Humanitarian Migrants Research Articles

Gender disparity and post-traumatic stress disorder and elevated psychological distress in humanitarian migrants resettled in Australia: the moderating role of socioeconomic factors.

Humanitarian migrants are at increased risk of post-traumatic stress disorder (PTSD) and elevated psychological distress. However, men and women often report varying degrees of stress and experience different challenges during migration. While studies have explored PTSD, psychological distress, gender, and resettlement stressors, they have not explored the interplay between these factors. This study aims to address that gap by investigating gender disparities in PTSD and psychological distress among humanitarian migrants in Australia, with a focus on the moderating role of socioeconomic factors. This study used data from five waves of the Building a New Life in Australia (BNLA) survey, a longitudinal study of 2,399 humanitarian migrants who arrived in Australia in 2013. PTSD and psychological distress were measured using the PTSD-8 and Kessler-6 (K6) scales, respectively. We conducted generalised linear mixed-effect logistic regression analyses stratified by gender. Female humanitarian migrants exhibited a significantly higher prevalence of PTSD and psychological distress than males over five years of resettlement in Australia. Women facing financial hardship, unemployment, or residing in short-term housing reported greater levels of PTSD and distress compared to men. Women facing financial hardship, inadequate housing, and unemployment exhibit higher rates of PTSD and psychological distress, underscoring the significant impact of socioeconomic factors. Addressing these challenges at both individual and systemic levels is essential for promoting well-being and managing mental health among female humanitarian migrants.

Addressing employment barriers for humanitarian migrants: Perspectives from settlement services

AbstractThis research seeks to understand the challenges faced by settlement service providers (SSPs) in assisting humanitarian migrants to secure appropriate employment. In‐depth interviews with 26 SSPs identified that current impediments to facilitating humanitarian migrants' employment related to employment support programmes; settlement service partnerships; cultural appropriateness of services; employment readiness, experience, skills and knowledge; social support and networks; and limitations of funding and service agreements. While employment is recognised as key to effective settlement, the findings of this study show that employment services are not currently a focus of settlement services, that is, most employment services delivered by settlement services were coordinated as part of job preparedness or readiness programmes. The paper argues for government to ensure financial and human resources to enable SSPs to deliver services that can formally recognise and overcome barriers to humanitarian migrants' employment.

Does timing matter? Language course participation and language outcomes amongst new immigrants

Host country language acquisition is widely considered an important factor to prevent the social and economic exclusion of immigrants. High-income countries invest considerably in language courses for new immigrants, yet hitherto our understanding of when participation in such courses seems to stimulate language acquisition remains limited. As a result, this article addresses whether the timing of language course enrolment is related to course outcomes in terms of credentialed language proficiency. This study benefits from longitudinal population data including all new migrants entering Flanders (Belgium) in 2009–2021, to assess whether associations between language course timing and outcomes persist, for different legal categories of immigrants, when controlling for compositional factors. Findings indicate that for most immigrant categories, negative associations between course postponement and host country language attainment are explained by migration background and human capital. However, amongst family and humanitarian migrants, a negative association between course timing and outcomes persists. This persistent negative linkage suggests a stronger vulnerability to less effective (informal) learning trajectories and downward spiralling opportunities and motivation in the case of language course postponement, but also highlights the need for future research using causal estimation strategies. As such, research on language course timing and outcomes contributes to the literature highlighting that timing – e.g. regarding asylum procedures, housing, but also language programmes – matters in immigrants’ trajectories of integration in host countries.

Trends and determinants of mental illness in humanitarian migrants resettled in Australia: Analysis of longitudinal data.

