Chronic disease and its risk factors among refugees and asylees in Massachusetts, 2001-2005.
BACKGROUND
Better understanding of the health problems of refugees and people who are granted political asylum (asylees) in the United States may facilitate successful resettlement. We examined the prevalence of risk factors for and diagnoses of chronic disease among these groups in Massachusetts.


METHODS
We retrospectively analyzed health screening data from 4,239 adult refugees and asylees who arrived in Massachusetts from January 1, 2001, through December 31, 2005. We determined prevalence of obesity/overweight, hypertension, coronary artery disease (CAD), diabetes, and anemia. Analyses included multivariate logistic regression to determine associations between CAD and diabetes with region of origin.


RESULTS
Almost half of our sample (46.8%) was obese/overweight, and 22.6% had hypertension. CAD, diabetes, and anemia were documented in 3.7%, 3.1%, and 12.8%, respectively. People from the Europe and Central Asia region were more likely than those from other regions to have CAD (odds ratio, 5.55; 95% confidence interval, 2.95-10.47).


CONCLUSIONS
The prevalence of obesity/overweight and hypertension was high among refugees and asylees, but the prevalence of documented CAD and diabetes was low. We noted significant regional variations in prevalence of risk factors and chronic diseases. Future populations resettling in the United States should be linked to more resources to address their long-term health care needs and to receive culturally appropriate counseling on risk reduction.
Dookeran
Nameeta M
NM
Battaglia
Tracy
T
Cochran
Jennifer
J
Geltman
Paul L
PL
D000328:Adult; D000350:Africa, Central / Q000208:ethnology; D001209:Asia, Central / Q000208:ethnology; D002908:Chronic Disease / Q000208:ethnology*; D005060:Europe / Q000208:ethnology; D005260:Female; D006801:Humans; D008297:Male; D008404:Massachusetts / Q000453:epidemiology; D009017:Morbidity / Q000639:trends; D012036:Refugees / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012307:Risk Factors
Am J Public Health. 2005 Feb;95(2):196-9
15671449
Diabetes Care. 2008 Aug;31(8):1621-8
18458142
Minn Med. 1998 Apr;81(4):43-7
9577537
Lancet. 2005 Oct 29-Nov 4;366(9496):1578-82
16257345
J Nerv Ment Dis. 2008 Feb;196(2):108-12
18277218
JAMA. 1998 Mar 11;279(10):793-800
9508159
JAMA. 2003 May 21;289(19):2560-72
12748199
Fam Med. 1998 Mar;30(3):185-9
9532440
J Am Board Fam Pract. 1997 Sep-Oct;10(5):337-48
9297659
World Health Organ Tech Rep Ser. 2000;894:i-xii, 1-253
11234459
Ethn Dis. 2004 Summer;14(3):372-7
15328938
BMJ. 2004 Jun 26;328(7455):1548-52
15217874
Am J Public Health. 2004 Nov;94(11):1977-84
15514240
Obesity (Silver Spring). 2008 Dec;16(12):2669-75
18846044
Int Migr Rev. 1997 Summer;31(2):438-60
12292878
Public Health. 2006 Jul;120(7):664-70
16214186
World Health Organ Tech Rep Ser. 1968;405:5-37
4975372
Am J Med. 1997 May;102(5):435-40
9217639
Am J Public Health. 1999 Aug;89(8):1212-6
10432908
Obes Res. 1998 Sep;6 Suppl 2:51S-209S
9813653
Am J Public Health. 1998 Apr;88(4):576-80
9550997
Diabetologia. 2005 Jun;48(6):1051-4
15864527
Prev Chronic Dis. 2005 Jan;2(1):A14
15670467