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Research

Health care needs and use of health care services among newly arrived Syrian refugees: a cross-sectional study

Anna Oda, Andrew Tuck, Branka Agic, Michaela Hynie, Brenda Roche and Kwame McKenzie
May 10, 2017 5 (2) E354-E358; DOI: https://doi.org/10.9778/cmajo.20160170
Anna Oda
Health Equity (Oda, Tuck, Agic, McKenzie), Centre for Addiction and Mental Health; Dalla Lana School of Public Health (Agic) and Department of Psychiatry (McKenzie), University of Toronto; Department of Psychology (Hynie), York University; Wellesley Institute (Roche, McKenzie), Toronto, Ont.
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Andrew Tuck
Health Equity (Oda, Tuck, Agic, McKenzie), Centre for Addiction and Mental Health; Dalla Lana School of Public Health (Agic) and Department of Psychiatry (McKenzie), University of Toronto; Department of Psychology (Hynie), York University; Wellesley Institute (Roche, McKenzie), Toronto, Ont.
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Branka Agic
Health Equity (Oda, Tuck, Agic, McKenzie), Centre for Addiction and Mental Health; Dalla Lana School of Public Health (Agic) and Department of Psychiatry (McKenzie), University of Toronto; Department of Psychology (Hynie), York University; Wellesley Institute (Roche, McKenzie), Toronto, Ont.
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Michaela Hynie
Health Equity (Oda, Tuck, Agic, McKenzie), Centre for Addiction and Mental Health; Dalla Lana School of Public Health (Agic) and Department of Psychiatry (McKenzie), University of Toronto; Department of Psychology (Hynie), York University; Wellesley Institute (Roche, McKenzie), Toronto, Ont.
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Brenda Roche
Health Equity (Oda, Tuck, Agic, McKenzie), Centre for Addiction and Mental Health; Dalla Lana School of Public Health (Agic) and Department of Psychiatry (McKenzie), University of Toronto; Department of Psychology (Hynie), York University; Wellesley Institute (Roche, McKenzie), Toronto, Ont.
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Kwame McKenzie
Health Equity (Oda, Tuck, Agic, McKenzie), Centre for Addiction and Mental Health; Dalla Lana School of Public Health (Agic) and Department of Psychiatry (McKenzie), University of Toronto; Department of Psychology (Hynie), York University; Wellesley Institute (Roche, McKenzie), Toronto, Ont.
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Article Figures & Tables

Tables

    • View popup
    Table 1: Participant characteristics
    CharacteristicNo. (%) of participants*
    n = 400
    Age, mean ± SD, yr40.59 ± 14.91
    Female sex221 (55.2)
    Sponsorship status
        Privately sponsored209 (52.2)
        Government-assisted177 (44.2)
        Blended Visa Office-Referred Program12 (3.0)
        Prefer not to answer2 (0.5)
    Residency in Canada, mean ± SD, mo4.43 ± 2.24
    Education†
        Secondary or less217 (54.2)
        High school84 (21.0)
        Bachelor's degree or higher99 (24.7)
    Preferred language
        Arabic238 (59.5)
        Armenian116 (29.0)
        English35 (8.8)
        Other‡11 (2.8)

    Note: SD = standard deviation.

    *Except where noted otherwise.

    †In Syria, secondary is grades 7-9 and high school is grades 10-12.

    ‡Includes Turkish and Kurdish.

      • View popup
      Table 2: Raw scores on the RAND 36-Item Health Survey
      ItemMean ± SD*
      Health now compared with 1 yr ago, no. (%)
          Better131 (32.8)
          Same203 (50.8)
          Worse66 (16.5)
      Physical health composite standardized T-score58.23 ±10.49
          Physical functioning85.45 ± 23.03
      Role limitations due to physical health problems78.88 ± 38.05
          Pain73.39 ± 31.85
          General health67.35 ± 20.03
      Mental health composite standardized T-score57.37 ±12.03
          Social functioning81.53 ± 25.88
          Role limitation due to emotional problems69.42 ± 42.29
          Energy/fatigue62.26 ±19.79
          Emotional well-being71.8 ±19.06

      Note: SD = standard deviation.

      *Except where noted otherwise.

        • View popup
        Table 3: Frequency of unmet health care needs and use of health care services
        VariableNo. (%) of participants
        Has unmet health care needs196 (49.0)
        Has family doctor319 (79.8)
        Has talked to health care provider about physical and/or mental health
            Doctor365 (91.2)
            Eye specialist194 (48.5)
            Dentist168 (42.0)
            Social worker58 (14.5)
            Other specialist*35 (8.8)
            Other allied health care provider†52 (13.0)

        *Includes surgeon, allergist, orthopedist and psychiatrist.

        †Includes nurse, psychologist and physiotherapist.

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        Health care needs and use of health care services among newly arrived Syrian refugees: a cross-sectional study
        Anna Oda, Andrew Tuck, Branka Agic, Michaela Hynie, Brenda Roche, Kwame McKenzie
        Apr 2017, 5 (2) E354-E358; DOI: 10.9778/cmajo.20160170

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        Health care needs and use of health care services among newly arrived Syrian refugees: a cross-sectional study
        Anna Oda, Andrew Tuck, Branka Agic, Michaela Hynie, Brenda Roche, Kwame McKenzie
        Apr 2017, 5 (2) E354-E358; DOI: 10.9778/cmajo.20160170
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