Journal of Refugee & Global Health最新文献

{"title":"Factors in Primary Care Use Among Young Adult Refugees from Burma and Bhutan in Early Resettlement: Findings from Colorado","authors":"Sarah Brewer, Jini E. Puma","doi":"10.55504/2473-0327.1074","DOIUrl":"https://doi.org/10.55504/2473-0327.1074","url":null,"abstract":"","PeriodicalId":198307,"journal":{"name":"Journal of Refugee & Global Health","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128664584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and Awareness of Vitamin D Among Pregnant or Lactating Iraqi Refugee Women: a Call for Different Approaches in Health Education and Outreach","authors":"Someireh Amirfaiz, Ed.D.","doi":"10.55504/2473-0327.1095","DOIUrl":"https://doi.org/10.55504/2473-0327.1095","url":null,"abstract":"Vitamin D deficiency during pregnancy and lactation has neg- ative impacts on maternal, fetal, and infant health. Low health literacy and other social determinants of health may increase the risk of deficiency among refugee women. This qualitative study used a survey and in-depth individual interviews to ex- amine knowledge of vitamin D among ten pregnant or breastfeeding Iraqi refugee women in the United States, and sought participants’ recommendations on culture-centered and participatory health promotion strategies. All participants re- ported having insufficient information and understanding of vitamin D, its health benefits, and the risks of deficiency. The four primary themes that emerged from the interviews were the quality of available vitamin D information, barriers to seeking such information, intersectionality of health and environ- ment, and power differentials and the control of the health agenda. Participants’ recommendations included bridging the language barrier and training health care providers to deliver the information needed to raise awareness. The findings of this study provide an opportunity for public health systems to design culture-centered health education and promotion strategies to ensure vitamin D adequacy among this vulnerable population.","PeriodicalId":198307,"journal":{"name":"Journal of Refugee & Global Health","volume":"337 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132303245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing the health and welfare of refugees and non-refugees at the outset of the COVID-19 pandemic: the results of a community needs assessment.","authors":"M. Lyons, M. H. O’Connor, I. Feinberg, Daniel K Whitaker, M. Eriksen, A. Owen‐Smith, Saiza Jivani, Mohammad Tamer, Esther M. Kim, Ganaro Makor","doi":"10.55504/2473-0327.1065","DOIUrl":"https://doi.org/10.55504/2473-0327.1065","url":null,"abstract":"Refugees are a vulnerable population who experience sig- nificant health disparities. They may also be at disproportionately high risk of adverse outcomes due to the COVID- 19 pandemic. This paper presents the results of a community needs assessment to investigate the impact of the pan- demic on health and welfare in a refugee relocation community in the United States. A multilingual data collection team made up of refugees surveyed 179 participants (128 refugees vs. 51 non-refugees). Only 55.9% of refugee re- spondents said they would be able to provide enough food for their family this week, compared with 84.0% of non-refugees (p < 0.01), and this difference was even greater for food next week (29.4% vs. 76.0%, p < 0.01). A non-significantly smaller proportion of refugees reported knowing where to go if they were sick (69.1% vs. 81.6%, χ 2 = 2.8, p = 0.10), and being able to get the medicine they need (75.0% vs. 87.8%, p = 0.07), while significantly fewer refugees reported feeling safe at home (72.8 vs. 87.8%, χ 2 = 4.5, p = 0.04). Overall, refugees fared worse on nearly every measure. These findings should motivate further observational research and inform clinicians about the significant disparities in social de- terminants of health that refugees may experience during the pandemic.","PeriodicalId":198307,"journal":{"name":"Journal of Refugee &amp; Global Health","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134063001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Health of Haitian Schoolchildren: Longitudinal Effect of Annual Visits on Growth","authors":"Jamarie Geller, M. Starrs, A. Bartholomew, Sara Kaliszak, Jeri Kessenich","doi":"10.55504/2473-0327.1070","DOIUrl":"https://doi.org/10.55504/2473-0327.1070","url":null,"abstract":"Introduction: