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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

Prevalence of chronic disease risk factors in 35- to 44-year-old humanitarian arrivals to New South Wales (NSW), Australia

Meena Chandra A C , Anthea Duri B and Mitchell Smith A
+ Author Affiliations
- Author Affiliations

A NSW Refugee Health Service, Level 3, 157–161 George Street, Liverpool, NSW 2170, Australia.

B School of Public Health and Community Medicine, Level 3, Samuels Building, University of NSW, Kensington, NSW 2052, Australia.

C Corresponding author. Email: meenak230@hotmail.com

Australian Journal of Primary Health 25(1) 19-23 https://doi.org/10.1071/PY18042
Submitted: 8 March 2018  Accepted: 8 September 2018   Published: 25 January 2019

Abstract

The aim of this study is to compare the prevalence of chronic disease risk factors in humanitarian arrivals to Sydney, New South Wales (NSW) with the Australian Indigenous and non-Indigenous populations aged 35–44 years. Data on risk factors collected from 237 refugees presenting to the NSW Refugee Health Service (RHS) from January 2015 to August 2016 were retrospectively analysed and compared with data from the Australian Health Surveys, 2011–13 for the Indigenous and non-Indigenous Australian populations. This study found significantly higher levels of triglycerides (z = 3; 95% CI, 0.16–0.26); hypertension (z = 3.2; 95% CI, 0.17–0.29); and smoking (z = 3.5; 95% CI, 0.27–0.33) in refugees compared with the general Australian population. The Indigenous population had significantly higher levels of triglycerides (z = 4; 95% CI, 0.16–0.26); body mass indexes (BMIs) (z = 3.3; 95% CI 0.58–0.72); and smoking (z = 5.4; 95 CI 0.27–0.33) compared with refugees. Based on the study findings, screening for chronic disease risk factors from age 35 years may be warranted in all humanitarian arrivals to Australia, along with dietary and lifestyle advice.


References

Al Ali R, Rastam S, Fouad FM, Mzayek F, Maziak W (2011) Modifiable cardiovascular risk factors among adults in Aleppo, Syria. International Journal of Public Health 56, 653–662.
Modifiable cardiovascular risk factors among adults in Aleppo, Syria.Crossref | GoogleScholarGoogle Scholar | 21814848PubMed |

Amara AH, Aljunid SM (2014) Noncommunicable diseases among urban refugees and asylum-seekers in developing countries: a neglected health care need. Globalization and Health 10, 24
Noncommunicable diseases among urban refugees and asylum-seekers in developing countries: a neglected health care need.Crossref | GoogleScholarGoogle Scholar | 24708876PubMed |

Australian Bureau of Statistics (ABS) (2013) Australian Health Survey: biomedical results for chronic diseases, 2011–12. (ABS: Canberra, ACT, Australia) Available at http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/4364.0.55.005main+features12011-12 [Verified 25 September 2018]

Australian Bureau of Statistics (ABS) (2014) Australian Aboriginal and Torres Strait Islander Health Survey: first results, 2012–13. (ABS: Canberra, ACT, Australia) Available at http://www.abs.gov.au/ausstats/abs@.nsf/mf/4727.0.55.001 [Verified 25 September 2018]

Chaves NJ, Paxton GA, Biggs B-A, Thambiran A, Gardiner J, Williams J, Smith MM, Davis JS (2017) The Australasian Society for Infectious Diseases and Refugee Health Network of Australia recommendations for health assessment for people from refugee-like backgrounds: an abridged outline. The Medical Journal of Australia 206, 310–315.
The Australasian Society for Infectious Diseases and Refugee Health Network of Australia recommendations for health assessment for people from refugee-like backgrounds: an abridged outline.Crossref | GoogleScholarGoogle Scholar | 28403765PubMed |

Culhane-Pera KA, Her C, Her B (2007) “We are out of balance here”: a Hmong cultural model of diabetes. Journal of Immigrant and Minority Health 9, 179–190.
“We are out of balance here”: a Hmong cultural model of diabetes.Crossref | GoogleScholarGoogle Scholar | 17245657PubMed |

Department of Immigration and Border Protection (2016a) Department of Immigration and Border Protection Annual Report 2015–16. Department of Immigration and Border Protection: Canberra, ACT, Australia.

Department of Immigration and Border Protection (2016b) Australia’s Humanitarian Programme 2016–17 – Discussion paper. (Department of Immigration and Border Protection: Canberra, ACT, Australia) Available at http://www.border.gov.au/ReportsandPublications/Documents/discussion-papers/discussion-paper-humanitarian-programme_2016-17.pdf [Verified 25 September 2018].

