Immigrant, Refugee, and Migrant Health Branch, Division of Global Migration and Quarantine, National Center for Emerging and Zoonotic Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA, 30333, USA.
J Immigr Minor Health. 2021 Aug;23(4):813-823. doi: 10.1007/s10903-021-01146-2. Epub 2021 Jan 30.
Several studies describe the health of recently resettled refugee populations in the US beyond the first 8 months after arrival. This review summarizes the results of these studies. Scientific articles from five databases published from January 2008 to March 2019 were reviewed. Articles were included if study subjects included any of the top five US resettlement populations during 2008-2018 and if data described long-term physical health outcomes beyond the first 8 months after arrival in the US. Thirty-three studies met the inclusion criteria (1.5%). Refugee adults had higher odds of having a chronic disease compared with non-refugee immigrant adults, and an increased risk for diabetes compared with US-born controls. The most commonly reported chronic diseases among Iraqi, Somali, and Bhutanese refugee adults included diabetes and hypertension. Clinicians should consider screening and evaluating for chronic conditions in the early resettlement period. Further evaluations can build a more comprehensive, long-term health profile of resettled refugees to inform public health practice.
有几项研究描述了美国新安置难民群体在抵达后 8 个月后的健康状况。本综述总结了这些研究的结果。从 2008 年 1 月至 2019 年 3 月，从五个数据库中检索了科学文章。如果研究对象包括 2008-2018 年期间美国安置人数最多的前 5 个群体之一，并且数据描述了抵达美国后 8 个月后长期的身体健康结果，则纳入文章。符合纳入标准的研究有 33 项（1.5%）。与非难民移民成年人相比，难民成年人大都有更高的慢性病发病几率，与美国出生的对照组相比，他们患糖尿病的风险也更高。伊拉克、索马里和不丹难民成年中最常见的慢性疾病包括糖尿病和高血压。临床医生应在早期安置期考虑对慢性病进行筛查和评估。进一步的评估可以建立一个更全面、长期的安置难民健康状况，以告知公共卫生实践。
