A qualitative research on the acculturation strategies, risk factors and health perceptions of Syrian asylum seekers


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DOI:

https://doi.org/10.26900/hsq.2.2.01

Keywords:

Immigration, nursing, acculturation strategy, perception of health, Syrian asylum seekers, risk factors

Abstract

The internal turmoil, that broke out in Syria, started a mass migration movement towards Turkey in 2011. This migration movement, which proved to be an important social phenomenon, individuals from many different cultures have experienced coexistence for compulsory reasons. On top of that experience they were subjected to, the addition of a highly complicated process of acculturation, and the risk factors which immigrants and ethnic minority groups faced caused them to classify as vulnurable regarding health. The aim of this study is to assess how the preferred acculturation strategy of Syrian asylum seekers, who found themselves living along with different cultures, their negative or positive experiences and the risk factors they face affects their health, and health perceptions. The research was designed as a phenomenological research. In-depth interviews were conducted with 24 participants, who were included in the study, using the purposive sampling strategies, homogeneous case sampling and criterion sampling technique. In addition to the usage of code book obtained from the literary works related to the field using the deductive method, the data recorded by observing and the notes from interviews were reduced to themes, categories and codes using the inductive method. The study is grouped under three main themes, namely acculturation strategy of Syrian asylum seekers, risk factors affecting the healths of Syrian asylum seekers and health perception of Syrian asylum seekers. Statistical analysis of the data was carried out by using descriptive analysis and content analysis provided in the MAXQDA 2020 pro-package program. Although the participants heavily express their opinions in favor of seperationg strategy, which is one of the acculturation strategies, this is followed by an integration strategy. Furthermore, the participants were observed to have been subjected to discrimination and rejection, and in this process, facing risk factors mainly social, psychological, environmental, physical and barriers affecting healthcare procurement. Multiple relational analysis show that an intense relationship was found between the participants who preferred the separatist strategy and the risk factors affecting their health. It was observed that the participants who reported good health perception before migrating; due to the most reported social risk factor, economic barriers, reported negative health perception after migrating. The majority of participants who preferred the integration strategy reported good health perception both before and after migration.

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References

T.C. İç İşleri Bakanlığı Göç İdaresi Genel Müdürlüğü (2016). Türkiye Göç Raporu-2016 (in Turkish). https://www.goc.gov.tr/kurumlar/goc.gov.tr/files/2016_yiik_goc_raporu_haziran.pdf

Bozan İ, Kaştan Y. Views of the migrant students on problems they confront: A case study (in Turkish). IJOSES. 2018;5(10):225-48. doi: 10.20860/ijoses.447898.

Zafer AB. 1878-1914 yıllarında Balkanlar ve Kafkasya’dan gelen ikinci kuşak göçmen kadınların kültürleşme süreci (Bursa vilayeti İnegöl kazası örneği) (in Turkish). [PhD Dissertation] Bursa Uludağ University Institute of Social Sciences. 2015.

Kızıltaş Ş. Kültürleşmenin tüketici etnosentrizmi üzerine. Etkisini belirlemeye yönelik bir araştırma. (in Turkish). [PhD Dissertation]. Atatürk University Institute of Social Sciences. 2014.

Berry JW, Poortinga YH, Segall MH, Dasen PR. Cross-cultural psychology: Research and applications. Cambridge University Press; 2002.

Berry JW, Sam DL. The Cambridge handbook of acculturation psychology: Cambridge University Press Cambridge; 2006.

Berry JW, Kalin R. Multicultural policy and social psychology: The Canadian experience. In Political Psychology. London: Palgrave Macmillan; 2000. 263-84 p.

Güler A. The effects of ethnic identity in acculturation and psychological well-being among Turkish immigrants in the united states. Hacetepe University Institute of Social Sciences 2016.

Berry JW. Immigration, acculturation, and adaptation. Appl Psychol. 1997; 46(1): 5-34. doi10.1111/j.14640597.1997.tb01087.x.

Berry JW. A psychology of immigration. J Soc Issues. 2001;57(3):615-31. doi:10.1111/0022-4537.00231.

Berry JW. Acculturation: Living successfully in two cultures. IJIR. 2005;29(6):697-712. doi:10.1016/j.ijintrel.2005.07.013.

Saygın S, Hasta D. Migration, acculturation and adaptation (in Turkish). Current Approaches in Psychiatry. 2018; 10(3): 302-23. doi: 10.18863/pgy.364115.

