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Amiri S. Global prevalence of anxiety and PTSD in immigrants: a systematic review and meta-analysis. NEUROPSYCHIATRIE : KLINIK, DIAGNOSTIK, THERAPIE UND REHABILITATION : ORGAN DER GESELLSCHAFT OSTERREICHISCHER NERVENARZTE UND PSYCHIATER 2022; 36:69-88. [PMID: 35147917 DOI: 10.1007/s40211-022-00411-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Accepted: 01/09/2022] [Indexed: 05/27/2023]
Abstract
BACKGROUND A systematic and meta-analysis of the prevalence of anxiety and posttraumatic stress disorder (PTSD) in immigrants was conducted. METHODS Based on the keywords, scientific databases were systematically searched to identify articles. The search included the three databases PubMed, Google Scholar and Research Gate until June 2020. The analysis was performed to assess the prevalence of anxiety and PTSD; subgroups were examined based on anxiety disorders. RESULTS The prevalence of agoraphobia, PTSD, generalized anxiety disorder (GAD), panic disorder, obsessive-compulsive disorder (OCD), social phobia and specific phobia were 4, 25, 9, 4, 3, 5 and 8%, respectively. CONCLUSIONS Considering the findings of the present study regarding the significant prevalence of anxiety and PTSD in the immigrant population, it is necessary to pay special attention to the mental health of this population.
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Affiliation(s)
- Sohrab Amiri
- Medicine, Quran and Hadith Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
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Amiri S. Worldwide prevalence of smoking in immigration: A global systematic review and meta-analysis. J Addict Dis 2020; 38:567-579. [PMID: 32780650 DOI: 10.1080/10550887.2020.1800888] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Affiliation(s)
- Sohrab Amiri
- Behavioral Sciences Research Center, Lifestyle Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
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Ortega MÁF, Prato JBR, Mendoza RD, Vázquez JM, Dias MCDC, Losada ADA, Barrell AE, Lerín DAA. La salud de los migrantes y los servicios de salud en Medicina Familiar en Iberoamérica. REVISTA BRASILEIRA DE MEDICINA DE FAMÍLIA E COMUNIDADE 2018. [DOI: 10.5712/rbmfc13(1)1858] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Estudio exploratorio, transversal, descriptivo y cuali-cuantitativo, con el objetivo de determinar las condiciones de acceso y cobertura de los servicios de salud de Medicina Familiar y Atención Primaria para la población migrante en Iberoamérica. Se preparó un cuestionario con 22 preguntas relacionadas con el fenómeno de la migración y la prestación de servicios de salud en medicina familiar y atención primaria, el cual fue validado en apariencia y contenido por profesores de las Universidades de México, Colombia y Ecuador. Posteriormente fue respondida y documentada cada pregunta por los docentes e investigadores de 13 países de la región. Las conclusiones y recomendaciones propuestas por el Grupo de Trabajo sobre Migración y Salud de la VII Cumbre Iberoamericana de Medicina Familiar, fueron: a) reconocer el derecho a la salud de las personas migrantes y sus familias; b) incorporar en los programas de pregrado, posgrado y formación continua, las competencias necesarias para la atención integral de la población migrante y de sus familias y c) la creación de un observatorio de salud de los migrantes.
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Brunnet AE, Bolaséll LT, Weber JLA, Kristensen CH. Prevalence and factors associated with PTSD, anxiety and depression symptoms in Haitian migrants in southern Brazil. Int J Soc Psychiatry 2018; 64:17-25. [PMID: 29082817 DOI: 10.1177/0020764017737802] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Prevalence rates of mental health disorders in migrants are controversial. The socio-historical and economic background of the host country may play an important role in the mental health status of migrants. As studies are mostly conducted in developed countries, researching migration in developing countries may add important information to scientific literature. AIMS This study aims to investigate the prevalence and factors associated with posttraumatic stress disorder (PTSD), anxiety and depression symptoms in Haitian migrants in southern Brazil. METHODS The sample comprises 66 participants selected from four different sites in three cities of a Brazilian southern state. Participants fulfilled a sociodemographic questionnaire, as well as instruments investigate traumatic events; post-migration difficulties and symptoms of PTSD, anxiety and depression. Linear regression models were utilized to investigate factors associated with PTSD, anxiety and depression symptoms. RESULTS PTSD prevalence in the sample was 9.1%. Depression and anxiety symptoms were in the clinical range of 10.6%-13.6% of participants, respectively. A number of traumatic events, acculturation difficulties, discrimination and low social support were associated with the investigated mental health disorders. CONCLUSION The results point to the importance of public policies in promoting better social and mental health support for migrants. Providing information to the Brazilian population about migration may improve receptiveness in the host society.
