Cultural stress and mental health among Venezuelan migrants: cross-national evidence from 2017 to 2024.

IF 3.6 2区 医学 Q1 PSYCHIATRY
Christopher P Salas-Wright, Augusto Pérez-Gómez, Mildred M Maldonado-Molina, Juliana Mejia-Trujillo, María Fernanda García, Melissa M Bates, Michael G Vaughn, Ivonne Calderón, Veronica G De Los Santos, Eric C Brown, Mariana Sanchez, Patricia Andrade, Seth J Schwartz
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引用次数: 0

Abstract

Background: Since 2015, ~ 8 million Venezuelans have fled what was once Latin America's most prosperous nation, with many relocating to nearby Colombia and others migrating to the United States (U.S.). Emerging research suggests that migration-related cultural stress is a challenge for Venezuelans and is related to an increased risk of mental health problems. However, it remains uncertain how cultural stress and mental health outcomes manifest over time and across countries.

Methods: We use independent sample t-tests to compare survey data from multiple studies of Venezuelan migrants in Bogotá and Medellín, Colombia, and the U.S. State of Florida. Data collected include self-report measures on discrimination, negative context of reception (NCR), and depression and post-traumatic stress disorder (PTSD) screening diagnoses, collected from distinct cross-national cohorts in 2017 (N = 638) and 2023-2024 (N = 1241).

Results: Self-reported NCR and discrimination were consistently higher among Venezuelan migrants in Colombia than among Venezuelans in Florida. Levels of cultural stress within countries were variable, with NCR decreasing across years in Florida and discrimination increasing in both Florida and Colombia. Many Venezuelan migrants reported symptoms of mental health problems, with half of the sample in Colombia (54-56%) and two-fifths of the sample in Florida (39-41%) screening positive for depression in 2017 and 2023-2024. Individuals exposed to higher levels of cultural stress were substantially more likely to screen positive for depression and PTSD.

Conclusions: This study is the first to examine cultural stress and mental health among Venezuelan migrants across national contexts and different stages of the still-unfolding international migration crisis.

委内瑞拉移民的文化压力与心理健康:2017 年至 2024 年的跨国证据。
背景:自 2015 年以来,约有 800 万委内瑞拉人逃离了这个曾经是拉丁美洲最繁荣的国家,其中许多人搬迁到了附近的哥伦比亚,还有一些人移民到了美国。新的研究表明,与移民相关的文化压力对委内瑞拉人来说是一个挑战,并且与心理健康问题风险的增加有关。然而,文化压力和心理健康结果如何随着时间的推移和国家的不同而表现出来,目前仍不确定:我们采用独立样本 t 检验法,比较了对哥伦比亚波哥大和麦德林以及美国佛罗里达州的委内瑞拉移民进行的多项研究的调查数据。所收集的数据包括关于歧视、负面接待环境(NCR)以及抑郁症和创伤后应激障碍(PTSD)筛查诊断的自我报告测量,这些数据分别收集自 2017 年(N = 638)和 2023-2024 年(N = 1241)的不同跨国队列:与佛罗里达州的委内瑞拉人相比,哥伦比亚的委内瑞拉移民自我报告的NCR和歧视程度一直较高。各国国内的文化压力水平各不相同,佛罗里达州的NCR逐年下降,而佛罗里达州和哥伦比亚的歧视则逐年上升。许多委内瑞拉移民报告了心理健康问题的症状,2017 年和 2023-2024 年,哥伦比亚一半的样本(54-56%)和佛罗里达五分之二的样本(39-41%)抑郁症筛查呈阳性。文化压力水平较高的人更有可能筛查出抑郁症和创伤后应激障碍:本研究首次考察了委内瑞拉移民在不同国家背景下以及在仍未结束的国际移民危机不同阶段的文化压力和心理健康情况。
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来源期刊
CiteScore
8.50
自引率
2.30%
发文量
184
审稿时长
3-6 weeks
期刊介绍: Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.
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