Work injuries, lack of access to health information, and high work demands increase the odds of poor mental well-being among Syrian refugee agricultural workers in Lebanon, while social support offers protection.
Key Findings
Results
Female Syrian refugee agricultural workers reported a notably higher prevalence of poor mental well-being compared to male workers.
Female workers reported poor mental well-being at a rate of 40.4% compared to 23.89% among male workers.
The sample consisted of 89 Syrian refugee agricultural workers (42 men and 47 women).
Mental well-being was assessed using the World Health Organization five well-being index (WHO-5), with scores below 13 indicating poor well-being.
Workers were recruited from 32 greenhouse farms in Lebanon's Beqaa Valley.
Results
Experiencing a work-related injury was associated with nine times higher odds of poor mental well-being.
This association was identified through logistic regression analysis controlling for other wellness indicators.
The Six Dimensions of Wellness framework was applied to explore factors influencing mental well-being.
The finding highlights occupational physical hazards as a significant determinant of mental health among this population.
Results
Social support was protective against poor mental well-being among Syrian refugee agricultural workers.
Adjusted odds ratio (aOR) = 0.52; 95% CI = 0.28–0.97, indicating a statistically significant protective effect.
Social support was one of the dimensions examined under the Six Dimensions of Wellness framework.
This finding suggests that stronger social networks reduce the likelihood of poor mental well-being in this displaced population.
Results
Difficulty accessing health information was significantly associated with poor mental well-being.
Adjusted odds ratio (aOR) = 6.09; 95% CI = 1.61–23.06.
This association remained statistically significant after adjustment in logistic regression analysis.
Health information access was examined as part of the multidimensional wellness framework applied in the study.
Results
Unmanageable work demands were significantly associated with poor mental well-being.
Adjusted odds ratio (aOR) = 10.09; 95% CI = 2.47–41.31, representing the strongest association found in the study.
This was assessed within the occupational/physical dimension of the Six Dimensions of Wellness framework.
The study population consisted of agricultural greenhouse workers, a sector known for physically demanding labor conditions.
Results
Age and education showed a protective direction against poor mental well-being but the results were not statistically significant.
The paper notes these variables were 'protective against poor well-being' but 'results for age and education were not statistically significant.'
These variables were included in the logistic regression analysis alongside other wellness dimensions.
The cross-sectional study included 89 participants, which may have limited statistical power to detect effects of these variables.
Methods
The study applied the Six Dimensions of Wellness framework to a cross-sectional sample of Syrian refugee workers in Lebanon's Beqaa Valley.
89 Syrian refugee agricultural workers (42 men and 47 women) were recruited from 32 greenhouse farms.
Participants completed structured questionnaires covering the Six Dimensions of Wellness.
Mental well-being was assessed using the WHO-5 well-being index, with scores below 13 indicating poor well-being.
Lebanon's context included economic collapse, political instability, and inadequate infrastructure affecting approximately 1.5 million Syrian refugees.
Descriptive statistics and logistic regression were used to examine associations between wellness indicators and mental well-being.
Habib R, Al Nakib G, Fakih L, Awad Z, Saad L, Awada F, et al.. (2026). Mental well-being among Syrian refugee workers in Lebanon: a multidimensional approach.. Journal of global health. https://doi.org/10.7189/jogh.16.04086