Migration experiences, employment status and psychological distress among Somali immigrants: a mixed-method international study

<p>Abstract</p> <p>Background</p> <p>The discourse about mental health problems among migrants and refugees tends to focus on adverse pre-migration experiences; there is less investigation of the environmental conditions in which refugee migrants live, and the contrasts...

Full description

Bibliographic Details
Main Authors: Warfa Nasir, Curtis Sarah, Watters Charles, Carswell Ken, Ingleby David, Bhui Kamaldeep
Format: Article
Language:English
Published: BMC 2012-09-01
Series:BMC Public Health
Online Access:http://www.biomedcentral.com/1471-2458/12/749
_version_ 1818529382366445568
author Warfa Nasir
Curtis Sarah
Watters Charles
Carswell Ken
Ingleby David
Bhui Kamaldeep
author_facet Warfa Nasir
Curtis Sarah
Watters Charles
Carswell Ken
Ingleby David
Bhui Kamaldeep
author_sort Warfa Nasir
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>The discourse about mental health problems among migrants and refugees tends to focus on adverse pre-migration experiences; there is less investigation of the environmental conditions in which refugee migrants live, and the contrasts between these situations in different countries. This cross-national study of two samples of Somali refugees living in London (UK) and Minneapolis, Minnesota, (USA) helps to fill a gap in the literature, and is unusual in being able to compare information collected in the same way in two cities in different countries.</p> <p>Methods</p> <p>There were two parts to the study, focus groups to gather in-depth qualitative data and a survey of health status and quantifiable demographic and material factors. Three of the focus groups involved nineteen Somali professionals and five groups included twenty-eight lay Somalis who were living in London and Minneapolis. The quantitative survey was done with 189 Somali respondents, also living in London and Minneapolis. We used the MINI International Neuropsychiatric Interview (MINI) to assess ICD-10 and DSM-IV mental disorders.</p> <p>Results</p> <p>The overall qualitative and quantitative results suggested that challenges to masculinity, thwarted aspirations, devalued refugee identity, unemployment, legal uncertainties and longer duration of stay in the host country account for poor psychological well-being and psychiatric disorders among this group.</p> <p>Conclusion</p> <p>The use of a mixed-methods approach in this international study was essential since the quantitative and qualitative data provide different layers and depth of meaning and complement each other to provide a fuller picture of complex and multi-faceted life situations of refugees and asylum seekers. The comparison between the UK and US suggests that greater flexibility of access to labour markets for this refugee group might help to promote opportunities for better integration and mental well-being.</p>
first_indexed 2024-12-11T17:06:10Z
format Article
id doaj.art-18a48a972af648c4a88bb1a389c6e7e1
institution Directory Open Access Journal
issn 1471-2458
language English
last_indexed 2024-12-11T17:06:10Z
publishDate 2012-09-01
publisher BMC
record_format Article
series BMC Public Health
spelling doaj.art-18a48a972af648c4a88bb1a389c6e7e12022-12-22T00:57:40ZengBMCBMC Public Health1471-24582012-09-0112174910.1186/1471-2458-12-749Migration experiences, employment status and psychological distress among Somali immigrants: a mixed-method international studyWarfa NasirCurtis SarahWatters CharlesCarswell KenIngleby DavidBhui Kamaldeep<p>Abstract</p> <p>Background</p> <p>The discourse about mental health problems among migrants and refugees tends to focus on adverse pre-migration experiences; there is less investigation of the environmental conditions in which refugee migrants live, and the contrasts between these situations in different countries. This cross-national study of two samples of Somali refugees living in London (UK) and Minneapolis, Minnesota, (USA) helps to fill a gap in the literature, and is unusual in being able to compare information collected in the same way in two cities in different countries.</p> <p>Methods</p> <p>There were two parts to the study, focus groups to gather in-depth qualitative data and a survey of health status and quantifiable demographic and material factors. Three of the focus groups involved nineteen Somali professionals and five groups included twenty-eight lay Somalis who were living in London and Minneapolis. The quantitative survey was done with 189 Somali respondents, also living in London and Minneapolis. We used the MINI International Neuropsychiatric Interview (MINI) to assess ICD-10 and DSM-IV mental disorders.</p> <p>Results</p> <p>The overall qualitative and quantitative results suggested that challenges to masculinity, thwarted aspirations, devalued refugee identity, unemployment, legal uncertainties and longer duration of stay in the host country account for poor psychological well-being and psychiatric disorders among this group.</p> <p>Conclusion</p> <p>The use of a mixed-methods approach in this international study was essential since the quantitative and qualitative data provide different layers and depth of meaning and complement each other to provide a fuller picture of complex and multi-faceted life situations of refugees and asylum seekers. The comparison between the UK and US suggests that greater flexibility of access to labour markets for this refugee group might help to promote opportunities for better integration and mental well-being.</p>http://www.biomedcentral.com/1471-2458/12/749
spellingShingle Warfa Nasir
Curtis Sarah
Watters Charles
Carswell Ken
Ingleby David
Bhui Kamaldeep
Migration experiences, employment status and psychological distress among Somali immigrants: a mixed-method international study
BMC Public Health
title Migration experiences, employment status and psychological distress among Somali immigrants: a mixed-method international study
title_full Migration experiences, employment status and psychological distress among Somali immigrants: a mixed-method international study
title_fullStr Migration experiences, employment status and psychological distress among Somali immigrants: a mixed-method international study
title_full_unstemmed Migration experiences, employment status and psychological distress among Somali immigrants: a mixed-method international study
title_short Migration experiences, employment status and psychological distress among Somali immigrants: a mixed-method international study
title_sort migration experiences employment status and psychological distress among somali immigrants a mixed method international study
url http://www.biomedcentral.com/1471-2458/12/749
work_keys_str_mv AT warfanasir migrationexperiencesemploymentstatusandpsychologicaldistressamongsomaliimmigrantsamixedmethodinternationalstudy
AT curtissarah migrationexperiencesemploymentstatusandpsychologicaldistressamongsomaliimmigrantsamixedmethodinternationalstudy
AT watterscharles migrationexperiencesemploymentstatusandpsychologicaldistressamongsomaliimmigrantsamixedmethodinternationalstudy
AT carswellken migrationexperiencesemploymentstatusandpsychologicaldistressamongsomaliimmigrantsamixedmethodinternationalstudy
AT inglebydavid migrationexperiencesemploymentstatusandpsychologicaldistressamongsomaliimmigrantsamixedmethodinternationalstudy
AT bhuikamaldeep migrationexperiencesemploymentstatusandpsychologicaldistressamongsomaliimmigrantsamixedmethodinternationalstudy