Immigration Emergency in Italy: The Impact of Socioeconomic Status on Blood Pressure Levels and Control

‘Wish to Dream’ Fulfilment: the Motivations for Onward Migration

This paper explores the individual and group motivations that have encouraged the onward migration of Italian-Pakistanis and Italian-Bangladeshis to the North of England after obtaining Italian citizenship because the reasons for moving again to the current destination are under-researched. It appears that there has been a design-driven form of intentionality in their complex migrations attributable to the influence of European and Italian policies. Gender and ethnic differences among these groups are identified, as well as the level of their integration in the new host country. A qualitative research approach is adopted utilizing six focus group discussions with 48 participants, and the data collected were subjected to thematic analysis. The findings revealed that aspects of education and qualifications, religion, social identity, and culture along with welfare, security, and employment were the motivations for the participants’ onward migration.

Prevalence of Hypertension in Homeless Adults: An Interprofessional Education Community-Based Health Fairs Cross-Sectional Study in Urban Long Beach, California

INTRODUCTION

Hypertension (SBP/DBP > 130/80 mmHg) is a leading risk factor for cardiovascular disease worldwide.

AIM

To determine the prevalence of hypertension in a homeless community during an interprofessional education (IPE)-based health fair.

METHODS

Homeless participants were recruited between August 2019-September 2019. Faculty, nursing, and pharmacist students, educated 477 participants, aged 18-80 years, on the risk factors associated with untreated hypertension. Then, participants self-completed the consented demographic survey questionnaire. Finally, the sitting blood pressure (BP) was recorded three times based on a standardized procedure, using Omron BPN monitor with cuff.

RESULTS

Seven pharmacy students, nine nursing students, two registered nurses, five registered pharmacists, and two medical doctors collaboratively provided health education to the homeless community and screened their sitting BP. 390/477 (81.8%) of participants satisfied the inclusion criteria. Participants (54.7%) of the reported education level was at the high School level or less. More than the half of the participants (average age of 51 ± 13 years) had hypertension (median SBP/DBP ≥ 130/82.7 mmHg), respectively. The prevalence of hypertension for the overall cohort was 61.52% (95% CI, 56.59-66.35). Age (p value = 0.000) was significantly associated with hypertension based on the binary logistic analysis.

CONCLUSION

This study demonstrated a high prevalence of hypertension in the homeless community in Long Beach, California with high risk of cardio-vascular events or strokes. This works sheds new light on an issue of major public health significance and points to the need for fostering IPE community-based health fairs intervention program for the US homeless population.

Cardiovascular Risk in Women Deprived of Freedom from a Public Prison in Mato Grosso, Brazil

INTRODUCTION

Cardiovascular diseases occur worldwide and have progressively affected the female sex, without distinction of life context; however, the prison environment may intensify the risk of developing them.

AIM

To evaluate the cardiovascular risk in women deprived of freedom from a public prison in Mato Grosso, Brazil.

METHODS

This is a quantitative, cross-sectional and analytical study performed with all incarcerated women from the prison institution in the second half of the years 2016, 2017 and 2018, through a structured questionnaire and statistical analysis through the RStudio.

RESULTS

The results showed that, although participants presented low cardiovascular risk, the BMI values pointed to overweight in all the years analyzed, in addition to the waist-to-height ratio, conicity index, waist circumference and waist-hip ratio presenting similar means or that transcend the established cutoff point. There was an association between the anthropometric variables and age, conjugal status, education, alcoholism, systolic blood pressure, metabolic complications, sleep and a family history of non-communicable chronic diseases. The BMI variable showed association with all anthropometric variables related to cardiovascular risk, except to WHR.

CONCLUSION

When considering the ambience factor, modifiable risk factors may negatively influence the long-term health of these women, particularly in relation to the cardiovascular system. The found scenario, in relation to the cardiovascular risk, points to the need for interventions, regarding the clinical condition and life-styles adopted by this population.