Refugee Experience Research Articles

'The Letter Says I May or May Not Be Eligible… It Is a Big Doubt and Frustrating:' A Qualitative Study on Barriers and Facilitators to Children's Oral Healthcare From the Perspective of Karen Refugee Parents in Victoria.

Australia has a longstanding tradition of resettling refugees and individuals in humanitarian need. Among these, the Karen community from Southeast Asia is rapidly growing in Australia. The absence of data on the barriers they face in accessing dental services is concerning. This study explores the barriers and facilitators Karen refugees encounter when seeking oral healthcare for their children in Australia, aiming to understand their experiences. Using a qualitative research design with a phenomenological approach, we conducted semi-structured interviews with 23 parents (17 females and 6 males) who had been in Australia for 1-17 years. Each interview, lasting between 35 and 60 min, was audio-recorded and transcribed verbatim. The transcripts were thematically analysed through an inductive, data-driven approach, focusing on open coding and participant-based meanings. Nine main themes were identified. At the individual level, cultural practices, parental behaviours and perceptions were the primary barriers. At the organisational level, long waiting lists in the public dental system were significant barriers. Additionally, a lack of knowledge about financial benefits and government support for children's dental care deterred refugees from seeking dental services. The results also highlighted the strengths of support networks, free dental care for children and school-based dental care programmes. Parents reported experiences of inadequate oral healthcare, citing issues such as insufficient cultural sensitivity training among dental service providers, interpreter problems and shortages. These experiences revealed gaps in the provision of oral healthcare services. When designing tailored oral health promotion programs, all stakeholders must consider the lived experiences of refugees as valuable sources of information. The authors thank the parents and carers from the Karen refugee community for sharing their experiences with the oral healthcare of their children. Recruitment was facilitated by the Karen Organisation of Bendigo and Bendigo Community Health Services. An interpreter from the Karen refugee community assisted in all the interviews.

Women’s Strategies to Cope with Harassment in Za’atari Camp and the Role of Humanitarian Reporting Mechanisms

Abstract The refugee experience is frequently marred by pervasive gender-based violence, particularly harassment, in refugee camps. Women, disproportionately affected due to entrenched gender biases, often suffer in silence due to societal stigma. In Za’atari Camp in Jordan, women face various forms of sexual and gender-based violence (SGBV), notably verbal harassment, exacerbating their plight amidst a culture of victim-blaming. While humanitarian efforts have made strides, challenges persist in reporting and adopting sensitive response mechanisms. This study aims to evaluate gaps in protection plans, response procedures, and reporting at Za’atari Camp, analysing coping mechanisms and resistance behaviours of women facing harassment. With 409 survey responses, findings reveal enduring verbal harassment and reporting barriers fuelled by fear of repercussions and survivor blaming. Addressing these challenges is crucial for the effective implementation of humanitarian policies and standard operating procedures, necessitating collective action to create a supportive environment for all women in the camp.

Towards black methods in research with refugees

Abstract Critical approaches to forced displacement and migration studies gesture towards methodologies and theoretical orientations that are contextualized within the complex socialities of refuge lifeworlds and ways of being. This article offers methodological approaches that account for the forces of displacement as well as the layered and textured experiences of forcibly displaced people. Turning to black studies and black feminist thought, the article examines how forcibly displaced people navigate and contest resettlement processes in the USA. Thinking with empirical material from a research study engaging with forcibly displaced interlocutors from East and Central Africa and refugee resettlement personnel, the article illuminates critical methods of interpreting the experiences of refugees and forms of resettlement through the lenses of black studies and black feminist thought.

