Journal of Preventive Medicine and Public Health

  • 제50권6호
  • /
  • Pages.386-392
  • /
  • 2017
  • /
  • 1975-8375(pISSN)
  • /
  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
권호 표지
DOI QR코드

DOI QR Code

Cardiovascular Disease-related Health Beliefs and Lifestyle Issues Among Karen Refugees Resettled in the United States From the Thai-Myanmar (Burma) Border

  • Kamimura, Akiko (Department of Sociology, University of Utah) ;
  • Sin, Kai (Department of Health, Kinesiology and Recreation, University of Utah) ;
  • Pye, Mu (Department of Health, Kinesiology and Recreation, University of Utah) ;
  • Meng, Hsien-Wen (Department of Health, Kinesiology and Recreation, University of Utah)
  • 투고 : 2017.07.01
  • 심사 : 2017.11.02
  • 발행 : 2017.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: Refugees resettled in the US may be at risk for cardiovascular disease (CVD). However, little is known about CVD-related issues among Karen refugees who have migrated to the US from the Thai-Myanmar border. The purpose of this study was to examine CVD-related health beliefs and lifestyle issues among Karen refugees resettled in the US. Methods: Karen refugees resettled in the US from the Thai-Myanmar border (n=195) participated in a survey study on health beliefs related to CVD, salt intake, physical activity (PA), and smoking in the fall of 2016. Results: A high-salt diet, physical inactivity, and smoking were major lifestyle problems. Participants who adhered to a low-salt diet considered themselves to be susceptible to CVD. Most participants did not engage in regular PA. Regular PA was associated with less perceived susceptibility to CVD and greater perceived benefits of a healthy lifestyle for decreasing the likelihood of CVD. Conclusions: Each refugee population may require individualized strategies to promote PA and a healthy diet. Future studies should develop health education programs that are specifically designed for Karen refugees and evaluate such programs. In addition to health education programs on healthy lifestyle choices, tobacco cessation programs seem to be necessary for Karen refugees. At the same time, it is important to foster strategies to increase the utilization of preventive care among this population by promoting free or reduced-fee resources in the community to further promote their health.

