Medical needs of adolescent refugees resettling in Western Australia

Arch Dis Child. 2019 Sep;104(9):880-883. doi: 10.1136/archdischild-2018-315105. Epub 2018 Jul 3.

Abstract

Objective: To investigate the medical needs and socioeconomic determinants of health among adolescent refugees resettling in Western Australia.

Design: Comprehensive medical and socioeconomic health data of resettling adolescent refugees aged 12 years and above attending a Refugee Health Service over a 1-year period were analysed.

Results: Medical records of 122 adolescents, median (range) age of 14 (12-17) years, were reviewed. Socioeconomic vulnerabilities included dependence on government financial support (50%), housing issues (27%) and child protection service involvement (11%). Medical concerns included non-communicable disorders (85%), infectious diseases (81%), nutrition/growth (71%) and physical symptoms of non-organic origin (43%). One quarter (27%) of female adolescents had sexual/reproductive health issues. A median (range) of 5 (2-12) health concerns were identified for each adolescent with 49% requiring referral to subspecialty services.

Conclusion: Resettling adolescent refugees are socioeconomically vulnerable with a range of medical issues that frequently require additional subspecialty health referrals.

Keywords: adolescent health; asylum seeker; migration; refugee health.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Communicable Diseases / epidemiology*
  • Female
  • Food Supply / statistics & numerical data*
  • Health Care Surveys
  • Health Services Accessibility / organization & administration*
  • Health Services Needs and Demand
  • Humans
  • Male
  • Noncommunicable Diseases / epidemiology*
  • Referral and Consultation / organization & administration
  • Refugees*
  • Violence / statistics & numerical data*
  • Western Australia / epidemiology