移民自我治疗的决定因素:一个系统的审查
Su Myat Thin1, Chamipa Phanudulkitti2, Myo Thiha Zaw3
1Faculty of Pharmaceutical Sciences, Chulalongkorn University, 254 Phayathai Road, Pathumwan, Bangkok, 10330, Thailand.
Journal of immigrant and minority health
|December 18, 2024
概括
由于医疗保健接入障碍,移民经常自我治疗,导致不适当的使用,特别是抗生素. 改善东道国获得医疗保健的机会可以减少这种做法.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生社会学 卫生社会学
背景情况:
- 移民在东道国获得正式医疗保健方面面临挑战.
- 在移民中,自我治疗是一种常见的做法,如果不适当,可能会产生负面后果.
- 了解移民自我治疗的驱动因素和程度对于公共卫生干预至关重要.
研究的目的:
- 系统地探索移民中自我治疗的普遍性.
- 确定影响移民自我治疗实践的主要来源和决定因素.
- 评估不适当的自我治疗事件的程度,重点是抗生素使用.
主要方法:
- 在PubMed,Scopus,SpringerLink和ScienceDirect数据库中进行系统的文献搜索.
- 包括32项研究,报告移民自我治疗的流行,来源,决定因素和不适当性.
- 数据提取和综合,以确定共同的主题和流行率.
主要成果:
- 移民中自我治疗的患病率从20.2%到94.6%不等.
- 常见的来源包括本国,当地市场和非正式网络.
- 大约46%的发作发生了不适当的自我治疗,其中抗生素自我治疗很普遍 (66%的研究).
- 确定因素包括对疾病的看法,医疗保健获取障碍 (可访问性,可用性,可负担性,可接受性,意识,适应性),担忧和诱导因素 (年龄,收入,工作状况,语言).
结论:
- 医疗保健接入障碍显著推动了移民的自我治疗.
- 文化信仰,社会经济因素和担忧都导致了自我治疗的做法.
- 提高医疗保健服务的可用性,负担能力和接待国家的文化适应性,可以减轻移民中不适当的自我治疗.
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