Disability and Migration Routes: An Explorative Analysis Among Refugees Hosted in Italy

ObjectiveData on disability in refugees is lacking, hindering effectiveness of humanitarian response. We investigated disability condition in refugees, identifying possible mechanisms that affect their health.MethodsThe Washington Group Short Set – Enhanced was used to identify people at risk experi...

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Main Authors: Marco Tofani, Maurizio Marceca, Donatella Valente, Giovanni Galeoto, Mohamed Ali Ben Zina, Imène Soumaya Salhi, Khadija Elmadmad, Hind Tak Tak, Justine Gosling, Satish Mishra, Valentina Gazzaniga, Marco Cilione, Silvia Iorio
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:International Journal of Public Health
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Online Access:https://www.ssph-journal.org/articles/10.3389/ijph.2024.1607821/full
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author Marco Tofani
Marco Tofani
Maurizio Marceca
Maurizio Marceca
Donatella Valente
Donatella Valente
Giovanni Galeoto
Giovanni Galeoto
Mohamed Ali Ben Zina
Imène Soumaya Salhi
Khadija Elmadmad
Khadija Elmadmad
Hind Tak Tak
Justine Gosling
Satish Mishra
Valentina Gazzaniga
Marco Cilione
Silvia Iorio
author_facet Marco Tofani
Marco Tofani
Maurizio Marceca
Maurizio Marceca
Donatella Valente
Donatella Valente
Giovanni Galeoto
Giovanni Galeoto
Mohamed Ali Ben Zina
Imène Soumaya Salhi
Khadija Elmadmad
Khadija Elmadmad
Hind Tak Tak
Justine Gosling
Satish Mishra
Valentina Gazzaniga
Marco Cilione
Silvia Iorio
author_sort Marco Tofani
collection DOAJ
description ObjectiveData on disability in refugees is lacking, hindering effectiveness of humanitarian response. We investigated disability condition in refugees, identifying possible mechanisms that affect their health.MethodsThe Washington Group Short Set – Enhanced was used to identify people at risk experiencing disability. Data on migration routes were collected and the relationship with functioning limitations was explored.Results483 refugees (58.18% males - 41.82% female) were interviewed. 23.8% were found to have a disability, with a higher risk for those who travelled along the central Mediterranean route OR (95% CI) 2.08 (1.33–3.24). Affect domain represented the main weight for disability (28.16%), followed by mobility limitation (8.28%). People who travelled across the central Mediterranean route were found to have a high risk of developing anxiety problems OR (95% CI) 2.19 (1.33–3.6), while people who crossed the Balkan route had a higher risk of mobility limitation OR (95% CI) 3.03 (1.23–7.44).ConclusionThis study provides the first available data on disability among refugees in Italy, revealing a high prevalence of disability and a significant association with migration routes. These findings underscore the urgent need for targeted health and rehabilitation interventions to address the specific vulnerabilities of this population.
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spelling doaj-art-78f8e1ce9f314b6da809048529b7c2de2025-01-17T04:11:12ZengFrontiers Media S.A.International Journal of Public Health1661-85642025-01-016910.3389/ijph.2024.16078211607821Disability and Migration Routes: An Explorative Analysis Among Refugees Hosted in ItalyMarco Tofani0Marco Tofani1Maurizio Marceca2Maurizio Marceca3Donatella Valente4Donatella Valente5Giovanni Galeoto6Giovanni Galeoto7Mohamed Ali Ben Zina8Imène Soumaya Salhi9Khadija Elmadmad10Khadija Elmadmad11Hind Tak Tak12Justine Gosling13Satish Mishra14Valentina Gazzaniga15Marco Cilione16Silvia Iorio17Department of Life Sciences, Health and Healthcare Professions, Università degli Studi “Link Campus University”, Rome, ItalyItalian Society of Migration Medicine, Rome, ItalyItalian Society of Migration Medicine, Rome, ItalyDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, ItalyDepartment of Human Neurosciences, Sapienza University of Rome, Rome, ItalyNeuromed IRCCS, Pozzilli, ItalyDepartment of Human Neurosciences, Sapienza University of Rome, Rome, ItalyNeuromed IRCCS, Pozzilli, ItalyFaculty of Humanity at Tunis, University of Tunis, Tunis, TunisiaFaculty of Humanity at Tunis, University of Tunis, Tunis, TunisiaFaculty of Law Economics and Social Science, University Hassan II, Casablanca, MoroccoUNESCO Center for Rights and Migration, Rabat, MoroccoFaculty of Law Economics and Social Science, University Hassan II, Casablanca, MoroccoWorld Health Organization, Regional Office for Europe, Copenhagen, DenmarkWorld Health Organization, Regional Office for Europe, Copenhagen, Denmark0Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Rome, Italy0Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Rome, Italy0Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Rome, ItalyObjectiveData on disability in refugees is lacking, hindering effectiveness of humanitarian response. We investigated disability condition in refugees, identifying possible mechanisms that affect their health.MethodsThe Washington Group Short Set – Enhanced was used to identify people at risk experiencing disability. Data on migration routes were collected and the relationship with functioning limitations was explored.Results483 refugees (58.18% males - 41.82% female) were interviewed. 23.8% were found to have a disability, with a higher risk for those who travelled along the central Mediterranean route OR (95% CI) 2.08 (1.33–3.24). Affect domain represented the main weight for disability (28.16%), followed by mobility limitation (8.28%). People who travelled across the central Mediterranean route were found to have a high risk of developing anxiety problems OR (95% CI) 2.19 (1.33–3.6), while people who crossed the Balkan route had a higher risk of mobility limitation OR (95% CI) 3.03 (1.23–7.44).ConclusionThis study provides the first available data on disability among refugees in Italy, revealing a high prevalence of disability and a significant association with migration routes. These findings underscore the urgent need for targeted health and rehabilitation interventions to address the specific vulnerabilities of this population.https://www.ssph-journal.org/articles/10.3389/ijph.2024.1607821/fullmigrant and refugee healthdisabilityrehabilitationmental healthfunctional limitations
spellingShingle Marco Tofani
Marco Tofani
Maurizio Marceca
Maurizio Marceca
Donatella Valente
Donatella Valente
Giovanni Galeoto
Giovanni Galeoto
Mohamed Ali Ben Zina
Imène Soumaya Salhi
Khadija Elmadmad
Khadija Elmadmad
Hind Tak Tak
Justine Gosling
Satish Mishra
Valentina Gazzaniga
Marco Cilione
Silvia Iorio
Disability and Migration Routes: An Explorative Analysis Among Refugees Hosted in Italy
International Journal of Public Health
migrant and refugee health
disability
rehabilitation
mental health
functional limitations
title Disability and Migration Routes: An Explorative Analysis Among Refugees Hosted in Italy
title_full Disability and Migration Routes: An Explorative Analysis Among Refugees Hosted in Italy
title_fullStr Disability and Migration Routes: An Explorative Analysis Among Refugees Hosted in Italy
title_full_unstemmed Disability and Migration Routes: An Explorative Analysis Among Refugees Hosted in Italy
title_short Disability and Migration Routes: An Explorative Analysis Among Refugees Hosted in Italy
title_sort disability and migration routes an explorative analysis among refugees hosted in italy
topic migrant and refugee health
disability
rehabilitation
mental health
functional limitations
url https://www.ssph-journal.org/articles/10.3389/ijph.2024.1607821/full
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