Center for Research on Migration & Refugee Integration, University of Utah, Salt Lake City, Utah, USA,
Center for Research on Migration & Refugee Integration, University of Utah, Salt Lake City, Utah, USA.
Gerontology. 2019;65(3):209-215. doi: 10.1159/000491695. Epub 2018 Aug 21.
In 2017, there were over 65 million displaced persons at the global level, with approximately 23 million of these people living as refugees around the world. In this same year, the US resettled 53,716 refugees, with the State of Utah receiving 954 of those refugees. Refugees, in general, often face health-related challenges upon resettlement. Since the health of aging refugee men and women is of growing concern, host communities face significant challenges in accommodating the health needs of a diverse refugee population. This study, a review of physical and mental health data from the Utah Department of Health, was undertaken in an effort to ascertain the prevalence of health conditions among refugee men and women 60 years and older arriving in Utah. Findings include information on diseases correlated with increasing age, such as hypertension, decreases in vision, arthritis, and low back pain, which are common among this population of refugees aged 60 years and older. Overall, most of the health conditions assessed affect women and men with a similar prevalence. Some notable exceptions are a history of torture and violence, and a propensity for tobacco use. When dealing with refugee men older than 60 years, providers should consider the psychological ramifications of having endured such atrocities, as well as introduction to evidence-based tobacco cessation programs. When working with refugee women of the same age, an increase in the prevalence of musculoskeletal pain and urinary tract infections should be considered.
2017 年,全球有超过 6500 万流离失所者,其中约 2300 万人作为难民生活在世界各地。同年,美国重新安置了 53716 名难民,犹他州接收了其中的 954 名难民。一般来说,难民在重新安置后面临与健康相关的挑战。由于老年难民男女的健康状况越来越令人担忧,收容社区在满足多样化难民人口的健康需求方面面临重大挑战。本研究回顾了犹他州卫生部的身心健康数据,旨在确定抵达犹他州的 60 岁及以上难民男女的健康状况流行率。研究结果包括与年龄增长相关的疾病信息,如高血压、视力下降、关节炎和腰痛,这些在 60 岁及以上的难民群体中很常见。总的来说,大多数评估的健康状况在女性和男性中的流行率相似。一些值得注意的例外是有酷刑和暴力的历史,以及吸烟的倾向。在处理 60 岁以上的难民男性时,医务人员应考虑到他们所经历的这些暴行的心理影响,并为他们提供基于证据的戒烟计划。在与同年龄的难民妇女合作时,应考虑肌肉骨骼疼痛和尿路感染的患病率增加。