Griffin Jennifer, Soskolne Varda
6001 W. Mary Ct. Visalia, CA 93277, USA.
Soc Sci Med. 2003 Sep;57(5):769-74. doi: 10.1016/s0277-9536(02)00447-1.
The purpose of this cross-sectional study was to examine the associations between migration stressors and psychological distress among Thai migrant agricultural workers in Israel, and to examine the direct and indirect contribution of socio-cultural variables to this relationship. Two hundred and twenty-one Thai male workers were interviewed using a structured questionnaire that included demographic variables and occupational exposures to organophosphate pesticides (as control variables), migration stressors, intervening variables (traditional health beliefs, social support, drinking behavior, and utilization of medical services), and a psychological distress scale. In multivariate analysis, migration stressors, the migrants' traditional health beliefs, quality of current social relationships, drinking behavior, as well as age and occupational exposure were significantly associated with psychological distress. Workers who reported higher migration stressors (perceived the migration to be difficult, and often felt homesick), those with higher levels of traditional health beliefs, those whose social relationships with other Thai co-workers were poor, those who consumed either no alcohol or large amounts of alcohol, and those who reported 'problem drinking' had significantly higher levels of psychological distress. A moderating effect of the quality of social relationships with co-workers on the association between homesickness and psychological distress was found. Additionally, migrants aged 28-34 and those who were experiencing eye irritation from chemicals at work had significantly increased levels of distress. The findings demonstrate the focal role of specific migration stressors and the current socio-cultural context on psychological distress of migrant workers.
这项横断面研究的目的是调查以色列泰国农业移民工人的迁移压力源与心理困扰之间的关联，并研究社会文化变量对这种关系的直接和间接影响。使用结构化问卷对221名泰国男性工人进行了访谈，问卷内容包括人口统计学变量和有机磷农药职业暴露（作为对照变量）、迁移压力源、干预变量（传统健康观念、社会支持、饮酒行为和医疗服务利用情况）以及心理困扰量表。在多变量分析中，迁移压力源、移民的传统健康观念、当前社会关系质量、饮酒行为以及年龄和职业暴露与心理困扰显著相关。报告迁移压力源较高（认为迁移困难且经常想家）的工人、传统健康观念水平较高的工人、与其他泰国同事社会关系较差的工人、不饮酒或大量饮酒的工人以及报告有“问题饮酒”的工人，其心理困扰水平显著更高。研究发现与同事的社会关系质量对思乡与心理困扰之间的关联有调节作用。此外，年龄在28 - 34岁之间以及工作中眼睛受到化学品刺激的移民，其困扰水平显著增加。研究结果表明特定迁移压力源和当前社会文化背景对移民工人心理困扰的关键作用。