Berry JW, Phinney JS, Sam DL, Vedder P. Immigrant youth: Acculturation, identity, and adaptation. Appl Psychol. 2006;55(3):303-32. doi: 10.1111/j.1464-0597.2006.00256.x.

Berry JW. Integration and multiculturalism: Ways towards social solidarity. Papers on social representations. 2011; 20(1); 1-21.

Berry JW, Kim U, Minde T, Mok D. Comparative studies of acculturative stress. Int Migr Rev. 1987;21(3):491-511. doi: 10.1177/019791838702100303.

Berry JW, Kim U, Power S, Young M, Bujaki M. Acculturation attitudes in plural societies. Appl Psychol. 1989;38(2):185-206. doi: 10.1111/j.1464-0597.1989.tb01208.x.

Berry JW, Sabatier C. The acculturation and adaptation of second-generation immigrant youth in Toronto and Montreal. Immigrant children: Change, adaptation, and cultural transformation. 2011:125-48.

Mazlumlar İçin Dayanışma Derneği (Mazlumder). Kamp dışında yaşayan Suriyeli kadın sığınmacılar raporu (in Turkish). 2014:45.

Akıllı S, Akıllı H, Dirikoç A, Ravanoğlu Yılmaz, S. Geçici koruma altındakiler, sığınmacılar, göçmenler ve mülteciler raporu. TC. Nevşehir Valiliği İl İnsan Hakları Kurulu Komisyon Raporu– 2016 (in Turkish).

Altun U, Görel Ö. Sığınmacılar ve mülteciler raporu. 2016 (in Turkish).

Akpınar B. “Ocak” culture and folk medicine in the axis of the health and culture relationship: Sample the Eskil-Aksara. 2020. https://hdl.handle.net/11492/5401

Aydın, K. Living condition, self perceived health and illness. JSR. 2019;22(1):32-68. doi: 10.18490/sosars.559087.

Temel AB, Çimen Z. Kronik hastalığı olan yaşlı bireylerde sağlık okuryazarlığı, sağlık algısı ve ilişkili faktörler (in Turkish). Ege Üniversitesi Hemşirelik Fakültesi Dergisi. 2017;33(3):105-25. https://dergipark.org.tr/en/pub/egehemsire/issue/33737/332345

Fayers PM, Sprangers M. Understanding self-rated health. Lancet (London, England) 2002;359(9302):187-8. doi: 10.1016/S0140-6736(02)07466-4.

Idler EL, Angel RJ. Self-rated health and mortality in the NHANES-I epidemiologic follow-up study. Am J Public Health. 1990;80(4):446-52. doi: 10.2105/ajph.80.4.446.

Eriksson I, Undén AL, Elofsson S. Self-rated health. Comparisons between three different measures. Results from a population study. Int J Epidemiol. 2001;30(2):326-33. doi: 10.1093/ije/30.2.326.

Ekti ZA. Aile sağlığı merkezine kayıtlı kişilerin sağlık okuryazarlığı düzeyinin genel sağlık taramaları ve sağlık algısı üzerine etkisinin değerlendirilmesi (in Turkish). 2020.

Torsheim T, Ravens-sieberer U, Hetland J, Välimaa R, Danielson M, Overpeck M. Cross-national variation of gender differences in adolescent subjective health in Europe and North America. Soc Sci Med. 2006;62(4):815-27. doi: 10.1016/j.

socscimed.2005.06.047.

Hacıhasanoğlu Aşılar R, Yıldırım A. Göçü n sosyal ve ruhsal etkileri ve hemşirelik. göç ve göç men sağlığı (in Turkish). 1st ed. Ankara: Türkiye Klinikleri; 2018. 10-20 p.

Çetinkaya A, Özsoy S. (Ed.) Nitel araştırma, hemşirelik alanından örnekler (in Turkish). Çukurova Nobel Medical Bookstore; 2021.

Zengin M, Yayan EH, Düken ME, Yeliz S. Suriyeli sığınmacıların sosyo-kültürel farkındalıklarının sağlık hizmetlerine yansıması (in Turkish). Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2021;3(1):11-7.

Karataş Z. Karataş. Paradigm transformation in social sciences research: Rise of qualitative approach (in Turkish). TJSWR. 2017;1(1):68-86.

Polit DF, Beck CT. Nursing research: Generating and assessing evidence for nursing practice. Lippincott Williams & Wilkins. 2008.

