Evidence map›Paper›PMID 26175382›Full record

ArticleCanadian family physician Medecin de famille canadien2015

Health status of newly arrived refugees in Toronto, Ont: Part 2: chronic diseases.

Vanessa J Redditt, Daniela Graziano, Praseedha Janakiram, Meb Rashid

Open access · greenAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
7.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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  9. Health Status of Afghan Refugees in Europe: Policy and Practice Implications for an Optimised Healthcare.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Vanessa J ReddittFellow in the Global Health and Vulnerable Populations program in the Department of Family and Community Medicine (DFCM) at the University of Toronto in Ontario. vredditt@gmail.com.
Daniela GrazianoSummer 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.
Praseedha JanakiramStaff physician at the Crossroads Clinic and Lecturer in the DFCM at the University of Toronto.
Meb RashidDirector of the Crossroads Clinic and Lecturer in the DFCM at the University of Toronto.
College of the Holy Cross · USInstitute of Population and Public Health · CAWomen's College Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the prevalence of selected chronic diseases among newly arrived refugee patients and to explore associations with key demographic factors.

designRetrospective chart review.

settingPrimary care clinic for refugee patients in Toronto, Ont.

participantsA total of 1063 refugee patients rostered at the clinic from December 2011 to June 2014.

main outcome measuresDemographic information (age, sex, and region of birth) and prevalence of abnormal Papanicolaou test results, anemia, elevated blood pressure (BP), and markers of prediabetes or diabetes (elevated random glucose, fasting glucose, or hemoglobin A1c levels).

resultsMore than half of our patients were female (56%) and the median age was 29 years. Patients originated from 87 different countries of birth. Top source countries were Hungary (210 patients), North Korea (119 patients), and Nigeria (93 patients). Most patients were refugee claimants (92%), as opposed to government-assisted refugees (5%). Overall, 11% of female patients who underwent Pap tests had abnormal cervical cytology findings, with the highest rates among women from Asia (26%, P = .028). The prevalence of anemia among children younger than 15 years was 11%; for children younger than 5 years the prevalence was 14%. Approximately 25% of women older than 15 years had anemia, with the highest rates among African women (37%, P < .001). Elevated BP was observed in 30% of adult patients older than 15 years, with higher prevalence among male patients (38%, P < .001) and patients from Europe (42%, P < .001). Laboratory markers of prediabetes or diabetes were identified in 8% of patients older than 15 years, with higher rates among patients from Europe (15%, P = .026).

conclusionThis study found a notable burden of chronic diseases among refugee patients, including anemia, elevated BP, and impaired glycemic control, as well as abnormal cervical cytology findings. These results underscore the importance of accessible, comprehensive primary care for refugees, with attention to prevention and management of chronic diseases in addition to management of infectious disease.

Indexed as

Health StatusAdolescentAdultAmbulatory Care FacilitiesAnemiaBlood PressureChronic DiseaseDiabetes MellitusFemaleHumansMaleMiddle AgedOntarioPapanicolaou TestRefugeesRetrospective Studies

Identifiers

PMID26175382
PMCPMC4501621
OpenAlexW2174417672

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.