Attal Jordan Hannink, Lurie Ido, Neumark Yehuda
Braun School of Public Health and Community Medicine, Hebrew University of Jerusalem, PO Box 12272, Jerusalem 91120, Israel.
Shalvata Mental Health Center, Hod Hasharon, Israel.
J Migr Health. 2024 Aug 5;10:100263. doi: 10.1016/j.jmh.2024.100263. eCollection 2024.
In 2018, 66,859 migrant careworkers were in Israel, most of whom originated from Southeast Asian countries and 81 % of whom are women. Stringent regulations combined with social invisibility creates vulnerabilities that may contribute to emotional distress. This study aimed to assess psychosocial status and determine mechanisms of emotional distress and resilience in this population.
Mixed methods were used in this cross-section study. An online survey measured demographic variables, psychosocial wellbeing using the HSCL-25 questionnaire, general health, perceived social support, cultural identity, and perceived othering. Based on the survey's results, interviews were conducted with a subpopulation of respondents ( = 15) to further understand the mechanisms of emotional distress and resilience, and were analyzed using a postcolonial feminist framework and grounded theory. Data collection took place during 2018-2019.
In total, 263 careworkers completed the survey and 15 careworkers were interviewed. The overall prevalence of emotional distress according to the HSCL-25 was 36.8 %, 22.6 % on the anxiety subscale, and 41.8 % on the depression subscale. Emotional distress was associated with female sex, not being parents, poorer general health, high perceived othering, and low perceived social support. Interviews revealed that Israeli policy, and relationships with family in their country of origin and with Israeli employers and their families can either contribute to or mitigate emotional stressors.
Symptoms of emotional distress among Southeast Asian migrant careworkers in Israel are frequently reported, and may indicate rates of anxiety and depression higher than in careworkers' countries of origin and host country. Increased monitoring to protect careworkers' rights and including mental health services as part of their health insurance plan are warranted.
2018年，以色列有66859名移民护理人员，其中大多数来自东南亚国家，81%为女性。严格的规定加上社会层面的忽视，造成了一些易损性，可能导致情绪困扰。本研究旨在评估这一人群的心理社会状况，并确定情绪困扰和恢复力的机制。
本横断面研究采用混合方法。一项在线调查测量了人口统计学变量、使用HSCL - 25问卷评估的心理社会幸福感、总体健康状况、感知到的社会支持、文化认同以及感知到的被边缘化情况。根据调查结果，对部分受访者（n = 15）进行了访谈，以进一步了解情绪困扰和恢复力的机制，并使用后殖民女性主义框架和扎根理论进行分析。数据收集于2018 - 2019年期间进行。
共有263名护理人员完成了调查，15名护理人员接受了访谈。根据HSCL - 25量表，情绪困扰的总体患病率为36.8%，焦虑分量表为22.6%，抑郁分量表为41.8%。情绪困扰与女性、非父母身份、总体健康状况较差、高感知到的被边缘化以及低感知到的社会支持有关。访谈显示，以色列的政策以及与原籍国的家人、以色列雇主及其家人的关系，既可能加剧也可能减轻情绪压力源。
以色列东南亚移民护理人员中情绪困扰症状的报告较为频繁，这可能表明其焦虑和抑郁发生率高于护理人员的原籍国和东道国。有必要加强监测以保护护理人员的权利，并将心理健康服务纳入他们的健康保险计划。
