P. Brewin1, A. Jones2, M. Kelly3, M. McDonald4, E. Beasley4, P. Sturdy5, G. Bothamley1,
C. Griffiths5Background Screening of immigrants has been a widespread response to the global resurgence of tuberculosis but has been criticized as discriminatory
and stigmatising. Acceptability is an essential but neglected ethical prerequisite of screening programmes, particularly those targeting vulnerable
groups such as refugees. No data exist concerning acceptability of tuberculosis screening. We therefore examined the responses of
immigrants to screening for tuberculosis in a range of settings.
Methods We carried out a qualitative interview study of a maximum diversity sample of 53 immigrants offered screening for tuberculosis in east
London. We recruited people screened in three settings: a social service centre for asylum seekers, a hospital clinic for new entrants and primary
care. We confirmed validity of our findings at a focus group of asylum seekers.
Results The opportunity to be screened for tuberculosis was valued highly by recipients. Moreover, many saw being screened as a socially
responsible activity. Of the minority raising concerns, few mentioned the possibility of discrimination. Acceptability was high irrespective of setting,
with respondents expressing preference for their chosen place of screening.
Conclusion Screening for tuberculosis was highly acceptable to recipients in these settings. Screening should be offered in a range of settings.
Keywords public health, screening, tuberculosis
Is screening for tuberculosis acceptable to immigrants? A qualitative study
