School of Public Health, Bielefeld University, 33501 Bielefeld, Germany.
Institute of Medical Biometry and Epidemiology, University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany.
Int J Environ Res Public Health. 2021 Nov 8;18(21):11722. doi: 10.3390/ijerph182111722.
Little is known about social determinants among refugees resettled in Germany. This study aims to examine the impact of family separation on refugees' subjective time pressure and mental health. Data come from the FlueGe Health Study ( = 208), a cross-sectional study administered by Bielefeld University. We used logistic regression analysis to investigate the effect of family separation on (i) being time-stressed and (ii) having a high risk for adverse mental health, considering sociodemographic and postmigration factors. As a result, more than 30% of participants with a spouse or partner and about 18% with a child or children reported separation. Multiple logistic regression showed that family separation was not associated with being time-stressed, but separation from at least one child was associated with adverse mental health (OR = 3.53, 95% CI = [1.23, 10.11]). In conclusion, family separation primarily contributes to adverse mental health among refugees from the Middle East and Africa resettled in North Rhine-Westphalia, Germany. Therefore, policies and practices that facilitate family reunification can contribute significantly to the promotion of refugees' mental health and well-being.
关于在德国重新安置的难民的社会决定因素知之甚少。本研究旨在探讨家庭分离对难民主观时间压力和心理健康的影响。数据来自弗洛伊登伯格健康研究（= 208），这是比勒费尔德大学进行的一项横断面研究。我们使用逻辑回归分析来研究家庭分离对（i）时间压力和（ii）心理健康不良风险的影响，同时考虑社会人口学和后移民因素。结果表明，超过 30%的有配偶或伴侣的参与者和约 18%的有子女的参与者报告了分离。多变量逻辑回归显示，家庭分离与时间压力无关，但与至少一个孩子分离与不良心理健康有关（OR = 3.53，95%CI = [1.23, 10.11]）。总之，家庭分离主要导致从中东和非洲重新安置到德国北莱茵-威斯特法伦的难民出现心理健康不良。因此，促进家庭团聚的政策和做法可以为促进难民的心理健康和福祉做出重大贡献。
