Nielsen Nina Odgaard, Rafn Anne Vollen, Andersen Signe, Rafn Jan, Kjærsgaard Hanne, Petersen Birthe, Sønderskov Anne Juul, Dahl Morten, Benedikz Eirikur, Lindahl Marianne
Centre for Health, University College Absalon, Sdr. Stationsvej 30, 4200 Slagelse, Denmark.
Language Centre Næstved, Nygårdsvej 110, 4700 Næstved, Denmark.
J Migr Health. 2025 May 31;12:100338. doi: 10.1016/j.jmh.2025.100338. eCollection 2025.
The aim was to evaluate the effect of a multi-component social and health promoting intervention on health and wellbeing in a well-defined group of refugee families 2-4 years after resettlement in Denmark.
This longitudinal open-label comparison study involved 82 individuals from Syria aged 13-53 years comprising an intervention group (IG, = 50) and a comparison group (CG, = 32), was conducted from 2019 to 2021. The main outcomes were self-rated health, assessed using a single item question from the Danish National Health Surveys, and mental wellbeing measured by the Short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS). Objective levels of cholesterol, blood glucose (HbA1c), and blood pressure were also determined. Multiple linear regression models were used to estimate the effect of the intervention on SWEMWBS scores.
A higher proportion in the IG (38 %) than in the CG (22 %) had rated their general health more positively after the intervention, though the difference was statistically insignificant ( = 0.38). There was a less decrease in SWEMWBS scores in the IG (slope 0.47) than in the CG (slope 0.27) from 2019 to 2020, indicating a positive, but insignificant, effect of the intervention (estimate: 0.20, 95 % CI:0.06 - 0.47, = 0.13). This tendency of a positive effect was absent in 2021. High participation rate was significantly associated with higher post-intervention SWEMWBS scores (coefficient: 3.45, 95 % CI: 1.86 - 5.03, < 0.01). No effects on objectively measured biomarkers were observed.
The study demonstrated changes in self-rated health and SWEMWBS scores in the IG and CG, and indicated an overall tendency of a positive effect of the intervention on general health and mental wellbeing among the study participants. The effects might have been more pronounced without the convergence of counteracting factors, such as the COVID-19 pandemic and substantial fear arising from the European repatriation policies debated in 2021.
本研究旨在评估一项多方面促进社会与健康的干预措施，对在丹麦重新安置2至4年的特定难民家庭群体的健康和幸福感所产生的影响。
这项纵向开放标签对照研究于2019年至2021年进行，涉及82名年龄在13至53岁的叙利亚人，分为干预组（IG，n = 50）和对照组（CG，n = 32）。主要结局指标包括：采用丹麦国家健康调查中的单项问题评估的自评健康状况，以及使用简短的沃里克 - 爱丁堡心理健康量表（SWEMWBS）测量的心理健康状况。同时还测定了胆固醇、血糖（糖化血红蛋白HbA1c）和血压的客观水平。采用多元线性回归模型估计干预措施对SWEMWBS评分的影响。
干预后，干预组中对总体健康状况给予更积极评价的比例（38%）高于对照组（22%），不过差异无统计学意义（P = 0.38）。从2019年到2020年，干预组SWEMWBS评分的下降幅度（斜率0.47）小于对照组（斜率0.27），表明干预措施产生了积极但不显著的效果（估计值：0.20，95%置信区间：0.06 - 0.47，P = 0.13）。2021年这种积极效果的趋势消失。高参与率与干预后更高的SWEMWBS评分显著相关（系数：3.45，95%置信区间：1.86 - 5.03，P < 0.01）。未观察到对客观测量的生物标志物有影响。
该研究显示了干预组和对照组在自评健康状况和SWEMWBS评分方面的变化，并表明干预措施对研究参与者的总体健康和心理健康具有积极影响的总体趋势。若没有诸如2021年辩论的欧洲遣返政策引发的新冠疫情和严重恐惧等抵消因素的共同作用，这些影响可能会更加显著。
