在澳大利亚重新定居的人道主义移民中的性别差异和创伤后应激障碍以及心理压力的增加:社会经济因素的调节作用。

IF 5.9 2区 医学 Q1 PSYCHIATRY
Demelash Woldeyohannes Handiso, Jacqueline A Boyle, Eldho Paul, Frances Shawyer, Joanne C Enticott
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引用次数: 0

摘要

目的:人道主义移民罹患创伤后应激障碍(PTSD)和心理困扰的风险较高。然而,男性和女性通常会报告不同程度的压力,并在迁移过程中经历不同的挑战。虽然已有研究探讨了创伤后应激障碍、心理困扰、性别和重新安置压力因素,但尚未探讨这些因素之间的相互作用。本研究旨在通过调查澳大利亚人道主义移民中创伤后应激障碍和心理困扰的性别差异,重点研究社会经济因素的调节作用,从而弥补这一空白:本研究使用了 "在澳大利亚建设新生活"(BNLA)调查的五次波次数据,该调查是对2013年抵达澳大利亚的2399名人道主义移民进行的一项纵向研究。创伤后应激障碍和心理困扰分别使用创伤后应激障碍-8量表和凯斯勒-6(K6)量表进行测量。我们按性别进行了广义线性混合效应逻辑回归分析:结果:在澳大利亚定居五年期间,女性人道主义移民的创伤后应激障碍和心理困扰发生率明显高于男性。与男性相比,面临经济困难、失业或居住在短期住房中的女性报告的创伤后应激障碍和心理困扰程度更高:结论:面临经济困难、住房不足和失业的女性表现出更高的创伤后应激障碍和心理困扰率,凸显了社会经济因素的重大影响。在个人和系统层面应对这些挑战对于促进女性人道主义移民的福祉和心理健康管理至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Gender disparity and post-traumatic stress disorder and elevated psychological distress in humanitarian migrants resettled in Australia: the moderating role of socioeconomic factors.

Aims: Humanitarian migrants are at increased risk of post-traumatic stress disorder (PTSD) and elevated psychological distress. However, men and women often report varying degrees of stress and experience different challenges during migration. While studies have explored PTSD, psychological distress, gender, and resettlement stressors, they have not explored the interplay between these factors. This study aims to address that gap by investigating gender disparities in PTSD and psychological distress among humanitarian migrants in Australia, with a focus on the moderating role of socioeconomic factors.

Methods: This study used data from five waves of the Building a New Life in Australia (BNLA) survey, a longitudinal study of 2,399 humanitarian migrants who arrived in Australia in 2013. PTSD and psychological distress were measured using the PTSD-8 and Kessler-6 (K6) scales, respectively. We conducted generalised linear mixed-effect logistic regression analyses stratified by gender.

Results: Female humanitarian migrants exhibited a significantly higher prevalence of PTSD and psychological distress than males over five years of resettlement in Australia. Women facing financial hardship, unemployment, or residing in short-term housing reported greater levels of PTSD and distress compared to men.

Conclusions: Women facing financial hardship, inadequate housing, and unemployment exhibit higher rates of PTSD and psychological distress, underscoring the significant impact of socioeconomic factors. Addressing these challenges at both individual and systemic levels is essential for promoting well-being and managing mental health among female humanitarian migrants.

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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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