School of Health Sciences, Orebro University, 70182 Orebro, Sweden.
Centre for Global Health Research, Brighton and Sussex Medical School, Brighton BN1 9PX, UK.
Int J Environ Res Public Health. 2020 Jul 10;17(14):4983. doi: 10.3390/ijerph17144983.
The health and well-being of asylum seekers in high-income countries is a concern from both individual and community perspectives. This study aims to describe the perceived needs of adult asylum seekers in Sweden. A mixed methods study was conducted that combined a non-randomized descriptive cross-sectional assessment of perceived serious needs using the Humanitarian Emergency Settings Perceived Needs Scale (HESPER) Web with 85 adult asylum seekers and focus group discussions with 14 adult asylum seekers in Sweden. Descriptive and comparative statistics were used for the quantitative part, and thematic analysis for the qualitative part. The total number of perceived serious needs reported by respondents ranged from zero to 13 needs per person with a mean of four needs (SD 2.71). The most commonly perceived serious needs were related to income or livelihood, separation from loved ones, being displaced from home, distress, and concerns about accessing adequate health care services. Many of the perceived needs appeared to be related to experiences of being dependent, in limbo, and vulnerable. Addressing people's current perceived needs can contribute to resilience and well-being and therefore should be considered in health care systems that cater to immigrants.
高收入国家寻求庇护者的健康和福祉是个人和社区关注的问题。本研究旨在描述瑞典成年寻求庇护者的感知需求。采用混合方法研究，结合了使用人道主义紧急情况感知需求量表（HESPER）网络对 85 名成年寻求庇护者的严重需求进行非随机描述性横断面评估，以及对 14 名瑞典成年寻求庇护者进行焦点小组讨论。定量部分采用描述性和比较性统计方法，定性部分采用主题分析。受访者报告的感知严重需求总数从每人零项到 13 项不等，平均为四项需求（SD=2.71）。最常见的感知严重需求与收入或生计、与亲人分离、被迫离开家园、痛苦和对获得足够医疗服务的担忧有关。许多感知到的需求似乎与依赖、处于困境和脆弱有关。满足人们当前的感知需求可以促进韧性和幸福感，因此，在为移民提供服务的医疗保健系统中应该考虑这些需求。
