Asylum seekers’ perspectives on vaccination and screening policies after their arrival in Greece and The Netherlands


Autoři: Christina Louka aff001;  Elizabeth Chandler aff001;  Adelita V. Ranchor aff003;  Hans Broer aff004;  Spyros Pournaras aff005;  Sofanne J. Ravensbergen aff001;  Ymkje Stienstra aff001
Působiště autorů: Department of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands aff001;  ESCMID study group for infections in travelers and migrants, Basel, Switzerland aff002;  Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands aff003;  Vluchtelingenwerk, Netherlands aff004;  Laboratory of Clinical Microbiology, ‘ATTIKON’ University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece aff005
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
doi: 10.1371/journal.pone.0226948

Souhrn

Introduction

Europe has been dealing with an increasing number of refugees during the past 5 years. The timing of screening and vaccination of refugees is debated by many professionals, however refugees’ perspectives on health issues are infrequently taken into account. In this study, we aimed to investigate asylum seekers’ perspectives on infectious diseases screening and vaccination policies.

Materials and methods

Interviews were conducted in Greece and the Netherlands. Asylum seekers and recently arrived refugees were approached and informed with the help of interpreters; consent forms were acquired. The survey focused on demographic data, vaccination status, screening policies and prevention of infectious diseases.

Results

A total of 61 (43 male, 70.5%) refugees (30 Afghanis, 16 Syrian, 7 Erithrean) were interviewed. Mean age was 35.2 years (SD 13.5) and 50% had received primary or secondary education, while 24.6% received none. Median time after arrival in Greece and the Netherlands was 24 months (IQR 8.5–28). 44 out of 61 (72.1) participants were willing to be vaccinated after arrival in Europe, 26 preferred vaccination and screening to be performed at the point of entry. The need for screening and vaccination was perceived higher amongst participants in Greece (100% vs 43.3%) due to living conditions leading to increased risk of outbreaks.

Conclusion

Participants were willing to communicate their perspectives and concerns. Screening and vaccination programs could be more effective when implemented shortly after arrival and by involving asylum seekers and refugees when developing screening and vaccination interventions.

Klíčová slova:

Europe – Greece – Health screening – Infectious diseases – Netherlands – Screening guidelines – Vaccination and immunization – Scabies


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PLOS One


2019 Číslo 12