Jen K-L Catherine, Jamil Hikmet, Zhou Kequan, Breejen Karen, Arnetz Bengt B
Department of Nutrition and Food Science, Wayne State University, Detroit, MI, 48202, USA.
Department of Family Medicine and Public Health Sciences, Wayne State University, Detroit, MI, 48202, USA.
J Immigr Minor Health. 2018 Apr;20(2):283-294. doi: 10.1007/s10903-017-0565-9.
We have reported that none of the psychological/mental variables examined predicted the increase in BMI and non-communicable diseases (NCDs) in Iraqi refugees after 1 year resettlement in Michigan. We continuously followed the same cohort of refugees for 2 years (Y2 FU) to further determine the gender difference in predicting of increased BMI and NCDs. Only 20% of the BMI variability could be accounted for by the factors examined. Number of dependent children and depression were positively and stress negatively associated with BMI in male refugees but not in females. Number of dependent children was negatively associated with changes in BMI and in males only. Two-third of the NCD variability was accounted for by gender, BMI, employment status, depression, posttraumatic stress disorders and coping skills. Unmarried, unemployed and with high PTSD scores at Y2 in males were positively and number of dependent children was negatively associated with NCD changes in females. Factors such as dietary patterns and lifestyle may have contributed to the increased BMI and NCDs in these refugees at 2 years post-settlement.
我们曾报道，在密歇根重新安置1年后，所检测的心理/精神变量均无法预测伊拉克难民的体重指数（BMI）增加及非传染性疾病（NCD）情况。我们对同一批难民进行了为期2年的持续随访（第二年随访），以进一步确定在预测BMI增加和非传染性疾病方面的性别差异。所检测的因素仅能解释20%的BMI变异性。受抚养子女数量和抑郁与男性难民的BMI呈正相关，压力与男性难民的BMI呈负相关，但与女性难民无关。受抚养子女数量仅与男性难民的BMI变化呈负相关。三分之二的非传染性疾病变异性可由性别、BMI、就业状况、抑郁、创伤后应激障碍和应对技能来解释。男性在第二年时未婚、失业且创伤后应激障碍评分高与女性非传染性疾病变化呈正相关，受抚养子女数量与女性非传染性疾病变化呈负相关。饮食模式和生活方式等因素可能导致这些难民在重新安置2年后BMI增加及患非传染性疾病。
