Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Department of Addiction Medicine, Haukeland University Hospital, Bergen, Norway.
Front Public Health. 2024 Feb 9;12:1264230. doi: 10.3389/fpubh.2024.1264230. eCollection 2024.
There is a scarcity of research on discriminatory experiences and their association with health outcomes among Syrian Refugees in Norway. Thus, this study aims to examine the relationship between perceived discrimination, self-rated health (SRH), chronic pain, poor mental health, and healthcare utilization among Syrian refugees resettled in Norway.
Cross-sectional data from the Integration for Health project were analyzed, including 154 Syrian refugees who resettled in Norway in 2018-19. Perceived discrimination, SRH, chronic pain, psychological distress, post-traumatic stress symptoms, and healthcare visits were assessed. Statistical analyses, including Poisson regression and multinomial logistic regression, were conducted. The significant statistical level was set at 0.05.
Approximately 30% of participants reported experiencing discrimination, with no significant associations between sociodemographic factors and perceived discrimination. Perceived discrimination was significantly associated with psychological distress (adjusted PR: 2.07, 95%CI: 1.21-3.55), post-traumatic stress symptoms (adjusted PR: 11.54, 95%CI: 1.25-106.16), and 4 or more psychologist visits (adjusted OR: 12.60, 95%CI: 1.72-92.16). However, no significant associations were found between perceived discrimination and SRH; pain symptoms, or general healthcare utilization.
Experienced discrimination is highly prevalent and seems to be associated with mental health outcomes, but not clearly with SRH, pain, or general healthcare visits among Syrian refugees living in Norway. Efforts should focus on reducing discrimination, promoting social inclusion, and improving access to mental health services for refugees. Public awareness campaigns, anti-discrimination policies, and cultural training for healthcare professionals are recommended to address these issues and improve the well-being of Syrian refugees in Norway.
针对挪威叙利亚难民的歧视经历及其与健康结果之间的关系，相关研究较为匮乏。因此，本研究旨在检验在挪威重新定居的叙利亚难民中感知歧视与自我报告健康状况（SRH）、慢性疼痛、心理健康不良和医疗保健利用之间的关系。
对 2018-19 年在挪威重新定居的 154 名叙利亚难民的“健康融入”项目的横断面数据进行分析。评估感知歧视、SRH、慢性疼痛、心理困扰、创伤后应激症状和医疗保健就诊情况。采用泊松回归和多项逻辑回归进行统计分析。显著统计学水平设定为 0.05。
约 30%的参与者报告存在歧视经历，感知歧视与社会人口学因素之间无显著关联。感知歧视与心理困扰（调整后的 PR：2.07，95%CI：1.21-3.55）、创伤后应激症状（调整后的 PR：11.54，95%CI：1.25-106.16）和 4 次或更多次心理医生就诊（调整后的 OR：12.60，95%CI：1.72-92.16）显著相关。但是，感知歧视与 SRH、疼痛症状或一般医疗保健就诊之间无显著关联。
在挪威生活的叙利亚难民中，经历歧视的现象非常普遍，且似乎与心理健康结果相关，但与 SRH、疼痛或一般医疗保健就诊无明显关联。应努力减少歧视，促进社会包容，并改善难民获得心理健康服务的机会。建议开展公众宣传活动、制定反歧视政策和对医疗保健专业人员进行文化培训，以解决这些问题，提高挪威叙利亚难民的幸福感。
