Abstract

This paper was part of a large study that explored suicide among African youths in South Australia. The paper reports perspectives about alcohol and other drugs (AOD) use and mental health among African migrant and refugee youths in South Australia. The study employed a qualitative inquiry, conducting 23 individual interviews and one focus group discussion with eight participants. An acculturative stress model informed data analysis, interpretation and the discussion of the findings that form the current paper. African migrant and refugee youths revealed challenging stressors, including related to cultural, socioeconomic, living conditions, and pre- and post-migration factors that contributed to mental health problems and the use of AOD in their new country. The traumatic loss of family members and social disruption experienced in their countries of origin were expressed as part of factors leading to migration to Australia. While in Australia, African migrant and refugee youths experienced substantial stressors related to inadequate socioeconomic and cultural support, discrimination, poverty, and unemployment. Participants believed that differences in cultural perspectives about AOD use that existed in Africa and Australia also shaped the experiences of social stressors. Additionally, participants believed that these cultural differences and the identified stressors determined AOD use and mental health problems. The findings highlight the need to understand these social and cultural contexts to improve mental health services and help reduce the use of AOD, which, when problematic, can influence the health and integration experiences of these populations.

Highlights

  • This study aims to contribute to the limited existing literature on AOD use and mental health problems in the African communities by understanding the contexts in which AOD use and mental health issue occur among African migrant and refugee youths in Australia

  • While the paper emphasizes the role of acculturative stress, it is important to acknowledge that there are other factors that could contribute to AOD use and mental health issues among the participants

  • African migrant youths in Australia revealed significant challenges and barriers which were rooted in their pre-and and post-migration contexts

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Summary

Introduction

The ease of travel and international mobility have increased, including for people from Africa. Following the UNHCR calls, the Australian Government declared a humanitarian commitment to resettle refugees from African nations, those living in protracted refugee situations from the Horn of Africa. This commitment resulted in a sharp increase in the proportion of refugees resettled from African countries, rising from 33 per cent in 2003 to 70 per cent in 2005 [2]. In 2012–2013, over half of visas granted under the Humanitarian Program were allocated to people born in Sub-Saharan

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