1484 Meeting the health needs of unaccompanied asylum seeking children: a scoping review of routine health assessment
Notice bibliographique
Résumé
Background Approximately, 34 million of 79.5 million forcibly displaced persons globally are minors, many of whom are unaccompanied asylum seeking children (UASC). UASC often experience unmet health needs, physical harm or emotional trauma in their birth country, or during their journey to seek asylum. International guidelines recommend health screening for all migrant children. Objectives Scope the literature on UASC routine health assessment across Australia, European Economic Area, Canada, New Zealand, Switzerland, United Kingdom and United States (n=36). Analyse health screening programmes to inform future health policy. Methods Literature published (2010-March 2021) was systematically searched across MEDLINE, Web of Science, Cochrane and CINAHL. Records were screened against the inclusion criteria. A framework analysis across national and international organizations’ websites identified additional documents. Results 33 of 1432 records were included. UASC screening was reported across 13/36 countries, summarised in table 1. Commonly, studies were observational reports lacking references to clinical guidelines. Tuberculosis disease screening was offered in 12/13 countries. 8/13 countries used a risk-based approach, meaning UASC exposed to risk factors or from areas endemic for conditions (such as tuberculosis, hepatitis or parasites) were screened. Non-communicable disease screening guidance was present across 10/13 countries. 7/13 proposed blood testing for anaemia and nutritional deficiencies. Dental checks and developmental assessments were suggested in 7/13. Mental health screening was recommended in 6/13 countries. Conclusions Studies reporting UASC health assessment were not found for all countries. We found considerable procedural variation, which can exacerbate health inequalities. While we do not assume UASC health needs in these countries are not addressed, it raises concerns of the standards followed. Countries reporting screening may represent settings where optimal assessment is being followed. However, no audit data are available to compare guideline implementation and effectiveness. Frequently, emphasis was placed on infectious disease screening whilst other health components like mental health were less commonly addressed. UASC health should be prioritised, guidelines must include mental and social wellbeing parallel to communicable disease assessment. The UN Convention on the Rights of the Child recognises children’s right to the highest attainable standard of health. Voluntary comprehensive health assessments could ensure no child is deprived of their rights.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,019 | 0,091 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,006 | 0,006 |
| Bibliométrie | 0,027 | 0,029 |
| Études des sciences et des technologies | 0,002 | 0,002 |
| Communication savante | 0,005 | 0,005 |
| Science ouverte | 0,003 | 0,003 |
| Intégrité de la recherche | 0,004 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,009 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».