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The impact of COVID-19 stressors on refugee mental health and well-being in the context of sustained displacement
Journal article   Peer reviewed

The impact of COVID-19 stressors on refugee mental health and well-being in the context of sustained displacement

Joel Hoffman, Belinda J Liddell, David Keegan, Shraddha Kashyap, Anak Agung Istri Diah Tricesaria, Zico Pestalozzi, Rizka Argadianti, Randy W Nandyatama, Mitra Khakbaz, Nindita Nilasari, …
American journal of orthopsychiatry, Vol.93(2), pp.144-155
01/01/2023
Handle:
https://hdl.handle.net/20.500.14956/31
PMID: 36634011

Abstract

COVID-19 Humans Mental Health Pandemics Refugees - psychology Stress Disorders, Post-Traumatic - psychology
Refugees and asylum seekers in contexts of sustained displacement represent particularly vulnerable communities during the COVID-19 pandemic. The aim of this study was to identify profiles of COVID-19 stressors in refugees in a transit context (i.e., Indonesia) and examine the relationship between these profiles of stressors and mental health and well-being. Participants in this study included 913 refugees and asylum seekers living in Indonesia. The study was completed online in five languages (i.e., Arabic, Dari, Farsi, Somali, and English). A latent class analysis was implemented with 12 COVID-19 stressors representing indicator variables to identify profiles of COVID-19-related stressors experienced. Associations between COVID-19 classes and mental health (posttraumatic stress disorder, depression, anxiety) and well-being (physical and mental) outcomes were investigated. A five-class solution was identified as providing the best fit to the data as follows: (a) a high-COVID stressors class (18.1%), (b) a high access stressors class (13.2%), (c) an infection stressors class (22.7%), (d) a moderate access stressors class (23.1%), and (e) a low-COVID stressors class (22.8%). Membership of all classes reporting at least moderate levels of COVID-19 stressors was associated with greater mental health difficulties and lower physical and mental well-being than the low-COVID stressors class. Results indicated that the severity and type of stressors differed between groups suggesting heterogeneous experiences of the pandemic. Classes also differed according to contextual and social factors such as negative social support, language, and geographic area. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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