Syrian Refugees Research Articles

Refugee and asylum-seeker children and health problems in the city of Duzce, Türkiye.

This study examines the health problems and healthcare needs of refugee and asylum-seeker children and aims to develop strategies for improvement. Based on quantitative data from 448 refugee and asylum-seeker children and 222 non-refugee local children, this study was conducted at Düzce University, Department of Paediatrics, between 2010 and 2021. The refugee children originated from three countries: Iraq (n = 304), Syria (n = 101) and Afghanistan (n = 43). The data were analysed using the SPSS data analysis program. Ethical clearance was obtained from the Ethics Committee of Düzce Üniversity. The results suggest that refugee and asylum-seeker children have significantly higher rates of acute illness or infection, malnutrition (p < 0.001) and anaemia (p < 0.001) than local children as a result of living in overcrowded families (p = 0.017) and unhealthy conditions. Adolescent pregnancy (p = 0.049) emerges as an important social problem as a result of child marriage among refugee children, mostly in the form of consanguineous marriages (p < 0.001). The rate of having at least two adolescent pregnancies (under 18) was highest among Syrian refugee girls (p = 0.01). Although refugee and asylum-seeker children have higher rates of health insurance (between 74% and 95%), they have lower rates of insurance compared to local children. This research also compares the data from three nationalities, including Syria, Afghanistan and Iraq children; Iraqi and Afghan children under the international protection (IP) system with limited social support and rights had worse health conditions compared to other groups. Although Iraqi children had the highest rates of health insurance on admission (p < 0.001), they also had higher rates of chronic diseases (p = 0.001), infections (p = 0.004), allergic rhinitis (p = 0.001) and malnutrition (p < 0.001). The youngest age of admission (p = 0.006) and the shortest length of stay (p = 0.004) were for Afghan children who also had higher rates of upper respiratory infections (p = 0.021). This study highlights the urgent need for improved screening programmes and the importance of collaborative efforts to address the specific health needs of these populations. Addressing the health status of child refugees is a complex and multifaceted task that requires the active participation of healthcare professionals, policymakers and researchers, each of whom has a crucial role to play.

Resettlement of Older Syrian Refugees in Canada: Key Individual Factors of Social Inclusion

Existing literature documents how older refugees are at risk of social exclusion and isolation, yet few researchers have investigated the social inclusion of recently (re)settled older Syrian refugees in Canada. Here we apply the social inclusion model to older migrants to analyze the social inclusion of 360 Syrian refugee older adults (51+ years) in Canada. Results indicate that older Syrian refugees tend to have good health, a strong sense of belonging, regular communication with others, and supportive relationships; therefore, they are likely to experience social inclusion, despite education and language challenges. We conclude by discussing the positive structural elements in their resettlement experiences.

Knowledge production in refugee studies from the South: Theorization of refugee labour in the literature on Turkey

Abstract This article explores the case of the migration studies industry in Turkey, which has flourished over the past decade, through an examination of knowledge production on refugee labour. Focusing on research about Syrian refugees’ labour and employment in Turkey between 2012 and 2018, the article discusses the ways in which refugee labour is articulated and studied to provide ground for a wider critique of migration-related knowledge production. This study aims to reflexively question academic outputs by (1) exploring the conceptual frames used broadly in research on refugee labour, and (2) developing an overview of the literature on Turkey with a focus on this topic. Through the case of the literature on refugee labour in Turkey, we explore the underlying political economy premises of migration research. This case serves as an example to argue that knowledge produced in a Southern context is mainly incorporated as case studies despite attempts to advance theoretical discussions, highlighting a North–South hierarchization of knowledge.

