Safety, trust, and disclosure: A qualitative examination of violence against refugee adolescents in Kiziba Camp, Rwanda

Bermudez, Laura Gauer; Parks, Lauren; Meyer, Stephen M.; Muhorakeye, Liberata; Stark, Lindsay

doi:10.1016/j.socscimed.2018.01.018

Cited by 28 publications

(39 citation statements)

References 37 publications

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“…Qualitative content analysis was used to systematically analyze and interpret interview data (Hsieh & Shannon, 2005). This approach is common in the health sciences (Bermudez, Parks, Meyer, Muhorakeye, & Stark, 2018; Law, Jackson, Guelfi, Nguyen, & Dimmock, 2018). The interpretation of the interview text was constantly compared family-to-family.…”

Section: Methodsmentioning

confidence: 99%

An Ecocultural Perspective on Eating-Related Routines Among Low-Income Families With Preschool-Aged Children

et al. 2018

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Eating-related routines, such as regular mealtimes, can protect against obesity. Little is known about eating-related routines among preschoolers or the factors that shape those routines. Ecocultural Theory and qualitative interviews with 30 caregivers of preschoolers in Colorado were used to describe eating-related routines at home and parents’ perspectives on the factors that shape routines. Qualitative content analysis was used to analyze and interpret data. Consistent with clinical recommendations, parents’ goals included dinner meals where adults and preschoolers eat the same food, in the same place, at the same time. However, parents’ employment schedules and challenges in managing preschoolers’ behavior prevented parents from consistently enacting recommended routines. Educating parents alone may not be sufficient to ensure optimal eating-related routines among preschoolers, and the household context needs to be considered. Families organized routines according to cultural values and available resources.

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Section: Methodsmentioning

confidence: 99%

An Ecocultural Perspective on Eating-Related Routines Among Low-Income Families With Preschool-Aged Children

et al. 2018

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“…This finding is also echoed in our results on SGBV which highlight the adverse effects of violence on children and young people who experience neglect and mistreatment. These echo studies exploring violence and protection risks for adolescent refugees living in refugee settings in Uganda that highlight the complex interplay of societal norms towards violence [44]; and contextual factors such as divisions within refugee communities as a result of new arrivals which heightened problems of food insecurity, in turn giving rise to psychosocial impacts as a result of hunger [45]. Therefore, our findings suggest complex, inter-linked, and multifaceted relationships between the structural and relational problems experienced by Congolese refugee communities in Rwanda and Uganda that impact on mental health and psychosocial wellbeing.…”

Section: Description Of the Problem Number Of Respondentsmentioning

confidence: 99%

Exploring the mental health and psychosocial problems of Congolese refugees living in refugee settings in Rwanda and Uganda: a rapid qualitative study

et al. 2020

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Background Refugees fleeing conflict often experience poor mental health due to experiences in their country of origin, during displacement, and in new host environments. Conditions in refugee camps and settlements, and the wider socio-political and economic context of refugees’ lives, create structural conditions that compound the effects of previous adversity. Mental health and psychosocial support services must address the daily stressors and adversities refugees face by being grounded in the lived reality of refugee’s lives and addressing issues relevant to them. Methods We undertook a rapid qualitative study between March and May 2019 to understand the local prioritisation of problems facing Congolese refugees living in two refugee settings in Uganda and Rwanda. Thirty free list interviews were conducted in each setting, followed by 11 key informant interviews in Uganda and 12 in Rwanda. Results Results from all interviews were thematically analysed following a deductive process by the in-country research teams. Free list interview findings highlight priority problems of basic needs such as food, shelter, and healthcare access; alongside contextual social problems including discrimination/inequity and a lack of gender equality. Priority problems relating to mental and psychosocial health explored in key informant interviews include discrimination and inequity; alcohol and substance abuse; and violence and gender-based violence. Conclusions Our findings strongly resonate with models of mental health and psychosocial wellbeing that emphasise their socially determined and contextually embedded nature. Specifically, findings foreground the structural conditions of refugees’ lives such as the physical organisation of camp spaces or refugee policies that are stigmatising through restricting the right to work or pursue education. This structural environment can lead to disruptions in social relationships at the familial and community levels, giving rise to discrimination/inequity and gender-based violence. Therefore, our findings foreground that one consequence of living in situations of pervasive adversity caused by experiences of discrimination, inequity, and violence is poor mental health and psychosocial wellbeing. This understanding reinforces the relevance of feasible and acceptable intervention approaches that aim to strengthening familial and community-level social relationships, building upon existing community resources to promote positive mental health and psychosocial wellbeing among Congolese refugees in these settings.

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“…Other studies have further examined factors that influence safety with regard to individual characteristics as well as to environmental contexts (Allik and Kearns 2017 ). In refugee camp settings, safety varied by national origin, gender, age, economic insecurity, intergenerational conflict, and access to medical services (Bermudez et al 2018 ; Rasmussen and Annan 2010 ; Stathopoulou et al 2019 ). Post-resettlement factors that influence notions of risk and insecurity may be shaped in different ways.…”

Section: Literature Reviewmentioning

confidence: 99%

“…We conceptualize a range of factors as related to risk and protection, in line with previous research examining associations between safety and risk. Environmental factors examined related to community engagement and reception, with specific measures assessing event attendance, discrimination, comfort calling the police, and frequency of service access (Allik and Kearns 2017 ; Austin et al 2002 ; Bermudez et al 2018 ; Lichtenstein and Puma 2019 ; Newport 2017 ; Stathopoulou et al 2019 ). Individual and social factors assessed included gender, age, nationality, marital status, household size, state, time in the USA, and employment (Furr et al 2005 ; Newport 2017 ; Rasmussen and Annan 2010 ; Stathopoulou et al 2019 ).…”

Section: Literature Reviewmentioning

confidence: 99%

Safety Among Newly Resettled Refugees in the USA

Shaw¹,

Rodgers²,

Poulin³

et al. 2020

Int. Migration & Integration

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Within a context of changing political and social perspectives toward refugee resettlement in the USA, this mixed methods study examines experiences of safety among recently resettled refugees. The study was conducted by resettlement agency personnel within two states, Utah and Arizona. We examine risk and protective factors associated with perceptions of safety among a sample of 243 participants, as well as experiences related to safety as described in focus groups with 50 participants. Of the environmental factors examined, attending events related to one's culture, language, or religion and more frequent home visits were associated with higher levels of perceived safety, while experiencing discrimination was associated with lower levels of perceived safety. Some individual and social factors such as nation of origin were also associated with perceptions of safety. Focus groups identified key themes related to safety in the USA which included discrimination, concerns about family safety, and feeling safe in the USA. An increased emphasis on safety as a key resettlement outcome can strengthen resettlement policy and guide community responses.

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Safety, trust, and disclosure: A qualitative examination of violence against refugee adolescents in Kiziba Camp, Rwanda

Cited by 28 publications

References 37 publications

An Ecocultural Perspective on Eating-Related Routines Among Low-Income Families With Preschool-Aged Children

An Ecocultural Perspective on Eating-Related Routines Among Low-Income Families With Preschool-Aged Children

Exploring the mental health and psychosocial problems of Congolese refugees living in refugee settings in Rwanda and Uganda: a rapid qualitative study

Safety Among Newly Resettled Refugees in the USA

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