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Publication
Portuguese expatriates’ health in Angola and Mozambique—a cross-sectional study: increasing awareness and need for more surveillance
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Advisor(s)
Abstract(s)
Background: Increasing numbers of expatriates are working in sub-Saharan Africa. There is little published data on the complex population and this survey aimed at understanding expatriate morbidity by accessing self-reported health problems and malaria preventive practices.
Methods: A cross-sectional web-based survey was conducted targeting Portuguese expatriates in Angola and Mozambique. Logistic regression analysis explored factors associated with self-reported health problems and psy chological symptoms in the previous 3 months.
Results: A total sample of 352 adult Portuguese urban civil occupational expatriates was obtained. Median length of expatriation was 3 years. Considering a 3-month timeframe, one in five expatriates reported new health problems
and need of medical assistance, 5% were hospitalized and 64% reported general psychological symptoms. Less than 2% of subjects were on malaria chemoprophylaxis. Having chronic health conditions doubled the reporting of new
health problems. Increasing length of expatriation was associated with decreasing reporting of general psychologi cal symptoms. Directors and executive managers and expatriates living alone tended to report more general psy chological symptoms.
Conclusion: Expatriate communities deserve enhanced surveillance for the health issues that affect them. This will improve evidence-based preparation and intervention by public and travel health practitioners.
Description
Keywords
Expatriate Portugal self-reported health sub-Saharan Africa survey
Citation
Fonseca AG, Dias SS, Baptista JL, Torgal J. Portuguese expatriates' health in Angola and Mozambique-a cross-sectional study: increasing awareness and need for more surveillance. J Travel Med. 2017 Jul 1;24(4). doi: 10.1093/jtm/tax020. PMID: 28426116
Publisher
Oxford University Press (OUP)
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Without CC licence