Analysis of the Role of the United Nations and Its Humanitarian Organizations in Solving the Human Rights Issues --Taking the Syrian Refugees as an Example

In March, 2011, the ongoing Syrian civil war has commenced, resulted in massive displacement and created one of the most severe humanitarian crises of the 21st century. This paper explores the effectiveness of the United Nations and its humanitarian organizations in addressing the human rights issues of Syrian refugees. The paper thoroughly examines the various efforts undertaken by the UN and its humanitarian organizations to provide aid and support to the millions of Syrians displaced by the conflict. It discusses the strategies that have been put into place to meet both the immediate and long-term needs of the refugees, such as shelter, healthcare, education, and resettlement programs. However, despite these efforts, the paper illustrates the challenges encountered by the UN and its humanitarian organizations in effectively handling a crisis like this, including political restrictions and constrained resources. A detailed analysis is presented of how these obstacles impact the efficiency of international aid and the overall management of the crisis. Later on, the paper puts forth possible solutions towards the refugee crisis, suggesting methods like humanitarian visa schemes and the establishment of SEZs, which are designed to offer safer and more legal routes for refugees to protect their human rights.

Cinematic Orientalism: East-West Perception in Netflix's 'Swimmers'

This article analyzes the movie "The Swimmers" using ideological and frame-by-frame film analysis methods. The themes, characters, and locations in the film are evaluated in the context of the critique of orientalism and self-orientalism, analyzing how ideological themes are processed and reinforced. The film associates concepts of faith and hope with Christianity, presenting Christian characters as saviors. While telling the story of Syrian refugees, the film chooses Christian and European-looking heroes, portraying Muslims negatively. Emphasizing the superiority of Western culture, the film depicts the Eastern world as backward and helpless. Countries such as Türkiye are coded as dark and uncanny, while European countries are idealized. The positive portrayal of Greece praises European efforts towards refugees but creates a negative image of the Turkish Coast Guard. The orientalist and self-orientalist elements of the film are attempts to present an attractive narrative for Western audiences. The Muslim screenwriter's distortion of Eastern historical realities under Western producers' influence represents self-orientalism. This approach reflects an endeavor to present Eastern culture in line with Western perspectives to gain Western approval, reinforcing prejudices rather than fostering understanding of cultural and political differences.

The CDU and the Leitkultur Debate: An Analysis of Angela Merkel’s Integration Discourse Before and After the 2015 Syrian Refugee Crisis

The CDU and the Leitkultur Debate: An Analysis of Angela Merkel’s Integration Discourse Before and After the 2015 Syrian Refugee Crisis

Biomonitoring Environmental Exposure in Syrian Refugees in Lebanon.

Over one million Syrian refugees have been residing in substandard living conditions in Lebanon for the past decade. Non-invasive biomonitoring of fractional exhaled nitric oxide (FeNO) as a pulmonary inflammation biomarker was conducted following and preceding indoor environmental assessments (which revealed elevated mould counts in informal tented settlements and non-residential shelters) to further evaluate effects of environmental exposure to indoor contaminants. Results of biomonitoring (n = 57) provided some insight regarding existing respiratory conditions and the possible implementation of minimally invasive methods to establish susceptibility profiles in Syrian refugees amid limited access to healthcare. The clinical interpretation of FeNO results suggested possible persistent exposure to allergens in addition to significant type 2 inflammation in some subjects. These findings warrant the need to expand this study, investigate other biomarkers, and attempt to correlate findings with environmental conditions to evaluate if a dose-response relationship exists.

Can Appeals to Religious Values Mitigate Anti-Refugee Sentiment? Experimental Evidence From Lebanon

This paper examines whether—and if so, to what extent—religious scripture and values can promote inclusionary attitudes towards refugees. Sacred texts across faiths call on believers to embrace foreigners, suggesting that religious discourses can be harnessed to promote refugees’ inclusion in host societies. To test this possibility, I implement a survey experiment in which citizens of Lebanon—a religiously diverse country that has received the most Syrian refugees per capita globally—are exposed to various forms of pro-refugee religious messaging. I find that inclusionary religious messaging can shift refugee-related attitudes towards tolerance, particularly for members of sectarian communities with the highest baseline anti-refugee animosity. The study's findings have important implications for understanding religion’s consequences for both the dynamics of refugee integration and intercommunal relations more generally, especially in the Middle East and North Africa and the broader developing world.