Narratives of Securitization: Media Portrayals of Refugees in Türkiye During Election Periods

This study investigates the portrayal of Syrian refugees in theTurkish media within the theoretical framework of securitization, focusing on the context of seven electoral periods between 2014 and 2023. Employing thematic analysis as its methodological approach, the research meticulously examines a dataset comprising 12,794 newspaper articles to explore how the narratives surrounding Syrian refugees have been shaped and influenced by the political climate of elections in Türkiye. The analysis aims to uncover the extent to which Syrian refugees are securitized in media discourse, identifying variations in the intensity and nature of coverage across different types of elections and among various media outlets, including both state-run and private newspapers. The findings reveal that 21% of the media coverage categorizes Syrian refugees under criminal themes, with a significant emphasis on "smuggling" and "caught" sub-themes. This securitization of refugees varies significantly during electoral periods, suggesting a strategic use of media narratives to influence public opinion and potentially affect electoral outcomes. The study highlights a dynamic interplay between media representations of refugees and the electoral cycle, with private media (Habertürk & Hürriyet) outlets showing a more pronounced fluctuation in coverage compared to state-run media (TRT). This research contributes to the discourse on the media securitization of refugees by providing empirical insights into the politicization of refugee issues during critical political junctures. It underscores the pivotal role of the media in shaping societal perceptions and dialogues about refugees, thereby informing both public discourse and policymaking. The findings of this study highlight the need for a critical examination of the social and political implications of media practices. Additionally, they argue for a journalistic approach that accurately reflects the complexity of the refugee experiences and operates with a sense of responsibility.

Quantifying the stability of refugee populations: a case study in Austria

The global surge in displacement, with nearly 110 million people uprooted due to violence, underscores the pressing need to comprehend the challenges faced by refugees. Population growth, environmental crises, and political instability contribute to this crisis, projecting an escalating trend in the decades ahead. While hosting countries strive to address concerns related to labour markets, state provisions, and cultural integration, understanding the well-being of refugees upon entry needs to be more adequately explored. This study focuses on refugee stability and integration, employing Austria as a case study. Stability is assessed through residential movement, where more frequent moves indicate instability. Utilising comprehensive administrative data spanning November 2022 to November 2023, we examine residence movements as a proxy for stability. Our findings reveal a stark contrast in the stability of refugees compared to other migrant groups. Analysing movement profiles, we establish that refugees exhibit significantly higher rates of residential mobility than their counterparts, especially among male refugees. This imbalance persists even when comparing refugees to migrants from top refugee-sending countries without official refugee status. This study contributes valuable insights into the intricate dynamics of refugee stability, shedding light on the enduring challenges faced by this population. By examining movement patterns as a key indicator, we provide a nuanced understanding of the residential experiences of refugees, that can inform targeted policies and interventions for enhanced refugee well-being and integration.

Disaggregating citizenship: Tibetan refugees navigating identity, belonging, and exclusionary state policies in India

AbstractThis essay explores the struggles of second‐generation Tibetan refugees under an exclusionary Indian citizenship regime. Confronted with a national orthodoxy that entwines legal status, entitlements, and national identity, Tibetans respond by “disaggregating” citizenship. First, stateless Tibetans, born in India to refugee parents, won legal appeals by demonstrating that Tibetan nationality was no bar to Indian citizenship. In response, Indian authorities demanded that Tibetans give up refugee entitlements and remove themselves from their national space and political community in exile as the price of Indian citizenship. This article explores the diverse responses of Tibetans to the citizenship‐on‐offer: some aspiring for it, some accepting it, and others actively rejecting it. These responses illustrate strategies refugees employ to navigate citizenship regimes that often render them liminal. Refugees act both to mitigate the precarity of statelessness and to preserve their identity, community, and political aspirations against erasure. In doing so, they not only disrupt the national orthodoxy of states that negates refugee experiences but also reveal the incompleteness and contradictions of citizenship regimes.

Dental Health Adjuncts and Care: Exploring Access Among Asylum Seekers and Refugees in London, United Kingdom.

