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Original Article

Social Determinants of the Mental Health of Young Migrants

Published Online:January 28, 2022https://doi.org/10.1027/2512-8442/a000097

Abstract

Abstract.Background: Young migrants face particular risks to develop mental health problems. Discrimination and social support impact mental health, yet little is known about the differential impact thereof on mental health in newcomers, non-newcomer migrants, and non-migrants. Aim: This study sheds light on mental health (posttraumatic stress, behavioral problems, hyperactivity, emotional distress, peer relationship problems, prosocial behavior) and the overall well-being of newcomers, non-newcomer migrants, and non-migrants. Furthermore, the impact of social support and discrimination on mental health is investigated. Method: Descriptive analysis and Structural Equation Modelling (SEM) were applied to analyze responses of 2,320 adolescents through self-report questionnaires in Finland, Sweden, and the UK. Results: Newcomers, non-newcomer migrants, and non-migrants have different psychological profiles. While newcomers suffer more from posttraumatic stress disorder (PTSD) and peer problems, non-newcomers and non-migrants report more hyperactivity. Discrimination strongly threatens all mental health dimensions, while support from family serves as a protective factor. Support from friends has a positive impact on PTSD among newcomers. Limitations: As this study has a cross-sectional design, conclusions about causality cannot be drawn. In addition, history of traumatic life events or migration trajectory was lacking, while it may impact mental health. Conclusion: Different mental health profiles of newcomers, non-newcomer migrants, and non-migrants point to the need for a tailored and diversified approach. Discrimination remains a risk factor for mental health, while family support is a protective factor for adolescents. Interventions that foster social support from friends would be especially beneficial for newcomers.

References

  • Blackmore, R., Gray, K. G., Boyle, J. A., Fazel, M., Ranasinha, S., Fitzgerald, G., Misso, M., & Gibson-Helm, M. (2019). Systematic review and meta-analysis: The prevalence of mental illness in child and adolescent refugees and asylum seekers. Journal of the American Academy of Child & Adolescent Psychiatry, 59(6), 705–714. https://doi.org/10.1016/j.jaac.2019.11.011 First citation in articleCrossref, Google Scholar

  • Bogart, L. M., Elliott, M. N., Kanouse, D. E., Klein, D. J., Davies, S. L., Cuccaro, P. M., Banspach, S. W., Peskin, M. F., & Schuster, M. A. (2013). Association between perceived discrimination and racial/ethnic disparities in problem behaviors among preadolescent youths. American Journal of Public Health, 103, 1074–1081. https://doi.org/10.2105/AJPH.2012.301073 First citation in articleCrossref, Google Scholar

  • Borders, A., & Liang, C. T. H. (2011). Rumination partially mediates the associations between perceived ethnic discrimination, emotional distress, and aggression. Cultural Diversity & Ethnic Minority Psychology, 217, 125–133. https://doi.org/10.1037/a0023357 First citation in articleCrossref, Google Scholar

  • Brondolo, E., Kelly, K. P., Coakley, V., Gordon, T., Thompson, S., Levy, E., Cassells, A., Tobin, J. N., Sweeney, M., & Contrada, R. J. (2005). The Perceived Ethnic Discrimination Questionnaire: Development and preliminary validation of a community version. Journal of Applied Social Psychology, 35, 335–365. https://doi.org/10.1111/j.1559-1816.2005.tb02124.x First citation in articleCrossref, Google Scholar

  • Brown, T. A. (2015). Confirmatory factor analysis for applied research. Guilford Press. First citation in articleGoogle Scholar

  • Buchanan, Z. E., Abu-Rayya, H. M., Kashima, E., Paxton, S. J., & Sam, D. L. (2018). Perceived discrimination, language proficiencies, and adaptation: Comparisons between refugee and non-refugee immigrant youth in Australia. International Journal of Intercultural Relations, 63, 105–112. https://doi.org/10.1016/j.ijintrel.2017.10.006 First citation in articleCrossref, Google Scholar

