The impact of nationality status and place of residency on health-related social needs and quality of life among Palestinian Refugees in Jordan

Introduction: Large number of Palestinian refugees reside in Jordan; most of whom enjoy Jordanian citizenship, and most of whom reside outside camps. Poverty, unemployment, and a poor health profile are more prevalent among camp-residing refugees and non-citizen refugees. This study aims to assess d...

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Main Authors: Hamza Alduraidi, Rahaf Issam Abu Zayid, Noor Mahmoud Jaber, Bassam Saleh Hijazi, Sa'ed Radwan Khamis, Hasan Fahed Awad, Marah Al-Khateeb, Saif alnour Mahmoud Aldhirat, Ahmad Amjed Toubasi
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Language:English
Published: Elsevier 2025-02-01
Series:Heliyon
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Online Access:http://www.sciencedirect.com/science/article/pii/S2405844025009326
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author Hamza Alduraidi
Rahaf Issam Abu Zayid
Noor Mahmoud Jaber
Bassam Saleh Hijazi
Sa'ed Radwan Khamis
Hasan Fahed Awad
Marah Al-Khateeb
Saif alnour Mahmoud Aldhirat
Ahmad Amjed Toubasi
author_facet Hamza Alduraidi
Rahaf Issam Abu Zayid
Noor Mahmoud Jaber
Bassam Saleh Hijazi
Sa'ed Radwan Khamis
Hasan Fahed Awad
Marah Al-Khateeb
Saif alnour Mahmoud Aldhirat
Ahmad Amjed Toubasi
author_sort Hamza Alduraidi
collection DOAJ
description Introduction: Large number of Palestinian refugees reside in Jordan; most of whom enjoy Jordanian citizenship, and most of whom reside outside camps. Poverty, unemployment, and a poor health profile are more prevalent among camp-residing refugees and non-citizen refugees. This study aims to assess differences in health-related social needs and quality of life among different Palestinian refugee communities in Jordan, based on their nationality status and camp residency. Methods: A descriptive, comparative, cross-sectional design was used to measure health-related social needs (using the Accountable Health Communities Health-related Social Needs (AHCHRSN) screening tool) and quality of life (using the World Health Organization Quality of Life BREF (WHOQOL-BREF)) among a sample of 236 adult Palestinian refugees in three contexts; (off-camp, in-camp citizens, and in-camp non-citizens) in Jordan. Results: All participants had needs in the mental health domain, and 179 (75.8 %) suffered from food insecurity. Living in Gaza and Husn camps correlated with increased odds of safety needs (OR = 4.27, 95%CI: 1.541 to 11.76 and OR = 2.936, 95%CI: 1.942 to 9.147) and financial needs (OR = 6.135, 95%CI: 2.062 to 18.181 and OR = 3.932, 95%CI: 1.765 to 8.210) compared to living outside camps. Gaza and Husn camps were associated with higher odds of employment needs (OR = 2.349, 95%CI: 1.877 to 6.291 and OR = 2.406, 95%CI: 1.050 to 5.514) compared to living outside camps. Quality of life scores did not vary significantly between participants in the three settings. Conclusion: Health-related quality of life scores are generally low across all Palestinian refugee communities. A Palestinian refugee who lives in Gaza camp is four times more likely to have safety needs, six times more likely to have financial needs, and over twice more likely to have employment needs than a refugee outside camps. Despite having citizenship, a Palestinian refugee who lives in Husn camp is three times more likely to have safety needs, four times more likely to have financial needs, and over twice more likely to have employment needs than a refugee outside camps. International states and organizations should help meet these needs by funding the United Nations’ Relief and Work Agency for Palestinian Refugees in the Near East (UNRWA) and the Jordanian government. Further research is needed to understand the lived experience of Palestinian refugees, and the impact of lacking citizenship and residing in camps on their lives and livelihoods, especially after the coronavirus disease 2019 (COVID-19) pandemic.
