The health status of newly arrived Syrian refugees at the Refugee Health Service, South Australia, 2016

Maldari, Toni; Elsley, Natasha; Rahim, Razlyn Abdul

doi:10.31128/ajgp-09-18-4696

Cited by 23 publications

(32 citation statements)

References 14 publications

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“…Due to these traumatizing and stressful factors, Syrian refugees are at high risk of emotional disorders, in particular post-traumatic stress disorder (PTSD), depression and anxiety disorders [6,12,13]. In addition to the incidence of one of these disorders alone, studies have revealed a frequent co-occurrence of these diseases in refugee populations [9,14,15].…”

Section: Introductionmentioning

confidence: 99%

The prevalence and risk factors for mental distress among Syrian refugees in Germany: a register-based follow-up study

et al. 2020

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Background: Mental disorders among refugees as well as their risk factors are already well documented in crosssectional reports. However, longitudinal follow-up designs are widely lacking. Therefore, the aim of this study was to examine the change of the prevalence of mental disorders among Syrian refugees with German residence permission, taking into account their increasing length of stay in Germany, and to uncover the change in their relationship to pre-and post-migration risk factors. Methods: This study formed part of a register-based follow-up study with two measurement points in Erlangen (Germany). At the first time of recruitment in 2017, 200 of the 518 Syrian refugees with residence permission living in Erlangen took part. During the second survey timeframe 1.5 years later, in 2019, 108 of the former 200 Syrian refugees participated again and formed the total sample for this follow-up study. The survey instruments included demographics, migration-related variables and symptoms of post-traumatic stress (Essen Trauma Inventory, ETI), depression (Patient Health Questionnaire-PHQ-9) and generalized anxiety disorder (GAD-7). Results: At the time of the first survey, 26.9% of the participants exceeded the cutoff for a clinically relevant depression diagnosis, 16.7% for an anxiety disorder and 13.9% for a PTSD diagnosis. At the second measurement point, it was 30.6% for depression, 15.7% for an anxiety disorder and 13.0% for PTSD. No significant changes between the measurement points were found for any of the disorders. In multiple linear regression analyses, higher perceived discrimination, a higher number of traumatic experiences and a shorter duration of residence permission were shown to be the most important pre-and post-migration predictors of psychological stress independent of the time of measurement.

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Section: Introductionmentioning

confidence: 99%

The prevalence and risk factors for mental distress among Syrian refugees in Germany: a register-based follow-up study

et al. 2020

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“…Due to the worldwide high number of refugees in recent years, the mental health of different refugee populations has become the focus of many researchers in numerous receiving countries. However, the vast majority of this research focused on the three most common mental disorders depression, anxiety, and PTSD (3,11,12). In Germany, the western country with the most accepted recognized refugees, is still a lack of data on SOD among the hosted refugees (51).…”

Section: Discussionmentioning

confidence: 99%

“…= .684); the effect for age was not signi cant (F = 1.19, p = .278): women had signi cantly higher age-adjusted mean scores than men (data not shown). 1 PHQ-15 score without the menstrual cramps or problems item; 2 Mean number of somatic symptoms rated as "bothered a lot"; 3 Rated on a scale from 0 ("not di cult at all") to 3 ("very di cult"); 4 A PHQ-15 score of 6 or more classi ed respondents as being at risk of somatic distress; 5 Severity categories based on PHQ-15 score: minimal (0-4), mild (5-9), moderate (10)(11)(12)(13)(14) and severe (≥ 15); 6 Somatic symptoms rated as bothering ("bothered a little" or "bothered a lot"); 7 Calculated for female participants only; 8 Independent t-test; 9 Cohen's d (Hedges' g); 10 Chi-squared test; 11 Cramer-V; 12 Fisher's exact test; a Valid values; b Add-ups may not be equal to total due to rounding 1 PHQ-15 score without the menstrual cramps or problems item; 2 Mean number of somatic symptoms rated as "bothered a lot"; 3 Rated on a scale from 0 ("not di cult at all") to 3 ("very di cult"); 4 A PHQ-15 score of 6 or more classi ed respondents as being at risk of somatic distress; 5 Severity categories based on PHQ-15 score: minimal (0-4), mild (5-9), moderate (10)(11)(12)(13)(14) and severe (≥ 15); 6 Somatic symptoms rated as bothering ("bothered a little" or "bothered a lot"); 7 Calculated for female participants only; 8 Independent t-test; 9 Cohen's d (Hedges' g); 10 Chi-squared test; 11 Cramer-V; 12 Fisher's exact test; a Valid values; b Add-ups may not be equal to total due to rounding 3 Rated on a scale from 0 ("not di cult at all") to 3 ("very di cult"); 4 A PHQ-15 score of 6 or more classi ed respondents as being at risk of somatic distress; 5 Severity c...…”

