physical health

身体健康
  • 文章类型: Journal Article
    患有精神疾病的人在各种环境中接受护士的身体护理,包括急性住院患者,安全的长期护理,法医,和社区服务。虽然以护士为主导的临床实践解决了消费者身体健康的次优问题,文献中没有清楚地阐明护士对患有精神疾病的人的身体健康干预措施的贡献的详细理解和描述。
    本综合综述的目的是描述消费者对护士主导的身体健康干预的知识状况,专注于护理角色,护理评估,和干预设置。
    使用2001年和2022年的医学主题词对六个数据库进行了系统搜索。采用混合方法评价工具(MMAT)进行质量评价。
    74项研究被确定为“护士主导”。干预措施在社区环境中最常见(n=34,46%)。护士扮演不同的角色,往往同时,包括收集341项身体健康结果,在纳入的研究中确定了225种不同的护理措施,并具有多种角色。在纳入的研究中,一名护士作为主要作者很常见(n=46,62%)。然而,护士在作者身份方面的努力或贡献并不总是得到认可。
    在设计和报告护士主导的身体健康干预措施时应考虑的角色识别方面存在潜在差距。
    UNASSIGNED: People experiencing mental illness receive physical healthcare from nurses in a variety of settings including acute inpatient, secure extended care, forensic, and community services. While nurse-led clinical practice addressing sub-optimal consumer physical health is salient, a detailed understanding and description of the contribution by nurses to physical health interventions in people experiencing mental illness is not clearly articulated in the literature.
    UNASSIGNED: The aim of this integrative review is to describe the state of knowledge on nurse-led physical health intervention for consumers, focusing on nursing roles, nursing assessment, and intervention settings.
    UNASSIGNED: A systematic search of six databases using Medical Subject Headings from 2001 and 2022 inclusive was conducted. The Mixed Methods Appraisal Tool (MMAT) was utilised for quality appraisal.
    UNASSIGNED: Seventy-four studies were identified as \"nurse-led\". Interventions were most common among community settings (n = 34, 46%). Nurses performed varied roles, often concurrently, including the collection of 341 physical health outcomes, and multiple roles with 225 distinct nursing actions identified across the included studies. A nurse as lead author was common among the included studies (n = 46, 62%). However, nurses were not always recognised for their efforts or contributions in authorship.
    UNASSIGNED: There is potential gap in role recognition that should be considered when designing and reporting nurse-led physical health interventions.
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  • 文章类型: Journal Article
    本研究对COVID-19方案在大流行期间对卫生工作者生活质量的影响进行了实证回顾性研究。通过结构方程模型分析了330名卫生工作者的调查对象的数据。结果表明,COVID-19方案特别是手部卫生,个人防护设备,在COVID-19时代,身体距离对卫生工作者的生活质量有显著影响。然而,结果未遵循预期的文献趋势.分析表明,手卫生与生活质量之间存在直接的正相关关系,并且还强调了身体距离和防护设备与生活质量之间的负相关关系。试图解释这一发展的详细分析强调了身心健康在COVID-19安全方案与生活质量之间的关系中发挥的重要作用。这项研究的结果为未来的研究提出了启示和建议。
    This study conducts an empirical retrospective examination of the effect of COVID-19 protocols on Health workers\' quality of life during the pandemic. Data from a survey respondent of 330 health workers were analyzed through structural equation modeling. Results indicated COVID-19 protocols specifically hand hygiene, personal protective equipments, and physical distancing had a significant effect on the quality of life of health workers during the COVID-19 era. However, the results did not follow the expected literature trend. Analysis indicated a direct significant positive relationship between hand hygiene and quality of life and also highlighted a negative relationship between physical distancing and protective equipments and quality of life. Detailed analysis in an attempt to explain this development highlighted the significant role physical and mental health play in the relationship between COVID-19 safety protocols and quality of life. The findings of the study suggest implications and suggestions for future research.
