Abstract
More than 63,000 Iraqi refugees were resettled in the United States from 1994 to 2010. We analyzed data for all US-bound Iraqi refugees screened in International Organization for Migration clinics in Jordan during June 2007–September 2009 (n = 18,990), to describe their health profile before arrival in the United States. Of 14,077 US-bound Iraqi refugees ≥15 years of age, one had active TB, 251 had latent TB infection, and 14 had syphilis. No HIV infections were reported. Chronic diseases comorbidities accounted for a large burden of disease in this population: 35% (n = 4,105) of screened Iraqi refugees had at least one of three chronic medical conditions; hypertension, diabetes mellitus, or obesity. State health departments and clinicians who screen refugees need to be aware of the high prevalence of chronic diseases among Iraqi refugees resettled in the United States. These results will help public health specialists develop policies to reduce morbidity and mortality among US-bound Iraqi refugees.
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References
Proposed Refugee Admissions for Fiscal year 2010: report to congress. 2011. Accessed on Jan 2011 at http://www.state.gov/documents/organization/129393.pdf.
Mowafi H, Spiegel P. The Iraqi refugee crisis: familiar problems and new challenges. JAMA. 2008;299(14):1713–5.
Second IPSOS survey on Iraqi refugees (31 October–25 November 2007)—final results. 2011. Accessed on Jan 2011 at http://www.unhcr.de/fileadmin/unhcr_data/pdfs_at/information_in_english/UNHCR-IPSOS_IRQ-Trauma.pdf.
US Committee for Refugees and Immigrants. Resettling refugees in America. 2011. Accessed on March 11, 2011, at http://www.refugees.org/.
Centers for Disease Control and Prevention. Medical examination of immigrants and refugees. 2011. Accessed on 21 Feb 2011 at http://www.cdc.gov/immigrantrefugeehealth/exams/medical-examination.html.
Centers for Disease Control and Prevention. 2009 Technical instructions for panel physicians for vaccination. 2011. Accessed on 21 Feb 2011, at http://www.cdc.gov/immigrantrefugeehealth/exams/ti/panel/vaccination-panel-technical-instructions.html.
CDC. Healthy weight—it’s not a diet, it’s a lifestyle. 2011. Accessed on 20 June 2011, at http://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html.
National Institutes of Health. The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. 2010. Accessed on 20 Feb 2010 at http://www.nhlbi.nih.gov/guidelines/hypertension/express.pdf.
Barnett ED. Infectious disease screening for refugees resettled in the United States. Clin Infect Dis. 2004;39:833–41.
Spiegel PB, Checchi F, Colombo S, Paik E. Health-care needs of people affected by conflict: future trends and changing frameworks. Lancet. 2010;375(9711):341–5.
World Health Organizaion (WHO) Report 2008. Primary health care—now more than ever. Accessed on 23 Feb 2011 at http://www.who.int/whr/2008/08_contents_en.pdf.
Chan EY, Sondorp E. Medical interventions following natural disasters: missing out on chronic medical needs. Asia Pac J Public Health. 2007;19:45–51.
Hatahet W, Khosla P, Fungwe TV. Prevalence of risk factors to coronary heart disease in an Arab-American population in Southeast Michigan. Int J Food Sci Nutr. 2002;53(4):325–35.
UNICEF, WHO, Johns Hopkins Bloomberg School of Public Health Report. The health status of the Iraqi population in Jordan, May 2009. 2010. Accessed on June 2010 at http://www.unicef.org/jordan/jo_children_HealthStatusofIraqisinJordan2009en.pdf.
Centers for Disease Control and Prevention (CDC). Health, United States, 2010. 2010. Accessed on 12 Feb 2010 at http://www.cdc.gov/nchs/hus.htm.
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):1614–8.
Dallo FJ, Borrell LN. Self-reported diabetes and hypertension among Arab-Americans in the United States. Ethn Dis. 2006;16(3):699–705. Accessed on 24 Feb 2011 at http://www.biomedcentral.com/1471-2458/9/272.
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; 9:272. Accessed on 23 Feb 2011 at http://www.biomedicalcentral.com/1471-2458/9/272.
World Health Organization. Iraq family health survey report (IFHS 2006/07). 2010. Accessed on 12 Dec 2010, at http://www.emro.who.int/iraq/pdf/ifhs_report_en.pdf.
