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Research ArticleResearch

Health status of newly arrived refugees in Toronto, Ont

Part 2: chronic diseases

Vanessa J. Redditt, Daniela Graziano, Praseedha Janakiram and Meb Rashid
Canadian Family Physician July 2015; 61 (7) e310-e315;
Vanessa J. Redditt
Fellow in the Global Health and Vulnerable Populations program in the Department of Family and Community Medicine (DFCM) at the University of Toronto in Ontario.
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  • For correspondence: vredditt{at}gmail.com
Daniela Graziano
Summer research intern at the Crossroads Clinic at Women’s College Hospital in Toronto through the Women’s College Hospital Institute for Health System Solutions and Virtual Care program.
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Praseedha Janakiram
Staff physician at the Crossroads Clinic and Lecturer in the DFCM at the University of Toronto.
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Meb Rashid
Director of the Crossroads Clinic and Lecturer in the DFCM at the University of Toronto.
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Article Figures & Data

Tables

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    Table 1.

    Prevalence of abnormal Papanicolaou test results for female patients 15 y and older

    VARIABLENO. OF POSITIVE RESULTS (NO. OF AVAILABLE RESULTS)PREVALENCE, %P VALUE
    Total31 (284)11
    Age group, y.09
      • 15–297 (82)9
      • 30–4418 (158)11
      • 45–593 (37)8
      • ≥ 603 (7)43
    Region8.028
      • Africa11 (120)9
      • Americas*2 (24)8
      • Asia†12 (47)26
      • Eastern
    Mediterranean
    1 (21)5
      • Europe5 (72)7
    • ↵* Excludes patients born in Canada and the United States.

    • ↵† Asia region includes World Health Organization regions8 of South-East Asia and the Western Pacific.

    • View popup
    Table 2.

    Prevalence of anemia among clinic patients

    VARIABLECHILDREN < 15 Y OLD (HEMOGLOBIN CUTOFF BY AGE*)FEMALES ≥ 15 Y OLD (HEMOGLOBIN < 120 g/L)MALES ≥ 15 Y OLD (HEMOGLOBIN < 130 g/L)
    NO. OF POSITIVE RESULTS (NO. OF AVAILABLE RESULTS)PREVALENCE, %P VALUENO. OF POSITIVE RESULTS (NO. OF AVAILABLE RESULTS)PREVALENCE, %P VALUENO. OF POSITIVE RESULTS (NO. OF AVAILABLE RESULTS)PREVALENCE, %P VALUE
    Total18 (170)11111 (438)258 (311)3
    Region8.48< .001.99
      • Africa6 (55)1164 (172)373 (96)3
      • Americas†4 (22)184 (34)120 (14)0
      • Asia‡2 (38)512 (67)181 (36)3
      • Eastern
    Mediterranean
    2 (12)1714 (51)272 (80)2
      • Europe4 (43)917 (114)152 (84)2
    • NA—not applicable.

    • ↵* For children 6–59 mo, anemia was defined as hemoglobin < 110 g/L. For children 5–11 y, anemia was defined as hemoglobin < 115 g/L. For children 12–14 y, anemia was defined as hemoglobin < 120 g/L. Infants < 6 mo were not routinely tested for anemia and so were not included in this analysis.

    • ↵† Excludes patients born in Canada and the United States.

    • ↵‡ Asia region includes World Health Organization regions8 of South-East Asia and the Western Pacific.

    • View popup
    Table 3.

    Prevalence of elevated BP and impaired glycemic control in clinic patients 15 y and older

    VARIABLEELEVATED BP (SBP ≥ 130 mm Hg OR DBP ≥ 85 mm Hg)IMPAIRED GLYCEMIC CONTROL (FBG ≥ 6.1 mmol /L OR RBG ≥ 11.1 mmol/L OR HbA1C ≥ 6%)
    NO. OF POSITIVE RESULTS (NO. OF AVAILABLE RESULTS)PREVALENCE, %P VALUENO. OF POSITIVE RESULTS (NO. OF AVAILABLE RESULTS)PREVALENCE, %P VALUE
    Total219 (742)3058 (684)8
    Sex< .001.10
      • Male119 (316)3830 (282)11
      • Female100 (426)2328 (402)7
    Age group, y< .001< .001
      • 15–2935 (265)134 (225)2
      • 30–4489 (329)2716 (320)5
      • 45–5966 (111)5923 (104)22
      • ≥ 6029 (37)7815 (35)43
    Region8< .001.026
      • Africa72 (258)2816 (247)6
      • Americas*9 (50)183 (47)6
      • Asia†22 (100)226 (91)7
      • Eastern
    Mediterranean
    28 (124)236 (114)5
      • Europe88 (210)4227 (185)15
    • BP—blood pressure, DBP—diastolic blood pressure, FBG—fasting blood glucose, HbA1c—hemoglobin A1c, RBG—random blood glucose, SBP—systolic blood pressure.

    • ↵* Excludes patients born in Canada and the United States.

    • ↵† Asia region includes World Health Organization regions8 of South-East Asia and the Western Pacific.

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Canadian Family Physician: 61 (7)
Canadian Family Physician
Vol. 61, Issue 7
1 Jul 2015
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Health status of newly arrived refugees in Toronto, Ont
Vanessa J. Redditt, Daniela Graziano, Praseedha Janakiram, Meb Rashid
Canadian Family Physician Jul 2015, 61 (7) e310-e315;

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