Disparities in Tuberculosis Diagnostic Delays between Native and Migrant Populations in Italy: A Multicenter Study

International Journal of Infectious Diseases, Год журнала: 2024, Номер unknown, С. 107279 - 107279

Опубликована: Окт. 1, 2024

Язык: Английский

---

Access to health services by women subjected to violence: findings from administrative healthcare data from the metropolitan area of northern Italy

BMC Women s Health, Год журнала: 2025, Номер 25(1)

Опубликована: Фев. 12, 2025

Abstract Background In Italy, approximately 50% of women report experiencing episodes psychological and/or physical violence. The Emergency Department (ED) is widely recognized as one the health services to which victims violence seek treatment for injuries and within situations domestic abuse can be recognized. This work aims estimate phenomenon in population Health Protection Agency (ATS) Milan using data from emergency room access hospital admissions. A further goal survey provide evidence launch audit processes units designed foster improvement strategies management guarantee integration with anti-violence centers. Methods first phase project, an algorithm was detect subjected intercepted five years 2019–2023 administrative healthcare rooms To identify cases, specific diagnosis codes ICD-9 have been selected. Prevalence time trends were estimated, stratifying by different socioanagraphic characteristics types attributes access. addition, degree between social analyzed. areas researched concern intake specialized services; specifically, on female residents cohort cross-referenced network ATS territory. Results clearly increasing emerges: 2019 2023, admissions ED risen 17%. total 35.6 percent involve ages 18 34. Foreigners account 40.9 while constituting 15 residing yellow (Urgency) triage code assigned 3 out 4 11.5% had multiple accesses. Conclusions Administrative offer consistent studying project useful tools better guide policies intervention area. Further reflection will focus possibility integrating support integrated approach.

Язык: Английский

---

Beyond Borders: Exploring the Lived Experiences of International Migrant Women in Nigeria, A Deep Dive into Healthcare Realities and Utilization

Gender Issues, Год журнала: 2025, Номер 42(2)

Опубликована: Фев. 27, 2025

Язык: Английский

---

Tracing individual experiences to systemic challenges: the (re)production of GBV in migrant women’s experiences in Canada

Frontiers in Sociology, Год журнала: 2025, Номер 10

Опубликована: Март 4, 2025

This study examines the experiences of migrant women survivors gender-based violence (GBV) in Canada, focusing on their processes disclosing and seeking help. It explores a range migration-related factors circumstances that shape women’s responses to while also aiming reveal how migration contexts determine system-and structural-level GBV, which are then traced back individual responses. Based 17 in-depth interviews with using situated intersectionality perspective, our findings demonstrate first GBV is uniquely shaped (re)produced by precarity, rooted structural, socioeconomic, legal conditions translate into heightened vulnerability at level. We showed increased as perpetrators exploited precarity manipulate control women, illustrating continuum precarity-GBV. Secondly, this manipulation, controlling behaviors, abuse enabled policies practices give rise precarity. Additionally, participants reported lack supportive social networks, which, combination fear cultural stigmatization, created double bind hindering safety. Furthermore, systemic experiencing were found be inadequate, discriminatory negligent attitudes healthcare, police, systems. systemic-individual level violence. Our enhance both theoretical empirical understanding (i) between (ii) forms contexts, where exacerbates vice versa, creating vicious cycle deepens vulnerability, structural contribute/(re)produce GBV.

Язык: Английский

---

Help-seeking experiences of young people of culturally and/or linguistically diverse (CALD) backgrounds following suicidal thoughts and behaviours in Melbourne, Australia: a qualitative approach

BMJ Open, Год журнала: 2025, Номер 15(4), С. e093859 - e093859

Опубликована: Апрель 1, 2025

Objectives To understand the help-seeking experiences of young people from culturally and linguistically diverse (CALD) backgrounds who have experienced suicidal thoughts behaviours (STB). Design Qualitative study using semistructured interviews reflexive thematic analysis. Setting A specialist, youth-focused Hospital Outreach Post-suicidal Engagement (HOPE) aftercare service delivered by Orygen in North-West Melbourne, Australia. Participants Eight aged 16–24 years (mean: 18.7±3.1 years, 50% female) various CALD had been discharged HOPE within past 12 months. Results Four themes were identified: (1) cultural taboos generational differences create challenges communicating with family; (2) isolation is a barrier to reaching out; (3) it’s hard disclose discuss STB clinicians (4) not being taken seriously clinical settings. Conclusion These findings highlight social, organisational barriers that shape journeys experiencing STB. suggest need for sensitive suicide prevention strategies, enhanced competency healthcare settings efforts improve mental health literacy communities.

Язык: Английский

---

Navigating the Crossroads: A 10-Year Population Study on Access to Care Among Patients With Brain Tumor

Neurosurgery, Год журнала: 2025, Номер unknown

Опубликована: Апрель 9, 2025

BACKGROUND AND OBJECTIVES: Health care disparities are introduced at various points along the patient continuum. This study explores in initial health access for patients with brain tumor (BT) New York City (NYC) and State (NYS), comparing emergency department (ED) elective admissions (EA). METHODS: Using 2010-2020 data from Statewide Planning Research Cooperative System of NYS, were identified through relevant billing codes. Demographic, socioeconomic, variables examined using univariate analysis logistic mixed effects regression. The dichotomized by location—NYC or NYS— entry site, ED vs EA. RESULTS: cross-sectional included 48 135 patients. Over decade, there was a significant decrease percentage BT admitted ( P < .001) without differences between 2 cohorts. NYC cohort (24 283 patients) had higher proportion younger, affluent individuals, racial/ethnic minorities, publicly insured .001). Male sex older age significantly associated both cohorts .05). Black, Hispanic/Latinx patients, those public insurance more likely to be Residing census tracts within lowest 3 quartiles positively admission but not NYS CONCLUSION: Racial minorities who reside urban areas low median household income rather than Additional studies needed evaluate impact proximity hospital on rural areas. highlights opportunities policy delivery changes address current inequities.