  • Canty-Mitchell, J., & Zimet, G. D. (2000). Psychometric properties of the Multidimensional Scale of Perceived Social Support in urban adolescents. American Journal of Community Psychology, 28(3), 391–400. https://doi.org/10.1023/a:1005109522457 First citation in articleCrossref, Google Scholar

  • Chung, H., & Epstein, N. B. (2014). Perceived racial discrimination, acculturative stress, and psychological distress among Asian immigrants: The moderating effects of support and interpersonal strain from a partner. International Journal of Intercultural Relations, 42, 129–139. https://doi.org/10.1016/j.ijintrel.2014.04.003 First citation in articleCrossref, Google Scholar

  • Close, C., Kouvonen, A., Bosqui, T., Patel, K., O’Reilly, D., & Donnelly, M. (2016). The mental health and wellbeing of first generation migrants: A systematic-narrative review of reviews. Globalization & Health, 12, 1–13. https://doi.org/10.1186/s12992-016-0187-3 First citation in articleCrossref, Google Scholar

  • Contrada, R. J., Ashmore, R. D., Gary, M. L., Coups, E., Egeth, J. D., Sewell, A., Goyal, T. M., & Chasse, V. (2000). Ethnicity-related sources of stress and their effects on well-being. Current Directions in Psychological Science, 9(4), 136–139. https://doi.org/10.1111/1467-8721.00078 First citation in articleCrossref, Google Scholar

  • Davis, A. N., Carlo, G., Schwartz, S. J., Unger, J. B., Zamboanga, B. L., Lorenzo-Blanco, E. I., & Soto, D. (2016). The longitudinal associations between discrimination, depressive symptoms, and prosocial behaviors in US Latino/a recent immigrant adolescents. Journal of Youth and Adolescence, 45(3), 457–470. https://doi.org/10.1007/s10964-015-0394-x First citation in articleCrossref, Google Scholar

  • De Berry, J., & Boyden, J. (2000). Children in adversity. Forced Migration Review, 9(4), 33–36. First citation in articleGoogle Scholar

  • Derluyn, I., & Ang, W. (2020). Family relationships and intra-family expectations in unaccompanied young. In L. De HaeneC. RousseauEds., Working with refugee families. Trauma and exile in family relationships (pp. 103–116). Cambridge University Press. First citation in articleGoogle Scholar

  • Derluyn, I., Broekaert, E., & Schuyten, G. (2008). Emotional and behavioral problems in migrant adolescents in Belgium. European Child & Adolescent Psychiatry, 17, 54–62. https://doi.org/10.1007/s00787-007-0636-x First citation in articleCrossref, Google Scholar

  • Dye, H. (2018). The impact and long-term effects of childhood trauma. Journal of Human Behavior in the Social Environment, 28(3), 381–392. First citation in articleCrossref, Google Scholar

  • Fazel, M., Reed, R. V., Panter-Brick, C., & Stein, A. (2012). Mental health of displaced and refugee children resettled in high-income countries: Risk and protective factors. Lancet, 379, 266–282. https://doi.org/10.1016/s0140-6736(11)60051-2 First citation in articleCrossref, Google Scholar

  • Flores, E., Tschann, J. M., Dimas, J. M., Pasch, L. A., & de Groat, C. L. (2010). Perceived racial/ethnic discrimination, posttraumatic stress symptoms, and health risk behaviors among Mexican American adolescents. Journal of Counseling Psychology, 57(3), 264–273. https://doi.org/10.1037/a0020026 First citation in articleCrossref, Google Scholar

  • Gatt, J. M., Alexander, R., Emond, A., Foster, K., Hadfield, K., Mason-Jones, A., Reid, S., Theron, T., Ungar, M., Wouldes, T. A., & Wu, Q. (2020). Trauma, resilience, and mental health in migrant and non-migrant youth: An international cross-sectional study across six countries. Frontiers in Psychiatry, 10, Article 997. https://doi.org/10.3389/fpsyt.2019.00997 First citation in articleCrossref, Google Scholar

