The Who, What, Why and When of Gynaecological Referrals for Refugee Women
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Refugees have health needs relating to unstable living situations and poor access to care. We examined the nature of health problems requiring gynaecological referrals for refugee women in Toronto. A retrospective cohort design was used to examine gynaecologic referrals of women at a refugee clinic between December, 2011 and June, 2016. The primary outcome measure was the indications for gynaecological referral. 125 out of 1040 women received a gynaecologic referral for 131 unique concerns. The most common referrals were for abnormal uterine bleeding and cervical dysplasia. Fibroids were prevalent amongst African patients, while referrals for LARCs/sterilization were absent from Middle Eastern patients. 26% of patients referred had a sexual violence history. Refugee women exhibit gynaecologic needs similar to the broader population. Needs vary by geographic origins. As global conflicts shift, so too will this population’s needs. High rates of sexual violence history reflect the need for further understanding and intervention.
KeywordsRefugees Women’s health Gynaecology Primary health care
We would like to thank the staff of the Crossroads Clinic at Women’s College Hospital.
- 1.Citizenship and Immigration Canada. Facts and figures 2013—immigration overview: permanent residents. Ottawa: Citizenship and Immigration Canada; 2014. Available at: http://www.cic.gc.ca/english/resources/statistics/facts2013/permanent/02.asp. Accessed 17 Sept 2016.
- 2.Citizenship and Immigration Canada. #WelcomeRefugees: key figures. Ottawa: Citizenship and Immigration Canada; 2016. Available at: http://www.cic.gc.ca/english/refugees/welcome/milestones.asp. Accessed 11 Nov 2016.
- 10.Ng E, Wilkins R, Gendron F, Berthelot J-M. Dynamics of immigrants’ health in Canada: evidence from the National Population Health Survey. Healthy today, healthy tomorrow? Findings from the National Population Health Survey. Issue 2. Catalogue No. 82–618-MWE2005002. Ottawa: Statistics Canada; 2005.Google Scholar
- 20.United Nations High Commissioner for Refugees. Sexual and gender-based violence against refugees, returnees and internally displaced persons: guidelines for prevention and response. New York: United Nations; 2003.Google Scholar
- 22.Benoit C, Shumka L, Phillips R, Kennedy M, Belle-Isle L. Issue brief: sexual violence against women in Canada. Ottawa: Federal-Provincial-Territorial Senior Officials for the Status of Women; 2015. http://www.swc-cfc.gc.ca/svawc-vcsfc/index-en.html. Accessed 1 Oct 2016.
- 23.Government of Ontario. Changing attitudes, changing lives: Ontario’s sexual violence action plan. Toronto: Government of Ontario; 2011. http://www.women.gov.on.ca/owd/docs/svap.pdf. Accessed 23 Sept 2016.
- 24.García-Moreno C. Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence. Geneva: World Health Organization; 2013. http://www.who.int/reproductivehealth/publications/violence/9789241564625/en/. Accessed 1 Oct 2016.
- 25.StataCorp. Stata statistical software: release 14. College Station: StataCorp LP; 2015.Google Scholar
- 29.Rousseau C, Pottie K, Thombs B, Munoz M, Jurcik T. Post traumatic stress disorder: evidence review for newly arriving immigrants and refugees. Can Med Assoc J. 2011:1–11.Google Scholar
- 32.Cancer Care Ontario. Ontario cervical screening program 2012 report. Toronto: Cancer Care Ontario; 2014. http://www.cancercare.on.ca/cervicalreport. Accessed 1 Oct 2016.
- 33.Society of Obstetricians and Gynaecologists of Canada. Position statement: federal budget cuts to interim federal health program. Ottawa: Society of Obstetricians and Gynaecologists of Canada; 2012.Google Scholar