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• W2954917029 abstract "French abstract Introduction – Depuis l’automne 2015, plus de 14 000 primo-arrivants heberges en Ile-de-France ont beneficie de bilans infirmiers. Realises par des equipes du Samusocial de Paris et de la Croix-Rouge francaise, ils informent conjointement sur la sante et l’exposition a des violences. Materiel et population – Sont inclus les bilans infirmiers realises entre octobre 2015 et juillet 2018, par des equipes mobiles dans des centres d’hebergement d’urgence accueillant des migrants evacues de campements, puis au Centre de premier accueil (CPA), au Centre d’hebergement d’urgence pour femmes et familles migrantes d’Ivry-sur-Seine (CHUM d’Ivry), et dans deux Centres d’accueil et d’examen des situations (CAES). La population interrogee se compose a 93% d’hommes et a 27 ans en moyenne. Les bilans infirmiers ayant evolue, nous mobilisons cette variabilite pour produire des resultats et pour en tirer des enseignements de sante publique. Resultats – Les bilans mobiles ne posaient pas explicitement la question des violences vecues : le recodage de textes libres permet d’y calculer une frequence de 7% (n=327) de victimes, par rapport a l’ensemble des patients. Avec l’introduction de questions explicites et precodees (CPA-CHUM d’Ivry-CAES), cette meme frequence passe a 27%, et a 80% en se limitant a ceux aupres de qui la question est abordee. Avoir vecu des violences est etroitement correle au profil sociodemographique (âge, statut familial/marital, pays d’origine), au type de parcours migratoire, a l’etat de sante somatique et psychique. Discussion et conclusion – Questionner les violences vecues par les migrants parait indispensable en matiere sanitaire. Pour cela, il convient de former les personnels et de creer des conditions d’entretien qui permettront leur depistage et une prise en charge adaptee, consecutive aux bilans infirmiers. English abstract Introduction – Since autumn 2015, more than 14,000 new migrants accommodated in Ile-de-France have benefitted from nursing assessments (NAs), conducted by Paris Samusocial teams and the French Red Cross. These assessments jointly provide data on health and exposure to violence. Material and population – Our analysis includes the NAs carried out between October 2015 and July 2018 by obile teams in emergency shelters hosting migrants evacuated from street camps, and then at the Centre of Primary Reception (CPA), at Ivry-sur-Seine’s Migrant Emergency Centre, which is dedicated to women and families (CHUM d’Ivry), and in two Centres of Reception and Situational Assessment (CAES). The surveyed population is 93% male and 27 years old on average. As NAs have evolved, we are mobilizing this variability to produce results and to learn about relevant nursing and epidemiological procedures, in a public health perspective. Results – Mobile assessments did not explicitly address the question of violence: the recoding of free texts allows to calculate a proportion of 7% (n=327) of victims, among all patients. With the introduction of explicit and precoded questions (CPA-CHUM d’Ivry-CAES), the same proportion increases to 27%, and 80% if we limit ourselves to those whom the issue is addressed to. Having experienced violence is closely related to sociodemographic characteristics (age, family/marital status, country of origin), the type of migratory route, and somatic and psychic health status. Discussion and conclusion – Questioning the violence experienced by migrants seems essential for public health objectives. For this, it is crucial to train nursing staff and interpreters in order to create interviewing conditions that could be relevant, both for screening and appropriate care following the NAs." @default.
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• W2954917029 date "2019-06-25" @default.
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• W2954917029 title "Violences subies et état de santé : résultats et enseignements de santé publique tirés de bilans infirmiers réalisés en Île-de-France auprès de populations migrantes (octobre 2015-juillet 2018)" @default.
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