Unemployment in Iraqi refugees: The interaction of pre and post-displacement trauma.
Unemployment in Iraqi refugees: The interaction of pre and post-displacement trauma.
复制标题
伊拉克难民的失业：流离失所前和流离失所后创伤的相互作用。
DOI：
10.1111/sjop.12320
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发表时间：
2016
影响因子：
2.1
通讯作者：
Arnetz,BengtB
中科院分区：
文献类型：
--
作者：
Wright,AMichelle;Dhalimi,Abir;Lumley,MarkA;Jamil,Hikmet;Pole,Nnamdi;Arnetz,JudithE;Arnetz,BengtB
以前的难民研究无法将流离失所前的创伤与东道国的失业联系起来。目前的研究评估了流离失所前创伤，流离失所后创伤的作用，以及两种创伤类型的相互作用，以前瞻性地检查新抵达伊拉克难民随机样本的失业情况。参与者（N = 286）在抵达后的头两年接受了三次采访。对难民进行了流离失所前创伤暴露、流离失所后创伤暴露、原籍国和东道国失业史以及创伤后应激障碍（PTSD）和抑郁症症状的评估。分析发现，无论是置换前还是置换后创伤都不能独立预测到达后2年的失业;然而，置换前和置换后创伤的相互作用预测了2年的失业。流离失所前和流离失所后创伤水平高的难民有91%的预测失业概率，而两种创伤水平低的难民有20%的预测失业概率。这种相互作用仍然显着控制后，抵达美国的社会人口变量和心理健康。重新安置机构和社区组织应考虑难民在逃离原籍国的艰苦生活后遭遇额外创伤的相互影响。
Previous refugee research has been unable to link pre‐displacement trauma with unemployment in the host country. The current study assessed the role of pre‐displacement trauma, post‐displacement trauma, and the interaction of both trauma types to prospectively examine unemployment in a random sample of newly‐arrived Iraqi refugees. Participants (N = 286) were interviewed three times over the first two years post‐arrival. Refugees were assessed for pre‐displacement trauma exposure, post‐displacement trauma exposure, a history of unemployment in the country of origin and host country, and symptoms of posttraumatic stress disorder (PTSD) and depression. Analyses found that neither pre‐displacement nor post‐displacement trauma independently predicted unemployment 2 years post‐arrival; however, the interaction of pre and post‐displacement trauma predicted 2‐year unemployment. Refugees with high levels of both pre and post‐displacement trauma had a 91% predicted probability of unemployment, whereas those with low levels of both traumas had a 20% predicted probability. This interaction remained significant after controlling for sociodemographic variables and mental health upon arrival to the US. Resettlement agencies and community organizations should consider the interactive effect of encountering additional trauma after escaping the hardships of the refugee's country of origin.