scholarly journals Systematic review of factors associated with quality of life of asylum seekers and refugees in high-income countries

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Catharina F. van der Boor ◽  
Rebekah Amos ◽  
Sarah Nevitt ◽  
Christopher Dowrick ◽  
Ross G. White
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Asylum Seekers ◽  
High Income ◽  
Factors Associated ◽  
Asylum Seekers And Refugees

scholarly journals Subjective social mobility, quality of life and mental health of asylum seekers/refugees in Germany

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Costa ◽  
L Biddle ◽  
C Mühling ◽  
K Bozorgmehr
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Social Status ◽  
Social Mobility ◽  
Asylum Seekers ◽  
Country Of Origin ◽  
Subjective Social Status ◽  
Downward Mobility ◽  
Asylum Seekers And Refugees

Abstract Background Changes in the subjective social status (SSS) of migrants, specifically between the pre- and post-migratory movement, can be a relevant determinant of their mental health condition. This study analyzed the effect of downward subjective social mobility to the mental health of asylum seekers and refugees (ASR) in Germany. Methods Through a random sampling procedure, 560 adult ASR (18+ years) were recruited across 58 collective accommodation centers in Germanys' 3rd largest state (2018). SSS was assessed with the MacArthur social ladder (10-rungs), in reference to the participants' position in the country of origin and in Germany. Quality of Life (QoL, measured with EUROHIS-QOL), anxiety (General Anxiety Disorder-2) and depressive symptoms (Patient Health Questionnaire-2), were considered as mental health outcomes. Generalized linear regression models were fitted to measure associations between changes in SSS and each outcome. Results A loss of 3 or more steps in SSS from origin to Germany (compared to no-change) was significantly associated with poorer scores in QoL (B, standardized coefficient= -2.679, standard error, se = 1.351, p = 0.047), with more symptoms of depression (B = 1.156, se = 0.389, p = 0.003) and anxiety (B = 0.971, se = 0.432, p = 0.025), in models adjusted for SSS in the country of origin. The strength and direction of associations was unaltered after further adjusting for sex, age, educational level and time since arrival, although the coefficient for QoL was non-significant for those declaring a 3-step downward mobility (B= -2.494, se = 1.351, p = 0.066 for QoL; B = 1.048, se = 0.393, p = 0.008 for depression; and B = 1.006, se = 0.438, p = 0.022 for anxiety). Discussion The results suggest that interventions should focus on those experiencing social downward mobility and not only prioritize individuals with low social status. Early integration efforts and intersectoral measures to counter social downward mobility could prevent poor mental health among ASR. Key messages We analysed the impact to the quality of life and mental health of asylum seekers and refugees, of a change in subjective social status from country of origin to Germany. Asylum seekers and refugees residing in Germany, who perceived a downward social status mobility following their migration process, are at risk for poorer mental health.

scholarly journals Health-Related Quality of Life of Asylum Seekers and Refugees in Germany: a Cross-Sectional Study with Data from the German Socio-Economic Panel

2020 ◽  
Author(s):  
Thomas Grochtdreis ◽  
Hans-Helmut König ◽  
Steffi G. Riedel-Heller ◽  
Judith Dams
Keyword(s):  
Quality Of Life ◽  
Asylum Seekers ◽  
Refugee Crisis ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Female Sex ◽  
Related Quality ◽  
Health Related ◽  
Asylum Seekers And Refugees

Abstract The purpose of this study was to estimate the health-related quality of life (HrQoL) of asylum seekers and refugees that arrived during the European migrant and refugee crisis in Germany between 2014 and 2017. The analysis was based on the 2016 and 2017 refugee samples of the German Socio-Economic Panel (n = 6821). HrQoL was measured using a modified version of the SF-12v2 questionnaire and presented as physical (PCS) and mental (MCS) component summary scores. PCS and MCS scores for the total sample, males and females were calculated by sociodemographic characteristics. Associations between PCS and MCS scores and sociodemographic variables were examined by a linear regression with bootstrapped standard errors. The mean PCS and MCS scores of the sample were 53.4 and 47.9, respectively. Female sex was statistically significantly associated with lower PCS and MCS scores. The SF-12 subscale general health was valued highest with a score of 55.4, whereas the subscale role emotional was valued lowest with a score of 46.9. Employment was statistically significantly associated with higher PCS and MCS scores. Persons from Afghanistan had statistically significantly lower MCS scores than persons from Syria, whereas MCS scores were statistically significantly higher for persons from Eritrea. Physical and mental HrQoL of asylum seekers and refugees that arrived during the European migrant and refugee crisis in Germany between 2014 and 2017 was higher and lower than the German norm, respectively. Female sex, older age, unemployment and being separated, divorced or widowed were negatively associated with HrQoL. The three largest ethnical groups of asylum seekers and refugees, Syrians, Afghans and Eritreans, differ inherently in their HrQoL.

