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| Format: | Artículo científico |
| Sprache: | en |
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Medical Education Cooperation with Cuba
2015
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| Online-Zugang: | https://www.redalyc.org/articulo.oa?id=437543389005 |
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| _version_ | 1866577439805669376 |
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| author | Lauren Sastre |
| author_facet | Lauren Sastre |
| contents | Environmental, Nutrition and Health Issues in a US Refugee Resettlement Community Lauren Sastre Lauren Haldeman Medicina USA diet Refugees emigration immigration INTRODUCTION In 2012, North Carolina ranked in the top ten states in refugee resettlement, with central Guilford County one of the most diverse in the southeast. OBJECTIVE Examine the local resettlement environmental, nutrition and health barriers and needs of refugees in Guilford County, as per- ceived by individuals providing services to them. METHODS Participants (n = 40) included: medical and social service providers, educators, faith-based volunteers, resettlement agency caseworkers and liaisons to a variety of refugee communities. Guided semistructured interviews were audio-recorded and transcribed ver- batim. Themes were identified using deductive content analysis and categorized by frequency of reporting by participants. RESULTS Perceptions were consistent across participants regarding a diverse local refugee population. Resettlement housing was observed to be in poor condition, located in areas of poverty with transportation barriers. However, refugees rarely relocated, due to strong community relationships and support. Perceived dietary risks included: difficulties budgeting and maintaining food assistance, hoarding food, high con- sumption of sodas and sweets, misperceptions regarding US products (e.g., perceived need for infant formula), and limited health knowledge. Respondents observed that most refugees preferred “fresh” foods, and had strong agricultural skills but lacked green space. Major barriers to health care reported were: poverty, short duration of initial Medic- aid coverage, and language (both lack of interpretation services and translated materials). Providers consistently observed type 2 diabetes, weight gain and dental problems across refugee groups. CONCLUSIONS Direct service providers’ experiences and observa- tions working with a diverse resettlement population provide unique insight into consistent barriers to achieving good health that confront refugees. While refugees face many barriers, groups often have impressive strengths, such as agricultural skills, on which to focus. 2015 artículo científico 1555-7960 https://www.redalyc.org/articulo.oa?id=437543389005 en http://www.redalyc.org/revista.oa?id=4375 MEDICC Review application/pdf Medical Education Cooperation with Cuba MEDICC Review (Estados Unidos de América) Num.4 Vol.17 |
| format | Artículo científico |
| id | redalyc_437543389005 |
| language | en |
| publishDate | 2015 |
| publisher | Medical Education Cooperation with Cuba |
| spellingShingle | Environmental, Nutrition and Health Issues in a US Refugee Resettlement Community Lauren Sastre Medicina USA diet Refugees emigration immigration Environmental, Nutrition and Health Issues in a US Refugee Resettlement Community Lauren Sastre Lauren Haldeman Medicina USA diet Refugees emigration immigration INTRODUCTION In 2012, North Carolina ranked in the top ten states in refugee resettlement, with central Guilford County one of the most diverse in the southeast. OBJECTIVE Examine the local resettlement environmental, nutrition and health barriers and needs of refugees in Guilford County, as per- ceived by individuals providing services to them. METHODS Participants (n = 40) included: medical and social service providers, educators, faith-based volunteers, resettlement agency caseworkers and liaisons to a variety of refugee communities. Guided semistructured interviews were audio-recorded and transcribed ver- batim. Themes were identified using deductive content analysis and categorized by frequency of reporting by participants. RESULTS Perceptions were consistent across participants regarding a diverse local refugee population. Resettlement housing was observed to be in poor condition, located in areas of poverty with transportation barriers. However, refugees rarely relocated, due to strong community relationships and support. Perceived dietary risks included: difficulties budgeting and maintaining food assistance, hoarding food, high con- sumption of sodas and sweets, misperceptions regarding US products (e.g., perceived need for infant formula), and limited health knowledge. Respondents observed that most refugees preferred “fresh” foods, and had strong agricultural skills but lacked green space. Major barriers to health care reported were: poverty, short duration of initial Medic- aid coverage, and language (both lack of interpretation services and translated materials). Providers consistently observed type 2 diabetes, weight gain and dental problems across refugee groups. CONCLUSIONS Direct service providers’ experiences and observa- tions working with a diverse resettlement population provide unique insight into consistent barriers to achieving good health that confront refugees. While refugees face many barriers, groups often have impressive strengths, such as agricultural skills, on which to focus. 2015 artículo científico 1555-7960 https://www.redalyc.org/articulo.oa?id=437543389005 en http://www.redalyc.org/revista.oa?id=4375 MEDICC Review application/pdf Medical Education Cooperation with Cuba MEDICC Review (Estados Unidos de América) Num.4 Vol.17 |
| title | Environmental, Nutrition and Health Issues in a US Refugee Resettlement Community |
| topic | Medicina USA diet Refugees emigration immigration |
| url | https://www.redalyc.org/articulo.oa?id=437543389005 |