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. 2015 Jul;61(7):e310-5.

Health status of newly arrived refugees in Toronto, Ont: Part 2: chronic diseases

Vanessa J Redditt  1 , Daniela Graziano  2 , Praseedha Janakiram  3 , Meb Rashid  4
Affiliations

Health status of newly arrived refugees in Toronto, Ont: Part 2: chronic diseases

Vanessa J Redditt et al. Can Fam Physician. 2015 Jul.

Abstract

Objective: To determine the prevalence of selected chronic diseases among newly arrived refugee patients and to explore associations with key demographic factors.

Design: Retrospective chart review.

Setting: Primary care clinic for refugee patients in Toronto, Ont.

Participants: A total of 1063 refugee patients rostered at the clinic from December 2011 to June 2014.

Main outcome measures: Demographic information (age, sex, and region of birth) and prevalence of abnormal Papanicolaou test results, anemia, elevated blood pressure (BP), and markers of prediabetes or diabetes (elevated random glucose, fasting glucose, or hemoglobin A1c levels).

Results: More than half of our patients were female (56%) and the median age was 29 years. Patients originated from 87 different countries of birth. Top source countries were Hungary (210 patients), North Korea (119 patients), and Nigeria (93 patients). Most patients were refugee claimants (92%), as opposed to government-assisted refugees (5%). Overall, 11% of female patients who underwent Pap tests had abnormal cervical cytology findings, with the highest rates among women from Asia (26%, P = .028). The prevalence of anemia among children younger than 15 years was 11%; for children younger than 5 years the prevalence was 14%. Approximately 25% of women older than 15 years had anemia, with the highest rates among African women (37%, P < .001). Elevated BP was observed in 30% of adult patients older than 15 years, with higher prevalence among male patients (38%, P < .001) and patients from Europe (42%, P < .001). Laboratory markers of prediabetes or diabetes were identified in 8% of patients older than 15 years, with higher rates among patients from Europe (15%, P = .026).

Conclusion: This study found a notable burden of chronic diseases among refugee patients, including anemia, elevated BP, and impaired glycemic control, as well as abnormal cervical cytology findings. These results underscore the importance of accessible, comprehensive primary care for refugees, with attention to prevention and management of chronic diseases in addition to management of infectious disease.

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References

    1. Citizenship and Immigration Canada [website] Facts and figures 2013—immigration overview: permanent residents. Ottawa, ON: Citizenship and Immigration Canada; 2014. Available from: www.cic.gc.ca/english/resources/statistics/facts2013/permanent/02.asp. Accessed 2015 May 14.
    1. Pottie K, Greenaway C, Feigthner J, Welch V, Swinkels H, Rashid M, et al. Evidence-based clinical guidelines for immigrants and refugees. CMAJ. 2011;183(12):E824–925. Epub 2010 Jun 7. - PMC - PubMed
    1. Redditt VJ, Janakiram P, Graziano D, Rashid M. Health status of newly arrived refugees in Toronto, Ont. Part 1: infectious diseases. Can Fam Physician. 2015;61:e303–9. (Eng), e331–7 (Fr). - PMC - PubMed
    1. World Health Organization . Global status report on noncommunicable diseases 2014. Geneva, Switz: World Health Organization; 2014. Available from: http://apps.who.int/iris/bitstream/10665/148114/1/9789241564854_eng.pdf. Accessed 2015 Jan 11.
    1. World Health Organization . Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Geneva, Switz: World Health Organization; 2011. Available from: www.who.int/vmnis/indicators/haemoglobin/en/. Accessed 2014 Aug 10.