| Abstrakt: |
Forced displacement and migration affect more than 100 million people worldwide and influence health before, during, and after migration. Displaced persons have many medical needs but do not always have consistent or predictable access to health care, often because of social determinants of health such as socioeconomic and immigration status, language, and stigma, among others. Displaced persons share many common experiences and medical risk factors. However, those who do not have refugee legal status, such as people who have been trafficked or asylum seekers, may experience additional social factors -- including the threat of detention, deportation, and lack of health insurance -- that exacerbate medical comorbidity. In the United States, the Centers for Disease Control and Prevention offers screening recommendations across multiple domains of health to ensure that chronic comorbidities and preventive health care are addressed. Disparities persist in the identification and treatment of noncommunicable disease in displaced persons, highlighting the importance of strong systems of longitudinal care for this population. Mental disorders are also common and reflect an interplay between individual characteristics, events that compelled people to flee their country of origin, trauma experienced during migration, and social factors. Multiple screening tools and treatment modalities for mental illness have shown benefit in displaced populations. Addressing social determinants of health shows promise in improving health outcomes across a range of immigration statuses. This review discusses a framework for health providers and systems to provide displaced persons with accessible, culturally concordant, and culturally humble trauma-informed care. Medical Care for Displaced Persons The United Nations High Commissioner for Refugees reports that more than 100 million people have been forcibly displaced from their homes due to persecution, conflict, violence, and human rights violations. Displacement has profound health impacts. Here, Jain and colleagues review medical care for newly displaced persons. [ABSTRACT FROM AUTHOR] |
