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https://hdl.handle.net/10620/18180
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DC Field | Value | Language |
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dc.contributor.author | Renzaho, A | en |
dc.contributor.author | Chen, Wen | en |
dc.contributor.author | Ling, Li | en |
dc.contributor.author | Renzaho, Andre | en |
dc.contributor.author | Hall, Brian | en |
dc.date.accessioned | 2019-04-13T03:41:50Z | en |
dc.date.accessioned | 2017-02-21T00:44:38Z | en |
dc.date.available | 2017-02-21T00:44:38Z | en |
dc.date.issued | 2017-02-01 | en |
dc.identifier.uri | https://hdl.handle.net/10620/18180 | en |
dc.identifier.uri | http://hdl.handle.net/10620/4335 | en |
dc.description.abstract | Background The process of becoming a humanitarian migrant is potentially damaging to mental health. We examined the association between pre-migration and post-migration potentially traumatic events and stressors and mental health, and assessed the moderating effect of post-migration stressors in humanitarian migrants in Australia. Methods In this study, we used the first wave of data between 2013 and 2014 from the Building a New Life in Australia survey. The survey included 2399 migrants who had arrived in Australia holding a permanent humanitarian visa 3–6 months preceding the survey, with 77% and 23% of participants being granted visas through offshore and onshore humanitarian programmes, respectively. Post-traumatic stress disorder (PTSD) was measured with the Post-traumatic Stress Disorder 8 items (PTSD-8) and severe mental illness was measured with the Kessler Screening Scale for Psychological Distress (K6). Pre-migration potentially traumatic events and post-migration stressors related to asylum process and resettlement were measured with a self-reported questionnaire. Findings Of the 2399 participants, 762 (31%; 95% CI 29·4–33·2) had PTSD and 394 (16%; 95% CI 14·2–17·2) had severe mental illness. The mean number of pre-migration potentially traumatic events was 2·1 (SD 1·4). 64%, 59%, 49%, and 18% of participants reported poor social integration, economic problems, worrying about family or friends overseas, and loneliness as post-migration stressors. Pre-migration potentially traumatic events and post-migration stressors were positively associated with PTSD and severe mental illness. Factors significantly modifying the association between pre-migration potentially traumatic events and mental health after controlling for confounding factors were resettlement related stressors, including loneliness (odds ratio 1·17, 95% CI 1·05–1·28 for PTSD and 1·28, 1·16–1·41 for severe mental illness) and the number of social integration stressors (1·10, 1·05–1·16 for PTSD). Interpretation Our data suggest that post-migration resettlement-related stressors were the most important correlates of mental health in humanitarian migrants, accounting for both direct and indirect associations. Targeting resettlement-related stressors through augmenting psychosocial care programmes and social integration would be a key approach to improve humanitarian migrants' mental health. Funding None. | en |
dc.subject | Health -- Mental | en |
dc.subject | Culture -- Immigrants | en |
dc.subject | Life Events -- Immigration / newly arrived migrants | en |
dc.title | Pre-migration and post-migration factors associated with mental health in humanitarian migrants in Australia and the moderation effect of post-migration stressors: findings from the first wave data of the BNLA cohort study | en |
dc.type | Journal Articles | en |
dc.identifier.url | http://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(17)30032-9/fulltext | en |
dc.identifier.survey | BNLA | en |
dc.description.keywords | PTSD | en |
dc.description.keywords | Migrants | en |
dc.description.keywords | Mental Health | en |
dc.identifier.journal | The Lancet Psychiatry | en |
dc.identifier.volume | online firstly | en |
local.identifier.id | 4915 | en |
dc.subject.dss | Health and wellbeing | en |
dc.subject.dss | Disadvantage, adversity and resilience | en |
dc.subject.dss | Migration and settlement | en |
dc.subject.dssmaincategory | Health | en |
dc.subject.dssmaincategory | Life Events | en |
dc.subject.dssmaincategory | Culture | en |
dc.subject.dsssubcategory | Immigrants | en |
dc.subject.dsssubcategory | Mental | en |
dc.subject.dsssubcategory | Immigration / newly arrived migrants | en |
dc.subject.flosse | Adversity and resilience | en |
dc.subject.flosse | Dsiadvantage, adversity and resilience | en |
dc.subject.flosse | Migration and settlement | en |
dc.subject.flosse | Health and wellbeing | en |
dc.relation.survey | BNLA | en |
dc.old.surveyvalue | BNLA | en |
item.cerifentitytype | Publications | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.grantfulltext | none | - |
item.openairetype | Journal Articles | - |
item.fulltext | No Fulltext | - |
Appears in Collections: | Journal Articles |
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