Migration, santé et recours aux soins à Mayotte en 2007 : enseignements d’une enquête représentative en population générale

Florence, S.; Lebas, J.; Parizot, Isabelle; Sissoko, Daouda; Querre, Madina; Paquet, Catherine; Lesieur, Sophie; Chauvin, Pierre

doi:10.1016/j.respe.2010.04.006

Cited by 18 publications

(9 citation statements)

References 7 publications

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“…As in our study, these populations' poor socioeconomic conditions only partially explained their poorer perceived health [23]. A study carried out on Mayotte Island, a French overseas territory in the Comoros Archipelago, found that the health of foreigners was less good there as well (and they were found to have more difficulty accessing health care) than that of the French [24]. …”

Section: Discussionmentioning

confidence: 62%

Migrant health in French Guiana: Are undocumented immigrants more vulnerable?

et al. 2012

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BackgroundFew data exist on the health status of the immigrant population in French Guiana. The main objective of this article was to identify differences in its health status in relation to that of the native-born population.MethodsA representative, population-based, cross-sectional survey was conducted in 2009 among 1027 adults living in Cayenne and St-Laurent du Maroni. Health status was assessed in terms of self-perceived health, chronic diseases and functional limitations. The migration variables were immigration status, the duration of residence in French Guiana and the country of birth. Logistic regression models were conducted.ResultsImmigrants account for 40.5% and 57.8% of the adult population of Cayenne and St-Laurent du Maroni, respectively. Most of them (60.7% and 77.5%, respectively) had been living in French Guiana for more than 10 years. A large proportion were still undocumented or had a precarious legal status. The undocumented immigrants reported the worst health status (OR = 3.18 [1.21-7.84] for self-perceived health, OR = 2.79 [1.22-6.34] for a chronic disease, and OR = 2.17 [1.00-4.70] for a functional limitation). These differences are partially explained by socioeconomic status and psychosocial factors. The country of birth and the duration of residence also had an impact on health indicators.ConclusionData on immigrant health are scarce in France, and more generally, immigrant health problems have been largely ignored in public health policies. Immigrant health status is of crucial interest to health policy planners, and it is especially relevant in French Guiana, considering the size of the foreign-born population in that region.

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Section: Discussionmentioning

confidence: 62%

Migrant health in French Guiana: Are undocumented immigrants more vulnerable?

et al. 2012

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“…For example, migrants living on Mayotte Island, a French island in the Indian Ocean, reported barriers to healthcare related to their unstable living conditions, including their illegal residence status (Florence et al 2010). Two studies conducted in Germany of migrants from many different backgrounds found that illegal status resulted in delays in seeking care for acute and chronic medical conditions, lower quality care, difficulties accessing a regular supply of medication for chronic illnesses and poorer physical and mental health outcomes (Castaneda 2009; Kuehne et al 2015).…”

Section: Introductionmentioning

confidence: 99%

Factors associated with self-rated health among migrant workers: results from a population-based cross-sectional study in Almaty, Kazakhstan

Kumparatana

Cournos

Terlikbayeva

et al. 2017

Int J Public Health

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ObjectivesTo determine factors associated with SRH among migrant workers in Almaty, Kazakhstan.MethodsIn 2007, 805 vendors were screened. Approximately half were eligible (n =450), defined as at least 18 years old, a worker/owner in a randomly selected stall, having traveled 2 + hours outside of Almaty within the past year, and being an internal/external migrant. 28 non-migrants were excluded, leaving 422 participants. Logistic regression was used to examine the relationship between SRH, mental health, and psychosocial problems.ResultsApproximately 46% reported having poor or fair SRH. Clinical depression (OR 0.859, 95% CI 0.342–2.154), alcohol problems (OR 1.169, 95% CI 0.527–2.593), and legal status (OR 0.995, 95% CI 0.806–1.229) were not significantly associated with SRH, nor was exposure to interpersonal violence among women (OR 1.554, 95% CI 0.703–3.435). After adjusting for key variables, only ethnicity and social support were found to be significantly protective against poor or fair SRH.ConclusionsSRH was not a comprehensive health measure for these Central Asian migrant workers. More specific questions are needed to identify mental illness and interpersonal violence.

