Sending-country violence and receiving-country discrimination: effects on the health of Colombian refugees in Ecuador.

Sending-country violence and receiving-country discrimination: effects on the health of Colombian refugees in Ecuador.
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DOI:
10.1007/s10903-013-9777-9
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发表时间:
2014-02
影响因子:
1.9
通讯作者:
Betancourt, Oscar
Betancourt, Oscar
中科院分区:
医学4区
文献类型:
--
作者:
Shedlin, Michele G.;Decena, Carlos U.;Noboa, Hugo;Betancourt, Oscar

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这项研究探讨了影响厄瓜多尔最近来自哥伦比亚的难民的健康和福祉的因素。数据收集的重点是在一个新的环境中,原籍国的暴力和结构性暴力如何影响移民的健康脆弱性和危险行为。定性方法包括人种学观察,媒体内容分析,焦点小组,和个别访谈难民(N=137)。重点小组(5个)提供了性工作者、吸毒者、男女难民和服务提供者对研究领域的看法。社会和经济边缘化正在影响这一不断增长的难民人口的健康和福祉。数据表明,耻辱和歧视如何影响粮食和住房保障、就业和保健服务,并在新的接收环境中形成脆弱性和健康风险。厄瓜多尔普遍存在的歧视反映了人们对哥伦比亚难民的恐惧、误解和成见。对这些流离失所者来说,暴力的后遗症,加上生存需要以及缺乏支持和保护,给健康和福祉带来了新的风险。
This study explored factors affecting the health and well being of recent refugees from Colombia in Ecuador. Data collection focused on how sending-country violence and structural violence in a new environment affect immigrant health vulnerability and risk behaviors. A qualitative approach included ethnographic observation, media content analysis, focus groups, and individual interviews with refugees (N=137). The focus groups (5) provided perspectives on the research domains by sex workers; drug users; male and female refugees; and service providers. Social and economic marginalization are impacting the health and well being of this growing refugee population. Data illustrate how stigma and discrimination affect food and housing security, employment and health services, and shape vulnerabilities and health risks in a new receiving environment. Widespread discrimination in Ecuador reflects fears, misunderstanding, and stereotypes about Colombian refugees. For this displaced population, the sequelae of violence, combined with survival needs and lack of support and protections, shape new risks to health and well-being.
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