Factors influencing utilization and perception of health care: a qualitative study among traumatized Yazidi refugees in Germany.
BMC Psychiatry
; 21(1): 346, 2021 07 12.
Article
de En
| MEDLINE
| ID: mdl-34247590
ABSTRACT
BACKGROUND:
Ensuring adequate utilization of healthcare services for displaced populations is critical, yet there are well-documented treatment gaps. Yazidi women captured by the Islamic State (IS) were subjected to extreme trauma and violence. This study aims to understand perceptions of healthcare providers and utilization of these services among women who experienced extreme trauma.METHODS:
This is a qualitative study with voluntary participation offered to approximately 400 women resettled through the Special Quota Program. An empirical approach was used to collect data and a grounded theory approach was used for content analysis. Participants ranked their interactions with providers on a Likert scale. Posttraumatic stress disorder (PTSD) symptoms were assessed using the impact of event scale-revised questionnaire.RESULTS:
A total of 116 Yazidi women participated in this study. The women experienced an average of 6.8 months of captivity by IS and 93% met criteria for probable PTSD. Eighty-three percent of the women interacted with a physician; 80% found this interaction helpful. Sixty-nine percent interacted with psychologists; 61% found this interaction helpful. Six themes emerged "reminders of trauma" and "hopelessness" in relation to the traumatic experience; "immediate relief" and "healing through pharmaceutical treatment" in relation to provider interventions, and "support" and "cultural differences" in relation to interactions with providers.CONCLUSIONS:
There exist major barriers to care for Yazidi women who experienced extreme trauma, particularly in regards to psychiatric care. Perceptions of healthcare providers and perceived effectiveness of therapy are critical factors that must be taken into consideration to improve healthcare utilization and outcomes.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Réfugiés
/
Troubles de stress post-traumatique
Type d'étude:
Qualitative_research
Aspects:
Implementation_research
Limites:
Female
/
Humans
Pays/Région comme sujet:
Europa
Langue:
En
Journal:
BMC Psychiatry
Sujet du journal:
PSIQUIATRIA
Année:
2021
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique