Ermansons Guntars, Kienzler Hanna, Schofield Peter
Department of Global Health & Social Medicine, Faculty of Social Science & Public Policy, King's College London, London, United Kingdom.
Department of Population Health Sciences, School of Life Course & Population Sciences, King's College London, London, United Kingdom.
Front Psychiatry. 2024 Feb 19;15:1307509. doi: 10.3389/fpsyt.2024.1307509. eCollection 2024.
Impact of pre-migration trauma and post-migration settlement on refugee mental health and wellbeing is well-documented. However, little research has focused on the specific places where refugees settle and spend their daily lives within the post-migration context. This study adopts an eco-social perspective to explore the relationship between urban neighborhoods and refugee mental health and wellbeing.
We conducted twenty-six qualitative interviews with Somali refugees in London and Bristol in the UK. The transcripts were coded using an inductive approach and analyzed through thematic analysis.
Somali refugees navigate a complex urban environment comprising various neighborhood features which include important places near home, interactions with neighbors, and community spaces. While these features afford them resources to improve mental health and wellbeing, they also present challenges such as high urban density, exposure to violence or discrimination, and neighborhood disorder.
The societal and physical features of urban neighborhoods intersect with refugee experiences of adversity, trauma and stress over time. As eco-social niches, urban neighborhoods are both accommodating, safe and familiar, as well as alien, threatening and unwelcoming. To support mental health and wellbeing and ensure successful settlement, it is essential to recognize the agency of refugees and provide continuous support throughout the entire asylum process and after, ensuring stable and safe living conditions.
移民前创伤和移民后定居对难民心理健康和幸福的影响已有充分记录。然而,很少有研究关注难民在移民后背景下定居并度过日常生活的具体场所。本研究采用生态社会视角来探讨城市社区与难民心理健康和幸福之间的关系。
我们对英国伦敦和布里斯托尔的索马里难民进行了26次定性访谈。访谈记录采用归纳法进行编码,并通过主题分析进行分析。
索马里难民在一个复杂的城市环境中生活,这个环境包含各种社区特征,包括家附近的重要场所、与邻居的互动以及社区空间。虽然这些特征为他们提供了改善心理健康和幸福的资源,但也带来了一些挑战,如城市密度高、遭受暴力或歧视以及社区混乱。
随着时间的推移,城市社区的社会和物质特征与难民的逆境、创伤和压力经历相互交织。作为生态社会环境,城市社区既包容、安全且熟悉,又陌生、充满威胁且不友好。为了支持心理健康和幸福并确保成功定居,必须认识到难民的能动性,并在整个庇护过程及之后提供持续支持,确保稳定和安全的生活条件。