Publication:
Primary care screening methods and outcomes for asylum seekers in New York City

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SCHOOL OF MEDICINE
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Selden, Elizabeth
Krass, Polina
Keatley, Eva S.
Keller, Allen

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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.

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Springer

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Public, Environmental, Occupational health

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Journal of Immigrant and Minority Health

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DOI

10.1007/s10903-016-0507-y

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