Given the frequent exposure of humanitarian migrants to traumatic or stressful circumstances, there exists a potential predisposition to mental illness. Our objective was to pinpoint the trends and determinants of mental illness among humanitarian migrants resettled in Australia. This study considered five waves of longitudinal data involving humanitarian migrants resettled in Australia. Post-traumatic stress disorder (PTSD) and psychological distress were assessed using PTSD-8 and Kessler-6 screening tools. Through a Generalised Linear Mixed model (GLMM), variables displaying a 95% CI that excluded the value of 1.0 for the odds ratio were identified as associated factors for both PTSD and elevated psychological distress. The selection of multivariable covariates was guided by causal loop diagrams and least absolute shrinkage and selection operators methods. At baseline, there were 2399 humanitarian migrants with 1881 retained and at the fifth yearly wave; the response rate was 78.4%. PTSD prevalence decreased from 33.3% (95% CI: 31.4-35.3) at baseline to 28.3% (95% CI: 26.2-30.5) at year 5. Elevated psychological distress persisted across all waves: 17.1% (95% CI: 15.5-18.6) at baseline and 17.1% (95% CI: 15.3-18.9) at year 5. Across the five waves, 34.0% of humanitarian migrants met screening criteria for mental illness, either PTSD or elevated psychological distress. In the multivariate model, factors associated with PTSD were loneliness (AOR 1.5, 95% CI: 1.3-1.8), discrimination (AOR 1.6: 1.2-2.1), temporary housing contract (AOR 3.7: 2.1-6.7), financial hardship (AOR 2.2:1.4-3.6) and chronic health conditions (AOR 1.3: 1.1-1.5), whereas the associated factors for elevated psychological distress were loneliness (AOR 1.8: 1.5-2.2), discrimination (AOR 1.7: 1.3-2.2) and short-term lease housing (AOR 1.6: 1.0-1.7). The prevalence, persistence and consequential burden of mental illness within this demographic underscore the urgent need for targeted social and healthcare policies. These policies should aim to mitigate modifiable risk factors, thereby alleviating the significant impact of mental health challenges on this population.

Did Merkel's 2015 decision attract more migration to Germany?

AbstractIn 2015, German Chancellor Angela Merkel decided to allow over a million asylum seekers to cross the border into Germany. One key concern was that her decision would signal an open‐door policy to aspiring migrants worldwide – thus further increasing migration to Germany and making the country permanently more attractive to irregular and humanitarian migrants. This ‘pull‐effect’ hypothesis has been a mainstay of policy discussions ever since. With the continued global rise in forced displacement, not appearing welcoming to migrants has become a guiding principle for the asylum policy of many large receiving countries. In this article, we exploit the unique case study that Merkel's 2015 decision provides for answering the fundamental question of whether welcoming migration policies have sustained effects on migration towards destination countries. We analyze an extensive range of data on migration inflows, migration aspirations and online search interest between 2000 and 2020. The results reject the ‘pull effect’ hypothesis while reaffirming states’ capacity to adapt to changing contexts and regulate migration.

The prevalence of food insecurity amongst refugees and asylum seekers during, and prior to, their early resettlement period in Australia: A cross-sectional analysis of the ‘Building a New Life in Australia’ data

With over 100 million humanitarian migrants globally, there is increasing pressure on high-income countries to offer resettlement opportunities. Humanitarian migrants face many challenges during pre-settlement and resettlement. One challenge is food insecurity (FI). The Building a New Life in Australia (BNLA) longitudinal cohort study gathered data from migrating units, that is, a group of humanitarian migrants included on the same visa application (n = 1599). Data were gathered in five annual waves (2013–2018). Data included food security status in four pre-settlement situations and during resettlement. The results of this secondary analysis of BNLA Wave One indicate that FI was highest in refugee camps (71%), followed by bridging visas (30%), community detention (17%), immigration detention (11%), and during early resettlement (9%). During early resettlement, respondents who were male, those from Afghanistan or Iran, and those living in a single person household reported the highest prevalence of FI. An association was found between having spent time on a bridging visa and FI during early resettlement (p < 0.01). This study's results are an important step in understanding the scale of FI and which sub-groups are most vulnerable, so the resources and policies of high-income countries can better meet food security needs during resettlement.

Contribution of diversity of social participation on the mental health of humanitarian migrants during resettlement.

