PDF(Pubmed)
Abstract：
Communicable disease risk is high in refugee camps and reception centers. To better understand the risks for communicable disease diagnoses among refugees and asylum seekers, this study assesses individual- and camp-level risk factors among individuals utilizing Médecins du Monde clinics in four large refugee camps-Elliniko, Malakasa, Koutsochero, and Raidestos-on mainland Greece between July 2016 and May 2017. Descriptive statistics are reported for the demographic characteristics of the study population and for communicable disease burdens within the four camps-Elliniko, Malakasa, Raidestos, and Koutsochero. A hierarchical generalized linear model was used to assess risk factors for communicable disease diagnoses while accounting for individual-level clustering. This study shows marginal patterns in risk factors for communicable disease. Males had marginally higher risk of communicable disease diagnosis than females (OR = 1.12; 95% CI 0.97-1.29), and increased age was more protective against communicable disease for females (OR = 0.957; 95% CI 0.953-0.961) than for males (OR = 0.963; 95% CI 0.959-0.967). Communicable disease risk was significantly different between camps, with Elliniko (OR = 1.58; 95% CI 1.40-1.79) and Malakasa (OR = 1.43; 95% CI 1.25-1.63) having higher odds of communicable disease than Raidestos. The demographic and epidemiologic profiles of displaced populations differ across settings, and epidemiologic baselines for displaced populations are fundamental to evidence-informed provision of humanitarian aid. Further, while influences and risks for negative health outcomes in complex emergencies are broadly, the causal mechanisms that underpin these relationships are not as well understood. Both practitioners and researchers should engage with further research to elucidate the mechanisms through which these risks operate among displaced populations, including multilevel analyses.
摘要：
难民营和接待中心的传染病风险很高。为了更好地了解难民和寻求庇护者中传染病诊断的风险，这项研究评估了在四个大型难民营Elliniko中使用世界医学博士诊所的个人和营地级别的风险因素，Malakasa,Koutsochero,和Raidestos-2016年7月至2017年5月在希腊大陆。报告了研究人群的人口统计学特征和四个营地内的传染病负担的描述性统计数据-Elliniko，Malakasa,Raidestos,还有Koutsochero.分层广义线性模型用于评估传染病诊断的风险因素，同时考虑个人级别的聚类。这项研究显示了传染病危险因素的边缘模式。男性的传染病诊断风险略高于女性（OR=1.12;95％CI0.97-1.29），与男性(OR=0.963;95%CI0.959-0.967)相比,女性(OR=0.957;95%CI0.953-0.961)对传染病的保护作用更强。营地之间的传染病风险显着不同，Elliniko(OR=1.58;95%CI1.40-1.79)和Malakasa(OR=1.43;95%CI1.25-1.63)患传染病的几率高于Raidestos。流离失所人口的人口统计学和流行病学概况因环境而异，流离失所人口的流行病学基线对于提供有证据的人道主义援助至关重要。Further,虽然复杂紧急情况下负面健康结果的影响和风险是广泛的，支撑这些关系的因果机制还没有得到很好的理解。从业人员和研究人员都应进行进一步的研究，以阐明这些风险在流离失所者中的作用机制，包括多层次分析。
