Health service utilization and adherence to medication for hypertension and diabetes among Syrian refugees and affected host communities in Lebanon

The Lebanon Health Access Survey (LHAS) Study Team

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Methods: This study uses data from a 2015 household survey of Syrian refugees and Lebanese host communities. A total of 1,376 refugee and 686 host community households were surveyed using a cluster design with probability proportional to size sampling. Differences in outcomes of interest by population group were examined using Pearson’s chi-square and t-test methods and the crude and adjusted odds of care-seeking and interrupted medication adherence among Syrian refugees were estimated using logistic regression. Results: Findings identified significant gaps between refugees and host community members in care-seeking, health facility utilization, out-of-pocket payments for care, and medication interruption. While host community members had better access to care and fewer reports of medication interruption compared to refugees, out-of-pocket spending for the most recent care visit was significantly higher among host community care-seekers. Refugee care-seekers most frequently received care at primary health facilities, choosing to do so mainly for reasons related to cost, whereas host community care-seekers predominantly utilized private clinics with greater concern for quality and continuity of care. Conclusion: Further efforts are needed to facilitate lower and more predictable health service costs for refugees and vulnerable host community members, as is continued communication on available subsidized care. Purpose: To characterize care-seeking, health service utilization and spending, and medication prescribing and adherence for hypertension and diabetes among Syrian refugees and host communities in Lebanon.

Original languageEnglish (US)
Pages (from-to)1245-1259
Number of pages15
JournalJournal of Diabetes and Metabolic Disorders
Volume19
Issue number2
DOIs
StatePublished - Dec 2020

Keywords

  • Adherence
  • Health care utilization
  • Lebanon
  • Refugee health
  • Syria

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

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