Canadian family physician Medecin de famille canadien · 2007
Prevalence of selected preventable and treatable diseases among government-assisted refugees: Implications for primary care providers.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Pottie Kevin, Janakiram Praseedha, Topp Patricia, McCarthy Anne
Аннотация
OBJECTIVE: To discover the prevalence of 4 preventable and treatable diseases among newly arriving refugees.
DESIGN: Retrospective cohort study.
SETTING: An immigrant-friendly family medicine centre in Ottawa, Ont, that offers newly arriving refugees a clinical preventive program following a specially designed protocol.
PARTICIPANTS: A total of 112 adult government-assisted refugees seen during 2004 and 2005 within 6 months of arrival.
MAIN OUTCOME MEASURES: Demographic information and prevalence of HIV infection, latent tuberculosis (TB), chronic hepatitis B surface antigen-positive status, and intestinal parasites.
RESULTS: Descriptive analysis revealed that 71% of the adults were younger than 35 years and 83% of them had come from sub-Saharan Africa. Disease prevalence rates were 6.3% for HIV (95% confidence interval [CI] 1.8 to 10.8), 49.5% for latent TB (95% CI 39.5 to 49.8), 5.4% for chronic hepatitis B surface antigen-positive status (95% CI 1.2 to 9.5), and 13.6% for intestinal parasites (95% CI 7.2 to 20.0). Most refugees (83%) successfully completed the preventive care program. Performing chi(2) analysis revealed a statistically significant higher risk of latent TB among the men (P < .032). Most of the women had never had a Papanicolaou test.
CONCLUSION: Refugees are a vulnerable population with unique, but often preventable or treatable, health issues. This study demonstrated substantial differences in the prevalence of HIV, TB, chronic hepatitis B, and intestinal parasites between government-assisted refugees and Canadian residents. These health disparities and the emerging field of health settlement are new challenges for family physicians and other primary health care providers.
DESIGN: Retrospective cohort study.
SETTING: An immigrant-friendly family medicine centre in Ottawa, Ont, that offers newly arriving refugees a clinical preventive program following a specially designed protocol.
PARTICIPANTS: A total of 112 adult government-assisted refugees seen during 2004 and 2005 within 6 months of arrival.
MAIN OUTCOME MEASURES: Demographic information and prevalence of HIV infection, latent tuberculosis (TB), chronic hepatitis B surface antigen-positive status, and intestinal parasites.
RESULTS: Descriptive analysis revealed that 71% of the adults were younger than 35 years and 83% of them had come from sub-Saharan Africa. Disease prevalence rates were 6.3% for HIV (95% confidence interval [CI] 1.8 to 10.8), 49.5% for latent TB (95% CI 39.5 to 49.8), 5.4% for chronic hepatitis B surface antigen-positive status (95% CI 1.2 to 9.5), and 13.6% for intestinal parasites (95% CI 7.2 to 20.0). Most refugees (83%) successfully completed the preventive care program. Performing chi(2) analysis revealed a statistically significant higher risk of latent TB among the men (P < .032). Most of the women had never had a Papanicolaou test.
CONCLUSION: Refugees are a vulnerable population with unique, but often preventable or treatable, health issues. This study demonstrated substantial differences in the prevalence of HIV, TB, chronic hepatitis B, and intestinal parasites between government-assisted refugees and Canadian residents. These health disparities and the emerging field of health settlement are new challenges for family physicians and other primary health care providers.
Предметные рубрики MeSH
AdolescentAdultAfrica South of the SaharaAge DistributionCanadaCohort StudiesFemaleGovernment ProgramsHIV InfectionsHepatitis B, ChronicHumansMaleMass ScreeningPrevalencePrimary Health CarePrimary PreventionRefugeesRetrospective StudiesRisk AssessmentSex DistributionTuberculosis, PulmonaryVulnerable Populations