Mental Health

Mental well-being among Syrian refugee workers in Lebanon: a multidimensional approach.

TL;DR

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

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.

Experiencing a work-related injury was associated with nine times higher odds of poor mental well-being.

  • Adjusted odds ratio (aOR) = 9.30; 95% confidence interval (CI) = 1.64–52.79.
  • 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.

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.

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.

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.

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.

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.

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Citation

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