心理健康和结构性不公正:对肯尼亚内罗毕流离失所人口中相互关联的不利模式的定性调查。

IF 3.1 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
D B Nieuwe Weme, M M Wanga, P B Mastaki, J Osur, W A Tol
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引用次数: 0

摘要

背景:城市难民面临着严重影响其心理健康和整体福祉的系统性劣势。关于难民心理健康的研究往往孤立地审查风险因素,而忽视了更广泛的系统模式。本研究采用结构性不公正框架来调查相互关联的不利因素如何影响城市难民的心理健康。方法:一项为期13个月的研究调查了内罗毕索马里和刚果难民的福祉,采用民族志方法,包括69次深度访谈,实地记录和观察。研究结果用鲍尔斯和法登的结构性不公正理论来解释。结果:分析揭示了移民身份、性暴力和基于性别的暴力以及有限的谋生途径之间的系统性模式。这些相互关联的因素影响着鲍尔斯和法登确定的所有六个幸福要素,并表现出结构性不公正的理论特征:普遍、深刻、不对称和几乎不可避免。讨论:该研究强调了内罗毕城市难民面临的挑战的结构性,强调了解决相互关联的系统性障碍的必要性。了解这些模式对于确定有效的干预措施和减轻难民心理健康和整体福祉的风险至关重要。结论:本研究中使用的理论为城市难民生活环境的相互联系性质提供了新的视角。这种对幸福的整体方法为特定社会群体的脆弱性提供了清晰的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mental health and structural injustice: a qualitative investigation of interlocking patterns of disadvantage among displaced populations in Nairobi, Kenya.

Background: Urban refugees face systemic disadvantages that significantly impact their mental health and overall wellbeing. Research on refugee mental health often examines risk factors in isolation, overlooking broader systemic patterns. This study applies a structural injustice framework to investigate how interconnected disadvantages shape the mental health of urban refugees.

Methods: A thirteen-month study examined the wellbeing of Somali and Congolese refugees in Nairobi, employing ethnographic methods, including 69 in-depth interviews, field notes, and observations. Findings were interpreted using Powers and Faden's structural injustice theory.

Results: Analysis revealed a systemic pattern linking immigration status, sexual and gender-based violence, and limited access to livelihoods. These interconnected factors impact all six elements of wellbeing identified by Powers and Faden and exhibit the theorized characteristics of structural injustice: pervasive, profound, asymmetric, and near-inescapable.

Discussion: The study highlights the structural nature of challenges faced by urban refugees in Nairobi, emphasizing the need to address interconnected systemic barriers. Understanding these patterns is essential for identifying effective interventions and mitigating risks to refugee mental health and overall wellbeing.

Conclusion: The theory as used in this study sheds new light on the interconnected nature of the environment urban refugees live in. This holistic approach to wellbeing provides clarity on vulnerabilities related to specific social groups.

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来源期刊
Conflict and Health
Conflict and Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.10
自引率
5.60%
发文量
57
审稿时长
18 weeks
期刊介绍: Conflict and Health is a highly-accessed, open access journal providing a global platform to disseminate insightful and impactful studies documenting the public health impacts and responses related to armed conflict, humanitarian crises, and forced migration.
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