Health-related quality of life in refugee minors from Syria, Iraq and Afghanistan resettled in Sweden: a nation-wide, cross-sectional study

Purpose To examine health-related quality of life (HRQoL) in refugee minors resettled in Sweden and compare results to a European reference population, while exploring associations between sociodemographic factors and HRQoL dimensions. Methods A cross-sectional, nation-wide study was conducted with...

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Veröffentlicht in:Social Psychiatry and Psychiatric Epidemiology 2022-02, Vol.57 (2), p.255-266
Hauptverfasser: Solberg, Øivind, Sengoelge, Mathilde, Johnson-Singh, Charisse M., Vaez, Marjan, Eriksson, Anna-Karin, Saboonchi, Fredrik
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container_title Social Psychiatry and Psychiatric Epidemiology
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creator Solberg, Øivind
Sengoelge, Mathilde
Johnson-Singh, Charisse M.
Vaez, Marjan
Eriksson, Anna-Karin
Saboonchi, Fredrik
description Purpose To examine health-related quality of life (HRQoL) in refugee minors resettled in Sweden and compare results to a European reference population, while exploring associations between sociodemographic factors and HRQoL dimensions. Methods A cross-sectional, nation-wide study was conducted with a stratified sample of refugee minors ages 12–15 and 16–18 from Afghanistan, Iraq and Syria, resettled in Sweden between 2014 and 2018. HRQoL was measured using KIDSCREEN-27. HRQoL dimension scores of the sample were compared to mean scores of European age and gender-matched reference population. Associations between sociodemographic factors and HRQoL dimensions were investigated with independent t tests and ANOVA. A multivariable regression analysis was performed to identify the sociodemographic factors associated with HRQoL. Results The questionnaire was sent to 10,000 potential respondents. The response rate was 26%, yielding n  = 2559 refugee minors (boys 55%, girls 45%) in the study sample. Compared to European references, minors in the present study had significantly lower scores of HRQoL within psychological wellbeing and peers and social support, whereas levels for autonomy and parent/guardian relations and school environment were higher. Several sociodemographic factors were significantly associated with all HRQoL dimensions, with those 16–18 years old, having average or poor family economy, and living with an unrelated adult or family reporting lower levels of HRQoL. Minors from Afghanistan had significantly lower scores of HRQoL for all dimensions compared to those from Iraq and Syria. Conclusion Refugee minors had significantly lower levels of HRQoL for psychological wellbeing and peers and social support compared to European references. Future research should further investigate this potential HRQoL gap further.
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Methods A cross-sectional, nation-wide study was conducted with a stratified sample of refugee minors ages 12–15 and 16–18 from Afghanistan, Iraq and Syria, resettled in Sweden between 2014 and 2018. HRQoL was measured using KIDSCREEN-27. HRQoL dimension scores of the sample were compared to mean scores of European age and gender-matched reference population. Associations between sociodemographic factors and HRQoL dimensions were investigated with independent t tests and ANOVA. A multivariable regression analysis was performed to identify the sociodemographic factors associated with HRQoL. Results The questionnaire was sent to 10,000 potential respondents. The response rate was 26%, yielding n  = 2559 refugee minors (boys 55%, girls 45%) in the study sample. Compared to European references, minors in the present study had significantly lower scores of HRQoL within psychological wellbeing and peers and social support, whereas levels for autonomy and parent/guardian relations and school environment were higher. Several sociodemographic factors were significantly associated with all HRQoL dimensions, with those 16–18 years old, having average or poor family economy, and living with an unrelated adult or family reporting lower levels of HRQoL. Minors from Afghanistan had significantly lower scores of HRQoL for all dimensions compared to those from Iraq and Syria. Conclusion Refugee minors had significantly lower levels of HRQoL for psychological wellbeing and peers and social support compared to European references. Future research should further investigate this potential HRQoL gap further.