Journal of Immigrant and Minority Health
Volume 20, Issue 2, 2018, Pages 296-306

Impact of Length of Residence in the United States on Risk of Diabetes and Hypertension in Resettled Refugees (Article)

Golub N.* , Seplaki C. , Stockman D. , Thevenet-Morrison K. , Fernandez D. , Fisher S.
  • a Johns Hopkins University Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD 21205, United States
  • b Department of Public Health Sciences, University of Rochester Medical Center, 265 Crittenden Blvd., Rochester, NY 14642, United States
  • c Department of Family Medicine, University of Rochester, 777 South Clinton Ave, Rochester, NY 14620, United States
  • d Department of Public Health Sciences, University of Rochester Medical Center, 265 Crittenden Blvd., Rochester, NY 14642, United States
  • e Department of Public Health Sciences, University of Rochester Medical Center, 265 Crittenden Blvd., Rochester, NY 14642, United States
  • f Department of Clinical Sciences, Temple University School of Medicine, 3440 Broad Street, Kresge Bldg. Suite 211, Philadelphia, PA 19140, United States

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. © 2017, Springer Science+Business Media, LLC.

Author Keywords

Hypertension diabetes Refugee resettlement

Index Keywords

refugee non insulin dependent diabetes mellitus Diabetes Mellitus, Type 2 human epidemiology Refugees middle aged statistics and numerical data time factor hypertension Time Factors Logistic Models ethnology United States Young Adult Humans New York male female adult age sex factor Sex Factors Age Factors statistical model
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85028773740&doi=10.1007%2fs10903-017-0636-y&partnerID=40&md5=6c9676504aa3f274cbd028eb5a0b7b29
DOI: 10.1007/s10903-017-0636-y
ISSN: 15571912
Original Language: English