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  • 文章类型: Journal Article
    背景:成人癌症患者及其看护者经常发现睡眠紊乱,对身体健康有不利影响。鲜为人知的是,自我报告和肌动仪测量的睡眠模式在患者和他们的睡眠伴侣照顾者之间相似的程度。以及这些不同模式的睡眠测量与身体健康的关系。
    方法:被诊断患有结直肠癌的患者及其睡眠伴侣照顾者(81位)完成了身体机能调查问卷,并连续7天收集了唾液样本,从中量化皮质醇斜率。此外,参与者完成每日睡眠日记,并连续14天佩戴活动记录仪,睡眠持续时间,睡眠发作潜伏期(SOL),并计算睡眠发作后清醒时间(WASO)。
    结果:参与者报告的睡眠模式落在或接近最佳范围,这在病人和他们的照顾者之间是相似的。自我报告和肌动仪测量的睡眠持续时间具有中等水平的一致性(ICC=0.604),而SOL和WASO的一致性较差(ICC=0.269)。在患者中,自我报告的WASO时间较长与身体健康状况较差和皮质醇斜率较平坦相关(p≤0.013).在护理人员中,自我报告的SOL时间越长,身体功能越差,肌动仪测量的WASO与更陡的皮质醇斜率相关,研究的自我报告的睡眠标记物比肌动仪测量的更长与较差的身体功能相关(p≤0.042)。
    结论:研究结果表明,采用多种睡眠和身体健康评估模式对于全面了解睡眠健康至关重要。此外,在解决患者的睡眠健康问题时,这可能是有益的,包括他们的睡眠伴侣照顾者,他们可能会经历类似的睡眠困扰。
    BACKGROUND: Disturbed sleep is frequently identified in adult patients with cancer and their caregivers, with detrimental impact on physical health. Less known is the extent to which self-reported and actigraph-measured sleep patterns are similar between patients and their sleep-partner caregivers, and how these different modes of sleep measurements are related to physical health.
    METHODS: Patients diagnosed with colorectal cancer and their sleep-partner caregivers (81 dyads) completed a questionnaire for physical functioning and collected saliva samples for seven consecutive days, from which cortisol slope was quantified. Additionally, participants completed a daily sleep diary and wore actigraph for 14 consecutive days, from which sleep duration, sleep onset latency (SOL), and duration of wake after sleep onset (WASO) were calculated.
    RESULTS: Participants reported sleep patterns that fell within or close to the optimal range, which were similar between patients and their caregivers. Self-reported and actigraph-measured sleep duration had moderate levels of agreement (ICC = 0.604), whereas SOL and WASO had poor agreement (ICC = 0.269). Among patients, longer self-reported WASO was associated with poorer physical health and flatter cortisol slope (p ≤ 0.013). Among caregivers, longer self-reported SOL was associated with poorer physical functioning, actigraph-measured WASO was associated with steeper cortisol slope, and longer self-reported sleep markers studied than actigraph-measured were associated with poorer physical functioning (p ≤ 0.042).
    CONCLUSIONS: Findings suggest that employing multiple assessment modes for sleep and physical health is vital for comprehensive understanding of sleep health. Furthermore, when addressing patients\' sleep health, it may be beneficial to include their sleep-partner caregivers who may experience similar disturbed sleep.
