Health care needs and use of health care services among newly arrived Syrian refugees: a cross-sectional study

Oda, Anna; Tuck, Andrew; Agic, Branka; Hynie, Michaela; Roche, Brenda; McKenzie, Kwame

doi:10.9778/cmajo.20160170

Cited by 44 publications

(54 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Populations who endure war events suffer many traumatizing experiences and develop symptoms associated with posttraumatic stress disorder (PTSD; Goren & Neter, 2016;Kijewski & Freitag, 2016;Kira et al, 2012). Many refugees who are uprooted from their home countries may also endure diverse mental health challenges and difficulties of resettlement (Oda et al, 2017;Steel et al, 2009). However, in recent years, new evidence has emerged on populations who suffer from the negative impacts of war and struggle with the new-reality aftermath of trauma, but may also report a subjective experience of positive psychological changes (Joseph, Linley, & Harris, 2005;Solomon & Dekel, 2007).…”

mentioning

confidence: 99%

Well‐Being and Posttraumatic Growth Among Syrian Refugees in Jordan

Rizkalla

Segal

2018

Journal of Traumatic Stress

View full text Add to dashboard Cite

The Syrian War has created a mass exodus of Syrian citizens to neighboring countries and exposed them to many atrocities. We explored factors affecting well-being and posttraumatic growth (PTG) of refugees residing in Jordan. Participants (N = 250) were surveyed via nongovernmental organizations (NGOs). Outcome criteria included a global well-being rating and the Posttraumatic Growth Inventory. Trauma exposure assessment included The Harvard Trauma Questionnaire (HTQ) and The War Events Questionnaire. Ordinary least squares regression examined associations between potential contributors to refugee well-being and PTG, including work, age, sex, income, education, posttraumatic stress disorder (PTSD) severity, physical pain, health, NGO assistance, psychotic/affective mental disorder, and length of residence in Jordan. Mean participant score on the PTSD-HTQ scale was 2.37 (SD = 0.63; range: 1 [no symptoms] to 3.88 [extremely severe symptoms]). Additionally, 74.6% of participants received NGO assistance and 92.7% experienced war events. Univariate and multivariate results indicated enhancement of well-being was associated with income, r = .34, β = .26, p < .001; health, r = .35, β = .26, p = .001; and absence of affective disorder, r = -.31, β = -.18, p = .012; and that PTG increased in association with income, r = .28, β = .20, p = .007; NGO assistance, r = .07, β = .14, p = .045; and absence of psychosis, r = -.12, β = -.17, p = .013, and affective disorder, r = -.26; β = -.16, p = .033. Findings suggest sufficient income and humanitarian assistance can contribute to Syrian refugees' mental health.

show abstract

mentioning

confidence: 99%

Well‐Being and Posttraumatic Growth Among Syrian Refugees in Jordan

Rizkalla

Segal

2018

Journal of Traumatic Stress

View full text Add to dashboard Cite

show abstract

“…In a crosssectional study of Syrian refugees conducted in 2016, 49% of refugees reported having unmet health care needs, compared to 11.2% of the general Canadian population. 6…”

Section: Barriers To Treatmentmentioning

confidence: 99%

“…Refugees also cite general barriers to accessing health care that are common to all Canadians, including the availability of services and their cost. 6 Even in communities which have dedicated refugee health centres, there may be a waiting list to access services. 9…”

Section: Best Practices In Refugee Mental Healthmentioning

confidence: 99%

“…5 However, the affordability of medications may be a barrier given that many refugees cite cost as a reason they are unable to access health care. 6 Mental health promotion and psychosocial interventions. Refugee mental health may also be affected by the post-displacement environment, and social programs for refugees aim to treat this risk factor.…”

Section: Best Practices In Treatment and Mental Health Promotionmentioning

confidence: 99%

“…In addition, once in Canada there are barriers that may prevent refugees from accessing care, leading to unmet health care needs. 6 However, many refugees also display extraordinary resiliency that can be drawn on when planning mental health outreach and health promotion programs. 13 clinical procedures…”