By the end of 2022, an estimated 108.4 million individuals worldwide experienced forced displacement. Identifying modifiable factors associated with the mental illness of refugees is crucial for promoting successful integration and developing effective health policies. This study aims to examine the associations between the changes in the diversity of social participation and psychological distress among refugees throughout the resettlement process, specifically focusing on gender differences. Utilizing data from three waves of a longitudinal, nationally representative cohort study conducted in Australia, this study involved 2399 refugees interviewed during Wave 1, 1894 individuals interviewed during Wave 3 and 1881 respondents during Wave 5. At each wave, we assessed psychological distress and 10 types of social participation across 3 distinct dimensions, including social activities, employment and education. The primary analysis employed mixed linear models and time-varying Cox models. Gender-stratified analyses and sensitivity analyses were performed. Refugees engaging in one type or two or more types of social participation, compared with those not engaging in any, consistently had lower psychological distress scores (β = -0.62 [95% confidence interval (CI), -1.07 to -0.17] for one type of social participation; β = -0.57 [95% CI, -1.04 to -0.10] for two or more types of social participation) and a reduced risk of experiencing psychological distress (hazard ratio [HR] = 0.81 [95% CI, 0.65-0.99] for one type of social participation; HR = 0.77 [95% CI, 0.61-0.97] for two or more types of social participation) during the resettlement period. When stratifying the results by gender, these associations in the adjusted models only remained significant in male refugees. Moreover, three specific types of social participation, namely sporting activities, leisure activities and current employment status, were most prominently associated with a reduced risk of psychological distress. The findings of this cohort study suggest that social participation was consistently associated with reduced risks of psychological distress among male refugees during resettlement. These findings highlight the significance of promoting meaningful social participation and interaction may be an effective strategy to improve the mental health of refugees and facilitate their successful integration into society, especially among male refugees.

Age at arrival and integration outcomes of refugee youth and emerging adults: a longitudinal study.

Age at arrival is one factor that could influence the integration of humanitarian migrants, especially for children and teenagers. Previous research has focused on the influence of the age at arrival on education, employment, social and language learning outcomes, but there is limited research, especially for longitudinal study, on other important measures of integration. Moreover, young adult and adolescent refugees, and the relationship between age and integration outcomes are under-studied. To address these gaps, this study examined the relationships between age at arrival and different dimensions of integration of young refugees in Australia, using five years' panel data from the Building a New Life in Australia (BNLA) longitudinal study from 2013 to 2018 (282 individuals). Our findings indicate that age at arrival is significantly correlated with multiple integration outcomes. Old entrants tend to have a higher probability of having a paid job but have poorer mental health and English proficiency. On the other hand, older entrants were more likely to know their rights well compared to younger entrants at arrival. However, younger entrants' knowledge of their rights overtook older entrants four to five years after their arrival. These findings suggest that a shorter assessment process and enabling earlier entry especially among refugee youth and young adults could effectively improve their future settlement outcomes under the current humanitarian policies and system.

Determinants for the humanitarian workforce in migrant health at the US-Mexico border: optimizing learning from health professionals in Matamoros and Reynosa, Mexico.

Shortages of health professionals is a common problem in humanitarian settings, including among migrants and refugees at the US-Mexico border. We aimed to investigate determinants and recruitment recommendations for working with migrants to better understand how to improve health professional participation in humanitarian efforts. Semi-structured interviews were conducted with health professionals working with migrants at the US-Mexico border in Matamoros and Reynosa, Mexico. The study aimed to identify motivations, facilitators, barriers, and sacrifices to humanitarian work, and recommendations for effective learning approaches to increase participation. Participants included health professionals working within humanitarian organizations to deliver healthcare to migrants living in non-permanent encampments. Interviews lasted approximately 45 min and were analyzed in NVivo14 using a validated codebook and team-based methodology. Among 27 participants, most were female (70%) with median age 32. Health professionals included nurses (41%), physicians (30%), logisticians (11%), social workers (7%), an EMT (4%), and a pharmacist (4%) from the US (59%), Mexico (22%), Cuba (11%), Peru (4%), and Nicaragua (4%) working for four organizations. Participants expressed internal motivations for working with migrants, including a desire to help vulnerable populations (78%), past experiences in humanitarianism (59%), and the need to address human suffering (56%). External facilitators included geographic proximity (33%), employer flexibility (30%), and logistical support (26%). Benefits included improved clinical skills (63%), sociocultural learning (63%), and impact for others (58%). Negative determinants included sacrifices such as career obligations (44%), family commitments (41%), and safety risks (41%), and barriers of limited education (44%) and volunteer opportunities (37%). Participants criticized aspects of humanitarian assistance for lower quality care, feeling useless, and minimizing local capacity. Recommendations to increase the health workforce caring for migrants included integration of humanitarian training for health students (67%), collaborations between health institutions and humanitarian organizations (52%), and improved logistical and mental health support (41%). Health professionals from diverse roles and countries identified common determinants to humanitarian work with migrants. Recommendations for recruitment reflected feasible and collaborative approaches for professionals, organizations, and trainees to pursue humanitarian health. These findings can be helpful in designing interventions to address workforce shortages in humanitarian migrant contexts.