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  • 文章类型: Journal Article
    自闭症患者极可能经历过早死亡和大多数身心健康状况。根据全球疾病负担研究(焦虑,抑郁症,自我伤害,有害酒精的使用,物质使用,偏头痛,颈部或背部疼痛,和妇科条件)。
    参与者年龄在18岁或以上,并且在2000年1月1日至2019年1月16日期间在IQVIA医学研究数据库中记录了自闭症诊断。我们纳入了15675名没有智力残疾的自闭症成年人,6437名患有智力障碍的自闭症成年人,和一个按年龄匹配的比较组(1:10),性别,和初级保健实践。我们估计了根据年龄和性别调整后的粗发病率和发病率比率(IRRs)。
    没有智力障碍的自闭症成年人的发病率较高(IRR,95%CI)的自我伤害(2.07,1.79-2.40),焦虑(1.91,1.76-2.06),抑郁症(1.79,1.67-1.92),和物质使用(1.24,1.02-1.51)相对于比较参与者。有害酒精使用的发生率(1.01,0.85-1.18),偏头痛(0.99,0.84-1.17),和妇科条件(1.19,0.95-1.49)没有差异。颈部或背部疼痛发生率较低(0.88,0.82-0.95)。患有智力障碍的自闭症成年人的自我伤害发生率更高(2.08,1.69-2.56)。焦虑发生率(1.14,1.00-1.30),妇科条件(1.22,0.93-1.62),和物质使用(1.08,0.80-1.47)没有差异,抑郁症的发病率较低(0.73,0.64-0.83),有害酒精使用(0.65,0.50-0.84),偏头痛(0.55,0.42-0.74),和颈部或背部疼痛(0.49,0.44-0.55)。
    虽然我们的研究结果不能直接与以前的患病率研究进行比较,与之形成对比的是,在直接评估和/或调查自闭症患者共同发生的情况的研究中,自闭症患者中出现心理和生理健康状况的频率较高.目前的发现可能表明自闭症患者的常见病的诊断不足,特别是那些智力残疾的人。改善检测应该是减少健康不平等的临床和政策优先事项。
    登喜路医疗信托,经济及社会研究理事会,国家健康与护理研究所。
    UNASSIGNED: Autistic people are disproportionately likely to experience premature mortality and most mental and physical health conditions. We measured the incidence of diagnosed conditions accounting for the most disability-adjusted life years in the UK population according to the Global Burden of Disease study (anxiety, depression, self-harm, harmful alcohol use, substance use, migraine, neck or back pain, and gynaecological conditions).
    UNASSIGNED: Participants were aged 18 years or above and had an autism diagnosis recorded in the IQVIA Medical Research Database between 01/01/2000 and 16/01/2019. We included 15,675 autistic adults without intellectual disability, 6437 autistic adults with intellectual disability, and a comparison group matched (1:10) by age, sex, and primary care practice. We estimated crude incidences and incidence rate ratios (IRRs) adjusted for age and sex.
    UNASSIGNED: Autistic adults without intellectual disability experienced a higher incidence (IRR, 95% CI) of self-harm (2.07, 1.79-2.40), anxiety (1.91, 1.76-2.06), depressive disorders (1.79, 1.67-1.92), and substance use (1.24, 1.02-1.51) relative to comparison participants. Incidences of harmful alcohol use (1.01, 0.85-1.18), migraine (0.99, 0.84-1.17), and gynaecological conditions (1.19, 0.95-1.49) did not differ. Neck or back pain incidence was lower (0.88, 0.82-0.95). Autistic adults with intellectual disability experienced a higher incidence of self-harm (2.08, 1.69-2.56). Incidences of anxiety (1.14, 1.00-1.30), gynaecological conditions (1.22, 0.93-1.62), and substance use (1.08, 0.80-1.47) did not differ, and lower incidences were found for depressive disorders (0.73, 0.64-0.83), harmful alcohol use (0.65, 0.50-0.84), migraine (0.55, 0.42-0.74), and neck or back pain (0.49, 0.44-0.55).
    UNASSIGNED: Although our findings cannot be directly compared to previous prevalence studies, they contrast with the higher frequency of mental and physical health conditions in autistic adults reported in studies that directly assessed and/or surveyed autistic people about co-occurring conditions. The present findings may suggest under-diagnosis of common conditions in autistic people, particularly those with intellectual disability. Improved detection should be a clinical and policy priority to reduce health inequalities.
    UNASSIGNED: Dunhill Medical Trust, Economic and Social Research Council, National Institute of Health and Care Research.
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  • 文章类型: English Abstract
    Loneliness is increasingly recognized as a significant health risk. This review provides an overview of current research on the impact of loneliness on mental and physical health. The findings indicate that loneliness is a significant risk factor of both mental and physical health. Previous reviews focusing on mental health effects reveal that loneliness is associated with the onset of depression, social anxiety, and cognitive decline. Furthermore, loneliness can impede recovery from mental disorders in general, which can be partly attributed to the bidirectional interplay between loneliness and mental health. Regarding physical health, consequences of loneliness have been mostly studied in relation to cardiovascular diseases. Loneliness predicts the onset of cardiovascular diseases and impedes recovery from them. Reviews also highlight that loneliness enhances the likelihood of suicidality and mortality. However, this article also points out the shortage of longitudinal studies, complicating the investigation into how loneliness causally affects future health problems. The health implications of loneliness outlined in this review, some of which are irreversible and can induce suffering and impairment, underscore the importance of interventions aimed at alleviating loneliness as a preventive strategy against both mental and physical illnesses.
