Burden of infectious diseases among undocumented migrants in France: Results of the Premiers Pas survey
IntroductionAn increase in migration rates to the European Union has been observed over the last few years. Part of these migrants is undocumented. This work aimed to describe the reported frequency of infectious diseases and their associated factors among unselected samples of undocumented migrants...
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Frontiers Media S.A.
2022-08-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.934050/full |
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| author | Nicolas Vignier Nicolas Vignier Nicolas Vignier Nicolas Vignier Nicolas Vignier Sohela Moussaoui Sohela Moussaoui Sohela Moussaoui Antoine Marsaudon Jérome Wittwer Florence Jusot Florence Jusot Paul Dourgnon |
| author_facet | Nicolas Vignier Nicolas Vignier Nicolas Vignier Nicolas Vignier Nicolas Vignier Sohela Moussaoui Sohela Moussaoui Sohela Moussaoui Antoine Marsaudon Jérome Wittwer Florence Jusot Florence Jusot Paul Dourgnon |
| author_sort | Nicolas Vignier |
| collection | DOAJ |
| description | IntroductionAn increase in migration rates to the European Union has been observed over the last few years. Part of these migrants is undocumented. This work aimed to describe the reported frequency of infectious diseases and their associated factors among unselected samples of undocumented migrants in France.MethodologyThe Premier Pas survey is a cross-sectional epidemiological survey of a random sample (two-stage sample design) conducted among undocumented migrants recruited in Paris and the Bordeaux region, in places and facilities likely to be frequented by undocumented migrants. The percentages were weighted. The analysis was performed using Stata 15.1 software.ResultsA total of 1,223 undocumented migrants were recruited from 63 places and facilities, with a participation rate of 50%. Most of them were between 30 and 40 years of age (36%), 69% were men, aged mainly 30–40 (36%) years old, from sub-Saharan Africa (60%) or North Africa (25%), and 60% had arrived <3 years earlier. Among the participants, 24.8% declared a poor perceived health status and 33.5% a chronic health condition. Dental infections concerned 43.2% of the participants. Apart from dental issues, 12.9% reported suffering from at least one infectious disease: HIV infection (3.5%), chronic hepatitis B virus infection (3.1%), upper respiratory tract infection (1.7%), skin mycosis (1.2%), skin and soft tissue infection (0.8%), chronic hepatitis C infection (0.8%), urinary tract infection (0.7%), lower respiratory tract infection (0.7%), scabies (0.3%), tuberculosis disease (0.2%), vaginal mycosis (0.6%), and herpes (0.1%). Regarding HIV, HBV, and HCV infections, 56, 71, and 89%, respectively, were diagnosed after their arrival. Chronic viral infections were more often reported by undocumented migrants from sub-Saharan Africa and Latin America. In multivariate analysis, a higher risk of reporting chronic viral infection was observed among people food insecure.ConclusionThis original study on a large random sample confirms the frequency of infectious diseases among undocumented migrants in France and the importance of integrating their screening during a health Rendezvous and their management into early access to care and inclusive medico-psycho-social management. |
| first_indexed | 2024-04-12T07:57:23Z |
| format | Article |
| id | doaj.art-31c4efeb40b443c6808369a3a0f75a75 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-12T07:57:23Z |
| publishDate | 2022-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-31c4efeb40b443c6808369a3a0f75a752022-12-22T03:41:26ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-08-011010.3389/fpubh.2022.934050934050Burden of infectious diseases among undocumented migrants in France: Results of the Premiers Pas surveyNicolas Vignier0Nicolas Vignier1Nicolas Vignier2Nicolas Vignier3Nicolas Vignier4Sohela Moussaoui5Sohela Moussaoui6Sohela Moussaoui7Antoine Marsaudon8Jérome Wittwer9Florence Jusot10Florence Jusot11Paul Dourgnon12Institut de recherche et documentation en économie de la santé, IRDES, Paris, FranceCentre d'Investigation Clinique Antilles Guyane, CIC INSERM 1424, Centre hospitalier de Cayenne, Cayenne, French GuianaSorbonne Université, INSERM UMR 1136, Institut Pierre Louis d'Épidémiologie et de Santé Publique, IPLESP, Department of Social Epidemiology, Paris, FranceFrench Collaborative Institute on Migration, Institut Convergences Migrations, ICM, Aubervilliers, FranceUniversité Sorbonne Paris Nord, UFR SMBH, IAME, INSERM UMR 1137, Hôpital Avicenne, Hôpitaux Universitaires Paris Seine-Saint-Denis, AP-HP, Department