Язык: Английский

---

The impact of the COVID-19 pandemic on migrant women in Milan, Italy: A qualitative study involving key informants working in third sector organizations and public hospitals

International Journal of Disaster Risk Reduction, Год журнала: 2024, Номер 110, С. 104658 - 104658

Опубликована: Июль 5, 2024

Migrants and women were among the groups most adversely affected by COVID-19 pandemic global disaster. Through an intersectional lens that considers both migrant female identities, it can be inferred particularly vulnerable to pandemic. This study aims investigate impact of on living in Milan (North-West Italy), leveraging accounts a pool key informants (KIs). We performed in-depth retrospective qualitative using semi-structured interviews explore perspectives KIs working third sector organizations public hospitals. After conducting extensive mapping with experience migrants providing health, social, and/or administrative services during pandemic, 28 seven recruited. Interviews transcribed inductively analyzed. Overall, exacerbated pre-existing vulnerability factors affecting triggering several cascading effects. The shutdown further marginalized them hindered their regularization empowerment path. Migrant women's financial situation was significantly impacted, as instances they had informal gendered jobs. Caregivers sex workers sub-groups Episodes gender-based violence appeared rise, while requests for assistance declined. Accessing vaccination campaign posed challenges many women, who at times tended skeptical about it. Third organizations, despite being confronted challenges, proved resilient managed find alternative methods support often filling institutional gaps.

Язык: Английский

---

Migrant survivors of conflict-related sexual violence accessing a specialist health service in Turin, Italy: a qualitative analysis of clinical forensic interview transcripts

Frontiers in Sociology, Год журнала: 2024, Номер 9

Опубликована: Сен. 9, 2024

Introduction The Sexual Violence Relief center Soccorso Violenza Sessuale (SVS) is a specialist service, situated in Sant’Anna Hospital, an Obstetrics and Gynecology facility Turin, North-West Italy. study aimed to qualitatively analyze the transcripts of interviews routinely conducted by gynecologist midwife first part medical examination migrant patients accessing care at SVS after being subjected conflict-related sexual violence (CRSV) their home country or during migration explore adverse outcomes such on health. Methods Interview were purposely selected include adult (age &gt; 18) CRSV different phases from January 1st, 2014, September 4th, 2023. Data was extracted archive, anonymized, thematically analyzed. Results discussion In total, 43 interview eligible for inclusion. All them related cisgender women Sub-Saharan origin describing forms as driver migration. disclosed 18 survivors occurring 31 transit (e.g., Libya), most reported type rape. 49% described physical CRSV, while 72% psychological sequelae. findings confirm high levels modalities throughout migratory route. Qualitative analysis served valuable source understanding how they endured, its consequences, well other encountered

Язык: Английский

---

Beyond Borders: Exploring the Lived Experiences of International Migrant Women in Nigeria, a Deep Dive into Healthcare Realities and Utilization

Опубликована: Июль 15, 2024

This study explored access to and utilization of healthcare facilities among migrant women in an urban slum community Nigeria, focusing on factors influencing healthcare-seeking behaviors the implications for public health interventions. A qualitative case study-oriented research design was employed, involving in-depth interviews with 21 reproductive age 4 key informant workers Ayobo Lagos State, Nigeria. Data collection occurred from June September 2018, thematic analysis used interpret findings. Three main themes emerged: living conditions, pattern utilization, accessibility facilities. Living conditions were characterized by housing instability, limited clean water sanitation, financial constraints. Migrant demonstrated a preference traditional remedies over formal due cultural beliefs perceived effectiveness. Recommendations peers family members influenced decisions. Targeted interventions are needed address multifaceted challenges faced women, including improving providing promoting culturally sensitive programs.

Язык: Английский

---

The problem of unconscious and unidentified patients in emergency department admissions; a 3-year retrospective study

PLoS ONE, Год журнала: 2024, Номер 19(7), С. e0307540 - e0307540

Опубликована: Июль 24, 2024

Unidentified patients present a medical information dilemma for all departments but can be major problem in Emergency Departments (EDs). This study aimed to determine the clinical and socio-demographic profile of 'unidentified' admitted ED with altered consciousness define outcomes these patients. All presentations were analyzed retrospectively unidentified brought hospital by ambulance consciousness. We assessed demographic data, presentation, discharge information, outcomes. In this study, 1324 ED. Of these, 1048 (80.1%) foreign nationals. patient group, most common diagnoses were; traffic accidents, assault or sharp object injuries, drug addicts, syncope-epilepsy. addition, number who left without permission escaped therefore could not diagnosed was higher nationalities group constituted approximately one-fifth (18.9% vs. 5.4%, p:0.001). patients, 903 (68.2%) discharged after treatment. 351 (26.5%) unattended. 32 (2.4%) hospitalized. 38 (2.9%) died The majority immigrant males. are high-need population, commonly presenting substance misuse trauma. Although seeking urgent treatment, more than one-fourth appropriate treatment also immigrants. believe that economic, linguistic, social disadvantages played an important role outcome.

Язык: Английский

---