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Syphilis Among U.S.-Bound Refugees, 2009-2013.

E N Nyangoma1,2, C K Olson3, J A Painter3

  • 1Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA, USA. ENyangoma@cdc.gov.

Journal of Immigrant and Minority Health
|March 20, 2016
PubMed
Summary
This summary is machine-generated.

Syphilis screening for U.S.-bound refugees identified 874 cases, with highest prevalence in Africa. Male sex, older age, and non-camp settings were linked to higher infection rates.

Keywords:
ImmigrationRefugee healthSexually transmitted infectionsSyphilis

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Area of Science:

  • Public Health
  • Infectious Disease Epidemiology
  • Immigration Health

Background:

  • U.S. immigration policy mandates syphilis screening for refugees aged 15 and older.
  • Syphilis screening is crucial for preventing disease introduction and transmission.

Purpose of the Study:

  • To determine the prevalence of syphilis among U.S.-bound refugees.
  • To identify demographic and geographic factors associated with syphilis seropositivity.

Main Methods:

  • Retrospective review of syphilis screening results from January 2009 to December 2013.
  • Analysis of 233,446 refugee screening records.
  • Multivariable log binomial regression to assess associated factors.

Main Results:

  • 874 syphilis cases identified (373 per 100,000 refugees).
  • Highest age-adjusted prevalence in refugees from Africa (1340 per 100,000) and East Asia/Pacific (397 per 100,000).
  • Male sex, increasing age, and non-refugee camp residence were associated with higher seropositivity.

Conclusions:

  • Syphilis screening identifies a significant number of cases among refugees.
  • Prevalence varies geographically, with notable rates in African and East Asian/Pacific populations.
  • Further research on overseas treatment and transmission risk is recommended.