of Infectious and Tropical diseases, Bobigny, FranceInstitut de recherche et documentation en économie de la santé, IRDES, Paris, FranceSorbonne Université, INSERM UMR 1136, Institut Pierre Louis d'Épidémiologie et de Santé Publique, IPLESP, Department of Social Epidemiology, Paris, FranceBordeaux University, Bordeaux Population Health, INSERM U1219, Economic and Management of Healthcare Organizations Team, Emos Team, Bordeaux, FranceInstitut de recherche et documentation en économie de la santé, IRDES, Paris, FranceBordeaux University, Bordeaux Population Health, INSERM U1219, Economic and Management of Healthcare Organizations Team, Emos Team, Bordeaux, FranceInstitut de recherche et documentation en économie de la santé, IRDES, Paris, FranceUniversité Paris-Dauphine, PSL-Research University, Leda-Legos, Paris, FranceInstitut de recherche et documentation en économie de la santé, IRDES, Paris, FranceIntroductionAn increase in migration rates to the European Union has been observed over the last few years. Part of these migrants is undocumented. This work aimed to describe the reported frequency of infectious diseases and their associated factors among unselected samples of undocumented migrants in France.MethodologyThe Premier Pas survey is a cross-sectional epidemiological survey of a random sample (two-stage sample design) conducted among undocumented migrants recruited in Paris and the Bordeaux region, in places and facilities likely to be frequented by undocumented migrants. The percentages were weighted. The analysis was performed using Stata 15.1 software.ResultsA total of 1,223 undocumented migrants were recruited from 63 places and facilities, with a participation rate of 50%. Most of them were between 30 and 40 years of age (36%), 69% were men, aged mainly 30–40 (36%) years old, from sub-Saharan Africa (60%) or North Africa (25%), and 60% had arrived <3 years earlier. Among the participants, 24.8% declared a poor perceived health status and 33.5% a chronic health condition. Dental infections concerned 43.2% of the participants. Apart from dental issues, 12.9% reported suffering from at least one infectious disease: HIV infection (3.5%), chronic hepatitis B virus infection (3.1%), upper respiratory tract infection (1.7%), skin mycosis (1.2%), skin and soft tissue infection (0.8%), chronic hepatitis C infection (0.8%), urinary tract infection (0.7%), lower respiratory tract infection (0.7%), scabies (0.3%), tuberculosis disease (0.2%), vaginal mycosis (0.6%), and herpes (0.1%). Regarding HIV, HBV, and HCV infections, 56, 71, and 89%, respectively, were diagnosed after their arrival. Chronic viral infections were more often reported by undocumented migrants from sub-Saharan Africa and Latin America. In multivariate analysis, a higher risk of reporting chronic viral infection was observed among people food insecure.ConclusionThis original study on a large random sample confirms the frequency of infectious diseases among undocumented migrants in France and the importance of integrating their screening during a health Rendezvous and their management into early access to care and inclusive medico-psycho-social management.https://www.frontiersin.org/articles/10.3389/fpubh.2022.934050/fullmigrantsundocumented migrantsinfectious diseasesHIVdental infectionFrance |
| spellingShingle | Nicolas Vignier Nicolas Vignier Nicolas Vignier Nicolas Vignier Nicolas Vignier Sohela Moussaoui Sohela Moussaoui Sohela Moussaoui Antoine Marsaudon Jérome Wittwer Florence Jusot Florence Jusot Paul Dourgnon Burden of infectious diseases among undocumented migrants in France: Results of the Premiers Pas survey Frontiers in Public Health migrants undocumented migrants infectious diseases HIV dental infection France |
| title | Burden of infectious diseases among undocumented migrants in France: Results of the Premiers Pas survey |
| title_full | Burden of infectious diseases among undocumented migrants in France: Results of the Premiers Pas survey |
| title_fullStr | Burden of infectious diseases among undocumented migrants in France: Results of the Premiers Pas survey |
| title_full_unstemmed | Burden of infectious diseases among undocumented migrants in France: Results of the Premiers Pas survey |
| title_short | Burden of infectious diseases among undocumented migrants in France: Results of the Premiers Pas survey |
| title_sort | burden of infectious diseases among undocumented migrants in france results of the premiers pas survey |
| topic | migrants undocumented migrants infectious diseases HIV dental infection France |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.934050/full |
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