Utilization of health-care services among immigrants recruited through non-profit organizations in southern Italy

Bianco, Aida; Larosa, Elisabetta; Pileggi, Claudia; Nobile, Carmelo Giuseppe Angelo; Pavia, Maria

doi:10.1007/s00038-016-0820-1

Cited by 14 publications

(12 citation statements)

References 30 publications

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“…In Southern Italy previously published data have focused their attention on investigating the health conditions, mainly the epidemiological characteristics of different diseases [ 11 – 13 ] and the patterns of access and utilization of healthcare services [ 14 ] by groups of immigrants. To date, there is relatively little work examining the occurrence of violence in these communities [ 7 , 15 – 18 ], despite the fact that this is a significant global public health problem.…”

Section: Introductionmentioning

confidence: 99%

Violence Experience among Immigrants and Refugees: A Cross-Sectional Study in Italy

Napolitano

Gualdieri²,

Santagati

et al. 2018

BioMed Research International

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The objectives of this cross-sectional investigation among a random sample of immigrants and refugees in Italy were to gain an insight into the extent and type of the episodes of violence and to assess their association with different characteristics. Data was collected from September 2016 to July 2017 using a face-to-face structured interview. A total of 503 subjects participated. Overall, 46.5% and 40% of the sample reported having experienced some form of violence in Italy at least once since they arrived and during the last 12 months. Psychological violence was the most common form experienced by 53.2% of the participants, 40.3% experiencing physical violence, 18.9% economic violence, and only 6.5% intimate partner violence. The risk of experiencing at least one form of violence in the last 12 months in Italy was more likely to occur among immigrants who have been in Italy much longer and less likely in those who lived in a camp. The number of episodes of violence experienced since they arrived in Italy was significantly higher in female, in those who have been in Italy much longer and in those who had experienced at least one racially discriminatory episode of violence, whereas those with middle and high school or above educational level and those who did not experience psychological consequences of the violence had experienced a lower number of episodes. These results must be used to strengthen interventions and policies aimed at preventing violence among this population.

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Section: Introductionmentioning

confidence: 99%

Violence Experience among Immigrants and Refugees: A Cross-Sectional Study in Italy

Napolitano

Gualdieri²,

Santagati

et al. 2018

BioMed Research International

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“…A study performed in Pavia has shown that only half (49.7%) of the sample of migrant women receive a diagnostic procedures and/or drug prescription and only a third had a preventive intervention or chronic disease control [ 64 ]. There is a clear need to understand and implement new strategies to access and remove barriers to care concerning the model of health-care utilization among immigrants.…”

Section: Resultsmentioning

confidence: 99%

Migrant Women-experiences from the Mediterranean Region

Cascia¹,

Cossu²,

Lindert³

et al. 2020

CPEMH

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Introduction: The phenomenon of migration is characterized and influenced by a number of different variables; and the different stages of journey are related to different levels and types of psychological distress. Women, in particular, are exposed to further specific risks during migration. Aim: To determine the factors that affect the psychological health of migrant women during the different stages of the migration journey. Methods: We provide a narrative review of the literature around the experiences of women during migration process, with a geographical focus on women migrating to the Mediterranean area. Results: Little data is currently available on the burden of mental health disorders for female migrants. Most studies about the mental health status of migrants were not gender-disaggregated or focused specifically on migrant women’s experiences of violence. Sexual and Gender-Based Violence (SGBV) was found to be a common risk factor faced by all the women who leave their native country to migrate to other countries. Conclusion: Despite the importance of the issue and the gender-specific variables related to the experience of migrant women, few studies have looked specifically at psychological variables and mental health status in the female migrant population. It is crucial that future studies are conducted around female migration, violence towards women, and women’s mental health, in order to provide an evidence-base for promoting adequate policies and prevention/treatment programs for women.

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“…As a result, foreigners tend to overuse emergency departments where access appear easier and more immediate [23,24]. This situation unavoidably leads to an increase in healthcare costs for the inappropriate use of emergency departments and to a widening of health inequalities due to a lack of prevention and management of chronic diseases, that are estimated to affect four foreigners out of ten in Italy [25,26]. According to our results, foreigners show more behavioural risk factors for NCDs: smoking, sedentary lifestyle and lower intake of fruit and vegetables.…”

Section: Discussionmentioning

confidence: 99%

The potential of mobile health clinics in chronic disease prevention and health promotion in universal healthcare systems. An on-field experiment

Bertoncello

Cocchio

Fonzo

et al. 2020

Int J Equity Health

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Background: Mobile health clinics (MHCs) are recognized to facilitate access to healthcare services, especially in disadvantaged populations. Notwithstanding that in Europe a wide-ranging background in mobile screening units for cancer is shared, evidences about MHCs targeting also at other non-communicable diseases (NCDs) in universal health coverage systems are scarce. The aim of this study was to describe the population attracted with a MHC initiative and to assess the potential of this tool in prevention and control of NCDs. Methods: Our MHC was set up in a railway wagon. Standard body measurements, finger-stick glucose, total cholesterol and blood pressure were recorded. Participants were asked about smoking, physical activity, diet, compliance to national cancer screening programmes and ongoing pharmacological treatment. One-to-one counselling was then provided. Results: Participants (n = 839) showed a higher prevalence of overweight/obesity, insufficient intake of vegetables, sedentary lifestyle, and a lower compliance to cancer screening compared with reference population. Our initiative attracted groups at higher risk, such as foreigners, men and people aged from 50 to 69. The proportion of newly diagnosed or uncontrolled disease exceeded 40% of participants for both hypertension and hypercholesterolemia (7% for diabetes). Adherence rate to counselling was 99.4%. Conclusions: The MHC was effective in attracting hard-to-reach groups and individuals who may have otherwise gone undiagnosed. MHCs can play a complementary role also in universal coverage health systems, raising selfawareness of unreached population and making access to primary health care easier.

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Utilization of health-care services among immigrants recruited through non-profit organizations in southern Italy

Cited by 14 publications

References 30 publications

Violence Experience among Immigrants and Refugees: A Cross-Sectional Study in Italy

Violence Experience among Immigrants and Refugees: A Cross-Sectional Study in Italy

Migrant Women-experiences from the Mediterranean Region

The potential of mobile health clinics in chronic disease prevention and health promotion in universal healthcare systems. An on-field experiment

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