Jasmin Haj-Younes|Elisabeth Marie Strømme|Jannicke Igland|Bernadette N. Kumar|Eirik Abildsnes|Wegdan Hasha|Esperanza Díaz
Changes in self-rated health and quality of life among Syrian refugees migrating to Norway: a prospective longitudinal study
University of Bergen|University of Bergen|University of Bergen|Norwegian Institute of Public Health|University of Agder|University of Bergen|Norwegian Institute of Public Health
abstract background forced migrants exposed various stressors impact health wellbeing different stages migration process impacts health however poorly explored aim study examine changes selfrated health srh quality life qol among cohort adult syrian refugees resettlement norway method used prospective longitudinal study design two assessment points examine changes health among adult syrian resettlement refugees lebanon accepted resettlement norway gathered baseline data 20172018 lebanon subsequently followup one year arrival main outcomes good srh measured single validated item qol measured whoqolbref used generalized estimating equations investigate changes outcomes time incorporated interaction terms models evaluate effect modifications results total 353 subjects participated study percentage participants reporting good srh showed nonsignificant increase 58 63 rr 95ci 11 10 12 baseline followup mean values four qol domains increased significantly baseline followup physical domain 137 157 b 95ci 19 16 23 psychological domain 128 145 b 95ci 17 13 20 social relationships 137 153 b 95ci 16 12 20 environmental domain 90 140 51 b 95ci 47 54 positive effect modifiers improvement srh qol time include male gender younger age low level social support illegal status transit country conclusion results show good srh remain stable four qol domains improve pronounced environment domain understanding dynamics migration health fundamental step reaching health equity