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Low-Wage Agricultural Migrant Workers in Apulian Ghettos, Italy: General Health Conditions Assessment and HIV Screening. Trop Med Infect Dis 2021; 6:tropicalmed6040184. [PMID: 34698299 PMCID: PMC8544678 DOI: 10.3390/tropicalmed6040184] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 10/07/2021] [Accepted: 10/12/2021] [Indexed: 12/17/2022] Open
Abstract
Background: Approximately 500,000 migrants work in the agricultural sector in Italy. Many of them live in shantytowns, wrongly called “ghettos”, far away from city centers, with no water, proper hygienic conditions or health services. The aim of this study is to assess general health conditions and HIV prevalence by giving hygienic and sanitary sustenance. Methods: Between June 2019 and February 2020, we performed a screening campaign for HIV–diabetes–hypertension, involving migrants living in three Apulian establishments: ghetto Pista, “Sankara House” and “Arena House”. Results: Overall, 321 migrants were enrolled in the study. In the medical screening, one HIV test resulted positive. Hypertension was found in 12% of the migrants visited, diabetes in 2% and TB symptoms in 17%. Among others symptoms explored, muscle and joint pain/fatigue resulted in being the most frequent, and was reported by 34% of the migrants, followed by cough (10%). Significant predictors of muscle and joint pain/fatigue were: low BMI values (OR = 1.32; 95% CI 1.19–1.99), the absence of education (OR = 1.85; 95% CI 1.02–2.95), being employed with a regular contract (OR = 2.64; 95% CI 2.39–2.83) and living in the ghettos since >12 months (OR = 1.74; 95% CI 1.24–2.21). Conclusions: Our experience suggests that, in this population, the health condition is mainly linked to the specific working activities in the agricultural fields, as well as to the hygienic and living conditions, and that all of this is due to the lack of social protection in their life and job.
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Bucciardini R, Contoli B, De Castro P, Donfrancesco C, Falzano L, Ferrelli R, Giammarioli AM, Mattioli B, Medda E, Minardi V, Minelli G, Palmieri L, Pasetto R, Pizzi E, Rossi S, Venerosi A. The health equity in all policies (HEiAP) approach before and beyond the Covid-19 pandemic in the Italian context. Int J Equity Health 2020; 19:92. [PMID: 32513189 PMCID: PMC7278241 DOI: 10.1186/s12939-020-01209-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Accepted: 06/02/2020] [Indexed: 01/16/2023] Open
Affiliation(s)
- R Bucciardini
- Istituto Superiore di Sanità, Viale Regina Elena 299, 00161, Roma, Italy.
| | - B Contoli
- Istituto Superiore di Sanità, Viale Regina Elena 299, 00161, Roma, Italy
| | - P De Castro
- Istituto Superiore di Sanità, Viale Regina Elena 299, 00161, Roma, Italy
| | - C Donfrancesco
- Istituto Superiore di Sanità, Viale Regina Elena 299, 00161, Roma, Italy
| | - L Falzano
- Istituto Superiore di Sanità, Viale Regina Elena 299, 00161, Roma, Italy
| | - R Ferrelli
- Istituto Superiore di Sanità, Viale Regina Elena 299, 00161, Roma, Italy
| | - A M Giammarioli
- Istituto Superiore di Sanità, Viale Regina Elena 299, 00161, Roma, Italy
| | - B Mattioli
- Istituto Superiore di Sanità, Viale Regina Elena 299, 00161, Roma, Italy
| | - E Medda
- Istituto Superiore di Sanità, Viale Regina Elena 299, 00161, Roma, Italy
| | - V Minardi
- Istituto Superiore di Sanità, Viale Regina Elena 299, 00161, Roma, Italy
| | - G Minelli
- Istituto Superiore di Sanità, Viale Regina Elena 299, 00161, Roma, Italy
| | - L Palmieri
- Istituto Superiore di Sanità, Viale Regina Elena 299, 00161, Roma, Italy
| | - R Pasetto
- Istituto Superiore di Sanità, Viale Regina Elena 299, 00161, Roma, Italy
| | - E Pizzi
- Istituto Superiore di Sanità, Viale Regina Elena 299, 00161, Roma, Italy
| | - S Rossi
- Istituto Superiore di Sanità, Viale Regina Elena 299, 00161, Roma, Italy
| | - A Venerosi
- Istituto Superiore di Sanità, Viale Regina Elena 299, 00161, Roma, Italy
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