The European Journal of Health Economics

, Volume 10, Issue 1, pp 93–101 | Cite as

The quality of life of Palestinians living in chronic conflict: assessment and determinants

  • Awad MatariaEmail author
  • Rita Giacaman
  • Angelo Stefanini
  • Nirmala Naidoo
  • Paul Kowal
  • Somnath Chatterji
Original paper


This study assessed the quality of life (QoL) of Palestinians living in conditions of chronic conflict and examined its determinants. An adapted World Health Organization quality of life (WHOQoL-Bref) instrument was used in a representative sample of 1,008 adults. Factor analysis and multiple regression were conducted to determine associations between demographic and socioeconomic characteristics and scores of extracted principal determinants, and estimated overall and domain-specific QoL scores. Men, older persons and those less educated reported lower QoL than their counterparts. Negative associations were also found with higher distress and fear levels, and lower financial and freedom status. The chronic and entrenched conflict over generations resulted in lower QoL for the population of the Occupied Palestinian Territory.


Quality of Life WHOQoL-Bref Conflict Determinants Occupied Palestinian Territory 

JEL Classification

I10 I18 



The authors would like to thank the World Health Organization–Eastern Mediterranean Regional Office (WHO-EMRO), for funding the study and providing the technical assistance needed. Thanks are also due to the two anonymous referees, for their comments that very much improved the quality of the paper, and to the Palestinian Central Bureau of Statistics (PCBS), for conducting the fieldwork. The analyses and ideas presented in the paper are the responsibility of the authors and do not necessarily reflect the position of the WHO or the PCBS. The paper was presented at the 6th international Health Economics Association congress in Copenhagen, Denmark, and at the 14th Economic Research Forum Conference in Cairo, Egypt.


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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Awad Mataria
    • 1
    • 2
    Email author
  • Rita Giacaman
    • 1
  • Angelo Stefanini
    • 3
  • Nirmala Naidoo
    • 4
  • Paul Kowal
    • 4
  • Somnath Chatterji
    • 4
  1. 1.Institute of Community and Public HealthBirzeit UniversityWest BankOccupied Palestinian Territory
  2. 2.Department of Economics, Faculty of Commerce and EconomicsBirzeit UniversityWest BankOccupied Palestinian Territory
  3. 3.Department of Medicine and Public HealthUniversity of BolognaBolognaItaly
  4. 4.Department of Measurement and Health Information SystemsWorld Health OrganizationGenevaSwitzerland

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