Table 2.
Care seeking for chronic medical conditions among adult refugees and the host community
| All conditions | Hypertension | Cardiovascular disease | Diabetes | Chronic respiratory disease | Arthritis | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| % | (95 % CI) | % | (95 % CI) | % | (95 % CI) | % | (95 % CI) | % | (95 % CI) | % | (95 % CI) | |
| Ever sought care in Lebanon | ||||||||||||
| Syrian refugees | n = 1079 | n = 282 | n = 149 | n = 136 | n = 220 | n = 292 | ||||||
| 82.9 | (80.3–85.3) | 80.9 | (75.2–85.5) | 82.6 | (74.8–88.3) | 88.2 | (81.8–92.6) | 89.1 | (84.1–92.6) | 78.1 | (73.0–82.4) | |
| Host community | n = 717 | n = 236 | n = 136 | n = 144 | n = 83 | n = 118 | ||||||
| 97.8 | (96.3–98.7) | 98.3 | (95.6–99.4) | 98.5 | (94.3–99.6) | 97.2 | (92.9–98.9) | 92.8 | (84.7–96.7) | 100.0 | ||
| p-value | <0.001 | <0.001 | <0.001 | 0.004 | 0.256 | <0.001 | ||||||
| Most recent careseeking for condition | ||||||||||||
| Syrian refugees | n = 895 | n = 228 | n = 123 | n = 120 | n = 196 | n = 228 | ||||||
| <1 month ago | 29.7 | (26.0–33.8) | 32.5 | (26.6–38.9) | 18.7 | (11.7–28.6) | 37.5 | (28.7–47.3) | 36.2 | (30.0–43.0) | 23.2 | (18.3–29.1) |
| 1 month to <3 months ago | 31.3 | (27.9–34.9) | 31.1 | (25.2–37.8) | 30.9 | (22.4–40.9) | 32.5 | (24.5–41.7) | 31.1 | (24.7–38.4) | 31.1 | (25.4–37.6) |
| 3 months to <6 months ago | 15.8 | (13.1–18.8) | 16.2 | (11.7–22.1) | 22.8 | (15.7–31.8) | 10.8 | (6.6–17.2) | 14.8 | (10.3–20.8) | 14.9 | (10.6–20.6) |
| 6 months to <1 year ago | 6.3 | (4.9–8.0) | 5.7 | (3.2–9.8) | 7.3 | (4.0–13.2) | 4.2 | (1.8–9.6) | 4.1 | (2.1–7.8) | 9.2 | (6.1–13.7) |
| >1 year ago | 17.0 | (14.1–20.3) | 14.5 | (10.1–20.3) | 20.3 | (14.0–28.6) | 15.0 | (9.9–22.1) | 13.8 | (9.5–19.5) | 21.5 | (16.5–27.5) |
| Host community | n = 701 | n = 232 | n = 134 | n = 140 | n = 77 | n = 118 | ||||||
| <1 month ago | 23.7 | (20.2–27.5) | 25.4 | (20.5–31.1) | 23.9 | (17.9–31.1) | 26.4 | (19.7–34.5) | 27.3 | (17.6–39.8) | 14.4 | (8.8–22.8) |
| 1 month to <3 months ago | 33.0 | (29.2–36.9) | 30.6 | (25.3–36.5) | 31.3 | (23.6–40.4) | 41.4 | (33.3–50.0) | 33.8 | (24.4–44.6) | 28.8 | (22.0–36.8) |
| 3 months to <6 months ago | 18.0 | (15.2–21.1) | 18.1 | (13.7–23.6) | 19.4 | (14.0–26.3) | 17.1 | (11.6–24.6) | 18.2 | (11.0–28.5) | 16.9 | (10.4–26.4) |
