The health-related quality of life of Syrian refugee women in their reproductive age

Background Health-Related Quality of Life (HRQoL) for refugee women in reproductive age is highly affected by physical, political, psychosocial and environmental conditions in countries of asylum. HRQoL is enormously affected by the satisfaction of this vulnerable group with the physical, psychological, emotional and social care services provided in this critical time. Therefore, this study aimed toassess the HRQoL among Syrian refugee women of reproductive age living outside camps in Jordan. Methods A cross-sectional correlational study was conducted with a convenience sample of 523 Syrian refugee women in the host communities in Jordan.Health-related quality of life (HRQOL) was measured using the short-form 36 (SF-36) questionnaire. Results Significant negative correlations were found between SF-36 individual subscales score and the length of marriage, the number of children, parity and family income. The strongest correlations were between pain scale and length of marriage (r = − .21), and between Energy/Fatigue and ‘number of children’ (r = − .21). Conversely, antenatal care was positively correlated with physical, role emotional, pain, and general health. Physical functioning and general health were predicted significantly with less years of marriage, younger age at marriage, less violence and by higher family income. Conclusion This study suggests low HRQoL scores for women of reproductive age across all domains. Several factors such as years of marriage, age at marriage, the number of children, violence, antenatal care and family income affected the women’s general health. The provision of appropriate and accessible reproductive and maternal healthcare services in antenatal visits is critical for ensuring the immediate and long-term health and wellbeing of refugee women and their families.

[1]  M. R. Boer,et al.  Analysing outcome variables with floor effects due to censoring: a simulation study with longitudinal trial data , 2018, Epidemiology, Biostatistics, and Public Health.

[2]  O. Omari,et al.  Factor associated with health-related quality of life among population in Northern Jordan , 2018, Epidemiology, Biostatistics, and Public Health.

[3]  K. Tamakoshi,et al.  Course of maternal fatigue and its associated factors during the first 6 months postpartum: a prospective cohort study , 2018, Nursing open.

[4]  C. Gallois,et al.  Refugee Parents’ Communication and Relations With Their Children: Development and Application of the Refugee Parent-Child Relational Communication Scale , 2017 .

[5]  M. Lachman,et al.  Perceived Control and Aging: A Mini-Review and Directions for Future Research , 2017, Gerontology.

[6]  P. Liamputtong,et al.  Migrant women’s experiences, meanings and ways of dealing with postnatal depression: A meta-ethnographic study , 2017, PloS one.

[7]  Usman Ghumman,et al.  Posttraumatic stress disorder in Syrian refugees: A review. , 2016 .

[8]  Carl Stempel,et al.  Impact of Postmigration Living Difficulties on the Mental Health of Afghan Migrants Residing in Istanbul , 2016 .

[9]  Refugee migration and risk of schizophrenia and other non-affective psychoses: cohort study of 1.3 million people in Sweden , 2016, British Medical Journal.

[10]  E. Karadağ,et al.  Difficulties encountered by hospitalized Syrian refugees and their expectations from nurses. , 2016, International nursing review.

[11]  N. Weinstein,et al.  Enhancing need satisfaction to reduce psychological distress in Syrian refugees. , 2016, Journal of consulting and clinical psychology.

[12]  G. Lewis,et al.  Refugee migration and risk of schizophrenia and other non-affective psychoses: cohort study of 1.3 million people in Sweden , 2016, British Medical Journal.

[13]  L. Kirmayer,et al.  Mental health and psychosocial wellbeing of Syrians affected by armed conflict , 2016, Epidemiology and Psychiatric Sciences.

[14]  Laila M. Akhu-Zaheya,et al.  Prevalence and care-seeking for chronic diseases among Syrian refugees in Jordan , 2015, BMC Public Health.

[15]  Stefan Priebe,et al.  Long-term mental health of war-refugees: a systematic literature review , 2015, BMC International Health and Human Rights.

[16]  Sidney L Liang,et al.  Long-Term Refugee Health , 2015, Health education & behavior : the official publication of the Society for Public Health Education.

