Portuguese expatriates’ health in Angola and Mozambique—a cross-sectional study: increasing awareness and need for more surveillance

Fonseca, Ana Glória; Dias, Sara Simões; Baptista, João Pedro; Torgal, Jorge

doi:10.1093/jtm/tax020

Cited by 9 publications

(14 citation statements)

References 22 publications

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“…The three most common reasons for seeking healthcare services were respiratory conditions for outpatient clinics, gastrointestinal conditions for admission, and accidents for emergency room visit. Similar findings were reported among Portuguese expatriates’ health, where new health problems occurred in 25%, and the most common was acute respiratory infection [ 7 ].…”

Section: Discussionsupporting

confidence: 84%

“…A study examining Portuguese expatriates’ health reported that one third of expatriates experienced significant psychological stress. Further, 20% reported new health problems and the need for medical assistance, 5% were hospitalised, and 64% reported general psychological symptoms [ 7 , 8 ]. The most significant health risks to expatriates were accidents (especially road traffic accidents), mugging, and kidnapping; however, they also experienced injuries due to extreme climates or poor air quality.…”

Section: Introductionmentioning

confidence: 99%

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Health service utilization, unmet healthcare needs, and the potential of telemedicine services among Korean expatriates

Kim

Park

et al. 2018

Global Health

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BackgroundWith the significant growth of migration and expatriation, facilitated by increased global mobility, the number of Koreans living abroad as of 2016 is approximately 7.4 million (15% of the Korean population). Healthcare utilization or health problems, especially among expatriates in developing countries, have not been well researched despite the various health risks these individuals are exposed to. Consequently, we identified the health utilization patterns and healthcare needs among Korean expatriates in Vietnam, Cambodia, and Uzbekistan.MethodsThis cross-sectional survey examined 429 Korean expatriates living in Vietnam (n = 208), Cambodia (n = 60), and Uzbekistan (n = 161) who had access to the Internet and were living abroad for at least 6 months. A 67-item questionnaire was used, and feedback was received via an online survey program. Stepwise logistic regression analyses were performed to evaluate factors associated with unmet healthcare needs and preferences of certain type of telemedicine.ResultsWe found that 45.5% (195/429) of respondents had used medical services in their country of stay. Among those who visited health institutions > 3 times, the most popular choice was general hospitals (39.4%, 15/38); however, they initially visited Korean doctors’ or local doctors’ offices. The most essential criteria for healthcare service facilities was a “skilled professional” (39.3%, 169/429), 42% wanted a health program for chronic disease management, and 30% wanted specialized internal medicine. A substantial number wanted to access telemedicine services and were willing to pay for this service. They were particularly interested in experts’ second opinion (61.5%, 264/429) and quick, 24-h medical consultations (60.8%, 261/429). Having unmet healthcare needs and being younger was strongly associated with all types of telemedicine networks.ConclusionsNearly half of the expatriates in developing countries had unmet healthcare needs. Telemedicine is one potential solution to meet these needs, especially in developing countries.

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Health service utilization, unmet healthcare needs, and the potential of telemedicine services among Korean expatriates

Kim

Park

et al. 2018

Global Health

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“…About 87% of people used personal anti-mosquito protection measures, namely repellents (54.8%), mosquito nets (24.7%), air conditioning (76.4%), domestic insecticides (52.6%), covering arms and legs in the evening (24.1%). With regard to chemoprophylaxis, 133 individuals (37.8%) reported not having taken it, 6 (1.7%) took mefloquine or atavaquone / proguanil and 213 (60.5%) reported having taken it only initially [24].…”

Section: Infectious Diseasesmentioning

confidence: 99%

Migrant Workers and Physical Health: an Umbrella Review

Mucci¹,

Traversini²,

Giorgi³

et al. 2018

Preprint

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Migrants are mainly employed in "3D Jobs" dirty, dangerous, difficult, characterized by monotony, intense rhythms, in sectors at higher risk as construction, heavy industry, agriculture. Aim of this study is to elaborate a systematic review, in order to identify the main occupational risks and occupational diseases of this category. Research included articles published from 2013 to 2018 on the major online databases (PubMed, Cochrane Library and Scopus), using a combination of some keywords (migrant workers, expatriates, physical health, diseases, illnesses, travel, travelers, work and occupational). The online search indicated 1.109 references. We excluded 977 studies, because unrelated to physical health and 64 due to duplication. They were analyzed 68 articles, including 6 reviews and 62 original article. The main risk emerged are to developing infectious diseases, metabolic cardiovascular diseases and to manifesting a lower quality of life, in particular due to difficulties in accessing local health services. It will be crucial to implement the role of occupational medicine in order to introduce multilevel interventions designed to prevent work-related injuries and illnesses and to promote healthier working environments.

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“…5,6 Age, destination country, and climate or cultural difference from the original country were factors associated with health problems. 6 Risks and diseases associated with both common and uncommon destinations could be more frequently experienced by the expatriates. Behavioral and psychosocial problems were also quite common, and adjustment disorders or depression was more frequently found among expatriates.…”

Section: Introductionmentioning

confidence: 99%

“…Behavioral and psychosocial problems were also quite common, and adjustment disorders or depression was more frequently found among expatriates. 5,6 Moreover, they could experience occupational health risks, such as chemical, physical, ergonomic, and biological hazards, and location-specific exposure to transmissible diseases, such as viral hepatitis, malaria, or enteric infections.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a Telehealth Counseling Program for Expatriates

Park

Kim

Koo

et al. 2019

Telemedicine and e-Health

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Portuguese expatriates’ health in Angola and Mozambique—a cross-sectional study: increasing awareness and need for more surveillance

Abstract: Expatriate communities deserve enhanced surveillance for the health issues that affect them. This will improve evidence-based preparation and intervention by public and travel health practitioners.

Cited by 9 publications

References 22 publications

Health service utilization, unmet healthcare needs, and the potential of telemedicine services among Korean expatriates

Health service utilization, unmet healthcare needs, and the potential of telemedicine services among Korean expatriates

Migrant Workers and Physical Health: an Umbrella Review

Evaluation of a Telehealth Counseling Program for Expatriates

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