由于持续的叙利亚冲突,叙利亚移民是德国第三大移民群体。他们是,因此,健康促进计划的潜在收件人,例如身体活动(PA)。因此,本研究旨在探讨PA的相关性,巴勒斯坦权力机构如何随着停留时间的增加而变化,巴勒斯坦权力机构在东道国的促进者和障碍是什么。使用纵向,定性研究设计,2018年对叙利亚移民进行了30次半标准化定性访谈,2019年12个月后可以对17名移民进行随访,并被要求改变他们的PA行为。面试是用德语进行的,英语或阿拉伯语,如有必要,将其转录并翻译成英语。为了进行分析,使用了扎根理论的缩写版本。我们确定了叙利亚移民在德国的头几年经历的三个PA阶段。第一阶段包括官僚事务。促进健康的行为,比如PA,不相关。第二阶段包括建立基本结构。PA可以获得重要性,并且可以建立(新的)行为。在第三阶段,移民感到在德国成功完成(学术)教育的压力。对PA的感觉可能会变得矛盾。总的来说,促进健康的行为,比如PA,通常是次要优先事项,影响PA的因素不仅在个人上而且在社会和机构层面上都是异质的。PA计划应以双语方式进行广告,提供低门槛和低成本,以达到目标群体。此外,对精神卫生服务的需求很高。
由于持续的叙利亚冲突,叙利亚移民是德国第三大移民群体,因此,健康促进计划的重要目标群体,例如身体活动(PA)。为了更好地理解,巴勒斯坦权力机构对叙利亚移民有多重要,与叙利亚相比,他们在德国的PA行为有何不同,哪些因素对PA产生影响,我们对叙利亚移民进行了30次采访。12个月后,我们重新联系了同样的30个人,要求第二次面试,17人同意了。所有47次采访都是用德语进行的,英语或阿拉伯语,如有必要,将其转录并翻译成英语。访谈的叙述表明,促进健康的行为,比如PA,往往是次要的优先事项。这不仅适用于移民在东道国逗留的开始,而且随着他们逗留时间的增加。处理重大的生活变化和创伤经历,满足文化适应要求和管理外国的日常生活需要移民的充分关注。公共卫生工作必须更加适应叙利亚移民的具体需求。未来的研究应该继续关注叙利亚移民的生活,工作和社会条件及其对健康相关行为的影响。
Due to the ongoing Syrian conflict, Syrian migrants represent the third-largest group of immigrants in Germany. They are, therefore, potential addressees for health-promotion programs, such as physical activity (PA). Thus, this
study aimed to explore the relevance of PA, how PA may change with increasing length of stay and what are the facilitators and barriers of PA in the host country. Using a longitudinal, qualitative
study design, 30 semi-standardized qualitative interviews with Syrian migrants were conducted in 2018 and 17 migrants could be followed-up after 12 months in 2019 and were asked for changes in their PA-behavior. Interviews were conducted in German, English or Arabic, transcribed and translated into English if necessary. For analysis, an abbreviated version of the Grounded Theory was used. We identified three PA phases that Syrian immigrants underwent during their first years in Germany. Phase 1 includes bureaucratic matters. Health-promoting behaviors, such as PA, are not relevant. Phase 2 comprises the establishment of basic structures. PA can gain importance and (new) behaviors can be established. In Phase 3, immigrants feel under pressure to successfully complete an (academic) education in Germany. Feelings toward PA can become ambivalent. Overall, health-promoting behaviors, such as PA, are often of secondary priority and factors influencing PA are heterogeneous not only on an individual but also societal and institutional level. PA-programs should be advertised bilingually, offered low-threshold and at low cost in order to reach the target group. In addition, there is a high demand for mental health services.
Due to the ongoing Syrian conflict, Syrian immigrants represent the third-largest group of immigrants in Germany and are, therefore an important target group for health-promotion programs, such as physical activity (PA). To better understand, how important PA is for Syrian migrants, how their PA-behavior in Germany differs compared to Syria and what factors have an impact on PA, we conducted 30 interviews with Syrian migrants. After 12 months, we re-contacted the same 30 people, to ask for a second interview, of whom 17 agreed. All 47 interviews were conducted in German, English or Arabic, transcribed and translated into English if necessary. The interview narratives reveal that health-promoting behaviors, such as PA, are often secondary priorities. This is not only true for the beginning of migrants’ stays in their host country, but also as the duration of their stays increases. Processing major life changes and traumatic experiences, meeting acculturation requirements and managing everyday life in a foreign country require migrants’ full attention. Public health efforts must be more responsive to Syrian migrants’ specific needs. Future research should continue to focus on Syrian migrants’ living, working and social conditions and their impacts on health-related behaviors.