Honein-AbouHaidar Gladys, Naal Hady, Dakdouki Asmaa El, Chamseddine Zahraa, Sarieddine Dalia, Tamim Hani, Bosqui Tania, Fouad Fouad, Ibrahim Sara, Sater Zahi Abdul, Saleh Shadi
Hariri School of Nursing, American University of Beirut, Beirut, Lebanon.
Global Health Institute, American University of Beirut, Beirut, Lebanon.
BMC Pregnancy Childbirth. 2025 Aug 12;25(1):837. doi: 10.1186/s12884-025-07990-6.
Female Syrian refugees in Lebanon face poor sexual reproductive health outcomes. However, associated risk and protective factors are not clearly understood. This study focuses on examining sociodemographic and clinical factors associated with miscarriage and unsuccessful conception among this population.
This cross-sectional study is part of the Self-Efficacy and Knowledge Trial, which aims to enhance SRH and family planning among Female Syrian refugees in humanitarian settings. This baseline data (n = 485) was collected from 2 primary healthcare centers in the Bekaa in Lebanon using the PAPFAM tool during November and December 2023. Statistical analyses included chi-square tests, ANOVA, independent t-tests, and multivariate logistic regression to identify associations between sociodemographic and clinical factors and SRH outcomes.
Miscarriage and unsuccessful conception attempts were relatively high in our sample. Higher male partnered refugee age and lack of pregnancy desire were significant risk factors for miscarriage (OR:1.058; CI: 1.008- 1.110 and OR:5.190; CI: 1.031 - 26.112 respectively), while frequent antenatal care visits were protective (OR:0.923; CI: 0.855 - 0.997). Miscarriage was not associated with women's age, and education. Unsuccessful conception attempts were significantly associated with higher male partnered refugee age (OR: 1.086; CI: 1.031 - 1.144), higher maternal age at first pregnancy (OR: 1.345; CI: 1.063 - 1.725), and lower number of alive children (OR: 0.436; CI: 0.313 - 0.607). No significant associations were found between unsuccessful conception attempts and screening, education, employment, and financial/transportation barriers to seeking healthcare services.
Findings highlight the need for community-based interventions to address modifiable risk factors for miscarriage and unsuccessful conception among female Syrian refugees as described in detailed in the manuscript. This may include strengthening access to antenatal care, promoting family planning and optimal communication strategies, and addressing social and environmental determinants to mitigate related risk factors. Additionally, efforts should focus on improving SRH literacy and facilitating professional healthcare consultations and screenings.
黎巴嫩的叙利亚女性难民面临着不良的性与生殖健康结局。然而，相关的风险和保护因素尚未完全明确。本研究聚焦于调查该人群中与流产和受孕未成功相关的社会人口学及临床因素。
这项横断面研究是自我效能与知识试验的一部分，该试验旨在改善人道主义环境下叙利亚女性难民的性与生殖健康及计划生育状况。2023年11月至12月期间，使用PAPFAM工具从黎巴嫩贝卡谷地的2个初级医疗保健中心收集了这些基线数据（n = 485）。统计分析包括卡方检验、方差分析、独立t检验和多因素逻辑回归，以确定社会人口学和临床因素与性与生殖健康结局之间的关联。
在我们的样本中，流产和受孕未成功的比例相对较高。男性伴侣难民年龄较大以及缺乏怀孕意愿是流产的显著风险因素（OR：1.058；CI：1.008 - 1.110和OR：5.190；CI：1.031 - 26.112），而频繁的产前检查具有保护作用（OR：0.923；CI：0.855 - 0.997）。流产与女性年龄和教育程度无关。受孕未成功与男性伴侣难民年龄较大（OR：1.086；CI：1.031 - 1.144）、首次怀孕时母亲年龄较大（OR：1.345；CI：1.063 - 1.725）以及存活子女数量较少（OR：0.436；CI：0.313 - 0.607）显著相关。在受孕未成功与筛查、教育、就业以及寻求医疗服务的经济/交通障碍之间未发现显著关联。
研究结果凸显了开展基于社区的干预措施的必要性，以解决叙利亚女性难民中可改变的流产和受孕未成功风险因素，如手稿中详细描述的那样。这可能包括加强产前检查的可及性、推广计划生育和优化沟通策略，以及解决社会和环境决定因素以减轻相关风险因素。此外，应致力于提高性与生殖健康素养，并促进专业医疗咨询和筛查。