scholarly journals Living well with dementia: a systematic review and correlational meta-analysis of factors associated with quality of life, well-being and life satisfaction in people with dementia

2018 ◽  
Vol 48 (13) ◽  
pp. 2130-2139 ◽  
Author(s):  
Anthony Martyr ◽  
Sharon M. Nelis ◽  
Catherine Quinn ◽  
Yu-Tzu Wu ◽  
Ruth A. Lamont ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Life Satisfaction ◽  
Social Engagement ◽  
Meta Analysis ◽  
Well Being ◽  
Factors Associated ◽  
Living Well ◽  
People With Dementia

AbstractCurrent policy emphasises the importance of ‘living well’ with dementia, but there has been no comprehensive synthesis of the factors related to quality of life (QoL), subjective well-being or life satisfaction in people with dementia. We examined the available evidence in a systematic review and meta-analysis. We searched electronic databases until 7 January 2016 for observational studies investigating factors associated with QoL, well-being and life satisfaction in people with dementia. Articles had to provide quantitative data and include ⩾75% people with dementia of any type or severity. We included 198 QoL studies taken from 272 articles in the meta-analysis. The analysis focused on 43 factors with sufficient data, relating to 37639 people with dementia. Generally, these factors were significantly associated with QoL, but effect sizes were often small (0.1–0.29) or negligible (<0.09). Factors reflecting relationships, social engagement and functional ability were associated with better QoL. Factors indicative of poorer physical and mental health (including depression and other neuropsychiatric symptoms) and poorer carer well-being were associated with poorer QoL. Longitudinal evidence about predictors of QoL was limited. There was a considerable between-study heterogeneity. The pattern of numerous predominantly small associations with QoL suggests a need to reconsider approaches to understanding and assessing living well with dementia.

[P2-517]: A SYSTEMATIC REVIEW OF FACTORS ASSOCIATED WITH QUALITY OF LIFE OF FAMILY CARERS OF PEOPLE WITH DEMENTIA: AN INTERNATIONAL PERSPECTIVE

2017 ◽  
Vol 13 (7S_Part_17) ◽  
pp. P838-P839
Author(s):  
Nicolas Farina ◽  
Thomas Page ◽  
Stephanie Daley ◽  
Anna Brown ◽  
Ann Bowling ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
International Perspective ◽  
Family Carers ◽  
Factors Associated ◽  
People With Dementia

scholarly journals Proxy rated quality of life of care home residents with dementia: a systematic review

2017 ◽  
Vol 29 (4) ◽  
pp. 569-581 ◽  
Author(s):  
Sarah Robertson ◽  
Claudia Cooper ◽  
Juanita Hoe ◽  
Olivia Hamilton ◽  
Aisling Stringer ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Care Home ◽  
Health Staff ◽  
Physical And Mental Health ◽  
Mental Health Staff ◽  
Factors Associated ◽  
Proxy Reports ◽  
People With Dementia

ABSTRACTBackground:Quality of life (QoL) is an important outcome for people with dementia living in care homes but usually needs to be rated by a proxy. We do not know if relative or paid carer proxy reports differ. We conducted the first systematic review and meta-analysis of data investigating whether and how these proxy reports of QoL differ.Methods:We searched four databases: Medline, Embase, PsychInfo, and CINAHL in October 2015 with the terms: dementia, QoL, proxy, and care home. Included studies either compared proxy QoL ratings or investigated the factors associated with them. We meta-analyzed data comparing staff and family proxy rated QoL.Results:We included 17/105 papers identified. We found no difference between global proxy ratings of QoL (n = 1,290; pooled effect size 0.06 (95% CI = −0.08 to 0.19)). Studies investigating factors associated with ratings (n = 3,537) found family and staff ratings correlated with the resident's physical and mental health. Staff who were more distressed rated resident QoL lower. Relatives rated it lower when the resident had lived in the care home for longer, when they observed more restraint, or contributed more to fees.Conclusions:Relatives and staff proxy QoL ratings share a clear relationship to resident health and overall ratings were similar. Rater-specific factors were, however, also associated with scores. Understanding why different raters consider the QoL of the same person differently is an important consideration when evaluating the meaning of proxy rated QoL. Proxy raters’ backgrounds may affect their rating of QoL.

scholarly journals Factors associated with the quality of life of family carers of people with dementia: A systematic review

2017 ◽  
Vol 13 (5) ◽  
pp. 572-581 ◽  
Author(s):  
Nicolas Farina ◽  
Thomas E. Page ◽  
Stephanie Daley ◽  
Anna Brown ◽  
Ann Bowling ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Family Carers ◽  
Factors Associated ◽  
People With Dementia
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