Haiti has one of the highest rates of childhood undernutrition in the world, devastating overall health. This study focuses on the growth of children offered longitudinal healthcare by Kids Health for Haiti, using BMI to indicate developmental and nutritional status. Objectives include collecting baseline prevalence data, examining the impact of longitudinal interventions, and discussing future investigation and programming areas. Methods: A retrospective longitudinal observational chart review on 245 students over a six-year period analyzing height, weight, and BMI. All data were collected as part of routine health provision and underwent statistical analysis using a single-subject design. Results: 46.3%, 42%, and 37.1% of participants started in the lowest percentile groups (0-25th) for weight, height, and BMI, respectively. Among all participants, there was not a significant difference between the proportion of students that increased versus decreased percentile groups for weight (p = 0.39), height (p = 0.782), or BMI (p = 0.064) from first to most recent visit. Among students below the 25th percentile in each growth domain at the first visit, there was a statistically significant increase of at least one percentile group versus a decrease in weight (p <0.001), height (p <0.001), and BMI (p <0.006). Conclusion: These results highlight the significant burden of underdevelopment in this population and the potential for improvement with early interventions targeting general health and nutrition. Visits corresponded with improvements in growth, especially for the smallest children. Future investigations should target outcomes of specific treatments, assessing how programming can best improve growth outcomes. RGH | https://ir.library.louisville.edu/rgh/vol4/iss1/2 1 The Health of Haitian Schoolchildren","PeriodicalId":198307,"journal":{"name":"Journal of Refugee &amp; Global Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128679292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparative Analysis of the Knowledge and Stigmatizing Attitude of Ghanaians and Nigerians towards COVID-19 Survivors","authors":"E. Lamptey, D. Serwaa, M. Antwi, Theckla Ikome, N. Odogwu","doi":"10.55504/2473-0327.1080","DOIUrl":"https://doi.org/10.55504/2473-0327.1080","url":null,"abstract":"Introduction: In Africa, COVID-19 associated stigmatization still remains the contextual fac- tor that poses a challenge for the mitigation and suppression of COVID-19 spread, especially among the illiterate populations. This comparative study was therefore conducted to assess the knowledge and willingness of Ghanaians and Nigerians to associate with COVID-19 survivors. Methods: A cross-sectional study was conducted to collect information from 290 Ghanaian and 220 Nigerian nationals aged 18 years and above between 11th July-30th October 2020. An electronic-based questionnaire was developed to collect information on the public. The data were analyzed with SPSS v 22 and factors influencing knowledge and willingness to associate with COVID-19 survivors were identified using chi-square and logistic regression at p=0.05. Results: The mean age of all participants was 26.18(SD=6.87), about 75% of the Ghanaians and 81.8% of Nigerians were within 25-34 years of age. . Ghanaians were more knowledgeable about COVID-19, 230(79.3%) compared with Nigerians 60(27.3%). High stigmatizing attitude was dominant among Nigerians 140(73.7) than Ghanaian 50 (26.3). While age significantly in-creased knowledge [OR: 2.83(1.461,5.495), p=0.002] and deceased stigmatizing attitude [OR: 0.35(0.182,0.684), p=0.002] in Ghana, it wasn’t significant in Nigeria. In both countries, religious affiliation and education were not statistically associated with knowledge and stigmatizing attitude. Conclusions: The overall knowledge and willingness to associate with COVID-19 survivors among these study participants were fairly adequate and welcoming for the integration of COV-ID-19 survivors into normal living. Stakeholders should embark on COVID-19 stigmatization campaigns through a timely online update, van mobilization and mass media broadcasting aimed at stopping and preventing further stigma surrounding infected and recovered persons.","PeriodicalId":198307,"journal":{"name":"Journal of Refugee &amp; Global Health","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125021266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter from the Editor-in-Chief: