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社会隔离、孤独与健康:对蓝色之家有幼儿(0至5岁)的移民母亲经历的描述性研究

Social Isolation, Loneliness and Health: A Descriptive Study of the Experiences of Migrant Mothers With Young Children (0-5 Years Old) at La Maison Bleue.

作者信息

Lim Mona, Van Hulst Andraea, Pisanu Sarah, Merry Lisa

机构信息

Ingram School of Nursing, McGill University, Montreal, QC, Canada.

La Maison Bleue, Montreal, QC, Canada.

出版信息

Front Glob Womens Health. 2022 Jun 24;3:823632. doi: 10.3389/fgwh.2022.823632. eCollection 2022.

Abstract

BACKGROUND

Migrant women with young children, including asylum seekers and refugees, have multiple vulnerability factors that put them at increased risk of social isolation and loneliness, which are associated with negative health outcomes. This study explored the experiences of social isolation and loneliness among migrant mothers with children aged 0-5 years as well as their perceptions on possible health impacts.

METHODS

A qualitative descriptive study was conducted at La Maison Bleue, a non-profit organization providing perinatal health and social services to vulnerable women in Montreal, Canada. Recruitment and data collection occurred concurrently during the COVID-19 pandemic, between November and December 2020. Eleven women participated in individual semi-structured interviews and provided socio-demographic information. Interview data were thematically analyzed.

RESULTS

Migrant women in this study described social isolation as the loss of family support and of their familiar social/cultural networks, and loneliness as the feelings of aloneness that stemmed from being a mother in a new country with limited support. Multiple factors contributed to women's and children's social isolation and loneliness, including migration status, socioeconomic circumstances, language barriers, and being a single mother. Women expressed that the COVID-19 pandemic exacerbated pre-existing experiences of social isolation and loneliness. Mothers' experiences affected their emotional and mental health, while for children, it reduced their social opportunities outside the home, especially if not attending childcare. However, the extent to which mothers' experiences of social isolation and loneliness influenced the health and development of their children, was less clear.

CONCLUSION

Migrant mothers' experiences of social isolation and loneliness are intricately linked to their status as migrants and mothers. Going forward, it is critical to better document pandemic and post-pandemic consequences of social isolation and loneliness on young children of migrant families. Supportive interventions for migrant mothers and their young children should not only target social isolation but should also consider mothers' feelings of loneliness and foster social connectedness and belongingness. To address social isolation and loneliness, interventions at the individual, community and policy levels are needed.

摘要

背景

带着幼儿的移民妇女,包括寻求庇护者和难民,存在多种脆弱因素,这使她们面临社会孤立和孤独感增加的风险,而这与负面健康结果相关。本研究探讨了有0至5岁子女的移民母亲的社会孤立和孤独经历,以及她们对可能的健康影响的看法。

方法

在加拿大蒙特利尔的一家名为“蓝色之家”的非营利组织开展了一项定性描述性研究,该组织为弱势妇女提供围产期健康和社会服务。在2020年11月至12月的新冠疫情期间同时进行招募和数据收集。11名妇女参与了个人半结构化访谈,并提供了社会人口学信息。对访谈数据进行了主题分析。

结果

本研究中的移民妇女将社会孤立描述为家庭支持和熟悉的社会/文化网络的丧失,将孤独感描述为在一个新国家作为母亲且支持有限所产生的孤独感。多种因素导致了妇女和儿童的社会孤立和孤独感,包括移民身份、社会经济状况、语言障碍以及身为单身母亲。妇女们表示,新冠疫情加剧了原有的社会孤立和孤独经历。母亲的经历影响了她们的情绪和心理健康,而对孩子来说,这减少了他们在家外的社交机会,尤其是在没有参加托儿服务的情况下。然而,母亲的社会孤立和孤独经历对其子女健康和发展的影响程度尚不清楚。

结论

移民母亲的社会孤立和孤独经历与她们作为移民和母亲的身份密切相关。展望未来,更好地记录社会孤立和孤独对移民家庭幼儿的疫情期间及疫情后影响至关重要。对移民母亲及其幼儿的支持性干预措施不仅应针对社会孤立,还应考虑母亲的孤独感,并促进社会联系和归属感。为解决社会孤立和孤独问题,需要在个人、社区和政策层面采取干预措施。

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