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February 9, 2026International Journal of Public Health0 citationsOpen Access

Health-Related Quality of Life Among Ukrainian War Refugees Compared to the General Population in Estonia

RRRainer ReileJSJohann SaavasteGOGalina Opikova

Key Points

  • The study aims to compare health-related quality of life (HRQoL) between Ukrainian refugees and the general population in Estonia.
  • Used matched age and sex data from two surveys involving Ukrainian refugees and the general population.
  • Involved 1249 pairs from 1430 Ukrainian refugees and 2007 individuals from the general population.
  • Employed Tobit-regression to analyze EQ-5D-3L index values between the groups.
  • Refugees reported fewer mobility, self-care, and usual activity restrictions than the general population.
  • Higher rates of pain/discomfort and anxiety/depression were found among refugees.
  • Refugees had a slightly lower EQ-5D index score (−0.017, p = 0.029) after adjusting for variables.

Abstract

Objectives The study aimed to provide a comparative analysis of HRQoL and its health-related and socio-demographic correlates among Ukrainian refugees and general population in Estonia. Methods Study used age and sex matched data (1249 pairs) from two representative cross-sectional surveys covering Ukrainian refugees aged 18–64 years residing in Estonia (n = 1,430), and the general population (n = 2007) of Estonia in 2024. Tobit-regression was used to compare the EQ-5D-3L index values in both groups while controlling for wide range of socio-demographic and health indicators. Results Refugees reported less restrictions in mobility, self-care or in performing usual activities, whereas higher prevalence of pain/discomfort and anxiety/depression was found for refugees compared to control group. Refugees had slightly lower EQ-5D index score (estimate −0.017, p = 0.029) compared to population controls after adjustment for socio-demographic and health-related covariates. Conclusion Variations in EQ-5D-3L dimensions and index scores between refugees and population controls contribute to the literature on refugee HRQoL and extend the knowledge on HRQoL of Ukrainian refugees in the context of ongoing refugee crisis in Europe while also improving knowledge for support provision to this refugee group in Estonia.

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Cite This Study

Reile et al. (2026) studied this question.

synapsesocial.com/papers/69897983f0ec2af6756e73dehttps://doi.org/10.3389/ijph.2026.1608807
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