Medical needs of adolescent refugees resettling in Western Australia

Hirani, Kajal; Payne, Donald; Mutch, Raewyn; Cherian, Sarah

doi:10.1136/archdischild-2018-315105

Cited by 12 publications

(15 citation statements)

References 5 publications

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“…Cultural taboos regarding discussions of sexual, reproductive and mental health, and missed opportunities for school‐based health education due to interrupted schooling, may contribute to limited health literacy in adolescent refugees and their families. Mental health screening tools used in Western populations may not be validated or applicable for use in CALD populations and psychological distress may also manifest as physical symptoms …”

Section: Research Into Health Risk Behavioursmentioning

confidence: 99%

“…There are, however, exceptions to the duty of confidentiality, which include an adolescent being at risk of harm or harming others or circumstances arising that dictate a legal requirement for disclosure . Wider legal issues such as early child marriage, female circumcision, gender‐based violence and child abuse/neglect have also been reported among families of adolescent refugees in Australia . Disclosures related to such issues as well as physical/sexual violence and suicidality may arise during research studies.…”

Section: Provision Of Confidentiality To Adolescents In Researchmentioning

confidence: 99%

“…In contrast, adolescent males may inherit the role of being the head of the household in the absence of their fathers, even when they are not cognitively prepared or still attending education. Undiagnosed cognitive or developmental delay can also be present among newly arrived refugees whom have not undergone comprehensive resettlement health assessment . The impact of such impairments on informed consent/assent and research objectives may need extra consideration.…”

Section: Informed Consent and Assent For Research Participationmentioning

confidence: 99%

“…Appropriate inclusion of resettling adolescent refugees in targeted health research is of benefit not only to the individual, but also to the family and host community. Research exploring traumatic experiences, health risk behaviours and medical issues in ethnically heterogeneous adolescent refugees has been conducted successfully and shown to be feasible and acceptable with high rates of participation by refugee families . Meticulous study designs accounting for the unique practical barriers that take into consideration multiple legal and ethical implications are important to safeguard adolescents.…”

Section: Conclusion and Recommendationsmentioning

confidence: 99%

“…Adolescents from culturally and linguistically diverse (CALD) backgrounds face social and economic inequalities that may compromise their health and wellbeing . Additional adversities related to forced migration can have a further impact on the physical and psychosocial health among those from refugee and asylum‐seeker backgrounds …”

mentioning

confidence: 99%

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Complexities of conducting research in adolescent refugees resettling in Australia

Hirani

Mutch

Payne

et al. 2019

J Paediatrics Child Health

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Adolescent refugees resettling in Australia are a vulnerable and marginalised population. Dedicated research to help better understand their health-care needs remains scarce. There are multiple complexities which may deter health professionals from conducting research with this population. Health-care system barriers, such as lack of adolescent-and refugee-specific health-care services, complicate comprehensive data collection. Limited investigator knowledge pertaining to culturally appropriate research in a population with limited English proficiency or a history of trauma can have an impact on adolescent participation and retention in research studies. Additional ethical and legal issues relating to adolescent consent and confidentiality, which include suicidality and physical or sexual abuse, can arise during research and cause potential harm to adolescents if not managed appropriately. This article highlights current knowledge and understanding relating to these issues along with recommendations to address barriers and safeguard adolescents, with the aim of promoting high-quality research that will benefit resettling adolescent refugees.

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Section: Research Into Health Risk Behavioursmentioning

confidence: 99%

Section: Provision Of Confidentiality To Adolescents In Researchmentioning

confidence: 99%

Section: Informed Consent and Assent For Research Participationmentioning

confidence: 99%

Section: Conclusion and Recommendationsmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Complexities of conducting research in adolescent refugees resettling in Australia

Hirani

Mutch

Payne

et al. 2019

J Paediatrics Child Health

Self Cite

View full text Add to dashboard Cite

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Migrant and refugee youth perspectives on sexual and reproductive health and rights in Australia: a systematic review

et al. 2022

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Migrant and refugee youth (MRY) in Australia face specific experiences that inform their sexual and reproductive health and rights (SRHR). Migrant and refugee communities experience poor health outcomes and low service uptake. Additionally, youth are vulnerable to poor sexual health. This review examines the understandings and perspectives of MRY. A systematic review was conducted as per Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The protocol is registered with PROSPERO: CRD42021241213. Nine databases were systematically searched. Inclusion criteria specified literature reporting on migrant and/or refugee youth perspectives and attitudes towards sexual and reproductive health; peer-reviewed qualitative, mixed-methods and/or quantitative studies or grey literature reports; records using Australian research; literature published in English between January 2000 and March 2021. Records that did not report on MRY and did not examine participant views or perspectives; were abstract-only, reviews, pamphlets, protocols, opinion pieces or letters; did not include Australian research; were published before 2000 and/or in a language other than English were excluded. Two reviewers screened titles, abstracts and full-text articles. The Mixed Method Appraisal Tool was used to assess studies' methodological quality. Thematic synthesis methods guided data extraction and analysis. Twenty-eight papers were included in the final review. Three themes were identified in MRY constructions of SRHR: (1) experiences of silence and shame; (2) understandings of and responses to SRHR risks; (3) navigation of relationships and sexual activity. Socioecological factors shaped MRY perspectives at individual, interpersonal, institutional and societal levels. Societal factors and interpersonal relationships significantly influenced decision making.

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Home Away from Home: Examining Adolescent Refugees’ Well-Being in Australia

Mahadevan

Jayasinghe

2021

Journal of Refugee Studies

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This article examines the correlation of post-migration factors and in particular parental mental health with post-traumatic stress disorder (PTSD) and happiness levels of adolescent refugee migrants in Australia, with a special emphasis on associated age and gender differences. Data were sourced from the child module in the 2015–2016 Building a New Life in Australia data set. Results indicate that factors associated with happiness are quite different from those associated with PTSD and this varies across gender and the age groups of 11–14 and 15–17. For example, discrimination related to religion/culture and language have different correlation with boys’ and girls’ well-being measures. While father’s education and mental state have no significant association with any well-being measure, mothers’ education plays some role. Of concern is the intergenerational correlation of mother’s PTSD with their daughters. The results in this study caution against a one-size-fits-all approach to intervention and suggest that a targeted focus on older and younger adolescents further differentiated by gender is likely to be more effective.

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Medical needs of adolescent refugees resettling in Western Australia

Abstract: Resettling adolescent refugees are socioeconomically vulnerable with a range of medical issues that frequently require additional subspecialty health referrals.

Cited by 12 publications

References 5 publications

Complexities of conducting research in adolescent refugees resettling in Australia

Complexities of conducting research in adolescent refugees resettling in Australia

Migrant and refugee youth perspectives on sexual and reproductive health and rights in Australia: a systematic review

Home Away from Home: Examining Adolescent Refugees’ Well-Being in Australia

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