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Physical and Mental Health Status of Iraqi Refugees Resettled in the United States

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Abstract

We conducted a survey among Iraqi refugees resettled in the United States to assess their physical and mental health status and healthcare access and utilization following the initial 8-month, post-arrival period. We randomly selected Iraqi refugees: ≥18 years of age; living in the United States for 8–36 months; and residents of Michigan, California, Texas and Idaho. Participants completed a household questionnaire and mental health assessment. We distributed 366 surveys. Seventy-five percent of participants had health insurance at the time of the survey; 43 % reported delaying or not seeking care for a medical problem in the past year. Sixty percent of participants reported one chronic condition; 37 % reported ≥2 conditions. The prevalence of emotional distress, anxiety, and depression was approximately 50 % of participants; 31 % were at risk for post-traumatic stress disorder. Iraqi refugees in this evaluation reported a high prevalence of chronic conditions and mental health symptoms despite relatively high access to healthcare. It is important for resettlement partners to be aware of the distinctive health concerns of this population to best address needs within this community.

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References

  1. Devi S. Meeting the health needs of Iraqi refugees in Jordan. Lancet. 2007;370(9602):1815–6.

    Article  PubMed  Google Scholar 

  2. Mowafi H, Spiegel P. The Iraqi refugee crisis: familiar problems and new challenges. JAMA. 2008;299(14):1713–5.

    Article  PubMed  CAS  Google Scholar 

  3. The United Nations High Commissioner for Refugees. Statistics on displaced Iraqis around the world. Geneva, Switzerland; 2007.

  4. United States Department of State, United States Department of Homeland Security, and United States Department of Health and Human Services, Proposed Refugee Admissions for Fiscal Year 2012: Report to the Congress; 2011.

  5. Centers for Disease Control and Prevention. Medical examination of aliens—removal of human immunodeficiency virus (HIV) infection from Definition of Communicable Disease of Public Health Significance, US Department of Health and Human Services, Editor; 2009.

  6. Centers for Disease Control and Prevention. Guidelines for the U.S. Domestic Medical Examination for Newly Arriving Refugees. 2012 [cited 2012 July 29]. Available from: http://www.cdc.gov/immigrantrefugeehealth/guidelines/domestic/domestic-guidelines.html.

  7. Margesson R, Sharp JM, Bruno A. Iraqi refugees and internally displaced persons: a deepening humanitarian crisis? 2008 [cited 2012 July 29]. Available from: http://www.dtic.mil/cgi-bin/GetTRDoc?Location=U2&doc=GetTRDoc.pdf&AD=ADA486537.

  8. Centers for Disease Control and Prevention (CDC). Health of resettled Iraqi refugees—San Diego County, California, October 2007–September 2009. MMWR Morb Mortal Wkly Rep. 2010;59(49):1614–1618.

  9. Yanni EA, Naoum M, Odeh N, Han P, Coleman M, Burke H. The Health Profile and Chronic Diseases Comorbidities of US-Bound Iraqi Refugees Screened by the International Organization for Migration in Jordan: 2007–2009. J Immigr Minor Health. 2013;15(1):1–9.

    Article  PubMed  Google Scholar 

  10. Jamil H, Hakim-Larson J, Farrag M, Kafaji T, Jamil LH, Hammad A. Medical complaints among Iraqi American refugees with mental disorders. J Immigr Health. 2005;7(3):145–152.

    Article  PubMed  Google Scholar 

  11. Jamil H, Nassar-McMillan S, Lambert R, Wang Y, Ager J, Arnetz B. Pre- and post-displacement stressors and time of migration as related to self-rated health among Iraqi immigrants and refugees in Southeast Michigan. Med Conflict Surviv 2010;26(3):207–222

    Article  Google Scholar 

  12. Derogatis LR, Lipman RS, Rickels K, Uhlenhuth EH, Covi L. The Hopkins Symptom Checklist (HSCL): a self-report symptom inventory. Behav Sci. 1974;19(1):1–15.