Non-metropolitan settlement and integration outcomes of humanitarian migrants in Australia: Combining spatial, multidimensional and longitudinal perspectives

Dispersal policies that place humanitarian migrants outside non-metropolitan locations are increasingly common, but evidence of their impact on integration outcomes is mixed. By combining spatial, longitudinal and multidimensional perspectives into a unified analytical framework, this study examines the relationships between non-metropolitan settlement and a diverse range of objective and subjective integration outcomes. To accomplish this, we leverage five waves of panel data from Building a New Life in Australia: The Longitudinal Study of Humanitarian Migrants (2013–2018). Our results indicate that non-metropolitan settlement is related to better access to employment and stable housing and a lower likelihood of being Not in Employment, Education, and Training (NEET), but a higher risk of experiencing discrimination. Over time, humanitarian migrants’ income and English-language proficiency trajectories are flatter in non-metropolitan than metropolitan regions, pointing to potential long-term challenges of rural settlement. Encouragingly, we find no statistically significant differences in physical and mental health, sense of belonging and life satisfaction. While the integration outcomes of humanitarian migrants in non-metropolitan Australia are mixed, their subjective well-being is not negatively impacted. This suggests that, despite challenges, there are opportunities for humanitarian-migrant settlement outside of major cities.

Introduction: Irregularized Humanitarian Migrants—Policies, Rationales, and the Search for More Durable Solutions

AbstractIn this special issue, we seek explanations for international- and local-level variations in policy approaches to ‘irregularized humanitarian migrants’, who left their country of citizenship in hopes of finding protection abroad but do not, or no longer, hold a permanent legal status. We shed light on different policy responses and experiences across Europe, Africa, and the wider Middle East by drawing on a wide array of political systems and migration patterns and different groups of humanitarian migrants. We explore to what extent the outcomes of various policies and practices can be regarded as better and more durable solutions, defined as increasingly taking into account the interests of migrants and the communities they live in. Ultimately, we stress the importance of gaining deeper and more comprehensive understandings of the historically informed context-specific circumstances that irregularized humanitarian migrants find themselves in, as well as the patterns that we see emerging in the comparison of these cases.

Managing mentoring for the labor market integration of humanitarian migrants

This paper examines the design and operational challenges of managing a mentoring program supporting the labor market integration of humanitarian migrants. Data were collected using extended participant observation of organizational activities and processes, analysis of internal and external-oriented documents and communications, and interviews with a range of program stakeholders in a French organization working with recently arrived humanitarian migrants. Utilizing theoretical insights from value creation approaches, the paper identifies how the organization attempted to construct value propositions, including how these were embedded in the program's design and actors' engagement. Moreover, it examines critically how these were interpreted, enacted and occasionally subverted through the perceptions and actions of the various actors involved in the program delivery. In doing so, the study evaluates how the scope, goals and impacts envisioned by the organization translated into participants' experiences, which potentially shaped program outcomes. The findings stress the implications of program specialization and distributed governance on the effective management of mentoring schemes aimed at facilitating migrants' transition into work.

