Dhagan Celis (Cultural Rehabilitation): Somali Canadians Transnational Approach to Youth Substance Use.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Racial and Ethnic Health Disparities Pub Date : 2024-12-01 Epub Date: 2023-11-07 DOI:10.1007/s40615-023-01843-8

Mohamed Ibrahim

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引用次数: 0

Abstract

Background: Evidence suggests that some Somali youth who settled in Canada struggle with substance use problems, yet research remains limited in understanding the Somali community's experiences and struggles in supporting their youth affected by substance use.

Objective: This study aims to contribute important knowledge in understanding substance use among Somali Canadian youth and access to treatments in Canada and the transnational cultural healing services available in East Africa.

Methods: Qualitative interviews (n = 37) were conducted in a metropolitan Canadian city and Nairobi, Kenya, from May 2016 to May 2017. In addition, a field study (n = 4) of rehabilitation centers in Kenya was carried out.

Results: Through thematic analysis, five main themes were identified: (i) discrimination and racism in the school environment, (ii) emotional pain and self-medication, (iii) low literacy on substance use and treatment in the Canadian context, (iv) stigma, and (v) dhagan celis (cultural rehabilitation) in transnational setting.

Conclusions: The study provides evidence of the need to address substance use and trauma among refugee youth in the post-resettlement context especially as Canada currently deals with a significant public health crisis in the form of opioid overdose and substance use.

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Dhagan Celis（文化康复）：索马里裔加拿大人对青少年药物使用的跨国方法。

背景：有证据表明，一些在加拿大定居的索马里青年正在与药物使用问题作斗争，但研究在了解索马里社区在支持受药物使用影响的青年方面的经验和斗争方面仍然有限。目的：本研究旨在为了解索马里裔加拿大青年的药物使用、在加拿大获得治疗以及东非提供的跨国文化治疗服务提供重要知识。方法：定性访谈（n = 37）于2016年5月至2017年5月在加拿大大都市和肯尼亚内罗毕进行。此外，一项实地研究（n = 4）对肯尼亚的康复中心进行了评估。结果：通过主题分析，确定了五个主要主题：（i）学校环境中的歧视和种族主义，（ii）情绪痛苦和自我治疗，（iii）加拿大背景下对药物使用和治疗的低识字率，（iv）污名化，以及（v）跨国环境中的dhagan celis（文化康复）。结论：该研究提供了证据，证明有必要在重新安置后的背景下解决难民青年的药物使用和创伤问题，特别是在加拿大目前正面临阿片类药物过量和药物使用形式的重大公共卫生危机之际。

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

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.