Prevalence and Correlates of a Positive Screening for Eating Disorders: A Cross-Sectional Study among Children in Lebanese Schools

ABSTRACT Background: Eating disorders (ED) are one of the most common psychiatric illnesses that may lead to physical and psychosocial morbidity in children. Our study aimed to determine the prevalence and factors associated with a positive screening for ED among children and young adolescents in multiple Lebanese schools. Method: This cross-sectional study included a convenience sample of 253 students (45.5% females; 76.3% Syrian refugees) aged between 8 and 13 years and recruited from Lebanese private schools. Students were interviewed between February and June 2018 to collect information about sociodemographic factors and health characteristics. Logistic regression analyses were performed, using the SCOFF questionnaire for screening ED as the dependent variable. Results: Among the students, 36.4% tested positive for SCOFF. Logistic regression analyses revealed significant associations between a positive screening for ED and the following factors: being between 8 and 9 years old (p = 0.029), obesity (p = 0.010), experiencing fatigue (p = 0.017), encountering a stressful accident (p = 0.027), undergoing changes in residence, school, or country (p = 0.01), consuming meals from restaurants ≥3/week (p = 0.013), consuming ≤2 fruits/week (p = 0.01) and consuming ≥5 eggs/week (p = 0.01). Approximately 13.4% of students were underweight, while 24.5% were classified as overweight or obese. One-third (32.1%) of students spent between 2 and 5 h/day using digital devices. Half of the students (54.1%) purchased fast food ≥3/week from school cafeterias, and over three-quarters reported fluctuating their food intake in response to emotions such as sadness, fear, anger, or happiness. Conclusion: These findings emphasize the importance of early detection and intervention in addressing abnormal eating behaviors among children.

Marital quality in a context of displacement: the role of union formation characteristics among Syrian refugee and Jordanian youth

Marital quality is an important determinant of well-being and is related to how unions are formed. Both processes of union formation and marital relationships may be influenced by stressful conditions, including insecurity and displacement. We leverage unique representative data on young Syrian refugees in Jordan to learn more about the interplay between displacement, union formation characteristics and marital quality. Through comparisons with youth from the Jordanian host population, we assess the role of key contextual predictors of marital quality, such as consanguinity and young people’s role in choosing their spouse, with a focus on gender differences. We measure marital quality with six separate items capturing aspects of equality, respect and interpersonal communication and a unidimensional scale identified through exploratory factor analysis. Results show that consanguinity, marital duration and number of children are generally unrelated to marital quality in both populations. In contrast, involvement in spouse choice emerges as the strongest predictor, with both Syrians and Jordanians in family-arranged unions experiencing lower-quality marriages. Among Syrians, women suffer more from lower marital quality, especially when arranged unions happen at a young age, and marriages formed after displacement to Jordan appear more fragile. The study is one of the first to explore predictors of marital quality in a non-Western, conflict-affected population. The findings emphasise the importance of the demographic study of family dynamics in situations of insecurity and displacement moving beyond a narrow focus on marriage timing to cover a wider range of marriage outcomes related to family well-being.

Türkiye’s and the EU’s Coordinated and Divergent Approaches to the 2011 Syrian Crisis

The Syrian crisis has prompted immediate reactions from the EU and a few other countries, including the US, Russia, and Türkiye, as well as some of their proxies. This research purposefully limits itself to examining Türkiye’s and the EU’s reactions to the Syrian civil war. According to the study’s results Türkiye and the EU have differences and similarities in six key policy areas: (1) Assad’s oppressive actions against its people drew criticism from Türkiye and the EU. (2) Türkiye and the EU have suffered as a result of the ISIS danger resulting from the Syrian civil conflict. (3) Türkiye and the EU both have humanitarian concerns and have made an effort to assist Syrian refugees. (4) Türkiye has engaged in two military operations in northern Syria in opposition to the YPG. The EU denounced these military maneuvers by Türkiye. (5) The EU and Türkiye have had discussions over the issue of foreign fighters. The EU criticized Türkiye as it failed to secure its borders, and as a result, foreign fighters utilized the country as a transit between Syria and European nations. (6) Despite opposition from the EU, Türkiye has insisted on creating a “safe zone” in Syria for Syrian refugees.

