Associations among past trauma, post-displacement stressors, and mental health outcomes in Rohingya refugees in Bangladesh
A secondary cross-sectional analysis
Bibliographic Data
| ID | 22076224 |
|---|---|
| Authors | Haley Ritsema (New York University, corresponding author), Mari Armstrong‐Hough (0000-0001-6947-4528, New York University), Mari Armstrong-Hough (0000-0002-4971-8676) |
| Year | 2023 |
| Volume | 10 |
| Pages | 1048649-1048649 |
| Publication date | 2023-01-16 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2022.1048649 |
| PMID | 36726616 |
| OpenAlex | W4316468258 |
| Language | EN |
| Citations received | 7 |
| References cited | 32 |
Objective The Rohingya endured intense trauma in Myanmar and continue to experience trauma related to displacement in Bangladesh. We aimed to evaluate the association of post-displacement stressors with mental health outcomes, adjusting for previously experienced trauma, in the Rohingya refugee population in Cox's Bazar, Bangladesh. Methods We analyzed data from the Cox's Bazar Panel Survey, a cross sectional survey consisting of 5,020 household interviews and 9,386 individual interviews completed in 2019. Using logistic regression, we tested the association between post-displacement stressors such as current exposure to crime and conflict and two mental health outcomes: depression and post-traumatic stress disorder (PTSD). In adjusted analyses, we controlled for past trauma, employment status, receiving an income, food security, and access to healthcare and stratified by gender. Results The prevalence of depressive symptoms was 30.0% ( n = 1,357) and PTSD 4.9% ( n = 218). Most (87.1%, n = 3,938) reported experiencing at least one traumatic event. Multiple post-displacement stressors, such as current exposure to crime and conflict (for men: OR = 2.23, 95% CI = 1.52–3.28, p < 0.001; for women: OR = 1.92, 95% CI = 1.44–2.56, p < 0.001), were associated with higher odds of depressive symptoms in multivariable models. Trauma (OR = 4.98, 95% CI = 2.20–11.31, p < 0.001) was associated with increased odds of PTSD. Living in a household that received income was associated with decreased odds of PTSD (OR = 0.74, 95% CI = 0.55–1.00, p = 0.05). Conclusion Prevalence of depressive symptoms was high among Rohingya refugees living in Cox's Bazar. Adjusting for past trauma and other risk factors, exposure to post-displacement stressors was associated with increased odds of depressive symptoms. There is a need to address social determinants of health that continue to shape mental health post-displacement and increase mental healthcare access for displaced Rohingya
Cross-sectional study · Environmental health · Internally displaced person · Logistic regression · Mental health · Odds · Odds ratio · Population · Psychiatry · Refugee · Stressor · Asian Geopolitics and Ethnography · Demography · Medicine · Migration, Health and Trauma · Posttraumatic Stress Disorder Research · Internal Medicine
Perceived Social Support Among Older Adults Residing in the Rohingya Refugee Camp in Bangladesh
Exploring the interplay between food security and crime vulnerability among the Rohingya community in Bangladesh
Healthcare workers’ perspectives on trauma and mental health access for Rohingya refugees in Cox’s Bazar
A conceptual framework on pre- and post-displacement stressors
Prevalence and factors associated with psychosocial distress and trauma among Rohingya refugees living in Cox’s Bazar and Bhasan Char in Bangladesh
A qualitative study of cultural concepts of distress among Rohingya refugees in Cox’s Bazar, Bangladesh
Mental Health and Wellbeing of Rohingya Refugees
The prevalence of mental illness in refugees and asylum seekers
The Harvard Trauma Questionnaire
New WHO prevalence estimates of mental disorders in conflict settings
The Relationship Between Post-Migration Stress and Psychological Disorders in Refugees and Asylum Seekers
Five Essential Elements of Immediate and Mid–Term Mass Trauma Intervention
The contemporary refugee crisis
The Social Determinants of Refugee Mental Health in the Post-Migration Context
Association of Torture and Other Potentially Traumatic Events With Mental Health Outcomes Among Populations Exposed to Mass Conflict and Displacement
Predisplacement and Postdisplacement Factors Associated With Mental Health of Refugees and Internally Displaced Persons
The PHQ-9
Elucidating Mental Health Disorders among Rohingya Refugees
Displacement, Violence, and Mental Health
Drivers of Intimate Partner Violence Against Women in Three Refugee Camps
Documentation of human rights abuses among Rohingya refugees from Myanmar
Systematic human rights violations, traumatic events, daily stressors and mental health of Rohingya refugees in Bangladesh
Violence and mortality in the Northern Rakhine State of Myanmar, 2017
Daily stressors, trauma exposure, and mental health among stateless Rohingya refugees in Bangladesh
| Citations per year | 3.5 |
|---|---|
| Citation span | 2024 - 2026 (3) |
| Highly cited | No |