PDF(Pubmed)
Abstract：
UNASSIGNED: Hypertension is a global leading cause of death which disproportionately affects refugees. This chronic disease increases the risk of heart disease, stroke, brain, and other end-organ disease, if left uncontrolled. The 2017 United States travel or \"Muslim\" ban prevented immigrants and refugees from seven Muslim-majority countries from entering the United States, including Syria and Iraq; two major contributors to the global refugee population. As of 2020, the United States has admitted more than 133,000 and 22,000 Iraqi and Syrian refugees, respectively. Studies on the health effects of this policy on refugees are lacking. This study qualitatively explores the impact of the refugee ban on United States resettled Syrian and Iraqi refugees with hypertension.
UNASSIGNED: Participants were recruited through a federally qualified health center system that is the largest healthcare provider for refugees in San Diego, CA. All participants were Arabic-speaking refugees diagnosed with hypertension from Syria and Iraq. In-depth interviews took place between April 2021 and April 2022. Inductive thematic analysis was used to analyze data from semi-structured interviews.
UNASSIGNED: Participants (N = 109) include 53 women and 56 men (23 Syrian, 86 Iraqi). The average age was 61.3 years (SD: 9.7) and stay in the United States was 9.5 years (SD 5.92). Four themes emerged linking the travel ban\'s impact on health, in line with the society to cells framework: (1) family factors: the refugee ban resulted in family separation; (2) physiological factors: the refugee ban worsened participants\' mental health, exacerbating hypertension and perceived health outcomes; (3) community factors: perpetuation of Islamophobia, xenophobia, and perceived discrimination were structural barriers with links to poorer health; and (4) individual factors: trickle down consequences led to worsened participant self-image and self-perception within their host community.
UNASSIGNED: The refugee ban negatively impacted the mental and physical health of United States resettled Arabic-speaking refugees through perceived discrimination, stress, and poor social integration. It continues to have long-lasting effects years after the ban was instated. Centering family reunification within the United States Refugee Admissions Program and tailoring interventions through the healthcare and public health systems are warranted to reduce hypertension disparities in this growing and overlooked population.
UNASSIGNED: Participants were recruited through a federally qualified health center system that is the largest healthcare provider for refugees in San Diego, CA. All participants were Arabic-speaking refugees diagnosed with hypertension from Syria and Iraq. In-depth interviews took place between April 2021 and April 2022. Inductive thematic analysis was used to analyze data from semi-structured interviews.
UNASSIGNED: Participants (N = 109) include 53 women and 56 men (23 Syrian, 86 Iraqi). The average age was 61.3 years (SD: 9.7) and stay in the United States was 9.5 years (SD 5.92). Four themes emerged linking the travel ban\'s impact on health, in line with the society to cells framework: (1) family factors: the refugee ban resulted in family separation; (2) physiological factors: the refugee ban worsened participants\' mental health, exacerbating hypertension and perceived health outcomes; (3) community factors: perpetuation of Islamophobia, xenophobia, and perceived discrimination were structural barriers with links to poorer health; and (4) individual factors: trickle down consequences led to worsened participant self-image and self-perception within their host community.
UNASSIGNED: The refugee ban negatively impacted the mental and physical health of United States resettled Arabic-speaking refugees through perceived discrimination, stress, and poor social integration. It continues to have long-lasting effects years after the ban was instated. Centering family reunification within the United States Refugee Admissions Program and tailoring interventions through the healthcare and public health systems are warranted to reduce hypertension disparities in this growing and overlooked population.
摘要：
高血压是全球主要的死亡原因，对难民的影响不成比例。这种慢性疾病会增加患心脏病的风险，中风,大脑,和其他终末器官疾病，如果不受控制。2017年美国旅行或“穆斯林”禁令阻止了来自七个穆斯林占多数国家的移民和难民进入美国，包括叙利亚和伊拉克；全球难民人口的两个主要贡献者。截至2020年，美国已接纳了超过133,000和22,000名伊拉克和叙利亚难民，分别。缺乏关于这项政策对难民健康影响的研究。本研究定性地探讨了难民禁令对美国重新安置的患有高血压的叙利亚和伊拉克难民的影响。
■参与者是通过联邦合格的健康中心系统招募的，该系统是圣地亚哥最大的难民医疗保健提供者，CA.所有参与者都是来自叙利亚和伊拉克的被诊断患有高血压的阿拉伯语难民。在2021年4月至2022年4月之间进行了深入采访。归纳主题分析用于分析来自半结构化访谈的数据。
■参与者（N=109）包括53名女性和56名男性（23名叙利亚人，86伊拉克)。平均年龄为61.3岁（SD：9.7），在美国的停留时间为9.5岁（SD5.92）。出现了四个主题，将旅行禁令对健康的影响联系起来，符合社会对细胞框架:(1)家庭因素:难民禁令导致家庭分离;(2)生理因素:难民禁令恶化参与者的心理健康,加剧高血压和感知健康结果；(3)社区因素：伊斯兰恐惧症的延续，仇外心理,和感知到的歧视是结构性障碍，与较差的健康状况有关；（4）个人因素：trick滴后果导致参与者在其所在社区中的自我形象和自我感知恶化。
■难民禁令通过感知歧视对美国重新安置的阿拉伯语难民的身心健康产生了负面影响，压力，和不良的社会融合。禁令生效数年后，它继续产生长期影响。在美国难民入学计划中以家庭团聚为中心，并通过医疗保健和公共卫生系统调整干预措施，有必要减少这一不断增长和被忽视的人口中的高血压差异。
■参与者是通过联邦合格的健康中心系统招募的，该系统是圣地亚哥最大的难民医疗保健提供者，CA.所有参与者都是来自叙利亚和伊拉克的被诊断患有高血压的阿拉伯语难民。在2021年4月至2022年4月之间进行了深入采访。归纳主题分析用于分析来自半结构化访谈的数据。
■参与者（N=109）包括53名女性和56名男性（23名叙利亚人，86伊拉克)。平均年龄为61.3岁（SD：9.7），在美国的停留时间为9.5岁（SD5.92）。出现了四个主题，将旅行禁令对健康的影响联系起来，符合社会对细胞框架:(1)家庭因素:难民禁令导致家庭分离;(2)生理因素:难民禁令恶化参与者的心理健康,加剧高血压和感知健康结果；(3)社区因素：伊斯兰恐惧症的延续，仇外心理,和感知到的歧视是结构性障碍，与较差的健康状况有关；（4）个人因素：trick滴后果导致参与者在其所在社区中的自我形象和自我感知恶化。
■难民禁令通过感知歧视对美国重新安置的阿拉伯语难民的身心健康产生了负面影响，压力，和不良的社会融合。禁令生效数年后，它继续产生长期影响。在美国难民入学计划中以家庭团聚为中心，并通过医疗保健和公共卫生系统调整干预措施，有必要减少这一不断增长和被忽视的人口中的高血压差异。
