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. 2019 Apr 30;19(1):15.
doi: 10.1186/s12914-019-0198-2.

An investigation into the association of pre- and post-migration experiences on the self-rated health status among new resettled adult humanitarian refugees to Australia: a protocol for a mixed methods study

Alison Dowling  1 , Joanne Enticott  2   3 , Marina Kunin  2 , Grant Russell  2
Affiliations

An investigation into the association of pre- and post-migration experiences on the self-rated health status among new resettled adult humanitarian refugees to Australia: a protocol for a mixed methods study

Alison Dowling et al. BMC Int Health Hum Rights. .

Abstract

Background: Refugees are one of the most vulnerable groups in our society. They are at risk of poor physical and mental health outcomes, much of this attributed to traumatic events prior to migration and the additional risk factors refugees face in the host nations. However, how migration factors shape the health of resettling refugees is not well understood. This study uses a mixed methods approach to examine how pre- and post-migration factors shape the self-rated health of resettling adult refugees in an effort to address the current knowledge gap.

Methods: This study will use a sequential explanatory mixed method study design. We begin by analyzing resettlement and health data from the 'Building a New Life In Australia' longitudinal study of humanitarian refugees resettled in Australia to identify significant associations between migration factors and refugee health. Then, a series of semi-structured interviews with resettled refugees will further explore the lived experiences of refugees with respect to the relationship between migration and refugee health. Finally, we will integrate both sets of findings to develop a detailed understanding of how and why migratory factors contribute to refugee health during resettlement.

Discussion: There is a paucity of studies that examine the multidimensional nature of refugee health during resettlement and as a result, little is understood about their resettlement health needs. This information is required to inform existing or new resettlement interventions to help promote or improve refugee health. To overcome these limitations in the research knowledge, this study will use a mixture of study methods to illustrate the complex and multifaceted determinants of refugee health during resettlement in Australia.

Keywords: Explanatory mixed-methods; Humanitarian; Longitudinal; Refugees; Resettlement; Self-rated health.

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Conflict of interest statement

Ethics approval and consent to participate

The quantitative study has been exempt by the Monash University Human Research Ethics Committee. The qualitative study has been approved by the Monash University Human Research Ethics Committee (Approved 03 May, 2018; Project Number 12616). All participants in the qualitative study will be required to provide written informed consent prior to the interviews.

Consent for publication

Not applicable

Competing interests

All authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
The mixed methods study framework. (Figure adapted from Creswell et al., 2003) [30]
Fig. 2
Fig. 2
Conceptual framework for the social determinants of health in resettled refugee populations
See this image and copyright information in PMC

References

    1. United Nations High Commissioner for Refugees: Global Trends, 2016. Geneva. http://www.unhcr.org/globaltrends2016/ Accessed 25 Jan 2017.
    1. Fazel M, Wheeler J, et al. Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review. Lancet. 2005;365(9467):1309–1314. doi: 10.1016/S0140-6736(05)61027-6. - DOI - PubMed
    1. Mollica R, Sarajlic N, et al. Longitudinal study of psychiatric symptoms, disability, mortality, and emigration among Bosnian refugees. JAMA. 1987;286(5):546–554. doi: 10.1001/jama.286.5.546. - DOI - PubMed
    1. Silove D, Steel Z, et al. Trauma exposure, postmigration stressors, and symptoms of anxiety, depression and post-traumatic stress in Tamil asylum-seekers: comparison with refugees and immigrants. Acta Psychiatr Scand. 1998;97(3):175–181. doi: 10.1111/j.1600-0447.1998.tb09984.x. - DOI - PubMed
    1. Cunningham M, Cunningham JD. Patterns of symptomatology and patterns of torture and trauma experiences in resettled refugees. ANZJP. 1997;31(4):555–565. doi: 10.3109/00048679709065078. - DOI - PubMed

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