health of immigrants in italy
TRANSCRIPT
Francesca Romana Armini
MGD 190
AIDS, leprosy, syphilis tuberculosis, nits…
Italian newspapers usually tax immigrants to be bacteriological bombs who undermine Italian population’s health.
Let’s take a look at the Italian situation and immigrants conditions…
Risks caused by extreme poverty:
- Lack of adequate nutrition- Lack of appropriate working conditions and regulation
Psychological disorders:
- Lack of appropriate psychological support- Separation from original country, traditions, culture
Difficult access to health care services and facilities:-
- Legal and bureaucratic obstacles
Risks for immigrants’ health
Data on immigrants’ access to healthcare
Hospitalization rates
Ricoveri ordinari - uomini
0
50
100
150
200
250
300
350
400
18-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65 +
Classi d'età (anni)
Tas
si p
er 1
.000
Pfpm uomini Residenti uomini
Men hospitalizations
Age
Rates
Hospitalization rates
Day-hospital - uomini
0
25
50
75
100
125
150
18-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65 +
Classi d'età (anni)
Tas
si p
er 1
.000
Pfpm uomini Residenti uomini
Day hospital - Men
Age
Hospitalization rates
Ricoveri ordinari - donne
0
50
100
150
200
250
300
350
18-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65 +
Classi d'età (anni)
Tas
si p
er 1
.000
Pfpm donne Residenti donne
Women hospitalization
Age
Fonte: Elaborazioni Istat su dati del Ministero della Salute
Hospitalization rates
Day-hospital - donne
0
25
50
75
100
125
150
18-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65 +
Classi d'età (anni)
Tas
si p
er 1
.000
Pfpm donne Residenti donne
Day hospital women
Age
Immigrants and
Infectious diseasesIn
Italy
0
50
100
150
200
250
1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Anni
Nu
me
ro d
i cas
i
Casi maschi Casi femmine
- In Italy, 4000 AIDS cases among immigrants between 1992 and 2006
AIDS cases among immigrants (>18 years old)
0
10
20
30
40
50
60
70
1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Anni
Tass
i di i
ncid
enza
(x 1
00.0
00)
Tassi maschi Tassi femmine
AIDS incidence depending on gender
HIV incidence on immigrants(difference between Italians and immigrants)
- In Italy, 32% of 31.000 tubercolosis cases refer to immigrants Year Immigrants Total Immigrants %
1999 961 4.429 21,7
2000 1.201 4.759 25,2
2001 1.391 4.505 30,9
2002 1.293 4.212 30,7
2003 1.459 4.518 32,3
2004 1.664 4.220 39,4
2005 1.809 4.137 43,7
TB cases in Italy
10
30
50
70
90
110
130
1999 2000 2001 2002 2003 2004 2005
tass
o di
inci
denz
a x
100.
000
stranieri regolari stranieri regolari+stima irregolari
TB cases among immigrants
Pregnancies and immigrants
Indicators of access to health care during pregnancies
ItaliansRegular
immigrants
Information 69% 88%
Italians
63%
Irregular immigrants
ImmigrantsResiding in Italy
1996 – ISS surveys 2005 – Istat surveys
34% ---
Abortions among immigrants
Percentages of voluntary abortions among immigrant women (1980 – 2006)
5%
10%
15%
20%
25%
30%
35%
40%
19801981
19821983
19841985
19861987
19881989
19901991
19921993
19941995
19961997
19981999
20002001
20022003
20042005
2006
Abortion rates in Italy according to age and nationality
18-24
25-29
30-34
35-39
40-44
45-49
11,2
10,4
9,2
7,6
3,9
0,4
7,8
56,1
48,0
39,3
26,4
10,5
0,7
34,0
Age Nationality
italian Foreign
Abortions according to immigrants nationality
1995
EUROPA
- East Europe- Other UE countries
AFRICA 2.297
AMERICA
ASIA 1.419
OCeania 18
TOTALE 8.802
2.638659
- North- South
1181.653
%
6.232
3.928
14
36.323
18.595942
1106.548
26,1
16,1
0,2
30,07,5
1,318,8
17,2
10,8
0,1
51,22,6
0,218,0
NationalityN
2004
%N
100,0100,0
Although this is a really short overview of the relationship between immigrants and healthcare in Italy, the following could be possible solutions to meet immigrants’needs and limit risks linked to their health condition:
-It is necessary to promote actions aimed at reducing diseases among immigrants (through campaigns, trainings, information);
-A network of public healthcare services should specifically address immigrants and provide them with health care information and services
-Information campaigns and Italian population availability should be developed in order to receive immigrants and avoid their discrimination.
How to solve the problems