Displacement and Mental Health Problems in Children and Adolescents of a Colombian Indigenous Population.

IF 2.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
International Journal of Public Health Pub Date : 2025-08-26 eCollection Date: 2025-01-01 DOI:10.3389/ijph.2025.1607782
Felipe Agudelo-Hernández, Laura Inés Plata-Casas, Eduardo Marulanda-López
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引用次数: 0

Abstract

Objectives: To explore the relationship between forced displacement and variables associated with mental health in an indigenous Colombian pediatric population.

Methods: A mixed methods design was applied with 69 children aged six to 16 years belonging to 45 families of the Embera Dobidá People: 25 displaced families and 20 non-displaced families. The qualitative phase involved focus groups, while the quantitative phase used a cross-sectional correlational design.

Results: Quantitative findings revealed statistically significant correlations (p < 0.001) between displacement and multiple mental health indicators, particularly emotional and behavioral problems. Food insecurity showed a moderate but meaningful effect, highlighting the impact of nutritional vulnerability on the emotional wellbeing of displaced children and adolescents. In the qualitative phase distinct themes emerged in each community: A territory that cannot be returned to, in Caldas, and The angry and dying territory, in Chocó.

Conclusion: For Indigenous communities in Colombia, mental health is closely tied nutritional sufficiency and a meaningful relationship with ancestral territory. These elements are disrupted by forced displacement, contributing to elevated suicidal risk and emotional distress among children and adolescents.

Abstract Image

哥伦比亚土著人口中儿童和青少年的流离失所和心理健康问题。
目的:探讨哥伦比亚土著儿童被迫流离失所与心理健康相关变量之间的关系。方法:采用混合方法设计,对Embera dobida地区45个家庭的69名6 - 16岁儿童进行研究,其中25个家庭为流离失所家庭,20个家庭为非流离失所家庭。定性阶段涉及焦点小组,而定量阶段使用横断面相关设计。结果:定量结果显示,流离失所与多种心理健康指标,特别是情绪和行为问题之间存在统计学上显著的相关性(p < 0.001)。粮食不安全表现出适度但有意义的影响,突出了营养脆弱性对流离失所儿童和青少年情绪健康的影响。在定性阶段,每个社区都出现了不同的主题:Caldas中无法返回的领土,Chocó中愤怒和垂死的领土。结论:对哥伦比亚土著社区来说,心理健康与营养充足和与祖先领土的有意义关系密切相关。这些因素因被迫流离失所而中断,导致儿童和青少年自杀风险上升和情绪困扰。
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来源期刊
International Journal of Public Health
International Journal of Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.20
自引率
2.20%
发文量
269
审稿时长
12 months
期刊介绍: The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.
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