Predictors of Quality of Life Among Refugees Aging Out-of-place.

Background and objectives:  Refugees face unique migration challenges resulting from life threatening situations which compel them to migrate and often result in psychological distress experienced before, and during migration. Because of this, the experience of aging out-of-place may be particularly challenging for refugees and may compromise their ability to adapt to new countries. However, minimal research exists on the experiences of aging refugees who entered the country as adults. Little is known about predictors of quality of life among aging refugees. The present study investigates the direct associations between sociodemographic factors, social connection, and quality of life among aging refugees. Research Design and Methods. A total of 108 refugees ages 50 years and above from Bhutan, Burundi, and Somalia from an upper Midwestern region of the US completed an in-depth survey assessing well-being and social connection. Results. Hierarchical regression indicated that refugees from Africa (i.e., Burundi and Somalia), reported lower quality of life compared to refugees from Bhutan. Older individuals and females reported lower quality of life. However, quality of life was not associated with marital status and length of residence. In terms of social connection, greater social integration and lower loneliness were significantly associated with higher quality of life. Discussion and Implications. This study highlights unique findings for aging refugees, including cultural variations within refugee groups. Implications suggest distinct considerations for best supporting aging refugees' well-being.