Health status and health needs of older refugees from Syria in Lebanon

Abstract

BackgroundThe flight of Syrian and Palestinian families into Lebanon from Syria included a number of older refugees. This study sought to characterize the physical and emotional conditions, dietary habits, coping practices, and living conditions of this elderly population arriving in Lebanon between March 2011 and March 2013.MethodsA systematic selection of 210 older refugees from Syria was drawn from a listing of 1800 refugees over age 60 receiving assistance from the Caritas Lebanon Migrant Center (CLMC) or the Palestinian Women’s Humanitarian Organization (PALWHO). CLMC and PALWHO social workers collected qualitative and quantitative information during 2013.ResultsTwo-thirds of older refugees described their health status as poor or very poor. Most reported at least one non-communicable disease, with 60% having hypertension, 47% reporting diabetes, and 30% indicating some form of heart disease. Difficulties in affording medicines were reported by 87%. Physicial limitations were common: 47% reported difficulty walking and 24% reported vision loss. About 10% were physically unable to leave their homes and 4% were bedridden. Most required medical aids such as walking canes and eyeglasses. Diet was inadequate with older refugees reporting regularly reducing portion sizes, skipping meals, and limiting intake of fruits, vegetables, and meats. Often this was done to provide more food to younger family members. Some 61% of refugees reported feeling anxious, and significant proportions of older persons reported feelings of depression, loneliness, and believing they were a burden to their families. 74% of older refugees indicated varying degrees of dependency on humanitarian assistance.ConclusionThe study concluded older refugees from Syria are a highly vulnerable population needing health surveillance and targeted assistance. Programs assisting vulnerable populations may concentrate services on women and children leaving the elderly overlooked.

A Conceptual Framework of Displaced Elderly Syrian Refugees in Lebanon: Challenges and Opportunities

“…They did not have access to medications they needed for chronic conditions, including hypertension and cardiac disease. Elders felt like they had lost some of the esteem they held in their communities in Syria, and implicated a disruption in family and societal structure for this change in status (Strong, Varady, Chahda, Doocy, & Burnham, 2015).…”

“…Of the seven articles, only one addressed the health status and needs of elderly Syrian refugees in Lebanon (Strong, Varady, Chahda, Doocy, & Burnham, 2015). One article focused on the nutritional status and needs of Syrian refugee women and children (Bilukha et al, 2014).…”

“…Almost 90% said that they did not have access to medications. Over 60% of the elderly refugees self-reported anxiety, depression, guilt, and feeling like a burden to their families (Strong, Varady, Chahda, Doocy, & Burnham, 2015).…”

“…Most programs during time of conflict or crisis prioritize assistance to vulnerable populations in services on women and children leaving the elderly overlooked and marginalized (Strong, Varady, Chahda, Doocy, & Burnham, 2015). Elderly refugees, like refugees before them, arrive to the host country with multiple issues including untreated chronic medical conditions such as diabetes and hypertension, have not received adequate preventative healthcare, and suffer from severe mental distress (Cultural Orientation Resource Center, 2014).…”

Mental health and psychosocial wellbeing of Syrians affected by armed conflict

“…Studies among older refugees find high levels of feelings of anxiety (41%), depression (25%), lack of safety (24%) or loneliness (23%). Those with poor physical health are significantly more affected (Strong et al 2015).…”