Taylor Eboni M, Yanni Emad A, Pezzi Clelia, Guterbock Michael, Rothney Erin, Harton Elizabeth, Montour Jessica, Elias Collin, Burke Heather
J Immigr Minor Health. 2014 Dec;16(6):1130-7. doi: 10.1007/s10903-013-9893-6.
We conducted a survey among Iraqi refugees resettled in the United States to assess their physical and mental health status and healthcare access and utilization following the initial 8-month, post-arrival period. We randomly selected Iraqi refugees: ≥18 years of age; living in the United States for 8–36 months; and residents of Michigan, California, Texas and Idaho. Participants completed a household questionnaire and mental health assessment. We distributed 366 surveys. Seventy-five percent of participants had health insurance at the time of the survey; 43 % reported delaying or not seeking care for a medical problem in the past year. Sixty percent of participants reported one chronic condition; 37 % reported ≥2 conditions. The prevalence of emotional distress, anxiety, and depression was approximately 50 % of participants; 31 % were at risk for post-traumatic stress disorder. Iraqi refugees in this evaluation reported a high prevalence of chronic conditions and mental health symptoms despite relatively high access to healthcare. It is important for resettlement partners to be aware of the distinctive health concerns of this population to best address needs within this community.
我们对重新安置在美国的伊拉克难民进行了一项调查，以评估他们在抵达美国后的最初8个月后的身心健康状况以及医疗保健的可及性和利用率。我们随机挑选了年龄≥18岁、在美国生活8至36个月、且居住在密歇根州、加利福尼亚州、得克萨斯州和爱达荷州的伊拉克难民。参与者完成了一份家庭调查问卷和心理健康评估。我们发放了366份调查问卷。75%的参与者在调查时拥有医疗保险；43%的人报告在过去一年中曾推迟就医或未因医疗问题寻求治疗。60%的参与者报告患有一种慢性病；37%的人报告患有两种及以上慢性病。约50%的参与者存在情绪困扰、焦虑和抑郁问题；31%的人有创伤后应激障碍风险。尽管获得医疗保健的机会相对较高，但参与此次评估的伊拉克难民报告称慢性病和心理健康症状的患病率很高。重新安置工作的合作伙伴必须了解这一人群独特的健康问题，以便更好地满足该社区的需求。
