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The Who, What, Why and When of Gynaecological Referrals for Refugee Women

  • Sarah L. Silverberg
  • Lacey Harding
  • Rachel F. Spitzer
  • Meb Rashid
Original Paper
  • 79 Downloads

Abstract

Refugees have health needs relating to unstable living situations and poor access to care. We examined the nature of health problems requiring gynaecological referrals for refugee women in Toronto. A retrospective cohort design was used to examine gynaecologic referrals of women at a refugee clinic between December, 2011 and June, 2016. The primary outcome measure was the indications for gynaecological referral. 125 out of 1040 women received a gynaecologic referral for 131 unique concerns. The most common referrals were for abnormal uterine bleeding and cervical dysplasia. Fibroids were prevalent amongst African patients, while referrals for LARCs/sterilization were absent from Middle Eastern patients. 26% of patients referred had a sexual violence history. Refugee women exhibit gynaecologic needs similar to the broader population. Needs vary by geographic origins. As global conflicts shift, so too will this population’s needs. High rates of sexual violence history reflect the need for further understanding and intervention.

Keywords

Refugees Women’s health Gynaecology Primary health care 

Notes

Acknowledgements

We would like to thank the staff of the Crossroads Clinic at Women’s College Hospital.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Faculty of MedicineUniversity of TorontoTorontoCanada
  2. 2.Department of Obstetrics and GynaecologyUniversity of TorontoTorontoCanada
  3. 3.Department of Obstetrics and GynaecologyMount Sinai HospitalTorontoCanada
  4. 4.Department of Family and Community Medicine, Women’s College HospitalUniversity of TorontoTorontoCanada

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