Kuttikat Miriam, Lund Marianne B, Chan David, Sahoo Indranil
School of Social Work, Virginia Commonwealth University, Richmond, VA 23284, USA.
Department of Mathematics and Applied Mathematics, Virginia Commonwealth University, Richmond, VA 23284, USA.
Int J Environ Res Public Health. 2025 Jan 26;22(2):169. doi: 10.3390/ijerph22020169.
Sri Lankan Tamil refugees have endured over four decades of protracted displacement in southern India. This paper synthesizes findings from four studies conducted between 2005 and 2018 among refugees residing in the Gummidipoondi and Trichy refugee camps in the state of Tamil Nadu, India. Framed by a Community Based Participatory Research, in collaboration with the Organization for Eelam Refugee Rehabilitation (OfERR) and Community Advisory Board, these studies aimed to investigate the challenges related to migration stressors, mental health, family dynamics, and resource utilization of the Sri Lankan refugees living in India. The association of Psychological Distress and Migration Stress (PDMS) study examined migration stressors influencing psychological distress among refugees. The intergenerational Conflict and Community Readiness (ICCR study) assessed community readiness for repatriation and intergenerational conflict employing semi-structured qualitative interviews. The Family Dynamics (FD) mixed-method study investigated longitudinal associations between migration stressors, resource utilization, family dynamics, and health outcomes among Sri Lankan Tamil refugees. The Parenting Processes and Intervention Development (PPID) Study incorporated perspectives of community health workers through qualitative exploratory research. Integrating these findings, the research developed (1) Conceptual Model of Refugee Family Dynamics and (2) Framework for Refugee Health Intervention. These models provide a culturally sensitive framework for future interventions to improve family well-being among refugee populations.
斯里兰卡泰米尔难民在印度南部经历了长达四十多年的长期流离失所。本文综合了2005年至2018年间在印度泰米尔纳德邦古米迪蓬迪和蒂鲁吉拉伯利难民营对难民进行的四项研究结果。这些研究以社区参与式研究为框架，与伊拉姆难民康复组织（OfERR）和社区咨询委员会合作，旨在调查与生活在印度的斯里兰卡难民的移民压力源、心理健康、家庭动态和资源利用相关的挑战。心理困扰与移民压力（PDMS）关联研究考察了影响难民心理困扰的移民压力源。代际冲突与社区准备度（ICCR研究）采用半结构化定性访谈评估了社区对遣返的准备度和代际冲突。家庭动态（FD）混合方法研究调查了斯里兰卡泰米尔难民中移民压力源、资源利用、家庭动态和健康结果之间的纵向关联。育儿过程与干预发展（PPID）研究通过定性探索性研究纳入了社区卫生工作者的观点。综合这些研究结果，该研究构建了（1）难民家庭动态概念模型和（2）难民健康干预框架。这些模型为未来旨在改善难民群体家庭福祉的干预措施提供了一个具有文化敏感性的框架。
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