Department of Vulnerabilities and Social Medicine, University Center of General Medicine and Public Health, Lausanne, Switzerland.
Chair of Medicine for Vulnerable Populations, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland.
Int J Public Health. 2023 Sep 27;68:1606229. doi: 10.3389/ijph.2023.1606229. eCollection 2023.
The clinical and social burden of the COVID-19 pandemic were high among asylum seekers (ASs). We aimed to understand better ASs' experiences of the pandemic and their sources of worries. Participants ( = 203) completed a survey about their worries, sleep disorders, and fear of dying. We also conducted semi-structured interviews with ASs living in a community center ( = 15), focusing on how social and living conditions affected their experiences and worries. ASs in community centers experienced more sleep disorders related to the COVID-19 pandemic than those living in private apartments (aOR 2.01, = 0.045). Similarly, those with lower education had greater fear for their life due to the COVID-19 pandemic (aOR 2.31, = 0.015). Qualitative findings showed that sharing living spaces was an important source of worries for ASs and that protective measures were perceived to increase social isolation. Our study highlighted the impact of the COVID-19 pandemic for ASs and the importance of tailoring public health measures to their needs and living conditions.
在寻求庇护者（ASs）中，COVID-19 大流行带来了沉重的临床和社会负担。我们旨在更深入地了解 ASs 的大流行经历及其担忧的来源。
参与者（= 203）完成了一项关于他们的担忧、睡眠障碍和对死亡的恐惧的调查。我们还对居住在社区中心的 ASs 进行了 15 次半结构化访谈，重点关注社会和生活条件如何影响他们的经历和担忧。
与居住在私人公寓的 ASs 相比，居住在社区中心的 ASs 更有可能因 COVID-19 大流行而出现睡眠障碍（aOR 2.01，= 0.045）。同样，受教育程度较低的人对 COVID-19 大流行的生命恐惧更大（aOR 2.31，= 0.015）。定性研究结果表明，共享生活空间是 ASs 担忧的一个重要来源，并且认为保护措施会增加社会隔离。
我们的研究强调了 COVID-19 大流行对 ASs 的影响，以及根据他们的需求和生活条件调整公共卫生措施的重要性。
