Children in the Syrian Civil War: the Familial, Educational, and Public Health Impact of Ongoing Violence
Children in the Syrian Civil War: the Familial, Educational, and Public Health Impact of Ongoing Violence
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DOI：
10.1017/dmp.2016.165
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发表时间：
2016-12-01
影响因子：
2.7
通讯作者：
Hubloue, Ives
中科院分区：
文献类型：
--
作者：
Elsafti, Abdallah Mohamed;van Berlaer, Gerlant;Hubloue, Ives
目标：自2011年以来的叙利亚内战导致了历史上最复杂的人道主义紧急情况之一。本研究的目的是记录冲突对叙利亚儿童的家庭、教育和公共卫生状况的影响。方法：于2015年5月进行横断面观察研究。卫生保健工作者带着一份前瞻性设计的数据表访问了叙利亚北部4个省的家庭。结果：本研究纳入的1001名儿童来自阿勒颇（41%）、伊德利卜（36%）、哈马（15%）和拉塔基亚（8%）。儿童年龄中位数为6岁（范围0-15岁，四分位数范围3-11岁），61%为男孩。近20%的儿童在国内流离失所，5%的儿童父母死亡或失踪。儿童无法获得安全饮用水（15%）、适当的卫生设施（23%）、健康的营养（16%）和儿科卫生保健提供者（64%）。72%的人接种疫苗不足。一半以上的学龄儿童没有受教育的机会。伊德利卜和拉塔基亚的儿童面临公共卫生需求得不到满足的更大风险。年龄较小的儿童处于疫苗接种不完全状态的风险更大。结论：经过4年的叙利亚内战，儿童失去了父母，生活在不合标准的生活质量环境中，并且由于疫苗接种状况恶化和卫生保健提供者不足，面临爆发的风险。
Objective: The Syrian civil war since 2011 has led to one of the most complex humanitarian emergencies in history. The objective of this study was to document the impact of the conflict on the familial, educational, and public health state of Syrian children.Methods: A cross-sectional observational study was conducted in May 2015. Health care workers visited families with a prospectively designed data sheet in 4 Northern Syrian governorates.Results: The 1001 children included in this study originated from Aleppo (41%), Idleb (36%), Hamah (15%), and Lattakia (8%). The children's median age was 6 years (range, 0-15 years; interquartile range, 3-11 years), and 61% were boys. Almost 20% of the children were internally displaced, and 5% had deceased or missing parents. Children lacked access to safe drinking water (15%), appropriate sanitation (23%), healthy nutrition (16%), and pediatric health care providers (64%). Vaccination was inadequate in 72%. More than half of school-aged children had no access to education. Children in Idleb and Lattakia were at greater risk of having unmet public health needs. Younger children were at greater risk of having an incomplete vaccination state.Conclusions: After 4 years of civil war in Syria, children have lost parents, live in substandard life quality circumstances, and are at risk for outbreaks because of worsening vaccination states and insufficient availability of health care providers.