Prevalence of chronic disease risk factors in 35- to 44-year-old humanitarian arrivals to New South Wales (NSW), Australia

Chandra, Meena; Duri, Anthea; Smith, Mitchell

doi:10.1071/py18042

Cited by 4 publications

(8 citation statements)

References 10 publications

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“…Women born in Afghanistan, Bhutan, Iraq, and Myanmar, had poor maternal health, poor pregnancy care attendance, and late booking of visits [ 46 ]. People arriving through HSPs aged 35–44 years from Asia (e.g., Iraq and Middle Eastern countries) had higher triglycerides, hypertension, and smoking than their Australian-born counterparts [ 47 ].…”

Section: Resultsmentioning

confidence: 99%

Access to health services among culturally and linguistically diverse populations in the Australian universal health care system: issues and challenges

Khatri

Assefa

2022

BMC Public Health

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Background About half of first- or second-generation Australians are born overseas, and one-in-five speak English as their second language at home which often are referred to as Culturally and Linguistically Diverse (CALD) populations. These people have varied health needs and face several barriers in accessing health services. Nevertheless, there are limited studies that synthesised these challenges. This study aimed to explore issues and challenges in accessing health services among CALD populations in Australia. Methods We conducted a scoping review of the literature published from 1st January 1970 to 30th October 2021 in four databases: PubMed, Scopus, Embase, and the Web of Science. The search strategy was developed around CALD populations and the health services within the Australian context. We used Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines for selection and Arksey and O’Malley framework for analysis of relevant articles. A narrative synthesis of data was conducted using inductive thematic analysis approach. Identified issues and challenges were described using an adapted socioecological model. Results A total of 64 studies were included in the final review. Several challenges at various levels were identified to influence access to health services utilisation. Individual and family level challenges were related to interacting social and health conditions, poor health literacy, multimorbidity, diminishing healthy migrants’ effect. Community and organisational level challenges were acculturation leading to unhealthy food behaviours and lifestyles, language and communication problems, inadequate interpretation services, and poor cultural competency of providers. Finally, challenges at systems and policy levels included multiple structural disadvantages and vulnerabilities, inadequate health systems and services to address the needs of CALD populations. Conclusions People from CALD backgrounds have multiple interacting social factors and diseases, low access to health services, and face challenges in the multilevel health and social systems. Health systems and services need to focus on treating multimorbidity through culturally appropriate health interventions that can effectively prevent and control diseases. Existing health services can be strengthened by ensuring multilingual health resources and onsite interpreters. Addressing structural challenges needs a holistic policy intervention such as improving social determinants of health (e.g., improving living and working conditions and reducing socioeconomic disparities) of CALD populations, which requires a high level political commitment.

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Section: Resultsmentioning

confidence: 99%

Access to health services among culturally and linguistically diverse populations in the Australian universal health care system: issues and challenges

Khatri

Assefa

2022

BMC Public Health

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“…In terms of the exposure, seventeen reports related to conflict situations [ 41 – 57 ], sixteen to long-standing refugee situations [ 58 – 73 ], thirteen to natural disasters [ 74 – 86 ] and ten included mixed exposures [ 87 – 96 ]. Several crises were the subject of multiple studies.…”

Section: Resultsmentioning

confidence: 99%

“…Several crises were the subject of multiple studies. The Great East Japan Earthquake was the exclusive exposure of nine reports [ 77 – 84 , 86 ], the internal conflict in Syria of seven reports [ 41 , 50 – 53 , 55 , 57 ] and the Palestinian situation of six reports [ 58 , 61 , 62 , 70 , 71 , 73 ]. The map in Fig 2A shows the countries where exposures occurred, based on the number of reports mentioning those countries.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of the burden of, access to services for and perceptions of patients with overweight and obesity, in humanitarian crisis settings

