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评估生活在土耳其的叙利亚老年人群体的生物-心理-社会和社会文化问题。

Evaluation of bio-psycho-social and socio-cultural problems of Syrian elderly living in Turkey.

机构信息

Faculty of Science and Literature, Bingol University, Turkey.

Health Science Faculty, Istanbul University-Cerrahpasa, Turkey.

出版信息

Int J Soc Psychiatry. 2023 Mar;69(2):454-466. doi: 10.1177/00207640221109165. Epub 2022 Jul 19.

Abstract

BACKGROUND

Older persons are among the vulnerable groups most affected by war and migration due to physical weakness, illness, social environment, and cultural adaptation difficulties.

AIMS

The aim of this study is to determine the economic, biopsychosocial, and socio-cultural problems of the older Syrians living in Turkey.

METHODS

Convergent mixed design was used within the scope of the research. For the qualitative phase of the research, 19 older persons migrants were interviewed. A semi-structured interview form was used to collect data in the interviews. For the quantitative phase of the research, 432 participants were reached. In order to collect data, Geriatric Depression Scale (GDS-15) and Socio-cultural Adaptation Scale (SCAS-R) were used together with the demographic information form.

RESULTS

The mean age of the participants was 66.2 ± 7.10 (Min: 60; Max: 91), the majority (87%) between the ages of 60 to 74 and 53.2% were male. The mean SCAS-R score of the older Syrians was 2.48 ± 0.88 (Min: 1; Max: 5) and the mean GDS-15 was 2.63 ± 3.84 (Min: 0; Max: 15). About 22.7% of older Syrian participants had mild or severe depressive symptoms. Experienced traumatic events, changing economic situation, and family relationships affected both physical and mental health of the older persons. The socio-cultural adaptation of the older persons was affected by language, temporary protection, and exposure to exclusion. The Older Syrians, who lacked information on social services, were experiencing problems with nutrition, clothing, bill payment, and rent due to economic problems. However, they mostly did not want to return to Syria because their living order in Syria was deteriorating and they were afraid.

CONCLUSION

Syrian elderly immigrants living in Turkey have biopsychosocial, economic, and cultural problems. National and international support programs and policies should be developed for elderly Syrian refugees who are expected to live in Turkey unless a safe living environment is provided.

摘要

背景

老年人由于身体虚弱、疾病、社会环境和文化适应困难,是受战争和移民影响最严重的弱势群体之一。

目的

本研究旨在确定居住在土耳其的叙利亚老年移民的经济、生物心理社会和社会文化问题。

方法

在研究范围内采用了趋同混合设计。在研究的定性阶段,对 19 名老年移民进行了访谈。使用半结构式访谈表在访谈中收集数据。在研究的定量阶段,共联系了 432 名参与者。为了收集数据,同时使用了老年抑郁量表(GDS-15)和社会文化适应量表(SCAS-R)以及人口统计学信息表。

结果

参与者的平均年龄为 66.2±7.10 岁(最小:60;最大:91),大多数(87%)年龄在 60 至 74 岁之间,53.2%为男性。叙利亚老年移民的平均 SCAS-R 得分为 2.48±0.88(最小:1;最大:5),平均 GDS-15 得分为 2.63±3.84(最小:0;最大:15)。约 22.7%的叙利亚老年参与者有轻度或重度抑郁症状。经历创伤性事件、经济状况的变化以及家庭关系都影响了老年人的身心健康。老年人的社会文化适应受到语言、临时保护和被排斥的影响。由于经济问题,缺乏社会服务信息的叙利亚老年人在营养、服装、账单支付和租金方面存在问题。然而,他们大多不想返回叙利亚,因为他们在叙利亚的生活秩序正在恶化,他们感到害怕。

结论

居住在土耳其的叙利亚老年移民存在生物心理社会、经济和文化问题。应制定针对预计将居住在土耳其的叙利亚老年难民的国家和国际支持计划和政策,除非为他们提供安全的生活环境。

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