基于社区的查增强西非移民在西班牙的乙型肝炎病毒与护理的联系
Camila A Picchio1, Daniel K Nomah2, Ariadna Rando-Segura3,4
1Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona, Barcelona, Spain. camila.picchio@isglobal.org.
Communications medicine
|December 14, 2023
概括
一项以社区为基础的干预成功地提高了西班牙撒哈拉以南非洲移民的乙型肝炎病毒 (HBV) 查,接种疫苗和护理联系. 该计划显示了与护理率的高度联系,改善了这种高风险人群的健康结果.
科学领域:
- 肝病学和传染病的研究
- 公共卫生干预 公共卫生干预
- 移民健康 移民健康
背景情况:
- 乙型肝炎病毒 (HBV) 感染是全球肝细胞癌的主要原因,不成比例地影响撒哈拉以南非洲 (sSA) 人口.
- 越来越多的从sSA到欧洲的移民给医疗保健系统在管理HBV方面带来了挑战.
- 这项研究解决了在西班牙加泰罗尼亚的sSA移民中针对HBV干预的需要.
研究的目的:
- 实施和评估基于社区的干预措施,以加强HBV查,疫苗接种和与护理的联系.
- 评估干预措施在高风险移民群体中的有效性.
- 改善撒哈拉以南非洲移民的HBV护理级联.
主要方法:
- 一项前性队列研究,涉及18岁及以上的444名参与者.
- 基于社区的HBV查使用快速测试和血分离卡.
- 提供HBV疫苗接种,测试后咨询,以及与肝病学护理的联系.
主要成果:
- 50.6%的参与者显示了过去或当前HBV感染的证据,HBsAg患病率为9.2%.
- 目前感染HBV的移民成功与护理联系的几率是5.2倍.
- 实现了72%的整体关联与护理率,预约时间为15.5天.
结论:
- 基于社区的HBV查计划是识别和管理高风险西非移民中的HBV的成功模式.
- 该干预有效地将个人与护理联系起来,包括疫苗接种和专家预约.
- 这种方法可以帮助克服高危的HBV移民群体的护理参与的障碍.
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