Sara Rizvi Jafree , Syed Mujtaba Hasnain Nadir , Qaisar Khalid Mahmood , Syeda Khadija Burhan
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引用次数: 1
Abstract
Background
Ensuring safety and wellbeing of all the minority populations of Pakistan is essential for collective national growth. The Pakistani Hazara Shias are a marginalized non-combative migrant population who face targeted violence in Pakistan, and suffer from great challenges which compromise their life satisfaction and mental health. In this study, we aim to identify the determinants of life satisfaction and mental health disorders in Hazara Shias and ascertain which socio-demographic characteristics are associated with post-traumatic stress disorder (PTSD).
Methods
We used a cross-sectional quantitative survey, utilizing internationally standardized instruments; with an additional qualitative item. Seven constructs were measured, including household stability; job satisfaction; financial security; community support; life satisfaction; PTSD; and mental health. Factor analysis was performed showing satisfactory Cronbach alpha results. A total of 251 Hazara Shias from Quetta were sampled at community centers through convenience method based on their willingness to participate.
Results
Comparison of mean scores shows significantly higher PTSD in women and unemployed participants. Regression results reveal that people who have low community support, especially from national and ethnic community, religious community, and other community groups, had higher risk of mental health disorders. Structural equation modeling identified that four study variables contribute to greater life satisfaction, including: household satisfaction (β = 0.25, p < 0.001); community satisfaction (β = 0.26, p < 0.001); financial security (β = 0.11, p < 0.05); and job satisfaction (β = 0.13, p < 0.05). Qualitative findings revealed three broad areas which create barriers to life satisfaction, including: fears of assault and discrimination; employment and education problems; and financial and food security issues.
Conclusions
The Hazara Shias need immediate assistance from state and society to improve safety, life opportunities, and mental health. Interventions for poverty alleviation, mental health, and fair education and employment opportunities need to be planned in partnership with the primary security issue.
确保巴基斯坦所有少数民族人口的安全和福祉对国家的集体增长至关重要。巴基斯坦哈扎拉什叶派是一个被边缘化的不好斗的移民人口,他们在巴基斯坦面临有针对性的暴力,并遭受巨大的挑战,损害了他们的生活满意度和心理健康。在这项研究中,我们的目的是确定哈扎拉什叶派生活满意度和心理健康障碍的决定因素,并确定哪些社会人口统计学特征与创伤后应激障碍(PTSD)有关。方法采用横断面定量调查,采用国际标准化仪器;附带一个附加的定性项目。测量了七个构念,包括家庭稳定性;工作满意度;金融安全;社会支持;生活满意度;创伤后应激障碍;还有心理健康。因子分析显示满意的Cronbach α结果。根据参与意愿,采用便利法在社区中心抽取了251名来自奎达的哈扎拉什叶派。结果平均得分比较显示,女性和无业人员PTSD显著增高。回归结果显示,社区支持度低的人群,特别是来自民族和族裔社区、宗教社区和其他社区群体的人群,出现精神健康障碍的风险更高。结构方程模型发现,四个研究变量有助于提高生活满意度,包括:家庭满意度(β = 0.25, p <0.001);社区满意度(β = 0.26, p <0.001);金融安全(β = 0.11, p <0.05);工作满意度(β = 0.13, p <0.05)。定性调查结果揭示了对生活满意度造成障碍的三大领域,包括:对攻击和歧视的恐惧;就业和教育问题;以及金融和粮食安全问题。结论哈扎拉什叶派需要国家和社会的紧急援助,以改善安全、生活机会和心理健康。减贫、心理健康、公平教育和就业机会方面的干预措施需要与主要安全问题合作规划。