Evidence map›Paper›PMID 34043768›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2021

Health of Asylees Compared to Refugees in the United States Using Domestic Medical Examination Data, 2014-2016: A Cross-Sectional Analysis.

Gayathri S Kumar, Clelia Pezzi, Colleen Payton, Blain Mamo, Kailey Urban, Kevin Scott, Jessica Montour, Nuny Cabanting, Jenny Aguirre, Rebecca Ford and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.3field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 7 institutions in 1 country.

Gayathri S KumarCenters for Disease Control and Prevention, Atlanta, Georgia, USA.
Clelia PezziCenters for Disease Control and Prevention, Atlanta, Georgia, USA.
Colleen PaytonThomas Jefferson University, Philadelphia, Pennsylvania, USA.
Blain MamoMinnesota Department of Health, Saint Paul, Minnesota, USA.
Kailey UrbanMinnesota Department of Health, Saint Paul, Minnesota, USA.
Kevin ScottThomas Jefferson University, Philadelphia, Pennsylvania, USA.
Jessica MontourUS Committee for Refugees and Immigrants, Austin, Texas, USA.
Nuny CabantingCalifornia Department of Public Health, Sacramento, California, USA.
Jenny AguirreIllinois Department of Healthcare and Family Services, Chicago, Illinois, USA.
Rebecca FordKentucky Office for Refugees, Louisville, Kentucky, USA.
Stephen E HughesNew York State Department of Health, Albany, New York, USA.
Breanna KawasakiColorado Department of Public Health and Environment, Denver, Colorado, USA.
Lori KennedyColorado Department of Public Health and Environment, Denver, Colorado, USA.
Emily S JentesCenters for Disease Control and Prevention, Atlanta, Georgia, USA.
Centers for Disease Control and Prevention · USColorado Department of Public Health and Environment · USMinnesota Department of Health · USThomas Jefferson University · USCalifornia Department of Public Health · USIllinois Department of Healthcare and Family Services · USNew York State Department of Health · US

Funding

Intramural CDC HHS CC999999Strengthening Surveillance for Diseases among Newly Arrived Immigrants and Refugees
6 · The paper itself

Abstract

backgroundBetween 2008 and 2018, persons granted asylum (asylees) increased by 168% in the United States. Asylees are eligible for many of the same domestic benefits as refugees under the US Refugee Admissions Program (USRAP), including health-related benefits such as the domestic medical examination. However, little is known about the health of asylees to guide clinical practice.

methodsWe conducted a retrospective cross-sectional analysis of domestic medical examination data from 9 US sites from 2014 to 2016. We describe and compare demographics and prevalence of several infectious diseases such as latent tuberculosis infection (LTBI), hepatitis B and C virus (HBV, HCV), and select sexually transmitted infections and parasites by refugee or asylee visa status.

resultsThe leading nationalities for all asylees were China (24%) and Iraq (10%), while the leading nationalities for refugees were Burma (24%) and Iraq (19 %). Approximately 15% of asylees were diagnosed with LTBI, and 52% of asylee adults were susceptible to HBV infection. Prevalence of LTBI (prevalence ratio [PR] = 0.8), hepatitis B (0.7), hepatitis C (0.5), and Strongyloides (0.5) infections were significantly lower among asylees than refugees. Prevalence of other reported conditions did not differ by visa status.

conclusionsCompared to refugees, asylees included in our dataset were less likely to be infected with some infectious diseases but had similar prevalence of other reported conditions. The Centers for Disease Control and Prevention's Guidance for the US Domestic Medical Examination for Newly Arrived Refugees can also assist clinicians in the care of asylees during the routine domestic medical examination.

Indexed as

Latent TuberculosisRefugeesAdultCross-Sectional StudiesHumansMass ScreeningRetrospective StudiesUnited Statesasyleesasylum seekersdomestic medical examinationhealth screeningrefugees

Identifiers

PMID34043768
PMCPMC12631600
OpenAlexW3164340661

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.