Traumatic Experiences and Mental Health Risk for Refugees
Refugees who settle in Western countries exhibit a high rate of mental health issues, which are often related to experiences throughout the pre-displacement, displacement, and post-displacement processes. Early detection of mental health symptoms could increase positive outcomes in this vulnerable p...
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Veröffentlicht in: | International journal of environmental research and public health 2020-03, Vol.17 (6), p.1943 |
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container_title | International journal of environmental research and public health |
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creator | Schlaudt, Victoria A Bosson, Rahel Williams, Monnica T German, Benjamin Hooper, Lisa M Frazier, Virginia Carrico, Ruth Ramirez, Julio |
description | Refugees who settle in Western countries exhibit a high rate of mental health issues, which are often related to experiences throughout the pre-displacement, displacement, and post-displacement processes. Early detection of mental health symptoms could increase positive outcomes in this vulnerable population. The rates and predictors of positive screenings for mental health symptoms were examined among a large sample of refugees, individuals with special immigrant visas, and parolees/entrants (
= 8149) from diverse nationalities. Logistic regression analyses were used to determine if demographic factors and witnessing/experiencing violence predicted positive screenings. On a smaller subset of the sample, we calculated referral acceptance rate by country of origin. Refugees from Syria, Iraq, and Afghanistan were most likely to exhibit a positive screening for mental health symptoms. Refugees from Sudan, Iraq, and Syria reported the highest rate of experiencing violence, whereas those from Iraq, Sudan, and the Democratic Republic of Congo reported the highest rate of witnessing violence. Both witnessing and experiencing violence predicted positive Refugee Health Screener-15 (RHS-15) scores. Further, higher age and female gender predicted positive RHS-15 scores, though neither demographic variable was correlated with accepting a referral for mental health services. The findings from this study can help to identify characteristics that may be associated with risk for mental health symptoms among a refugee population. |
doi_str_mv | 10.3390/ijerph17061943 |
format | Article |
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= 8149) from diverse nationalities. Logistic regression analyses were used to determine if demographic factors and witnessing/experiencing violence predicted positive screenings. On a smaller subset of the sample, we calculated referral acceptance rate by country of origin. Refugees from Syria, Iraq, and Afghanistan were most likely to exhibit a positive screening for mental health symptoms. Refugees from Sudan, Iraq, and Syria reported the highest rate of experiencing violence, whereas those from Iraq, Sudan, and the Democratic Republic of Congo reported the highest rate of witnessing violence. Both witnessing and experiencing violence predicted positive Refugee Health Screener-15 (RHS-15) scores. Further, higher age and female gender predicted positive RHS-15 scores, though neither demographic variable was correlated with accepting a referral for mental health services. The findings from this study can help to identify characteristics that may be associated with risk for mental health symptoms among a refugee population.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph17061943</identifier><identifier>PMID: 32188119</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Aggression ; Anxiety ; Community ; Demographic variables ; Demographics ; Displacement ; Health risks ; Health services ; Immigration policy ; Medical screening ; Mental depression ; Mental disorders ; Mental health ; Post traumatic stress disorder ; Refugees ; Risk factors ; Studies ; Violence</subject><ispartof>International journal of environmental research and public health, 2020-03, Vol.17 (6), p.1943</ispartof><rights>2020. This work is licensed under http://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 by the authors. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-2b5e4e3a9623d1b9bf34982ecbb2368814a1e8ce793bc3c7d84a942ade6cfb213</citedby><cites>FETCH-LOGICAL-c418t-2b5e4e3a9623d1b9bf34982ecbb2368814a1e8ce793bc3c7d84a942ade6cfb213</cites><orcidid>0000-0002-5493-0110 ; 0000-0003-0095-3277</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7143439/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7143439/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32188119$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schlaudt, Victoria A</creatorcontrib><creatorcontrib>Bosson, Rahel</creatorcontrib><creatorcontrib>Williams, Monnica T</creatorcontrib><creatorcontrib>German, Benjamin</creatorcontrib><creatorcontrib>Hooper, Lisa M</creatorcontrib><creatorcontrib>Frazier, Virginia</creatorcontrib><creatorcontrib>Carrico, Ruth</creatorcontrib><creatorcontrib>Ramirez, Julio</creatorcontrib><title>Traumatic Experiences and Mental Health Risk for Refugees</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Refugees who settle in Western countries exhibit a high rate of mental health issues, which are often related to experiences throughout the pre-displacement, displacement, and post-displacement processes. Early detection of mental health symptoms could increase positive outcomes in this vulnerable population. The rates and predictors of positive screenings for mental health symptoms were examined among a large sample of refugees, individuals with special immigrant visas, and parolees/entrants (
