Abstract
A cohort study of chronic diseases in a random sample of newly arrived refugees to Southeast Michigan, US
Highlights
According to the Department of Homeland Security, the United State of America (US) has received more than 88,000 Iraqi refugees between 1994 and 2013 [1]
The percentage of participants who reported fair to poor health at baseline data (BLD) was 75.2%, it decline to 70.4% in Y2 but it rose again to 72.1 in Y2
Some other factors were predictor with other or alone on one chronic diseases (CD) only such as: back home trauma in hypertension, being at high school or less education in MSDs, current stressor in depression. To our knowledge this is the first cohort study based on a random sample, which examines the prevalence rate of 10 CD (Hypertension, Heart disease, Diabetes, Asthma, Arthritis, Musculoskeletal disorders (MSDs), skin disorders, high cholesterol level, obesity and depression) and their risk factors, along with self-rated health among Iraqi refugees who have recently arrived to the US
Summary
Refugee health studies reveal that the prevalence of some CD (heart diseases, hypertension and diabetes) among American refugees could be higher or lower compared to the US norm population or even from other subsets of refugees [2,6,8,10,11]. One study showed that 27% of Iraqi refugees screened by the International Organization for Migration (IOM) clinic in Jordan had at least one CD; the prevalence of some notable CD were 33% hypertension, 3% diabetes, and 34% obesity [14]. Among adult Iraqi refugees screened in California, the most commonly diagnosed CD were obesity (25%), hypertension (15%), and asthma (2%) [16]. A study in California [17] showed that around half of the adult refugees in this sample had at least one CD (51.1%). It is worth noting that chronic disease is somewhat more common among Iraqi adults and older immigrants in general [18]
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