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    دورية أكاديمية

    المؤلفون: J. Egea, I. Fabregat, Y.M. Frapart, P. Ghezzi, A. Görlach, T. Kietzmann, K. Kubaichuk, U.G. Knaus, M.G. Lopez, G. Olaso-Gonzalez, A. Petry, R. Schulz, J. Vina, P. Winyard, K. Abbas, O.S. Ademowo, C.B. Afonso, I. Andreadou, H. Antelmann, F. Antunes, M. Aslan, M.M. Bachschmid, R.M. Barbosa, V. Belousov, C. Berndt, D. Bernlohr, E. Bertrán, A. Bindoli, S.P. Bottari, P.M. Brito, G. Carrara, A.I. Casas, A. Chatzi, N. Chondrogianni, M. Conrad, M.S. Cooke, J.G. Costa, A. Cuadrado, P. My-Chan Dang, B. De Smet, B. Debelec-Butuner, I.H.K. Dias, J.D. Dunn, A.J. Edson, M. El Assar, J. El-Benna, P. Ferdinandy, A.S. Fernandes, K.E. Fladmark, U. Förstermann, R. Giniatullin, Z. Giricz, A. Görbe, H. Griffiths, V. Hampl, A. Hanf, J. Herget, P. Hernansanz-Agustín, M. Hillion, J. Huang, S. Ilikay, P. Jansen-Dürr, V. Jaquet, J.A. Joles, B. Kalyanaraman, D. Kaminskyy, M. Karbaschi, M. Kleanthous, L.O. Klotz, B. Korac, K.S. Korkmaz, R. Koziel, D. KraÄun, K.H. Krause, V. KÅen, T. Krieg, J. Laranjinha, A. Lazou, H. Li, A. Martínez-Ruiz, R. Matsui, G.J. McBean, S.P. Meredith, J. Messens, V. Miguel, Y. Mikhed, I. Milisav, L. MilkoviÄ, A. Miranda-Vizuete, M. MojoviÄ, M. Monsalve, P.A. Mouthuy, J. Mulvey, T. Münzel, V. Muzykantov, I.T.N. Nguyen, M. Oelze, N.G. Oliveira, C.M. Palmeira, N. Papaevgeniou, A. PaviÄeviÄ, B. Pedre, F. Peyrot, M. Phylactides, G.G. Pircalabioru, A.R. Pitt, H.E. Poulsen, I. Prieto, M.P. Rigobello, N. Robledinos-Antón, L. Rodríguez-Mañas, A.P. Rolo, F. Rousset, T. Ruskovska, N. Saraiva, S. Sasson, K. Schröder, K. Semen, T. Seredenina, A. Shakirzyanova, G.L. Smith, T. Soldati, B.C. Sousa, C.M. Spickett, A. Stancic, M.J. Stasia, H. Steinbrenner, V. StepaniÄ, S. Steven, K. Tokatlidis, E. Tuncay, B. Turan, F. Ursini, J. Vacek, O. Vajnerova, K. Valentová, F. Van Breusegem, L. Varisli, E.A. Veal, A.S. Yalçın, O. Yelisyeyeva, N. ŽarkoviÄ, M. Zatloukalová, J. Zielonka, R.M. Touyz, A. Papapetropoulos, T. Grune, S. Lamas, H.H.H.W. Schmidt, F. Di Lisa, A. Daiber

    المصدر: Redox Biology, Vol 14, Iss , Pp 694-696 (2018)

    مصطلحات موضوعية: Medicine (General), R5-920, Biology (General), QH301-705.5

    وصف الملف: electronic resource

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    المصدر: European Journal of Public Health. 32

    الوصف: Background Migrants have lower vaccination rates compared to the general population and report multiple barriers in accessing related services. We explored practices and perceptions regarding MMR & HPV vaccinations in migrant children & adolescents from third countries to inform the development of tailored interventions to increase vaccination coverage. Third country nationals for the RIVER-EU project are migrants arriving to the EU from countries beyond Europe (the Middle East, Asia & Africa) escaping civil conflict, war, and poverty. Methods A qualitative study was conducted in the wider Athens area as part of the RIVER-EU project. Four Focus Groups and 23 semi-structured interviews were conducted with health care professionals, children and parents with a migrant background. Data were analysed using thematic content analysis. Findings: Identified barriers relate to the lack of standard operational procedures at system level that would define a schedule of vaccinations for migrants. Migrant vaccinations are subject to availability of vaccines (MMR as opposed to HPV) and potential threat of outbreaks (MMR vs HPV). There is no consistent, unified recording system of vaccinations while at system level there is a lack of trained cultural mediators. Targeted health promotion campaigns are rare while the few related activities that do exist are not systematically evaluated. Conclusions MMR vaccination is more frequent compared to HPV which is not prioritised by the target group or health professionals. Nevertheless, the target group is open to learning more about HPV while the important role of mothers concerning vaccinations emerged as crucial. Health professionals focus more on MMR due to the availability of the vaccine and the threat of outbreaks. The vaccination system has flaws and inconsistencies with a lack of vaccination related data. There is urgent need for culturally appropriate vaccination and appropriately evaluated vaccination campaigns.

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    المصدر: European Journal of Public Health. 32(Supplement_3)

    الوصف: Background Increasing vaccination uptake among vulnerable groups constitutes a high priority across Europe. Access to Vaccination for Newly Arrived Migrants (AcToVx4NAM) is a 3-year project (Grant n 101018349, 3rd EU Health Programme) with a mission to increase vaccination uptake in Newly Arrived Migrants (NAM) regardless of legal status. AcToVx4NAM will improve health system Vaccination Literacy (VL) and vaccination access, by making access conditions more equitable and guaranteed. Methods Across 8 countries research took place to identify barriers, enablers and solutions to system level problems. Qualitative analysis through focus groups and interviews took place with professionals who work with NAMs including administrative personnel, cultural mediators, policy officers as well as physicians, nurses, social and mental health care professionals. Research examined barriers across the different dimensions that constitute the ActoVax4NAM General Conceptual Framework namely Entitlement, Reachability - Adherence (vs. hesitancy), Achievement of vaccination (execution and completion) and Evaluation. Results A number of common system level barriers were identified related to gaps in the registration process and problems in reaching people eligible for vaccinations. Not all NAMs face the same problems in terms of accessing the health system (i.e asylum seekers vs economic migrants). Communication breaks exist between the various services involved with delivering care and vaccination to NAMs while the lack of appropriate culturally sensitive and appropriate informative material still remains. The role of non-medical personnel in promoting vaccinations was emphasized as well as the importance of evaluating and disseminating best practice. Conclusions Findings direct to specific evidence based solutions with an emphasis on tailored made to specific needs activities. Key messages • Shift focus from individual level barriers to system level barriers considering all hubs of the vaccination process. • Address vaccination needs of NAM early to stress the importance of prevention in the health integration process.