  • Goodman, R. (2001). Psychometric properties of the Strengths and Difficulties Questionnaire (SDQ). Journal of the American Academy of Child & Adolescent Psychiatry, 40, 1337–1345. https://doi.org/10.1097/00004583-200111000-00015 First citation in articleCrossref, Google Scholar

  • Guay, S., Billette, V., & Marchand, A. (2006). Exploring the links between posttraumatic stress disorder and social support: Processes and potential research avenues. Journal of Traumatic Stress, 19, 327–338. https://doi.org/10.1002/jts.20124 First citation in articleCrossref, Google Scholar

  • Harnisch, H., & Montgomery, E. (2017). “What kept me going”: A qualitative study of avoidant responses to war-related adversity and perpetration of violence by former forcibly recruited children and youth in the Acholi region of northern Uganda. Social Science & Medicine, 188, 100–108. https://doi.org/10.1016/j.socscimed.2017.07.007 First citation in articleCrossref, Google Scholar

  • Hjern, A., Rajmil, L., Bergström, M., Berlin, M., Gustafsson, P. A., & Modin, B. (2013). Migrant density and well-being – A national school survey of 15-year-olds in Sweden. The European Journal of Public Health, 23(5), 823–828. https://doi.org/10.1093/eurpub/ckt106 First citation in articleCrossref, Google Scholar

  • Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1–55. https://doi.org/10.1080/10705519909540118 First citation in articleCrossref, Google Scholar

  • Kelaher, M., Potts, H., & Manderson, L. (2001). Health issues among Filipino women in remote Queensland. Australian Journal of Rural Health, 9, 150–157. https://doi.org/10.1046/j.1038-5282.2001.00342.x First citation in articleCrossref, Google Scholar

  • Laban, C. J., Gernaat, H. B., Komproe, I. H., Van Der Tweel, I., & De Jong, J. T. (2005). Postmigration living problems and common psychiatric disorders in Iraqi asylum seekers in the Netherlands. Journal of Nervous & Mental Disease, 193, 825–832. https://doi.org/10.1097/01.nmd.0000188977.44657.1d First citation in articleCrossref, Google Scholar

  • Lewis, T. T., Cogburn, C. D., & Williams, D. R. (2015). Self-reported experiences of discrimination and health: Scientific advances, ongoing controversies, and emerging issues. Annual Review of Clinical Psychology, 11, 407–440. https://doi.org/10.1146/annurev-clinpsy-032814-112728 First citation in articleCrossref, Google Scholar

  • LimeSurvey Project Team/Carsten Schmitz. (2012). LimeSurvey: An Open Source Survey Tool. http://limesurvey.org First citation in articleGoogle Scholar

  • Lustig, S. L., Kia-Keating, M., Knight, W. G., Geltman, P., Ellis, H., Kinzie, J. D., Keane, T., & Saxe, G. N. (2004). Review of child and adolescent refugee mental health. Journal of the American Academy of Child & Adolescent Psychiatry, 43, 24–36. https://doi.org/10.1097/00004583-200401000-00012 First citation in articleCrossref, Google Scholar

  • McMichael, C., & Manderson, L. (2004). Somali women and well-being: Social networks and social capital among immigrant women in Australia. Human Organization, 63, 88–99. https://doi.org/10.17730/humo.63.1.nwlpjdj4d4l9756l First citation in articleCrossref, Google Scholar

  • Migration Portal. (2021). Child and young migrants. https://migrationdataportal.org/themes/child-and-young-migrants First citation in articleGoogle Scholar

  • Miller, K. E., & Rasmussen, A. (2017). The mental health of civilians displaced by armed conflict: An ecological model of refugee distress. Epidemiology & Psychiatric Sciences, 26, 129–138. https://doi.org/10.1017/s2045796016000172 First citation in articleCrossref, Google Scholar

  • Montgomery, E. (2010). Trauma and resilience in young refugees: A 9-year follow-up study. Development & Psychopathology, 22, 477–489. https://doi.org/10.1017/s0954579410000180 First citation in articleCrossref, Google Scholar

