Evidence map›Paper›PMID 30779759›Full record

ArticlePloS one2019

San Antonio refugees: Their demographics, healthcare profiles, and how to better serve them.

Fadi W Adel, Eden Bernstein, Michael Tcheyan, Shane Ali, Heidi Worabo, Moshtagh Farokhi, Andrew E Muck

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
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

7 authors at 3 institutions in 1 country.

Fadi W AdelDepartment of Internal Medicine, Mayo Clinic, Rochester, Minnesota, United States of America.ORCID 0000-0003-2143-6826
Eden BernsteinDepartment of Internal Medicine, Cleveland Clinic, Cleveland, Ohio, United States of America.
Michael TcheyanThe San Antonio Refugee Health Clinic, The Student-Faculty Collaborative Practices Program, The Center for Medical Humanities and Ethics, The Long School of Medicine, The University of Texas Health San Antonio, San Antonio, Texas, United States of America.
Shane AliThe San Antonio Refugee Health Clinic, The Student-Faculty Collaborative Practices Program, The Center for Medical Humanities and Ethics, The Long School of Medicine, The University of Texas Health San Antonio, San Antonio, Texas, United States of America.
Heidi WoraboThe San Antonio Refugee Health Clinic, The Student-Faculty Collaborative Practices Program, The Center for Medical Humanities and Ethics, The Long School of Medicine, The University of Texas Health San Antonio, San Antonio, Texas, United States of America.ORCID 0000-0001-9300-0592
Moshtagh FarokhiThe San Antonio Refugee Health Clinic, The Student-Faculty Collaborative Practices Program, The Center for Medical Humanities and Ethics, The Long School of Medicine, The University of Texas Health San Antonio, San Antonio, Texas, United States of America.
Andrew E MuckThe San Antonio Refugee Health Clinic, The Student-Faculty Collaborative Practices Program, The Center for Medical Humanities and Ethics, The Long School of Medicine, The University of Texas Health San Antonio, San Antonio, Texas, United States of America.
The University of Texas Health Science Center at San Antonio · USCleveland Clinic · USMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe recent refugee crisis has resulted in the largest burden of displacement in history, with the US being the top resettlement country since 1975. Texas welcomed the second most US-bound refugees in 2016, with a large percentage arriving in San Antonio. Yet, the composition of the San Antonio refugees has not been described and their healthcare needs remain ill-defined. Through this study, we aim at elucidating their demographics and healthcare profiles, with the goal of devising recommendations to help guide refugee program development and guide other refugee resettlement programs.

methodsData from 731 charts belonging to 448 patients at the San Antonio Refugee Health Clinic (SARHC) were extracted and analyzed. Data included age, gender, country of origin, first language, interpretation need, health insurance status, medical history, vital signs, diagnoses, and prescribed medications.

resultsWomen constituted the majority of patients (n = 267; 56.4%), and the median age of all patients was 39 (Q1:26, Q3:52). Nepali-speaking Bhutanese patients were the most represented group (n = 107, 43.1%), followed by Iraqi (n = 35, 14.1%), Burmese (n = 30, 12.1%), and Iranian (n = 19, 7.7%) refugees. Of those who responded, 200 (86.6%) did not have any form of health insurance. Additionally, 262 (50.9%) had a body-mass index (BMI) in the overweight or obese range. Further, 61.4% (n = 337) had blood pressures in the hypertensive range, while 9.3% (n = 51) had an elevated blood pressure. On average, each patient had 1.9 complaints, with abdominal pain, headaches, and cough being the predominant complaints. Allergic rhinitis, viral upper respiratory infections, and elevated blood pressure were the most common diagnoses. However, the list of common diagnoses differed per country of origin.

conclusionThe SARHC demographics were different from those of other Texas refugees. The rate of the uninsured and the burden of non-communicable diseases were high. Furthermore, each refugee subgroup had a different set of common problems. These findings reveal important considerations for refugee healthcare providers and the unique approach that may be required for different communities.

Indexed as

Health Services AccessibilityRefugeesAdolescentAdultAgedAged, 80 and overAge FactorsChildChild, PreschoolCost of IllnessFemaleHumansInfantMaleMiddle AgedSex Factors

Identifiers

PMID30779759
PMCPMC6380579
OpenAlexW2917997745

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.