Socio-cultural integration of Afghan refugees in Türkiye: the role of traumatic events, post-displacement stressors and mental health.

IF 5.9 2区 医学 Q1 PSYCHIATRY
Gülşah Kurt, Maryam Ekhtiari, Peter Ventevogel, Merve Ersahin, Zeynep Ilkkursun, Nuriye Akbiyik, Ceren Acarturk
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引用次数: 0

Abstract

Aims: Socio-cultural integration of refugees has received scant attention in the academic literature. Türkiye hosts the largest number of refugees, including Afghans, as the second largest asylum-seeking group in Türkiye. There is a dearth of research into the mental health and integration of Afghan refugees in Türkiye. The aim of the present study was to investigate socio-cultural integration outcomes among Afghan refugees in Türkiye by considering the role of traumatic events and post-displacement stressors. The role of mental health in integration outcomes was further examined.

Methods: A cross-sectional, web-based survey study with 785 Afghan refugees in Türkiye was conducted between April and June 2021. Data were collected on socio-demographic characteristics, potentially traumatic events (PTEs) (Harvard Trauma Questionnaire), post-displacement stressors (Post-Migration Living Difficulties Checklist), mental health symptoms (Hopkins Symptoms Checklist-25), social integration- social bonds (contact with co-ethnic group members) and social bridges (contact with the host community)- and cultural integration (Vancouver Index of Acculturation). Structural equation modelling was conducted to test the hypothesized relationship between conflict and displacement-related stressors, mental health and socio-cultural integration.

Results: Findings showed that conflict-related traumatic events and post-displacement stressors significantly predicted higher mental health symptoms. Experiencing traumatic events significantly predicted higher levels of social bridges, adopting destination culture and lower level of maintaining heritage culture. Mental health problems predicted the relationship between stressors related to forced displacement and integration outcomes-social bridges and adopting destination culture. These findings highlight the role of mental health as an indispensable resource for socio-cultural integration. Further, conflict and displacement-related stressors are important determinants of socio-cultural integration among Afghan refugees in Türkiye.

Conclusion: Exposure to PTEs and post-displacement stressors were significant risk factors for the mental health and socio-cultural integration of Afghan refugees in Türkiye. These stressful experiences deteriorate refugees' mental health, which hinders their integration into the host society.

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基耶省阿富汗难民的社会文化融合:创伤事件、流离失所后压力源和心理健康的作用。
目的:难民的社会文化融合在学术文献中很少受到关注。 rkiye省收容的难民人数最多,其中包括阿富汗人,是 rkiye省第二大寻求庇护群体。目前缺乏对基耶省阿富汗难民的心理健康和融入社会的研究。本研究的目的是通过考虑创伤事件和流离失所后压力源的作用,调查阿富汗难民在缅甸的社会文化融合结果。进一步研究了心理健康在融合结果中的作用。方法:在2021年4月至6月期间,对基耶省的785名阿富汗难民进行了一项基于网络的横断面调查研究。收集的数据包括社会人口统计学特征、潜在创伤事件(pte)(哈佛创伤问卷)、迁移后压力源(迁移后生活困难清单)、心理健康症状(霍普金斯症状清单-25)、社会融合——社会纽带(与同种族群体成员接触)和社会桥梁(与收容社区接触)——和文化融合(温哥华文化适应指数)。采用结构方程模型来检验冲突和流离失所相关压力源、心理健康和社会文化融合之间的假设关系。结果:研究结果表明,冲突相关的创伤事件和流离失所后的压力因素显著预测更高的心理健康症状。经历创伤性事件显著地预示着较高的社会桥梁水平、采用目的地文化水平和较低的保留遗产文化水平。心理健康问题预测了与被迫流离失所相关的压力源与融入结果之间的关系-社会桥梁和接受目的地文化。这些发现突出了心理健康作为社会文化融合不可或缺的资源的作用。此外,冲突和与流离失所有关的压力因素是基耶省阿富汗难民社会文化融合的重要决定因素。结论:暴露于pte和流离失所后应激源是影响阿富汗难民心理健康和社会文化融合的重要危险因素。这些紧张的经历恶化了难民的心理健康,阻碍了他们融入东道国社会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.80
自引率
1.20%
发文量
121
审稿时长
>12 weeks
期刊介绍: Epidemiology and Psychiatric Sciences is a prestigious international, peer-reviewed journal that has been publishing in Open Access format since 2020. Formerly known as Epidemiologia e Psichiatria Sociale and established in 1992 by Michele Tansella, the journal prioritizes highly relevant and innovative research articles and systematic reviews in the areas of public mental health and policy, mental health services and system research, as well as epidemiological and social psychiatry. Join us in advancing knowledge and understanding in these critical fields.
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