Frequency of SARS-COV-2 infection and COVID-19 vaccine uptake and protection among Syrian refugees

It is aimed to examine the frequency of COVID-19 disease, the rates of COVID-19 vaccination and the vaccine effectiveness (VE) among Syrian refugees. It is a retrospective cohort study. Syrian refugees aged 18 years and above registered to a family health center in Sultanbeyli district in Istanbul were included. Vaccine effectiveness were calculated for both Pfizer BioN-Tech and CoronaVac (Sinovac) vaccines. The data of 2586 Syrian people was evaluated in the study. The median age of the participants was 34.0 years (min:18.0; max: 90.0). Of the participants 58.4% (n = 1510) were female, 41.6% (n = 1076) were male. In our study of the refugees 15.7% had history of COVID-19 infection. Refugees having full vaccination with Biontech and Sinovac have a significantly lower COVID-19 infection rate than those without vaccination (HR = 8.687; p < 0.001). Adjusted VE for Biontech, Sinovac, and both were 89.2% (95.0% CI:83.3–93.1), 81.2% (95.0% CI:48.72–93.1) and 88.5% (95.0% CI:82.7–92.3), respectively. The results of the study highlight the importance of vaccinations against COVID-19 pandemic, since both vaccines were highly protective in refugees.

Diabetes care and outcomes of pediatric refugees and migrants from Ukraine and Syria/Afghanistan with type 1 diabetes in German-speaking countries.

Currently, over two million war refugees live in Germany. Exposure to war and flight is associated with a high burden of diseases, not limited to mental disorders and infections. We aimed to analyze diabetes treatment and outcomes of pediatric refugees and migrants from Ukraine and Syria/Afghanistan with type 1 diabetes (T1D) in German-speaking countries. We included patients with T1D documented between January 2013 and June 2023 in the German/Austrian/Luxembourgian/Swiss DPV registry, aged < 20 years, born in Ukraine [U], in Syria or Afghanistan [S/A], or without migration background [C]. Using logistic, linear, and negative binomial regression models, we compared diabetes technology use, BMI-SDS, HbA1c values, as well as severe hypoglycemia and DKA rates between groups in the first year of treatment in the host country. Results were adjusted for sex, age, diabetes duration, and time spent in the host country. Among all patients with T1D aged < 20 years, 615 were born in Ukraine [U], 624 in Syria or Afghanistan [S/A], and 28,106 had no migration background [C]. Compared to the two other groups, patients from Syria or Afghanistan had a higher adjusted BMI-SDS (0.34 [95%-CI: 0.21-0.48] [S/A] vs. 0.13 [- 0.02-0.27] [U] and 0.20 [0.19-0.21] [C]; all p<0.001), a lower use of CGM or AID system (57.6% and 4.6%, respectively [S/A] vs. 83.7% and 7.8% [U], and 87.7% and 21.8% [C], all p<0.05) and a higher rate of severe hypoglycemia (15.3/100 PY [S/A] vs. 7.6/100 PY [C], and vs. 4.8/100 PY [U], all p<0.05). Compared to the two other groups, patients from Ukraine had a lower adjusted HbA1c (6.96% [95%-CI: 6.77-7.14] [U] vs. 7.49% [7.32-7.66] [S/A] and 7.37% [7.36-7.39] [C], all p<0.001). In their first treatment year in the host country, young Syrian or Afghan refugees had higher BMI-SDS, lower use of diabetes technology, higher HbA1c, and a higher rate of severe hypoglycemia compared to young Ukrainian refugees. Diabetologists should be aware of the different cultural and socioeconomic backgrounds of refugees to adapt diabetes treatment and education to specific needs.

The Survivors: Syrian Young Adult Refugee Experiences Navigating the Quebec Education System

Canada resettled over 74,000 Syrian refugees since 2015. However, education programs lack awareness needed to successfully promote refugee academic integration. Little research focuses on young adult refugees (YARs) aged out of traditional schools due to asylum displacement and disrupted education, left with adult education schools as their only alternative to complete high school. Drawing upon 29 semi-structured interviews with Syrian YARs in Montreal, findings suggest that this subgroup is unintentionally excluded by educational policy-makers. Although YARs are survivors, their drive was found to be insufficient when confronted with systemic barriers that prevent at-risk students from proceeding smoothly through school to reach their highest potential.

