Swinburne University of Technology, Hawthorn, VIC, Australia.
Int J Soc Psychiatry. 2024 Jun;70(4):778-791. doi: 10.1177/00207640241230848. Epub 2024 Feb 29.
Health disparity and under-utilization of health services is prevalent among Asian refugees and migrants in Western countries and can profoundly impact health outcomes. Cambodians who survived extreme physical and emotional trauma during the genocides enacted by the Khmer Rouge regime in the 1970's are particularly vulnerable to poor mental health outcomes decades later. Understanding the experiences of help-seeking and service use by displaced Cambodians in Western countries may help to design more effective and culturally safe healthcare services.
To identify characteristics or factors associated with help seeking behaviours and service utilization of displaced Cambodians with mental health issues living in Western countries.
This review followed the Arksey & O'Malley methodological framework for scoping reviews. Articles for review were identified through searches of nine electronic databases and manual searches. Relevant articles were selected, and data was extracted and synthesized into key themes.
This review included 15 articles. Most of the studies were conducted in the USA ( = 13) with one each conducted in Canada and New Zealand. Seven studies used qualitative interviews, five used a cross-sectional survey approach, two used a mixed-methods approach and one was a narrative review and case series. Key findings highlighted the impact of Cambodian cultural beliefs about mental health (guilt, shame and help-seeking stigma) on service utilization and the disconnect between Western models of service provision and preferred Cambodian ways of receiving support.
Mental health services in Western countries are likely to be under-utilized by Cambodians due to a mismatch between health beliefs and Western models of care. Further investigation of the association between health beliefs and barriers to service utilization among adult Cambodian refugees is warranted.
在西方国家，亚洲难民和移民中普遍存在健康差距和卫生服务利用不足的问题，这可能会对健康结果产生深远影响。在 20 世纪 70 年代，红色高棉政权实施种族灭绝，导致柬埔寨人经历了极端的身体和情感创伤，他们在几十年后特别容易出现心理健康不良的后果。了解流离失所的柬埔寨人在西方国家寻求帮助和使用服务的经历，可能有助于设计更有效和文化上安全的医疗保健服务。
确定与生活在西方国家的有心理健康问题的流离失所的柬埔寨人寻求帮助行为和服务利用相关的特征或因素。
本综述遵循 Arksey 和 O'Malley 的范围综述方法框架。通过对九个电子数据库和手动搜索进行检索，确定了供审查的文章。选择相关文章，并提取数据并综合成关键主题。
本综述包括 15 篇文章。大多数研究在美国进行（ = 13），其中一项在加拿大进行，一项在新西兰进行。七项研究使用定性访谈，五项使用横断面调查方法，两项使用混合方法，一项是叙述性评论和病例系列。主要发现强调了柬埔寨人对心理健康的文化观念（内疚、羞耻和寻求帮助的耻辱）对服务利用的影响，以及西方服务提供模式与柬埔寨人 preferred 支持方式之间的脱节。
由于健康观念和西方护理模式之间不匹配，西方国家的心理健康服务可能被柬埔寨人利用不足。进一步调查成年柬埔寨难民的健康观念与服务利用障碍之间的关联是必要的。
