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Golub N , Seplaki C , Stockman D , Thevenet-Morrison K , Fernandez D , Fisher S
Impact of Length of Residence in the United States on Risk of Diabetes and Hypertension in Resettled Refugees
J Immigr Minor Health. 2018 Apr;20(2) :296-306
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Abstract
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.
Notes
Golub, Natalia Seplaki, Christopher Stockman, Douglas Thevenet-Morrison, Kelly Fernandez, Diana Fisher, Susan eng TL1 RR024135 and TL1 TR000096/National Center for Advancing Translational Sciences J Immigr Minor Health. 2018 Apr;20(2):296-306. doi: 10.1007/s10903-017-0636-y.