Abstract
BackgroundRefugees as “People Living in Highly Stressful Situation” are particularly vulnerable to mental ill-health as a result of the trauma experienced pre- and post-migration. The lack of information on the mental health disparities of refugees and non-refugees in West Africa is what this study aimed to bridge.A cross-sectional study design was employed using a cluster sampling technique. Interviewer-administered structured questionnaires consisting of the Mini-International Neuropsychiatric Interview (MINI), WHO quality of life (WHOQOL-BREF) and the Community Quality of Life (CQoL) were used for data collection. Data were analyzed with SPSS version 17. Logistic regression analysis was used to determine the predictors of mental health status and QoL.ResultsRespondents consisted of 444(45.7%) refugees and 527(54.3%) non-refugees. Two-thirds 292 (66%) of the refugees were Liberians. Mean age: refugees - 34.8 ± 12.8 years versus non-refugees - 33.3 ± 8.1 years (p < 0.05). While the majority 376(84.7%) of the refugees were married, most 468(88.8%) of the native population were not (p < 0.001). Significantly higher proportion of refugees had polygamous marriages, lived in poorer type of accommodation and had no formal education compared to the non-refugees (p < 0.05). The overall QoL and CQoL scores were both significantly lower for the refugees (p < 0.001). Refugees were three times more likely than non-refugees to have poor mental health [OR: 3.43; 95%CI: 1.83-6.40]. Overall, being currently ill tripled the odds of mental ill health [OR: 2.73; 95%CI: 1.98-3.77]. Unskilled workers [OR: 2.78; 95%CI: 1.68-4.60], skilled workers [OR: 2.98; 95%CI: 2.03-4.38] and the unemployed [OR: 1.94; 95%CI: 1.29-2.92] had two or more times the odds of poor mental health compared to professionals.ConclusionsQoL and occupational status were the major threats to the mental health of the refugees. Results of this study point to the need for continued attention to not only the healthcare needs but the welfare, housing, employment and overall QoL to support the long-term mental health of refugees and non-refugee populations alike.
Highlights
Refugees as “People Living in Highly Stressful Situation” are vulnerable to mental ill-health as a result of the trauma experienced pre- and post-migration
The mental health status of refugees in Sub-Saharan Africa is of particular interest because of the poorer quality of life (QoL) of the region compared to other regions of the world [8]
The research questions in focus in the present study are: Do disparities exist in the mental health status of refugees and non-refugee populations in Nigeria? Would the QoL and Community Quality of Life (CQoL) differ and would such disparities be sufficient to threaten the mental well-being of refugees in excess of the nonrefugee population? This study aimed at providing community-based comparative assessment data on the mental health status and its interaction with the QoL and CQoL of refugees who have been long term residents in Oru-Ijebu South West Nigeria compared with the non-refugee population
Summary
Refugees as “People Living in Highly Stressful Situation” are vulnerable to mental ill-health as a result of the trauma experienced pre- and post-migration. The lack of information on the mental health disparities of refugees and non-refugees in West Africa is what this study aimed to bridge. The mental health status of refugees in Sub-Saharan Africa is of particular interest because of the poorer quality of life (QoL) of the region compared to other regions of the world [8]. The research questions in focus in the present study are: Do disparities exist in the mental health status of refugees and non-refugee populations in Nigeria? This study aimed at providing community-based comparative assessment data on the mental health status and its interaction with the QoL and CQoL of refugees who have been long term residents in Oru-Ijebu South West Nigeria compared with the non-refugee population. The study’s hypothesis was: there is no difference in the mental health and QoL of refugees and non-refugees in Southwest Nigeria
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