The Medical journal of Australia · 2006
Health issues in newly arrived African refugees attending general practice clinics in Melbourne.
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Tiong Albert C D, Patel Mahomed S, Gardiner Joanne, Ryan Rowena, Linton Karen S, Walker Kate A, Scopel John, Biggs Beverley-Ann
Аннотация
OBJECTIVE: To identify the most common health issues diagnosed by general practitioners in newly arrived African refugees.
DESIGN: Descriptive study based on a purposive sample of six GPs to collate data from medical records of patients from African countries who had attended their clinics for the first time between 1 January and 30 June 2005.
SETTING: Two community health centres and two private general practices in metropolitan Melbourne.
PARTICIPANTS: African refugee patients who arrived in Australia after 1 June 2004 and were seen by the six participating GPs between 1 January and 30 June 2005.
MAIN OUTCOME MEASURES: Demographic characteristics, laboratory test results and final diagnoses.
RESULTS: Data were collected from 258 patient files. Most patients were from Sudan (57%) or Liberia (17%). Half were aged under 15 years. The most common health problems identified were inadequate vaccinations, nutritional deficiencies (vitamin D and iron), infectious diseases (gastrointestinal infections, schistosomiasis, and latent tuberculosis) and dental disease. Musculoskeletal, psychological and social problems were common in adults. 37% of patients were tested for latent tuberculosis, and 25% of these tested positive.
CONCLUSIONS: African refugees require comprehensive health assessments for undiagnosed and untreated health problems. While most of the common diseases identified are non-communicable, if left untreated they will affect the long-term health and productivity of new settlers.
DESIGN: Descriptive study based on a purposive sample of six GPs to collate data from medical records of patients from African countries who had attended their clinics for the first time between 1 January and 30 June 2005.
SETTING: Two community health centres and two private general practices in metropolitan Melbourne.
PARTICIPANTS: African refugee patients who arrived in Australia after 1 June 2004 and were seen by the six participating GPs between 1 January and 30 June 2005.
MAIN OUTCOME MEASURES: Demographic characteristics, laboratory test results and final diagnoses.
RESULTS: Data were collected from 258 patient files. Most patients were from Sudan (57%) or Liberia (17%). Half were aged under 15 years. The most common health problems identified were inadequate vaccinations, nutritional deficiencies (vitamin D and iron), infectious diseases (gastrointestinal infections, schistosomiasis, and latent tuberculosis) and dental disease. Musculoskeletal, psychological and social problems were common in adults. 37% of patients were tested for latent tuberculosis, and 25% of these tested positive.
CONCLUSIONS: African refugees require comprehensive health assessments for undiagnosed and untreated health problems. While most of the common diseases identified are non-communicable, if left untreated they will affect the long-term health and productivity of new settlers.
Предметные рубрики MeSH
AdolescentAdultAfricaAnemia, Iron-DeficiencyChildChild, PreschoolCommunity Health CentersFamily PracticeFemaleGastrointestinal DiseasesHealth StatusHumansInfantMaleMass ScreeningMiddle AgedPrivate PracticeRefugeesRetrospective StudiesSchistosomiasisTuberculosisVaccinationVictoriaVitamin D Deficiency