Growth Trajectories of Refugee and Nonrefugee Children in the United States

Dawson-Hahn, Elizabeth; Pak-Gorstein, Suzinne; Matheson, Jasmine; Zhou, Chuan; Yun, Katherine; Scott, Kevin; Payton, Colleen; Stein, Elizabeth; Holland, Annette; Grow, H. Mollie; Mendoza, Jason A.

doi:10.1542/peds.2016-0953

Cited by 29 publications

(34 citation statements)

References 29 publications

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“…The Karen, an ethnic minority from Burma, have been arriving in large numbers in more recent years (Minnesota Department of Health). Overweight status and obesity rates are highest among Hmong and Karen compared to other Asian ethnic groups in Minnesota (Arcan et al, 2014; Franzen and Smith, 2009; Mulasi-Pokhriyal et al, 2012; Dawson-Hahn et al, 2016). Western diet acculturation, previous exposure to food insecurity, and physical inactivity have been identified as contributing factors (Franzen and Smith, 2009; Mulasi-Pokhriyal et al, 2012) although they do not fully explain risk of obesity.…”

Section: Introductionmentioning

confidence: 98%

US Immigration Westernizes the Human Gut Microbiome

Vangay

Johnson

Ward

et al. 2018

Cell

600

498

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Summary Many United States immigrant populations develop metabolic diseases post-immigration, but the causes are not well understood. Although the microbiome plays a role in metabolic disease, there have been no studies measuring the effects of U.S. immigration on the gut microbiome. We collected stool, dietary recalls, and anthropometrics from 514 Hmong and Karen individuals living in Thailand and the U.S., including first- and second-generation immigrants and 19 Karen individuals sampled before and after immigration, as well as from 36 U.S.-born European American individuals. Using 16S and deep shotgun metagenomic DNA sequencing, we found that migration from a non-Western country to the U.S. is associated with immediate loss of gut microbiome diversity and function, in which U.S.-associated strains and functions displace native strains and functions. These effects increase with duration of U.S. residence, and are compounded by obesity and across generations.

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Section: Introductionmentioning

confidence: 98%

US Immigration Westernizes the Human Gut Microbiome

Vangay

Johnson

Ward

et al. 2018

Cell

600

498

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“…Often facing harrowing, traumatic conditions in their countries of origin, during their journeys, and upon resettlement, refugees are at risk for psychological distress, infectious diseases, obesity, and other chronic conditions. [1][2][3][4] The Centers for Disease Control and Prevention (CDC) recommends that refugees receive a domestic medical examination within 30 to 90 days of U.S. arrival. 5 Connecting refugees to patientcentered medical homes (PCMH) for the domestic examination or immediately thereafter can facilitate continuous, comprehensive, family-centered, and culturally effective care.…”

Section: Introductionmentioning

confidence: 99%

Connecting Refugees to Medical Homes Through Multi-Sector Collaboration

Michael

Brady

Russell

et al. 2018

J Immigrant Minority Health

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As increasing numbers of refugees have resettled globally, an interdisciplinary group of stakeholders in Forsyth, North Carolina, recognized obstacles preventing coordinated medical care, which inspired the development of our Refugee Health Collaborative. This study assessed the Collaborative's impact on access to coordinated care within patient-centered medical homes (PCMH). A Collaborative-developed novel algorithm guided the process by which refugees establish care in PCMHs. All refugees who established medical care in the two primary health systems in our county (n = 285) were included. Logistic non-linear mixed models were used to estimate the differences between three time frames: pre-algorithm, algorithm implementation and refinement, and ongoing algorithm implementation. After algorithm implementation, there has been a significant decrease in the time required to establish care in PCMHs, increased provider acknowledgment of refugee status, and decreased emergency department (ED) visits. Multi-disciplinary, organized collaboration can facilitate enhanced access to care for refugee families at the population level.

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“…Although the nutrition transition is well underway in LMIC settings, there remains a paucity of data documenting trends in nutritional status of marginalised populations in these contexts, particularly for pregnant refugee and migrant women. Most of the published data on these populations come from refugee and migrant populations resettled in high-income countries (21,22) . With a growing global need to address the health of refugees, displaced persons and migrant communities in both LMIC and high-income countries, we examine changes in nutritional status among pregnant women from the Thailand-Myanmar border: in the setting of a protracted refugee situation and among a large and growing migrant worker population from Myanmar.…”

mentioning

confidence: 99%

Nutrition in transition: historical cohort analysis summarising trends in under- and over-nutrition among pregnant women in a marginalised population along the Thailand–Myanmar border from 1986 to 2016

Hashmi

Lee

et al. 2019

Br J Nutr

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The objective of the present study is to summarise trends in under- and over-nutrition in pregnant women on the Thailand–Myanmar border. Refugees contributed data from 1986 to 2016 and migrants from 1999 to 2016 for weight at first antenatal consultation. BMI and gestational weight gain (GWG) data were available during 2004–2016 when height was routinely measured. Risk factors for low and high BMI were analysed for <18·5 kg/m2 or ≥23 kg/m2, respectively. A total of 48 062 pregnancies over 30 years were available for weight analysis and 14 646 pregnancies over 13 years (2004–2016) had BMI measured in first trimester (<14 weeks’ gestational age). Mean weight at first antenatal consultation in any trimester increased over the 30-year period by 2·0 to 5·2 kg for all women. First trimester BMI has been increasing on average by 0·5 kg/m2 for refugees and 0·6 kg/m2 for migrants, every 5 years. The proportion of women with low BMI in the first trimester decreased from 16·7 to 12·7 % for refugees and 23·1 to 20·2 % for migrants, whereas high BMI increased markedly from 16·9 to 33·2 % for refugees and 12·3 to 28·4 % for migrants. Multivariate analysis demonstrated low BMI as positively associated with being Burman, Muslim, primigravid, having malaria during pregnancy and smoking, and negatively associated with refugee as opposed to migrant status. High BMI was positively associated with being Muslim and literate, and negatively associated with age, primigravida, malaria, anaemia and smoking. Mean GWG was 10·0 (sd 3·4), 9·5 (sd 3·6) and 8·3 (sd 4·3) kg, for low, normal and high WHO BMI categories for Asians, respectively.

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Growth Trajectories of Refugee and Nonrefugee Children in the United States

Cited by 29 publications

References 29 publications

US Immigration Westernizes the Human Gut Microbiome

US Immigration Westernizes the Human Gut Microbiome

Connecting Refugees to Medical Homes Through Multi-Sector Collaboration

Nutrition in transition: historical cohort analysis summarising trends in under- and over-nutrition among pregnant women in a marginalised population along the Thailand–Myanmar border from 1986 to 2016

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