a Massachusetts General Hospital , Harvard Medical School , Boston , MA , USA.
b Department of Psychiatry , Boston Medical Center, Boston University School of Medicine , Boston , MA , USA.
Glob Public Health. 2018 Sep;13(9):1216-1228. doi: 10.1080/17441692.2017.1373838. Epub 2017 Sep 12.
Currently, over 1 million Syrian and Palestinian refugees have fled Syria to take refuge in Lebanon. Among this vulnerable population, elder refugees warrant particular concern, as they shoulder a host of additional health and safety issues that require additional resources. However, the specific needs of elder refugees are often overlooked, especially during times of crisis. Our study used a semi-structured interview to survey the needs of elder refugees and understand their perceived support from Lebanese fieldworkers. Results indicate a high prevalence of depression and cognitive deficits in elder refugees, who expressed concerns surrounding illness, loneliness, war, and instability. Elders highlighted the importance of family connectedness in fostering security and normalcy and in building resilience during times of conflict. Elders spoke of their role akin that of the social workers with whom they interacted, in that they acted as a source of emotional support for their communities. Overall, this study clarifies steps to be taken to increase well-being in elder refugee populations and urges the response of humanitarian organisations to strengthen psychological support structures within refugee encampments.
目前,已有超过 100 万叙利亚和巴勒斯坦难民逃离叙利亚,在黎巴嫩避难。在这些弱势群体中,老年难民尤其值得关注,因为他们面临着许多额外的健康和安全问题,需要额外的资源。然而,老年难民的具体需求往往被忽视,尤其是在危机时期。我们的研究使用半结构化访谈调查了老年难民的需求,并了解了他们对黎巴嫩现场工作人员的感知支持。结果表明,老年难民中普遍存在抑郁和认知缺陷,他们对疾病、孤独、战争和不稳定表示担忧。老年人强调家庭联系在培养安全感和常态以及在冲突时期建立韧性方面的重要性。老年人表示,他们的角色类似于他们所接触的社会工作者,因为他们是社区情感支持的来源。总的来说,这项研究阐明了增加老年难民人口福祉所需采取的步骤,并敦促人道主义组织加强难民营内的心理支持结构。