Health screenings administered during the domestic medical examination of refugees and other eligible immigrants in nine US states, 2014-2016: A cross-sectional analysis
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View abstract on PubMed
Summary
This summary is machine-generated.Domestic medical exams for refugees show high screening rates for infectious diseases like tuberculosis, hepatitis B, and HIV. However, mental health screenings remain low, indicating a need for improved coverage and future research.
Area Of Science
- Public Health
- Epidemiology
- Immigrant Health
Background
- Domestic medical examinations are recommended for refugees and select visa holders within 90 days of U.S. arrival.
- Limited data exist on screening coverage during these examinations, hindering program impact evaluation.
- This study assesses screening proportions to understand the domestic medical examination's role in postarrival health.
Purpose Of The Study
- To calculate and compare screening proportions among refugees and eligible populations.
- To evaluate the impact of domestic medical examinations on screening coverage.
- To identify disparities in screening based on demographic factors.
Main Methods
- Cross-sectional analysis of domestic medical examination data from January 2014 to December 2016.
- Inclusion of data from seven states, one county, and one academic medical center.
- Analysis of screening coverage by sex, age, nationality, and country of last residence for 105,541 individuals.
Main Results
- High screening rates for infectious diseases: tuberculosis (91.6%), hepatitis B (95.8%), and human immunodeficiency virus (HIV; 80.3%).
- Lower screening rates for mental health conditions (36.8%).
- Data relied on programmatic collection, not surveillance, as a key limitation.
Conclusions
- Domestic medical examinations demonstrate high coverage for key infectious disease screenings.
- Significant gaps exist in mental health screening coverage.
- These examinations serve as a crucial opportunity to connect new arrivals with U.S. healthcare services and identify research needs.
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