Skip to main content

Advertisement

Log in

Chronic Health Conditions, Physical Activity and Dietary Behaviors of Bhutanese Refugees: A Houston-Based Needs Assessment

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Here, I am a refugee. But I don’t want refuge. I want the wings to fly.

Devi, Bhutanese refugee child.

Abstract

Bhutanese refugees resettling in the U.S. face many challenges including several related to health and health care. Limited health literacy and the relatively complicated US health care system may contribute to health disparities as well. A health assessment was conducted on adult refugees in Houston, Texas to provide healthcare providers, community organizations, and stakeholders baseline data to plan programs and interventions. A convenience sample of 100 participants had a mean age of 38.37 years, 56 % where males, and almost 80 % did not have high school level education. High blood pressure (27 %), dizziness (27 %), and arthritis (22 %) were the commonly identified chronic health conditions and trouble concentrating (34 %) and fatigue (37 %) were also reported. Sixty-two percent of the respondents reported that they consume recommended servings of fruits and vegetables and 41 %reported that they were currently getting at least 20–30 min of aerobic exercise per day. The assessment concluded with recommendations on how better provide care and services for the refugees.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Van Ommeren M, Sharma B, Sharma GK, Komproe I, Cardeña E, de Jong Joop TVM. The relationship between somatic and PTSD symptoms among bhutanese refugee torture survivors: examination of comorbidity with anxiety and depression. J Trau-matic Stress. 2002;15(5):415.

    Article  Google Scholar 

  2. Blanck HM, Bowman BA, Serdula MK, Khan LK, Kohn W, Woodruff BA. Bhutanese refugee investigation group. Angular stomatitis and riboflavin status among adolescent Bhutanese refugees living in southeastern Nepal. Am J Clin Nutr. 2002;76:430–5.

    CAS  PubMed  Google Scholar 

  3. Quigley J. Bhutanese refugees in Nepal: what role now for the European Union and the United Nations high commission for refugees? Contemp South Asia. 2004;13(2):187–200.

    Article  Google Scholar 

  4. Kharat RS. Bhutanese refugees in Nepal: survival and prospects. Econ Political Wkly. 2003;38(4):285–9.

    Google Scholar 

  5. Banki, S. Bhutanese refugees in Nepal: anticipating the impact of resettlement. Brief-ing paper. Austcare/Griffith University. 2008. Retrieved 03 Dec 2012 from http://www.austcare.org.au/ourwork/research.aspx.

  6. Martin AA, Moore J. Infectious disease surveillance during emergency relief to Bhutanese refugees in Nepal. J Am Med Assoc. 1994;272(5):377.

    Article  Google Scholar 

  7. Abdalla F, Mutharia J, Rimal N, Bilukha O, Talley L, Handzel T, Bamrah S. Mal-nutrition and micronutrient deficiencies among Bhutanese refugee children—Nepal. Morb Mortal Wkly Rep. 2008;57(14):370–3.

    Google Scholar 

  8. Thapa SB, Van Ommeren M, Sharma B, de Jong JT, Hauff E. Psychiatric disability among tortured Bhutanese refugees in Nepal. Am J Psychiatry. 2014;160(11):2032–7.

    Article  Google Scholar 

  9. Cable News Network (CNN). First of 60,000 refugees from Bhutan arrive in U.S. 2008. http://edition.cnn.com/2008/WORLD/asiapcf/03/25/bhutan.refugees/.

  10. Sreenath SN. Helping the Bhutanese refugees. Hindu Today. 2010;32(1):9.

    Google Scholar 

  11. Houston Department of Health and Human Services & Baylor College of Medicine. Health status of Bhutanese refugees in Houston, Texas. A community needs assessment of Bhutanese refugees, 2012.

  12. World Health Statistics. World Health Organization. Geneva, Switzerland, 2009.

  13. Navuluri NA-RKRRRJ. Assessing barriers to healthcare access among refugees living in San Antonio, Texas. Tex Public Health J. 2014;66(3):5.

