High prevalence of chronic non-communicable conditions among adult refugees: implications for practice and policy.

TitleHigh prevalence of chronic non-communicable conditions among adult refugees: implications for practice and policy.
Publication TypeJournal Article
Year of Publication2012
AuthorsYun K, Hebrank K, Graber LK, Sullivan M-C, Chen I, Gupta J
JournalJ Community Health
Volume37
Issue5
Pagination1110-8
Date Published2012 Oct
ISSN1573-3610
KeywordsAdult, Chronic Disease, Family Characteristics, Female, Health Policy, Health Services Needs and Demand, Humans, Insurance, Health, Iraq, Male, Middle Aged, New England, Prevalence, Refugees, Retrospective Studies, Risk Factors, Young Adult
Abstract

The global rise in non-communicable disease (NCD) suggests that US-based refugees are increasingly affected by chronic conditions. However, health services have focused on the detection of infectious disease, with relatively limited data on chronic NCDs. Using data from a retrospective medical record review of a refugee health program in the urban Northeast (n = 180), we examined the prevalence of chronic NCDs and NCD risk factors among adult refugees who had recently arrived in the US, with attention to region of origin and family composition. Family composition was included because low-income adults without dependent children are at high risk of becoming uninsured. We found that half of the adult refugees in this sample had at least one chronic NCD (51.1%), and 9.5% had three or more NCDs. Behavioral health diagnoses were most common (15.0%), followed by hypertension (13.3%). Half of adults were overweight or obese (54.6%). Chronic NCDs were somewhat more common among adults from Iraq, but this difference was not significant (56.8 vs. 44.6%). Chronic NCDs were common among adults with and without dependent children (61.4 vs. 44.6%, respectively), and these two groups did not significantly differ in their likelihood of having a chronic NCD after adjustment for age and gender (AOR = 0.78, 95% CI = 0.39, 1.55). This study suggests that chronic NCDs are common among adult refugees in the US, including refugees at high risk for uninsurance. We propose that refugee health services accommodate screening and treatment for chronic NCDs and NCD risk factors, and that insurance outreach and enrollment programs target recently arrived refugees.

DOI10.1007/s10900-012-9552-1
Alternate JournalJ Community Health
PubMed ID22382428
PubMed Central IDPMC3857959
Grant ListUL1 RR024139 / RR / NCRR NIH HHS / United States
UL1 RR024139 / RR / NCRR NIH HHS / United States