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首页> 外文期刊>BMC International Health and Human Rights >Forced residential mobility and social support: impacts on psychiatric disorders among Somali migrants
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Forced residential mobility and social support: impacts on psychiatric disorders among Somali migrants

机译：强迫居住和社会支持：对索马里移民的精神疾病的影响

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Background Somali migrants fleeing the civil war in their country face punishing journeys, the loss of homes, possessions, and bereavement. On arrival in the host country they encounter poverty, hostility, and residential instability which may also undermine their mental health. Methods An in-depth and semi-structured interview was used to gather detailed accommodation histories for a five year period from 142 Somali migrants recruited in community venues and primary care. Post-codes were verified and geo-mapped to calculate characteristics of residential location including deprivation indices, the number of moves and the distances between residential moves. We asked about the reasons for changing accommodation, perceived discrimination, asylum status, traumatic experiences, social support, employment and demographic factors. These factors were assessed alongside characteristics of residential mobility as correlates of ICD-10 psychiatric disorders. Results Those who were forced to move homes were more likely to have an ICD-10 psychiatric disorder (OR = 2.64, 1.16-5.98, p = 0.02) compared with those moving through their own choice. A lower risk of psychiatric disorders was found for people with larger friendship networks (0.35, 0.14-0.84, p = 0.02), for those with more confiding emotional support (0.42, 0.18-1.0, p = 0.05), and for those who had not moved during the study period (OR = 0.21, 0.07-0.62, p = 0.01). Conclusions Forced residential mobility is a risk factor for psychiatric disorder; social support may contribute to resilience against psychiatric disorders associated with residential mobility.
机译：背景信息逃离内战的索马里移民面临严峻的旅程，失去家园，财产和丧亲之痛。抵达东道国后，他们会遇到贫穷，敌对和居住不稳定，这也可能损害他们的心理健康。方法采用深入和半结构化的访谈方法，收集了在社区场所和初级保健中招募的142名索马里移民五年的详细住宿历史。验证邮政编码并进行地理映射以计算住宅位置的特征，包括剥夺指数，搬迁次数以及搬迁之间的距离。我们询问了改变住宿条件，感觉到的歧视，庇护状况，经历的创伤，社会支持，就业和人口因素的原因。这些因素与居民流动性的特征（与ICD-10精神疾病的相关性）一起进行了评估。结果与被迫搬家的人相比，被迫搬家的人患ICD-10精神病的可能性更高（OR = 2.64，1.16-5.98，p = 0.02）。对于拥有较大友谊网络的人（0.35，0.14-0.84，p = 0.02），具有较自信的情感支持的人（0.42，0.18-1.0，p = 0.05）和那些患有精神疾病的人，发现精神疾病的风险较低。在研究期间没有移动（OR = 0.21，0.07-0.62，p = 0.01）。结论强迫迁徙是精神疾病的危险因素。社会支持可能有助于抵抗与居民流动性相关的精神疾病。

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