Gerritsen Annette A M, Bramsen Inge, Devillé Walter, van Willigen Loes H M, Hovens Johannes E, van der Ploeg Henk M
Department of Medical Psychology, VU University Medical Centre, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands.
BMC Public Health. 2004 Mar 10;4:7. doi: 10.1186/1471-2458-4-7.
This article discusses the design of a study on the prevalence of health problems (both physical and mental) and the utilisation of health care services among asylum seekers and refugees in the Netherlands, including factors that may be related to their health and their utilisation of these services.
METHODS/DESIGN: The study will include random samples of adult asylum seekers and refugees from Afghanistan, Iran and Somali (total planned sample of 600), as these are among the largest groups within the reception centres and municipalities in the Netherlands. The questionnaire that will be used will include questions on physical health (chronic and acute diseases and somatization), mental health (Hopkins Symptoms Checklist-25 and Harvard Trauma Questionnaire), utilisation of health care services, pre- and post-migratory traumatic experiences, life-style, acculturation, social support and socio-demographic background. The questionnaire has gone through a translation process (translation and back-translation, several checks and a pilot-study) and cross-cultural adaptation. Respondents will be interviewed by bilingual and bicultural interviewers who will be specifically trained for this purpose. This article discusses the selection of the study population, the chosen outcome measures, the translation and cross-cultural adaptation of the measurement instrument, the training of the interviewers and the practical execution of the study. The information provided may be useful for other researchers in this relatively new field of epidemiological research among various groups of asylum seekers and refugees.
本文讨论了一项关于荷兰寻求庇护者和难民健康问题（包括身体和心理）的患病率以及医疗保健服务利用情况的研究设计，包括可能与其健康状况及其对这些服务利用情况相关的因素。
方法/设计：该研究将包括来自阿富汗、伊朗和索马里的成年寻求庇护者和难民的随机样本（计划总样本量为600），因为这些是荷兰接待中心和各市中最大的群体之一。所使用的问卷将包括有关身体健康（慢性和急性疾病以及躯体化）、心理健康（霍普金斯症状清单-25和哈佛创伤问卷）、医疗保健服务利用情况、迁移前和迁移后的创伤经历、生活方式、文化适应、社会支持和社会人口背景等问题。该问卷已经历了翻译过程（翻译和回译、多次检查和一项预试验）以及跨文化调适。受访者将由双语和双文化的访谈员进行访谈，这些访谈员将为此接受专门培训。本文讨论了研究人群的选择、选定的结局指标、测量工具的翻译和跨文化调适、访谈员的培训以及研究的实际实施。所提供的信息可能对该相对较新的寻求庇护者和难民各群体流行病学研究领域的其他研究人员有用。
