Discrimination and distress among Afghan refugees in northern California: The moderating role of pre- and post-migration factors

PLoS One. 2018 May 21;13(5):e0196822. doi: 10.1371/journal.pone.0196822. eCollection 2018.

Abstract

This study investigates the effect of perceived discrimination on the mental health of Afghan refugees, and secondly, tests the distress moderating effects of pre-migration traumatic experiences and post-resettlement adjustment factors. In a cross-sectional design, 259 Afghans completed surveys assessing perceived discrimination and a number of other factors using scales developed through inductive techniques. Multivariable analyses consisted of a series of hierarchical regressions testing the effect of perceived discrimination on distress, followed by a sequential analysis of moderator variables. Perceived discrimination was significantly associated with higher distress, and this relationship was stronger among those with a strong intra-ethnic identity and high pre-resettlement traumatic experiences. The expected buffering effects of civic engagement, ethnic orientation (e.g. integration), and social support were not significant. Discrimination is a significant source of stress for Afghan refugees, which may exacerbate stresses associated with other pre- and post-migration stressors. Future research is needed to tailor interventions that can help mitigate the stress associated with discrimination among this highly vulnerable group.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological / physiology
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • California
  • Cross-Sectional Studies / methods
  • Depression / psychology*
  • Female
  • Humans
  • Male
  • Mental Health
  • Middle Aged
  • Refugees / psychology*
  • Social Support
  • Stress Disorders, Post-Traumatic / psychology*
  • Stress, Psychological / psychology*
  • Surveys and Questionnaires
  • Young Adult

Grants and funding

This work was supported by The California Endowment to Carl Stempel, Alameda County Behavioral Health Care Services to Carl Stempe, and Seed Grant-Behavioral Health Institute-Loma Linda University to Qais Alemi. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.