Evidence map›Paper›PMID 32764783›Full record

ArticlePloS one2020

Beliefs, perceptions, and behaviors impacting healthcare utilization of Syrian refugee children.

Riham M Alwan, Daniel J Schumacher, Sevsem Cicek-Okay, Sarah Jernigan, Ahmed Beydoun, Tasnim Salem, Lisa M Vaughn

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Challenges in the Medical and Psychosocial Care of the Paediatric Refugee-A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  2. Article
  3. Observational
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Pediatric emergency department use by Afghan refugees at a temporary housing facility.Journal of the American College of Emergency Physicians open · 2023
    Article
  11. Article
  12. A Helping Hand Out of the River: Refugee Perspectives for Provider Engagement.Journal of patient-centered research and reviews · 2023
    Article
  13. Article
  14. Article
  15. Review
  16. Breastfeeding practices among Syrian refugees in Turkey.International breastfeeding journal · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Riham M AlwanCollege of Medicine, University of Cincinnati, Cincinnati, OH, United States of America.ORCID 0000-0003-3963-7802
Daniel J SchumacherCollege of Medicine, University of Cincinnati, Cincinnati, OH, United States of America.
Sevsem Cicek-OkayCollege of Arts and Sciences, University of Cincinnati, Cincinnati, OH, United States of America.
Sarah JerniganCollege of Education, Criminal Justice and Human Services, University of Cincinnati, Cincinnati, OH, United States of America.
Ahmed BeydounCollege of Medicine, University of Cincinnati, Cincinnati, OH, United States of America.
Tasnim SalemIndependent Consultant, Dallas, TX, United States of America.
Lisa M VaughnCollege of Medicine, University of Cincinnati, Cincinnati, OH, United States of America.ORCID 0000-0002-4348-651X
Cincinnati Children's Hospital Medical Center · USUniversity of Cincinnati Medical Center · USDallas Independent School District · USUniversity of Cincinnati · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApproximately 18,000 Syrian refugees have resettled to the United States. Half of these refugees are children, whose age and refugee status jeopardize their abilities to attain quality healthcare. Information on Syrian refugees' health in the U.S. is limited. This qualitative study sought to explore Syrian refugee parents' beliefs, perspectives, and practices regarding their children's health through in-depth interviews.

methodsEighteen Syrian refugee parents residing in Cincinnati, Ohio were interviewed in Arabic by bilingual researchers using semi-structured in-depth interviews. The interviews were recorded, transcribed, and translated. Three members of the research team independently coded each interview using an inductive thematic analysis approach.

resultsAnalysis identified four salient themes: stressors preclude health seeking behaviors, parents perceive health barriers, parents are dissatisfied with the healthcare system, and parents use resilience behaviors to overcome barriers. Stressors included poor housing and neighborhoods, reliving traumatic experiences, depression and anxiety, and social isolation. Dissatisfaction included emergency room wait times, lack of testing and prescriptions. Health barriers included missed appointments and inadequate transportation, translation services, health literacy and care coordination. Parents reported resilience through faith, by seeking knowledge, use of natural remedies, and utilizing community resources.

conclusionThis qualitative study provides information on the beliefs, practices, and behaviors of Syrian refugee parents related to health care utilization of pediatric refugees in the United States. Psychosocial and environmental stressors as well as perceived systemic health barriers, hinder health seeking behaviors in Syrian refugee parents. Culturally relevant care targeting perceived barriers and incorporating resilience behaviors may improve parental satisfaction and parental health seeking behaviors. Further study is needed to implement and evaluate interventions that target identified barriers.

Indexed as

AdolescentAdultChildChild, PreschoolFamily CharacteristicsFemaleHealth Knowledge, Attitudes, PracticeHealth LiteracyHealth Services AccessibilityHumansInfantMaleMiddle AgedOhioParentingParents

Identifiers

PMID32764783
PMCPMC7413502
OpenAlexW3048351128

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.