Benoit Stephen R, Gregg Edward W, Zhou Weigong, Painter John A
Immigrant, Refugee, and Migrant Health Branch, Division of Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, MS E-03, Atlanta, GA, 30329-4018, USA.
Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
J Immigr Minor Health. 2016 Dec;18(6):1357-1364. doi: 10.1007/s10903-016-0381-7.
We reported diabetes prevalence among all US-bound adult refugees and assessed factors associated with disease. We analyzed overseas medical evaluations of US-bound refugees from 2009 through 2014 by using CDC's Electronic Disease Notification System. We identified refugees with diabetes by searching for diabetes-related keywords and medications in examination forms with text-parsing techniques. Age-adjusted prevalence rates were reported and factors associated with diabetes were assessed by using logistic regression. Of 248,850 refugees aged ≥18 years examined over 5 years, 5767 (2.3 %) had diabetes. Iraqis had the highest crude (5.1 %) and age-adjusted (8.9 %) prevalence of disease. Higher age group and body mass index were associated with diabetes in all regions. Diabetes prevalence varied by refugee nationality. Although the absolute rates were lower than rates in the United States, the prevalence is still concerning given the younger age of the population and their need for health services upon resettlement.
我们报告了所有前往美国的成年难民中的糖尿病患病率，并评估了与该疾病相关的因素。我们使用美国疾病控制与预防中心（CDC）的电子疾病通报系统，分析了2009年至2014年前往美国的难民的海外医学评估情况。我们通过文本解析技术在检查表格中搜索与糖尿病相关的关键词和药物，从而确定患有糖尿病的难民。报告了年龄调整患病率，并使用逻辑回归评估了与糖尿病相关的因素。在5年期间接受检查的248,850名年龄≥18岁的难民中，5767人（2.3%）患有糖尿病。伊拉克人的疾病粗患病率（5.1%）和年龄调整患病率（8.9%）最高。在所有地区，较高的年龄组和体重指数与糖尿病相关。糖尿病患病率因难民国籍而异。尽管绝对患病率低于美国，但考虑到难民群体年龄较轻以及重新安置后对医疗服务的需求，这一患病率仍令人担忧。
