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The health of irregular and illegal immigrants: analysis of day-hospital admissions in a department of migration medicine

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Abstract

It is difficult to trace full details of the path which irregular or illegal immigrants follow when seeking assistance in the network of the various hospital departments and health structures. The aim of this work was to analyze the health needs of immigrant people by reviewing the types of treatment given to them in the day-hospital of our Department of Migration Medicine. Our study analyzed day-hospital admissions between 2003 and 2009. The patient charts used for managing day-hospital activity were adopted in 2002 in conformity with the “OSI project”. From these it is possible to draw up a scale picture of the distribution of each pathology in the immigrant population. The sample population consisted of 1,758 subjects, representing 7.4% of potential users. More than half came from Africa, followed by Asia, and then Europe. Gastroenterological diseases ranked first, with dyspeptic syndromes most frequently diagnosed. Infections and parasitic diseases ranked second, and the most frequent diagnoses were sexually transmitted diseases. Third were diseases of the genitourinary system. Metabolic disorders ranked fourth, among them, more than half of the cases were of diabetes mellitus, in patients from south-east Asia. Diseases of the circulatory system were sixth, with hypertension the most frequent pathology. Our data confirm a marked persistence of the phenomenon known as the “healthy immigrant effect” in these types of patients, as well as the prominent role played by “social determinants” in conditioning the health of immigrants, particularly in the case of some infectious diseases.

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Acknowledgments

We wish to thank Ms. Carole Greenall for the revision of the English style.

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Authors and Affiliations

  1. Department of Internal Medicine and Specialties, U.O. di Medicina delle Migrazioni, Palermo, Italy

    Mario Affronti, Andrea Affronti, Salvatore Pagano & Miriam Valenti

  2. U.O. di Medicina Interna ed Epatologia, Dipartimento di Medicina Interna e Specialistica (DIMIS), University of Palermo, Via del Vespro 141, 90127, Palermo, Italy

    Maurizio Soresi, Lydia Giannitrapani, Emanuele La Spada & Giuseppe Montalto

Authors
  1. Mario Affronti
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  2. Andrea Affronti
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  3. Salvatore Pagano
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  4. Maurizio Soresi
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  5. Lydia Giannitrapani
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  6. Miriam Valenti
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  7. Emanuele La Spada
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  8. Giuseppe Montalto
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Correspondence to Giuseppe Montalto.

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Affronti, M., Affronti, A., Pagano, S. et al. The health of irregular and illegal immigrants: analysis of day-hospital admissions in a department of migration medicine. Intern Emerg Med 8, 561–566 (2013). https://doi.org/10.1007/s11739-011-0635-2

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  • DOI: https://doi.org/10.1007/s11739-011-0635-2

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