在结构性压迫和长期流离失所的背景下,难民健康公平是否可能?
Rima A Afifi1,2, Rima T Nakkash2,3, Suad Hammad4
1The University of Iowa, Iowa City, IA, USA.
概括
卡德鲁恩对巴勒斯坦难民儿童的干预显示出积极的参与,但没有显著的心理健康改善. 这凸显了在人道主义环境中解决结构性压迫的必要性,以实现真正的健康公平.
科学领域:
- 公共卫生 公共卫生
- 全球心理健康全球心理健康
- 社区心理学 社区心理学
背景情况:
- 人道主义环境中的心理健康干预措施显示出对福祉的希望.
- 在结构性压迫和流离失所的情况下,仍然存在关于它们对于健康公平的充分性的问题.
- 巴勒斯坦难民儿童在长期流离失所的情况下面临着独特的挑战.
研究的目的:
- 描述Qaderoon (我们有能力) 的社会技能建设干预措施,以促进心理健康.
- 评估干预对巴勒斯坦难民儿童心理健康结果的有效性.
- 探索基于社区的参与性研究 (CBPR) 在干预设计和实施中的作用.
主要方法:
- 一个为期一年的社会技能干预 (Qaderoon) 涉及儿童,家长和教师.
- 基于社区的参与式研究 (CBPR) 方法与一个学术机构和社区青年联盟.
- 混合方法 准实验设计,包括定量尺度和定性访谈.
主要成果:
- 定量分析显示,干预组和对照组之间的心理健康得分没有统计学上显著的差异.
- 定性访谈显示了儿童积极参与和对干预的经验.
- 不一致的研究结果表明,需要重新评估在结构性压迫的背景下干预的有效性.
结论:
- 虽然干预可以促进积极的参与,但当结构性压迫持续存在时,它们可能不足以改善心理健康结果.
- 难民群体的健康公平需要解决社会正义问题,并拆除系统性障碍.
- 公共卫生研究和实践必须"上游"以解决健康不平等的根本原因.
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