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Affiliation(s)
- Alice E Brunnet
- Department of Psychology, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Laura T Bolaséll
- Department of Psychology, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
| | - João LA Weber
- Department of Psychology, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Christian H Kristensen
- Department of Psychology, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
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Mimarakis D, Roumeliotaki T, Roussos P, Giakoumaki SG, Bitsios P. Winter birth, urbanicity and immigrant status predict psychometric schizotypy dimensions in adolescents. Eur Psychiatry 2017; 47:9-18. [PMID: 29096131 DOI: 10.1016/j.eurpsy.2017.07.014] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2017] [Revised: 07/29/2017] [Accepted: 07/30/2017] [Indexed: 10/18/2022] Open
Abstract
BACKGROUND Urbanicity, immigration and winter-birth are stable epidemiological risk factors for schizophrenia, but their relationship to schizotypy is unknown. This is a first examination of the association of these epidemiological risk factors with positive schizotypy, in nonclinical adolescents, controlling for a range of potential and known confounders. METHODS We collected socio-demographics, life-style, family and school circumstances, positive schizotypy dimensions and other personality traits from 445 high school pupils (192 males, 158 immigrants) from 9 municipalities in Athens and Heraklion, Greece, which covered a range of host population and migrant densities. Using multivariate hierarchical linear regressions models, we estimated the association of schizotypy dimensions with: (1) demographics of a priori interest (winter-birth, immigrant status, urban characteristics), including family financial and mental health status; (2) factors resulting from principal component analysis (PCA) of the demographic and personal data; (3) factors resulting from PCA of the personality questionnaires. RESULTS Adolescent women scored higher on schizotypy than men. High anxiety/neuroticism was the most consistent and significant predictor of all schizotypy dimensions in both sexes. In the fully adjusted models, urbanicity predicted magical thinking and unusual experiences in women, while winter-birth and immigration predicted paranoid ideation and unusual experiences respectively in men. CONCLUSIONS These results support the continuum hypothesis and offer potential insights in the nature of risk conferred by winter-birth, urbanicity and immigration and the nature of important sex differences. Controlling for a wide range of potential confounding factors increases the robustness of these results and confidence that these were not spurious associations.
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Affiliation(s)
- D Mimarakis
- Department of Psychiatry and Behavioral Sciences, University of Crete, 71003 Heraklion, Greece
| | - T Roumeliotaki
- Department of Social Medicine, University of Crete, 71003 Heraklion, Greece
| | - P Roussos
- Department of Psychiatry and Friedman Brain Institute, New York, United States; Department of Genetics and Genomic Sciences and Institute for Genomics and Multiscale Biology, Icahn School of Medicine at Mount Sinai, New York, New York, 10029, United States; Mental Illness Research Education and Clinical Center (MIRECC), James J. Peters VA Medical Center, Bronx, New York, 10468, United States
| | - S G Giakoumaki
- Department of Psychology, University of Crete, 74100 Rethymnon, Greece
| | - P Bitsios
- Department of Psychiatry and Behavioral Sciences, University of Crete, 71003 Heraklion, Greece.
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Staniloiu A, Wahl-Kordon A, Markowitsch HJ. Dissoziative Amnesie und Migration. ZEITSCHRIFT FÜR NEUROPSYCHOLOGIE 2017. [DOI: 10.1024/1016-264x/a000198] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Zusammenfassung. Dissoziative Amnesie verläuft unter Umständen chronisch und kann zu lebenslanger Arbeitsunfähigkeit führen. Die Krankheit tritt gehäuft im Zusammenhang mit Migration auf und verläuft dann schwerer als in anderen Fällen. Sie ist im Grunde reversibel, d. h., der Abruf der Gedächtnisinhalte ist nur blockiert. Betroffen sind Patienten, die nicht verarbeitete Stress- und Traumaerlebnisse als Hintergrund haben und dann ein erneutes Stresserlebnis erfahren, welches zum dissoziativen Amnesiezustand führt. Es wird postuliert, dass in erster Linie Patienten betroffen sind, die im neuen Heimatland nicht ausreichend und ihrem Anspruch entsprechend Fuß fassen konnten. Mangelnde Sprachkenntnisse und eine nicht den Erwartungen entsprechende neue Arbeitssituation sind am ehesten als Gründe anzuführen.
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Affiliation(s)
- Angelica Staniloiu
- Physiologische Psychologie, Universität Bielefeld, Bielefeld
- Sunnybrook Health Sciences Centre, Toronto, Canada
- University of Toronto, Toronto, Canada
- University of Bucharest, Bucharest, Romania
- Oberbergklinik, Hornberg
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Eberhardt LD, Miranda ACD. Saúde, trabalho e imigração: revisão da literatura científica latino-americana. SAÚDE EM DEBATE 2017. [DOI: 10.1590/0103-11042017s225] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Este estudo tem como escopo a relação entre saúde, trabalho e imigração sob a perspectiva da determinação social. Trata-se de pesquisa bibliográfica realizada em setembro de 2015, com o objetivo de discutir a relação saúde-trabalho-imigração a partir da produção científica latino-americana. Foram incluídas 24 publicações. Os resultados indicam a precariedade das condições de vida, trabalho e saúde dos imigrantes. Foi observado que a produção latino-americana a respeito do problema tem incorporado de forma tímida a categoria trabalho, o que torna importante a realização de estudos que abordem a saúde dos imigrantes considerando o processo de determinação social.
