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Comparative study on social-economic status, trauma and mental health disorders among older and younger refugees in Australia

Published online by Cambridge University Press:  24 November 2016

Wendy Wen Li
Wendy Wen Li*
Affiliation:
Department of Psychology, James Cook University
*
CORRESPONDING AUTHOR: Wendy Wen Li, Department of Psychology, James Cook University, Email: [email protected]
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Abstract

This article investigated socio-economic status (SES), traumatic experience and mental health disorders among 103 refugees (52 males and 51 females) living in tropical and subtropical Australia. Specific focus was placed on comparing older refugees’ socio-economic status, traumatic experience and mental health disorders to younger refugees. The results showed that older refugees had lower levels of education, higher unemployment rates and poorer English skills and abilities compared to younger refugees. A greater percentage of older refugees perceived that they had received sufficient support from the broader community over younger refugees. Results also revealed that compared to younger participants, older participants aged over 50 years had significantly higher mean scores in trauma events (trauma exposure, loss event, loss of intrapersonal integrity, loss distress, loss of symbolic self, loss of home and interpersonal loss) and anxiety.

Keywords

Trauma exposurepost-traumatic stress disorder (PTSD)anxietydepressionmultiple loss scalesocio-economic statusSES
Type
Articles
Information
Journal of Tropical Psychology , Volume 6 , 2016 , e3
Copyright
Copyright © The Author(s) 2016 

