175446 Globalization and the health of migrant workers in Chile

Wednesday, October 29, 2008

Pamela Torres, MD , School of Public Health, University of Chile, Santiago, Chile
Graciela Rojas , Department of Psychiatry and Mental Health, University of Chile, Santiago, Chile
Leonel Valdivia, PhD , School of Public Health, University of Chile, Buin, Chile
Chile leads South America in trade globalization and is reaping both its problems and benefits. As a results thousand of migrant workers from neighboring countries have migrated to Chile. According to 2002 census, 67,8% of the immigrants living in Chile are South Americans (Stefoni, C. 2002), most of them from poorer countries, currently living in difficult conditions with low salaries and long working hours. This presentation will report on findings of study on the mental health status of migrant workers attending a PHC facility in Santiago. Objectives: describe the prevalence of mental health problems documented and undocumented immigrants attending a PHC center. Methods. A cross-sectional survey conducted at a health center with a large immigrant population in North Santiago in November 2007. The sample included 282 center clients. PTSD was assessed through the Mini International Neuropsychiatric Interview (MINI) and comorbid psychiatric syndromes by the Clinical Interview Schedule (CIS-R). Participants were immigrants from any country, 15 years or older, living in Santiago. Results. 6,38% of the immigrant population were diagnosed with PTSD, 44,5% of them had comorbid psychiatric syndromes, which is 3,6% of the total sample. Within the ones diagnosed with PTSD and comorbid psychiatric syndromes 16,7% had severe depression; 11,1% had panic syndrome; 5,5% OCD and 11,1% mixed anxiety/depressive disorder. Results were compared with those found in general population (Vicente B. 2002). Conclusion: higher incidence of mental health problems among migrant than on general population. This suggests that there are risk factors influencing it.

Learning Objectives:
1. Describe five indicators of mental health health status of South American migrant workers in Chile. 2. Discuss the impact of trade globalization on migrant worker health based on the Chilean experience.

Keywords: Migrant Workers, Mental Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was a co-investigator in this project
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.