Section: Sample Characteristicsmentioning

confidence: 99%

“…Low somatic distress is de ned as minimal or mild somatic symptoms score (PHQ-15 score < 10); SD = 0.77) and their mental health status (M = 1.92, SD = 0.94) signi cantly lower than men did (health status: M = 2.46, SD = 0.93, t = -2.63, p = .010, d = .498; mental health: M = 2.35, SD = 0.96; -2.23, p = .028, d = .451).Somatic symptomsThe average severity of somatic symptoms (PHQ-15 score) for the total sample was 6.35 (SD = 5.49). Almost half (49.1%) of respondents were at risk of SOD (PHQ-15 score ≥ 6), 15.5% of respondents showed moderate severity SOD (PHQ-15 score of[10][11][12][13][14], and 8.6% high severity SOD levels (PHQ-15 score ≥ 15). Women (M = 8.94, SD = 6…”

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confidence: 99%

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Somatic distress among Syrian refugees in Germany: analysis of a cross-sectional register-based study

Borho

Morawa

Schmitt³

et al. 2020

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Background: Previous studies have already proven high rates of common mental disorders in Syrian refugees. Nevertheless, little is known about the patterns of somatic distress among this refugee population. For this reason, we aim to examine the prevalence, co-occurrence and risk factors of somatic distress among Syrian refugees in Germany.Methods: The study design was a register-based cross-sectional survey of 116 adult Syrian refugees with residence permission in Germany. The survey consisted of information on sociodemographic and migration-specific characteristics, health care utilization, traumatic life events, acculturative stress (Barcelona Immigration Stress Scale – BISS; subscales: perceived discrimination, intercultural contact stress, homesickness, and general psychosocial stress) and self-reported outcomes of somatic distress (Patient Health Questionnaire 15), depression (Patient Health Questionnaire – 9), generalized anxiety disorder (GAD – 7), and post-traumatic symptoms (Essen Trauma Inventory).Results: Almost half of respondents (49.1%) were identified as being at risk of somatic distress (PHQ-15 score ≥ 6), and even 24.1% being bothered by moderate to severe levels of somatic distress (PHQ-15 score ≥ 10). The most robust associations with somatic distress were found for female gender, the amount of health care utilization, multiple trauma exposures, general psychosocial stress, self-reported depression and anxiety symptoms. High comorbidities with somatic distress were shown for all common mental disorders studied.Conclusions: To date, there was no data on the specific patterns of somatic distress among Syrian refugees in Germany. The presented study reveals a significant risk of somatic distress among this displaced population and highlights implications for policy and health care providers.

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“…BMJ Global Health populations who had been displaced from LMICs. [31][32][33][34] The map in figure 3 shows the countries from which participants originated. The most frequently examined populations were from Japan, followed by the USA and Syria.…”

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confidence: 99%

A systematic review of the burden of hypertension, access to services and patient views of hypertension in humanitarian crisis settings

et al. 2020

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IntroductionGlobally, a record number of people are affected by humanitarian crises caused by conflict and natural disasters. Many such populations live in settings where epidemiological transition is underway. Following the United Nations high level meeting on non-communicable diseases, the global commitment to Universal Health Coverage and needs expressed by humanitarian agencies, there is increasing effort to develop guidelines for the management of hypertension in humanitarian settings. The objective was to investigate the prevalence and incidence of hypertension in populations directly affected by humanitarian crises; the cascade of care in these populations and patient knowledge of and attitude to hypertension.MethodsA literature search was carried out in five databases. Grey literature was searched. The population of interest was adult, non-pregnant, civilians living in any country who were directly exposed to a crisis since 1999. Eligibility assessment, data extraction and quality appraisal were carried out in duplicate.ResultsSixty-one studies were included in the narrative synthesis. They reported on a range of crises including the wars in Syria and Iraq, the Great East Japan Earthquake, Hurricane Katrina and Palestinian refugees. There were few studies from Africa or Asia (excluding Japan). The studies predominantly assessed prevalence of hypertension. This varied with geography and age of the population. Access to care, patient understanding and patient views on hypertension were poorly examined. Most of the studies had a high risk of bias due to methods used in the diagnosis of hypertension and in the selection of study populations.ConclusionHypertension is seen in a range of humanitarian settings and the burden can be considerable. Further studies are needed to accurately estimate prevalence of hypertension in crisis-affected populations throughout the world. An appreciation of patient knowledge and understanding of hypertension as well as the cascade of care would be invaluable in informing service provision.

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The health status of newly arrived Syrian refugees at the Refugee Health Service, South Australia, 2016

Cited by 23 publications

References 14 publications

The prevalence and risk factors for mental distress among Syrian refugees in Germany: a register-based follow-up study

The prevalence and risk factors for mental distress among Syrian refugees in Germany: a register-based follow-up study

Somatic distress among Syrian refugees in Germany: analysis of a cross-sectional register-based study

A systematic review of the burden of hypertension, access to services and patient views of hypertension in humanitarian crisis settings

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