A whole-of-community approach: local community responses to refugee settlement–integration in rural Australia

ABSTRACT Humanitarian migrants are moving to rural areas in Australia in increasing numbers, where it is often local communities who take responsibility for their settlement–integration. Current models acknowledge that settlement–integration is a two-way process between humanitarian migrants and the rural community but remain overly focused on the actions of humanitarian migrants while neglecting the conditions of rural communities. This article discusses the case study of a rural Australian town where humanitarian migrants, Hazaras from Afghanistan, have settled over the past decade. We draw on Jenny Phillimore’s ‘Five domains of opportunity structures’ model of settlement-integration – locality, discourse, relations, structure and initiatives and support – to explore how local government, the mayor and volunteer refugee/migrant support groups facilitate a welcoming community. The case study provides evidence for Phillimore’s ‘opportunity structures’ as effective conditions for positive humanitarian migrant settlement–integration in a rural context. Through the lens of Phillimore’s opportunity structures, we operationalise a Whole-of-Community concept in the context of rural humanitarian settlement–integration.

Employment, income, and skill alignment of humanitarian migrants in the Australian labour market: Metropolitan and regional contexts, 2000–2016

AbstractHumanitarian migration to Australia has reached new levels, accompanied by unprecedented complexity and diversity. Little is known about labour market integration for these newcomers, nor about how well their skills match those required for or relevant to their employment. Here we analyse how labour force engagement and skill alignment are influenced by migration status, including migration scheme, region of birthplace, applicant status, year of arrival, citizenship, and internal migration after settlement, and metropolitan versus regional geographic location of settlement. In particular, we focus on employed humanitarian visa holders who arrived between 2000 and 2016. Using the 2016 Australian Census and Migrants Integrated Dataset (ACMID) for quantitative analysis, our modelling established that they were not as likely to be in the labour force as skilled visa holders. Similarly, humanitarian visa holders who were employed were less likely to be in jobs that matched their skills and more likely to have lower income levels. Moreover, there were significant differences in skill alignment between those settling in metropolitan and in regional areas. The relative probability of being over‐skilled was correlated with migration scheme, origin, duration since arrival, internal movement in the year preceding the census, proficiency in spoken English, family status, and gender. Labour market outcomes varied by visa subtype and by metropolitan versus regional settlement. We conclude that the design of migration policy requires further important consideration, both to improve the outlook for this vulnerable population and to address chronic skill shortages in Australia.

“We Kiss Everyone’s Hands to Get a Permanent Job, but Where Is It?”: The Failure of the Social Inclusion Narrative for Refugees

Humanitarian migrants, while required to prove their vulnerability to gain entry to a country of settlement, rapidly become subject to an integration narrative where self‐sufficiency is the primary aim. In the integration narrative, language learning is conceptualised as an individual endeavour that will inevitably lead to employment, while linguistic fluency and social inclusion tend to be presented as the inevitable outcomes of engagement in the labour market. Lack of success is attributed to individual failures and is typically addressed through policies designed to incentivise the individual to try harder. Drawing on a qualitative study involving refugees, language teachers and settlement brokers in New Zealand and Sweden, this article critiques the integration narrative by contrasting it with the voices of those who have sought to conform to the ideal narrative yet failed to reach the idealised outcomes. Using M. M. Bakhtin’s notions of monologue and epic dis‐ courses, it challenges the view of language learning and integration as “a test of virtuosity” (Sullivan, 2012, p. 49) which the deserving are guaranteed to pass. Instead, it argues that a range of exclusions prevents successful language acquisition, labour market entry, and social engagement and that incentives, while potentially increasing the individual’s desire for success, are insufficient unless structural inequalities are addressed.

Understanding the information literacy experiences of Australia’s humanitarian migrants

Every year, millions of people are forced to flee their homes to find safety. This paper investigates the information literacy experiences of people from forced migrant backgrounds as they settle into a new country during their first few years of migration. Using a qualitative and interpretive approach incorporating thematic analysis techniques, data were collected through 19 semi-structured interviews and were analysed adopting a thematic analysis approach. Participants were new arrival humanitarian migrants in Australia. The analysis uncovered five different and interconnected themes depicting the information literacy experiences among forcibly displaced people. The themes are: (1) undertaking education; (2) reaching out for help; (3) comparing and contrasting; (4) sharing stories; and (5) getting engaged. Grounded in the relational perspective on information literacy, a long-standing theoretical perspective to explore the information literacy of humanitarian migrants, the findings from this study provide an empirically derived evidence base to inform the design and delivery of services providing information, support and education to humanitarian migrants entering Australia for protection or resettlement.

