阿拉伯难民的心理健康挑战和护理障碍:美国和加拿大研究的范围审查。

PRiMER (Leawood, Kan.) Pub Date : 2025-07-15 eCollection Date: 2025-01-01 DOI:10.22454/PRiMER.2025.330739
Yasmeen Berry, Sabrina Khan, Reema Smadi, Sarah Rehman, Joseph Hanania, Mukhlis Alabdalrazzak, Oase Sbei, Morhaf Al Achkar
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引用次数: 0

摘要

导言:冲突造成的流离失所是人道主义危机的一个标志,受创伤的幸存者面临着独特的健康挑战。本研究的目的是调查影响美国和加拿大阿拉伯难民的健康因素,重点关注使这一弱势群体的卫生保健经历进一步复杂化的心理健康挑战。方法:采用基于系统评价和荟萃分析(PRISMA)报告指南的首选报告项目的方案进行范围评价。我们建立了入选标准,筛选1990年1月1日至2024年12月31日期间发表的英文同行评议原创文章。检索使用了5个数据库(PubMed、Embase、Scopus、CINAHL Complete和ProQuest)。我们根据研究标准选择了31篇文章。结果:文献一致强调了阿拉伯难民中精神健康障碍的高负担——特别是创伤后应激障碍、抑郁和焦虑。此外,尽管有保险覆盖,但由于系统性的健康障碍,心理服务的利用率仍然很低。结论:在美国和加拿大的阿拉伯难民面临着重大的心理健康挑战,而耻辱、语言障碍和无法充分获得文化敏感护理等障碍使这种挑战更加复杂。满足这些具体需求可以改善个人和社区两级的健康结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mental Health Challenges and Barriers to Care Among Arab Refugees: A Scoping Review of US and Canadian Studies.

Introduction: Displacement due to conflict is a hallmark of humanitarian crises and traumatized survivors face unique health challenges. The purpose of this study is to investigate the health factors impacting Arab refugees in the United States and Canada, with a focus on the mental health challenges that further complicate the health care experiences of this vulnerable population.

Methods: A scoping review was conducted using a protocol based on the Preferred Reporting items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines. We established eligibility criteria for selecting original peer-reviewed articles published in English between January 1, 1990 and December 31, 2024. The search utilized five databases (PubMed, Embase, Scopus, CINAHL Complete, and ProQuest). We selected 31 articles based on study criteria.

Results: The literature consistently highlights a high burden of mental health disorders among Arab refugees-particularly posttraumatic stress disorder, depression, and anxiety. Additionally, despite insurance coverage, psychological service utilization remains low due to systemic health barriers.

Conclusion: Arab refugees in the United States and Canada face significant mental health challenges that are compounded by barriers such as stigma, language obstacles, and inadequate access to culturally sensitive care. Addressing these specific needs can improve health outcomes at both individual and community levels.

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