</description><identifier>ISSN: 0933-7954</identifier><identifier>ISSN: 1433-9285</identifier><identifier>EISSN: 1433-9285</identifier><identifier>DOI: 10.1007/s00127-021-02050-8</identifier><identifier>PMID: 33754158</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Afghanistan ; Comparative analysis ; Cross-Sectional Studies ; Epidemiology ; Female ; Health-related quality of life ; Humans ; Iraq ; KIDSCREEN-27 ; Male ; Medicine ; Medicine &amp; Public Health ; Minors ; Original Paper ; Psychiatry ; Psychological factors ; Quality of Life ; Refugees ; Regression analysis ; Resettlement ; Social aspects ; Sociodemographic Factors ; Sociodemographics ; Surveys and Questionnaires ; Sweden ; Syria ; Variance analysis ; Well being</subject><ispartof>Social Psychiatry and Psychiatric Epidemiology, 2022-02, Vol.57 (2), p.255-266</ispartof><rights>The Author(s) 2021</rights><rights>2021. The Author(s).</rights><rights>COPYRIGHT 2022 Springer</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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Methods A cross-sectional, nation-wide study was conducted with a stratified sample of refugee minors ages 12–15 and 16–18 from Afghanistan, Iraq and Syria, resettled in Sweden between 2014 and 2018. HRQoL was measured using KIDSCREEN-27. HRQoL dimension scores of the sample were compared to mean scores of European age and gender-matched reference population. Associations between sociodemographic factors and HRQoL dimensions were investigated with independent t tests and ANOVA. A multivariable regression analysis was performed to identify the sociodemographic factors associated with HRQoL. Results The questionnaire was sent to 10,000 potential respondents. The response rate was 26%, yielding n  = 2559 refugee minors (boys 55%, girls 45%) in the study sample. Compared to European references, minors in the present study had significantly lower scores of HRQoL within psychological wellbeing and peers and social support, whereas levels for autonomy and parent/guardian relations and school environment were higher. Several sociodemographic factors were significantly associated with all HRQoL dimensions, with those 16–18 years old, having average or poor family economy, and living with an unrelated adult or family reporting lower levels of HRQoL. Minors from Afghanistan had significantly lower scores of HRQoL for all dimensions compared to those from Iraq and Syria. Conclusion Refugee minors had significantly lower levels of HRQoL for psychological wellbeing and peers and social support compared to European references. 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Methods A cross-sectional, nation-wide study was conducted with a stratified sample of refugee minors ages 12–15 and 16–18 from Afghanistan, Iraq and Syria, resettled in Sweden between 2014 and 2018. HRQoL was measured using KIDSCREEN-27. HRQoL dimension scores of the sample were compared to mean scores of European age and gender-matched reference population. Associations between sociodemographic factors and HRQoL dimensions were investigated with independent t tests and ANOVA. A multivariable regression analysis was performed to identify the sociodemographic factors associated with HRQoL. Results The questionnaire was sent to 10,000 potential respondents. The response rate was 26%, yielding n  = 2559 refugee minors (boys 55%, girls 45%) in the study sample. Compared to European references, minors in the present study had significantly lower scores of HRQoL within psychological wellbeing and peers and social support, whereas levels for autonomy and parent/guardian relations and school environment were higher. Several sociodemographic factors were significantly associated with all HRQoL dimensions, with those 16–18 years old, having average or poor family economy, and living with an unrelated adult or family reporting lower levels of HRQoL. Minors from Afghanistan had significantly lower scores of HRQoL for all dimensions compared to those from Iraq and Syria. Conclusion Refugee minors had significantly lower levels of HRQoL for psychological wellbeing and peers and social support compared to European references. Future research should further investigate this potential HRQoL gap further.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33754158</pmid><doi>10.1007/s00127-021-02050-8</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-0561-1893</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Springer Nature - Complete Springer Journals; SWEPUB Freely available online
subjects Adolescent
Adult
Afghanistan
Comparative analysis
Cross-Sectional Studies
Epidemiology
Female
Health-related quality of life
Humans
Iraq
KIDSCREEN-27
Male
Medicine
Medicine & Public Health
Minors
Original Paper
Psychiatry
Psychological factors
Quality of Life
Refugees
Regression analysis
Resettlement
Social aspects
Sociodemographic Factors
Sociodemographics
Surveys and Questionnaires
Sweden
Syria
Variance analysis
Well being
title Health-related quality of life in refugee minors from Syria, Iraq and Afghanistan resettled in Sweden: a nation-wide, cross-sectional study
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