Jaber LA, et al. Lack of acculturation is a risk factor for diabetes in Arab immigrants in the US. Diabetes Care. 2003;26(7):2010–4.
Jaber LA, et al. Epidemiology of diabetes among Arab Americans. Diabetes Care. 2003;26(2):308–13.
Jaber LA, et al. Feasibility of group lifestyle intervention for diabetes prevention in Arab Americans. Diabetes Res Clin Pract. 2011;91(3):307–15.
National Heart, Lung, and Blood Institute and National Institute of Diabetes and Digestive and Kidney Diseases. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: The evidence report. 2011. Accessed on 22 June 2011 at http://www.nhlbi.nih.gov/guidelines/obesity/ob_gdlns.pdf.
National Task Force on the Prevention and Treatment of Obesity. Overweight, obesity, and health risk. Arch Intern Med. 2000;160(7):898–904.
Ogden CL, Flegal KM. Changes in terminology for childhood overweight and obesity. National Health Statistics reports; no 25. June 25, 2010. Accessed on 13 May 2011 at http://www.cdc.gov/nchs/data/nhsr/nhsr025.pdf.
Jamil H, et al. 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.
CDC. The health consequences of smoking: a report of the Surgeon General. National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. Washington, DC: US Government Printing Office; 2004. Accessed on 27 July 2011, at http://www.cdc.gov/tobacco/data_statistics/sgr/sgr_2004/index.htm.
Kulwicki A, et al. Smoking behavior in pregnant Arab Americans. MCN Am J Matern Child Nurs. 2007; 32(6):363–7. Accessed on 23 Feb 2011, at http://www.ncbi.nlm.nih.gov/pubmed/17968219.
CDC Diabetes Cost-effectiveness Group. Cost-effectiveness of intensive glycemic control, intensified hypertension control, and serum cholesterol level reduction for type 2 diabetes. JAMA. 2002;287(19):2542–51.
Howard K, et al. Cost-effectiveness of screening and optimal management for diabetes, hypertension, and chronic kidney disease: a modeled analysis. Value Health. 2010;13(2):196–208.
Hoerger TJ, et al. Screening for type 2 diabetes mellitus: a cost-effectiveness analysis. Ann Intern Med. 2004;140(9):689–99.
Elliott WJ. The economic impact of hypertension. J Clin Hypertens (Greenwich). 2003;5(3 Suppl 2):3–13.
Darwish-Yassine M, Wing D. Cancer epidemiology in Arab Americans and Arabs outside the Middle East. Ethn Dis. 2005;15(1 Suppl 1):S1-5–S1-8.
Michigan Department of Community Health. Color me healthy: a profile of Michigan’s racial/ethnic populations, May 2008. 2011. Accessed on 22 Jan 2011 at http://www.michigan.gov/documents/mdch/ColorMeHealthyProfileMay2008_2362457.pdf.
Shah SM, et al. Arab American Immigrants in New York: health care and cancer knowledge, attitudes, and beliefs. J Immigr Minor Health. 2008;10:429–36.
Al-Gazali L, et al. Genetic disorders in the Arab world. BMJ. 2006;333(7573):831–4.
Christianson A, et al. Executive summary: March of Dimes global report on birth defects. White Plains: March of Dimes Birth Defects Foundation; 2006.
Yanni EA, et al. Birth defects and genetic disorders among Arab Americans—Michigan, 1992–2003. J Immigr Minor Health. 2010;12(3):408–13.
Acknowledgments
We are indebted to the IOM staff in Jordan for their support in data management: Ivan Vukovic, Rima Al-Azrai, Abdullah Al-Hayajneh, and to Tarissa Mitchell, Clive Brown, Rick Hull, Rachel Kaufmann, Yuling Hong, Ava Navin, and Crystal Polite for their contribution to study design, thorough review, and statistical support. This work was supported solely by the US Centers for Disease Control and Prevention.
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The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
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Yanni, E.A., Naoum, M., Odeh, N. et al. The Health Profile and Chronic Diseases Comorbidities of US-Bound Iraqi Refugees Screened by the International Organization for Migration in Jordan: 2007–2009. J Immigrant Minority Health 15, 1–9 (2013). https://doi.org/10.1007/s10903-012-9578-6
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DOI: https://doi.org/10.1007/s10903-012-9578-6