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dc.contributor.authorMcKenzie, Erica Den_US
dc.contributor.authorSpiegel, Paulen_US
dc.contributor.authorKhalifa, Adamen_US
dc.contributor.authorMateen, Farrah Jen_US
dc.date.accessioned2015-05-04T15:25:42Z
dc.date.issued2015en_US
dc.identifier.citationMcKenzie, Erica D, Paul Spiegel, Adam Khalifa, and Farrah J Mateen. 2015. “Neuropsychiatric disorders among Syrian and Iraqi refugees in Jordan: a retrospective cohort study 2012–2013.” Conflict and Health 9 (1): 10. doi:10.1186/s13031-015-0038-5. http://dx.doi.org/10.1186/s13031-015-0038-5.en
dc.identifier.issn1752-1505en
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:15034773
dc.description.abstractBackground: The burden of neuropsychiatric disorders in refugees is likely high, but little has been reported on the neuropsychiatric disorders that affect Syrian and Iraqi refugees in a country of first asylum. This analysis aimed to study the cost and burden of neuropsychiatric disorders among refugees from Syria and Iraq requiring exceptional, United Nations-funded care in a country of first asylum. Methods: The United Nations High Commissioner for Refugees works with multi-disciplinary, in-country exceptional care committees to review refugees’ applications for emergency or exceptional medical care. Neuropsychiatric diagnoses among refugee applicants were identified through a retrospective review of applications to the Jordanian Exceptional Care Committee (2012–2013). Diagnoses were made using International Classification of Disease-10th edition codes rendered by treating physicians. Results: Neuropsychiatric applications accounted for 11% (264/2526) of all Exceptional Care Committee applications, representing 223 refugees (40% female; median age 35 years; 57% Syrian, 36% Iraqi, 7% other countries of origin). Two-thirds of neuropsychiatric cases were for emergency care. The total amount requested for neuropsychiatric disorders was 925,674 USD. Syrian refugees were significantly more likely to request neurotrauma care than Iraqis (18/128 vs. 3/80, p = 0.03). The most expensive care per person was for brain tumor (7,905 USD), multiple sclerosis (7,502 USD), and nervous system trauma (6,466 USD), although stroke was the most frequent diagnosis. Schizophrenia was the most costly and frequent diagnosis among the psychiatric disorders (2,269 USD per person, 27,226 USD total). Conclusions: Neuropsychiatric disorders, including those traditionally considered outside the purview of refugee health, are an important burden to health among Iraqi and Syrian refugees. Possible interventions could include stroke risk factor reduction and targeted medication donations for multiple sclerosis, epilepsy, and schizophrenia. Electronic supplementary material The online version of this article (doi:10.1186/s13031-015-0038-5) contains supplementary material, which is available to authorized users.en
dc.language.isoen_USen
dc.publisherBioMed Centralen
dc.relation.isversionofdoi:10.1186/s13031-015-0038-5en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4406163/pdf/en
dash.licenseLAAen_US
dc.subjectRefugeesen
dc.subjectHealth servicesen
dc.subjectSyriaen
dc.subjectIraqen
dc.subjectHumanitarian emergenciesen
dc.subjectPsychiatryen
dc.titleNeuropsychiatric disorders among Syrian and Iraqi refugees in Jordan: a retrospective cohort study 2012–2013en
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalConflict and Healthen
dash.depositing.authorMateen, Farrah Jen_US
dc.date.available2015-05-04T15:25:42Z
dc.identifier.doi10.1186/s13031-015-0038-5*
dash.contributor.affiliatedMateen, Farrah


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