Please use this identifier to cite or link to this item: https://hdl.handle.net/10620/18180
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dc.contributor.authorRenzaho, Aen
dc.contributor.authorChen, Wenen
dc.contributor.authorLing, Lien
dc.contributor.authorRenzaho, Andreen
dc.contributor.authorHall, Brianen
dc.date.accessioned2019-04-13T03:41:50Zen
dc.date.accessioned2017-02-21T00:44:38Zen
dc.date.available2017-02-21T00:44:38Zen
dc.date.issued2017-02-01en
dc.identifier.urihttps://hdl.handle.net/10620/18180en
dc.identifier.urihttp://hdl.handle.net/10620/4335en
dc.description.abstractBackground 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.subjectHealth -- Mentalen
dc.subjectCulture -- Immigrantsen
dc.subjectLife Events -- Immigration / newly arrived migrantsen
dc.titlePre-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 studyen
dc.typeJournal Articlesen
dc.identifier.urlhttp://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(17)30032-9/fulltexten
dc.identifier.surveyBNLAen
dc.description.keywordsPTSDen
dc.description.keywordsMigrantsen
dc.description.keywordsMental Healthen
dc.identifier.journalThe Lancet Psychiatryen
dc.identifier.volumeonline firstlyen
local.identifier.id4915en
dc.subject.dssHealth and wellbeingen
dc.subject.dssDisadvantage, adversity and resilienceen
dc.subject.dssMigration and settlementen
dc.subject.dssmaincategoryHealthen
dc.subject.dssmaincategoryLife Eventsen
dc.subject.dssmaincategoryCultureen
dc.subject.dsssubcategoryImmigrantsen
dc.subject.dsssubcategoryMentalen
dc.subject.dsssubcategoryImmigration / newly arrived migrantsen
dc.subject.flosseAdversity and resilienceen
dc.subject.flosseDsiadvantage, adversity and resilienceen
dc.subject.flosseMigration and settlementen
dc.subject.flosseHealth and wellbeingen
dc.relation.surveyBNLAen
dc.old.surveyvalueBNLAen
item.cerifentitytypePublications-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.grantfulltextnone-
item.openairetypeJournal Articles-
item.fulltextNo Fulltext-
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