School of Behavioural and Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia.
Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Victoria, Australia.
Health Soc Care Community. 2022 May;30(3):888-898. doi: 10.1111/hsc.13595. Epub 2021 Oct 7.
Globally, the migration of unaccompanied minors is increasing, however, the experiences of these children have not been examined. We systematically synthesised the existing qualitative literature to examine the experiences of children undergoing forced separation from their parents during migration. The review was structured based on the PRISMA statement. A systematic search of Ovid MEDLINE, EMBASE, PsychINFO and Scopus databases from inception to November 23, 2020 was conducted to retrieve eligible studies. Only qualitative studies of children aged ≤18 years were reviewed. The data analysis and synthesis were informed by the intersectionality framework. The search yielded 10,956 studies of which eight were included in this review. Thematic analysis identified the following themes: unaccompanied minors experience a deep sense of loss; anxiety over the uncertainty of the migration process; difficulty adjusting to their new life in the host country and adverse health effects. These experiences were heightened by children's exposure to violence during migration. The intersectionality framework suggests that unaccompanied minors experience separation from their parents during migration in ways that marginalise them and widen inequalities. Migration processes need to be streamlined to provide integrated health, emotional, legal and educational supports for unaccompanied children with particular attention given to treating the trauma of past violence. More research is needed to explore how to facilitate the integration of unaccompanied children into host communities in ways that are healing and empowering.
全球范围内,孤身未成年人移民数量不断增加,但这些儿童的经历尚未得到研究。我们系统地综合了现有的定性文献,以研究在移民过程中被迫与父母分离的儿童的经历。本综述基于 PRISMA 声明进行构建。我们对 Ovid MEDLINE、EMBASE、PsychINFO 和 Scopus 数据库进行了系统检索,检索时间从建库到 2020 年 11 月 23 日,以获取符合条件的研究。仅对年龄≤18 岁的儿童进行了定性研究的综述。数据的分析和综合受到交叉性框架的启发。检索共得到 10956 项研究,其中 8 项研究被纳入本综述。主题分析确定了以下主题:孤身未成年人经历了深深的失落感;对移民过程不确定性的焦虑;难以适应在东道国的新生活和不良的健康影响。这些经历因儿童在移民过程中遭受暴力而加剧。交叉性框架表明,孤身未成年人在移民过程中经历了使他们处于边缘地位和扩大不平等的与父母分离。移民流程需要简化,为孤身未成年人提供综合的健康、情感、法律和教育支持,特别要注意治疗过去暴力造成的创伤。需要进一步研究如何以促进孤身未成年人融入收容社区的方式进行,这种方式要具有治愈和赋权作用。