Resettled Syrian refugees in Jordan: Survival or health promotion.
Fatmeh Ahmad Alzoubi, Reem Ahmad Ali, Abduljawad Hasan Al-Gharaibeh
PMID 33318835WHAT IT FOUND
Among 250 resettled Syrian refugees in Jordan, reported health-promotion behaviours were low overall, especially physical activity.
Interpersonal relations were strongest. Nurses can use this to ask about daily health behaviours, but the study cannot show education changes them.
Key findings
01The overall health-promotion score averaged 2.28 on a 1-4 scale, below the study's 2.5 threshold for high practice.
02Physical activity was the lowest domain (mean 1.35), and interpersonal relations was the highest (mean 2.89).
03Total health-promotion scores were higher among women, not-working participants, married participants, participants with income more than 200 Jordanian dinars, and participants with non-communicable disease.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was a convenience and purposive sample of 250 Muslim Syrian refugees living outside camps, so it may not represent all refugees in Jordan, camp residents, other religions or other groups. Health-promotion behaviours were self-reported, and the researcher read questions for illiterate participants, so answers may reflect social desirability or misunderstanding. The design is cross-sectional, so it can show associations at one time point but not causes, consequences or effects of nursing programmes. Recruitment from hospitals and primary health centres may overrepresent people with non-communicable diseases; 39.6% had at least one non-communicable disease. The authors used a mean score of 2.5 or more on the 1-4 scale to define high practice; this is a study convention, not a clinical diagnosis. Some subgroup results are inconsistent between the text and tables, such as physical activity by gender and age correlations with spiritual growth, so those specific comparisons should be read cautiously.
The easy way to misread this
Do not conclude that nurses' health-promotion education will improve these behaviours. The study measured self-reported practices in one cross-sectional sample and found associations with demographic factors, not effects of any programme.