Trends in the health status of Ukrainian refugees in Norway according to month of arrival during 2022

Abstract Background More than 35 000 refugees from Ukraine applied for temporary collective protection in Norway during 2022. Previous studies have shown that the refugees have poor health in several domains, and crude reports have suggested that those fleeing Ukraine at later stages have even poore...

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Main Authors: Angela S. Labberton, Larisa Ozeryansky, Ylva Helland, Thea Steen Skogheim, Tonya Moen Hansen
Format: Article
Language:English
Published: BMC 2024-11-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-024-20660-0
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author Angela S. Labberton
Larisa Ozeryansky
Ylva Helland
Thea Steen Skogheim
Tonya Moen Hansen
author_facet Angela S. Labberton
Larisa Ozeryansky
Ylva Helland
Thea Steen Skogheim
Tonya Moen Hansen
author_sort Angela S. Labberton
collection DOAJ
description Abstract Background More than 35 000 refugees from Ukraine applied for temporary collective protection in Norway during 2022. Previous studies have shown that the refugees have poor health in several domains, and crude reports have suggested that those fleeing Ukraine at later stages have even poorer health. However, more systematic knowledge is lacking. This study aimed to analyse trends in self-reported health in a sample of adult refugees from Ukraine, by month of arrival to Norway during 2022. Methods Data were collected via an online, digital questionnaire, in a cross-sectional study design between 28.10.22–31.01.23. Recruitment was via multiple physical and social media contact points, including asylum reception centres, municipalities, non-profit organisations, and Facebook groups for refugees in Norway. The survey included the following self-reported health outcomes: overall health, oral health, presence of long-term illnesses or disabilities, and a short version of the Hopkins Symptom Checklist (HSCL-5). Results Among the 727 respondents, 82% were female, 65% were aged 30–49 years, 69% had higher education and 53% were responsible for children in Norway. There were 383 respondents who arrived between February-April (T1), 200 between May-August (T2) and 144 between September-December (T3). Compared to T1, respondents who arrived in the two later time periods were more often male, had younger age distributions, and were less likely to have completed higher education. The proportions of respondents reporting poor/very poor overall health, presence of long-term illnesses and long-term disabilities were highest in T3. Oral health and HSCL-5 showed the opposite trend, with lower proportions reporting poorer health among respondents in both later periods. Respondents in T3 were still more likely to report poor/very poor health and long-term illnesses after adjusting for sex, age group and education (adjusted odds ratio, aOR: 2.71 [95%CI 1.51–4.89]) and 1.74 [1.14–2.65], respectively). Conclusions Respondents who arrived later in 2022 generally reported poorer long-term health, but less psychological distress than those who arrived earlier in the year. These findings may help inform the planning of health services for refugees from Ukraine, especially in areas receiving large numbers of refugees.
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spelling doaj-art-3b4d02aed1db4e7a86c63464f1fa9caa2024-11-17T12:52:28ZengBMCBMC Public Health1471-24582024-11-012411910.1186/s12889-024-20660-0Trends in the health status of Ukrainian refugees in Norway according to month of arrival during 2022Angela S. Labberton0Larisa Ozeryansky1Ylva Helland2Thea Steen Skogheim3Tonya Moen Hansen4Division for Health Services, Norwegian Institute of Public HealthThe Graduate School, The University of WashingtonDivision for Health Services, Norwegian Institute of Public HealthDivision for Health Services, Norwegian Institute of Public HealthDivision for Health Services, Norwegian Institute of Public HealthAbstract Background More than 35 000 refugees from Ukraine applied for temporary collective protection in Norway during 2022. Previous studies have shown that the refugees have poor health in several domains, and crude reports have suggested that those fleeing Ukraine at later stages have even poorer health. However, more systematic knowledge is lacking. This study aimed to analyse trends in self-reported health in a sample of adult refugees from Ukraine, by month of arrival to Norway during 2022. Methods Data were collected via an online, digital questionnaire, in a cross-sectional study design between 28.10.22–31.01.23. Recruitment was via multiple physical and social media contact points, including asylum reception centres, municipalities, non-profit organisations, and Facebook groups for refugees in Norway. The survey included the following self-reported health outcomes: overall health, oral health, presence of long-term illnesses or disabilities, and a short version of the Hopkins Symptom Checklist (HSCL-5). Results Among the 727 respondents, 82% were female, 65% were aged 30–49 years, 69% had higher education and 53% were responsible for children in Norway. There were 383 respondents who arrived between February-April (T1), 200 between May-August (T2) and 144 between September-December (T3). Compared to T1, respondents who arrived in the two later time periods were more often male, had younger age distributions, and were less likely to have completed higher education. The proportions of respondents reporting poor/very poor overall health, presence of long-term illnesses and long-term disabilities were highest in T3. Oral health and HSCL-5 showed the opposite trend, with lower proportions reporting poorer health among respondents in both later periods. Respondents in T3 were still more likely to report poor/very poor health and long-term illnesses after adjusting for sex, age group and education (adjusted odds ratio, aOR: 2.71 [95%CI 1.51–4.89]) and 1.74 [1.14–2.65], respectively). Conclusions Respondents who arrived later in 2022 generally reported poorer long-term health, but less psychological distress than those who arrived earlier in the year. These findings may help inform the planning of health services for refugees from Ukraine, especially in areas receiving large numbers of refugees.https://doi.org/10.1186/s12889-024-20660-0RefugeesHealth needs assessmentsMental healthOral healthChronic disease
spellingShingle Angela S. Labberton
Larisa Ozeryansky
Ylva Helland
Thea Steen Skogheim
Tonya Moen Hansen
Trends in the health status of Ukrainian refugees in Norway according to month of arrival during 2022
BMC Public Health
Refugees
Health needs assessments
Mental health
Oral health
Chronic disease
title Trends in the health status of Ukrainian refugees in Norway according to month of arrival during 2022
title_full Trends in the health status of Ukrainian refugees in Norway according to month of arrival during 2022
title_fullStr Trends in the health status of Ukrainian refugees in Norway according to month of arrival during 2022
title_full_unstemmed Trends in the health status of Ukrainian refugees in Norway according to month of arrival during 2022
title_short Trends in the health status of Ukrainian refugees in Norway according to month of arrival during 2022
title_sort trends in the health status of ukrainian refugees in norway according to month of arrival during 2022
topic Refugees
Health needs assessments
Mental health
Oral health
Chronic disease
url https://doi.org/10.1186/s12889-024-20660-0
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