Acute respiratory infections in an adult refugee population: an observational study.


Journal

NPJ primary care respiratory medicine
ISSN: 2055-1010
Titre abrégé: NPJ Prim Care Respir Med
Pays: England
ID NLM: 101631999

Informations de publication

Date de publication:
21 12 2021
Historique:
received: 25 01 2021
accepted: 03 11 2021
entrez: 22 12 2021
pubmed: 23 12 2021
medline: 30 3 2022
Statut: epublish

Résumé

The presence of acute infectious respiratory diseases (ARD) is one of the main reasons why recently arrived refugees seek medical help. This paper investigates the incidence rates of acute respiratory diseases in an adult refugee population as well as associated sociodemographic factors and drug treatments. We conducted a retrospective observational study of deidentified medical records. The data were collected between 2015 and 2019 in the health care centers of two large German initial reception centers for refugees. Multivariable analyses controlling for sociodemographics were carried out using generalized estimating equations. Out of 10,431 eligible residents, 6965 medical encounters of 2840 adult patients were recorded over 30 months. Of all the adult patients, 34.4% sought medical help for a respiratory symptom or diagnosis at least once. Older patients and patients from Sub-Saharan Africa sought help less often. The occurrence of ARD showed a typical distribution over the course of the year. Facility occupancy was not associated with ARD occurrence. Acute respiratory symptoms are a leading cause for adult refugee patients to seek medical care. The doctor contact rates due to ARD were consistently two to three times higher among refugees than among German residents.

Identifiants

pubmed: 34934070
doi: 10.1038/s41533-021-00261-9
pii: 10.1038/s41533-021-00261-9
pmc: PMC8692464
doi:

Types de publication

Journal Article Observational Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

50

Informations de copyright

© 2021. The Author(s).

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Auteurs

Alexandra Jablonka (A)

German Center for Infection Research (DZIF), Partner site Hannover-Braunschweig, Hannover, Germany.
Department of Rheumatology and Immunology, Hannover Medical School, Hannover, Germany.

Christian Dopfer (C)

Department of Pediatrics, Neonatology and Allergology, Hannover Medical School, Hannover, Germany.

Christine Happle (C)

Department of Pediatrics, Neonatology and Allergology, Hannover Medical School, Hannover, Germany.

Andree Shalabi (A)

Department of Rheumatology and Immunology, Hannover Medical School, Hannover, Germany.

Martin Wetzke (M)

German Center for Infection Research (DZIF), Partner site Hannover-Braunschweig, Hannover, Germany.
Department of Pediatrics, Neonatology and Allergology, Hannover Medical School, Hannover, Germany.

Eva Hummers (E)

Department of General Practice, University Medical Center Goettingen, Goettingen, Germany.

Tim Friede (T)

Department of Medical Statistics, University Medical Center Goettingen, Goettingen, Germany.

Stephanie Heinemann (S)

Department of General Practice, University Medical Center Goettingen, Goettingen, Germany.

Nele Hillermann (N)

Department of General Practice, University Medical Center Goettingen, Goettingen, Germany.

Anne Simmenroth (A)

Department of General Practice, University Medical Center Goettingen, Goettingen, Germany.
Department of General Practice, University Hospital Wuerzburg, Wuerzburg, Germany.

Frank Müller (F)

Department of General Practice, University Medical Center Goettingen, Goettingen, Germany. frank.mueller@med.uni-goettingen.de.

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