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The health profile of newly-arrived refugee women and girls and the role of region of origin: using a population-based dataset in California between 2013 and 2017.
International Journal for Equity in Health ( IF 4.666 ) Pub Date : 2019-10-16 , DOI: 10.1186/s12939-019-1066-3
May Sudhinaraset 1 , Nuny Cabanting 2 , Marisa Ramos 2
Affiliation  

BACKGROUND There has been an increasing number of refugee women globally; yet, there is little recent data describing the health profile of refugee women by region of origin in the United States. It is important to monitor the health status of women by region of origin to provide needed targeted interventions. METHODS We analyzed the Refugee Health Electronic Information System (RHEIS), a population-based dataset that included 14,060 female refugees who entered California between October 3, 2013 and February 15, 2017. We assessed differences in health status by region of origin. RESULTS Almost one out of three women experienced a traumatic event. Women from Africa and Latin America and the Caribbean experienced higher levels of trauma compared to other regions, including sexual assault, physical, and weapon assault. More than half of women and girls (56.6%) reported experiences of persecution, with Southeast Asians reporting the highest levels. Among women of reproductive age, 7.0% of women were currently pregnant at the time of arrival to the US, 19.0% ever had a spontaneous abortion, and 8.6% reported ever having an abortion. One in three women from Africa reported female genital cutting. Moreover, 80.0% of women reported needing language assistance at the time of their health assessment. CONCLUSIONS Refugee women and girls experience high levels of trauma and persecution, suggesting the need for trauma-informed care. Those working with refugee women, such as resettlement agencies and health providers, should be equipped with information about antenatal care, nutrition, and pregnancy to newly arrived women. Lastly, differences in health status by region of origin indicate a need for tailored interventions and linguistically appropriate health information.

中文翻译:

新来的难民妇女和女童的健康状况以及原籍地区的作用:使用2013年至2017年间加利福尼亚州基于人口的数据集。

背景技术全球范围内有越来越多的难民妇女。但是,最近很少有数据按来源地来描述难民妇女的健康状况。重要的是要按来源地区监测妇女的健康状况,以提供所需的针对性干预措施。方法我们分析了难民健康电子信息系统(RHEIS),这是一个基于人口的数据集,其中包括14,060名在2013年10月3日至2017年2月15日期间进入加利福尼亚的女性难民。我们按来源地评估了健康状况的差异。结果几乎三分之二的妇女经历了一次创伤事件。与其他地区相比,来自非洲,拉丁美洲和加勒比地区的妇女遭受的伤害更高,包括性攻击,人身攻击和武器攻击。一半以上的妇女和女孩(56.6%)报告有遭受迫害的经历,其中东南亚人报告的遭受迫害程度最高。在育龄妇女中,目前有7.0%的妇女在到达美国时已怀孕,其中有19.0%曾自然流产,而有8.6%的女性曾自然流产。来自非洲的妇女中,有三分之一的人报告切割女性生殖器。此外,在进行健康评估时,有80.0%的妇女报告需要语言援助。结论难民妇女和女童遭受高水平的创伤和迫害,这表明需要对创伤进行知情的护理。与难民妇女打交道的人,例如安置机构和卫生服务提供者,应配备有关新到达妇女的产前保健,营养和怀孕的信息。最后,
更新日期:2019-10-16
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