The physical and mental health problems of refugee and migrant fathers: findings from an Australian population-based study of children and their families

Giallo, Rebecca; Riggs, Elisha; Lynch, Claire; Vanpraag, Dannielle; Yelland, Jane; Szwarc, Josef; Duell-Piening, Philippa; Tyrell, Lauren; Casey, Sue; Brown, Stephanie

doi:10.1136/bmjopen-2016-015603

Cited by 24 publications

(24 citation statements)

References 35 publications

(24 reference statements)

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“…Unlike mental health, general health showed a linear trajectory in its pattern of deterioration. The finding was consistent with prior research reporting poorer general health among refugee fathers 3 . Except for persistent and high prevalence of mental health problems and the aging effect, poor access to and inadequate use of healthcare in the host country may be a significant contributor to the deterioration in general health among HMs.…”

Section: Discussionsupporting

confidence: 90%

“…The finding was consistent with prior research reporting poorer general health among refugee fathers. 3 Except for persistent and high prevalence of mental health problems and the aging effect, poor access to and inadequate use of healthcare in the host country may be a significant contributor to the deterioration in general health among HMs. Although hosting countries' governments have made efforts to improve healthcare services for HMs, such as free interpreting services 40 and guidelines for cultural competence in healthcare, 41 HMs with health problems still experience systemic and sociocultural barriers to health service access and lack the competence to use available services.…”

Section: Impacts Of Social Integration and Loneliness On Mental Healthmentioning

confidence: 99%

“…Australia is a major hosting country that annually admits 14,000 refugee and humanitarian entrants 2 . Existing research has pointed out that humanitarian migrants (HMs), including refugees and asylum seekers, have poorer general and mental health than the general population 3 . For example, according to a meta‐analysis of conflict‐affected persons from 40 countries and a review covering 16,010 war‐affected refugees, the prevalence of post‐traumatic stress disorder (PTSD), depression and anxiety among refugees was up to 30.6%, 30.8% and 20%, respectively 4,5 .…”

mentioning

confidence: 99%

“…2 Existing research has pointed out that humanitarian migrants (HMs), including refugees and asylum seekers, have poorer general and mental health than the general population. 3 For example, according to a meta-analysis of conflict-affected persons from 40 countries and a review covering 16,010 war-affected refugees, the prevalence of post-traumatic stress disorder (PTSD), depression and anxiety among refugees was up to 30.6%, 30.8% and 20%, respectively. 4,5 As a way of comparison, the prevalence among the general population globally is 3.3%, 6 4.4% and 3.6%, 7 respectively.…”

mentioning

confidence: 99%

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Impacts of social integration and loneliness on mental health of humanitarian migrants in Australia: evidence from a longitudinal study

Chen

Ling

et al. 2019

Australian and New Zealand Journal of Public Health

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Objective: To examine the impacts of social integration and loneliness on the mental health of humanitarian migrants (HMs) in Australia over time. Methods: A total of 1,723 HMs who held permanent visas from the first to third waves (2013–2016) of a longitudinal study in Australia (Building a New Life in Australia) were included in the study. Dependent variables included poor general health, post‐traumatic stress disorder (PTSD) and severe mental illness (SMI). Predictors were social integration stressors and loneliness. We used generalised linear mixed models to assess impacts of the changing status of social integration and loneliness on dependent variables over time. Results: HMs with increased social integration stressors reported poor general health (aOR:1.56, 95%CI:1.19–2.03); PTSD (aOR:1.67; 95%CI: 1.32–2.13); and SMI (aOR: 1.46; 95%CI: 1.15–1.86) over time when compared to those without stressors. Increased loneliness during resettlement was also associated with poor general health (aOR: 1.56; 95%CI:1.28–1.91); PTSD (aOR: 1.57; 95%CI: 1.28–1.93) and SMI (aOR: 1.59; 95%CI: 1.31–1.94). HMs who reported overcoming loneliness (aOR:1.50, 95%CI: 1.24–1.83 for SMI and aOR:1.51; 95%CI: 1.22–1.86 for PTSD) and persistent loneliness (aOR:1.99; 95%CI: 1.51–2.61 for SMI) reported poorer mental health over time than those who did not report loneliness. Implications for public health: Culturally competent settlement services addressing social integration stressors and loneliness are required to improve the mental health of humanitarian migrants.

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Section: Discussionsupporting

confidence: 90%

Section: Impacts Of Social Integration and Loneliness On Mental Healthmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Impacts of social integration and loneliness on mental health of humanitarian migrants in Australia: evidence from a longitudinal study

Chen

Ling

et al. 2019

Australian and New Zealand Journal of Public Health

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“…Australia's population has become more culturally and linguistically diverse over time (Australian Institute of Health & Welfare, 2018), and the healthcare system, therefore, needs to reorient to effectively respond to the needs of all children including those with different cultural and immigration backgrounds (Australian Commission on Safety & Quality in Health Care, 2014). Of note, those from migrant and refugee backgrounds are likely to be included in the group of families from non‐English‐speaking immigrant backgrounds, and previous research suggests that families with refugee backgrounds experienced poorer general health and poorer mental health than Australian‐born families (Giallo et al., 2017). Given little evidence is available on their health service use and unmet healthcare needs, there is a need for future research to fill this gap and support the needs of this specific group.…”

Section: Discussionmentioning

confidence: 99%

Health service utilisation and unmet healthcare needs of Australian children from immigrant families: A population‐based cohort study

Guo

Liu

Chong

et al. 2020

Health Soc Care Community

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Compared with most other Organization for Economic Cooperation and Development (OECD) countries, information about the patterns of health service use for children from immigrant families in Australia is currently limited, and internationally, data on unmet healthcare needs are scarce. This study aims to examine the distribution of health service utilisation and unmet healthcare needs for immigrant children aged 10-11 years in Australia. We drew on data from the Longitudinal Study of Australian Children Birth (B; n = 5,107) and Kindergarten (K; n = 4,983) cohorts. The exposure was family immigration background collected at 0-1 (B-cohort) and 4-5 (K-cohort) years. Outcomes were parent-reported child health service use and unmet healthcare needs (defined as the difference between services needed and services received) at 10-11 years. Logistic regression analyses were used to examine associations between family immigration background and health service use/unmet healthcare needs, adjusting for potential confounders. Results showed that one-third of Australian children (B-cohort: 29.0%; K-cohort: 33.4%) came from immigrant families. There were similar patterns of health service use and unmet healthcare needs between children from English-speaking immigrant and Australian-born families. However, children from non-English-speaking immigrant families used fewer health services, including paediatric, dental, mental health and emergency ward services. There was a disparity between the services used when considering children's health needs, particularly for paediatric specialist services (B-cohort: OR = 2.43, 95% CI 1.11-5.31; K-cohort: OR = 2.72, 95% CI 1.32-5.58). Findings indicate that Australian children from non-English-speaking immigrant families experience more unmet healthcare needs and face more barriers in accessing health services. Further effort is needed to ensure that the healthcare system meets the needs of all families.

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The physical and mental health problems of refugee and migrant fathers: findings from an Australian population-based study of children and their families

Cited by 24 publications

References 35 publications

Impacts of social integration and loneliness on mental health of humanitarian migrants in Australia: evidence from a longitudinal study

Impacts of social integration and loneliness on mental health of humanitarian migrants in Australia: evidence from a longitudinal study

Health service utilisation and unmet healthcare needs of Australian children from immigrant families: A population‐based cohort study

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