBcAb and TST+, age with HBcAb and hepatitis C positivity, longer length of stay in Canada with eosinophilia and strongyloidiasis, shorter length of stay with HBcAb, and Asian origin with psychiatric disorders. Conclusions: This study suggests that the prevalence of screened pathologies as part of the PRAIDA health service work-up are high in this population and therefore warrant continuation of their screening until guidelines are constituted. Key words: Refugee claimants; asylum seekers; prevalence; screening; refugees; immigrants Resume Contexte : Le Canada a recu 22 873 demandeurs d'asile en 2006. Le depistage de maladies specifiques semble indique dans cette population. Cette etude vise a evaluer la prevalence de pathologies depistees au service de sante du PRAIDA a Montreal et a identifier des associations avec certains facteurs de risque. Methode : Une etude retrospective de dossiers de patients ayant ete depistes entre 2000 et 2004 a ete realisee. Des informations demographiques et cliniques ont ete compilees, permettant le calcul de prevalences, ainsi que des analyses de regression logistique multiples. Resultats : Parmi les 289 dossiers releves, 56,7 % proviennent d'hommes et 43,3 % de femmes ; la moyenne d'âge est de 34 ans ; 53 % sont Asiatiques et 38 % Africains. 59,4 % des sujets ont recu un diagnostic psychiatrique (principalement depression et syndrome de stress post-traumatique). Le bilan paraclinique a montre les resultats suivants : 20,3 % anemie, 9 % eosinophilie, 29,7 % HBcAc+, 5 % HBsAg+, 1,5 % hepatite C (ARN+), 2,5 % VIH+, 45,9 % TCT+; 10,5 % des selles presentent un germe pathogene, 17,3 % des serologies sont positives pour strongyloidose et 3,9 % pour schistosomiase. Les associations significatives sont : anemie et sexe feminin; origine africaine et taux d'HBcAc et de TCT+; âge et taux d'HBcAc et d'hepatite C; longue duree de sejour au Canada et eosinophilie et strongyloidose; courte duree de sejour et HBcAc; origine asiatique et trouble psychiatrique. Conclusion : Cette etude suggere que les prevalences des pathologies depistees au PRAIDA sont elevees et justifient d'en maintenir le depistage dans cette population jusqu'a ce que des recommandations soient emises. Mots cles : demandeurs de statut de refugie; demandeurs d'asile; prevalence; depistage; refugies; immigrants |
| Starting Page | 499 |
| Ending Page | 504 |
| Page Count | 6 |
| File Format | PDF HTM / HTML |
| DOI | 10.17269/cjph.99.1696 |
| Volume Number | 99 |
| Alternate Webpage(s) | http://journal.cpha.ca/index.php/cjph/article/download/1696/1880 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