This work examines and describes dental health among people seeking asylum and refugees (PSAR) who are evaluated by the Respond service. This includes access to and use of oral health products, access to dental care, and experience of dental pain. The Respond service pilot offered holistic health assessments to PSAR in temporary accommodation within North Central London between July 2021 and March 2023. Relevant data were extracted from anonymized health records of individuals seen by Respond. Data were analyzed with SPSS (version 28.0.0.0; IBM) to produce descriptive statistics and regression models. An overall 1,390 PSAR were included; 78.7% were male. The mean ages of adults and children were 31.6 and 6.8 y. Seventy-seven countries of birth were reported, most commonly Iran (23.1%). Over two-thirds (67.1%) of PSAR were not accompanied by family members; only 17.2% had UK family links. The mean travel duration was 769.3 days; migration reasons were multifactorial, including persecution (31.2%) and conflict (20.5%). In addition, 77.3% of PSAR reported having access to a toothbrush; only 50.8% indicated routinely brushing their teeth, with 38.9% having seen a dentist in <36 mo. Dental pain was common (28.8%). Only 45.8% of children (<16 y) had access to a toothbrush, 32.3% were brushing their teeth twice daily, and 9.7% cited dental pain. Logistic regression identified significant predictors of routine toothbrushing, access to dental care, and dental pain. Female PSAR were more likely to routinely brush their teeth (adjusted odds ratio [OR], 3.19; P < 0.001) and access dental care (adjusted OR, 0.57; P < 0.05). PSAR aged 30 to 39 y (adjusted OR, 1.97; P < 0.05) and those with informal travel modes (adjusted OR, 1.82; P < 0.001) were more likely to experience pain. There is variation in the dental experience of PSAR, but a significant proportion are failing to perform routine toothbrushing, are not regularly accessing dental care, and are experiencing dental pain.Knowledge Transfer Statement: The results of this analysis suggest that there is variation in the dental experience of people seeking asylum and refugees, but many are failing to perform routine toothbrushing, are not regularly accessing dental care, and are experiencing dental pain.

EMIGRATIONAL TRAUMA OF WAR IN VLADYSLAV IVCHENKO’S LITERARY VISION

The Russian war against Ukraine has been going on for 10 years and continues to influence the national culture in a very distinctive way. Over the past decade, this traumatic event has created a peculiar cultural discourse where literature has taken a special place. Its new stage, which began in February 2022, not only gave rise to an even more intense artistic reaction to the lived experience of Ukrainians, but also opened up prospects for new literary themes and methods of their interpretation. Trauma in its individual and national dimensions naturally became the central issue in such texts. Vladyslav Ivchenko’s book “After the 24th” clarifies and complements the discourse of the cultural reception of the war, describing its front and rear experiences in real time. The trauma of forced emigration, triggered by the full-scale Russian invasion on February 24, 2022, is a new problematic aspect that requires special attention. The author of the paper analyzes a new dimension of the emigrational trauma, related to the war experiences of Ukrainian refugees. Through the fates of three individual women, Vladyslav Ivchenko demonstrates the prospects of Ukrainian national trauma, which includes the loss of homes, loved ones, and, most importantly, the belief that the world and life could return to what they were before February 24, 2022. The trauma of forced emigration continuously offers new perspectives for understanding the behavior of a national culture during the war, particularly in the context of creating wartime literature, which is an effective component of the trauma recovery process. Literature plays an important role in this context, and Ivchenko’s book exemplifies this role most effectively.

Trauma Narratives: Collective Memories as Literature by Indochinese Refugees in the United States

Indochinese refugees in the United States are part of Asian Americans, whose narratives portray their life in their home countries, journeys to the new world and life in the United States, their new world. This study investigates three primary texts by American authors of Indochinese descent, including Lan Cao’s Monkey Bridge, Sichan Siv’s Golden Bones and Sucheng Chan’s Hmong Means Free. These three texts are highly historicised, portraying traumatic experiences of Indochinese refugees who suffer from war and communist persecution in Vietnam, Cambodia and Laos, respectively. These texts are considered trauma narratives serving as collective memories of those people, which help them to remember their pasts and constitute their group identity. The narratives in the three primary texts also explain how Indochinese subjects come to be Asian Americans and reveal that in fact the United States is considered an important cause of their diaspora and trauma. The authors of those narratives are unable to eradicate the traumatic memories from their psyche, so they yearn for voices to vent out those memories as a form of healing. Their trauma narratives have become part of American culture which is partially constituted by trauma suffered by different groups of people in this country.