‘At the beach’: the role of place(s) and natural landscape in facilitating a sense of home during settlement

ABSTRACT For residents on the rural island of Newfoundland, Canada, the island’s natural landscape and environment play an important role in shaping one’s sense of belonging to place. Within this article I explore the integral role that place(s) across the island’s natural landscape play in shaping Syrian humanitarian migrants’ feelings of belonging and home. Particular natural place(s) can create spaces for peace, sociality and memory formation that aid feelings of place-attachment. This article expands upon concepts of nostalgia by arguing that places of the natural environment can play both a ‘reflective’ and ‘restorative’ role to support the rebuilding of place-based bonds, due to the social opportunities and positive memories formed within them. By highlighting the role that such place(s) play in supporting the positive settlement of Syrian humanitarian migrants to the island, this article aims to emphasise how place(s) of the natural environment can encourage a sense of home for new arrivals to more regional, rural or remote areas.

Who Owns the Future of Syrians in Lebanon? Intimate Family Explorations of Refugees’ Own Search for Durable Solutions

Abstract For both political and ideological reasons, return is the most favoured future imagined for refugees by policy makers and protection actors. This article analyses how humanitarian migrants in a context of limited durable solutions can be supported to reclaim ownership of their futures, as well as how this can result in deeper insights for social scientists and policy makers. For the case of Syrians, this study deploys futures literacy labs as a participatory and capability-based research methodology that allows participants to become researchers of their own lives. Based on two futures literacy labs with two Syrian families in Lebanon in 2020 and 2021, the article demonstrates that a futures capability-based approach provides humanitarian migrants with the cognitive space and agency needed to go beyond foreclosed decision-making processes. The research methodology allows researchers to become witnesses to intimate reappropriation and learning processes by humanitarian migrants themselves. As a result, we are able to argue that ‘returns’ as a durable solution are essentially about a return to a state of well-being and possibilities, which may or not entail a spatial return.

The Hidden Costs of Unaccompanied Child Migration

Abstract Dramatic reductions in refugee resettlement numbers, restrictions on asylum access and growing externalisation of humanitarian protection have significantly curtailed legal migration pathways for distress migrants. This continues to be the case despite well-established international legal obligations requiring states to protect humanitarian migrants and afford children, in particular, a series of protective procedures. We argue that unaccompanied child migrants are disproportionately disadvantaged by these restrictive measures because other avenues for legal migration – for work, for family reunification, for educational and cultural activities – are generally not open to them. As restrictions increase, unaccompanied children adopt self-initiated, challenging strategies to pay the significant costs of the journeys they embark on, a departure from more linear, “traditional” trajectories towards safety. This article presents qualitative data collected in Greece, site of the largest European distress migrant arrivals in recent years, to discuss the growing cost of irregular mobility for unaccompanied children and the role that exploitation-funded earning plays in enabling their migrations today.

The prevalence and risk factors for anxiety and depression symptoms among migrants in Morocco

Humanitarian migration can result in mental health issues among migrants. The objective of our study is to determine the prevalence of anxiety and depression symptoms among migrants and their risk factors. A total of 445 humanitarian migrants in the Orientale region were interviewed. A structured questionnaire was used in face-to-face interviews to collect socio-demographic, migratory, behavioral, clinical, and paraclinical data. The Hospital Anxiety and Depression Scale was used to assess anxiety and depression symptoms. Risk factors for anxiety and depression symptoms were identified using multivariable logistic regression. The prevalence of anxiety symptoms was 39.1%, and the prevalence of depression symptoms was 40.0%. Diabetes, refugee status, overcrowding in the home, stress, age between 18 and 20 years, and low monthly income were associated with anxiety symptom. The associated risk factors for depression symptoms were a lack of social support and a low monthly income. Humanitarian migrants have a high prevalence of anxiety and depression symptoms. Public policies should address socio-ecological determinants by providing migrants with social support and adequate living conditions.