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Published on: November 4, 2010
Asthma in a Vietnamese refugee population
A L Ries1, M A Picchi, L H Nguyen
1Department of Medicine, University of California, San Diego, USA.
Summary
This study found a 4.9% asthma prevalence in Vietnamese refugees, identifying traditional therapies like bleeding and herbal ingestion as risk factors. Understanding these cultural practices is key for targeted health education.
Area of Science:
- Epidemiology
- Public Health
- Asian American Health
Background:
- Asians and Pacific Islanders are a growing U.S. minority group with limited health data.
- Asthma prevalence, risk factors, and treatment patterns are understudied in specific Asian subgroups.
- Vietnamese refugees represent a unique population for studying health conditions in a new environment.
Purpose of the Study:
- To estimate asthma prevalence in a Vietnamese refugee population in San Diego.
- To identify potential risk factors associated with asthma in this demographic.
- To understand the treatment modalities, including traditional practices, used by Vietnamese asthmatics.
Main Methods:
- An epidemiologic study involving 2,536 new Vietnamese refugees.
- Identification of 124 asthma cases.
- A case-control study with two non-asthmatic control groups, using a Vietnamese-administered questionnaire.
Main Results:
- Asthma prevalence was 4.9% (49 per 1,000) in the studied Vietnamese refugee population.
- Asthmatic subjects reported significantly higher use of bleeding and herbal ingestion compared to current-refugee controls.
- Significant associations were found between asthma and oil inhalation, bleeding, and herbal ingestion when compared to former-refugee controls.
Conclusions:
- Asthma presentation and recognition in Vietnamese refugees are comparable to other populations.
- Specific traditional health practices (bleeding, herbal ingestion, oil inhalation) are associated with asthma in this group.
- Findings can inform the development of culturally sensitive asthma health-education programs for Vietnamese communities.
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