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The Meaning of Health and Help-Seeking Behaviours Among Refugees Who Have Experienced Collective Violence Prior to Emigration: A Canadian Perspective

Publication: Canadian Journal of Community Mental Health
23 December 2014

Abstract

An interpretative phenomenological approach with a purposive sample of 3 men and 3 women was employed to explore the meaning of health and help-seeking behaviours of refugees living in Canada who have experienced collective violence in their countries of origin. Prior to migration, the participants’ meaning of health and help-seeking behaviours were fashioned by their embodied experience of life as nonexistent and meaningless. Post migration, their past lived experience of collective violence continued to shape their perceptions of their health and help-seeking behaviours. Participants call for a restructured system offering specialized mental health services for this population.

Résumé

Une approche phénoménologique interprétative auprès d'un échantillon par choix raisonné de 3 hommes et 3 femmes fut employée pour explorer le sens de la santé et le recours aux soins des réfugiés et réfugiées vivant au Canada, victimes de violence collective dans leur pays d'origine. Avant la migration, la signification de la santé et du recours aux soins fut façonnée par une vie qui semblait inexistante et insignifiante. Après leur arrivée au Canada, l'expérience de violence collective continua à façonner la perception de leur état de santé et leurs recours aux soins. Les participants et participantes réclament une restructuration du système offrant des services spécialisés de santé mentale adaptés à cette population.

