a Department of Epidemiology & Biostatistics and Office for the Study of Aging , Arnold School of Public Health, University of South Carolina , Columbia , SC , USA.
b Global Health and Tropical Medicine, GHTM , Instituto de Higiene e Medicina Tropical, IHMT, Universidade Nova de Lisboa , Lisboa , Portugal.
Ethn Health. 2018 Jan;23(1):81-96. doi: 10.1080/13557858.2016.1246421. Epub 2016 Oct 24.
This study aims at examining how factors relating to immigrants' experience in the host country affect psychological distress (PD). Specifically, we analyzed the association among socio-economic status (SES), integration in the labor market, specific immigration experience characteristics, and PD in a multi-ethnic sample of immigrant individuals residing in Lisbon, Portugal.
Using a sample (n = 1375) consisting of all main immigrant groups residing in Portugal's metropolitan area of Lisbon, we estimated multivariable linear regression models of PD regressed on selected sets of socio-economic independent variables. A psychological distress scale was constructed based on five items (feeling physically tired, feeling psychologically tired, feeling happy, feeling full of energy, and feeling lonely).
Variables associated with a decrease in PD are being a male (demographic), being satisfied with their income level (SES), living with the core family and having higher number of children (social isolation), planning to remain for longer periods of time in Portugal (migration project), and whether respondents considered themselves to be in good health condition (subjective health status). Study variables negatively associated with immigrants' PD were job insecurity (labor market), and the perception that health professionals were not willing to understand immigrants during a clinical interaction.
The study findings emphasized the importance of labor market integration and access to good quality jobs for immigrants' psychological well-being, as well as the existence of family ties in the host country, intention to reside long term in the host country, and high subjective (physical) health. Our research suggests the need to foster cross-national studies of immigrant populations in order to understand the social mechanisms that transverse all migrant groups and contribute to lower psychological well-being.
本研究旨在探讨与移民在东道国的经历相关的因素如何影响心理困扰(PD)。具体而言,我们分析了社会经济地位(SES)、劳动力市场融入、特定移民经历特征与居住在葡萄牙里斯本的多民族移民个体 PD 之间的关联。
使用居住在葡萄牙里斯本大都市区的所有主要移民群体的样本(n=1375),我们估计了 PD 多变量线性回归模型,回归变量为选定的 SES 独立变量组。基于五个项目(身体疲劳感、心理疲劳感、幸福感、精力充沛感和孤独感)构建了 PD 量表。
与 PD 降低相关的变量包括男性(人口统计学)、对收入水平满意(SES)、与核心家庭一起生活和有更多孩子(社会隔离)、计划在葡萄牙长期居住(移民计划)以及受访者认为自己健康状况良好(主观健康状况)。与移民 PD 呈负相关的研究变量是工作不稳定(劳动力市场)以及医疗保健专业人员在临床互动中不愿理解移民的看法。
研究结果强调了劳动力市场融入和获得高质量工作对于移民心理健康的重要性,以及在东道国存在家庭关系、长期居住在东道国的意图以及较高的主观(身体)健康状况的重要性。我们的研究表明,需要促进对移民群体的跨国研究,以了解跨越所有移民群体并导致较低心理幸福感的社会机制。