Journal of Refugee & Global Health Volume 2 Issue 1","authors":"R. Carrico","doi":"10.55504/2473-0327.1036","DOIUrl":"https://doi.org/10.55504/2473-0327.1036","url":null,"abstract":"","PeriodicalId":198307,"journal":{"name":"Journal of Refugee &amp; Global Health","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124174123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Medical Evaluation of the Newly Resettled Female Refugee: A Narrative\u0000 Review","authors":"Anne Duckles, Aba Barden-Maja, Julie A. Caplow","doi":"10.18297/RGH/VOL1/ISS2/5/","DOIUrl":"https://doi.org/10.18297/RGH/VOL1/ISS2/5/","url":null,"abstract":"The number of forcibly displaced individuals worldwide is increasing each year, reaching 65 million persons by the end of 2015, half of which were women and children. As the population of displaced persons grows, it is every physician’s responsibility to understand these patients and their health needs. Refugee patients and the providers who care for them face many barriers to effective patient care, including language barriers, cultural differences, and systematic inequalities. Female refugees commonly experience gender-based violence, repetitive trauma, stigmatized mental illness, and cultural barriers to women’s healthcare. This review is intended to be a comprehensive guide for the provider caring for the recently resettled female refugee patient. It addresses general considerations for working with refugee patients, initial medical evaluation guidelines, specific women’s health issues, and mental health care of female refugee patients. DOI: 10.18297/rgh/vol1/iss2/5 Website: https://ir.library.louisville.edu/rgh Received Date: September 12, 2017 Accepted Date: April 3, 2018 Affiliations: 1Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 2Department of Medicine, University of Pennsylvania, Philadelphia, PA *Correspondence To: Anne Duckles (1) or Aba Barden-Maja M.D., M.S. (2) Work Address: (1) Perelman School of Medicine, 3400 Civic Center Blvd, Philadelphia, PA 19104; (2) M.S. Department of Medicine, Penn Center for Primary Care, MAB Suite 102, 3801 Market Street, Philadelphia, PA 19104. Work Email: (1) aduckles@mail.med.upenn.edu; (2) aba.barden-maja@uphs.upenn.edu Phone: (1) (585) 880-8435; (2) (215) 662-9990","PeriodicalId":198307,"journal":{"name":"Journal of Refugee &amp; Global Health","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124890722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Brandeis Human Rights Advocacy Program: Advancing Human Rights of the\u0000 Immigrant, Noncitizen and Refugee Community","authors":"Enid F. Trucios-Haynes","doi":"10.18297/RGH/VOL1/ISS2/3/","DOIUrl":"https://doi.org/10.18297/RGH/VOL1/ISS2/3/","url":null,"abstract":"","PeriodicalId":198307,"journal":{"name":"Journal of Refugee &amp; Global Health","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134029218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tetanus in an Unvaccinated Amish Woman After a Breech Home Delivery in Kentucky,\u0000 2016","authors":"V. Corcino, A. Yaffee, M. Pecchio, M. Powell, F. Arnold","doi":"10.18297/RGH/VOL1/ISS2/2/","DOIUrl":"https://doi.org/10.18297/RGH/VOL1/ISS2/2/","url":null,"abstract":"Tetanus was suspected at an outlying hospital where a partial dose of tetanus immune globulin and penicillin G were administered prior to her transfer to a tertiary care hospital. Her vital signs were normal. The patient was conscious, lying on her side with her neck arched back, jaw clenched. Because of laryngospasm and to prevent respiratory failure, the patient required intubation and mechanical ventilation. She continued to experience upper extremity contractures in response to any external stimuli; proximal greater than distal. She also experienced intermittent episodes of stiffening followed by tonic-clonic motion of her extremities. Initial laboratory values were within normal limits except for an elevated creatinine phosphokinase (CPK) of 2,352 IU/L (Figure 1). To eliminate ongoing potential source of infection from the uterus, dilation and suction curettage was performed, with limited products of conception removed and specimens sent for Gram stain, culture, and pathology evaluation. Considering the patient’s history of an absence of tetanus vaccination, muscle spasms, and increased CPK, the diagnosis was narrowed exclusively to tetanus, and broad-spectrum therapy was deescalated to metronidazole. In addition, the remaining dose of