    Article  PubMed  CAS  Google Scholar 

  13. Mollica RF, Cardozo BL, Osofsky HJ, Raphael B, Ager A, Salama P. Mental health in complex emergencies. Lancet. 2004;364(9450):2058–67.

    Article  PubMed  CAS  Google Scholar 

  14. Mollica RF, Wyshak G, de Marneffe D, Khuon F, Lavelle J. Indochinese versions of the Hopkins Symptom Checklist-25: a screening instrument for the psychiatric care of refugees. Am J Psychiatry. 1987;144(4):497–500.

    PubMed  CAS  Google Scholar 

  15. Ichikawa M, Nakahara S, Wakai S. Cross-cultural use of the predetermined scale cutoff points in refugee health. Soc Psychiatry Psychiatr Epidemiol. 2006;41(3):248–50.

    Article  PubMed  Google Scholar 

  16. Mollica RF, McInnes K, Sarajlić N, Lavelle J, Sarajlić I, Massagli MP. Disability associated with psychiatric comorbidity and health status in Bosnian refugees living in Croatia. JAMA. 1999;282(5):433–99.

    Article  PubMed  CAS  Google Scholar 

  17. Prins A, et al. The primary care PTSD screen (PC-PTSD): development and operating characteristics. Int J Psychiatry Clin Prac. 2004;9(1):9–14.

    Google Scholar 

  18. Dallo FJ, James SA. Acculturation and blood pressure in a community-based sample of Chaldean-American women. J Immigr Health. 2000;2(3):145–53.

    Article  PubMed  CAS  Google Scholar 

  19. Dallo FJ, Borrell LN. Self-reported diabetes and hypertension among Arab Americans in the United States. Ethn Dis. 2006;16(3):699–705.

    PubMed  Google Scholar 

  20. Jamil H, Fakhouri M, Dallo F, Templin T, Khoury R, Fakhouri H. Self-reported heart disease among Arab and Chaldean American women residing in southeast Michigan. Ethn Dis. 2008;18(1):19–25.

    PubMed  Google Scholar 

  21. Jamil H, Dallo F, Fakhouri M, Templin T, Khoury R, Fakhouri H. The prevalence of self-reported chronic conditions among Arab, Chaldean, and African Americans in southeast Michigan. Ethn Dis. 2009;19(3):293–300.

    PubMed  Google Scholar 

  22. Centers for Disease Control and Prevention (CDC). Vital signs: prevalence, treatment, and control of hypertension—United States, 1999–2002 and 2005–2008. MMWR Morb Mortal Wkly Rep. 2011;60(4):103–108.

  23. Jamil H, Fakhouri M, Dallo F, Templin T, Khoury R, Fakhouri H. Disparities in self-reported diabetes mellitus among Arab, Chaldean, and black Americans in Southeast Michigan. J Immigr Minor Health. 2008;10(5):397–405.

    Article  PubMed  Google Scholar 

  24. Jaber LA, Brown MB, Hammad A, et al. Epidemiology of diabetes among Arab Americans. Diabetes Care. 2003;26(2):308–13.

    Article  PubMed  Google Scholar 

  25. Jaber LA, Slaughter RL, Grunberger G. Diabetes and related metabolic risk factors among Arab Americans. Ann Pharmacother. 1995;29(6):573–6.

    PubMed  CAS  Google Scholar 

  26. Kridli SA, Herman WH, Brown MB, Fakhouri H, Jaber LA. The epidemiology of diabetes and its risk factors among Chaldean Americans. Ethn Dis. 2006;16(2):351–6.

    PubMed  Google Scholar 

  27. Centers for Disease Control and Prevention (CDC). Vital signs: current cigarette smoking among adults aged ≥ 18 years—United States, 2005–2010. MMWR Morb Mortal Wkly Rep. 2011;60(35):1207–1212.

  28. World Health Organization. WHO report on the global tobacco epidemic, 2011: warning about the dangers of tobacco. World Health Organization; 2011.

