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Health of undocumented migrants in primary care in Switzerland

Author

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  • Yves Jackson
  • Adeline Paignon
  • Hans Wolff
  • Noelia Delicado

Abstract

Background: Undocumented migrants endure adverse living conditions while facing barriers to access healthcare. Evidence is lacking regarding their healthcare needs, notably in regards to chronic diseases. Our goal was to investigate health conditions in undocumented migrants attended in primary care setting. Methods: This study was conducted at the primary care outpatient clinic, Geneva University Hospitals, Switzerland. We retrospectively recorded and coded all medical conditions of a random sample of 731 undocumented migrants using the International Classification of Primary Care, 2nd version (ICPC-2). We dichotomized conditions as chronic or non-chronic and considered multimorbidity in the presence of three or more chronic conditions. Results: Participants originated from 72 countries and were mainly female (65.5%) with a mean age of 42.4 (standard deviation [SD]: 11.4) years. They presented a mean of 2.9 (SD: 2.1; range: 1–17) health conditions. In multivariable analysis, the number of conditions was associated with female gender (p = 0.011) and older age (p

Suggested Citation

  • Yves Jackson & Adeline Paignon & Hans Wolff & Noelia Delicado, 2018. "Health of undocumented migrants in primary care in Switzerland," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-13, July.
    • Handle: RePEc:plo:pone00:0201313
    DOI: 10.1371/journal.pone.0201313
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    References listed on IDEAS

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    3. Trine Myhrvold & Milada Cvancarova Småstuen, 2017. "The mental healthcare needs of undocumented migrants: an exploratory analysis of psychological distress and living conditions among undocumented migrants in Norway," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(5-6), pages 825-839, March.
    4. Lindert, Jutta & Ehrenstein, Ondine S. von & Priebe, Stefan & Mielck, Andreas & Brähler, Elmar, 2009. "Depression and anxiety in labor migrants and refugees - A systematic review and meta-analysis," Social Science & Medicine, Elsevier, vol. 69(2), pages 246-257, July.
    5. Kayvan Bozorgmehr & Oliver Razum, 2015. "Effect of Restricting Access to Health Care on Health Expenditures among Asylum-Seekers and Refugees: A Quasi-Experimental Study in Germany, 1994–2013," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-22, July.
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    1. Seidler, Yuki & Novak-Zezula, Sonja & Trummer, Ursula, 2019. "‘Falling off the radar’ of public health: The case of uninsured Chinese patients in Vienna, Austria," Health Policy, Elsevier, vol. 123(9), pages 840-844.

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