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References

Adler, N. E., Boyce, T., Chesney, M. A., Cohen, S., Folkman, S., Kahn, R. & Syme, S. L. (1994). Socioeconomic status and health: The challenge of the gradient. American Psychologist, 49 (1), 15–24.CrossRefGoogle ScholarPubMed
Australian Taxation Office. (2012). Tax-free threshold – for individuals. Retrieved from https://www.ato.gov.au/rates/tax-free-threshold-for-individuals/ Google Scholar
Blakely, T., Hales, S. & Woodward, A. (2004). Poverty: Assessing the distribution of health risks by socioeconomic position at national and local levels. Geneva, SUI: World Health Organization.Google Scholar
Commonwealth of Australia. (2011). Australia's refugee and humanitarian program. Retrieved from: http://www.immi.gov.au/media/fact-sheets/60refugee.htm.Google Scholar
FECCA National Office. (2015). Review of Australian Research on Older People from Culturally and Linguistically Diverse Backgrounds. Deakin, Australia: Author.Google Scholar
Briggs, L. (2011). Demoralization and psychological distress in refugees: From research to practice. Social Work in Mental Health, 9 (5), 336–345.CrossRefGoogle Scholar
Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. & Covi, L. (1974). The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory. Behavioural Science, 19, 1–15. doi: 10.1002/bs.3830190102 CrossRefGoogle ScholarPubMed
Dutton, D. B. & Levine, S. (1989). Overview, methodological critique, and reformulation. In Bunker, J. P., Gomby, D. S. & Kehrer, B. H. (eds.), Pathways to Health (pp. 29–69). Menlo Park, CA: The Henry J. Kaiser Family Foundation.Google Scholar
Efron, B. & Tibshirani, R. (1986). Bootstrap methods for standard errors, confidence intervals, and other measures of statistical accuracy. Statistical Science, 1 (1), 54–77. doi: 10.1214/ss/1177013815 Google Scholar
Fennelly, K. & Palasz, N. (2003). English language proficiency of immigrants and refugees in the twin cities metropolitan area. International Migration, 41 (5), 94–125.CrossRefGoogle Scholar
Harvard Program in Refugee Trauma. (2011). Measuring Trauma, Measuring Torture. Retrieved from http://hprt-cambridge.org/?page_id=420 Google Scholar
Hollifield, M., Warner, T., Lian, N., Krakow, B., Jenkins, J., Kesler, J., . . . Westermeyer, J. (2002). Measuring trauma and health status in refugees – A critical review. Journal of the American Medical Association, 288 (5), 611–621. doi: 10.1001/jama.288.5.611 CrossRefGoogle ScholarPubMed
Jeung, R., Jeung, J., Nhung Le, M., Yoo, G., Lam, A., Loveman, A. & Maung, Z. (2011). From Crisis to Community Development: Needs and Assets of Oakland's Refugees from Burma, California. Washington DC: Southeast Asian Resource Action Center at San Francisco State University.Google Scholar
Joffe, H., Joffe, C. & Brodaty, H. (1996). Ageing Jewish Holocaust survivors: Anxieties in dealing with health professionals. Medical Journal of Australia, 165, 517–520.CrossRefGoogle ScholarPubMed
Kashdan, T., Morina, N. & Priebe, S. (2009). Post-traumatic stress disorder, social anxiety disorder, and depression in survivors of the Kosovo War: Experiential avoidance as a contributor to distress and quality of life. Journal of Anxiety Disorders, 23, 185–196.CrossRefGoogle ScholarPubMed
Lhewa, D., Banu, S., Rosenfeld, B. & Keller, A. (2007). Validation of a Tibetan translation of the Hopkins Symptom Checklist-25 and the Harvard Trauma Questionnaire. Assessment, 14 (3), 223–230.CrossRefGoogle ScholarPubMed
Li, W. & Francis, A. (2014). Positive psychology and refugee mental health: Implications for social work practice. In Francis, A. (ed.), Social Work Practice in Mental Health (pp. 163–181). Delhi, India: SAGE.Google Scholar
Makwarimba, E., Stewart, M., Simich, L., Makumbe, K., Shizha, E. & Anderson, S. (2013). Sudanese and Somali refugees in Canada: Social support needs and preferences, International Migration, 51, 106–119.CrossRefGoogle Scholar
Mollica, R., Caspi-Yavin, Y., Bollini, P., Tor, S. & Lavelle, J. (1992). The Harvard Trauma Questionnaire: validating a cross-cultural instrument for measuring torture, trauma, and posttraumatic stress disorder in Indochinese refugees. Journal of Nervous and Mental Disease, 180 (2), 111–116. doi: 10.1097/00005053-199202000-00008 CrossRefGoogle ScholarPubMed
Mollica, R., McDonald, L., Massagli, M., & Silove, D. (2004). Measuring Trauma, Measuring Torture. Cambridge, MA: Harvard University.Google Scholar
Moody, B. (2011). What is a faithful interpretation? Journal of Interpretation, 21 (1), 1–15.Google Scholar
Murray, K. E., Davidson, G. & Schweitzer, R. (2008). Psychological Wellbeing of Refugees Resettling in Australia: A literature review prepared for the Australian Psychological Society. Melbourne, AUS: The Australian Psychological Society.Google Scholar
Nawyn, S. J., Gjokaj, L., Agbenyiga, D. L. & Grace, B. (2012). Linguistic isolation, social capital, and immigrant belonging. Journal of Contemporary Ethnography, 41 (3), 255–282. doi: 10.1177/0891241611433623.CrossRefGoogle Scholar
NSW Refugee Health Service. (2006). Caring for older refugees in NSW: A discussion paper. Sydney, Australia: Author.Google Scholar
Olliff, L. (2010). What Works: Employment strategies for refugee and humanitarian entrants. Sydney, Australia: Refugee Council of Australia.Google Scholar
Refugee Council of Australia. (2011). Australia's Refugee and Humanitarian Program 2011–12. Canberra, Australia: Author.Google Scholar
Shoeb, M., Weinstein, H. & Mollica, R. (2007). The Harvard trauma questionnaire: adapting a cross-cultural instrument for measuring torture, trauma and posttraumatic stress disorder in Iraqi refugees. International Journal of Social Psychiatry, 53 (5), 447–463.CrossRefGoogle ScholarPubMed
Steel, Z., Momartin, S., Silove, D., Coello, J. & Tay, K. W. (2011). Two year psychosocial and mental health outcomes for refugees subjected to restrictive or supportive immigration policies. Social Science & Medicine, 72, 1429–1456.CrossRefGoogle ScholarPubMed
United Nations High Commissioner for Refugees (UNHCR). (1951). Convention and Protocol Relating to the Status Of Refugees. Geneva, Switzerland: Author.Google Scholar
UNHCR. (2010). 2009 Global Trends: Refugees, asylum-seekers, returnees, internally displaced and stateless persons division. Geneva, Switzerland: Author.Google Scholar
UNHCR. (2012). Global Trends 2012: Displacement: The new 21st century challenge. Geneva, Switzerland: Author.Google Scholar
UNHCR. (2015). Global Trends: Forced displacement 2014. Geneva, Switzerland: Author.Google Scholar
Vromans, L., Schweitzer, R. D. & Brough, M. (2012). The Multidimensional Loss Scale: Validating a cross-cultural instrument for measuring loss. Journal of Nervous and Mental Disease, 200 (4), 349–357. doi: 10.1097/NMD.0b013e31824cc458 CrossRefGoogle ScholarPubMed
Wall, S., Santalucia, Y., Salem, M., Giacomin, D., McDonald, R. & Bosnjak, F. (2011). Enhancing the Lives of Older Refugees. Wakeley, Australia: Older Refugee Working Committee.Google Scholar