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dc.contributor.authorStrømme, Elisabeth Marie
dc.contributor.authorHaj Younes, Jasmin
dc.contributor.authorHasha, Wegdan
dc.contributor.authorFadnes, Lars T.
dc.contributor.authorKumar, Bernadette. N
dc.contributor.authorIgland, Jannicke
dc.contributor.authorDiaz, Esperanza
dc.date.accessioned2021-04-28T11:38:47Z
dc.date.available2021-04-28T11:38:47Z
dc.date.created2020-10-03T12:00:35Z
dc.date.issued2020
dc.PublishedPublic Health. 2020, 186 240-245.
dc.identifier.issn0033-3506
dc.identifier.urihttps://hdl.handle.net/11250/2740154
dc.description.abstractObjectives Conflict-driven displacement is an indisputable social determinant of health. Yet, data on changes in health along the migration trajectories of refugees are scarce. This study aims to assess the longitudinal changes in somatic and mental health and use of medication among Syrian refugees relocating from a conflict-near transit setting in the Middle East to a resettlement setting in Europe. Further, we examine different health status trajectories and factors that predict health in the early postmigration period. Study design This is a prospective cohort study. Methods Survey data were collected during 2017–2018 among adult Syrian refugees in Lebanon selected for quota resettlement and at follow-up approximately one year after resettlement in Norway. Our primary outcomes were non-communicable disease (NCD), chronic impairment, chronic pain, anxiety/depression, post-traumatic stress symptoms, and daily use of drugs. We estimated longitudinal changes in prevalence proportions using generalized estimating equations and evaluated effect modification of health outcomes. Results Altogether, 353 Syrians participated. NCDs declined (12%–9%), while the prevalence of chronic impairment, chronic pain, and use of drugs remained nearly unchanged (29%–28%, 30%–28%, and 20%–18%) between baseline and follow-up. Conversely, mental health outcomes improved (anxiety/depression 33%–11%, post-traumatic stress disorder 5%–2%). Effect modifiers for improvement over time included younger age, short length of stay, and non-legal status in the transit country before resettlement in Europe. Conclusions We find that mental health outcomes improve from a conflict-near transit setting in Lebanon to an early resettlement setting in Norway, while somatic health outcomes remain stable. Temporal changes in health among moving populations warrant attention, and long-term changes need further scrutiny.en_US
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleChanges in health among Syrian refugees along their migration trajectories from Lebanon to Norway: a prospective cohort studyen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2020 The Authorsen_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.doi10.1016/j.puhe.2020.07.016
dc.identifier.cristin1836770
dc.source.journalPublic Healthen_US
dc.source.40186
dc.source.pagenumber240-245en_US
dc.identifier.citationPublic Health. 2020, 186:240-245en_US
dc.source.volume186en_US


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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal