Prevalence of non-communicable disease among displaced Rohingya in southern Bangladesh: a first look at a persecuted ethnic minority from Myanmar.

IF 2.3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Health Pub Date : 2024-07-02 DOI:10.1093/inthealth/ihad106

Jason T Tsichlis, Ipsita Hamid Trisha, Ghazal Aghagoli, Meerjady Sabrina Flora, M Ruhul Abid

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引用次数: 0

Abstract

Background: In Cox's Bazar, Bangladesh, 860 356 Rohingya living in refugee camps have experienced decades of persecution. Little is known about disease burden in this population.

Methods: A retrospective review of deidentified electronic health records (EHR) of 51 270 Rohingya attending two primary health clinics in Kutupalong and Balukahli from October 2017 to October 2019 was performed. A novel EHR system named NIROG was used for patients' medical records'.

Results: Females comprised 53.8% of patients. The median age of females was 25 y and for males it was 19 y. Prevalence of adult hypertension and diabetes was 14.1% and 11.0%, respectively. Also, 16.6% of children aged <5 y had moderate or severe acute malnutrition, while 36.6% were at risk of malnutrition. Body mass index (BMI) analysis showed that 34.4% of adults were underweight. Females were more likely to be hypertensive, diabetic, overweight/obese and malnourished. BMI had a statistically significant positive correlation with fasting blood glucose levels and systolic blood pressure.

Conclusions: The use of a portable EHR system was highly effective at providing longitudinal care in a humanitarian setting. Significant proportions of the adult population appear to have hypertension or diabetes, pointing to a critical need for management of chronic non-communicable diseases (NCDs). The findings of the current study will help stakeholders to plan effective prevention and management of NCDs among displaced Rohingya and other displaced populations.

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孟加拉国南部流离失所的罗兴亚人中非传染性疾病的流行率：对缅甸受迫害少数民族的首次观察。

背景：在孟加拉国科克斯巴扎尔，860 356名居住在难民营中的罗兴亚人经历了数十年的迫害。人们对这一人群的疾病负担知之甚少。方法：对51例电子健康档案（EHR）进行回顾性分析 2017年10月至2019年10月，270名罗兴亚人在库图帕隆和巴鲁卡赫利的两个初级卫生诊所接受了手术。一种新的EHR系统NIROG被用于患者的医疗记录。结果：女性占患者的53.8%。女性的中位年龄为25岁，男性为19岁。成年高血压和糖尿病的患病率分别为14.1%和11.0%。此外，16.6%的年龄儿童得出结论：在人道主义环境中，使用便携式EHR系统在提供纵向护理方面非常有效。相当大比例的成年人口似乎患有高血压或糖尿病，这表明迫切需要管理慢性非传染性疾病。目前的研究结果将有助于利益攸关方规划流离失所的罗兴亚人和其他流离失所人口中非传染性疾病的有效预防和管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： International Health is an official journal of the Royal Society of Tropical Medicine and Hygiene. It publishes original, peer-reviewed articles and reviews on all aspects of global health including the social and economic aspects of communicable and non-communicable diseases, health systems research, policy and implementation, and the evaluation of disease control programmes and healthcare delivery solutions. It aims to stimulate scientific and policy debate and provide a forum for analysis and opinion sharing for individuals and organisations engaged in all areas of global health.