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Web End = J Immigrant Minority Health (2016) 18:740748 DOI 10.1007/s10903-015-0251-8
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Web End = Beyond Trauma: Post-resettlement Factors and Mental Health Outcomes Among Latino and Asian Refugees in the United States
Isok Kim1
Published online: 14 July 2015 Springer Science+Business Media New York 2015
Abstract War-related traumas impact refugees mental health. Recent literature suggests that structural and sociocultural factors related to the resettlement also become critical in shaping refugees mental health. So far, there is limited empirical evidence to support this claim among resettled refugees. Resettlement contextual factors that inuence mental health outcomes were examined using Latino and Asian refugees (n = 656) from a nationally representative survey. Linear and logistic regressions predicted factors associated with the studys outcomes (self-reported mental health, mood disorders, and anxiety disorders). Post-resettlement traumas were signicantly associated with mental health outcomes, but preresettlement traumas were not. Unemployment, everyday discrimination, and limited English were signicantly associated with mental health outcomes among both Latino and Asian refugees. The outcomes indicate that resettlement contextual factors have a signicant association with refugees mental health. Therefore, future studies with refugees must pay closer attention to structural and socio-cultural factors after resettlement.
Keywords Latinos Asians Refugees Trauma Social
determinants of mental health
Introduction
Many refugees and displaced persons who have been exposed to war and/or political violence are reported to be at much greater risk for developing mental health symptoms and disorders [15]. Refugees living in refugee camps have reported a high level of psychosomatic symptoms associated with major depression, anxiety, and PTSD [6, 7]. Systematic reviews suggest that refugees who have resettled in Western countries (such as the USA or Canada) are as much as ten times more likely to have developed post-traumatic stress disorders (PTSD) compared with the general population [1], and in relation to comparable immigrant/migrant groups [2, 3, 8]. Attending to the overall health and mental health concerns of refugees with war-related traumatic experiences is a human rights issue [9], which should receive a great deal of attention [10].
A growing body of literature points to...