Silverberg Sarah L, Harding Lacey, Spitzer Rachel F, Rashid Meb
Faculty of Medicine, University of Toronto, 1 King's College Circle, Toronto, ON, Canada.
Department of Obstetrics and Gynaecology, University of Toronto, Toronto, ON, Canada.
J Immigr Minor Health. 2018 Dec;20(6):1347-1354. doi: 10.1007/s10903-018-0733-6.
Refugees have health needs relating to unstable living situations and poor access to care. We examined the nature of health problems requiring gynaecological referrals for refugee women in Toronto. A retrospective cohort design was used to examine gynaecologic referrals of women at a refugee clinic between December, 2011 and June, 2016. The primary outcome measure was the indications for gynaecological referral. 125 out of 1040 women received a gynaecologic referral for 131 unique concerns. The most common referrals were for abnormal uterine bleeding and cervical dysplasia. Fibroids were prevalent amongst African patients, while referrals for LARCs/sterilization were absent from Middle Eastern patients. 26% of patients referred had a sexual violence history. Refugee women exhibit gynaecologic needs similar to the broader population. Needs vary by geographic origins. As global conflicts shift, so too will this population's needs. High rates of sexual violence history reflect the need for further understanding and intervention.
难民因生活不稳定和获得医疗服务的机会有限而有健康需求。我们研究了多伦多需要转介妇科治疗的难民妇女的健康问题性质。采用回顾性队列设计，研究了2011年12月至2016年6月期间一家难民诊所中妇女的妇科转介情况。主要结局指标是妇科转介的指征。1040名妇女中有125名因131项独特问题接受了妇科转介。最常见的转介原因是子宫异常出血和宫颈发育异常。子宫肌瘤在非洲患者中很普遍，而中东患者中没有长效可逆避孕方法/绝育的转介情况。26%的转介患者有性暴力史。难民妇女的妇科需求与更广泛的人群相似。需求因地理来源而异。随着全球冲突的变化，这一人群的需求也会发生变化。性暴力史的高比例反映了进一步了解和干预的必要性。