immune globulin was administered intramuscularly to complete a total dose of 6000 IU. Active vaccination with tetanus and diphtheria vaccine was provided. The Gram stain from the uterine sample revealed no organisms, the culture was negative, and pathology reported severe acute inflammation and necrosis. One week after hospitalization, she developed diaphoresis and severe upper extremity contractures provoked with minimal external stimuli and other complications (Figure 1). She was eventually discharged home in stable condition after a 41-day hospitalization. A public health response was initiated by the state and local health departments to prevent additional cases through vaccination (Yaffee et al., 2017). Tetanus in an Unvaccinated Amish Woman After a Breech Home Delivery in Kentucky, 2016","PeriodicalId":198307,"journal":{"name":"Journal of Refugee &amp; Global Health","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120974420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, Attitude and Practices Toward Nutrition and Diet During Pregnancy Among\u0000 Recently Delivered Women of Syrian Refugees","authors":"D. Harb, M. Haidar, E. Yazbeck","doi":"10.18297/rgh/vol1/iss2/6/","DOIUrl":"https://doi.org/10.18297/rgh/vol1/iss2/6/","url":null,"abstract":"The aim of this study is to assess the nutrition situation in terms of knowledge, attitude and practices (KAP) among recently delivered Syrian refugee women and to identify nutrition related KAP problems of this vulnerable population. An analytical descriptive cross-sectional study was conducted on a nonrandomized sample of one hundred recently delivered Syrian women from refugee background aged 18 years old and above who were admitted for delivery to the obstetric unit of a governmental hospital located in Beirut, Lebanon. The study reveals that fifty-six percent of the studied population was not knowledgeable about maternal nutrition during pregnancy, twenty-five percent had a negative attitude toward antenatal care (ANC) services and nutrition during pregnancy and forty-seven percent of the participants were having bad dietary practices during pregnancy. Knowledge, attitude and practices toward nutrition and diet during pregnancy are still lacking among this sensitive population. DOI: 10.18297/rgh/vol1/iss2/6 Submitted Date: June 6, 2017 Accepted Date: March 20, 2018 Website: https://ir.library.louisville.edu/rgh Affiliations: 1Holy Spirit University of Kaslik, Faculty of Agricultural and Food Sciences, B. P. 446 Jounieh, Lebanon 2Lebanese University, Faculty of Public Health, Beirut, Lebanon *Correspondence To: Dana Harb, MSc Work Address: Holy Spirit University of Kaslik, Faculty of Agricultural and Food Sciences, B. P. 446 Jounieh, Lebanon Work Email: dannaharb@gmail.com 32 Original Research © ULJRGH 2018 Vol 1, (2) The objective of this study is to assess the nutrition situation in terms of knowledge, attitude and practices (KAP) among recently delivered Syrian refugee women and to identify nutrition related KAP problems of the studied population. Several hypotheses were identified as follows: 1. Nutritional knowledge is associated with maternal educational level, access to ANC services and newborn birth weight among Syrian refugees. 2. Women’s attitude toward nutrition is related to maternal educational level, access to ANC services and newborn birth weight among Syrian refugees. 3. Dietary practice is associated with maternal educational level, access to ANC services and newborn birth weight among Syrian refugees. Materials and Methods An analytical descriptive cross-sectional study was conducted on 100 recently delivered Syrian women from a refugee background aged 18 years old and above to assess their knowledge, attitude and practices toward nutrition during pregnancy. Institutional Review Board (IRB) approval has been issued from the hospital to access the medical records of each Syrian pregnant woman admitted for delivery to the obstetric unit of Rafik Hariri University Hospital (RHUH), the largest governmental hospital located in Beirut, Lebanon. All women who were included in the study were interviewed after delivery and given a consent form to confirm their participation in the study; accordingly, a face to face questionnaire was ","PeriodicalId":198307,"journal":{"name":"Journal of Refugee &amp; Global Health","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128512167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}