Section: Best Practices In Treatment and Mental Health Promotionmentioning

confidence: 99%

See 2 more Smart Citations

Best practices in refugee mental health

Quint

Hawilo²,

Eaton³

2020

UWOMJ

View full text Add to dashboard Cite

Canada has a long history of accepting immigrants and refugees. These populations may have unique health care needs that the Canadian health care system must adequately address. Currently, there are numerous barriers to the treatment of refugee mental health concerns. These include cultural, language, financial, and systemic barriers. Best practices for treatment in this population include psychotherapies such as cognitive behavioural therapy and narrative exposure therapy, medications, and health promotion and psychosocial interventions. Physicians have previously advocated for improving health care for Canada’s refugee population and medical schools are working to incorporate multicultural education into their curricula.

show abstract

Cost-effectiveness of the Self-Help Plus Intervention for Adult Syrian Refugees Hosted in Turkey

et al. 2022

View full text Add to dashboard Cite

IMPORTANCEThe cost-effectiveness of the Self-Help Plus (SH+) program, a group-based, guided, self-help psychological intervention developed by the World Health Organization for people affected by adversity, is unclear.OBJECTIVE To investigate the cost-utility of providing the SH+ intervention combined with enhanced usual care vs enhanced usual care alone for Syrian refugees or asylum seekers hosted in Turkey. DESIGN, SETTING, AND PARTICIPANTSThis economic evaluation was performed as a prespecified part of an assessor-blinded randomized clinical trial conducted between October 1, 2018, and November 30, 2019, with 6-month follow-up. A total of 627 adults with psychological distress but no diagnosed psychiatric disorder were randomly assigned to the intervention group or the enhanced usual care group. INTERVENTIONSThe SH+ program was a 5-session (2 hours each), group-based, stress management course in which participants learned self-help skills for managing stress by listening to audio sessions. The SH+ sessions were facilitated by briefly trained, nonspecialist individuals, and an illustrated book was provided to group members. Th intervention group received the SH+ intervention plus enhanced usual care; the control group received only enhanced usual care from the local health care system. Enhanced usual care included access to free health care services provided by primary and secondary institutions plus details on nongovernmental organizations and freely available mental health services, social services, and community networks for people under temporary protection of Turkey and refugees. MAIN OUTCOMES AND MEASURESThe primary outcome measure was incremental cost per quality-adjusted life-year (QALY) gained from the perspective of the Turkish health care system. An intention-to-treat analysis was used including all participants who were randomized and for whom baseline data on costs and QALYs were available. Data were analyzed September 30, 2020, to July 30, 2021. RESULTSOf 627 participants (mean [SD] age, 31.3 [9.0] years; 393 [62.9%] women), 313 were included in the analysis for the SH+ group and 314 in the analysis for the enhanced usual care group.An incremental cost-utility ratio estimate of T£6068 ($1147) per QALY gained was found when the SH+ intervention was provided to groups of 10 Syrian refugees. At a willingness to pay per QALY gained of T£14 831 ($2802), the SH+ intervention had a 97.5% chance of being cost-effective compared with enhanced usual care alone. (continued) Key Points Question Is the addition of the World Health Organization's Self-Help Plus program-a group-based, guided, selfhelp psychological intervention-to enhanced usual care cost-effective compared with enhanced usual care alone for adult Syrian refugees or asylum seekers hosted in Turkey? Findings In this economic evaluation of 627 refugees or asylum seekers hosted in Turkey, the intervention group had a significantly better quality of life compared with the control group, at a cost of 6068 Turkish lira ($1147) per quality-adjusted lif...

show abstract

Health care needs and use of health care services among newly arrived Syrian refugees: a cross-sectional study

Cited by 44 publications

References 12 publications

Well‐Being and Posttraumatic Growth Among Syrian Refugees in Jordan

Well‐Being and Posttraumatic Growth Among Syrian Refugees in Jordan

Best practices in refugee mental health

Cost-effectiveness of the Self-Help Plus Intervention for Adult Syrian Refugees Hosted in Turkey

Contact Info

Product

Resources

About