{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T15:43:03Z","timestamp":1786981383819,"version":"build-2736575974"},"reference-count":46,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100024521","name":"Oklahoma Tobacco Settlement Endowment Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100024521","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Immigrant Minority Health"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Afghan refugees in the US face significant challenges, including limited access to healthcare. This study investigates the relationship between social determinants of health (SDOH), including-material circumstances, psychosocial circumstances, behavioral and\/or biological factors - and self-rated health among recently resettled Afghan refugees (who received Special Immigrant Visas) in Oklahoma. Data were collected from 348 Afghan refugees using a community-based survey administered in English, Pashto, or Dari in 2022. Measures included sociodemographic characteristics, SDOH, and self-rated health (assessed using a single-item question asking participants to rate their health as poor, fair, good, very good, or excellent). Multivariable logistic regression analyses examined the associations between sociodemographic factors, SDOH, and self-rated health. Of the 348 participants, 59.5% of participants were male, with an average age of 31.5 years. In terms of behavioral factors, high rates of inadequate fruit and vegetable consumption (55.2%), insufficient sleep (58.0%), and insufficient physical activity (83.6%) were observed. With regard to material circumstances\u2014defined based on the World Health Organization\u2019s Commission on Social Determinants of Health (CSDH) framework as physical and economic living conditions\u2014chronic health conditions (12.6%) and disabilities (7.8%) were noted. In adjusted models, chronic health conditions (AOR\u2009=\u20090.41, 95% CI: 0.19\u20130.86), disability (AOR\u2009=\u20090.31, 95% CI: 0.12\u20130.79), and inadequate sleep (AOR\u2009=\u20090.46, 95% CI: 0.24\u20130.89) were significantly associated with poor self-rated health. There were no significant associations found between psychosocial factors and self-rated health. This study highlights the significant impact of SDOH, especially material circumstances and behavioral factors on the well-being of Afghan refugees. Future interventions aimed to improve Afghan refugee health need to consider the roles of SDOH in order to optimize their care.<\/jats:p>","DOI":"10.1007\/s10903-026-01886-z","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T07:26:17Z","timestamp":1773127577000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Social Determinant Correlates of Self-Rated Health Among Newly Resettled Afghan Refugees in Oklahoma City"],"prefix":"10.1007","author":[{"given":"Munjireen","family":"Sifat","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawn","family":"Chiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyra","family":"Montour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Candice","family":"Tate","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darla","family":"Kendzor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"issue":"11\u201312","key":"1886_CR1","doi-asserted-by":"publisher","first-page":"1299","DOI":"10.1093\/milmed\/usac086","volume":"187","author":"L Lieberman Lawry","year":"2022","unstructured":"Lieberman Lawry L. 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