Coping mechanisms and “homemaking” in the face of environmental challenges: exploring the experiences of adolescent refugees in Jordan

ABSTRACT “: Home” is both a physical location and a space of important emotional and social attachments. Often associated with safety and familiarity, homes are also places where power inequalities may be reinforced. Contrary to human rights treaties stipulating the right of refugees to live in shelters that meet their basic needs, adolescent refugees in Jordan often reside in poor-quality housing within built environments that do not foster their wellbeing. Yet despite a burgeoning literature on refugee “homemaking”, little is known about how young refugees in Jordan perceive and respond to challenges in the built environment. This article addresses this knowledge gap, focusing on how gender norms are configured within “homemaking” practices. It draws on qualitative interviews with 31 adolescents in diverse locations: Syrians living in a formal refugee camp (Azraq), host communities, and informal tented settlements, and Palestinians without citizenship living in Jerash camp. Our findings show that refugee adolescents in Jordan face intersecting challenges, including poor access to services, inadequate housing infrastructure and sanitation, and safety concerns. These challenges vary based on location and are shaped by gender norms that influence access to spaces both inside and outside the household. Although adaptation methods can make homes more livable in terms of safety, aesthetics and practicality, these adaptations often reinforce gender norms that restrict girls’ mobility. This article concludes by underscoring that although refugees can make small changes to address immediate needs, structural responses which address gender inequalities and improve social protection support are essential to improving young refugees’ lives.

Fostering trust - a qualitative outcome study of psychodynamic group and individual psychotherapy for refugees with PTSD.

Background: Refugees and asylum-seekers have an elevated risk of mental health issues, such as depression and posttraumatic stress. Qualitative outcome studies can contribute by offering insight into patients' experiences of what they find beneficial and how they undergo the process of recovery. This study aligns with the small body of qualitative research focusing on refugees' perspectives of psychotherapeutic treatment for PTSD.Objective: This study investigates and compares the treatment experiences of refugees with posttraumatic stress disorder (PTSD) in psychoanalytic group therapy (PAGT) and individual psychodynamic therapy (PDT) within an outpatient context in Sweden.Method: 10 former patients were interviewed using a semi-structured interview schedule. Data were analysed and interpreted according to the principles of grounded theory.Results: The findings reveal distinct categories for each treatment modality, being reborn for PDT and building a home for PAGT. Being reborn involved persistent intrapersonal change and lasting improvement in posttraumatic symptoms. Building a home involved a sense of belonging, support and temporary relief from posttraumatic symptoms. Participants from both treatment modalities underscored the significance of cultivating trust in therapeutic relationships.Conclusions: The study emphasises the necessity for tailored therapeutic approaches, contributing valuable insights to the limited research on effective mental health interventions for this population.

Disputed Boundaries of the Self, the Group, and their Environment: What We Learn from Refugees about our Psychic Functioning1.

One of Jung's most significant contributions concerns the mysterious, inexplicable and always out-of-reach nature of the self. In this paper, I will focus on the borders of the self and their nature, location and dynamics of maintenance and change in geographically, historically, and culturally situated subjects. Reflecting on the refugee experience, I intendto gain more insights into our psychic functioning and the dynamics of the self in relation to itself, the other and groups. The experiences of some refugees, marked bysignificant trauma and migration, shed light on how the boundaries of the self are frequently contested and perpetually negotiated with others, and how our subjectivity is shaped by ongoing dynamics of occupation, dispute and/or negotiation, conducted at various levels of our social and individual existence. My argument is that these processes occur at a specific site:the boundaries of the self, involving intrapsychic, interpersonal and group psychological dynamics, with reverberations in the socio-political and cultural spheres, and reciprocal influences between all these levels. This paper aims to concentrate on the shifts in these boundaries, illustrated through clinical vignettes.

