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PubMed1997

Refugees and AIDS.

Explore the source record for details and available documents.

Acquired Immunodeficiency Syndrome↗
PubMed2002

Assessing the longitudinal course of depression and economic integration of south-east Asian refugees: an application of latent growth curve analysis.

This paper has both methodological and substantive application for mental-health researchers. Methodologically, it presents the latent growth curve (LGC) technique within a structural equation modelling (SEM) framework as a powerful tool to analyse change in depressive symptoms and potential correlates of such changes. The rationale for LGC analysis and subsequent elaboration of this statistical approach are presented. The limitations of traditional analytical methods are also addressed. Substantively, the paper considers socio-contextual factors as correlates of change in symptoms, and examines the dynamic systematic relationship with the degree of economic integration of south-east Asian immigrants in Canada over time. Using the LGC technique, this study also investigated how the longitudinal course of subclinical depression places individuals at risk for developing full-blown major depression. The LGC results provided strong evidence for the reciprocal influence between economic integration and subclinical depression of immigrants. The initial level of economic integration negatively influenced the rate of change in subclinical depression whereas the initial level of subclinical depression negatively influenced the rate of change in economic integration. Both initial level and the rate of change in subclinical depression placed individuals at risk for full-blown major depression. However, traditional auto-regressive models were not capable of revealing these dynamic associations. Thus, an investigation of within-individual change in symptoms and potential correlates of such changes is necessary to understand the process that results in full-blown mental disorder.

Asia, Southeastern↗
PubMed1993

Three forms of stress in Cambodian adolescent refugees.

Sixty-nine Cambodian adolescents and young adults were interviewed to determine their experience as children surviving the Pol Pot regime (1975-1979); their first-year experience of resettlement in this country; and their experience of stressful events during the past year. Current DSM-III-R diagnostic status was also determined. A strong relationship between earlier war trauma, resettlement strain, and symptoms of posttraumatic stress disorder (PTSD) was found. In contrast, the strongest relationship with depressive symptoms was found for recent stressful events. These results are discussed in light of current findings from stress and PTSD research.

Adolescent↗
PubMed2005

Post-migration dietary changes among african refugees in Geneva: a rapid assessment study to inform nutritional interventions.

OBJECTIVES: To conduct an assessment of perceived dietary changes and problems by African asylum seekers, in order to develop appropriate nutritional education interventions. METHODS: A cross-sectional qualitative study among a convenience sample. Analysis compared and contrasted reported dietary changes and migration-related difficulties. RESULTS: Nineteen interviews were analysed. After migration, main dietary changes were the decrease in different fruits and vegetables consumed weekly from 10 to 2 and 17 to 10 respectively. The number of respondents drinking sweetened beverages more than 3 times a week increased from 3 to 18. Reasons for changes were related to prices, taste, choice and accessibility. CONCLUSION: These dietary changes may have serious health consequences. Future remedial interventions based on suggestions of the respondents could easily be implemented.

Acculturation↗
PubMed2006

Mental disorders among Somali refugees: developing culturally appropriate measures and assessing socio-cultural risk factors.

BACKGROUND: There are few mental health data for Somali people. This is due to the absence of culturally validated appropriate assessment instruments and methodological challenges. We aimed to develop a culturally appropriate instrument, and address the methodological challenges and assess some risk factors for mental disorder among Somalis in London. METHODS: Following a comprehensive process of cultural adaptation of the MINI Neuropsychiatric Interview, we assessed ICD-10 mental disorders among 143 Somalis recruited from GP registers and community sites. Associations with demographic and economic characteristics, sampling venues, cultural and migration related risk factors are reported. RESULTS: A higher risk of mental disorders was found among Somalis who used Khat (OR = 10.5, 1.1-98.3) claimed asylum at entry to the UK (OR = 12.8, 2-81.4) and recruits from primary care rather than from community sites (OR = 5.9, 1.4-25.8). A lower risk of mental disorders was found amongst Somalis in employment (OR = 0.03, 0.01-0.61), and those receiving education in the UK and in Somalia (OR = 0.13, 0.02-0.92). Over a third of subjects had any mental disorder (36.4%, 28.4-44.4), mainly common mental disorders (CMD) (33.8%, 26-41.5) and post-traumatic stress disorder (PTSD) (14%, 8.8-20.8). CMD were found among 80% of those with PTSD. CONCLUSION: Public health interventions for Somalis should focus on CMD as well as PTSD, khat use and mental health screening for suicide risk and mental disorders on arrival.

Adolescent↗
PubMed2006

Violent deliberate self-harm amongst adolescent refugees.

Investigation of frequency and characteristics of violent deliberate self-harm (DSH) amongst adolescents. Study was retrospective, over 3-year period, based on records of attendees at child and adolescent mental health clinics in North West London. Nine adolescents showed violent self-harm out of 982 DSH cases (frequency 0.92%). The nine cases included five female asylum seekers, who experienced war related events, were significantly more likely to have affective disorders and post-traumatic stress disorder (PTSD), compared with the four males (none asylum seekers), who were significantly more likely to have conduct and substance misuse disorders.

Adolescent↗
PubMed2005

Mental health of immigrants and refugees.

The United States is a country of immigrants. With the exception of Native-Americans, every other American is, or descends from, an immigrant. First and second generation immigrant children are the most rapidly growing segment of the American population, with the great majority of this population being of non-European origin. This paper reviews the unique risk factors and mental health needs of our new immigrant populations, as well as treatment and services approaches to address their unique needs.

Emigration and Immigration↗
PubMed1995

Women in difficult circumstances: war victims and refugees.

The majority of problems that women are confronting today originate from a lack of respect for human and reproductive rights. Escalating war crises are producing an enormous number of civilian victims, of whom women and children comprise the major part. Rape used as a war tactic in Bosnia has proven to be a very powerful tool. War in Bosnia has provided a tragic incentive to work on strategies and tactics for reaching the victims in such chaotic and unpredictable circumstances.

Bosnia and Herzegovina↗