  • Okamoto, J., Ritt-Olson, A., Soto, D., Baezconde-Garbanati, L., & Unger, J. B. (2009). Perceived discrimination and substance use among Latino adolescents. American Journal of Health Behavior, 33, 718–727. https://doi.org/10.5993/ajhb.33.6.9 First citation in articleCrossref, Google Scholar

  • O’Leary, A., & Romero, A. (2011). Chicana/o students respond to Arizona’s anti-ethnic studies bill, SB 1108: Civic engagement, ethnic identity, and well-being. Aztlan, 36(1), 9–36. First citation in articleGoogle Scholar

  • Perrin, S., Meiser-Stedman, R., & Smith, P. (2005). The Children’s Revised Impact of Event Scale (CRIES): Validity as a screening instrument for PTSD. Behavioral & Cognitive Psychotherapy, 33, 487–498. https://doi.org/10.1017/s1352465805002419 First citation in articleCrossref, Google Scholar

  • Porter, M., & Haslam, N. (2005). Predisplacement and postdisplacement factors associated with mental health of refugees and internally displaced persons: A meta-analysis. Journal of the American Medical Association, 294(5), 602–612. https://doi.org/10.1001/jama.294.5.602 First citation in articleCrossref, Google Scholar

  • Rosseel, Y. (2012). Lavaan: An R package for structural equation modeling. Journal of Statistical Software, 48, 1–36. https://doi.org/10.18637/jss.v048.i02 First citation in articleCrossref, Google Scholar

  • Rollock, D., & Lui, P. P. (2016). Do spouses matter? Discrimination, social support, and psychological distress among Asian Americans. Cultural Diversity & Ethnic Minority Psychology, 22, 47–57. https://doi.org/10.1037/cdp0000045 First citation in articleCrossref, Google Scholar

  • Rubin, D. E. (1987). Multiple imputation for nonresponse in surveys. Wiley. First citation in articleCrossref, Google Scholar

  • Sangalang, C. C., Becerra, D., Mitchell, F. M., Lechuga-Peña, S., Lopez, K., & Kim, I. (2019). Trauma, post-migration stress, and mental health: A comparative analysis of refugees and immigrants in the United States. Journal of Immigrant and Minority Health, 21(5), 909–919. https://doi.org/10.1007/s10903-018-0826-2 First citation in articleCrossref, Google Scholar

  • Scharpf, F., Kaltenbach, E., Nickerson, A., & Hecker, T. (2021). A systematic review of socio-ecological factors contributing to risk and protection of the mental health of refugee children and adolescents. Clinical Psychology Review, 83, Article 101930. https://doi.org/10.1016/j.cpr.2020.101930 First citation in articleCrossref, Google Scholar

  • Schreiber, J. B., Nora, A., Stage, F. K., Barlow, E. A., & King, J. (2006). Reporting structural equation modeling and confirmatory factor analysis: A review. Journal of Educational Research, 99, 323–338. https://doi.org/10.3200/JOER.99.6.323-338 First citation in articleCrossref, Google Scholar

  • Serovich, J. M., Kimberly, J. A., Mosack, K. E., & Lewis, T. L. (2001). The role of family and friend social support in reducing emotional distress among HIV-positive women. AIDS Care, 13, 335–341. https://doi.org/10.1080/09540120120043982 First citation in articleCrossref, Google Scholar

  • Shakya, Y. B., Khanlou, N., & Gonsalves, T. (2010). Determinants of mental health for newcomer youth: Policy and service implications. Canadian Issues, Summer, 98–102. First citation in articleGoogle Scholar

  • Spaas, C., Verelst, A., Devlieger, I., Aalto, S., Andersen, A. J., Durbeej, N., Hilden, P. K., Kankaanpää, R., Langer Primdahl, N., Opaas, M., Osman, F., Peltonen, K., Sarkadi, A., Skovdal, M., Jervelund, S. S., Soye, E., Watters, C., Derluyn, I., Colpin, H., & De Haene, L. (2021). Mental health of refugee and non-refugee migrant young people in European secondary education: The role of family separation, daily material stress and discrimination in resettlement. Journal of Youth and Adolescence. Advance online article. https://doi.org/10.1007/s10964-021-01515-y First citation in articleCrossref, Google Scholar

