Disability among Syrian refugees living in Sultanbeyli, Istanbul: Results from a population-based survey

<h4>Objectives</h4> To estimate the prevalence of disability among Syrian refugees living in Sultanbeyli district, Istanbul and compare people with and without disabilities in terms of demographic and socio-economic characteristics. <h4>Methods</h4> Using the municipality ref...

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Autores principales:	Sarah Polack, Nathaniel Scherer, Hisem Yonso, Selin Volkan, Isotta Pivato, Ahmad Shaikhani, Dorothy Boggs, Ammar Hasan Beck, Oluwarantimi Atijosan-Ayodele, Gülten Deniz, Ahmed Örücü, İbrahim Akıncı, Shaffa Hameed, Ceren Acarturk, Andrea Patterson
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/0b2ed3bba17a42c4b405e0d0b6e6d5a9
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spelling	oai:doaj.org-article:0b2ed3bba17a42c4b405e0d0b6e6d5a92021-11-11T06:44:24ZDisability among Syrian refugees living in Sultanbeyli, Istanbul: Results from a population-based survey1932-6203https://doaj.org/article/0b2ed3bba17a42c4b405e0d0b6e6d5a92021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8559922/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objectives</h4> To estimate the prevalence of disability among Syrian refugees living in Sultanbeyli district, Istanbul and compare people with and without disabilities in terms of demographic and socio-economic characteristics. <h4>Methods</h4> Using the municipality refugee database as the sampling frame, 80 clusters of 50 people (aged 2+ years) were selected using probability proportionate to size sampling of clusters and random selection of households within clusters. Disability assessment included: i) self-reported difficulties in functioning (using the Washington Group Short Set-Enhanced tool and Child Functioning Modules), ii) Rapid Assessment of Musculoskeletal Impairment and iii) screening for symptoms of common mental disorders for children aged 8–17. <h4>Results</h4> The overall prevalence of disability was 24.7% (95% CI 22.1–27.4), when including people self-reporting a lot of difficulty/cannot do in at least functional domain (15%, 95% CI 13.1–17.2), moderate/severe MSI (8.7%, 95% CI 7.6–9.9), and/or symptomatic anxiety, depression and PTSD among children 8–17 (21.0%, 95% CI 18.2–23.9). Men with disabilities were significantly less likely to be in paid work compared to their peers without disabilities (aOR 0.3 95% CI 0.2–0.5). Overall 60% of households included at least one person with a disability. Households with at least one person with a disability had a significantly higher dependency ratio, lower proportion of working-age adults in paid work, and were more likely to be female headed and in receipt of social protection schemes (p<0.05). <h4>Conclusion</h4> Disability is common among Syrian refugees in Sultanbeyli. People with disabilities in this setting experience greater vulnerability to poverty and exclusion from work, highlighting an urgent need for inclusive services, programmes and policies that are developed and implemented in partnership with people with disabilities.Sarah PolackNathaniel SchererHisem YonsoSelin VolkanIsotta PivatoAhmad ShaikhaniDorothy BoggsAmmar Hasan BeckOluwarantimi Atijosan-AyodeleGülten DenizAhmed Örücüİbrahim AkıncıShaffa HameedCeren AcarturkAndrea PattersonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sarah Polack Nathaniel Scherer Hisem Yonso Selin Volkan Isotta Pivato Ahmad Shaikhani Dorothy Boggs Ammar Hasan Beck Oluwarantimi Atijosan-Ayodele Gülten Deniz Ahmed Örücü İbrahim Akıncı Shaffa Hameed Ceren Acarturk Andrea Patterson Disability among Syrian refugees living in Sultanbeyli, Istanbul: Results from a population-based survey
description	<h4>Objectives</h4> To estimate the prevalence of disability among Syrian refugees living in Sultanbeyli district, Istanbul and compare people with and without disabilities in terms of demographic and socio-economic characteristics. <h4>Methods</h4> Using the municipality refugee database as the sampling frame, 80 clusters of 50 people (aged 2+ years) were selected using probability proportionate to size sampling of clusters and random selection of households within clusters. Disability assessment included: i) self-reported difficulties in functioning (using the Washington Group Short Set-Enhanced tool and Child Functioning Modules), ii) Rapid Assessment of Musculoskeletal Impairment and iii) screening for symptoms of common mental disorders for children aged 8–17. <h4>Results</h4> The overall prevalence of disability was 24.7% (95% CI 22.1–27.4), when including people self-reporting a lot of difficulty/cannot do in at least functional domain (15%, 95% CI 13.1–17.2), moderate/severe MSI (8.7%, 95% CI 7.6–9.9), and/or symptomatic anxiety, depression and PTSD among children 8–17 (21.0%, 95% CI 18.2–23.9). Men with disabilities were significantly less likely to be in paid work compared to their peers without disabilities (aOR 0.3 95% CI 0.2–0.5). Overall 60% of households included at least one person with a disability. Households with at least one person with a disability had a significantly higher dependency ratio, lower proportion of working-age adults in paid work, and were more likely to be female headed and in receipt of social protection schemes (p<0.05). <h4>Conclusion</h4> Disability is common among Syrian refugees in Sultanbeyli. People with disabilities in this setting experience greater vulnerability to poverty and exclusion from work, highlighting an urgent need for inclusive services, programmes and policies that are developed and implemented in partnership with people with disabilities.
format	article
author	Sarah Polack Nathaniel Scherer Hisem Yonso Selin Volkan Isotta Pivato Ahmad Shaikhani Dorothy Boggs Ammar Hasan Beck Oluwarantimi Atijosan-Ayodele Gülten Deniz Ahmed Örücü İbrahim Akıncı Shaffa Hameed Ceren Acarturk Andrea Patterson
author_facet	Sarah Polack Nathaniel Scherer Hisem Yonso Selin Volkan Isotta Pivato Ahmad Shaikhani Dorothy Boggs Ammar Hasan Beck Oluwarantimi Atijosan-Ayodele Gülten Deniz Ahmed Örücü İbrahim Akıncı Shaffa Hameed Ceren Acarturk Andrea Patterson
author_sort	Sarah Polack
title	Disability among Syrian refugees living in Sultanbeyli, Istanbul: Results from a population-based survey
title_short	Disability among Syrian refugees living in Sultanbeyli, Istanbul: Results from a population-based survey
title_full	Disability among Syrian refugees living in Sultanbeyli, Istanbul: Results from a population-based survey
title_fullStr	Disability among Syrian refugees living in Sultanbeyli, Istanbul: Results from a population-based survey
title_full_unstemmed	Disability among Syrian refugees living in Sultanbeyli, Istanbul: Results from a population-based survey
title_sort	disability among syrian refugees living in sultanbeyli, istanbul: results from a population-based survey
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/0b2ed3bba17a42c4b405e0d0b6e6d5a9
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Disability among Syrian refugees living in Sultanbeyli, Istanbul: Results from a population-based survey

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