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spelling doaj-art-5dcc17a0770b46679ded69c957f0f01e2025-02-11T04:35:17ZengElsevierHeliyon2405-84402025-02-01114e42552The impact of nationality status and place of residency on health-related social needs and quality of life among Palestinian Refugees in JordanHamza Alduraidi0Rahaf Issam Abu Zayid1Noor Mahmoud Jaber2Bassam Saleh Hijazi3Sa'ed Radwan Khamis4Hasan Fahed Awad5Marah Al-Khateeb6Saif alnour Mahmoud Aldhirat7Ahmad Amjed Toubasi8School of Nursing, The University of Jordan, Amman 11942, JordanSchool of Medicine, The University of Jordan, Amman 11942, Jordan; Corresponding author.School of Medicine, The University of Jordan, Amman 11942, JordanSchool of Medicine, Jordan University of Science and Technology, Irbid 22110, JordanSchool of Medicine, Jordan University of Science and Technology, Irbid 22110, JordanSchool of Medicine, Jordan University of Science and Technology, Irbid 22110, JordanSchool of Medicine, Jordan University of Science and Technology, Irbid 22110, JordanSchool of Medicine, Mutah University, Kerak 61710, JordanSchool of Medicine, The University of Jordan, Amman 11942, JordanIntroduction: Large number of Palestinian refugees reside in Jordan; most of whom enjoy Jordanian citizenship, and most of whom reside outside camps. Poverty, unemployment, and a poor health profile are more prevalent among camp-residing refugees and non-citizen refugees. This study aims to assess differences in health-related social needs and quality of life among different Palestinian refugee communities in Jordan, based on their nationality status and camp residency. Methods: A descriptive, comparative, cross-sectional design was used to measure health-related social needs (using the Accountable Health Communities Health-related Social Needs (AHCHRSN) screening tool) and quality of life (using the World Health Organization Quality of Life BREF (WHOQOL-BREF)) among a sample of 236 adult Palestinian refugees in three contexts; (off-camp, in-camp citizens, and in-camp non-citizens) in Jordan. Results: All participants had needs in the mental health domain, and 179 (75.8 %) suffered from food insecurity. Living in Gaza and Husn camps correlated with increased odds of safety needs (OR = 4.27, 95%CI: 1.541 to 11.76 and OR = 2.936, 95%CI: 1.942 to 9.147) and financial needs (OR = 6.135, 95%CI: 2.062 to 18.181 and OR = 3.932, 95%CI: 1.765 to 8.210) compared to living outside camps. Gaza and Husn camps were associated with higher odds of employment needs (OR = 2.349, 95%CI: 1.877 to 6.291 and OR = 2.406, 95%CI: 1.050 to 5.514) compared to living outside camps. Quality of life scores did not vary significantly between participants in the three settings. Conclusion: Health-related quality of life scores are generally low across all Palestinian refugee communities. A Palestinian refugee who lives in Gaza camp is four times more likely to have safety needs, six times more likely to have financial needs, and over twice more likely to have employment needs than a refugee outside camps. Despite having citizenship, a Palestinian refugee who lives in Husn camp is three times more likely to have safety needs, four times more likely to have financial needs, and over twice more likely to have employment needs than a refugee outside camps. International states and organizations should help meet these needs by funding the United Nations’ Relief and Work Agency for Palestinian Refugees in the Near East (UNRWA) and the Jordanian government. Further research is needed to understand the lived experience of Palestinian refugees, and the impact of lacking citizenship and residing in camps on their lives and livelihoods, especially after the coronavirus disease 2019 (COVID-19) pandemic.http://www.sciencedirect.com/science/article/pii/S2405844025009326Health-related social needsHealth-related quality of lifePalestinian refugeesCamp residencyCitizenshipJordan
spellingShingle Hamza Alduraidi
Rahaf Issam Abu Zayid
Noor Mahmoud Jaber
Bassam Saleh Hijazi
Sa'ed Radwan Khamis
Hasan Fahed Awad
Marah Al-Khateeb
Saif alnour Mahmoud Aldhirat
Ahmad Amjed Toubasi
The impact of nationality status and place of residency on health-related social needs and quality of life among Palestinian Refugees in Jordan
Heliyon
Health-related social needs
Health-related quality of life
Palestinian refugees
Camp residency
Citizenship
Jordan
title The impact of nationality status and place of residency on health-related social needs and quality of life among Palestinian Refugees in Jordan
title_full The impact of nationality status and place of residency on health-related social needs and quality of life among Palestinian Refugees in Jordan
title_fullStr The impact of nationality status and place of residency on health-related social needs and quality of life among Palestinian Refugees in Jordan
title_full_unstemmed The impact of nationality status and place of residency on health-related social needs and quality of life among Palestinian Refugees in Jordan
title_short The impact of nationality status and place of residency on health-related social needs and quality of life among Palestinian Refugees in Jordan
title_sort impact of nationality status and place of residency on health related social needs and quality of life among palestinian refugees in jordan
topic Health-related social needs
Health-related quality of life
Palestinian refugees
Camp residency
Citizenship
Jordan
url http://www.sciencedirect.com/science/article/pii/S2405844025009326
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