키워드

참고문헌

  1. Kenny P, Lockwood-Kenny K. A mixed blessing: Karen resettlement to the United States. J Refug Stud 2011;24(2):217-238. https://doi.org/10.1093/jrs/fer009
  2. US Department of State. U.S. relations with Burma [cited 2017 Feb 20]. Available from: https://www.state.gov/r/pa/ei/bgn/35910.htm.
  3. Cook TL, Shannon PJ, Vinson GA, Letts JP, Dwee E5. War trauma and torture experiences reported during public health screening of newly resettled Karen refugees: a qualitative study. BMC Int Health Hum Rights 2015;15:8. https://doi.org/10.1186/s12914-015-0046-y
  4. Shannon PJ, Vinson GA, Wieling E, Cook T, Letts J. Torture, war trauma, and mental health symptoms of newly arrived Karen refugees. J Loss Trauma 2015;20(6):577-590. https://doi.org/10.1080/15325024.2014.965971
  5. Norredam M, Agyemang C, Hoejbjerg Hansen OK, Petersen JH, Byberg S, Krasnik A, et al. Duration of residence and disease occurrence among refugees and family reunited immigrants: test of the 'healthy migrant effect' hypothesis. Trop Med Int Health 2014;19(8):958-967. https://doi.org/10.1111/tmi.12340
  6. Marshall GN, Schell TL, Wong EC, Berthold SM, Hambarsoomian K, Elliott MN, et al. Diabetes and cardiovascular disease risk in Cambodian refugees. J Immigr Minor Health 2016;18(1):110-117. https://doi.org/10.1007/s10903-014-0142-4
  7. Njeru JW, Tan EM, St Sauver J, Jacobson DJ, Agunwamba AA, Wilson PM, et al. High rates of diabetes mellitus, pre-diabetes and obesity among Somali immigrants and refugees in Minnesota: a retrospective chart review. J Immigr Minor Health 2016;18(6):1343-1349. https://doi.org/10.1007/s10903-015-0280-3
  8. Pace M, Al-Obaydi S, Nourian MM, Kamimura A. Health services for refugees in the United States: policies and recommendations. Public Policy Adm Res 2015;5(8):63-68.
  9. Centers for Disease Control and Prevention. Prevention: what you can do [cited 2017 Feb 20]. Available from: https://www.cdc.gov/heartdisease/what_you_can_do.htm.
  10. Rosenthal T. The effect of migration on hypertension and other cardiovascular risk factors: a review. J Am Soc Hypertens 2014;8(3):171-191. https://doi.org/10.1016/j.jash.2013.12.007
  11. Kamimura A, Ashby J, Trinh H, Prudencio L, Mills A, Tabler J, et al. Uninsured free clinic patients' experiences and perceptions of healthcare services, community resources, and the Patient Protection and Affordable Care Act. Patient Exp J 2016;3(2):12-21.
  12. Wieland ML, Tiedje K, Meiers SJ, Mohamed AA, Formea CM, Ridgeway JL, et al. Perspectives on physical activity among immigrants and refugees to a small urban community in Minnesota. J Immigr Minor Health 2015;17(1):263-275. https://doi.org/10.1007/s10903-013-9917-2
  13. Misra SM, Nepal VP, Banerjee D, Giardino AP. Chronic health conditions, physical activity and dietary behaviors of Bhutanese refugees: a Houston-based needs assessment. J Immigr Minor Health 2016;18(6):1423-1431. https://doi.org/10.1007/s10903-015-0282-1
  14. Tiedje K, Wieland ML, Meiers SJ, Mohamed AA, Formea CM, Ridgeway JL, et al. A focus group study of healthy eating knowledge, practices, and barriers among adult and adolescent immigrants and refugees in the United States. Int J Behav Nutr Phys Act 2014;11:63. https://doi.org/10.1186/1479-5868-11-63
  15. Nguyen MT, Rehkopf DH. Prevalence of chronic disease and their risk factors among Iranian, Ukrainian, Vietnamese refugees in California, 2002-2011. J Immigr Minor Health 2016;18(6):1274-1283. https://doi.org/10.1007/s10903-015-0327-5
  16. Giuliani KK, Mire OA, Jama S, Dubois DK, Pryce D, Fahia S, et al. Tobacco use and cessation among Somalis in Minnesota. Am J Prev Med 2008;35(6 Suppl):S457-S462. https://doi.org/10.1016/j.amepre.2008.09.006
  17. Champion VL, Skinner CS. The health belief model. In: Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education: theory, research, and practice. 4th ed. San Francisco: Jossey-Bass; 2008, p. 45-96.
  18. Tovar EG, Rayens MK, Clark M, Nguyen H. Development and psychometric testing of the Health Beliefs Related to Cardiovascular Disease Scale: preliminary findings. J Adv Nurs 2010;66(12):2772-2784. https://doi.org/10.1111/j.1365-2648.2010.05443.x
  19. Warren-Findlow J, Seymour RB. Prevalence rates of hypertension self-care activities among African Americans. J Natl Med Assoc 2011;103(6):503-512. https://doi.org/10.1016/S0027-9684(15)30365-5
  20. National Institute of Diabetes and Digestive and Kidney Diseases. Changing your habits for better health [cited 2017 Feb 20]. Available from: https://www.niddk.nih.gov/health-information/diet-nutrition/changing-habits-better-health.
  21. Brown IJ, Tzoulaki I, Candeias V, Elliott P. Salt intakes around the world: implications for public health. Int J Epidemiol 2009;38(3):791-813. https://doi.org/10.1093/ije/dyp139
  22. Aung MN, Yuasa M, Moolphate S, Nedsuwan S, Yokokawa H, Kitajima T, et al. Reducing salt intake for prevention of cardiovascular diseases in high-risk patients by advanced health education intervention (RESIP-CVD study), Northern Thailand: study protocol for a cluster randomized trial. Trials 2012;13:158. https://doi.org/10.1186/1745-6215-13-158
  23. Withall J, Jago R, Fox KR. Why some do but most don't. Barriers and enablers to engaging low-income groups in physical activity programmes: a mixed methods study. BMC Public Health 2011;11:507. https://doi.org/10.1186/1471-2458-11-507
  24. Jen KL, Zhou K, Arnetz B, Jamil H. Pre- and post-displacement stressors and body weight development in Iraqi refugees in Michigan. J Immigr Minor Health 2015;17(5):1468-1475. https://doi.org/10.1007/s10903-014-0127-3
  25. Nelson-Peterman JL, Toof R, Liang SL, Grigg-Saito DC. Long-term refugee health: health behaviors and outcomes of Cambodian refugee and immigrant women. Health Educ Behav 2015;42(6):814-823. https://doi.org/10.1177/1090198115590779
  26. Centers for Disease Control and Prevention. Current cigarette smoking among adults in the United States [cited 2017 Feb 20]. Available from: https://www.cdc.gov/tobacco/data_statistics/fact_sheets/adult_data/cig_smoking/.
  27. Furber S, Jackson J, Johnson K, Sukara R, Franco L. A qualitative study on tobacco smoking and betel quid use among Burmese refugees in Australia. J Immigr Minor Health 2013;15(6):1133-1136. https://doi.org/10.1007/s10903-013-9881-x
  28. Lee JP, Battle RS, Lipton R, Soller B. 'Smoking': use of cigarettes, cigars and blunts among Southeast Asian American youth and young adults. Health Educ Res 2010;25(1):83-96. https://doi.org/10.1093/her/cyp066
  29. Burmese American Community Institute. Burmese refugee population in the US [cited 2017 Oct 10]. Available from: https://web.archive.org/web/20170329163146/http://www.baci-indy.org/resources/burmese-refugee-population-in-the-us#_edn9.
  30. Wieland ML, Weis JA, Hanza MM, Meiers SJ, Patten CA, Clark MM, et al. Healthy immigrant families: participatory development and baseline characteristics of a community-based physical activity and nutrition intervention. Contemp Clin Trials 2016;47:22-31. https://doi.org/10.1016/j.cct.2015.12.004

피인용 문헌

  1. Bibliometric analysis of global migration health research in peer-reviewed literature (2000–2016) vol.18, pp.1, 2017, https://doi.org/10.1186/s12889-018-5689-x
  2. BeWell: quality assurance health promotion pilot vol.32, pp.2, 2017, https://doi.org/10.1108/ijhcqa-08-2017-0152
  3. Long-Term Physical Health Outcomes of Resettled Refugee Populations in the United States: A Scoping Review vol.23, pp.4, 2021, https://doi.org/10.1007/s10903-021-01146-2