Cent Eur J Public Health 2020, 28(2):149-154 | DOI: 10.21101/cejph.a5955

Social adaptation status of Syrian refugee physicians living in Turkey

Basri Furkan Dağcioğlu1, Aylin Baydar Artantaş2, Ahmet Keskin1, İrep Karataş Eray2, Yusuf Üstü1, Mehmet Uğurlu1
1 Department of Family Medicine, Faculty of Medicine, Ankara Yildirim Beyazit University, Ankara, Turkey
2 Department of Family Medicine, Ankara Bilkent City Hospital, Ankara, Turkey

Objectives: Since the beginning of the civil war in Syria, over 3.5 million Syrians have fled to Turkey. Considering the massive burden of healthcare service needs of this population, the Turkish government has launched an initiative as employing Syrian doctors to provide health services to their citizens in Refugee Health Centres. In this study, we aimed to explore the social adaptation status of Syrian physicians living in Turkey using a structured questionnaire and the Social Adaptation Self Evaluation Scale (SASS).

Methods: Between November 2016 and April 2018, 799 physicians who participated in "Syrian Physicians' Adaptation Training" were enrolled in the study and underwent a structured questionnaire that questioned socio-demographic data and the SASS. The participants were divided into two groups as having poor and normal/high SASS scores. The binary SASS groups were compared with some demographic data.

Results: The median SASS score of the respondents was found as 43 (min. 10, max. 60, IQR 10) which can be accepted as normal. In the binary grouping, it was seen that 107 (13.39%) participants had poor social adaptation, whereas 692 (86.61%) participants had normal or high social adaptation scores. The physicians who were certain about not going back to Syria had significantly higher SASS scores.

Conclusion: The social adaptation scores of the Syrian physicians were considerably high. The adaptation status was found to be associated with some characteristics like living in Turkey for a long time and having pre-knowledge about the Turkish healthcare system.

Klíčová slova: Syrian refugees, refugee physicians, social adaptation, SASS

Vloženo: 15. září 2019; Revidováno: 23. únor 2020; Přijato: 23. únor 2020; Zveřejněno: 27. červen 2020  Zobrazit citaci

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Furkan Dağcioğlu B, Baydar Artantaş A, Keskin A, Karataş Eray İ, Üstü Y, Uğurlu M. Social adaptation status of Syrian refugee physicians living in Turkey. Cent Eur J Public Health. 2020;28(2):149-154. doi: 10.21101/cejph.a5955. PubMed PMID: 32592561.
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    Reference

