Health Status of Pediatric Refugees in Portland, Me

Hayes, Edward B.; Talbot, Susan B.; Matheson, Elizabeth S.; Pressler, Hannah M.; Hanna, Amina B.; McCarthy, Carol A.

doi:10.1001/archpedi.152.6.564

Cited by 52 publications

(49 citation statements)

References 12 publications

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“…188 In two studies of refugee children with mean ages of 7 and 10 years, respectively, from several different world regions (Africa, former Soviet Union and Yugoslavia, Asia), the seroprevalence of hepatitis B surface antigen was 6.5% and 4%, respectively, and the prevalence of prior infection was 30% and 21%, respectively. 189,190 Although these data might not be representative of all immigrant children, they suggest that it would also be cost-effective to do serologic testing for prior infection before vaccinating children.…”

Section: Prevaccination Screening For Prior Immunitymentioning

confidence: 99%

Evidence-based clinical guidelines for immigrants and refugees

Pottie¹,

Greenaway²,

Feightner³

et al. 2010

Canadian Medical Association Journal

397

333

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Section: Prevaccination Screening For Prior Immunitymentioning

confidence: 99%

Evidence-based clinical guidelines for immigrants and refugees

Pottie¹,

Greenaway²,

Feightner³

et al. 2010

Canadian Medical Association Journal

397

333

View full text Add to dashboard Cite

“…Given this, refugee children are often not surprisingly found to have substantial disease burden at initial medical screening appointments upon arrival to the United States. For example, rates of positive purified protein derivative (PPD) tests have ranged from 20% in Buffalo, NY to 35% in Portland, Maine [1][2][3]. Eleven percent of newly arrived refugee children in Massachusetts were found to have elevated lead levels [4].…”

Section: Introductionmentioning

confidence: 99%

“…When the authors looked specifically at African children, 27% had elevated lead levels. Of children returning stool samples, studies have shown rates of pathogenic parasites from 21 to 46% [2,3,5]. Significant rates of anemia, malnutrition, positive hepatitis B surface antigen, and dental caries have also been found [1-3, 5, 6].…”

Section: Introductionmentioning

confidence: 99%

Health Care Utilization of Refugee Children After Resettlement

Watts

Friedman

Vivier

et al. 2011

J Immigrant Minority Health

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Refugee children can have significant health problems. Our objective was to describe health status and health care utilization of refugee children after resettlement. A retrospective chart review of refugee children was performed. Initial laboratory data was extracted. Primary care visits, emergency room visits, and subspecialty referrals in the first 15 months from arrival were recorded. The sample included 198 refugees, many with positive initial screening tests. After arrival, 21% had an emergency department visit, 40% had a primary care sick visit, and 71% had a primary care follow-up. Mean number of visits ranged from 0.3 for emergency department to 1.9 for follow-up. Fifty-seven percent were referred to at least one subspecialist. Refugee children had substantial disease burden at arrival. Most had primary care follow-up visits and subspecialty referral after resettlement. These visits were largely for problems identified on initial screening and for general pediatric illnesses.

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“…For example, refugee children frequently experience malnutrition, anemia, and poor growth 6 and are also at an increased risk for certain conditions, such as hepatitis, intestinal parasitoses, latent tuberculosis infection, and dental problems. [7][8][9][10] Vastly different health care beliefs, as well as cultural and linguistic barriers, contribute to their difficulties in gaining access to health care services in the United States.…”

mentioning

confidence: 99%

Dental Caries of Refugee Children Compared With US Children

et al. 2004

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ABSTRACT. Objective. Dental care is a major unmet health need of refugee children. Many refugee children have never received oral health care or been exposed to common preventive oral health measures, such as a toothbrush, fluoridated toothpaste, or fluoridated water. Oral health problems among refugee children are most likely to be detected first by pediatricians and family practitioners. Given the increased influx of refugees into the United States, particularly children, it is important for the pediatric community to be aware of potential oral health problems among refugee children and be able to make referrals for treatment and recommendations for the prevention of future oral diseases. The purpose of this study was to describe the prevalence of caries experience and untreated decay among newly arrived refugee children stratified by their region of origin and compared with US children.Methods. Oral health assessments were conducted within 1 month of arrival to the United States as part of the Refugee Health Assessment Program of the Massachusetts Department of Public Health. The outcome variables include caries experience and untreated decay. Caries experience is determined by the presence of an untreated caries lesion, a restoration, or a permanent molar tooth that is missing because it has been extracted as a result of dental caries. Untreated caries is detected when 0.5 mm of tooth structure is lost and there is brown coloration of the walls of the cavity. Comparisons of the refugee children with US children in Third National Health and Nutrition Examination Survey data were made using 2 test of independence and multiple logistic regression.Results. Oral health screenings were performed on 224 newly arrived refugees who ranged in age from 6 months to 18 years and had a mean age of 10.6 years (SD: 4.82; median: 10.7 years). African refugees represented 53.6%, with the majority from Somalia, Liberia, and Sudan. Eastern European refugees composed 26.8% of the study sample. The remaining 19.6% come from a number of countries, such as Afghanistan, Pakistan, and the Middle East. Refugee children had 51.3% caries experience and 48.7% with untreated decay. Caries experience in refugees varied by region of origin, with 38% from Africa exhibiting a history of caries compared with 79.7% of Eastern Europeans. The highest proportion of children with no obvious dental problems was from Africa (40.5%) compared with 16.9% from Eastern Europe. US children had caries experience similar to that of refugees (49.3%) but significantly lower risk of untreated decay (22.8%). Comparisons between refugee children and US children found significant differences for treatment urgency, untreated caries, extent of dental caries, and presence of oral pain. White refugee children, primarily from Eastern Europe, were 2.8 times as likely to have caries experience compared with white US children, with 9.4 times the risk of untreated decay compared with white US children. In contrast, African refugee children were only half as likely to have ...

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Health Status of Pediatric Refugees in Portland, Me

Cited by 52 publications

References 12 publications

Evidence-based clinical guidelines for immigrants and refugees

Evidence-based clinical guidelines for immigrants and refugees

Health Care Utilization of Refugee Children After Resettlement

Dental Caries of Refugee Children Compared With US Children

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