Persistent Pain in Survivors of Torture: A Cohort Study

Context: Refugee survivors of torture in the United Kingdom have multiple problems, of which pain may be underrecognized, given the high prevalence recorded in similar populations in Denmark.

Objectives: To establish in a UK sample the prevalence of persistent pain and to investigate associations between specific pains and torture methods.

Methods:A cohort of a random 20% sample attending a specialist UK center for survivors of torture in 2005 was taken. All complaints of pain recorded at initial interview were categorized for body site and putative pain mechanism.

In the Shadows

Hugo Scornik, M.D. Published in the New England Journal of Medicine 2013; 369:598August 15, 2013DOI: 10.1056/NEJMp1305614

This article show the struggles that undocumented immigrants face while living without insurance. Because their children born in the United States are eligible for Medicaid, adults often seek medical advice from their children’s physician.  This article is available for free from the link below.

Holes in the Safety Net - Legal Immigrants' Access to Health Insurance

Wendy E. Parmet, J.D. Published in the New England Journal of Medicine 2013; 369:596-598August 15, 2013DOI: 10.1056/NEJMp1306637

Over 12 million immigrants are lawfully present in the United States, yet face similar barriers as undocumented immigrants face. Legal immigrants can be legal permanent residents (green card holders), refugees, asylum seekers, and others. This article examines the reasons why legal immigrants have such low rates of health insurance, including the sectors they work in as well as linguistic and cultural barriers.

Stuck between Health and Immigration Reform - Care for Undocumented Immigrants

Benjamin D. Sommers, M.D., Ph.D. Published in the New England Journal of Medicine 2013; 369:593-595August 15, 2013DOI: 10.1056/NEJMp1306636

Approximately 25 million noncitizens live in the United States, 11 million to 12 million of them undocumented. Though more than 75% of undocumented residents are Latin American, U.S. immigrants are more diverse than generally recognized, with substantial numbers from South and East Asia, Europe, Canada, and Africa. Regardless of its origins, this population's health care options remain limited.

Link is to full text of article.

The impact of detention on the health of asylum seekers

By Keller AS, Ford D, Sachs E, Rosenfeld B, Trinh-Shevrin C, Meserve C, Leviss JA, Singer E, Smith H, Wilkinson J, Kim G, Allden K, Rockline P. Published in the Journal of Ambulatory Care Management. 2003 Oct-Dec;26(4):383-5.

Asylum seekers arriving in the United States are often imprisoned for months or years while their asylum claims are processed. Recently, Physicians for Human Rights and the Bellevue/New York University Program for Survivors of Torture released the findings of the first systematic study examining the health of detained asylum seekers.

Context, evidence and attitude: the case for photography in medical examinations of asylum seekers in the Netherlands

By Park R, Oomen J. Published in Social Science & Medicine, 2010 Jul;71(2):228-35. Link below is to abstract; full article is available for purchase.

Summary written for by CVT Intern Joseph Walker:

Asylum policy in Western Europe primarily aims to restrict entry to refugees, despite the fact that all European Union members are signatories to international asylum conventions.


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