Global Health Center, Division of Infectious Diseases, School of Medicine, University of Louisville, Louisville, KY, USA.
School of Psychology, University of Ottawa, Ottawa, ON, Canada.
Prim Health Care Res Dev. 2022 Mar 28;23:e21. doi: 10.1017/S146342362200007X.
Newly arriving Syrian refugees can present with specific health characteristics and medical conditions when entering the United States. Given the lack of epidemiological data available for the refugee populations, our study examined the demographic features of Syrian refugees resettled in the state of Kentucky. Specifically, we examined mental and physical health clinical data in both pre-departure health screenings and domestic Refugee Health Assessments (RHA; Kentucky Office for Refugees, n.d.) performed after resettlement.
The current study adopted a cross-sectional research design. We analyzed outcome data collected from participants from 2013 and 2015. Specifically, a comparative cross-sectional analysis was performed using clinical data from Syrian refugees who underwent an RHA as part of the resettlement process between January 2015 and August 2016. Those data were compared to data derived from refugees from other countries who resettled in Kentucky between 2013 and 2015.
Mental health screenings using the Refugee Health Screener (RHS-15; Hollifield et al., 2013) found that 19.5% (n = 34) of adult Syrian refugees reported signs and symptoms from posttraumatic stress, depressive symptoms, and/or anxiety, and nearly 40% (n = 69) reported personal experiences of imprisonment or violence, and/or having witnessed someone experiencing torture or violence. Intestinal parasites and lack of immunity to varicella were the most prevalent communicable diseases among Syrian refugees. Dental abnormalities and decreased visual acuity account for the first and second most prevalent non-communicable conditions. When comparing these results to all refugees arriving during the same years, significant differences arose in demographic variables, social history, communicable diseases, and non-communicable diseases.
This study provides an initial health profile of Syrian refugees resettling in Kentucky, which reflects mental health as a major healthcare concern. Posttraumatic stress and related symptoms are severe mental health conditions among Syrian refugees above and beyond other severe physical problems.
新抵达的叙利亚难民进入美国时可能会呈现出特定的健康特征和医疗状况。鉴于针对难民群体的流行病学数据有限,我们的研究检查了在肯塔基州重新安置的叙利亚难民的人口统计学特征。具体来说,我们检查了在出发前健康筛查和国内难民健康评估(肯塔基州难民办公室,未注明日期)中记录的精神和身体健康临床数据。
本研究采用了横断面研究设计。我们分析了 2013 年和 2015 年参与者的数据。具体来说,对 2015 年 1 月至 2016 年 8 月期间接受难民健康评估的叙利亚难民的临床数据进行了比较性横断面分析,作为重新安置过程的一部分。将这些数据与 2013 年至 2015 年在肯塔基州重新安置的其他国家难民的数据进行了比较。
使用难民健康筛查器(RHS-15;Hollifield 等人,2013 年)进行的心理健康筛查发现,19.5%(n=34)的成年叙利亚难民报告了创伤后应激、抑郁症状和/或焦虑的迹象和症状,近 40%(n=69)报告了监禁或暴力的个人经历,和/或目睹过他人遭受酷刑或暴力。肠道寄生虫和对水痘缺乏免疫力是叙利亚难民中最常见的传染病。牙齿异常和视力下降分别是第一和第二常见的非传染性疾病。将这些结果与同期抵达的所有难民进行比较,在人口统计学变量、社会史、传染病和非传染病方面存在显著差异。
本研究提供了在肯塔基州重新安置的叙利亚难民的初始健康概况,反映了心理健康是主要的医疗保健关注点。创伤后应激和相关症状是叙利亚难民的严重心理健康问题,超出了其他严重身体问题。