关键词: Communicable diseases Health issues Migrants Physical health Thailand

Mesh : Humans Thailand / epidemiology Transients and Migrants / statistics & numerical data Communicable Diseases / epidemiology Prevalence Female Male Socioeconomic Factors

来  源:   DOI:10.1186/s12889-024-19503-9   PDF(Pubmed)

Abstract:
BACKGROUND: While foreign migrants contribute to economic development, they may impact public health by transmitting communicable diseases to the local population. With its geopolitical position, Thailand has been a primary destination for migrants from neighbouring countries in Southeast Asia and beyond. This positioning makes it a focal point for examining the complexities of migration dynamics and its implications for public health. Through a quantitative analysis, this paper investigates the influence of foreign migrants on physical health issues in Thailand, exploring their impact on various types of communicable diseases. The utilization of provincial-level data from Thailand offers insights into the localized effects of migrant populations on public health within the country. These insights can serve as a valuable resource for researchers and policymakers who conduct comparative analyses, facilitating a deeper understanding of the complex relationship between international migration and public health worldwide.
METHODS: A spatial panel autoregressive model (SAR) is applied on the provincial level communicable diseases and socio-economic data in Thailand from the period 2016 to 2021.
RESULTS: The results indicate that the influence of foreign migrants on communicable diseases in Thailand varies depending on the type of disease. While an increase in migrants correlates with a higher prevalence of respiratory and other communicable diseases, it conversely reduces the prevalence of vaccine-preventable diseases. Additionally, we found that migrants do not significantly impact the prevalence of food- and water-borne diseases, insect-borne diseases, animal-borne diseases, or sexually transmitted diseases in Thailand. Additionally, other factors, such as GPP per capita, unemployment, poverty, and technology access, strongly correlate with most types of communicable diseases.
CONCLUSIONS: As revealed by this study, the increase in migrants leads to a rise in respiratory and other communicable diseases, as well as a decrease in vaccine-preventable diseases, which carries significant policy implications. These results urge policymakers, the Ministry of Labour, and the Ministry of Public Health to implement tailored policies and measures to enhance public health and effectively mitigate the risk of communicable diseases transmitted by migrants in the future.
摘要:
背景:虽然外国移民为经济发展做出了贡献,它们可能会通过将传染病传播给当地居民来影响公共卫生。以其地缘政治地位,泰国一直是东南亚及其他地区邻国移民的主要目的地。这一定位使其成为研究移民动态复杂性及其对公共卫生影响的焦点。通过定量分析,本文调查了外国移民对泰国身体健康问题的影响,探索它们对各种传染病的影响。利用来自泰国的省级数据可以洞悉移民人口对该国公共卫生的局部影响。这些见解可以作为进行比较分析的研究人员和政策制定者的宝贵资源,有助于更深入地了解国际移徙与全球公共卫生之间的复杂关系。
方法:对2016年至2021年泰国省级传染病和社会经济数据应用了空间面板自回归模型(SAR)。
结果:结果表明,外国移民对泰国传染病的影响因疾病类型而异。虽然移民的增加与呼吸系统疾病和其他传染病的流行率上升有关,相反,它降低了疫苗可预防疾病的流行率。此外,我们发现移民对食物和水传播疾病的流行没有显著影响,昆虫传播的疾病,动物传播疾病,或者泰国的性传播疾病。此外,其他因素,如按人均,失业,贫穷,和技术接入,与大多数类型的传染病密切相关。
结论:正如这项研究所揭示的,移民的增加导致呼吸道和其他传染病的增加,以及疫苗可预防疾病的减少,这带来了重大的政策影响。这些结果敦促决策者,劳动部,的政策和措施,以加强公共卫生,并有效降低未来由移民传播的传染病的风险。
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