    UNASSIGNED: Einsamkeit wird zunehmend als bedeutendes Gesundheitsrisiko anerkannt. Diese Übersichtsarbeit fasst den aktuellen Stand der Forschung zusammen, indem sie die Auswirkungen von Einsamkeit auf die psychische und körperliche Gesundheit beleuchtet. Die Ergebnisse zeigen, dass Einsamkeit sowohl für die psychische als auch für die körperliche Gesundheit ein Risiko darstellt. Bisherige Übersichtsarbeiten zu den Auswirkungen auf die psychische Gesundheit zeigen, dass Einsamkeit insbesondere den Beginn einer Depression, einer sozialen Phobie und den Abbau kognitiver Funktionen vorhersagt. Außerdem kann Einsamkeit die Erholung von psychischen Störungen im Allgemeinen erschweren, was unter anderem auf den bidirektionalen Zusammenhang zwischen Einsamkeit und psychischer Gesundheit zurückgeführt werden kann. In Bezug auf körperliche Erkrankungen wurden bisher vor allem Herz-Kreislauf-Erkrankungen als Folge von Einsamkeit untersucht. Einsamkeit sagt das Auftreten von Herz-Kreislauf-Erkrankungen vorher und kann die Genesung von diesen erschweren. Übersichtsarbeiten zeigen zudem, dass Einsamkeit die Wahrscheinlichkeit für Suizidalität und Mortalität erhöht. Es wird jedoch auch auf den Mangel an Längsschnittstudien hingewiesen, der es erschwert, die kausale Wirkrichtung von Einsamkeit auf spätere Gesundheitseinschränkungen zu untersuchen. Die in dieser Übersichtsarbeit aufgezeigten gesundheitlichen Folgen von Einsamkeit, die teils irreversibel sind und Leiden sowie Beeinträchtigung verursachen können, unterstreichen die Bedeutung von Interventionen zur Reduzierung von Einsamkeit als präventive Maßnahme gegen sowohl psychische als auch körperliche Erkrankungen.
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  • 文章类型: Journal Article
    有一个强大的,童年识字与成年期身心健康结果之间存在正相关关系。通过基于初级保健的扫盲干预措施,儿科医生在进入传统教育场所之前很久就接触到了儿童和他们的家庭。这样做,儿科医生在儿童的入学准备和健康结果中起着关键作用。美国儿童扫盲的现状为医疗保健行业定义了一个日益紧迫的平台,特别是儿科医生,去拥抱。通过回顾现有的关于儿童识字对身体影响的文献,心理,和社会情绪健康结果,我们希望强调需要加强教育和医疗领域之间的合作,以进一步促进儿科医疗机构的扫盲干预。
    There is a strong, positive relationship between childhood literacy and physical and mental health outcomes in adulthood. Through primary care-based literacy interventions, pediatricians reach children and their families long before they enter traditional education venues. In so doing, pediatricians play a key role in children\'s school readiness and in turn health outcomes. The current state of childhood literacy in United States defines an increasingly urgent platform for the healthcare profession generally, and pediatricians specifically, to embrace. Through reviewing the existing literature on the impact of childhood literacy on physical, mental, and social-emotional health outcomes, we hope to highlight the need for increased collaboration between the education and medical fields to further promote the literacy interventions in pediatric healthcare settings.
