Rady Faculty of Health Sciences, College of Nursing, University of Manitoba, Winnipeg, MB, R3T 2N2, Canada.
Faculty of Nursing, University of New Brunswick, Fredericton, NB, E3B 5A3, Canada.
BMC Public Health. 2018 Mar 7;18(1):333. doi: 10.1186/s12889-018-5239-6.
African Immigrant and refugee youth represent an increasing group of newcomers in Canada. Upon their immigration, youth experience challenges that have the potential to lead to poor health, yet little is known about their settlement journey. Accordingly, this qualitative study examines the settlement journey of African immigrant and refugee youth with a focus on how their experiences were shaped by the social determinants of health.
We conducted a total of 70 interviews with 52 immigrant and refugee youth (ages 13-29 years) who had arrived in Canada in the preceding six years. Qualitative data was analyzed using Frank's dialogical narrative analysis approach (Frank AW, Practicing Dialogical Narrative Analysis. In: Varieties of Narrative Analysis, 2016).
Youth experienced different settlement journeys that are described in the three narrative typologies of chaos, quest, and restitution. The chaos narrative of a long road ahead revealed the themes of 'facing challenges' and 'still the outsider.' The quest narrative of not there yet was represented by the themes of 'stepping out of your comfort zone' and 'being relentless.' The theme of 'supportive environments' depicted the restitution narrative of dreams become a reality. Youth highlighted the impact of social determinants of health in their settlement.
Youth experienced different settlement journeys that were mired in chaos and challenges. However, youth were more likely to experience restitution when they received social support and found a sense of belonging. In future, policies and programs that seek to improve immigrant and refugee youth's settlement experiences need to be multifaceted, offer more support and promote a sense of belonging.
非洲移民和难民青年是加拿大新移民中日益增多的群体。他们移民后,面临着可能导致健康状况不佳的挑战,但人们对他们的定居历程知之甚少。因此,本定性研究考察了非洲移民和难民青年的定居历程,重点关注他们的经历如何受到健康的社会决定因素的影响。
我们总共对 52 名年龄在 13-29 岁之间的移民和难民青年(在过去六年中抵达加拿大)进行了 70 次访谈。使用弗兰克的对话叙事分析方法(弗兰克 AW,实践对话叙事分析。在:叙事分析的多种变体,2016)对定性数据进行了分析。
青年经历了不同的定居历程,这些历程在三种叙事类型中得到了描述,即混乱、探索和恢复。前方道路漫长的混乱叙事揭示了“面临挑战”和“仍然是局外人”的主题。尚未到达终点的探索叙事通过“走出舒适区”和“坚持不懈”的主题来体现。“支持性环境”的主题描绘了梦想成为现实的恢复叙事。青年强调了健康的社会决定因素对他们定居的影响。
青年经历了不同的定居历程,这些历程充满了混乱和挑战。然而,当青年获得社会支持并找到归属感时,他们更有可能经历恢复。未来,寻求改善移民和难民青年定居体验的政策和计划需要是多方面的,提供更多支持并促进归属感。