Epidemiology of cardiovascular disease and its risk factors among refugees and asylum seekers: Systematic review and meta-analysis

Al‐Rousan, Tala; AlHeresh, Rawan; Saadi, Altaf; El‐Sabrout, Hannah; Young, Megan; Benmarhnia, Tarik; Han, Benjamin H.; Alshawabkeh, Laith

doi:10.1016/j.ijcrp.2022.200126

Cited by 20 publications

(20 citation statements)

References 38 publications

(74 reference statements)

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“…Low-income and racial/ethnic minority communities face disproportionate risk ( Weiss, 2021 ). Refugees also have a higher than average burden of risk factors for dementia, such as cardiovascular disease ( Al-Rousan et al, 2022 ). Refugees are also at greater risk for mortality than non-refugee immigrants ( DesMeules et al, 2005 ; Hollander et al, 2012 ; Syse, Dzamarija, Kumar, & Diaz, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Neighborhood disadvantage and the risk of dementia and mortality among refugees to Denmark: A quasi-experimental study

Kim

Foverskov

Frøslev

et al. 2023

SSM - Population Health

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Section: Introductionmentioning

confidence: 99%

Neighborhood disadvantage and the risk of dementia and mortality among refugees to Denmark: A quasi-experimental study

Kim

Foverskov

Frøslev

et al. 2023

SSM - Population Health

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“…One systematic review examining data on 12 identifiable modifiable risk factors for dementia among refugees and asylum seekers in Australia, found that they had a higher prevalence of depression, social isolation, physical inactivity, and diabetes mellitus than their Australian-born counterparts. 36 With other studies reporting higher relative prevalence and risk of vascular risk factors among FDPs, [37][38][39] we may presume higher rates of age-standardized stroke or vascular dementia-if FDPs live long enough-but this remains unknown at this time. Further, existing dementia screening and assessment tools are not always validated or adapted across cultural, linguistic, and educational backgrounds, challenging diagnosis among FPDs.…”

Section: Postmigratory Phasementioning

confidence: 96%

Neurological Care of Refugees and Other Forcibly Displaced Persons

Saadi,

Prabhu,

Snyder

et al. 2024

Semin Neurol

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There are more than 100 million forcibly displaced persons (FDPs) in the world today, including a high number of people who experience neurologic symptoms and presentations. This review summarizes the conceptual frameworks for understanding neurological health risks and conditions across the migration journey (premigration, migration journey, and postmigration) and life span, including special attention to pediatric FDPs. The interaction with psychiatric illness is discussed, as well as the available published data on neurologic presentations in FDPs in the medical literature. A social determinant of health lens is used to provide ways in which forcible displacement can influence brain health and neurological outcomes. Priorities and future needs for the neurological care of refugees and other FDPs are suggested.

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“…Refugees have the human right to health, and countries have obligations to provide refugees and forcibly displaced people health care services. This is delineated in the 1951 Convention Relating to the Status of Refugees and its 1967 Protocol, and is important as prior research has shown a higher prevalence of various neuropsychiatric disorders such as posttraumatic stress disorder (PTSD), depression, and head trauma as well as chronic diseases such as cardiovascular disease . Yet despite both these protections and known health needs, they experience significant health disparities .…”

Section: Introductionmentioning

confidence: 99%

Funding for Refugee Health Research From the National Institutes of Health Between 2000 and 2020

Kaur,

Bridi,

Kaki

et al. 2024

JAMA Netw Open

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ImportanceThe US has historically resettled more refugees than any other country, with over 3.5 million refugees since 1980. The National Institutes of Health (NIH) is the largest public funder of biomedical research and development, but its role in mitigating many health disparities refugees experience through its funded research remains unknown.ObjectiveTo examine the NIH’s research funding patterns on refugee health research over the last 2 decades.Design, Setting, and ParticipantsSecondary analysis of NIH-funded grants between 2000 and 2020 using a cross-sectional study design. The NIH Research Portfolio Online Reporting Tools database was used to find relevant grants. Data were analyzed from November 2021 to September 2022.Main Outcomes and MeasuresNIH grants awarded by year, state, grant type, research area, funding institute, grant duration, and amount funded.ResultsOf 1.7 million NIH grants funded over the 20-year study period, only 78 addressed refugee health. Funded grants were mostly training grants (23 grants [29%]), followed by hypothesis-driven research (R01 grants; 22 grants [28%]), pilot or preliminary investigation proposals (13 grants [17%]), and other types of grants (20 grants [26%]). The most studied research domain was mental health (36 grants [46%]), followed by refugee family dynamics and women’s and children’s health (14 grants [18%]). A total of 26 grants (33%) were funded by the National Institute of Mental Health and 15 (19%) were funded by the National Institute of Child Health and Human Development. Most grants were US-based (60 grants [76%]) and the state of Massachusetts received the greatest amount of funding ($14 825 852 [18%]). In 2020, the NIH allocated about $2.3 million to refugee health research, or less than 0.01% of its $42 billion budget that year. The number of grants funded in each time period did not always reflect changes in the number of refugees resettled in the US over the years.Conclusions and RelevanceThis cross-sectional study found that there remain significant gaps in the understanding of and interventions in the health research needs of refugees locally and along the migratory route. To close these gaps, the NIH should increase its investments in comprehensive studies assessing the physical, mental, and social well-being of this expanding population. This can be achieved by ensuring that all NIH institutes allocate budgets specifically for refugee health research and extend support for the training of refugee researchers.

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Epidemiology of cardiovascular disease and its risk factors among refugees and asylum seekers: Systematic review and meta-analysis

Cited by 20 publications

References 38 publications

Neighborhood disadvantage and the risk of dementia and mortality among refugees to Denmark: A quasi-experimental study

Neighborhood disadvantage and the risk of dementia and mortality among refugees to Denmark: A quasi-experimental study

Neurological Care of Refugees and Other Forcibly Displaced Persons

Funding for Refugee Health Research From the National Institutes of Health Between 2000 and 2020

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