Hidden emotional costs of home accommodation. The lived experiences of Ukrainian refugees in Polish homes

Hidden emotional costs of home accommodation. The lived experiences of Ukrainian refugees in Polish homes

‘Resettlement is worthwhile for our children’s future’: reflections from the Stateless Rohingya refugees in Malaysia

Resettlement to a third country offers a durable solution for refugees who cannot integrate into their asylum or transit countries. While most studies focus on the experiences of refugees after their arrival in resettlement countries or on the political aspects of resettlement, fewer studies explore refugees’ perspectives prior to resettlement. This paper examines how Rohingyas in Malaysia view their resettlement opportunities. We collected qualitative micronarratives from 56 adult Rohingyas living in Malaysia between March and September 2019, to explore the complexities of their decision-making processes. The findings indicate that most Rohingyas aspire to resettle in another country to gain legal status or citizenship, providing a better future for their children, including access to education and healthcare. However, preferences among Rohingyas vary: while some are eager to resettle, others express a strong desire to return to their home country in Myanmar. Still, others wish to reunite with family in Myanmar or Bangladesh, and a significant minority are reluctant to resettle in non-Islamic countries, reflecting broader concerns about cultural and religious compatibility. This study highlights the varied resettlement preferences among Rohingyas, underscoring the need for resettlement policies to consider these diverse priorities to enhance the effectiveness of resettlement programs.

Narrative Space and the Figure of the Refugee in the Early Life Writing of Ocean Vuong

ABSTRACT This paper will read for the representation of space in the Vietnamese American author Ocean Vuong’s narrative essay “The Weight of Our Living: On Hope, Fire Escapes, and Visible Desperation”. The paper places Vuong’s text into conversation with theorists of narrative and architectural spaces – Yi-Fu Tuan, Umberto Eco, and Mikhail Bakhtin, among others – and draws on critical refugee studies to explore the representation of spaces and places in their relationship to Vuong’s account of refugee experience and trauma. In the essay’s manipulations of narrative space, meditations on architectural space, and engagements with theories of trauma, a spatial understanding of trauma emerges and comes to bear on first wave literary trauma theory, which the essay builds on and departs from with the suggestion that architectural space functions semiotically and is a medium of language by which topics socially and psychologically repressed can be “spoken” despite social taboos and prohibitions. Working against public discourse which reduces refugees to victims of trauma (in their country of origin) and beneficiaries of social uplift (in their resettlement country), Vuong critiques the discursive framing of the refugee as needful ward and perpetual other and works toward a means of speaking about personal experience that speaks back to dominant narratives about refugees.

Hidden scars: the persistent multifaceted health and psychosocial consequences for Syrian torture survivors.

Background: The impact on the physical and mental health of those who survived torture and their close circles in the Syrian regime's detention facilities remains under-studied.Objective: This qualitative study explored Syrian refugees' narrations of captivity and torture, and the consequences of such extreme traumatic events on their physical and psychosocial health.Method: Thirteen audio-recorded interviews were conducted in Arabic with Syrian refugees. Study participants were at least 19 years of age, resided in diverse urban areas of Jordan, had experienced captivity and torture in Syrian detention facilities, and voluntarily agreed to participate in the study. Participation was anonymous, only oral consent was required, and no incentives were provided to participants. Interviews were transcribed and translated into English by a team of researchers, followed by analysis of repetitive themes according to the narrative paradigm.Results: Analysis of interviews elicited three major themes: extreme traumatic experiences of torture, and its physical and psychosocial health consequences. The first major theme was divided into two sub-themes: torture experienced by the participants themselves, and torture experienced by participants' close circles. The second major theme, pertaining to physical health, was divided into two sub-themes: acute and chronic health sequelae. The third major theme, related to psychosocial health, was divided into four sub-themes: mental health symptomatology, impacts on professional life, impacts on interpersonal relationships, and social consequences.Conclusions: Torture experiences of Syrian refugees had adverse consequences for the physical and psychosocial health, functioning, and the overall well-being of survivors and their close circles. Interventions may seek to improve both the acute and chronic health consequences, as well as the mental health symptoms and associated impacts on livelihood, professional, and relationship dynamics. They should span clinical, legal, and advocacy spheres, given that a holistic approach may contribute immensely to survivors' healing process.

