Exploring the mental health and psychosocial problems of Congolese refugees living in refugee settings in Rwanda and Uganda: a rapid qualitative study.
Exploring the mental health and psychosocial problems of Congolese refugees living in refugee settings in Rwanda and Uganda: a rapid qualitative study.
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探索生活在卢旺达和乌干达难民环境中的刚果难民的心理健康和心理社会问题：快速定性研究。
DOI：
10.1186/s13031-020-00323-8
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发表时间：
2020-11-16
影响因子：
3.6
通讯作者：
White RG
中科院分区：
文献类型：
--
作者：
Chiumento A;Rutayisire T;Sarabwe E;Hasan MT;Kasujja R;Nabirinde R;Mugarura J;Kagabo DM;Bangirana P;Jansen S;Ventevogel P;Robinson J;White RG
逃离冲突的难民由于在原籍国、流离失所期间和新的收容环境中的经历，往往精神健康状况不佳。难民营和定居点的条件，以及难民生活的更广泛的社会政治和经济背景，创造了结构性条件，加剧了以往逆境的影响。心理健康和社会心理支助服务必须立足于难民的生活现实，解决与他们有关的问题，以解决难民面临的日常压力和逆境。我们在2019年3月至5月期间进行了一项快速定性研究，以了解生活在乌干达和卢旺达两个难民环境中的刚果难民所面临问题的当地优先顺序。在每种情况下进行了30次自由名单访谈，随后在乌干达和卢旺达分别进行了11次和12次关键线人访谈。所有访谈的结果都由国内研究小组在演绎过程之后进行了专题分析。自由名单访谈的结果突出了基本需求的优先问题，如食物，住所和医疗保健的获得;以及相关的社会问题，包括歧视/不平等和缺乏性别平等。在与主要信息提供者的访谈中探讨的与精神和心理健康有关的优先问题包括歧视和不平等;酗酒和滥用药物;暴力和基于性别的暴力。我们的研究结果与心理健康和社会心理健康的模型产生了强烈的共鸣，这些模型强调了它们的社会决定性和背景嵌入性。具体而言，调查结果突出了难民生活的结构性条件，例如难民营空间的实际组织或通过限制工作或接受教育的权利而使人蒙受耻辱的难民政策。这种结构性环境可能导致家庭和社区一级的社会关系破裂，从而引起歧视/不平等和基于性别的暴力。因此，我们的研究结果预示，生活在由歧视，不平等和暴力经历造成的普遍逆境中的一个后果是心理健康和心理社会健康状况不佳。这种认识加强了可行和可接受的干预方法的相关性，这些方法旨在加强家庭和社区一级的社会关系，利用现有的社区资源，促进这些环境中刚果难民的积极心理健康和心理社会福祉。
Refugees fleeing conflict often experience poor mental health due to experiences in their country of origin, during displacement, and in new host environments. Conditions in refugee camps and settlements, and the wider socio-political and economic context of refugees’ lives, create structural conditions that compound the effects of previous adversity. Mental health and psychosocial support services must address the daily stressors and adversities refugees face by being grounded in the lived reality of refugee’s lives and addressing issues relevant to them. We undertook a rapid qualitative study between March and May 2019 to understand the local prioritisation of problems facing Congolese refugees living in two refugee settings in Uganda and Rwanda. Thirty free list interviews were conducted in each setting, followed by 11 key informant interviews in Uganda and 12 in Rwanda. Results from all interviews were thematically analysed following a deductive process by the in-country research teams. Free list interview findings highlight priority problems of basic needs such as food, shelter, and healthcare access; alongside contextual social problems including discrimination/inequity and a lack of gender equality. Priority problems relating to mental and psychosocial health explored in key informant interviews include discrimination and inequity; alcohol and substance abuse; and violence and gender-based violence. Our findings strongly resonate with models of mental health and psychosocial wellbeing that emphasise their socially determined and contextually embedded nature. Specifically, findings foreground the structural conditions of refugees’ lives such as the physical organisation of camp spaces or refugee policies that are stigmatising through restricting the right to work or pursue education. This structural environment can lead to disruptions in social relationships at the familial and community levels, giving rise to discrimination/inequity and gender-based violence. Therefore, our findings foreground that one consequence of living in situations of pervasive adversity caused by experiences of discrimination, inequity, and violence is poor mental health and psychosocial wellbeing. This understanding reinforces the relevance of feasible and acceptable intervention approaches that aim to strengthening familial and community-level social relationships, building upon existing community resources to promote positive mental health and psychosocial wellbeing among Congolese refugees in these settings.
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影响因子：
5.4
作者：
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通讯作者：
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