在美国的居住时长对重新安置的难民患糖尿病和高血压风险的影响。
Impact of Length of Residence in the United States on Risk of Diabetes and Hypertension in Resettled Refugees.
作者信息
Golub Natalia, Seplaki Christopher, Stockman Douglas, Thevenet-Morrison Kelly, Fernandez Diana, Fisher Susan
机构信息
Johns Hopkins University Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, USA.
Department of Public Health Sciences, University of Rochester Medical Center, 265 Crittenden Blvd., Rochester, NY, 14642, USA.
出版信息
J Immigr Minor Health. 2018 Apr;20(2):296-306. doi: 10.1007/s10903-017-0636-y.
The relationship between resettlement and development of chronic disease has yet to be elucidated in refugees. We aimed to assess the relationship between length of residence in the US and development of diabetes and hypertension utilizing multivariable logistic regression models in a sample of former refugee patients seeking primary care services. Multivariable logistic regression models adjusting for age, gender, and country of origin showed significantly increasing odds of type 2 diabetes (OR 1.12, 95% CI 1.03-1.22, p < 0.01) and hypertension (OR 1.07, 95% CI 1.00-1.14) with increasing length of stay in the US for resettled refugee adults. A significant proportion of diabetes (26.7%) and hypertension (36.9%) diagnoses were made within one year of arrival, highlighting the critical role of focusing diagnosis and prevention of chronic disease in newly resettled refugees, and continuing this focus throughout follow-up as these patients acculturate to their new homeland.
难民中重新安置与慢性病发展之间的关系尚未阐明。我们旨在利用多变量逻辑回归模型，在寻求初级保健服务的前难民患者样本中评估在美国的居住时长与糖尿病和高血压发展之间的关系。对年龄、性别和原籍国进行调整的多变量逻辑回归模型显示，重新安置的成年难民在美国停留的时间越长，患2型糖尿病（比值比1.12，95%置信区间1.03 - 1.22，p < 0.01）和高血压（比值比1.07，95%置信区间1.00 - 1.14）的几率显著增加。很大一部分糖尿病（26.7%）和高血压（36.9%）诊断是在抵达后的一年内做出的，这突出了在新安置的难民中关注慢性病诊断和预防的关键作用，并在这些患者适应新家园的整个随访过程中持续关注这一点。
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