[17]  J. Laugharne,et al.  Evaluating the mental health of recently arrived refugee adults in Western Australia , 2015 .

[18]  M. Jafarabadi,et al.  Predictors of Health-Related Quality of Life in Iranian Women of Reproductive Age , 2015, Applied Research in Quality of Life.

[19]  H. Savaş,et al.  Post-traumatic stress disorder among Syrian refugees in Turkey: A cross-sectional study , 2015, International journal of psychiatry in clinical practice.

[20]  E. Harton,et al.  Physical and Mental Health Status of Iraqi Refugees Resettled in the United States , 2014, Journal of Immigrant and Minority Health.

[21]  S. Mousavi,et al.  Maternal Quality of Life During the Transition to Motherhood , 2014, Iranian Red Crescent medical journal.

[22]  Jinan Usta,et al.  Assessment of reproductive health and violence against women among displaced Syrians in Lebanon , 2014, BMC Women's Health.

[23]  M. El-Setouhy,et al.  Erratum to: Reliability and Validity of the Arabic Version of the SF-36 Health Survey Questionnaire in Population of Khat Chewers—Jazan Region-Kingdom of Saudi Arabia , 2013, Applied Research in Quality of Life.

[24]  M. Taebi,et al.  The relationship between mode of delivery and postpartum physical and mental health related quality of life , 2013, Iranian journal of nursing and midwifery research.

[25]  K. Sheikh,et al.  Reliability and Validity of the Arabic Version of the SF-36 Health Survey Questionnaire in Population of Khat Chewers—Jazan Region-Kingdom of Saudi Arabia , 2013, Applied Research in Quality of Life.

[26]  Ali Anbori,et al.  Health related quality of life among Iraqi immigrants settled in Malaysia , 2011, BMC public health.

[27]  J. Grzywacz,et al.  Return to Work, Economic Hardship, and Women's Postpartum Health , 2010, Women & health.

[28]  K. Maximova,et al.  Health status of refugees settled in Alberta: changes since arrival. , 2010, Canadian journal of public health = Revue canadienne de sante publique.

[29]  J. Shoham United Nations High Commissioner for Refugees (UNHCR) , 2010 .

[30]  D. Dorling,et al.  The global impact of income inequality on health by age: an observational study , 2007, BMJ : British Medical Journal.

[31]  C. Crawford,et al.  Karenni refugees living in Thai-Burmese border camps: traumatic experiences, mental health outcomes, and social functioning. , 2004, Social science & medicine.

[32]  J. Larson The MOS 36-Item Short form Health Survey , 1997, Evaluation & the health professions.

[33]  I. Wilson,et al.  Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. , 1995, JAMA.

[34]  C. McHorney,et al.  The MOS 36‐Item Short‐Form Health Survey (SF‐36): II. Psychometric and Clinical Tests of Validity in Measuring Physical and Mental Health Constructs , 1993, Medical care.

[35]  Syrian Refugee,et al.  38 REGIONAL SITUATION REPORT FOR SYRIA CRISIS , 2015 .

[36]  K. Maximova,et al.  Health Status of Refugees Settled in Alberta: Changes Since Arrival , 2010 .

[37]  D. Dorling,et al.  The global impact of income inequality on health by age: an observational study , 2007 .

[38]  W. Devillé,et al.  Physical and mental health of Afghan, Iranian and Somali asylum seekers and refugees living in the Netherlands , 2005, Social Psychiatry and Psychiatric Epidemiology.

[39]  Whoqol Group,et al.  Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL) , 2004, Quality of Life Research.

[40]  S. Toksvig-Larsen,et al.  Health and Quality of Life Outcomes , 2003 .

[41]  Jacob Cohen QUANTITATIVE METHODS IN PSYCHOLOGY A Power Primer , 1992 .

[42]  Ware J.E.Jr.,et al.  THE MOS 36- ITEM SHORT FORM HEALTH SURVEY (SF- 36) CONCEPTUAL FRAMEWORK AND ITEM SELECTION , 1992 .