The Plight of Syrian Refugees in the United States: Between Indifference and Dehumanization

Forced or voluntary migration worldwide and the quest for a safer and better life has not always resulted from armed conflicts or any form of political, ethnic, or religious persecution. Natural disasters have often enticed waves of deprived people across sovereign national borders. The present study investigates the plight of Syrian refugees in the aftermath of the 2011 upheavals which shook the Arab World, not as much because it poses unprecedented humanitarian and political challenges, but principally because it laid bare the double standard policy pursued by certain Western governments scapegoating Arab/Muslim stocks as a lingering menace to their security. To reconfigure the boundaries of decent debate and break down taboos over such a controversial issue, the paper raises a number of questions with regard to the essence of humanitarian work and how, over the past few decades, it has been politicized by ruthless politicians and unscrupulous technocrats to determine the resettlement of displaced masses or the allocation of funds to international relief organizations based on national, religious, and even racial standards. It takes the United States as a case in point to show how, despite being the largest donor of humanitarian assistance to Syrian refugees, it has resettled only a tiny fraction of such a group compared to poorer contiguous states. The paper posits, finally, to contribute survey-based argument to available literature which, to some degree, has not sufficiently explored the hypothetical connection between refugee flows and transnational terrorism to demonstrate, ultimately, that not every Arab/Muslim refugee is a terrorist-in-waiting.

A positive yet complicated case of gender-based violence coordination: a qualitative study of Lebanon's protracted humanitarian emergency, 2012-22.

Gender-based violence (GBV), a global health and human rights concern, often intensifies during emergencies. This paper explores the evolution of GBV coordination in Lebanon's protracted Syrian refugee crisis from 2012-22. Utilising 38 in-depth interviews and a document review, the findings were analysed using the framework for effective GBV coordination. Lebanon provides a positive yet complicated example of GBV coordination. Initially established to address the refugee crisis, it matured into a collaborative national coordination mechanism, fostering trust and advancing localisation amidst sectarian complexities. However, the volatile, restrictive policy context hindered government co-leadership and engagement with refugee-led organisations. While essential GBV response services were expanded nationwide, lack of an interagency strategy on GBV risk mitigation and prevention compromised lasting change. The paper emphasises the importance of dedicated GBV coordinators, multi-year funding, and increased attention to GBV prevention. The findings underscore the transformative potential of humanitarian responses and advocate for enhanced engagement with national stakeholders to promote sustainability in protracted crises.

Progression of Employment and Livelihoods Policies and Regulations for the Protracted Displacement of Refugees in Host Countries: Syrian Refugees in Jordan as a Case Study

Objectives: Three major research questions have been raised in this study to explain issues related to the employment and livelihood for Syrian refugees in Jordan and their experience to the existing employment and livelihood policies and regulations. Methods: To do so, the quantitative survey has been conducted with 390 respondents and qualitative interviews with 5 respondents to derive an outcome of the study. Results: The study concluded that the livelihood and employment of Syrian refugees in Jordan is a difficult problem that involves several different aspects. Conclusions: To address these difficulties, there will need to be a concerted and ongoing effort by the Jordanian government, as well as from international organizations, non-governmental organizations, and players from the private sector.

