ArticleConflict and health2019
Does refugee status matter? Medical needs of newly arrived asylum seekers and resettlement refugees - a retrospective observational study of diagnoses in a primary care setting.
Article in Conflict and health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 37 citations in OpenAlex.
- Ethical Challenges Encountered by Humanitarian Aid Workers in Temporary Displacement Camps in the Context of Covid-19.Public health ethics · 2026Article
- Mental health as a non-communicable disease among refugees, asylum seekers, and beneficiaries of subsidiary protection: A scoping review.Journal of migration and health · 2026Review
- Asylum seekers and the role of the acute care physician.Journal of the American College of Emergency Physicians open · 2024Review
- Epidemiology of asylum seekers and refugees at the Mexico-US border: a cross-sectional analysis from the migrant settlement camp in Matamoros, Mexico.BMC public health · 2024Article
- Translation, cultural adaptation, and validation of the PHQ-9 and GAD-7 in Kinyarwanda for primary care in the United States.PloS one · 2024Article
- [Determinants of asylum seekers' health and medical care in Germany].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023Review
- Asserting a Functional Neurological Symptom Disorder with a Complementary Diagnostic Approach: A Brief Report.Children (Basel, Switzerland) · 2023Article
- The Presence and Profile of Neurological Conditions and Associated Psychiatric Comorbidities in U.S. Resettled Refugees: A Retrospective Single Center Study.Journal of immigrant and minority health · 2023Article
- Living a frozen life: a qualitative study on asylum seekers' experiences and care practices at accommodation centers in Sweden.Conflict and health · 2022Article
- Mental Health Screening Approaches for Resettling Refugees and Asylum Seekers: A Scoping Review.International journal of environmental research and public health · 2022Article
- Intestinal parasites in stool testing among refugees at a primary care clinic in Toronto, Canada.BMC infectious diseases · 2022Article
- Acute respiratory infections in an adult refugee population: an observational study.NPJ primary care respiratory medicine · 2021Observational
- Health-related quality of life of refugees: a systematic review of studies using the WHOQOL-Bref instrument in general and clinical refugee populations in the community setting.Conflict and health · 2021Review
- Disease burden in a large cohort of asylum seekers and refugees in Germany.Journal of global health · 2021Article
- Factors Influencing the Frequency of Airway Infections in Underage Refugees: A Retrospective, Cross Sectional Study.International journal of environmental research and public health · 2020Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundProviding adequate healthcare to newly arrived refugees is considered one of the significant challenges for the German healthcare system. These refugees can be classified mainly into two groups: asylum seekers (who have applied for asylum after arrival in Germany and are waiting for the refugee-status decision) and resettlement refugees (who have already been granted asylum status before arriving in Germany). Whereas earlier studies have explored the health status of asylum seekers especially in terms of mental and behavioural disorders and infectious diseases without distinguishing between these two groups, our study aims to evaluate possible relationships of asylum status and medical needs of these two groups with a special focus on mental and behavioural disorders and infectious diseases.
methodsIn this retrospective observational study, collected data on all asylum-seeker and resettlement-refugee patients (
resultsOf all 2252 patients, 43% were resettlement refugees. In almost all ICD-10 categories, asylum seekers received significantly more diagnoses than resettlement refugees. According to our data, asylum seekers presented with mental and behavioural disorders nine times more often (9%) than resettlement refugees (1%). In the case of infectious diseases, the results are mixed: asylum seekers were twice as frequently (11%) diagnosed with certain infectious and parasitic diseases than resettlement refugees (5%), but resettlement refugees were treated twice as often (22% of the asylum seekers and 41% of the resettlement refugees) for diseases of the respiratory system, of which 84% were acute respiratory infections (in both groups).
conclusionThis study indicates that patients with unregulated migration more frequently present symptoms of psychiatric diseases and somatoform symptoms than resettlement refugees. A health policy approach within migration policy should aim to enable persecuted persons to migrate under regulated and safe conditions.
trial registrationGerman Clinical Trials Register: DRKS00013076, retrospectively registered on 29.09.2017.
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