Background: Canada launched the Syrian Refugee Resettlement Initiative in 2015 and resettled over 40,000 refugees.Aim: To evaluate the prevalence of depression-level symptoms at baseline and one year post-resettlement and analyze its predictors.Methods: Data come from the Syrian Refugee Integration and Long-term Health Outcomes in Canada study (SyRIA.lth) involving 1924 Syrian refugees recruited through a variety of community-based strategies. Data were collected using structured interviews in 2017 and 2018. Depression symptoms were measured using Patient Health Questionnaire 9 (PHQ-9). Analysis for associated factors was executed using multinomial logistic regression.Results: Mean age was 38.5 years (SD 13.8). Sample included 49% males and 51% females settled in Ontario (48%), Quebec (36%) and British Columbia (16%). Over 74% always needed an interpreter, and only 23% were in employment. Prevalence of depression-level symptoms was 15% at baseline and 18% in year-2 (p < 0.001). Significant predictors of depression-level symptoms at year-2 were baseline depression, sponsorship program, province, poor language skills, lack of satisfaction with housing conditions and with health services, lower perceived control, lower perceived social support and longer stay in Canada.Conclusion: Increase in depression-level symptoms deserves attention through focusing on identified predictors particularly baseline depression scores, social support, perceived control and language ability.

中文翻译：

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叙利亚难民的抑郁症状：加拿大纵向研究的结果

背景：加拿大于 2015 年启动叙利亚难民安置倡议，安置了 40,000 多名难民。目的：评估基线和安置后一年抑郁水平症状的流行情况并分析其预测因素。方法：数据来自叙利亚难民整合加拿大长期健康结果研究 (SyRIA.lth) 涉及通过各种基于社区的策略招募的 1924 名叙利亚难民。数据是在 2017 年和 2018 年使用结构化访谈收集的。使用患者健康问卷 9 (PHQ-9) 测量抑郁症状。使用多项逻辑回归分析相关因素。结果：平均年龄为 38.5 岁 (SD 13.8)。样本包括 49% 的男性和 51% 的女性定居在安大略省 (48%)、魁北克省 (36%) 和不列颠哥伦比亚省 (16%)。超过 74% 的人总是需要口译员，只有 23% 的人有工作。基线时抑郁水平症状的患病率为 15%，第 2 年为 18%（p < 0.001）。第 2 年抑郁水平症状的显着预测因素是基线抑郁、赞助计划、省份、语言技能差、对住房条件和医疗服务缺乏满意度、较低的感知控制、较低的社会支持感知和在加拿大逗留时间较长。结论：通过关注已确定的预测因素，特别是基线抑郁评分、社会支持、感知控制和语言能力，抑郁水平症状的增加值得关注。