  29. El-Sayed AM, Galea S. The health of Arab-Americans living in the United States: a systematic review of the literature. BMC Public Health. 2009;9(1):272.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Jamil H, Templin T, Fakhouri M, Rice VH, Khouri R, Fakhouri H. Comparison of personal characteristics, tobacco use, and health states in Chaldean, Arab American, and non-Middle Eastern White adults. J Immigr Minor Health. 2009;11(4):310–7.

    Article  PubMed  CAS  Google Scholar 

  31. Johns Hopkins Bloomberg School of Public Health, United Nations Children’s Fund, and World Health Organization. The Health Status of the Iraqi Populaton in Jordan. 2009 [cited 2012 October 27]. Available from: http://www.unicef.org/jordan/jo_children_HealthStatusofIraqisinJordan2009en.pdf.

  32. Doocy S, Sirois A, Tileva M, Storey JD, Burnham G. Chronic disease and disability among Iraqi populations displaced in Jordan and Syria. Int J Health Plann Manag. 2012;. doi:10.1002/hpm.2119.

    Google Scholar 

  33. Jamil H, Grzybowski M, Hakim-Larson J, et al. Factors associated with self-reported depression in Arab, Chaldean, and African Americans. Ethn Dis. 2008;18(4):464–70.

    PubMed  Google Scholar 

  34. Jamil H, Hakim-Larson J, Farraq M, Kafaji T, Duqum I, Jamil LH. A retrospective study of Arab American mental health clients: trauma and the Iraqi refugees. Am J Orthopsychiatry. 2002;72(3):355–61.

    Article  PubMed  Google Scholar 

  35. Al-Gazali L, Hamamy H, Al-Arrayad S. Genetic disorders in the Arab world. BMJ. 2006;333(7573):831–4.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Yanni EA, Copeland G, Olney RS. Birth defects and genetic disorders among Arab Americans—Michigan, 1992–2003. J Immigr Minor Health. 2010;12(3):408–13.

    Article  PubMed  Google Scholar 

  37. Al-Ani ZR, Al-Hiali SJ, Al-Mehimdi SM. Neural tube defects among neonates delivered in Al-Ramadi Maternity and Children’s Hospital, western Iraq. Saudi Med J. 2010;31(2):163–9.

    PubMed  Google Scholar 

  38. Al-Ani ZR, Al-Haj SA, Al-Ani MM, Al-Dulaimy KM, Al-Maraie AKh, Al-Ubaidi BKh. Incidence, types, geographical distribution, and risk factors of congenital anomalies in Al-Ramadi Maternity and Children’s Teaching Hospital, Western Iraq. Saudi Med J. 2012;33(9):979–89.

    PubMed  Google Scholar 

  39. Centers for Disease Control and Prevention. Health, United States, 2011: with special feature on socioeconomic status and health. 2011 [cited 2012 October 11]. Available from: http://www.cdc.gov/nchs/data/hus/hus11.pdf.

  40. Davidson N, Skull S, Calache H, Murray SS, Chalmers J. Holes a plenty: oral health status a major issue for newly arrived refugees in Australia. Aust Dent J. 2006;51(4):306–11.

    Article  PubMed  CAS  Google Scholar 

  41. Cote S, Geltman P, Nunn M, Lituri K, Henshaw M, Garcia RI. Dental caries of refugee children compared with US children. Pediatrics. 2004;114(6):e733–40.

    Article  PubMed  Google Scholar 

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Correspondence to Eboni M. Taylor.

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Disclaimer: The findings and conclusions in this report are those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.

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Taylor, E.M., Yanni, E.A., Pezzi, C. et al. Physical and Mental Health Status of Iraqi Refugees Resettled in the United States. J Immigrant Minority Health 16, 1130–1137 (2014). https://doi.org/10.1007/s10903-013-9893-6

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  • DOI: https://doi.org/10.1007/s10903-013-9893-6

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