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References

Benner P. The roles of embodiment, emotion and lifeworld for rationality and agency in nursing practice Nursing Philosophy 2000 10 1 5 -19
Berman H., Giron E. R. I., and Marroquin A. P. A narrative study of refugee women who have experienced violence in the context of war Canadian Journal of Nursing Research 2006 38 4 32 -53 Retrieved from http://www.mcgill.ca/cjnr/
Bhatia R. and Wallace P. Experiences of refugees and asylum seekers in general practice: A qualitative study BioMed Central Family Practice 2007 8 48 1 -9
De Haene L., Grietens H., and Verschueren K. Adult attachment in the context of refugee traumatisation: The impact of organized violence and forced separation on parental states of mind regarding attachment Attachment & Human Development 2010 12 3 249 -264
Downar J., Baily T. M., and Kagan J. Physician assisted death: Time to move beyond yes or no Canadian Medical Association Journal 2014 186 567 -568
Eisenman D. P., Gelberg L., Liu H., and Shapiro M. F. Mental health and health-related quality of life among adult Latino primary care patients living in the United States with previous exposure to political violence Journal of the American Medical Association 2003 290 5 627 -634
Finlay, L. (2006). The embodied experience of multiple sclerosis: An existential-phenomenological analysis. In L. Finlay & C. Ballinger (Eds.), Qualitative research for allied health professionals: Challenging choices (pp. 185–199). West Sussex, England: John Wiley & Sons.
Freedman S. and Enright R. D. Forgiveness as an intervention goal with incest survivors Journal of Consulting and Clinical Psychology 1996 64 5 983 -992
Gagnon A. J., Tuck J., and Barkun L. A systematic review of questionnaires measuring the health of resettling women Health Care for Women International 2004 25 2 111 -149
Galdas P. M., Cheater F., and Marshall P. Men and health help-seeking behaviour: Literature review Journal of Advanced Nursing 2005 49 6 616 -623
Gerritsen A. A. M., Bramsen I., Devillé W., van Willigen L. H. M., Hovens J. E., and van der Ploeg H. M. Use of health care services by Afghan, Iranian, and Somali refugees and asylum seekers living in The Netherlands European Journal of Public Health 2006 16 4 394 -399 Retrieved from http://eurpub.oxfordjournals.org/
Gordon W. B. and Gonzalez A. Methodological issues in the use of survey questionnaires to assess the health effects of torture The Journal of Nervous & Mental Disease 1998 186 5 283 -289 Retrieved from http://journals.lww.com/jonmd/Pages/default.aspx
Guba, E. G., & Lincoln, Y. S. (1994). Competing paradigms in qualitative research. In N. K. Denzin & Y. S. Lincoln (Eds.), Handbook of qualitative research (1st edition) (pp.105–117). Thousand Oaks, CA: Sage.
Guruge S. and Khanlou N. Intersectionalities of influence: Researching the health of immigrant and refugee women Canadian Journal of Nursing Research 2004 36 3 32 -47 Retrieved from http://www.mcgill.ca.proxy1.lib.uwo.ca/cjnr/
Hebl J. H. and Enright R. D. Forgiveness as a psychotherapeutic goal with elderly females Psychotherapy 1993 30 4 658 -667
Heptinstall T., Kralj L., and Lee G. Asylum seekers: A health professional perspective Nursing Standard 2004 18 25 44 -53 Retrieved from http://rcnpublishing.com/journal/ns
Joels C. Impact of national policy on the health of people seeking asylum Nursing Standard 2008 22 31 35 -40 Retrieved from http://rcnpublishing.com/journal/ns
Kirmayer L. J., Narasiah L., Munoz M., Rashid M., Ryder A. G., Guzder J., and Pottie K. Common mental health problems in immigrants and refugees: General approach in primary care Canadian Medical Association Journal 2011 183 12 E959 -E967 Retrieved from http://www.cmaj.ca/
Krug, E. G., Dahlberg, L. L., Mercy, J. A., Zwi, A. B., & Lozano, R. (2002). World report on violence and health: Summary. Geneva: World Health Organization.
Lincoln Y. S. and Guba E. G. But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation New Directions for Program Evaluation 1986 1986 30 73 -84
Lincoln, Y. S., & Guba, E. G. (2003). Paradigmatic controversies, contradictions and emerging confluences in N. K. Denzin & Y. S. Lincoln (Eds.), The landscape of qualitative research: Theories and issues (2nd ed.), (pp.253–274; 281–287). Thousand Oaks: Sage.
Merleau-Ponty, M. (1962). Phenomenology of perception. M. Smith (Trans.), New York, NY: Routledge.
Mollica R. F., McInnes K., Sarajlić N., Lavelle J., Sarajlić I., and Massagli M. P. Disability associated with psychiatric comorbidity and health status in Bosnian refugees living in Croatia Journal of the American Medical Association 1999 282 5 433 -439
Möller-Leimkühler A. M. Barriers to help-seeking by men: A review of sociocultural and clinical literature with particular reference to depression Journal of Affective Disorders 2002 71 1 1 -9
Morris M. D., Popper S. T., Rodwell T. C., Brodine S. K., and Brouwer K. C. Healthcare barriers of refugees post-resettlement Journal of Community Health 2009 34 6 529 -538
Mukamana D. and Brysiewicz P. The lived experience of genocide rape survivors in Rwanda Journal of Nursing Scholarship 2008 40 4 379 -384
O'Mahony J. M. and Donnelly T. The influence of culture on immigrant women's mental health care experiences from the perspectives of health care providers Issues in Mental Health Nursing 2007 28 453 -471
O'Mahony J. M. and Donnelly T. Immigrant and refugee women's post-partum depression help-seeking experiences and access to care: A review and analysis of the literature Journal of Psychiatric and Mental Health Nursing 2010 17 917 -928
O'Mahony J. M. and Donnelly T. How does gender influence immigrant and refugee women's post-partum depression help-seeking experiences? Journal of Psychiatric and Mental Health Nursing 2013 20 714 -725
Polit, D. F., & Hungler, B. P. (1997). Essentials of nursing research. Philadelphia. PA: Lippincott.
Pottie K., Batista R., Mayhew M., Mota L., and Grant K. Improving delivery of primary care for vulnerable migrants Canadian Family Physician 2014 60 e32 -e40 Retrieved from http://www.cfpc.ca/CanadianFamilyPhysician/
Redwood-Campbell L., Fowler N., Kaczorowski J., Molinaro E., Robinson S., Howard M., and Jafarpour M. How are new refugees doing in Canada? Comparison of the health and settlement of the Kosovars and Czech Roma Canadian Journal of Public Health 2003 94 5 381 -385 Retrieved from http://journal.cpha.ca/index.php/cjph
Sadala M. L. A., Adorno R., and de C. F. Phenomenology as a method to investigate the experience lived: A perspective from Husserl and Merleau-Ponty's thought Journal of Advanced Nursing 2002 37 3 282 -293
Schwarz-Nielsen K. H. and Elklit A. An evaluation of the mental status of rejected asylum seekers in two Danish asylum centers Torture 2009 19 1 51 -59 Retrieved from http://www.irct.org/torture-journal
Seale C. Quality in qualitative research Qualitative Inquiry 1999 5 4 465 -478
Stanbrook M. B. Canada owes refugees adequate health coverage Canadian Medical Association Journal 2014 186 2 91
UN Refugee Agency (UNH CR). (1951). Convention and protocol relating to the status of refugees. Geneva: United Nations Refugee Agency.
Van Manen, M. (1990). Researching lived experience: Human science for an action sensitive pedagogy. New York: State University of New York Press.
Van Manen, M. (1997). Researching lived experience. (2nd ed.). London, ON: Althouse Press.
Wales J. and Rashid M. No longer a place of refuge: Health consequences of mandatory detention for refugees Canadian Family Physician 2013 59 609 -611 Retrieved from http://www.cfpc.ca/CanadianFamilyPhysician/
Watters C. Emerging paradigms in the mental health care of refugees Social Science and Medicine 2001 52 11 1709 -1718
Whitfield, C. L. (2004). The truth about mental illness: Choices for healing. Deerfield Beach, FL: Health Communications.
Worthington E. L. and Scherer M. Forgiveness is an emotion-focused coping strategy that can reduce health risks and promote health resilience: Theory, review and hypothesis Psychology and Health 2004 19 3 385 -405

Information & Authors

Information

Published In

cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 33Number 3December 2014
Pages: 71 - 85

History

Version of record online: 23 December 2014

Key Words

  1. Phenomenology
  2. violence
  3. health promotion
  4. mental health
  5. trauma
  6. health services

Mots-clés

  1. phénoménologie
  2. violence
  3. promotion de la santé
  4. santé mentale
  5. traumatisme
  6. services de santé

Authors

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Gracia Mabaya
Susan L. Ray

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