Distress and Resilience in Resettled Refugees of War: Implications for Screening
Autor: | Eric C. Toolson, Michael Hollifield, Beth Farmer, Annette Holland, Sasha Verbillis-Kolp, Tsegaba Woldehaimanot, Junko Yamazaki |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Health
Toxicology and Mutagenesis media_common.quotation_subject Refugee education lcsh:Medicine Article Refugee health 03 medical and health sciences 0302 clinical medicine emotional distress refugee health Intervention (counseling) Humans Mass Screening Medicine 030212 general & internal medicine Social determinants of health war Bhutan media_common health trajectory Secondary prevention Refugees business.industry screening fungi lcsh:R Public Health Environmental and Occupational Health food and beverages Regression analysis 030227 psychiatry Distress Psychological resilience business Demography |
Zdroj: | International Journal of Environmental Research and Public Health, Vol 18, Iss 1238, p 1238 (2021) International Journal of Environmental Research and Public Health Volume 18 Issue 3 |
ISSN: | 1661-7827 1660-4601 |
Popis: | There is little work published about predictors of specific trajectory types of distress in refugees of war during early resettlement in a host country. Data about distress (Refugee Health Screener&mdash 15 (RHS-15)) and possible predictors of distress were collected at the domestic medical examination (T1) within 90 days of arrival and the civil surgeon examination (T2) 11&ndash 16 months after T1 for refugee groups from three countries (COU). Descriptive, correlative, analyses of variance, and regression techniques were used to determine trajectory type and their predictors. A higher percentage (7.3%) were distressed at T2 than at T1. By group, the Bhutanese became more distressed, the Burmese became less distressed, and Iraqi&rsquo s continued to have high distress. A regression model showed gender, loss, post-migration stress, and self-efficacy to be significant predictors of trajectory type (R2 = 0.46). When the T1 RHS-15 score was added to the model, observed variance increased (R2 = 0.53) and T1 RHS score accounted for the majority of variance (r = 0.64, p < 0.001), with post-migration stress accounting for markedly less (&beta = 0.19, p = 0.03). Loss and self-efficacy became less significant. Loss was, however, a strong predictor of delayed and chronic distress trajectory type. These data suggest that screening for distress should occur at least twice during resettlement to detect those with initial distress and those with delayed distress. Screening should be coupled with identifying other social determinants of health and a comprehensive assessment to determine the need for intervention for secondary prevention (i.e., reducing delayed distress) and treatment (reducing chronic distress). |
Databáze: | OpenAIRE |
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