国际收养和移民儿童有重要的健康问题,需要在抵达时进行系统的初始查
Céline Lafay1,2, Laurie Miller3, Juliette Goutines1
1Pediatric Internal Medicine, Rheumatology and Infectious Diseases, Department of General Pediatrics, Robert-Debré University Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Acta paediatrica (Oslo, Norway : 1992)
|June 4, 2025
概括
国际收养儿童和移民儿童在抵达时表现出严重的健康问题. 收养者经历了更多的发育迟缓和慢性病毒感染,这凸显了对两组人群进行系统健康查的必要性.
科学领域:
- 儿科 儿科 儿科
- 全球健康 全球健康
- 公共卫生 公共卫生
背景情况:
- 国际领养和移民儿童在抵达之前可能面临逆境.
- 这些儿童由于移民前的经历,具有相似的个人资料.
- 关注抵达时的健康状况对于早期干预至关重要.
研究的目的:
- 在国际领养和移民儿童中比较营养状况,感染和接种疫苗.
- 确定这些脆弱人群之间的健康差异.
- 为新到达的儿童提供公共卫生策略的信息.
主要方法:
- 法国尼克医院医疗记录 (2017-2021) 的回顾性审查.
- 包括12岁以下的儿童,将他们归类为被收养或移民 (难民,寻求庇护者).
- 分析了营养状况 (发育不良),感染流行率和疫苗接种覆盖率.
主要成果:
- 其中包括404名儿童:272名收养儿童 (主要来自亚洲) 和132名移民 (主要来自非洲).
- 收养的孩子的发育迟缓率更高 (16%比7%),身高和体重的Z-分数更差.
- 收养者有更多的慢性病毒感染 (4%对0%),而麻疹免疫力在两组中都很低.
结论:
- 国际收养和移民儿童在抵达时都会引起严重的健康问题.
- 建议对这些人群进行系统的初始健康查.
- 密切的医疗跟踪对于解决已识别的健康问题至关重要.
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