Effects of Trauma and Postmigration Stress on Refugee Women's Health: A Life Course Perspective

被引:5
|
作者
Sangalang, Cindy C. [1 ]
Vang, Cindy [2 ]
Kim, Bum Jung [3 ]
Harachi, Tracy W. [4 ]
机构
[1] UCLA Luskin Sch Publ Affairs, Dept Social Welf & Asian Amer Studies, 337 Charles E Young Dr East, Los Angeles, CA 90095 USA
[2] Calif State Univ Chico, Sch Social Work, Chico, CA 95929 USA
[3] Chung Ang Univ, Dept Social Welf, Seoul, South Korea
[4] Univ Washington, Sch Social Work, Seattle, WA 98195 USA
关键词
health; postmigration stress; refugees; Southeast Asians; trauma; women; MENTAL-HEALTH; POSTTRAUMATIC-STRESS; RACIAL-DISCRIMINATION; CAMBODIAN REFUGEES; COMMUNITY VIOLENCE; IMMIGRANT; EXPERIENCES; EXPOSURE; FAMILY; ASSOCIATION;
D O I
10.1093/sw/swac026
中图分类号
C916 [社会工作、社会管理、社会规划];
学科分类号
1204 ;
摘要
Trauma exposure and postmigration stress are associated with adverse health outcomes among refugees, yet the relative effect of these factors for subgroups of refugees and those resettled long-term remains unclear. Drawing on life course theory, this study evaluated the associations between war trauma, postmigration stress, and health among Southeast Asian refugee women in the United States, and whether these patterns differ across the life span. A community sample of Vietnamese and Cambodian refugee women aged 30-72 years (N = 293) reported mental and physical health outcomes, conflict-based trauma exposure, and postmigration measures of discrimination and community violence. Both trauma exposure and discrimination were associated with mental and physical health problems, with the relative effect of each stressor varying across specific health outcomes; community violence was associated with poorer mental health. Age moderated the effect of trauma exposure across health outcomes, with stronger associations between trauma and health for older women in particular. Findings provide support for the influence of trauma exposure and the importance of postmigration stressors on health across the life span for refugees. Attending to age group differences in the effects of these stressors, and to subgroups such as women, has implications for interventions addressing the long-term health of refugee populations.
引用
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页码:207 / 217
页数:11
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