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“…Moreover, the Government and its international partners have taken considerable engagement by financing the health system, which has reduced the out-of-pocket payment by 40% since 2010. In terms of the health workforce, Comoros, like many African countries, faces a huge migration challenge of healthcare personnel to developed countries [67,68]. The latter situation has fragilized the quality of health services which could also be explained by the high overseas medical treatment experienced by the population [66,70].…”

Section: Discussionmentioning

confidence: 99%

“…Another study estimated 115 patients per year between 2004 and 2007. In addition, the French national institute of health and medical research (INSERM) estimated around 11% of the proportion of the Comorian population migrated to Mayotte for medical treatments in 2008 [67,68]. However, since the "Visa Balladur" implementation in 2005, most Comorians migrated to Madagascar, Tanzania, and Mauritius [66][67][68][69].…”

Section: Migration Of Comorian Population To Access Health Carementioning

confidence: 99%

“…In addition, the French national institute of health and medical research (INSERM) estimated around 11% of the proportion of the Comorian population migrated to Mayotte for medical treatments in 2008 [67,68]. However, since the "Visa Balladur" implementation in 2005, most Comorians migrated to Madagascar, Tanzania, and Mauritius [66][67][68][69]. Although no recent studies are available, the most recent study gave an estimated number at about 10 times more of Comorians who travel to Madagascar to seek medical care [70].…”

Section: Migration Of Comorian Population To Access Health Carementioning

confidence: 99%

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An Overview of Healthcare Systems in Comoros: The Effects of Two Decades of Political Instability

Mohamed

Kassim

Abbas

et al. 2021

Annals of Global Health

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Background: There is ongoing scientific evidence pointing out the adverse effects of conflict on population health and development. Union of Comoros has experienced nearly two decades of political instability and military rule. This comprehensive review was carried out to ask whether the health crisis in Comoros is attributable to the consequences of the chronic political instability.Methods: This study involved a series of semi-structured interviews with key informants complemented by a comprehensive literature search of electronic databases and grey literature. A literature search was performed using all identified keywords associated with health indicators in Comoros to identify potential eligible publications in both English and French from 1975 to July 2020. Results:The analysis demonstrated that political instability and lack of proper leadership from the Government undermine the establishment of health policies which contributed dramatically to the decline in health performance. Additionally, the resurgence and emergence of old and new diseases such as cholera, chikungunya, malaria, HIV/AIDS as indicators of inadequate health services were most likely during political turmoil. Data also showed an out-migration of the health workforce and an increased overseas medical treatment demand, which indicate less attractive working conditions and weak health systems in the country. Meanwhile, an increasing performance of health status indicators was observed after the comprehensive peace process of the 2000-Fomboni Declaration. Conclusions:The chronic political instability in Comoros has contributed to the health crisis facing the Union of Comoros. It has hampered the implementation of proper institutions, which might guarantee the socio-economic development and prosperity of the population. Further studies were needed to evaluate the health burden associated with the two decades of political instability and military rule.

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Migration, santé et recours aux soins à Mayotte en 2007 : enseignements d’une enquête représentative en population générale

Abstract: In this overseas French island, the migrant population is numerous and resident for a long time. Their main motivations to immigrate are economic and family-related. They report hurdles to healthcare related with their precarious living conditions, including their illegal residence status.

Cited by 18 publications

References 7 publications

Migrant health in French Guiana: Are undocumented immigrants more vulnerable?

Migrant health in French Guiana: Are undocumented immigrants more vulnerable?

Factors associated with self-rated health among migrant workers: results from a population-based cross-sectional study in Almaty, Kazakhstan

An Overview of Healthcare Systems in Comoros: The Effects of Two Decades of Political Instability

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