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2021-02-02Zeitschriftenartikel DOI: 10.1186/s12905-021-01193-9
Exploring how Syrian women manage their health after migration to Germany: results of a qualitative study
dc.contributor.authorKikhia, Salma
dc.contributor.authorGharib, Ghaith
dc.contributor.authorSauter, Alexandra
dc.contributor.authorCaldeira Loss Vincens, Natalia
dc.contributor.authorLoss, Julika
dc.date.accessioned2021-03-02T09:34:15Z
dc.date.available2021-03-02T09:34:15Z
dc.date.issued2021-02-02none
dc.identifier.other10.1186/s12905-021-01193-9
dc.identifier.urihttp://edoc.rki.de/176904/7862
dc.description.abstractBackground In the recent years, the number of Syrians living in Germany increased drastically due to the massive displacement caused by the Syrian conflict. Syrian migrant women in Germany are challenged by both the migration process and the changing of social roles. Seeking out healthcare may be hampered by linguistic and cultural barriers, but the new context may offer opportunities for health and well-being (free access to health care, civil/human rights). Little is known about how Syrian women manage their health after their resettlement in Germany. Methods In depth interviews in Arabic were conducted with 9 Syrian women who were recruited through purposive sampling (18–55 years, migrated in 2011–2017, different education levels), focusing on capabilities to control one’s health and to navigate the German healthcare system, and social/environmental barriers and facilitators to effectively manage their health. Interview transcripts were analysed using qualitative content analysis. Results The women reported their health to be impaired by post-migration stressors, such as perceived discrimination, loss of social status and worrying about the future. Many interviewees felt disempowered and incompetent to successfully and actively navigate the German healthcare system, lacking information and not understanding their rights and options under the health insurance plan. The language barrier added to feeling vulnerable. Many women experienced doctors declining to treat them for capacity reasons; when treated, they often did not feel taken seriously or were dissatisfied with the emotional/cultural aspects of care. If possible, Arabic doctors were sought out. Some women, however, described improved resources for health, and appreciated better women’s rights as a source of power. Conclusions The lack of information about the structure and offers of the German healthcare system, language and culture specific barriers as well as socio-cultural challenges are undermining the ability of Syrian women to manage their health effectively after their resettlement in Germany. Providing tailored information on the German healthcare system, creating a health-literacy supportive environment, and improving cultural sensitivity in healthcare provision could help Syrian women better utilize medical care offered in Germany.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subjectSyrian womeneng
dc.subjectImmigrant healtheng
dc.subjectGermanyeng
dc.subjectAccess to healthcareeng
dc.subjectPost-migration stresseng
dc.subjectResilienceeng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleExploring how Syrian women manage their health after migration to Germany: results of a qualitative studynone
dc.typearticle
dc.identifier.urnurn:nbn:de:kobv:0257-176904/7862-4
dc.identifier.doihttps://doi.org/10.1186/s12905-021-01193-9
dc.identifier.doihttp://dx.doi.org/10.25646/8098
dc.type.versionpublishedVersionnone
local.edoc.container-titleBMC Women's Healthnone
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-021-01193-9none
local.edoc.container-publisher-nameBMCnone
local.edoc.container-volume21none
local.edoc.container-reportyear2021none
local.edoc.container-firstpage1none
local.edoc.container-lastpage15none
local.edoc.rki-departmentEpidemiologie und Gesundheitsmonitoringnone
dc.description.versionPeer Reviewednone

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