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  • 文章类型: Journal Article
    2023年3月,荷兰政府取消了所有社会层面的COVID-19控制措施。进行这项研究是为了了解COVID-19这一新阶段对严重免疫受损个体的观点和行为的自我体验负担。
    这是一个观测,描述性,描述性荷兰的横断面研究。一项免疫功能严重受损的人完成了一项在线调查,捕捉他们的总体幸福感(得分从1=最差到10=最好),身心健康,以及COVID-19发病前调查期间和回顾性调查期间的日常和社会活动。这项调查于5月24日至8月7日开放,2023年。
    在236名受访者中,在调查期间,96.6%的人接种了COVID-19疫苗,24.6%的人进行了屏蔽,以避免COVID-19。所有受访者在COVID-19大流行前的总体幸福感评分为7.5(±1.2SD),在调查期间为6.9(±1.6SD)(P<0.001)。对于屏蔽组(n=58),这些分数分别为7.6(±1.0SD)和5.7(±1.6SD),分别(P<0.001)。一般来说,对于所有关于身心健康以及日常和社会活动的问题,在调查过程中有更多负面答案的趋势,与COVID-19大流行前相比,这对于屏蔽组更为明显。
    尽管没有政府强加的社会措施,在荷兰,避免COVID-19对免疫受损个体的观点和行为仍然有自我体验的负担,调查期间的总体幸福感明显较低,与COVID-19发病前相比。
    UNASSIGNED: In March 2023, all societal-level COVID-19 control measures were lifted by the Dutch government. This study was performed to understand the self-experienced burden of this new phase of COVID-19 on the perspectives and behaviors of severely immunocompromised individuals.
    UNASSIGNED: This is an observational, descriptive, cross-sectional study in The Netherlands. An online survey was completed by severely immunocompromised individuals, to capture their general well-being (score from 1 = worst to 10 = best), mental and physical health, and daily and social activities during survey conduct and retrospectively for before onset of COVID-19. The survey was open for completion from May 24th until August 7nd, 2023.
    UNASSIGNED: Of the 236 respondents, 96.6 % had been vaccinated against COVID-19 and 24.6 % were shielding to avoid COVID-19 during survey conduct. The general well-being score for all respondents was 7.5 (±1.2 SD) before onset of the COVID-19 pandemic and 6.9 (±1.6 SD) during survey conduct (P<0.001). For the shielding group (n = 58), these scores were 7.6 (±1.0 SD) and 5.7 (±1.6 SD), respectively (P<0.001). Generally, for all questions about mental and physical health and daily and social activities, there was a trend towards more negative answers during survey conduct, compared with before onset of the COVID-19 pandemic, which was more pronounced for the shielding group.
    UNASSIGNED: Despite absence of government-imposed societal measures, COVID-19 avoidance still had a self-experienced burden on perspectives and behaviors of immunocompromised individuals in The Netherlands, with a significantly lower general well-being during survey conduct, compared with before onset of COVID-19.
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  • 文章类型: Journal Article
    健康相关生活质量(HRQoL)衡量个人健康状况,心理,和社会领域。主要为抗体缺乏(PAD)的患者有发病和死亡的风险。然而,这些并发症对HRQoL的影响需要进一步研究.PAD患者被要求自愿完成疾病控制中心(CDC)HRQoL-14健康日测量问卷。将这些结果与CDC发起的行为危险因素监测系统(BRFSS)的数据进行比较,包括CDC-HRQOL-14问题的横断面问卷。统计分析包括两比例Z检验,t检验,和方差分析。83例PAD患者完成了调查。患者分为轻度(23.7%),中等(35.5%),严重(40.8%),和二级(8.4%)PAD。据报道,52.6%的PAD患者的健康状况“正常或不良”。25%的患者出现≥14天/月的心理健康挑战。44.7%的患者报告身体健康问题≥14天/月。80.3%的患者注意到活动限制。PAD严重程度差异无统计学意义。与没有自身免疫性和炎症性疾病合并症的患者相比,有更多的心理健康挑战(78%vs.54.3%,p=0.02)。与CDC-BRFSS数据相比,显着更多的PAD患者报告“正常或不良”健康状况(53%vs12.0%;p<0.0001),心理健康挑战(24.1%vs14.7%;p=0.02),身体健康状况差(44.6%vs8.0%;p<0.0001)。与来自相似地理区域的CDC-BRFSS受访者相比,PAD患者的HRQoL显着降低。所有PAD严重程度均普遍降低HRQoL。需要更多的研究来改善PAD患者的HRQoL。
    Health-related quality of life (HRQoL) measures individual well-being across physical, psychological, and social domains. Patients with predominantly antibody deficiency (PAD) are at risk for morbidity and mortality, however, the effect of these complications on HRQoL requires additional study. Patients with PAD were asked to voluntarily complete the Centers for Disease Control (CDC) HRQoL-14 Healthy Days Measure questionnaire. These results were compared to data from the CDC-initiated Behavioral Risk Factor Surveillance System (BRFSS), a cross-sectional questionnaire including questions from CDC-HRQOL-14. Statistical analyses included two-proportion Z-test, t-tests, and analysis of variance. 