SEARCHCROSS-SECTIONALpublic health, epidemiology

cross-sectional·public health, epidemiology, pediatrics, nutrition, observational study·PMC10241607

Inequalities in Wellbeing in Lebanese Children and Different Refugee Subpopulations: A Multidimensional Child Deprivation Analysis

Child Indicators Research · 8 authors, 8 centres

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TL;DR

This cross-sectional study analyzed UNICEF household survey data to compare overlapping deprivations in survival, development, and protection among Lebanese children and three refugee subpopulations in Lebanon. It found Syrian refugee children had the highest prevalence of overlapping deprivations, with maternal education being a key protective factor.

Full summary

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Higher maternal education was consistently associated with lower odds of co-occurring deprivations for children aged 6-17. Key limitations include reliance on household-level data, exclusion of certain child wellbeing indicators like nutrition and leisure, and the inability to compare deprivation scores directly between younger and older children due to different indicators.

STUDY TYPE

cross-sectional

SPECIALTY

public health

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100% · A

ORIGINAL PAPER

PMC10241607

Inequalities in Wellbeing in Lebanese Children and Different Refugee Subpopulations: A Multidimensional Child Deprivation Analysis

Child Indicators Research

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ABSTRACT

Background and Objectives This study constitutes the first attempt to describe the overlapping deprivations faced by Lebanese children (Lebanese) and that of the three sub-populations of refugees living in Lebanon: Palestinian refugees living in Lebanon, Palestinian refugees from Syria and Syrian refugees. Methods Using data from the United Nations International Children's Emergency Fund (UNICEF) Household Survey 2016 ( n = 10,555 Lebanese; 7,106 Palestinian refugees living in Lebanon; 2,768 Palestinian refugees from Syria and 5,891 Syrian refugee children aged 2 to 17 years old), we report on single and overlapping deprivations (at least two concurrent deprivations) using indicators related to survival (nutrition, health, water, sanitation and overcrowding), development (education) and protection (labor, exposure to violence and early marriage). Maternal education and geographical correlates of deprivation were explored using multivariable logistic regression models clustering for children in the same households. Main Results In terms of co-occurrence of deprivations, Syrian refugees had the highest prevalence in all age groups (68.5%, 2-4y and 65.7%, 6-17y), followed by Palestinian refugees from Syria (46.2%, 2-4y and 45.5%, 6-17y), Palestinian refugees living in Lebanon (28.9%, 2-4y and 23.7%, 6-17y), with Lebanese children having the lowest prevalence (13.2%, 2-4y and 15.3, 6-17y). About half of Palestinian refugees from Syria and Syrian refugees (6-17y) were deprived in protection and housing. Education deprivation is of primary concern for Syrian children. Higher maternal education was consistently associated with lower odds of co-occurrence of deprivations among children aged 6-17y. Conclusion This study highlights the importance of including refugee populations in reporting frameworks. This analysis additionally generates geographical and socio-economic profiles of the deprived children and identifies key deprivation areas of the affected sub-groups to inform effective policy design especially in light of the prevailing economic crisis. Supplementary Information The online version contains supplementary material available at 10.1007/s12187-023-10040-2.

CITATION EXPORT

Zeina Jamaluddine, Gloria Safadi, Alexandra Irani et al.. Inequalities in Wellbeing in Lebanese Children and Different Refugee Subpopulations: A Multidimensional Child Deprivation Analysis. Child Indicators Research. (2023). https://doi.org/10.1007/s12187-023-10040-2

AUTHORS

8 · 8 CENTRES

Zeina Jamaluddine, Gloria Safadi, Alexandra Irani, Nisreen Salti, Jad Chaaban, Sawsan Abdulrahim, Alban Thomas, Hala Ghattas

1grid.22903.3a0000 0004 1936 9801Center for Research On Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
2grid.8991.90000 0004 0425 469XLondon School of Hygiene and Tropical Medicine, London, UK
3grid.22903.3a0000 0004 1936 9801Applied Economics and Development Research Group, American University of Beirut, Beirut, Lebanon
4grid.22903.3a0000 0004 1936 9801Department of Economics, American University of Beirut, Beirut, Lebanon
5grid.22903.3a0000 0004 1936 9801Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
6Paris-Saclay Applied Economics, University of Paris-Saclay, INRAE, AgroParisTech, Palaiseau, France
7grid.507621.7Observatory of Rural Development, INRAE, Toulouse, France
8grid.254567.70000 0000 9075 106XArnold School of Public Health, University of South Carolina, Columbia, SC USA