Ageism, an invisible social determinant of health for older Syrian refugees in Lebanon: a service providers' perspective.
Ageism, an invisible social determinant of health for older Syrian refugees in Lebanon: a service providers' perspective.
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DOI：
10.1186/s13031-022-00491-9
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发表时间：
2022-11-24
影响因子：
3.6
通讯作者：
Kienzler, Hanna
中科院分区：
文献类型：
--
作者：
Chahine, Maya Abi;Kienzler, Hanna
关键词：
老年难民面临特别挑战，因为他们的健康和社会需要在人道主义方案、政策和研究中基本上被忽视。现有的少数研究表明，老年难民患非传染性疾病的比例很高，包括精神健康问题、日益严重的社会孤立和贫困以及难以获得保健和社会服务。这篇文章旨在进一步深入了解服务提供者如何看待居住在黎巴嫩的老年叙利亚难民的健康和社会挑战，重点是(1)他们的健康和社会挑战；(2)现有和缺乏的服务；(3)参与；和(4)改善服务的政策建议。本研究采用质的研究方法。对向居住在黎巴嫩的老年叙利亚难民提供服务的保健和社会工作者进行了15次半结构化访谈。所有访谈均以数字方式录制、转录、编码，并使用专题分析进行分析。研究结果清楚地表明，老年难民面临越来越多的边缘化和忽视，这主要是因为年龄歧视。在援助机构、家庭和个人各级经历的年龄歧视对老年难民产生了负面影响。他们有一种社会孤立感，被忽视，觉得自己是一种负担，因此他们的社会参与度下降，对他们的身心健康以及获得社会和卫生保健的机会产生了负面影响。与年龄歧视的经历有关，研究参与者指出：(1)非传染性疾病和精神健康问题的高流行率；(2)难以获得护理，没有足够的服务来支持老年难民的需要；(3)政策建议呼吁对援助采取综合办法，考虑到老年难民的具体需要及其能力。年龄歧视是健康的一个关键决定因素，对老年叙利亚难民的身心健康和社会健康以及福祉产生不利影响。它将他们推到社会的边缘，他们被人道主义响应、政策制定者和研究人员以及他们的社区和家庭甩在了后面。为了缓解这种情况，本文呼吁直接从社会、服务和政策层面解决年龄歧视问题。
Older refugees face particular challenges because their health and social needs are largely overlooked in humanitarian programmes, policies and research. The few studies available have shown that older refugees suffer from a high prevalence of non-communicable diseases, including mental health problems, increased social isolation and poverty, and difficulty accessing health and social services. This article aims to provide further in-depth understanding of how service providers perceive health and social challenges of older Syrian refugees living in Lebanon by focusing on (1) their health and social challenges; (2) the available and lacking services; (3) participation; and (4) policy recommendations to improve services. This study is based on a qualitative research approach. Fifteen semi-structured interviews were conducted with health and social workers providing services to older Syrian refugees living in Lebanon. All interviews were digitally recorded, transcribed, coded and analysed using thematic analysis. Study results clearly show that older refugees face increased marginalisation and neglect, mainly because of ageism. Ageism experienced at aid agency, family and individual levels, impacts negatively on older refugees. They have a sense of social isolation, neglect and feel they are a burden, consequently their social participation decreases, impacting negatively on their physical and mental health as well as their access to social and health care. Linked to experiences of ageism, study participants noted: (1) high prevalence rates of non-communicable diseases and mental health problems; (2) difficulties accessing care, with inadequate services to support the needs of older refugees; and (3) policy recommendations calling for an holistic approach to aid which takes into consideration the specific needs of older refugees as well as their capabilities. Ageism is a key determinant of health which negatively impacts the physical, mental and social health, and wellbeing of older Syrian refugees. It pushes them to the margins of society where they are left behind by the humanitarian response, policy makers and researchers, as well as their communities and families. To mitigate this situation, this article calls for directly addressing ageism on social, service and policy levels.
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