= 8149) from diverse nationalities. Logistic regression analyses were used to determine if demographic factors and witnessing/experiencing violence predicted positive screenings. On a smaller subset of the sample, we calculated referral acceptance rate by country of origin. Refugees from Syria, Iraq, and Afghanistan were most likely to exhibit a positive screening for mental health symptoms. Refugees from Sudan, Iraq, and Syria reported the highest rate of experiencing violence, whereas those from Iraq, Sudan, and the Democratic Republic of Congo reported the highest rate of witnessing violence. Both witnessing and experiencing violence predicted positive Refugee Health Screener-15 (RHS-15) scores. Further, higher age and female gender predicted positive RHS-15 scores, though neither demographic variable was correlated with accepting a referral for mental health services. The findings from this study can help to identify characteristics that may be associated with risk for mental health symptoms among a refugee population.</description><subject>Aggression</subject><subject>Anxiety</subject><subject>Community</subject><subject>Demographic variables</subject><subject>Demographics</subject><subject>Displacement</subject><subject>Health risks</subject><subject>Health services</subject><subject>Immigration policy</subject><subject>Medical screening</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Post traumatic stress disorder</subject><subject>Refugees</subject><subject>Risk factors</subject><subject>Studies</subject><subject>Violence</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkc1Lw0AQxRdRbK1ePUrAi5fU_eomexGkVCtUhFLPy2Yzabfmy91E9L83pbW0nmZgfvN4j4fQNcFDxiS-t2tw9YpEWBDJ2QnqEyFwyAUmpwd7D114v8aYxVzIc9RjlMQxIbKP5MLpttCNNcHkuwZnoTTgA12mwSuUjc6DKei8WQVz6z-CrHLBHLJ2CeAv0Vmmcw9XuzlA70-TxXgazt6eX8aPs9BwEjchTUbAgWkpKEtJIpOMcRlTMElCmehccE0gNhBJlhhmojTmWnKqUxAmSyhhA_Sw1a3bpIDUdK6czlXtbKHdj6q0VceX0q7UsvpSEeGMM9kJ3O0EXPXZgm9UYb2BPNclVK1XlEUS02iEaYfe_kPXVevKLl5HxZiMhBAbR8MtZVzlvYNsb4ZgtWlFHbfSPdwcRtjjfzWwX288iTM</recordid><startdate>20200316</startdate><enddate>20200316</enddate><creator>Schlaudt, Victoria A</creator><creator>Bosson, Rahel</creator><creator>Williams, Monnica T</creator><creator>German, Benjamin</creator><creator>Hooper, Lisa M</creator><creator>Frazier, Virginia</creator><creator>Carrico, Ruth</creator><creator>Ramirez, Julio</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5493-0110</orcidid><orcidid>https://orcid.org/0000-0003-0095-3277</orcidid></search><sort><creationdate>20200316</creationdate><title>Traumatic Experiences and Mental Health Risk for Refugees</title><author>Schlaudt, Victoria A ; Bosson, Rahel ; Williams, Monnica T ; German, Benjamin ; Hooper, Lisa M ; Frazier, Virginia ; Carrico, Ruth ; Ramirez, Julio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-2b5e4e3a9623d1b9bf34982ecbb2368814a1e8ce793bc3c7d84a942ade6cfb213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aggression</topic><topic>Anxiety</topic><topic>Community</topic><topic>Demographic variables</topic><topic>Demographics</topic><topic>Displacement</topic><topic>Health risks</topic><topic>Health services</topic><topic>Immigration policy</topic><topic>Medical screening</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Post traumatic stress disorder</topic><topic>Refugees</topic><topic>Risk factors</topic><topic>Studies</topic><topic>Violence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schlaudt, Victoria A</creatorcontrib><creatorcontrib>Bosson, Rahel</creatorcontrib><creatorcontrib>Williams, Monnica T</creatorcontrib><creatorcontrib>German, Benjamin</creatorcontrib><creatorcontrib>Hooper, Lisa M</creatorcontrib><creatorcontrib>Frazier, Virginia</creatorcontrib><creatorcontrib>Carrico, Ruth</creatorcontrib><creatorcontrib>Ramirez, Julio</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schlaudt, Victoria A</au><au>Bosson, Rahel</au><au>Williams, Monnica T</au><au>German, Benjamin</au><au>Hooper, Lisa M</au><au>Frazier, Virginia</au><au>Carrico, Ruth</au><au>Ramirez, Julio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Traumatic Experiences and Mental Health Risk for Refugees</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2020-03-16</date><risdate>2020</risdate><volume>17</volume><issue>6</issue><spage>1943</spage><pages>1943-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Refugees who settle in Western countries exhibit a high rate of mental health issues, which are often related to experiences throughout the pre-displacement, displacement, and post-displacement processes. 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= 8149) from diverse nationalities. Logistic regression analyses were used to determine if demographic factors and witnessing/experiencing violence predicted positive screenings. On a smaller subset of the sample, we calculated referral acceptance rate by country of origin. Refugees from Syria, Iraq, and Afghanistan were most likely to exhibit a positive screening for mental health symptoms. Refugees from Sudan, Iraq, and Syria reported the highest rate of experiencing violence, whereas those from Iraq, Sudan, and the Democratic Republic of Congo reported the highest rate of witnessing violence. Both witnessing and experiencing violence predicted positive Refugee Health Screener-15 (RHS-15) scores. Further, higher age and female gender predicted positive RHS-15 scores, though neither demographic variable was correlated with accepting a referral for mental health services. The findings from this study can help to identify characteristics that may be associated with risk for mental health symptoms among a refugee population.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>32188119</pmid><doi>10.3390/ijerph17061943</doi><orcidid>https://orcid.org/0000-0002-5493-0110</orcidid><orcidid>https://orcid.org/0000-0003-0095-3277</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Aggression Anxiety Community Demographic variables Demographics Displacement Health risks Health services Immigration policy Medical screening Mental depression Mental disorders Mental health Post traumatic stress disorder Refugees Risk factors Studies Violence |
title | Traumatic Experiences and Mental Health Risk for Refugees |
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