Evidence map›Paper›PMID 41107900›Full record

ArticleBMC health services research2025

Health status and care utilization among Afghan refugees recently resettled in Calgary, Canada between 2011-2020.

Hannah Smati, Nour Hassan, Mohammad Yasir Essar, Fawzia Abdaly, Shayesta Noori, Rabina Grewal, Eric Norrie, Rachel Talavlikar, Julia Bietz, Sarah L Kimball and 3 more

Abstract read
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Article
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

13 authors.

Hannah SmatiDepartment of Medicine, Baylor College of Medicine, Houston, TX, USA.
Nour HassanDepartment of Community Health Sciences, Cumming School of Medicine, Refugee Health YYC, O'Brien Institute for Public Health, University of Calgary, 3E28 TRW Building, 32380 Hospital Drive NW, Calgary, AB, T2N-4Z6, Canada.
Mohammad Yasir EssarDepartment of Community Health Sciences, Cumming School of Medicine, Refugee Health YYC, O'Brien Institute for Public Health, University of Calgary, 3E28 TRW Building, 32380 Hospital Drive NW, Calgary, AB, T2N-4Z6, Canada.
Fawzia AbdalyDepartment of Community Health Sciences, Cumming School of Medicine, Refugee Health YYC, O'Brien Institute for Public Health, University of Calgary, 3E28 TRW Building, 32380 Hospital Drive NW, Calgary, AB, T2N-4Z6, Canada.
Shayesta NooriCalgary Refugee Health Clinic, Calgary, AB, Canada.
Rabina GrewalDepartment of Community Health Sciences, Cumming School of Medicine, Refugee Health YYC, O'Brien Institute for Public Health, University of Calgary, 3E28 TRW Building, 32380 Hospital Drive NW, Calgary, AB, T2N-4Z6, Canada.
Eric NorrieDepartment of Community Health Sciences, Cumming School of Medicine, Refugee Health YYC, O'Brien Institute for Public Health, University of Calgary, 3E28 TRW Building, 32380 Hospital Drive NW, Calgary, AB, T2N-4Z6, Canada.
Rachel TalavlikarDepartment of Community Health Sciences, Cumming School of Medicine, Refugee Health YYC, O'Brien Institute for Public Health, University of Calgary, 3E28 TRW Building, 32380 Hospital Drive NW, Calgary, AB, T2N-4Z6, Canada.
Julia BietzDepartment of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Sarah L KimballBoston University School of Medicine, Boston Medical Center, Boston, MA, USA.
Annalee CoakleyDepartment of Community Health Sciences, Cumming School of Medicine, Refugee Health YYC, O'Brien Institute for Public Health, University of Calgary, 3E28 TRW Building, 32380 Hospital Drive NW, Calgary, AB, T2N-4Z6, Canada.
Avik ChatterjeeBoston University School of Medicine, Boston Medical Center, Boston, MA, USA.
Gabriel E FabreauDepartment of Community Health Sciences, Cumming School of Medicine, Refugee Health YYC, O'Brien Institute for Public Health, University of Calgary, 3E28 TRW Building, 32380 Hospital Drive NW, Calgary, AB, T2N-4Z6, Canada. gefabrea@ucalgary.ca.

Funding

M.S.I. Foundation 888University of Calgary, O'Brien Institute for Public Health 201812VP _ GFAB
6 · The paper itself

Abstract

backgroundThe United States and Canada have resettled over 120,000 Afghan refugees since August 2021, but sociodemographic and health status data remains sparse with investigations often limited to refugee entrance exams, standardized health screenings, or acute health settings.

methodsThis retrospective community-engaged cross-sectional study investigated Afghan patients who received care between January 1, 2011 and December 31, 2020 at an interdisciplinary specialized refugee clinic in Calgary, Canada that provides care to newly arrived refugees. Two reviewers independently extracted and manually verified sociodemographic factors, medical diagnoses, and clinic utilization variables from patients’ electronic medical records, then coded patient diagnoses into ICD-10 codes and chapter groups. Diagnosis frequencies were calculated and stratified by age group and sex. We corroborated these findings with Afghan refugee co-investigators.

findingsAmong 402 Afghan refugee patients, 228 were adults (mean age 34.2 [SD 13] years), and 174 were children (mean age 7.5 [SD 5.4] years). We identified 1535 total individual diagnoses and classified them into 382 unique ICD-10 codes. Patients had a median 2 diagnoses each [IQR 0–6], 4 clinic visits across primary, specialty and multidisciplinary care annually, and an 11% appointment no-show rate. Among adults, the most frequent diagnoses were abdominal pain (26.3%, 60/228), mechanical back pain (20.2%, 46/228), and H. pylori infection (19.3%, 44/228). Among children, the most frequent diagnoses were upper respiratory tract infection (12.1%, 21/174), Giardia (10.3%, 18/174), and short stature (7.5%, 13/174).

conclusionsRecently resettled Afghan refugees in Canada were relatively young, experienced diverse health characteristics, and had multi-specialty care engagement in their first two years after arrival. These findings may guide specialized healthcare provision to this inadequately characterized but growing population of refugee arrivals in North America and elsewhere.

Indexed as

Health StatusPatient Acceptance of Health CareRefugeesAdolescentAdultAfghanistanCanadaChildChild, PreschoolCross-Sectional StudiesFemaleHumansInfantMaleMiddle AgedRetrospective StudiesAfghan refugee healthGlobal healthOperation allies welcomePrimary careRefugee health

Identifiers

PMID41107900
PMCPMC12534999

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.