Oral Care Needs Amongst Disadvantaged Migrants in France

Pichemin, Camille; Boyer, Émile; Jarno, P.; Bertaud, Valérie; Meuric, Vincent; Couatarmanach, Antoine

doi:10.1016/j.identj.2021.12.002

Cited by 2 publications

(1 citation statement)

References 21 publications

(22 reference statements)

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“…A review of studies analyzing the oral health status of migrants from middle-income and low-income countries to Europe reported a high prevalence of caries experience and lack of dental health in the host countries ( 22 ). A recent study has been conducted in France in a health center offering dental consults to migrants ( 23 ). In this study, of the migrants who were assessed by a dentist, 72.3% of migrants had cavities and 59% needed extensive oral care.…”

Section: Discussionmentioning

confidence: 99%

Burden of infectious diseases among undocumented migrants in France: Results of the Premiers Pas survey

Vignier

Moussaoui

Marsaudon

et al. 2022

Front. Public Health

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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.

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Section: Discussionmentioning

confidence: 99%

Burden of infectious diseases among undocumented migrants in France: Results of the Premiers Pas survey

Vignier

Moussaoui

Marsaudon

et al. 2022

Front. Public Health

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Ethical Challenges in Oral Healthcare Services Provided by Non-Governmental Organizations for Refugees in Germany

Kozman,

Mussie,

Elger

et al. 2024

Bioethical Inquiry

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Oral healthcare is attracting much attention after decades of neglect from policymakers. Recent studies have shown a strong association between oral and overall health, which can lead to serious health problems. Availability of oral healthcare services is an essential part of ensuring universal healthcare coverage. More importantly, current gaps in its accessibility by minority or marginalized population groups are crucial public health as well as ethical concerns. One notable effort to address this issue comes from Non-Governmental Organizations (NGOs), which offer oral healthcare services for non-insured refugees. However, the challenge remains that these care services are not comprehensive, which has implications for the refugees’ oral and general health. In this article, we discuss this complex issue in the German healthcare context by including ethical reflections. Therefore, the purpose of this article is to discuss the ethical challenges related to oral healthcare services provided by NGOs for refugees in Germany. First, we will introduce the general oral healthcare context worldwide and in Germany. Second, we will provide a general description of the oral healthcare services provided by NGOs for refugees in Germany, as well as an overview of existing gaps. This will provide us with the context for our third and most important task—discussing the ethical implications of the gaps. In doing so, and since the ethical implications can be several, we demarcate the scope of our analysis by focusing on the specific ethical issues of justice, harm, and autonomy. Finally, we offer some recommendations for how to move forward.

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Oral Care Needs Amongst Disadvantaged Migrants in France

Cited by 2 publications

References 21 publications

Burden of infectious diseases among undocumented migrants in France: Results of the Premiers Pas survey

Burden of infectious diseases among undocumented migrants in France: Results of the Premiers Pas survey

Ethical Challenges in Oral Healthcare Services Provided by Non-Governmental Organizations for Refugees in Germany

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