Chronic Disease Burden Among Bhutanese Refugee Women Aged 18–65 Years Resettled in Northeast Ohio, United States, 2008–2011
The purpose of this community-based study was to assess the prevalence of chronic diseases among 18–65 year old Bhutanese refugee women resettled in Northeast Ohio, United States (US). A Nepali-language questionnaire was administered in a face-to-face mode. Anthropometric measurements included height, weight, and hip and waist circumferences. The overall prevalence (95 % confidence interval) of self-reported hypertension, diabetes, asthma, heart disease, and cancer were 15.3 % (9.2–23.4), 6.4 % (2.3–10.9), 5.5 % (2.0–11.5), 2.7 % (0.6–7.8), and 1.8 % (0.2–6.4), respectively. Overweight/obesity was observed in 64.8 % of the women; 69.5 and 74.1 % had waist circumference >80 cm and waist-to-hip ratio ≥85, respectively. Length of time in the US was not associated with the prevalence of the chronic conditions. This study suggests chronic conditions may be significant health issues among US resettled Bhutanese refugees and a larger population-based study to confirm the findings is warranted.
KeywordsResettled Bhutanese refugees Chronic diseases Socio-demographic profile United States Community-based study Prevalence
- 1.Martin DC, Yankay JE. Annual flow report. Refugees and asylees: 2011. www.dhs.gov/xlibrary/assets/statistics/publications/ois_rfa_fr_2011.pdf. Accessed March 13, 2014.
- 2.Martin DC, Yankay JE. Annual flow report. Refugees and Asylees: 2012. www.dhs.gov/sites/default/files/publications/ois_rfa_fr_2012.pdf. Accessed March 13, 2014.
- 3.Centers for Disease Control and Prevention. Bhutanese refugee health profile. www.cdc.gov/immigrantrefugeehealth/pdf/bhutanese-health-profile.pdf. Accessed March 13, 2014.
- 4.United Nations High Commissioner for Refugees. 2013 UNHCR country operations profile—Nepal. http://www.unhcr.org/cgi-bin/texis/vtx/page?page=49e487856&submit=GO. Accessed March 13, 2014.
- 7.Centers for Disease Control and Prevention. Vitamin B12 deficiency in resettled Bhutanese Refugees—United States, 2008–2011. MMWR Morb Mortal Wkly Rep. 2011;60(11):343–6.Google Scholar
- 10.Dookeran NM, et al. Chronic disease and its risk factors among refugees and asylees in Massachusetts, 2001–2005. Prev Chronic Dis 2010;7(3):A51. www.cdc.gov/pcd/issues/2010/may/09_0046.htm. Accessed March 13, 2014.
- 12.Centers for Disease Control and Prevention. Health of resettled Iraqi refugees—San Diego County, California, october 2007–september 2009. MMWR Morb Mortal Wkly Rep. 2010;59(49):1614–8.Google Scholar
- 13.Kumar GS, et al. Noninfectious disease among the Bhutanese Refugee population at a United States urban clinic. J Immigr Minor Health 2013 Mar 2. Published online ahead of print. PMID: 23456726.Google Scholar
- 22.Centers for Disease Control and Prevention. About BMI for adults. www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/. Accessed March 13, 2014.
- 27.WHO. Waist circumference and waist–hip ratio: report of a WHO expert consultation, Geneva, 8–11 December 2008. whqlibdoc.who.int/publications/2011/9789241501491_eng.pdf. Accessed March 13, 2014.
- 28.Schiller JS, Lucas JW, Peregoy JA. Summary health statistics for U.S. adults: National Health Interview Survey, 2011. National Center for Health Statistics. Vital Health Stat. 2012;10(256):149–60.Google Scholar
- 31.Brennan M, Biluhka O, Bosmans M. Refugee health in Nepal: joint UNHCR-WHO evaluation of health and health programmes in Bhutanese refugee camps in Nepal. New York: United Nations High Commissioner for Refugees; 2005.Google Scholar
- 32.U.S. Census Bureau. American Community Survey. www.census.gov/acs/www/. Accessed March 13, 2014.