    1. Montgomery E, Foldspang A. Discrimination, mental problems and social adaptation in young refugees. Eur J Public Health. 2008;18(2):156-61. Přejít k původnímu zdroji... Přejít na PubMed...
    2. Oda A, Tuck A, Agic B, Hynie M, Roche B, McKenzie K. Health care needs and use of health care services among newly arrived Syrian refugees: a cross-sectional study. CMAJ Open. 2017;5(2):E354-8. Přejít k původnímu zdroji... Přejít na PubMed...
    3. Stewart E. A bitter pill to swallow: obstacles facing refugee doctors in the UK. New issues in refugee research. 2003;(96):1-23.
    4. BBC. Illustrated: War in Syria in its 8th year [Internet]. BBC News Turkey; 2018 [cited 2020 Feb 23]. Available from: https://www.bbc.com/turkce/haberler-dunya-43414137. (In Turkish.)
    5. Food and Agriculture Organization of the United Nations. Turkey Syrian refugee resilience plan 2019-2020. Rome: FAO; 2019.
    6. Republic of Turkey, Ministry of Interior, Directorate General of Migration Management. Statistics. Temporary protection. Resettlement of Syrians in the 3rd countries within 2014-2019 [Internet]. Ankara: Directorate General of Migration Management; 2019 [cited 2020 Feb 23]. Available from: https://en.goc.gov.tr/temporary-protection27.
    7. Regulation on work permits for foreigners under temporary protection, (2016/8375).
    8. İçduygu A, Şimşek D. Syrian refugees in Turkey: towards integration policies. Turk Policy Q. 2016;15(3):59-69.
    9. Döner P, Özkara A, Kahveci R. Syrian refugees in Turkey: numbers and emotions. Lancet. 2013;382(9894):764. Přejít k původnímu zdroji... Přejít na PubMed...
    10. World Health Organization. World Refugee Day: WHO training enables Syrian doctors and nurses to provide health care in Turkey [Internet]. WHO; 2017 [cited 2020 Feb 23]. Available from: http://www.euro.who.int/en/countries/turkey/news/news/2017/06/world-refugee-day-who-training-enables-syrian-doctors-and-nurses-to-provide-health-care-in-turkey.
    11. Jefee-Bahloul H, Bajbouj M, Alabdullah J, Hassan G, Barkil-Oteo A. Mental health in Europe's Syrian refugee crisis. Lancet Psychiatry. 2016;3(4):315-7. Přejít k původnímu zdroji... Přejít na PubMed...
    12. Bosc M. Assessment of social functioning in depression. Compr Psychiatry. 2000;41(1):63-9. Přejít k původnímu zdroji... Přejít na PubMed...
    13. Paykel ES, Weissman MM, Prusoff BA. Social maladjustment and severity of depression. Compr Psychiatry. 1978;19(2):121-8. Přejít k původnímu zdroji... Přejít na PubMed...
    14. Leader JB, Klein DN. Social adjustment in dysthymia, double depression and episodic major depression. J Affect Disord. 1996;37(2-3):91-101. Přejít k původnímu zdroji... Přejít na PubMed...
    15. Möller HJ. Rating depressed patients: observer- vs selfassessment. Eur Psychiatry. 2000;15(3):160-72. Přejít k původnímu zdroji... Přejít na PubMed...
    16. Bech P, Lunde M, Unden M. Social Adaptation Self-evaluation Scale (SASS): psychometric analysis as outcome measure in the treatment of patients with major depression in the remission phase. Int J Psychiatry Clin Pract. 2002;6(3):141-6. Přejít k původnímu zdroji... Přejít na PubMed...
    17. Bosc M, Dubini A, Polin V. Development and validation of a social functioning scale, the Social Adaptation Self-evaluation Scale. Eur Neuropsychopharmacol. 1997;7 Suppl 1:S57-70. Přejít k původnímu zdroji... Přejít na PubMed...
    18. Tse WS, Bond AJ. Relationship between baseline cortisol, social functioning and depression: a mediation analysis. Psychiatry Res. 2004;126(3):197-201. Přejít k původnímu zdroji... Přejít na PubMed...
    19. Farokhnezhad Afshar P, Foroughan M, Vedadhir A, Ghazi Tabatabaie M. Psychometric properties of the Persian version of Social Adaptation Self-evaluation Scale in community-dwelling older adults. Clin Interv Aging. 2017;12:579-84. Přejít k původnímu zdroji... Přejít na PubMed...
    20. Akkaya C, Sarandöl A, Esen Danaci A, Sivrioğlu EY, Kaya E, Kirli S. Reliability and validity of the turkish version of the Social Adaptation Self-Evaluation Scale (SASS). Turk J Psychiatry. 2008;19(3):292-9.
    21. Ueda N, Suda A, Nakagawa M, Nakano H, Umene-Nakano W, Ikenouchi-Sugita A, et al. Reliability, validity and clinical utility of a Japanese version of the Social Adaptation Self-evaluation Scale as calibrated using the Beck Depression Inventory. Psychiatry Clin Neurosci. 2011;65(7):624-9. Přejít k původnímu zdroji... Přejít na PubMed...
    22. Tse WS, Bond AJ. Psychometric analysis of the Chinese version of Social Adaptation Self-evaluation Scale (C-SASS). Psychiatry Res. 2007;153(3):277-81. Přejít k původnímu zdroji... Přejít na PubMed...
    23. Allen R. Benefit or burden? Social capital, gender, and the economic adaptation of refugees. Int Migr Rev. 2018;43(2):332-65. Přejít k původnímu zdroji...
    24. Ahsan S. Providing medical relief in Syria's conflict. Lancet. 2013;381(9866):523-4. Přejít k původnímu zdroji... Přejít na PubMed...
    25. Aras B, Köni H. Turkish-Syrian relations revisited. Arab Stud Q. 2002;24(4):47-60.
    26. Ceritoglu E, Yunculer HBG, Torun H, Tumen S. The impact of Syrian refugees on natives' labor market outcomes in Turkey: evidence from a quasi-experimental design. IZA J Labor Policy. 2017;6:5. doi: 10.1186/s40173-017-0082-4. Přejít k původnímu zdroji...
    27. Nguyen AM, Wood SJ. The push-pull factors of physician-system integration: a qualitative study of Washington State Healthcare Executives. J Healthc Manag. 2019;64(1):15-26. Přejít k původnímu zdroji... Přejít na PubMed...
    28. Valtonen K. The adaptation of Vietnamese refugees in Finland. J Refug Stud. 1994;7(1):63-78. Přejít k původnímu zdroji...
    29. Bech P. Social functioning should it become an endpoint in trials of antidepressants? CNS Drugs. 2005;19(4):313-24. Přejít k původnímu zdroji... Přejít na PubMed...
    30. Cousins S. Syrian crisis: health experts say more can be done. Lancet. 2015;385(9972):931-4. Přejít k původnímu zdroji... Přejít na PubMed...

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