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Lipid Levels in Refugees from Burma

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Abstract

Cardiovascular risk is common among resettled refugees from Southeast Asia, but the association with refugee status is unclear. This study investigated the lipid levels of Burmese refugees as compared to the general population of Burma. This observational study included adult refugees from Burma undergoing domestic medical examination at a clinic in Minnesota (n = 127). The cholesterol levels of the refugee cohort were compared to a survey of Burmese residents sampled by the World Health Organization (WHO). The primary variable of interest, mean LDL, was 118.9 mg/dL in the refugee cohort. Adjusting for sex and age-group, this was 18.5 mg/dL higher than the WHO cohort (95% CI 10.0–27.1 mg/dL, p < 0.001). This study confirmed previous studies showing elevated lipid levels among Asian refugees. This work added to prior studies by including a refugee cohort that was newly-resettled and comparing it to the general population.

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References

  1. United Nations High Commissioner for Refugees. (2017). Global trends: forced displacement in 2016. UNHCR.

    Google Scholar 

  2. Thailand Burma Border Consortium. Brief history of the border; 2017. Retrieved from https://www.theborderconosrtium.org/about-us/history/. Accessed 28 Dec 2018

  3. Brink, D. R., Shannon, P. J., & Vinson, G. A. (2016). Validation of a brief mental health screener for Karen refugees in primary care. Family Practice, 33(1), 107–111

    Article  Google Scholar 

  4. Banjong, O., et al. (2003). Dietary assessment of refugees living in camps. Food and Nutrition Bulletin, 24(4), 360–367

    Article  Google Scholar 

  5. Centers for Disease Control and Prevention. Summary checklist for the domestic medical examination for newly arriving refugees; 2012. Retrieved from https://www.cdc.gov/immigrantrefugeehealth/pdf/checklist-refugee-health.pdf

  6. Minnesota Department of Health. Minnesota initial refugee health assessment form; 2014. Retrieved from https://www.health.state.mn.us/communities/rih/hcp/assesfrm.pdf. Accessed 28 Dec 2018

  7. Marshall, G. N., Schell, T. L., Wong, E. C., Berthold, S. M., Hambarsoomian, K., Elliott, M. N., & Gregg, E. W. (2016). Diabetes and cardiovascular disease risk in Cambodian refugees. Journal of Immigrant and Minority Health, 18(1), 110–117

    Article  Google Scholar 

  8. Culhane-Pera, K. A., Moua, M., DeFor, T. A., & Desai, J. (2009). Cardiovascular disease risks in Hmong refugees from Wat ThamKrabok, Thailand. Journal of Immigrant and Minority Health, 11(5), 372–379

    Article  Google Scholar 

  9. Bates, S. R., et al. (1989). Cardiovascular disease risk factors in an Indochinese population. American Journal of Preventive Medicine, 5(1), 15–20

    Article  CAS  Google Scholar 

  10. Wagner, J., Burke, G., Kuoch, T., Scully, M., Armeli, S., & Rajan, T. V. (2013). Trauma, healthcare access, and health outcomes among Southeast Asian refugees in Connecticut. Journal of Immigrant and Minority Health, 15(6), 1065–1072

    Article  Google Scholar 

  11. Bermingham, M., Brock, K., Tran, D., Yau, J., & Tran-Dinh, H. (1999). Smoking and lipid cardiovascular risk factors in Vietnamese refugees in Australia. Preventive medicine, 28(4), 378–385

    Article  CAS  Google Scholar 

  12. Dodson, D. J., Hootont, T. M., & Buchwaldt, D. (1995). Prevalence of hypercholesterolaemia and coronary heart disease risk factors among southeast Asian refugees in a primary care clinic. Journal of Clinical Pharmacy and Therapeutics, 20(2), 83–89

    Article  CAS  Google Scholar 

  13. Nguyen, M. L. T., & Rehkopf, D. H. (2016). Prevalence of chronic disease and their risk factors among Iranian, Ukranian, Vietnamese refugees in California, 2002–2011. Journal of Immigrant and Minority Health, 18(6), 1274–1283

    Article  Google Scholar 

  14. Kato, H., Marmot, M. G., Syme, S. L., Kagan, A., Cohen, J. B., & Belsky, J. (1973). Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii and California . American Journal of Epidemiology, 102(6), 514–525

    Google Scholar 

  15. Ounpuu, S., et al. (2001). INTER-HEART: a global study of risk factors for acute myocardial infarction. American Heart Journal, 141(5), 711–721

    Article  CAS  Google Scholar 

  16. World Health Organization. Report on national survey of diabetes mellitus and risk factors for non-communicable diseases in Myanmar; 2014. Retrieved from https://www.who.int/ncds/surveillance/steps/Myanmar_2014_STEPS_Report.pdf. Accessed 28 Dec 2018

  17. SAS Institute Inc. (2017) SAS Studio 3.71: User’s guide. SAS Institute Inc.

  18. Martin, S. S., Blaha, M. J., Elshazly, M. B., Brinton, E. A., Toth, P. P., McEvoy, J. W., Joshi, P. H., Kulkarni, K. R., Mize, P. D., & Kwiterovich, P. O. (2013). DeFilippis AP (2013) Friedewald-estimated versus directly measured low-density lipoprotein cholesterol and treatment implications. Journal of the American College of Cardiology, 62(8), 732–739

    Article  CAS  Google Scholar 

  19. Naughton, N., et al. (1990). The accuracy of portable cholesterol analyzers in public screening programs. JAMA, 263(9), 1213–1217

    Article  CAS  Google Scholar 

  20. Bastianelli, K., et al. (2017). Comparing the accuracy of 2 point-of-care lipid testing devices. Journal of Pharmacy Practice, 5, 490–497

    Article  Google Scholar 

  21. Keys, A., et al. (1955). Effects of diet on blood lipids in man, particularly cholesterol and lipoproteins. Clinical Chemistry, 1(1), 34–52

    Article  CAS  Google Scholar 

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Correspondence to Amanda Weinmann.

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Weinmann, A., Fontaine, P., Loth, K. et al. Lipid Levels in Refugees from Burma. J Community Health 46, 1083–1089 (2021). https://doi.org/10.1007/s10900-021-00990-5

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