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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Screening Program for Imported Diseases in Immigrant Women: Analysis and Implications from a Gender-Oriented Perspective
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Screening Program for Imported Diseases in Immigrant Women: Analysis and Implications from a Gender-Oriented Perspective

机译：移民妇女进口疾病的筛查计划：以性别为导向的观点分析和影响

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摘要

The female immigrant population is especially vulnerable to imported diseases. We describe the results of a prospective screening program for imported diseases performed in immigrant female patients. The protocol included tests for HIV, hepatitis B virus (HBV), hepatitis C virus (HCV), Treponema pallidum, Trypanosome cruzi, Strongyloides stercoralis and Schistosoma spp., intestinal parasites, malaria, and the detection of microfilaremia, according to the patient's origin. Six hundred eleven patients were studied. The most frequent imported diseases were intestinal parasitosis (39.4%), followed by syphilis (14.6%), HIV infection (9%), chronic HCV (5%), and HBV (3.3%). Most of the cases of HIV (78%) and HBV (85%) were diagnosed in patients aged between 16 and 45 years. Hepatitis C virus appeared mostly in patients in the 46- to 65-year range (P = 0.001; odds ratio [OD]: 3.667 [1.741-7.724]) or older than 65 years (P = 0.0001; OR: 26.350 [7.509-92.463]). Syphilis was diagnosed more frequently in patients older than 46 years (P = 0.0001; OR: 4.273 [2.649-6.893]). Multivariate analysis confirmed a greater presence of HCV infection (P = 0.049) and syphilis (P = 0.0001) in patients aged between 46 and 65 years. In 15.4% of patients, screening did not find any pathology. These data show a high prevalence of imported diseases in the female immigrant population, which may have serious consequences in terms of morbimortality and vertical transmission. Our results encourage the establishment of policies of active screening both in women of childbearing age and within the specific pregnancy screening programs.
机译：女性移民群体特别容易受到进口疾病的影响。我们描述了在移民女性患者中进行的进口疾病预期筛查计划的结果。该方案包括艾滋病毒，乙型肝炎病毒（HBV），丙型肝炎病毒（HCV），蛋白质缺血剂，锥虫组Cruzi，睾丸癌，血液炎，疟疾，疟疾和微象的检测，根据患者的起源的检测。研究了六百患者。最常见的进口疾病是肠道寄生虫（39.4％），其次是梅毒（14.6％），HIV感染（9％），慢性HCV（5％）和HBV（3.3％）。大多数艾滋病毒（78％）和HBV病例（85％）被诊断为16至45岁的患者。丙型肝炎病毒主要出现在46-65岁范围内的患者（P = 0.001;赔率比[OD]：3.667 [1.741-7.724]）或超过65岁（P = 0.0001;或者：26.350 [7.509] 92.463]）。梅毒在46岁左右的患者中更常见（P = 0.0001;或者：4.273 [2.649-6.893]）。多变量分析证实了46至65岁的患者的HCV感染（P = 0.049）和梅毒（P = 0.0001）的存在。在15.4％的患者中，筛查没有发现任何病理学。这些数据表现出女性移民群中进口疾病的高度普及，这可能在病情和垂直传输方面具有严重后果。我们的结果鼓励在育龄期和特定的怀孕筛查计划中建立积极筛查的政策。

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