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'I thought we would be cherished and safe here': understanding the multi-faceted nature of mental health among Arab immigrants/refugees in Ontario, Canada- the CAN-HEAL study.
Elshahat, Sarah; Moffat, Tina; Iqbal, Basit Kareem; Newbold, K Bruce; Morshed, Mahira; Alkhawaldeh, Haneen; Gagnon, Olivia; Gehani, Mafaz; Madani, Keon; Zhu, Tony; Garabedian, Lucy; Jafri, Yumnah; Kanaa, Nour; Mohamed, Aya; Nadeem, Naya; Oghli, Zena Shamli; Zabian, Salima; Shah, Amal; Samhat, Asil; Khaira, Sahiba; Jelal, Hussyin; Kaloti, Jessica; Varadarajan, Sriyasri; Xu, Youyou; Laing, Megan.
  • Elshahat S; Department of Anthropology, Faculty of Social Sciences, McMaster University, Chester New Hall, Hamilton, ON, L8S 4L9, Canada. elshahas@mcmaster.ca.
  • Moffat T; Department of Anthropology, Faculty of Social Sciences, McMaster University, Chester New Hall, Hamilton, ON, L8S 4L9, Canada.
  • Iqbal BK; Department of Anthropology, Faculty of Social Sciences, McMaster University, Chester New Hall, Hamilton, ON, L8S 4L9, Canada.
  • Newbold KB; School of Earth, Environment and Society, McMaster University, Hamilton, ON, Canada.
  • Morshed M; Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
  • Alkhawaldeh H; Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
  • Gagnon O; Department of Neuroscience, Faculty of Science, Carleton University, Ottawa, ON, Canada.
  • Gehani M; Department of Psychological and Health Sciences, University of Toronto, Scarborough, ON, Canada.
  • Madani K; Integrated Biomedical Engineering and Health Sciences Faculty, McMaster University, Hamilton, ON, Canada.
  • Zhu T; Department of Criminology and Sociolegal Studies, Faculty of Arts and Science, University of Toronto, Toronto, ON, Canada.
  • Garabedian L; Department of Biomedical and Molecular Sciences, Faculty of Arts and Science, Queen's University, Kingston, ON, Canada.
  • Jafri Y; Department of Biology, Faculty of Science, McMaster University, Hamilton, ON, Canada.
  • Kanaa N; Department of Neuroscience, Faculty of Science, Carleton University, Ottawa, ON, Canada.
  • Mohamed A; Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
  • Nadeem N; Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
  • Oghli ZS; Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
  • Zabian S; Physiology and Pharmacology Department, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
  • Shah A; Department of Psychology, Faculty of Sciences, University of Toronto, Mississauga, ON, Canada.
  • Samhat A; Department of Political Science, Faculty of Social Sciences, McMaster University, Hamilton, ON, Canada.
  • Khaira S; The Munk School of Global Affairs and Public Policy, Faculty of Arts and Science, University of Toronto, Toronto, ON, Canada.
  • Jelal H; Department of Psychology, Faculty of Health, York University, Toronto, ON, Canada.
  • Kaloti J; Department of Biology, Faculty of Science, McMaster University, Hamilton, ON, Canada.
  • Varadarajan S; Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
  • Xu Y; Department of Psychology, University of Toronto Scarborough, Toronto, ON, Canada.
  • Laing M; Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Soc Psychiatry Psychiatr Epidemiol ; 2024 Apr 25.
Article en En | MEDLINE | ID: mdl-38664285
ABSTRACT

PURPOSE:

Mental health (MH) is a critical public health issue. Arab immigrants/refugees (AIR) may be at high risk for MH problems owing to various unique stressors, such as post-September/11 demonization. Despite the growing AIR population in Western countries, there is a lack of AIR-MH research in these nations. The CAN-HEAL study examined MH experiences and needs among AIR in Ontario, Canada.

METHODS:

This study employed a cooperative community-based participatory research and integrated knowledge translation approach. The study used photovoice, qualitative interviews and a questionnaire survey. Sixty socio-demographically diverse AIR adults partook in this study. The research was informed by the "social determinants of health" framework and the "years since immigration effect" (YSIE) theory.

RESULTS:

The term "mental health" was deemed offensive for participants aged > 30 years. Participants proposed other culturally-appropriate words including "well-being" and "emotional state". The prevalence of poor mental well-being in the sample was alarming (55%). Of first-generation immigrant participants, 86.8% reported negative changes in MH since migration. The negative changes are not straightforward; they are complex and dynamic, and mainly related to micro/macro-aggression, cross-cultural pressures, dissatisfaction with the health and social care system, and poor living conditions. Intersections between different socio-demographic factors (e.g., gender, length of residency, income, parenthood, religion) amplified the negative changes in MH and exacerbated inequities.

CONCLUSIONS:

MH needs among AIR are distinct and intersectionality aggravated inequities. Culturally and structurally competent healthcare and structural/policy reformation are required to tackle MH inequities. This can be fulfilled through intersectoral cooperation and including AIR in decision-making.
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Texto completo: 1 Banco de datos: MEDLINE Idioma: En Año: 2024 Tipo del documento: Article
Texto completo
Imprimir
XML
PubMed Links
Search on Google

Texto completo: 1 Banco de datos: MEDLINE Idioma: En Año: 2024 Tipo del documento: Article