Hypertension and Diabetes Assessment in the Rohingya Refugee Population and in the Host Communities in Bangladesh

NCT04307875 | Unknown

• 1 other identifier: coxs_2020
• Study Type: observational
• Target: 3,000
• Locations: 0 countries
• Sites: N/A

Brief Summary

Due to a massive outbreak of violence against the Rohingya minority residing in the Rakhine State of Myanmar in late 2017, several hundred thousand Rohingya fled the country and sought a shelter in Bangladesh. Currently, in the refugee settlement areas east of the city of Cox's Bazar, close to 1 million Rohingya refugees live in refugee camps close to the municipalities of Ukhia and Shamlapur. According to previous examinations, there is a serious burden of non-communicable diseases in Bangladesh. But little is known about the health status and the epidemiology of non-communicable diseases in the Rohingya refugee population in Bangladesh. Most importantly, scientific evidence on non-communicable disease in humanitarian emergencies is rather limited. The aim of this study is to close this gap and to systematically assess the burden of hypertension and diabetes within the Rohingya refugee population in refugee camps in Bangladesh and in the host community in the Chittagong province. This assessment will help to design and to introduce community-based intervention strategies aiming to improve the population health status and reduce the disease burden.

Conditions

Hypertension; Diabetes Mellitus; Post Traumatic Stress Disorder; Depressive Symptoms

Keywords

Rohingya refugees; Bangladesh; refugee camp

Outcome Measures

Primary Outcomes (1)

• Prevalence of hypertension

  Assessment of the prevalence of hypertension in the study groups

  04-06/2020

Secondary Outcomes (9)

• Prevalence of diabetes mellitus

  04-06/2020

• Mean systolic BP

  04-06/2020

• Mean fasting plasma glucose

  04-06/2020

• Successful BP treatment

  04-06/2020

• Successful diabetes treatment

  04-06/2020

Study Arms (2)

Rohingya refugee camp population

A sample of 1500 randomly selected individuals aged 18 years and above living in the Rohingya refugee camp 1E.

Diagnostic Test: Blood pressure measurement (sphygmomanometer); Diagnostic Test: Blood glucose measurement; Other: psychometric tests

Shamlapur refugee hosting community population

A sample of 1500 randomly selected individuals aged 18 years and above living in the refugee hosting community Shamlapur neighbouring the Rohingya refugee camps.

Diagnostic Test: Blood pressure measurement (sphygmomanometer); Diagnostic Test: Blood glucose measurement; Other: psychometric tests

Interventions

Blood pressure measurement (sphygmomanometer) DIAGNOSTIC_TEST

measuring blood pressure with standard sphygmomanometer

Rohingya refugee camp population; Shamlapur refugee hosting community population

Blood glucose measurement DIAGNOSTIC_TEST

measuring blood glucose using standard measurement devices

Rohingya refugee camp population; Shamlapur refugee hosting community population

psychometric tests OTHER

WHODAS 2.0, PHQ-9, CAPS-5

Rohingya refugee camp population; Shamlapur refugee hosting community population

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

The study population will be a random household sample from Camp 1E at the Cox's Bazar refugee camp area in Bangladesh and a random household sample from the Bangladesh host community in Shamlapur. Camp 1E is located on the northern end of the Cox's Bazar refugee camp area near Ukhia in south-eastern Bangladesh. Shamlapur is a village on the shores of the golf of Bengal, located about 25 kilometers south of Camp 1E. The population of Camp 1E is 40,000, half of them children under 18 years of age. The average household size is 4 people.

You may qualify if:

• Residing in one of the selected households (Camp 1E or Shamlapur municipality)
• Age ≥18 years

You may not qualify if:

• Inability to provide written informed consent
• Participant's unwillingness to participate

Sponsors & Collaborators

• University Hospital Freiburg: lead
• Heidelberg University: collaborator
• Gono Bishwabidyalay: collaborator
• Gonoshasthaya Kendra: collaborator

MeSH Terms

Conditions

Hypertension; Diabetes Mellitus; Stress Disorders, Post-Traumatic; Depression

Interventions

Blood Pressure Determination; Psychometrics

Condition Hierarchy (Ancestors)

Vascular Diseases; Cardiovascular Diseases; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Stress Disorders, Traumatic; Trauma and Stressor Related Disorders; Mental Disorders; Behavioral Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Diagnostic Techniques, Cardiovascular; Diagnostic Techniques and Procedures; Diagnosis; Physical Examination; Psychological Tests; Behavioral Disciplines and Activities

Study Officials

• Kashem Shaikh, PhD

  Gono Bishwabidyalay

  PRINCIPAL INVESTIGATOR

• Alexander Supady, Dr. med. MPH

  University of Freiburg

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Alexander Supady, Dr. med. MPH

CONTACT

+49761270; alexander.supady@universitaets-herzzentrum.de

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator, Attending Physician

Study Record Dates

• First Submitted: March 11, 2020
• First Posted: March 13, 2020
• Study Start: October 1, 2021
• Primary Completion: May 15, 2022
• Study Completion: September 30, 2022
• Last Updated: April 28, 2021

Record last verified: 2021-04