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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">IPROC</journal-id>
      <journal-id journal-id-type="nlm-ta">iproc</journal-id>
      <journal-title>Iproceedings</journal-title>
      <issn pub-type="epub">2369-6893</issn>
      <publisher>
        <publisher-name>JMIR Publications</publisher-name>
        <publisher-loc>Toronto, Canada</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">v8i1e36365</article-id>
      <article-id pub-id-type="pmid"/>
      <article-id pub-id-type="doi">10.2196/36365</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Abstract</subject>
        </subj-group>
        <subj-group subj-group-type="article-type">
          <subject>Abstract</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Behavioral and Emotional Problems Among Jordanian and Syrian Refugee Children in Noncamp Settings</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="editor">
          <name>
            <surname>Eysenbach</surname>
            <given-names>Gunther</given-names>
          </name>
        </contrib>
      </contrib-group>
      <contrib-group>
        <contrib id="contrib1" contrib-type="author" corresp="yes">
          <name name-style="western">
            <surname>Sarsour</surname>
            <given-names>Bayan</given-names>
          </name>
          <degrees>MD</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
          <address>
            <institution>Ministry of Health</institution>
            <addr-line>Ministry of Health building, 6th floor</addr-line>
            <addr-line>Amman</addr-line>
            <country>Jordan</country>
            <fax>962 65688373</fax>
            <phone>962 65200230 ext 2640</phone>
            <email>Bayan_sarsour@yahoo.com</email>
          </address>
        </contrib>
        <contrib id="contrib2" contrib-type="author">
          <name name-style="western">
            <surname>Aqel Sr</surname>
            <given-names>Ashraf</given-names>
          </name>
          <degrees>MD</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
        </contrib>
        <contrib id="contrib3" contrib-type="author">
          <name name-style="western">
            <surname>Khader</surname>
            <given-names>Yousef</given-names>
          </name>
          <degrees>PhD, Prof Dr</degrees>
          <xref rid="aff2" ref-type="aff">2</xref>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <label>1</label>
        <institution>Ministry of Health</institution>
        <addr-line>Amman</addr-line>
        <country>Jordan</country>
      </aff>
      <aff id="aff2">
        <label>2</label>
        <institution>Jordan University of Science and Technology</institution>
        <addr-line>Irbid</addr-line>
        <country>Jordan</country>
      </aff>
      <author-notes>
        <corresp>Corresponding Author: Bayan Sarsour <email>Bayan_sarsour@yahoo.com</email></corresp>
      </author-notes>
      <pub-date pub-type="collection">
        <season>Jan-Dec</season>
        <year>2022</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>4</day>
        <month>2</month>
        <year>2022</year>
      </pub-date>
      <volume>8</volume>
      <issue>1</issue>
      <elocation-id>e36365</elocation-id>
      <history>
        <date date-type="received">
          <day>12</day>
          <month>1</month>
          <year>2022</year>
        </date>
        <date date-type="accepted">
          <day>13</day>
          <month>1</month>
          <year>2022</year>
        </date>
      </history>
      <copyright-statement>©Bayan Sarsour, Ashraf Aqel Sr, Yousef Khader. Originally published in Iproceedings (https://www.iproc.org), 04.02.2022.</copyright-statement>
      <copyright-year>2022</copyright-year>
      <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
        <p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in Iproceedings, is properly cited. The complete bibliographic information, a link to the original publication on https://www.iproc.org/, as well as this copyright and license information must be included.</p>
      </license>
      <self-uri xlink:href="https://www.iproc.org/2022/1/e36365" xlink:type="simple"/>
      <abstract>
        <sec sec-type="background">
          <title>Background</title>
          <p>Refugee children have an increased risk of physical and psychological illness. Data on behavioral and emotional problems among Jordanian and Syrian refugee children in noncamp settings are scarce.</p>
        </sec>
        <sec sec-type="objective">
          <title>Objective</title>
          <p>This study aimed to assess the behavioral and emotional problems among Syrian school children refugees living outside camps in Jordan and their Jordanian counterparts.</p>
        </sec>
        <sec sec-type="methods">
          <title>Methods</title>
          <p>A cross-sectional study was conducted among Syrian and Jordanian school children, aged 12-17 years, studying in the same schools in 4 Jordanian cities with the highest density of Syrian refugees. A self-reported questionnaire was used to collect information about the sociodemographic characteristics of the children. The Strengths and Difficulties Questionnaire was used to measure behavioral and emotional problems among these children.</p>
        </sec>
        <sec sec-type="results">
          <title>Results</title>
          <p>This study included a total of 1878 Jordanian adolescents (45.6% male and 54.4% female) and 1773 Syrian refugee adolescents (43.9% male and 56.1% female). The parents of the Syrian adolescents were significantly less educated and had significantly lower total family income than Jordanian parents. More than half of the Jordanian and Syrian adolescents had peer relation problems (53.6% and 55.5%, respectively), 36.9% of Jordanian and 35.5% of Syrian adolescents had hyperactivity or inattention problems, 44.8% of Jordanian and 47.6% of Syrian adolescents had conduct problems, and 30.8% of Jordanian and 32.0% of Syrian adolescents had emotional symptoms. On the other hand, 43.0% of Jordanian and 42.5% of Syrian adolescents had prosocial behaviors. In the multivariate analysis, Jordanian and Syrian children differed significantly in emotional symptoms and peer relationship problems. Compared with Jordanian children, Syrian children were less likely to experience emotional problems (odds ratio 0.81; <italic>P</italic>=.04) and peer relationship problems (odd ratio 0.80; <italic>P</italic>=.03).</p>
        </sec>
        <sec sec-type="conclusions">
          <title>Conclusions</title>
          <p>Emotional and behavioral problems are common among Syrian refugee schoolchildren as well as Jordanian school children. They are all in need of urgent psychosocial support.</p>
        </sec>
      </abstract>
      <kwd-group>
        <kwd>emotional problems</kwd>
        <kwd>behavioral problems</kwd>
        <kwd>schoolchildren</kwd>
        <kwd>Syrian refugees</kwd>
        <kwd>Jordanian</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>
