| Literature DB >> 27704388 |
Nathan S Bertelsen1,2,3,4, Elizabeth Selden5,6, Polina Krass7, Eva S Keatley8,6, Allen Keller5,9,6.
Abstract
Effective screening in primary care among asylum-seekers in the US is critical as this population grows. This study aimed to evaluate disease prevalence and screening methods in this high-risk group. Two hundred ten new clients from 51 countries, plus Tibet, who were accepted into a program for asylum seekers from 2012 to 2014 were included. Screening rates and outcomes for infectious, non-communicable, and mental illnesses were evaluated. Screening rates were highest for PTSD, depression, hepatitis B, and latent tuberculosis. Seventy-one percent of clients screened positive for depression and 55 % for PTSD, followed by latent tuberculosis (41 %), hypertension (10 %), hepatitis B (9.4 %), and HIV (0.8 %). Overall screening rates were high. Point of care testing was more effective than testing that required a repeat visit. A large psychiatric and infectious disease burden was identified. These findings can inform future primary care screening efforts for asylum seekers in the US.Entities:
Keywords: Asylum seeker; Health screening; Hypertension screening; Immigrant health; Infectious disease screening; Mental health screening; Primary health care
Mesh：
Year: 2018 PMID： 27704388 DOI： 10.1007/s10903-016-0507-y
Source DB: PubMed Journal: J Immigr Minor Health ISSN： 1557-1912