Systematische Übersicht und „Mapping“ empirischer Studien des Gesundheitszustands und der medizinischen Versorgung von Flüchtlingen und Asylsuchenden in Deutschland (1990–2014)

Bozorgmehr, Kayvan; Mohsenpour, Amir; Saure, Daniel; Stock, Christian; Loerbroks, Adrian; Joos, Stefanie; Schneider, Christine

doi:10.1007/s00103-016-2336-5

Cited by 103 publications

(71 citation statements)

References 41 publications

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“…All retrieved references (titles and abstracts) were screened independently by two reviewers of the initial review team [19,20]. The full texts of articles included after abstract/title screening were again screened independently by the same reviewers.…”

Section: Methodsmentioning

confidence: 99%

“…The full texts of articles included after abstract/title screening were again screened independently by the same reviewers. Any discrepant judgements on eligibility were discussed in consensus meetings among at least three members of the initial review team [19,20] and articles were included or excluded after reaching mutual agreement. References retrieved in the updated search (titles, abstracts and full texts) were screened by the first author (KB).…”

Section: Methodsmentioning

confidence: 99%

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Yield of active screening for tuberculosis among asylum seekers in Germany: a systematic review and meta-analysis

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All asylum seekers in Germany undergo upon-entry screening for tuberculosis TB, but comprehensive evidence on the yield is lacking. We compared the national estimates with the international literature in a systematic review and meta-analysis of studies reporting the yield of TB, defined as the fraction of active TB cases detected among asylum seekers screened in Germany upon entry. We searched 11 national and international databases for empirical studies and the internet for grey literature published in English or German without restrictions on publication time. Among 1,253 screened articles, we identified six articles reporting the yield of active TB based on German data, ranging from 0.72 (95% confidence interval (CI): 0.45–1.10) to 6.41 (95% CI: 4.19–9.37) per 1,000 asylum seekers. The pooled estimate across all studies was 3.47 (95% CI: 1.78–5.73; I2 = 94.9%; p < 0.0001) per 1,000 asylum seekers. This estimate was in line with international evidence (I2 = 0%; p for heterogeneity 0.55). The meta-analysis of available international estimates resulted in a pooled yield of 3.04 (95% CI: 2.24–3.96) per 1,000. This study provides an estimate across several German federal states for the yield of TB screening in asylum seekers. Further research is needed to develop more targeted screening programmes.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Yield of active screening for tuberculosis among asylum seekers in Germany: a systematic review and meta-analysis

et al. 2017

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“…Furthermore, once they have arrived at their destination, asylum seekers can suffer decisive psychological burden from postmigration stressors, such as being sheltered in reception centers with a great number of other refugees, partly from other conflicting ethnic groups [3][4][5] . Indeed, a recent meta-analytic review identified prevalence rates of 30.6% for PTSD and 30.8% for depressive disorders among refugees [6,7] .…”

Section: Introductionmentioning

confidence: 99%

Prevalence of and Risk Factors for Secondary Traumatization in Interpreters for Refugees: A Cross-Sectional Study

et al. 2017

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Background: A substantial proportion of refugees, fleeing persecution, torture, and war, are estimated to suffer from psychological traumatization. After being sheltered in reception centers, the refugees come in close contact with different occupational groups, e.g., physicians, social workers, and interpreters. Previous studies ascertained that such interpreters themselves often suffer from primary psychological traumatization. Moreover, through translating refugees' potentially traumatic depictions, the interpreters are in danger of developing a so-called secondary traumatization. Objective: The present study aimed (1) to analyze the prevalence rates of primary traumatization in interpreters, (2) to assess the prevalence of secondary traumatization, depression, anxiety, and stress symptoms, (3) to examine the association between secondary traumatization symptoms and resilience factors in terms of sense of coherence, social support, and attachment style, and (4) to test whether these resilience factors mediate the relationship between primary and secondary traumatization. Methods: Participating interpreters (n = 64) were assessed for past exposure to potentially traumatic events as well as symptoms of posttraumatic stress disorder (PTSD), secondary traumatization, depressive symptoms, anxiety, and subjective stress levels. Furthermore, we conducted psychometric surveys to measure interpreters' sense of coherence, degree of social support, and attachment style as potential predictors. Results: (1) 9% of the interpreters fulfilled all criteria for PTSD and a further 33% had subclinical PTSD; (2) a secondary traumatization was present in 21% of the examined interpreters - of these, 6% showed very high total scores indicating a severe secondary traumatization; furthermore, we found higher scores for depression, anxiety, and stress as compared to representative population samples, especially for females; (3) a present sense of coherence, an existing social support network, and a secure or preoccupied attachment style correlated significantly with low scores for secondary traumatization; and (4) a significant correlation emerged between primary and secondary traumatization (r = 0.595, p < 0.001); a mediation analysis revealed that this effect is partially mediated by secure attachment. Conclusion: A substantial proportion of interpreters working with refugees suffer from primary as well as secondary traumatization. However, high scores for sense of coherence and social support, male gender, and especially a secure attachment style were identified as resilience factors for secondary traumatization. The results may have implications for the selection, training, and supervision of interpreters.

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“…Entitlements and access to healthcare for asylum seekers are restricted in Germany based on the argument of resource constraints [30,31]. Some studies demonstrated that highly prevalent mental health conditions like depression, anxiety and post-traumatic stress disorder in asylum seekers [32][33][34] remain poorly addressed [35]. Ceasing extensive screening for infectious diseases, except for TB, in the more than 120,000 asylum seekers in all five states in Category C would have released an estimated 3.1 million EUR.…”

Section: Discussionmentioning

confidence: 99%

Infectious disease screening in asylum-seekers: range, coverage and economic evaluation in Germany (2015)

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et al. 2017

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Systematische Übersicht und „Mapping“ empirischer Studien des Gesundheitszustands und der medizinischen Versorgung von Flüchtlingen und Asylsuchenden in Deutschland (1990–2014)

Cited by 103 publications

References 41 publications

Yield of active screening for tuberculosis among asylum seekers in Germany: a systematic review and meta-analysis

Yield of active screening for tuberculosis among asylum seekers in Germany: a systematic review and meta-analysis

Prevalence of and Risk Factors for Secondary Traumatization in Interpreters for Refugees: A Cross-Sectional Study

Infectious disease screening in asylum-seekers: range, coverage and economic evaluation in Germany (2015)

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