Faculty of Medicine/Psychology, University of Helsinki, Helsinki, Finland.
National Institute for Health and Welfare, Helsinki, Finland.
Eur J Public Health. 2021 Jul 13;31(3):493-498. doi: 10.1093/eurpub/ckab037.
Most refugees and other forced migrants have experienced potentially traumatic events (PTEs). Torture and other traumatic experiences, as well as various daily stressors, impact the mental health and psychosocial well-being of war-affected populations.
The study includes two population-based samples of Iranian and Iraqi men living in Finland and Sweden. The Finnish Migrant Health and Well-being Study (Maamu) was conducted in 2010-2012. The Linköping study was conducted in Sweden in 2005. In both samples, health and well-being measures, social and economic outcomes as well as health service utilization were reported.
The final sample for analysis consisted of two groups of males of Iranian or Iraqi origin: 278 residents in Finland and 267 residents in Sweden. Both groups were subdivided according to the reported PTEs: Torture survivors; Other PTEs; No PTEs. Migrants that reported PTEs, torture survivors in particular, had significantly poorer social and health outcomes. Torture survivors also reported lower trust and confidence in authorities and public service providers, as well as more loneliness, social isolation and experiences of discrimination.
Torture and other PTEs prevalent in refugee and migrant populations create a wide-ranging and long-term impact in terms of increased risk of various types of adverse social and health conditions. Early identification through systematic and effective screening should be the first step in guiding migrants and refugees suffering from experiences of torture and other PTEs to flexible, multidisciplinary services.
大多数难民和其他被迫移民都经历过潜在的创伤性事件（PTEs）。酷刑和其他创伤经历以及各种日常压力源都会影响受战争影响人群的心理健康和社会福利。
该研究包括居住在芬兰和瑞典的伊朗和伊拉克男性的两个基于人群的样本。芬兰移民健康与幸福感研究（Maamu）于 2010-2012 年进行。Linköping 研究于 2005 年在瑞典进行。在这两个样本中，都报告了健康和幸福感指标、社会和经济结果以及卫生服务利用情况。
分析的最终样本包括两组伊朗或伊拉克裔男性：278 名居住在芬兰的居民和 267 名居住在瑞典的居民。根据报告的 PTEs 将这两个群体进行了细分：酷刑幸存者；其他 PTEs；无 PTEs。报告 PTEs 的移民，尤其是酷刑幸存者，社会和健康状况明显较差。酷刑幸存者还报告说，他们对当局和公共服务提供者的信任和信心较低，孤独感、社会隔离和歧视经历更多。
难民和移民群体中普遍存在的酷刑和其他 PTEs 会导致各种不良社会和健康状况的风险增加，从而产生广泛而长期的影响。通过系统有效的筛查进行早期识别应该是指导遭受酷刑和其他 PTEs 经历的移民和难民走向灵活、多学科服务的第一步。
