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哥伦比亚土著儿童和青少年的流离失所与心理健康问题

Displacement and Mental Health Problems in Children and Adolescents of a Colombian Indigenous Population.

作者信息

Agudelo-Hernández Felipe, Plata-Casas Laura Inés, Marulanda-López Eduardo

机构信息

Universidad de Manizales, Facultad de Ciencias para la Salud, Manizales, Caldas, Colombia.

Ministerio de Salud y Protección Social, Mental Health, Bogotá, Colombia.

出版信息

Int J Public Health. 2025 Aug 26;70:1607782. doi: 10.3389/ijph.2025.1607782. eCollection 2025.

Abstract

OBJECTIVES

To explore the relationship between forced displacement and variables associated with mental health in an indigenous Colombian pediatric population.

METHODS

A mixed methods design was applied with 69 children aged six to 16 years belonging to 45 families of the Embera Dobidá People: 25 displaced families and 20 non-displaced families. The qualitative phase involved focus groups, while the quantitative phase used a cross-sectional correlational design.

RESULTS

Quantitative findings revealed statistically significant correlations (p < 0.001) between displacement and multiple mental health indicators, particularly emotional and behavioral problems. Food insecurity showed a moderate but meaningful effect, highlighting the impact of nutritional vulnerability on the emotional wellbeing of displaced children and adolescents. In the qualitative phase distinct themes emerged in each community: to, in Caldas, and , in Chocó.

CONCLUSION

For Indigenous communities in Colombia, mental health is closely tied nutritional sufficiency and a meaningful relationship with ancestral territory. These elements are disrupted by forced displacement, contributing to elevated suicidal risk and emotional distress among children and adolescents.

摘要

目的

探讨哥伦比亚本土儿科人群中被迫流离失所与心理健康相关变量之间的关系。

方法

采用混合方法设计,研究对象为来自恩贝拉·多比达族45个家庭的69名6至16岁儿童:25个流离失所家庭和20个非流离失所家庭。定性阶段采用焦点小组法,定量阶段采用横断面相关设计。

结果

定量研究结果显示,流离失所与多种心理健康指标之间存在统计学上的显著相关性(p < 0.001),尤其是情绪和行为问题。粮食不安全显示出中等但有意义的影响,突出了营养脆弱性对流离失所儿童和青少年情绪健康的影响。在定性阶段,每个社区出现了不同的主题:在卡尔达斯是……,在乔科是……。

结论

对于哥伦比亚的土著社区来说,心理健康与营养充足以及与祖传土地的有意义关系密切相关。这些因素因被迫流离失所而受到破坏,导致儿童和青少年自杀风险升高和情绪困扰。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b75/12418784/d6cd41de56ae/ijph-70-1607782-g001.jpg

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