GESIS - Leibniz-Institute for the Social Sciences, P.O.Box 12 21 55, 68072, Mannheim, Germany.
Research Center Borstel, Leibniz Lung Center, Borstel, Germany.
J Immigr Minor Health. 2021 Dec;23(6):1187-1192. doi: 10.1007/s10903-020-01134-y. Epub 2020 Dec 23.
Up until recently incidences of tuberculosis (TB) had been declining for many years in Germany. The rise in TB cases coincided with a large increase in the number of people applying for asylum. We combine data from various sources to estimate the at-entry prevalence of TB for asylum seekers from 18 countries of origin and rely on survey data to explain the varying risk of suffering from TB. Our results reveal that asylum seekers from Eastern Africa show a much higher risk of suffering from TB than asylum seekers from Afghanistan, Syria, or Iraq. The survey data suggests that asylum seekers from Africa were by far more underprivileged in their respective countries of origin and experienced a higher risk of contracting TB on their way to Germany. Information about the socio-economic situation and the circumstances of the journey to Germany may help to improve TB surveillance.
直到最近，德国的结核病（TB）发病率多年来一直在下降。结核病病例的增加与寻求庇护的人数大量增加同时发生。我们结合了来自不同来源的数据，以估计来自 18 个原籍国的寻求庇护者入境时的结核病患病率，并依靠调查数据来解释患结核病的风险差异。我们的研究结果表明，来自东非的寻求庇护者患结核病的风险远高于来自阿富汗、叙利亚或伊拉克的寻求庇护者。调查数据表明，非洲的寻求庇护者在原籍国的处境要差得多，在前往德国的途中患结核病的风险更高。有关社会经济状况和前往德国途中的情况的信息可能有助于改善结核病监测。
