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难民背景女性在澳大利亚定居后寻求专业心理健康支持:促进因素和障碍的探索性研究。

Professional mental health support seeking in Women of Refugee Background resettled in Australia: An exploratory study of facilitators and barriers.

机构信息

College of Health and Human Sciences, Charles Darwin University, Darwin, Northern Territory, Australia.

School of Medicine (Psychology), University of Tasmania, Hobart, Tasmania, Australia.

出版信息

Health Soc Care Community. 2021 Nov;29(6):e440-e456. doi: 10.1111/hsc.13370. Epub 2021 Apr 2.

Abstract

The present study is the first to investigate factors influencing professional mental health support seeking in Women of Refugee Background (WoRB) in Australia. WoRB are a vulnerable population with a range of complex mental health needs. Despite this, research has indicated that WoRB are an underrepresented population in the utilisation of mental health support services. This is a particular concern in Australia, due to an increasing number of WoRB being resettled. A multivariate logistical regression was conducted on a sample of 450 WoRB resettled in Australia from the Building a New Life in Australia (BNLA) data set to investigate factors associated with seeking professional mental health support. Several factors were identified as being significantly associated with professional mental health support seeking in WoRB resettled in Australia, including age, resettlement location, marital status, prearrival trauma involving violence against women, language barriers and health-related variables, including mental distress and long-term disability. The current study provides a unique insight into professional mental health support seeking from a gendered perspective in WoRB resettled in Australia. Insights into factors that influence seeking professional mental health support in this highly vulnerable population must inform mental health practice, service delivery and policies.

摘要

本研究首次调查了影响澳大利亚难民背景女性(WoRB)寻求专业心理健康支持的因素。WoRB 是一个弱势群体,有一系列复杂的心理健康需求。尽管如此,研究表明,WoRB 在利用心理健康支持服务方面的代表性不足。在澳大利亚,这是一个特别令人关注的问题,因为越来越多的 WoRB 被重新安置。对来自澳大利亚“在澳大利亚建立新生活”(BNLA)数据集的 450 名 WoRB 进行了多元逻辑回归分析,以调查与寻求专业心理健康支持相关的因素。确定了几个因素与澳大利亚 WoRB 寻求专业心理健康支持显著相关,包括年龄、重新安置地点、婚姻状况、涉及针对妇女暴力的抵达前创伤、语言障碍以及与心理健康相关的变量,包括精神困扰和长期残疾。本研究从性别角度为澳大利亚 WoRB 寻求专业心理健康支持提供了独特的见解。了解影响这一高度脆弱群体寻求专业心理健康支持的因素,必须为心理健康实践、服务提供和政策提供信息。

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