Al-Qadi Mahmoud, Al-Hussami Mahmoud, Riza Elena, Athamnah Esra'a, Shehadeh Jumana, Kleisiaris Christos, Almegewly Wafa Hamad, Karavasileiadou Savvato
Royal Medical Services, Amman 11855, Jordan.
Community Nursing Department, School of Nursing, The University of Jordan, Amman 11942, Jordan.
Healthcare (Basel). 2023 Feb 7;11(4):478. doi: 10.3390/healthcare11040478.
Sufficient healthcare services utilization among the Syrian refugee population is one of the most important human rights. Vulnerable populations, such as refugees, are often deprived of sufficient access to healthcare services. Even when healthcare services are accessible, refugees vary in their level of utilization of these services and their health-seeking behavior.
This study aims to examine the status and indicators of healthcare service access and utilization among adult Syrian refugees with non-communicable diseases residing in two refugee camps.
The cross-sectional descriptive design was conducted by enrolling 455 adult Syrian refugees residing in the Al-Za'atari and Azraq camps in northern Jordan, using demographical data, perceived health, and the "Access to healthcare services" module, which is a part of the Canadian Community Health Survey (CCHS). A logistic regression model with binary outcomes was used to explore the accuracy of the variables influencing the utilization of healthcare services. The individual indicators were examined further out of 14 variables, according to the Anderson model. Specifically, the model consisted of healthcare indicators and demographic variables to find out if they have any effect on healthcare services utilization.
Descriptive data showed that the mean age of the study participants (n = 455) was 49.45 years (SD = 10.48), and 60.2% (n = 274) were females. In addition, 63.7% (n = 290), of them were married; 50.5% (n = 230) held elementary school-level degrees; and the majority 83.3% (n = 379) were unemployed. As expected, the vast majority have no health insurance. The mean overall food security score was 13 out of 24 (±3.5). Difficulty in accessing healthcare services among Syrian refugees in Jordan's camps was significantly predicted by gender. "Transportation problems, other than fee problems" (mean 4.25, SD = 1.11) and "Unable to afford transportation fees" (mean 4.27, SD = 1.12) were identified as the most important barriers to accessing healthcare services.
Healthcare services must imply all possible measures to make them more affordable to refugees, particularly older, unemployed refugees with large families. High-quality fresh food and clean drinking water are needed to improve health outcomes in camps.
叙利亚难民群体充分利用医疗保健服务是最重要的人权之一。难民等弱势群体往往被剥夺了充分获得医疗保健服务的机会。即使能够获得医疗保健服务，难民在这些服务的利用水平和就医行为方面也存在差异。
本研究旨在调查居住在两个难民营中的患有非传染性疾病的成年叙利亚难民获得和利用医疗保健服务的状况及指标。
采用横断面描述性设计，纳入居住在约旦北部扎塔里和阿兹拉克难民营的455名成年叙利亚难民，使用人口统计学数据、自我感知健康状况以及作为加拿大社区健康调查（CCHS）一部分的“获得医疗保健服务”模块。采用二元结局的逻辑回归模型来探究影响医疗保健服务利用的变量的准确性。根据安德森模型，从14个变量中进一步检查各个指标。具体而言，该模型由医疗保健指标和人口统计学变量组成，以查明它们是否对医疗保健服务利用有任何影响。
描述性数据显示，研究参与者（n = 455）的平均年龄为49.45岁（标准差 = 10.48），女性占60.2%（n = 274）。此外，其中63.7%（n = 290）已婚；50.5%（n = 230）拥有小学学历；大多数83.3%（n = 379）失业。不出所料，绝大多数人没有医疗保险。总体粮食安全平均得分为24分中的13分（±3.5）。约旦难民营中叙利亚难民获得医疗保健服务的困难程度在性别方面有显著预测性。“除费用问题外的交通问题”（平均4.25，标准差 = 1.11）和“无力支付交通费用（平均4.27，标准差 = 1.12）被确定为获得医疗保健服务的最重要障碍。
医疗保健服务必须采取一切可能措施，使其对难民，特别是年龄较大、失业且家庭人口多的难民更具可承受性。需要高质量的新鲜食品和清洁饮用水来改善难民营中的健康状况。