83 patients with PAD completed the survey. Patients were sub-stratified into mild (23.7%), moderate (35.5%), severe (40.8%), and secondary (8.4%) PAD. \"Fair or poor\" health status was reported in 52.6% of PAD patients. Mental health challenges ≥ 14 days/month occurred in 25% of patients. Physical health issues ≥ 14 days/month was reported in 44.7% of patients. Activity limitations were noted by 80.3% of patients. There were no statistically significant differences by PAD severity. Patients with autoimmune and inflammatory disease co-morbidities reported more mental health challenges compared to those without (78% vs. 54.3%, p = 0.02). Compared to the CDC-BRFSS data, significantly more patients with PAD reported \"fair or poor\" health status (53% vs 12.0%; p < 0.0001), mental health challenges (24.1% vs 14.7%; p = 0.02), and poor physical health (44.6% vs 8.0%; p < 0.0001). Patients with PAD had significantly reduced HRQoL compared to CDC-BRFSS respondents from a similar geographical region. Decreased HRQoL was prevalent across all PAD severity levels. Additional research is needed to improve HRQoL for patients with PAD.
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  • 文章类型: Journal Article
    育儿文献已将共生关系确立为男性育儿行为和结果的核心。共同抚养的构建包括个人之间的支持性努力,以促进儿童的养育,以及可能破坏育儿努力的不支持性行动(Merrifield&Gamble,2013).很少有研究将破坏共同生活作为塑造黑人健康结果的经验进行研究。在这项研究中,我们应用健康框架的社会决定因素来检查黑人父亲对破坏共同生活的看法对他们自我报告的身心健康评级的影响。使用全国代表性的黑人男性样本(n=255),相关分析显示,破坏同居关系的观念是愤怒水平较高和对身体健康感知较差的重要预测指标。发现这些关系是由抑郁症状介导的,并由限制性情绪调节。建议将破坏生育对健康的负面影响视为潜在的共病,从而导致黑人的负面健康结果。这项研究增加了关于共同存在的文献,黑人的健康,和黑人父亲身份更普遍,并敦促政策制定者和从业者考虑将破坏视为经常被忽视的问题,但意义重大,影响黑人福祉的健康的社会决定因素。我们还通过对家庭进行破坏的影响进行教育,并为实现积极的共同动态提供必要的支持,为促进黑人的健康提供建议。
    The parenting literature has established the coparenting relationship as central to the parenting behaviors and outcomes of men. The construct of coparenting encompasses supportive efforts among individuals that facilitate the rearing of children and unsupportive actions that can undermine parenting efforts (Merrifield & Gamble, 2013). Few studies have examined undermining coparenting as an experience that shapes Black men\'s health outcomes. In this study, we apply the social determinants of health framework to examine the impact of Black fathers\' perceptions of undermining coparenting on their self-reported ratings of mental and physical health. Using a nationally representative sample of Black men (n = 255), correlational analyses revealed perceptions of undermining coparenting to be a significant predictor of higher levels of anger and poorer perceptions of physical health. These relationships were found to be mediated by depressive symptoms and moderated by restrictive emotionality. It is recommended that the negative impact of undermining coparenting on health be considered as a potential comorbidity contributing to negative health outcomes for Black men. This study adds to the literature on coparenting, Black men\'s health, and Black fatherhood more generally and urges policymakers and practitioners to consider undermining as an often overlooked, but significant, social determinant of health impacting the well-being of Black men. We also offer recommendations for promoting Black men\'s health by educating families on the effects of undermining and offering the supports necessary for achieving positive coparenting dynamics.
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  • 文章类型: Journal Article
    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。
    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.
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