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Guerra K, Ventura M. Bioética, imigração e assistência à saúde: tensões e convergências sobre o direito humano à saúde no Brasil na integração regional dos países. ACTA ACUST UNITED AC 2017. [DOI: 10.1590/1414-462x201700010185] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Resumo Introdução Os fluxos imigratórios são um fenômeno mundial e o Brasil não fica distante desse processo. Embora a migração não repercuta necessariamente como uma ameaça à saúde, ela pode aumentar a vulnerabilidade dos sujeitos, tornando imprescindíveis políticas públicas que garantam o direito à saúde. Este artigo teve como objetivo analisar os aspectos bioéticos relacionados ao cumprimento do direito humano ao acesso aos serviços de saúde pelos imigrantes no Brasil. Método Busca eletrônica na base de dados SciELO e revistas de bioética, direitos humanos e saúde coletiva, sem restrição de idioma e ano de publicação. Resultado Foram identificados 16 trabalhos categorizados em imigrantes do MERCOSUL e outras origens, e imigrantes situados em região de fronteira. O Brasil vem procurando respeitar o direito humano à saúde aos imigrantes por meio de novas formas de atuação em saúde, com ações e estratégias específicas, processos de trabalhos mais expandidos e flexíveis; mas existiram enfrentamentos éticos no tocante à equidade, universalidade e não discriminação. Conclusão A criação e o aperfeiçoamento constante de normas e práticas são necessários para que se alcance a responsabilidade ética com esta população e o acesso à saúde no Brasil se consolide como um direito humano universal, principalmente nas regiões de fronteira.
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Affiliation(s)
- Katia Guerra
- Secretaria Municipal de Saúde do Rio de Janeiro, Brasil
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Goulão B, Santos O, Carmo ID. The impact of migration on body weight: a review. CAD SAUDE PUBLICA 2015; 31:229-45. [PMID: 25760158 DOI: 10.1590/0102-311x00211913] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2013] [Accepted: 10/31/2014] [Indexed: 12/16/2022] Open
Abstract
Immigrants may be more vulnerable to obesity as a result of the immigration process. The aim of this article is to summarize current knowledge about the impact of immigration on body mass index (BMI). A systematic review was performed in accordance with PRISMA guidelines through a database search of scientific articles (last updated in August 2014). Thirty-nine articles were included and assessed. Results varied according to ethnic background, country of origin and host country. A consistent positive association between BMI and time since immigration was found among Hispanic, European and African immigrants. Less than half of the studies observed a positive association among Asian immigrants. The quality of the majority of the studies assessed was poor, reflecting a need to improve methodology and concept definition. Immigration appears to have a deteriorative effect on BMI. Underlying causes may include changes in nutrition and physical activity, psychological and social factors, and genetic susceptibility and these aspects should be included as moderator variables in future studies.
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Dallegrave D, Boff C, Kreutz JA. Acupuntura e Atenção Primária à Saúde: análise sobre necessidades de usuários e articulação da rede. REVISTA BRASILEIRA DE MEDICINA DE FAMÍLIA E COMUNIDADE 2011. [DOI: 10.5712/rbmfc6(21)291] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
A inserção de práticas integrativas e complementares no Sistema Único de Saúde remonta à discussão do movimento da reforma sanitária brasileira. Desde a aprovação da Política Nacional de Práticas Integrativas e Complementares, em 2006, a oferta de acupuntura tem crescido nos serviços públicos de saúde como prática multidisciplinar. Os usuários que acessam o Serviço de Saúde Comunitária do Grupo Hospitalar Conceição (Porto Alegre, no Rio Grande do Sul) podem ser encaminhados para a realização de acupuntura por meio da central de marcação de consultas do município. O presente estudo teve como objetivo explorar os encaminhamentos para acupuntura realizados no Serviço de Saúde Comunitária. Trata-se de um estudo de caráter descritivo, com abordagem quantitativa. As fontes de coleta de dados foram os formulários de referência e contrarreferência dos encaminhamentos para acupuntura dentro do Serviço de Saúde Comunitária. Os resultados apontaram maior proporção de mulheres e pessoas com idade acima de 50 anos entre os pacientes referenciados. Observaram-se diferenças significativas nas medianas de ‘dias de espera’ para consulta entre as unidades de saúde vinculadas ao Serviço de Saúde Comunitária. Ainda, confirmou-se a hipótese inicial de que o principal motivo de encaminhamento para realização de acupuntura seria ‘dor’, inscrevendo-se na lógica ocidental de pensar a saúde e os diagnósticos.
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