Këllezi Blerina, Wakefield Juliet, Bowe Mhairi, Stevenson Clifford, McNamara Niamh
Social and Trauma Psychology, School of Psychology, Nottingham Trent University, Nottingham, UK.
Social Psychology, School of Psychology, Nottingham Trent University, Nottingham, UK.
Appl Psychol Health Well Being. 2021 Aug;13(3):578-601. doi: 10.1111/aphw.12263. Epub 2021 Mar 23.
The stressors of immigration detention and negative host country experiences make effective access to health care vital for migrant detainees, but little is known regarding the health experiences of this populations and the barriers to healthcare access. The present research investigates immigration detainees' experiences of health-related help-seeking in the distressing and stigmatised environment of UK immigration removal centres (IRCs), as well as staff members' experiences of providing help. Semi-structured interviews were conducted with 40 detainees and 21 staff and analysed using theoretical thematic analysis guided by the social identity approach. The findings indicate that the practical constraints on help provision (e.g. lack of time and resources, the unpredictable nature of detention) are exacerbated by the complex and conflictual intergroup relationships within which these helping transactions occur. These transactions are negatively affected by stigma, mutual distrust and reputation management concerns, as well as detainees' feelings of powerlessness and confusion around eligibility to receive health care. Some detainees argued that the help ignores the systematic inequalities associated with their detainee status, thereby making it fundamentally inappropriate and ineffective. The intergroup context (of inequality and illegitimacy) shapes the quality of helping transactions, care experiences and health service engagement in groups experiencing chronic low status, distress and uncertainty.
移民拘留的压力源和在东道国的负面经历使得获得有效的医疗保健对被拘留移民至关重要，但对于这一群体的健康经历以及获得医疗保健的障碍却知之甚少。本研究调查了在英国移民遣返中心（IRC）令人痛苦且受污名化的环境中，被拘留移民寻求与健康相关帮助的经历，以及工作人员提供帮助的经历。对40名被拘留者和21名工作人员进行了半结构化访谈，并采用社会认同方法指导下的理论主题分析进行分析。研究结果表明，提供帮助的实际限制（如时间和资源短缺、拘留的不可预测性）因这些帮助行为发生时复杂且冲突的群体间关系而加剧。这些行为受到污名、相互不信任和声誉管理问题的负面影响，以及被拘留者在获得医疗保健资格方面的无助感和困惑。一些被拘留者认为，这种帮助忽视了与其被拘留身份相关的系统性不平等，从而从根本上说是不适当和无效的。（不平等和非法性的）群体间背景塑造了处于长期低地位、痛苦和不确定性群体中帮助行为的质量、护理体验和医疗服务参与情况。
