Quality of life among Syrian refugees in Germany: a cross-sectional pilot study

Abstract Background More than 10 million Syrians have left their homes and sought refuge in neighboring countries, including Europe, since the beginning of the Syrian conflict in March 2011, and immigration continues to this day. This cross-sectional study included Syrian refugees residing in and ar...

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Autores principales:	Feras Al Masri, Mattea Müller, Josefine Nebl, Theresa Greupner, Andreas Hahn, Dorothee Straka
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Quality of life Syrian refugees Physical health Psychological Social relationship Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/0ff331af155e448e89aae05d5533a019
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spelling	oai:doaj.org-article:0ff331af155e448e89aae05d5533a0192021-12-05T12:09:55ZQuality of life among Syrian refugees in Germany: a cross-sectional pilot study10.1186/s13690-021-00745-72049-3258https://doaj.org/article/0ff331af155e448e89aae05d5533a0192021-11-01T00:00:00Zhttps://doi.org/10.1186/s13690-021-00745-7https://doaj.org/toc/2049-3258Abstract Background More than 10 million Syrians have left their homes and sought refuge in neighboring countries, including Europe, since the beginning of the Syrian conflict in March 2011, and immigration continues to this day. This cross-sectional study included Syrian refugees residing in and around Hannover, Germany. We investigated whether general socioeconomic factors (e.g. age, sex, housing, asylum duration) were predictive factors for the quality of life (QOL) of Syrian refugees in Germany. Methods The QOL of Syrian refugees was assessed using the WHOQOL-BREF tool, a questionnaire assessing the QOL in four domains: Physical health, psychological, social relationships and environment. A total of 114 Syrian refugees, aged between 18 and 45 years, who obtained one of the following statuses, asylum, refugee protection or subsidiary protection, were included. The QOL domain and total scores of Syrian refugees in Germany were compared with a Western norm and Sub-Saharan population. Data were analyzed with the Spearman Rho correlation coefficient, Kruskal–Wallis and Mann–Whitney U test and multivariate linear regression. Results More than 65% of the participants (62.3% male, 37.7% female) were between 18 and 29 years old, and 45% had lived in Germany for less than four years. The lowest QOL score was reported in the social relationship’s domain (60.5%), while the psychological score was lowest in participants aged 40–45 years (P = 0.011). The age was significantly negatively associated with physical health (P = 0.010), psychological (P < 0.001) and the total QOL (P = 0.005). Asylum duration was associated with the environment domain (P = 0.040), the short-time refugees were less satisfied than the longtime refugees, and with aspects of the psychological domain in Enjoying life and Concentration ability (P < 0.001 and P = 0.033, respectively), yet was not associated with total QOL or total domain scores. There were significant associations between housing and the psychological domain (P = 0.032) and housing and the social relationship domain (P < 0.001). The refugees who living in camps registered a lower score in psychological than residents of apartments and houses, and the single refugees had a higher score than those married and divorced (P = 0.032 and P = 0.035, respectively). Conclusions The Syrian refugees participating in this study showed a low QOL score in the assessment of all domains compared to the normal population, especially regarding social relations and psychological; it was associated with socioeconomic factors, such as housing, asylum duration and marital status. This calls for urgent societal and political efforts to strengthen the social living conditions of Syrian refugees in Germany.Feras Al MasriMattea MüllerJosefine NeblTheresa GreupnerAndreas HahnDorothee StrakaBMCarticleQuality of lifeSyrian refugeesPhysical healthPsychologicalSocial relationshipPublic aspects of medicineRA1-1270ENArchives of Public Health, Vol 79, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Quality of life Syrian refugees Physical health Psychological Social relationship Public aspects of medicine RA1-1270
spellingShingle	Quality of life Syrian refugees Physical health Psychological Social relationship Public aspects of medicine RA1-1270 Feras Al Masri Mattea Müller Josefine Nebl Theresa Greupner Andreas Hahn Dorothee Straka Quality of life among Syrian refugees in Germany: a cross-sectional pilot study
description	Abstract Background More than 10 million Syrians have left their homes and sought refuge in neighboring countries, including Europe, since the beginning of the Syrian conflict in March 2011, and immigration continues to this day. This cross-sectional study included Syrian refugees residing in and around Hannover, Germany. We investigated whether general socioeconomic factors (e.g. age, sex, housing, asylum duration) were predictive factors for the quality of life (QOL) of Syrian refugees in Germany. Methods The QOL of Syrian refugees was assessed using the WHOQOL-BREF tool, a questionnaire assessing the QOL in four domains: Physical health, psychological, social relationships and environment. A total of 114 Syrian refugees, aged between 18 and 45 years, who obtained one of the following statuses, asylum, refugee protection or subsidiary protection, were included. The QOL domain and total scores of Syrian refugees in Germany were compared with a Western norm and Sub-Saharan population. Data were analyzed with the Spearman Rho correlation coefficient, Kruskal–Wallis and Mann–Whitney U test and multivariate linear regression. Results More than 65% of the participants (62.3% male, 37.7% female) were between 18 and 29 years old, and 45% had lived in Germany for less than four years. The lowest QOL score was reported in the social relationship’s domain (60.5%), while the psychological score was lowest in participants aged 40–45 years (P = 0.011). The age was significantly negatively associated with physical health (P = 0.010), psychological (P < 0.001) and the total QOL (P = 0.005). Asylum duration was associated with the environment domain (P = 0.040), the short-time refugees were less satisfied than the longtime refugees, and with aspects of the psychological domain in Enjoying life and Concentration ability (P < 0.001 and P = 0.033, respectively), yet was not associated with total QOL or total domain scores. There were significant associations between housing and the psychological domain (P = 0.032) and housing and the social relationship domain (P < 0.001). The refugees who living in camps registered a lower score in psychological than residents of apartments and houses, and the single refugees had a higher score than those married and divorced (P = 0.032 and P = 0.035, respectively). Conclusions The Syrian refugees participating in this study showed a low QOL score in the assessment of all domains compared to the normal population, especially regarding social relations and psychological; it was associated with socioeconomic factors, such as housing, asylum duration and marital status. This calls for urgent societal and political efforts to strengthen the social living conditions of Syrian refugees in Germany.
format	article
author	Feras Al Masri Mattea Müller Josefine Nebl Theresa Greupner Andreas Hahn Dorothee Straka
author_facet	Feras Al Masri Mattea Müller Josefine Nebl Theresa Greupner Andreas Hahn Dorothee Straka
author_sort	Feras Al Masri
title	Quality of life among Syrian refugees in Germany: a cross-sectional pilot study
title_short	Quality of life among Syrian refugees in Germany: a cross-sectional pilot study
title_full	Quality of life among Syrian refugees in Germany: a cross-sectional pilot study
title_fullStr	Quality of life among Syrian refugees in Germany: a cross-sectional pilot study
title_full_unstemmed	Quality of life among Syrian refugees in Germany: a cross-sectional pilot study
title_sort	quality of life among syrian refugees in germany: a cross-sectional pilot study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/0ff331af155e448e89aae05d5533a019
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Quality of life among Syrian refugees in Germany: a cross-sectional pilot study

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