Department of Humanities and Social Sciences, Indian Institute of Technology (IIT), Roorkee, India.
Centre for the Study of Regional Development, School of Social Sciences-III, Jawaharlal Nehru University, New Delhi, India.
PLoS One. 2021 Sep 7;16(9):e0257080. doi: 10.1371/journal.pone.0257080. eCollection 2021.
Armed conflicts result in greater vulnerability and socioeconomic inequality of populations besides risking their health and well-being. Conflict intensifies the health needs and risks the life and well-being of individuals at large through displacement. Therefore, our study aims to apprise the interventions to which children under-five living in Jordan are especially at risk for acute respiratory infections, diarrhea, and fever in the conflict circumstances.
Secondary data analysis is used in the present study. We used a weighted sample of around 9650 children from Jordan Population and Family Health Survey (JPFHS), 2017-18. Bivariate analysis including prevalence rates were used to examine the distribution of socio-demographic characteristics of children. The study has also used multinomial logistic regression model, in order to evaluate the variations in the probability of nationality of under-five children living in Jordan.
"Syrian nationalist" children have a higher relative risk of ARI (RRR = 1.19, [1.08, 1.32]), and "Other-nationalist" children have two times greater risk of ARI compared to "Jordanian children." The relative risk of diarrhea is lower among "Syrian nationalist" and "Other-nationalist" children compared to "Jordanian children." Children belong "Other-nationalist" are found to be less relative risk of fever (RRR = 0.9, [0.80, 1.01]) than "Jordanian children."
Our study concludes that conflict-driven displacement has an immediate effect on child health through access, availability, and affordability of health care services, resulting in more significant health care risks. However, sufficient investment is required to address such adversities that affect the health care system due to uneven demand as experienced by the Jordanian health care system. Thus, collaborative efforts through global partners can play a significant role in the countries facing the challenges of managing these health care emergencies.
武装冲突不仅使人民更容易受到伤害，社会经济更加不平等，还危及他们的健康和福祉。冲突通过流离失所使更多人面临健康需求和风险，危及整个人群的生命和福祉。因此，我们的研究旨在了解在冲突环境下，生活在约旦的五岁以下儿童特别容易受到急性呼吸道感染、腹泻和发热影响的干预措施。
本研究采用二次数据分析。我们使用了 2017-18 年约旦人口与家庭健康调查（JPFHS）中约 9650 名儿童的加权样本。采用双变量分析，包括患病率，来检查儿童社会人口特征的分布情况。该研究还使用了多项逻辑回归模型，以评估生活在约旦的五岁以下儿童国籍变化的概率。
“叙利亚民族主义者”儿童患急性呼吸道感染的相对风险较高（RRR=1.19，[1.08，1.32]），而“其他民族主义者”儿童患急性呼吸道感染的风险是“约旦儿童”的两倍。与“约旦儿童”相比，“叙利亚民族主义者”和“其他民族主义者”儿童腹泻的相对风险较低。与“约旦儿童”相比，属于“其他民族主义者”的儿童发热的相对风险较低（RRR=0.9，[0.80，1.01]）。
我们的研究得出结论，冲突导致的流离失所通过获取、提供和负担得起医疗服务对儿童健康产生直接影响，导致更大的医疗保健风险。然而，需要充分投资来解决由于约旦医疗保健系统所经历的需求不均等而影响医疗保健系统的这些逆境。因此，全球合作伙伴的协作努力可以在面临管理这些医疗保健紧急情况挑战的国家中发挥重要作用。
