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Each year, refugees are forced to leave their homes and country due to result of wars or political turmoil. According to the National Office of Refugees, 2.6 million refugees have settled in the United States (U.S.) since 19751. Idaho is a state in which refugees are resettled. The majority of refugees in Idaho are located in the capitol city of Boise. The refugees come from over the globe including Latin America, Europe, Africa and the Middle East.

African refugees represent a unique population in the United States and throughout the world. Many African refugees represent a preliterate population; they have no native written language. The refugees speak several different African dialects, with few African refugees who speak English. Many of these refugees are from countries embroiled in civil war, and they have spent years in resettlement camps in countries such as Kenya before achieving permanent placement in the United States (U.S.).

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This is a non-final version of an article published in final form in Advances in Nursing Science, 33(2).

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