Association of pre-migration socioeconomic status and post-migration mental health in Syrian refugees in Lebanon:a descriptive sex-stratified cross-sectional analysis  

作　　者：Saskia Lange Toivo Glatz Andreas Halgreen Eiset 

机构地区：[1]Institute of Public Health,Charité–Universitätsmedizin Berlin,Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin,Charitéplatz 1,10117 Berlin,Germany [2]Department of Public Health,Center for Global Health(GloHAU),Aarhus University,Aarhus,Denmark [3]Clinic for PTSD and Anxiety,Aarhus University Hospital,Aarhus,Denmark [4]Department of Clinical Pharmacology,Aarhus University Hospital,Aarhus,Denmark

出　　处：《Global Health Research and Policy》2024年第1期516-524,共9页全球健康研究与政策(英文)

基　　金：Open Access funding enabled and organized by Projekt DEAL.

摘　　要：Background Refugee populations present with high levels of psychological distress,which may vary among soci-odemographic characteristics.Understanding the distribution across these characteristics is crucial to subsequently provide more tailored support to the most affected according to their specific healthcare needs.This study therefore seeks to investigate the association between pre-migration socioeconomic status(SES)and post-migration mental health separately for male and female Syrian refugees in Lebanon.Methods In a cross-sectional study,a cluster randomized sample of 599 refugees from Syria were recruited between 2016 and 2019 within 12 months after they fled to Lebanon.Logistic regression was used to determine the association between self-reported pre-migration SES and levels of anxiety and depressive symptoms assessed on the Hopkins Symptoms Checklist-25(HSCL-25)scale,both for the entire sample and stratified by sex.To assess the informative value of self-reported SES,its correlation with education variables was tested.All analyses were con-ducted in R version 4.3.Results Using complete cases,457 participants(322 female,135 male)were included in the analyses.Females showed on average more symptoms of anxiety(Median:2.5)and depression(Median:2.4)than males(Median:2.10 and 2.07,respectively).Below average SES was associated with significantly higher odds for mental illness compared to average SES(anxiety:OR 4.28,95%CI[2.16,9.49];depression:OR 1.85,95%CI[1.06,3.36]).For anxiety,differences between SES strata were larger for males than females.The self-reported SES measure showed only a weak positive correlation with education.Conclusions This study adds additional descriptive data highlighting mental health differences in Syrian refugees in Lebanon,whereby below average SES is associated with worse mental health outcomes compared to aver-age SES.These findings demand further research into the underlying mechanisms.Improving our understanding of the observed differences will provide valuable insights that c

关 键 词：ANXIETY Depression Mental health MIGRATION Refugees SES SEX GENDER Social determinants 

分 类 号：D81[政治法律—国际关系]