    Google Scholar 

  14. Nazzal KH, Forghany M, Geevarughese MC, Mahmoodi V, Wong J. An innovative community-oriented apporach to prevention of early intervention with refugees in the United States. Psychol Services. 2014;11(4):477–85.

    Article  Google Scholar 

  15. Lee D, Philen R, Wang Z, et al. Disease surveillance among newly arriving refugees and immigrants—electronic disease notification system, United States, 2009. MMWR Surveill Summ. 2013;62(7):1–22.

    PubMed  Google Scholar 

  16. Kumar GS, Varma S, Saenger MS, Burleson M, Kohrt BA, Cantey P. Noninfectious disease among the Bhutanese refugee population at at United States urban clinic. J Immigr Minor Health. 2014;16(5):922–5.

    Article  PubMed  Google Scholar 

  17. Yun K, Fuentes-Afflick E, Desai M. Prevalence of chronic disease and insurance coverage among refugees in the United States. J Immigr Minor Health. 2012;14(6):933–40.

    Article  PubMed  Google Scholar 

  18. Haworth RJ, Margalit R, Ross C, Nepal T, Soliman AS. Knowledge, attitudes, and practices for cervical cancer screening among the bhutanese refugee community in Omaha, Nebraska. J Community Health. 2014;39(5):872–8.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Wieland ML, Weis JA, Palmer T, et al. Physical activity and nutrition among immigrant and refugee women: a community-based participatory research approach. Women’s Health Issues. 2012;22(2):e225–32.

    Article  PubMed  Google Scholar 

  20. Walker PF, O’Fallon A, Nelson K, Mamo B, Dicker S, Chute S, Swoboda P, Householder S, Painter J, ZhouW, PfeifferCM. Vitamin B12 deficiency in resettled Bhutanese refugees. U. S. centers for disease control and prevention. Morb Mortal Wkly Rep. 2011;60(11):343–6. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6011a4.htm.

  21. Kiptinness C, Dharod JM. Bhutanese refugee in the United States: their dietary habits and food shopping practices upon resettlement. J Hunger Environ Nutr. 2011;6:75–85.

    Article  Google Scholar 

  22. Bhatta MP, Shakya S, Assad L, Zullo, MD. Chronic disease burden among Bhutanese refugee women aged 18–65 years resettled in Northeast Ohio, United States, 2008–2011. J Immigr Minor Health. 2014; May 22. http://link.springer.com/article/10.1007%2Fs10903-014-0040-9.

  23. Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Questionnaire. Atlanta, GA. U.S. Department of Health and Human Services. 2013. http://www.cdc.gov/brfss/questionnaires/index.htm.

  24. Centers for Disease Control and Prevention Behavioral Risk Factor Surveillance System Questionnaire, 2010. U.S. Department of Health and Human Services. February, 2009 http://www.cdc.gov/brfss/questionnaires/pdf-ques/2010brfss.pdf.

  25. Pierannunzi C, Hu SS, Balluz L. A systematic review of publications assessing reliability and validity of the Behavioral Risk Factor Surveillance System (BRFSS), 2004–2011. BMC Med Res Methodol. 2013;13(1):49.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Vonnahme LA, Lankau EW, Ao T, Shetty S, Cardozo BL. Factors associated with symptoms of depression among Bhutanese Refugees in the United States. J Immigr Minor Health. 2014. doi:10.1007/s10903-014-0120-x.

    Google Scholar 

  27. Centers for Disease Control and Prevention (CDC). Morbidity and mortality weekly report. Prevalence of fruit and vegetable consumption and physical activity by race/ethnicity—United States, 2005. 2007;56(13);301–4.

Download references

Acknowledgments

A special thanks to Sewa International, USA Houston Chapter for its generous monetary donation to each of the participating refugees in this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Angelo P. Giardino.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Misra, S.M., Nepal, V.P., Banerjee, D. et al. Chronic Health Conditions, Physical Activity and Dietary Behaviors of Bhutanese Refugees: A Houston-Based Needs Assessment. J Immigrant Minority Health 18, 1423–1431 (2016). https://doi.org/10.1007/s10903-015-0282-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-015-0282-1

Keywords

Navigation