Yun Katherine, Mohamad Zeinab, Kiss Ligia, Annamalai Aniyizhai, Zimmerman Cathy
PolicyLab, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Healthcare Analytics Unit, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
J Immigr Minor Health. 2016 Feb;18(1):263-9. doi: 10.1007/s10903-015-0176-2.
Our goal was to describe the forms of persecution reported by adult refugees in the U.S. and the relationships between persecution and health status among this population. Data were derived from the 2003 New Immigrant Survey, a representative sample of new U.S. lawful permanent residents. Major depression, impairment in daily activities due to pain, poor self-reported health, and declining health were described for refugees who had and had not reported persecution prior to arrival in the U.S. Health status was also examined for refugees who reported different forms of persecution. Half of refugees (46.7 %) in this sample reported that they or an immediate family member had been persecuted. One in three persecuted refugees (31.8 %) reported both incarceration and physical punishment. Major depression, pain-related impairment, poor health, and declining health were twice as common among persecuted refugees than among non persecuted refugees. Notably, despite these adverse experiences, the majority of persecuted refugees did not report poor health outcomes.
我们的目标是描述美国成年难民所报告的迫害形式，以及这一群体中迫害与健康状况之间的关系。数据来自2003年新移民调查，这是美国新合法永久居民的一个代表性样本。我们描述了在抵达美国之前报告过和未报告过受迫害经历的难民的重度抑郁症、因疼痛导致的日常活动受损、自我报告的健康状况不佳以及健康状况下降的情况。我们还对报告了不同形式迫害的难民的健康状况进行了检查。在这个样本中，一半的难民（46.7%）报告称他们自己或直系亲属曾遭受迫害。三分之一受迫害的难民（31.8%）报告既被监禁又遭受体罚。受迫害的难民中出现重度抑郁症、与疼痛相关的功能受损、健康状况不佳以及健康状况下降的情况是非受迫害难民的两倍。值得注意的是，尽管有这些不良经历，但大多数受迫害的难民并未报告健康状况不佳的结果。