Shortland

McGranahan

Stewart³

et al. 2023

PLoS ONE

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Introduction Excess body weight causes 4 million deaths annually across the world. The number of people affected by humanitarian crises stands at a record high level with 1 in 95 people being forcibly displaced. These epidemics overlap. Addressing obesity is a post-acute phase activity in non-communicable disease management in humanitarian settings. Information is needed to inform guidelines and timing of interventions. The objective of this review was to explore the prevalence of overweight and obesity in populations directly affected by humanitarian crises; the cascade of care in these populations and perceptions of patients with overweight and obesity. Methods Literature searches were carried out in five databases. Grey literature was identified. The population of interest was non-pregnant, civilian adults who had experience of humanitarian crises (armed conflict, complex emergencies and natural disasters). All study types published from January 1st, 2011, were included. Screening, data extraction and quality appraisal were carried out in duplicate. A narrative synthesis is presented. Results Fifty-six reports from forty-five studies were included. Prevalence estimates varied widely across the studies and by subgroups. Estimates of overweight and obesity combined ranged from 6.4% to 82.8%. Studies were heterogenous. Global distribution was skewed. Increasing adiposity was seen over time, in older adults and in women. Only six studies were at low risk of bias. Body mass index was the predominant measure used. There were no studies reporting cascade of care. No qualitative studies were identified. Conclusion Overweight and obesity varied in crisis affected populations but were rarely absent. Improved reporting of existing data could provide more accurate estimates. Worsening obesity may be prevented by acting earlier in long-term crises and targeting risk groups. The use of waist circumference would provide useful additional information. Gaps remain in understanding the existing cascade of care. Cultural norms around diet and ideal body size vary.

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“…Certain ethnic communities in Australia have a higher burden of disease than the general Australian population with higher rates of all‐cause mortality and hospitalisations due to chronic disease 1 . Recent research indicates a high prevalence of chronic disease risk factors in recently arrived humanitarian entrants 2 . With nearly 12% of Australians born overseas, not speaking English at home or speaking it poorly, 3 it is imperative that members of culturally and linguistically diverse (CALD) communities are able to access culturally tailored resources to facilitate changes in diet and physical activity behaviours to prevent and improve health conditions 4 …”

Section: Introductionmentioning

confidence: 99%

The effectiveness of living well multicultural‐lifestyle management program among ethnic populations in Queensland, Australia

Gallegos

et al. 2020

Health Prom J of Aust

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Issue Some migrant groups have higher risks of deaths and chronic diseases due to barriers associated with socioeconomic disadvantage, social isolation, racism, language, poor access to health services and low levels of health literacy. However, few culturally tailored interventions have targeted ethnic groups in Australia. This study evaluated the effectiveness of the Living Well Multicultural‐Lifestyle Management Program (LWM‐LMP) in Queensland, Australia. Methods The LWM‐LMP was originally co‐designed with the targeted communities. Participants aged ≥18 years were eligible to participate without a fee. The evaluation was a quasi‐experimental design without a control group, with data collected at baseline, the end of the programme and after‐programme follow‐up at week 14. The programme lasted 8 weeks with one group‐based session of 120 minutes delivered each week in local community venues. Each session also included time to undertake physical activity (PA). Eating and PA behaviours were self‐reported. Weight, height, waist circumference and blood pressure were measured using standard protocols. Results Participants were more likely to consume ≥2 servings of fruit/day, five servings of vegetable/day, low‐fat milk, processed meat, fast food, hot chips/fries, salty snacks, sweet snacks, sweet beverages less than once per week and meet the PA recommendation of ≥150 minutes/wk (P < .001) at week 8. Weight, BMI, waist circumference, waist‐to‐height ratio and blood pressure were also improved at week 8. Many of the changes were sustained at week 14. Conclusions The LWM‐LMP was effective in improving participants’ lifestyle behaviours and cardiometabolic indicators. So what Engaging targeted communities in designing interventions focussed on healthy personal behaviours helps with delivery and implementation. Behavioural interventions should be culturally tailored to increase their effectiveness.

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Prevalence of chronic disease risk factors in 35- to 44-year-old humanitarian arrivals to New South Wales (NSW), Australia

Cited by 4 publications

References 10 publications

Access to health services among culturally and linguistically diverse populations in the Australian universal health care system: issues and challenges

Access to health services among culturally and linguistically diverse populations in the Australian universal health care system: issues and challenges

A systematic review of the burden of, access to services for and perceptions of patients with overweight and obesity, in humanitarian crisis settings

The effectiveness of living well multicultural‐lifestyle management program among ethnic populations in Queensland, Australia

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