Integrating Syrian refugees into Lebanon’s healthcare system 2011–2022: a mixed-method study

IntroductionThe Lebanese government estimates the number of Syrian refugees to be 1.5 million, representing 25% of the population. Refugee healthcare services have been integrated into the existing Lebanese health system. This study aims to describe the integration of Syrian refugee health services into the Lebanese national health system from 2011 to 2022, amid an ongoing economic crisis since 2019 and the COVID-19 pandemic.MethodsThis paper employs a mixed-methods approach drawing upon different data sources including: 1- document review (policies, legislation, laws, etc.); 2- semi-structured interviews with policymakers, stakeholders, and health workers; 3- focus group discussions with patients from both host and refugee populations; and 4- health systems and care seeking indicators.ResultsAlthough the demand for primary health care increased due to the Syrian refugee crisis, the provision of primary health care services was maintained. The infusion of international funding over time allowed primary health care centers to expand their resources to accommodate increased demand. The oversupply of physicians in Lebanon allowed the system to maintain a relatively high density of physicians even after the massive influx of refugees. The highly privatized, fragmented and expensive healthcare system has impeded Syrian refugees’ access to secondary and tertiary healthcare services. The economic crisis further exacerbated limits on access for both the host and refugee populations and caused tension between the two populations. Our findings showed that the funds are not channeled through the government, fragmentation across multiple financing sources and reliance on international funding. Common medications and vaccines were available in the public system for both refugee and host communities and were reported to be affordable. The economic crisis hindered both communities’ access to medications due to shortages and dramatic price increases.ConclusionIntegrating refugees in national health systems is essential to achieve sustainable development goals, in particular universal health coverage. Although it can strengthen the capacity of national health systems, the integration of refugees in low-resource settings can be challenging due to existing health system arrangements (e.g., heavily privatized care, curative-oriented, high out-of-pocket, fragmentation across multiple financing sources, and system vulnerability to economic shocks).

Health system responsiveness to the mental health needs of Syrian refugees: mixed-methods rapid appraisals in eight host countries in Europe and the Middle East.

Syrian refugees have a high burden of mental health symptoms and face challenges in accessing mental health and psychosocial support (MHPSS). This study assesses health system responsiveness (HSR) to the MHPSS needs of Syrian refugees, comparing countries in Europe and the Middle East to inform recommendations for strengthening MHPSS systems. A mixed-methods rapid appraisal methodology guided by an adapted WHO Health System Framework was used to assess HSR in eight countries (Egypt, Germany, Jordan, Lebanon, Netherlands, Sweden, Switzerland, and Türkiye). Quantitative and qualitative analysis of primary and secondary data was used. Data collection and analysis were performed iteratively by multiple researchers. Country reports were used for comparative analysis and synthesis. We found numerous constraints in HSR: i) Too few appropriate mental health providers and services; ii) Travel-related barriers impeding access to services, widening rural-urban inequalities in the distribution of mental health workers; iii) Cultural, language, and knowledge-related barriers to timely care likely caused by insufficient numbers of culturally sensitive providers, costs of professional interpreters, somatic presentations of distress by Syrian refugees, limited mental health awareness, and stigma associated to mental illness; iv) High out-of-pocket costs for psychological treatment and transportation to services reducing affordability, particularly in middle-income countries; v) Long waiting times for specialist mental health services; vi) Information gaps on the mental health needs of refugees and responsiveness of MHPSS systems in all countries. Six recommendations are provided to address these issues. All eight host countries struggle to provide responsive MHPSS to Syrian refugees. Strengthening the mental health workforce (in terms of quantity, quality, diversity, and distribution) is urgently needed to enable Syrian refugees to receive culturally appropriate and timely care and improve mental health outcomes. Increased financial investment in mental health and improved health information systems are crucial.

Emotions and norms in the Syrian refugee crisis: the comparative responses of the EU and Turkey

ABSTRACT This paper delves into the evolving research area of emotions and norms within international relations, focusing on the EU-Turkey dynamics amid the Syrian refugee crisis. Utilizing Emotion Discourse Analysis (EDA), it examines discourses from key EU and Turkish leaders between 2011 and 2023 to understand how their emotional responses to Syrian refugees influence the universal norm of human rights. Since the specific interconnection between leadership emotions and human rights norms remains largely unexplored, this study seeks to fill this gap by examining how emotions expressed by leadership in Turkey and the EU variously challenge, protect, or construct human rights norms related to Syrian refugees. Preliminary findings reveal contrasting emotional expressions: while President Erdoğan’s discourse often aligns with the protection and construction of human rights norms, EU leaders’ emotions reflect a tension between human rights commitments and border security priorities.