Fall CHD (2013) Fetal programming and the risk of non-communicable disease. Indian Journal of Pediatrics 80, 13–20.
Fetal programming and the risk of non-communicable disease.Crossref | GoogleScholarGoogle Scholar |

Institute for Health Metrics and Evaluation (IHME) (2016) ‘GBD Results Tool.’ (Institute for Health Metrics and Evaluation IHME: Seattle, WA, USA)

Jackson JC, Haider M, Wilson Owens C, Ahrenholz N, Molnar A, Farmer B, Terasaki G (2016) Healthcare recommendations for recently arrived refugees: observations from EthnoMed. (Harvard Public Health Review: Boston, MA, USA) Available at http://harvardpublichealthreview.org/vol/special-commentary-2/ [Verified 23 December 2018]

Kyle M (2014) ‘Sonic Pathology Handbook: A Guide to the Interpretation of Pathology Tests, E-Book.’ (Sonic Healthcare Limited, The Buckner Group: Sydney, NSW, Australia)

Langellier BA, Garza JR, Glik D, Prelip ML, Brookmeyer R, Roberts CK, Peters A, Ortega AN (2012) Immigration disparities in cardiovascular disease risk factor awareness. Journal of Immigrant and Minority Health 14, 918–925.
Immigration disparities in cardiovascular disease risk factor awareness.Crossref | GoogleScholarGoogle Scholar | 22210443PubMed |

Mishori R, Aleinikoff S, Davis A (2017) Primary care for refugees: challenges and opportunities. American Family Physician 96, 112–120.

Peterman JN, Wilde PE, Liang S, Bermudez OI, Silka L, Rogers BL (2010) Relationship between past food deprivation and current dietary practices and weight status among Cambodian refugee women in Lowell, MA. American Journal of Public Health 100, 1930–1937.
Relationship between past food deprivation and current dietary practices and weight status among Cambodian refugee women in Lowell, MA.Crossref | GoogleScholarGoogle Scholar | 20724691PubMed |

Rastam S, Ali RA, Maziak W, Mzayek F, Fouad FM, O’Flaherty M, Capewell S (2012) Explaining the increase in coronary heart disease mortality in Syria between 1996 and 2006. BMC Public Health 12, 754
Explaining the increase in coronary heart disease mortality in Syria between 1996 and 2006.Crossref | GoogleScholarGoogle Scholar | 22958443PubMed |

Redditt VJ, Graziano D, Janakiram P, Rashid M (2015) Health status of newly arrived refugees in Toronto, Ont: part 2: chronic diseases. Canadian Family Physician Medecin de Famille Canadien 61, e310–e315.

Royal Australian College of General Practitioners (RACGP) (2016) Guidelines for preventive activities in general practice, 9th edn. (RACGP: Melbourne, Vic., Australia) Available at http://www.racgp.org.au/your-practice/guidelines/redbook [Verified 25 September 2018]

Terasaki G, Ahrenholz NC, Haider MZ (2015) Care of adult refugees with chronic conditions. The Medical Clinics of North America 99, 1039–1058.
Care of adult refugees with chronic conditions.Crossref | GoogleScholarGoogle Scholar | 26320045PubMed |

The Royal College of Pathologists of Australia (RCPA) (2015) RCPA manual: pathology tests. (RCPA: Sydney, NSW, Australia) Available at http://www.rcpa.edu.au/Library/Practising-Pathology/RCPA-Manual/Items/Pathology-Tests [Verified 25 September 2018]

Therapeutic Guidelines Limited (2017) eTG complete (Therapeutic Guidelines Limited: Melbourne, Vic., Australia). Available at https://tgldcdp.tg.org.au.acs.hcn.com.au/etgAccess [Verified 25 September 2018]

Walker K, Chaves N (2016) Chronic non-communicable diseases in Adults. In ‘Recommendations for comprehensive post-arrival health assessment for people from refugee-like backgrounds.’ (Ed D Norberry) pp. 117–122. (Australasian Society for Infectious Diseases: Sydney, NSW, Australia)

World Health Organization (2018a) Noncommunicable diseases (NCD) country profiles 2018: Syrian Arab Republic. (World Health Organization: Geneva, Switzerland) Available at https://www.who.int/nmh/countries/2018/syr_en.pdf?ua=1 [Verified 23 December 2018]

World Health Organization (2018b) Noncommunicable Diseases (NCD) country profiles 2018: Iraq. (World Health Organization: Geneva, Switzerland) Available at http://www.who.int/nmh/countries/2018/irq_en.pdf?ua=1 [Verified 25 September 2018]

Yanni EA, Naoum M, Odeh N, Han P, Coleman M, Burke H (2013) The health profile and chronic diseases comorbidities of US-bound Iraqi refugees screened by the international organization for migration in Jordan: 2007–2009. Journal of Immigrant and Minority Health 15, 1–9.
The health profile and chronic diseases comorbidities of US-bound Iraqi refugees screened by the international organization for migration in Jordan: 2007–2009.Crossref | GoogleScholarGoogle Scholar | 22307545PubMed |