Horenczyk G, Munayer SJ. Acculturation orientations toward two majority groups: The case of Palestinian Arab Christian adolescents in Israel. J Cross Cult Psychol. 2007;38(1):76-86. doi: 10.1177/0022022106295444.

Kallas N. Understanding the perspectives of Syrian refugee women toward their health and physical activity needs as they become integrated into Canadian society. University of British Columbia. 2017. doi: 10.14288/1.0355832.

Jasinskaja-Lahti I, Horenczyk G, Kinunen T.Time and context in the relationship between acculturation attitudes and adaptation among Russian-speaking immigrants in Finland and Israel. J Ethn Migr Stud. 2011;37(9):1423-40. doi:

1080/1369183X.2011.623617.

Jasinskaja-Lahti I, Liebkind K, Horenczyk G, Schmitz P. The interactive nature of acculturation: Perceived discrimination, acculturation attitudes and stress among young ethnic repatriates in Finland, Israel and Germany. IJIR. 2003;27(1):79- 97. doi: 10.1016/S0147-1767(02)00061-5.

Sam DL, Berry JW. Acculturation: When individuals and groups of different cultural backgrounds meet. Perspect Psychol Sci. 2010;5(4):472-81. doi: 10.1177/1745691610373075.

Canbaz Kılıç B. Suriyeli mülteci kadınların fiziksel aktivite deneyimlerinin kültürleşme bağlamında incelenmesi. [master thesis in Turkish] Health Sciences Institute. 2020.

Söğüt K, Bilge Ç. Protecting and improving health for refugee women: A nursing approach. JOHASS. 2021;4(1):192-206. doi: 10.53048/johass.879451.

Aydoğan S, Metintas S. Türkiye’ye gelen dış göç ve sağlığa etkileri (in Turkish). Türk Dünyası Uygulama ve Araştırma Merkezi Halk Sağlığı Dergisi. 2017;2(2):37-45.

Uslu Ak B. Türkiye’de farklı koruma statüsündeki göçmenlerin istihdam deneyimleri. [PhD Dissertation in Turkish] Hacettepe Üniversitesi, Social Work Department 2021.

Beland F, Birch S, Stoddart G. Unemployment and health: Contextual-level influences on the production of health in populations. Soc Sci Med. 2002;55(11):2033-52. doi: 10.1016/S0277- 9536(01)00344-6.

Buz S, Dikmen A. Psychosocial well-being of forced migrants. Journal of Society & Social Work. 2021;32(1):227-50. doi: 10.33417/tsh.728689.

Ekmen E, Koçak O. Göçün Suriyeli ve Yemenli göçmenlerin aile yapıları üzerine etkileri. Sosyal Siyaset Konferansları Dergisi. 2020;79:167-205. doi: 10.26650/jspc.2020.79.0002.

Barrett DH, Doebbeling CC, Schwartz DA, Voelker MD, Falter KH, Woolson RF, et al. Posttraumatic stress disorder and self-reported physical health status among US Military personnel serving during the Gulf War Period: A population-based

study. Psychosomatics. 2002;43(3):195-205. doi: 10.1176/appi.psy.43.3.195.

Gül M, Şaşman Kaylı D. Türkiye’deki Suriyeli üniversite öğrencilerinde sosyal dışlanma algısı üzerine nitel bir araştırma: Uşak üniversitesi örneği (in Turkish). Journal of Society & Social Work. 2020;31(3). http://hdl.handle.net/11655/23311

Fuhrer R, Stansfeld SA. How gender affects patterns of social relations and their impact on health: A comparison of one or multiple sources of support from “close persons”. Soc Sci Med. 2002;54(5):811-25. doi: 10.1016/S0277-9536(01)00111-3.

Gee GC. A multilevel analysis of the relationship between institutional and individual racial discrimination and health status. Am J Public Health. 2008;98(Supplement_1);S48-S56. doi: 10.2105/ajph.98.supplement_1.s48.

Karlsen S, Nazroo JY. Relation between racial discrimination, social class, and health among ethnic minority groups. Am J Public Health. 2002;92(4):624-31. doi: 10.2105/ajph.92.4.624.

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Published

2022-04-24

How to Cite

Nural Arslan, D., & Dağhan, Şafak. (2022). A qualitative research on the acculturation strategies, risk factors and health perceptions of Syrian asylum seekers. HEALTH SCIENCES QUARTERLY, 2(2), 55–72. https://doi.org/10.26900/hsq.2.2.01

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