  • Stewart, M., Anderson, J., Beiser, M., Mwakarimba, E., Neufeld, A., Simich, L., & Spitzer, D. (2008). Multicultural meanings of social support among immigrants and refugees. International Migration, 46, 123–159. https://doi.org/10.1111/j.1468-2435.2008.00464.x First citation in articleCrossref, Google Scholar

  • Suárez-Orozco, C., Gaytán, F. X., Bang, H. J., Pakes, J., O’Connor, E., & Rhodes, J. (2010). Academic trajectories of newcomer immigrant youth. Developmental Psychology, 46, 602–618. https://doi.org/10.1037/a0018201 First citation in articleCrossref, Google Scholar

  • Van Buuren, S., & Groothuis-Oudshoorn, K. (2011). Mice: Multivariate imputation by chained equations in R. Journal of Statistical Software, 45, 1–67. https://doi.org/10.18637/jss.v045.i03 First citation in articleGoogle Scholar

  • Verelst, A., Bal, S., De Schryver, M., Say Kana, N., Broekaert, E., & Derluyn, I. (2020). The impact of avoidant/disengagement coping and social support on the mental health of adolescent victims of sexual violence in eastern Congo. Frontiers in Psychiatry, 11, Article 382. https://doi.org/10.3389/fpsyt.2020.00382 First citation in articleCrossref, Google Scholar

  • Vervliet, M., Lammertyn, J., Broekaert, E., & Derluyn, I. (2014). Longitudinal follow-up of the mental health of unaccompanied refugee minors. European Child & Adolescent Psychiatry, 23, 337–346. https://doi.org/10.1007/s00787-013-0463-1 First citation in articleCrossref, Google Scholar

  • Vines, A. I., Ward, J. B., Cordoba, E., & Black, K. Z. (2017). Perceived racial/ethnic discrimination and mental health: A review and future directions for social epidemiology. Current Epidemiology Reports, 4(2), 156–165. https://doi.org/10.1007/s40471-017-0106-z First citation in articleCrossref, Google Scholar

  • Walker, J., & Zuberi, D. (2020). School-aged Syrian refugees resettling in Canada: Mitigating the effect of pre-migration trauma and post-migration discrimination on academic achievement and psychological well-being. Journal of International Migration & Integration, 21, 397–411. https://doi.org/10.1007/s12134-019-00665-0 First citation in articleCrossref, Google Scholar

  • Watters, C. (2001). Emerging paradigms in the mental health care of refugees. Social Science & Medicine, 52, 1709–1718. https://doi.org/10.1016/s0277-9536(00)00284-7 First citation in articleCrossref, Google Scholar

  • Williams, D. R., Haile, R., Mohammed, S. A., Herman, A., Sonnega, J., Jackson, J. S., & Stein, D. J. (2012). Perceived discrimination and psychological well-being in the USA and South Africa. Ethnicity & Health, 17, 111–133. https://doi.org/10.1080/13557858.2012.654770 First citation in articleCrossref, Google Scholar

  • Yoo, H. C., & Lee, R. M. (2005). Ethnic identity and approach-type coping as moderators of the racial discrimination/well-being relation in Asian Americans. Journal of Counseling Psychology, 52(4), 497–506. https://doi.org/10.1037/0022-0167.52.4.497 First citation in articleCrossref, Google Scholar

  • Zarrella, I., Russolillo, L. A., Caviglia, G., & Perrella, R. (2017). Continuity and discontinuity between psychopathology of childhood and adulthood: A review on retrospective and prospective studies. Research in Psychotherapy: Psychopathology, Process, and Outcome, 20(2), 101–109. https://doi.org/10.4081/ripppo.2017.248 First citation in articleCrossref, Google Scholar

  • Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52, 30–41. https://doi.org/10.1207/s15327752jpa5201_2 First citation in articleCrossref, Google Scholar