| 6 months to <1 year ago | 8.6 | (6.6–11.0) | 10.3 | (7.1–14.9) | 9.7 | (5.5–16.6) | 5.0 | (2.5–9.9) | 10.4 | (5.1–20.1) | 6.8 | (3.4–13.0) |
| >1 year ago | 16.8 | (13.8–20.4) | 15.5 | (11.1–21.2) | 15.7 | (11.1–21.6) | 10.0 | (5.9–16.4) | 10.4 | (5.3–19.4) | 33.1 | (24.8–42.5) |
| p-value | 0.118 | 0.099 | 0.286 | 0.800 | 0.444 | 0.018 | ||||||
| Most recent careseeking for condition was within the 3 months preceding survey | ||||||||||||
| Syrian refugees | 61.0 | (56.9–64.9) | 63.6 | (56.4–70.2) | 49.6 | (39.4–59.8) | 70.0 | (61.2–77.5) | 67.3 | (60.2–73.8) | 54.4 | (47.9––60.7) |
| Host community | 43.4 | (39.2–47.6) | 44.0 | (37.5–50.7) | 44.8 | (36.4–53.5) | 32.1 | (25.0–40.2) | 39.0 | (28.3–50.8) | 56.8 | (47.6–65.6) |
| p-value | 0.095 | 0.074 | 0.396 | 0.687 | 0.387 | 0.056 | ||||||
| Facility type utilized for most recent careseeking for condition | ||||||||||||
| Syrian refugees | n = 743 | n = 195 | n = 98 | n = 102 | n = 169 | n = 179 | ||||||
| PHCC | 57.7 | (53.2,62.1) | 54.9 | (47.6,61.9) | 44.9 | (36.0,54.1) | 60.8 | (50.7,70.1) | 63.3 | (55.3,70.6) | 60.9 | (53.9,67.5) |
| Private clinic | 19.8 | (16.9,23.0) | 21.5 | (16.6,27.5) | 17.3 | (11.5,25.2) | 20.6 | (13.7,29.7) | 17.2 | (12.1,23.8) | 21.2 | (15.9,27.8) |
| Pharmacy | 9 | (6.6,12.2) | 9.2 | (5.6,14.8) | 7.1 | (3.6,13.8) | 9.8 | (5.5,16.8) | 8.3 | (4.9,13.7) | 10.1 | (5.9,16.7) |
| Hospital | 8.7 | (6.6,11.4) | 8.2 | (5.1,12.9) | 24.5 | (17.4,33.3) | 3.9 | (1.5,9.9) | 8.3 | (4.9,13.7) | 3.9 | (1.9,7.9) |
| Other | 4.7 | (3.0,7.2) | 6.2 | (3.0,12.3) | 6.1 | (2.8,12.7) | 4.9 | (2.1,11.1) | 3 | (1.0,8.1) | 3.9 | (1.9,7.9) |
| Host community | n = 583 | n = 196 | n = 113 | n = 126 | n = 69 | n = 79 | ||||||
| PHCC | 16.6 | (13.2,20.8) | 19.4 | (14.3,25.7) | 7.1 | (3.6,13.5) | 17.5 | (12.1,24.5) | 14.5 | (7.5,26.0) | 24.1 | (16.2,34.2) |
| Private clinic | 61.6 | (55.6,67.3) | 59.2 | (51.0,66.9) | 65.5 | (54.8,74.8) | 59.5 | (51.2,67.3) | 69.6 | (57.9,79.1) | 58.2 | (47.6,68.2) |
| Pharmacy | 2.7 | (1.5,5.1) | 2.6 | (1.0,6.1) | 1.8 | (0.4,6.9) | 6.3 | (3.3,12.0) | 0 | 1.3 | (0.2,8.8) | |
| Hospital | 16.6 | (12.9,21.2) | 15.8 | (11.4,21.6) | 22.1 | (14.7,31.9) | 15.9 | (10.7,22.8) | 13 | (7.1,22.8) | 15.2 | (8.9,24.7) |
| Other | 2.4 | (1.2,4.9) | 3.1 | (1.2,7.5) | 3.5 | (1.3,9.1) | 0.8 | (0.1,5.6) | 2.9 | (0.7,11.3) | 1.3 | (0.2,8.8) |
| p-value | <0.001 | 0.006 | 0.222 | <0.001 | 0.001 | 0.002 | ||||||