The right to the city for urban refugees? Living in the shadow of the camp in Nairobi, Amman and Addis Ababa

This paper investigates the multiple ways in which the lives of urban refugees are impacted by the presence of refugee camps. It builds on a growing body of literature on the urban refugee experience that recognizes the agency exercised in the rejection of the camp. But it also demonstrates how, in countries with an encampment policy, the presence of camps can limit urban refugees’ mobility and their ability to take advantage of all that urban life has to offer. It also highlights the consequences of the choice refugees must make between receiving humanitarian aid in a camp and living unassisted in an urban area. The paper draws on qualitative interviews with refugees in Ethiopia, Kenya and Jordan. It presents conclusions on the inadequacy of the international response, which fails to capitalize on the presence of displaced people in cities, to achieve the supposed policy goal of “self-reliance”.

Barriers of Ukrainian refugees and migrants in accessing German healthcare

BackgroundThis study focused on Ukrainian refugees and migrants, a population that, with an ongoing war, is expected to grow in Germany. Over 1 million Ukrainians with exceptional legal status and access to public insurance in Germany significantly burden governmental services, especially German healthcare. It is thus essential to facilitate their integration into the healthcare system and ensure its proper usage. Identifying the obstacles Ukrainian refugees and migrants encounter while accessing healthcare services is crucial to ease their integration.MethodsA qualitative study was conducted from February 2023 to April 2023. Thirty semi-structured interviews were performed with Ukrainian migrants and refugees. The interviews were transcribed verbatim, organized, and categorized. Thematic analysis was performed to identify barriers related to the use of German healthcare services. To assess possible differences in the experiences of Ukrainian refugees and migrants, the responses of these two groups for each topic were analysed separately.ResultsUkrainian migrants and refugees experience similar barriers while accessing German healthcare services. Predominantly, language barriers and a lack of understanding of the German healthcare system posed the main barriers in both groups. Additionally, structural challenges, such as differences in referral processes, appointment scheduling, and consultation duration, presented further challenges.ConclusionThis research study emphasizes the importance of addressing cultural and structural barriers to improve healthcare accessibility and utilization for Ukrainian refugees and migrants in Germany to better facilitate their integration into the healthcare system.

The Emergence of Chinese Popular Music in Vietnamese Lyrics (nhc Hoa li Vit), 1979-1995

This paper studies the cultural phenomenon of nhc Hoa li Vit, a (sub)genre of nhc Vng music that blends Chinese melodies with Vietnamese lyrics which first gained prominence among the Vietnamese diaspora in the 1980s. The paper traces the historical and cultural origins of nhc Hoa li Vit in translations and adaptations of Chinese popular music, outlining three major historical periods. The first period spanning from 1979-1986, encompasses the genres emergence in Vietnamese refugee communities following the Sino-Vietnamese War, influenced by the popularity of Cantonese wuxia TV dramas. The second period from 1986-1995 marks the genres commercial flourishing due to the i mi policy. The final period after 1995 marks the fundamental transformation of the genre following the normalization of relations between the United States and Vietnam, when, energized by the possibility of returning to Vietnam, nhc Hoa li Vit shed the final vestiges of the melancholic and sentimental style it inherited from wartime nhc Vng and became its own genre. This paper examines the importance of nhc Hoa li Vit in shaping the Vietnamese exiled identity and analyzes how the practice of translation allowed the diasporic community to give expression to its refugee experience. The paper helps uncover a new kind of musical fusion that developed from an exiled culture in a transpacific context.

The Emergence of Chinese Popular Music in Vietnamese Lyrics (nhc Hoa li Vit), 1979-1995

This paper studies the cultural phenomenon of nhc Hoa li Vit, a (sub)genre of nhc Vng music that blends Chinese melodies with Vietnamese lyrics which first gained prominence among the Vietnamese diaspora in the 1980s. The paper traces the historical and cultural origins of nhc Hoa li Vit in translations and adaptations of Chinese popular music, outlining three major historical periods. The first period spanning from 1979-1986, encompasses the genres emergence in Vietnamese refugee communities following the Sino-Vietnamese War, influenced by the popularity of Cantonese wuxia TV dramas. The second period from 1986-1995 marks the genres commercial flourishing due to the i mi policy. The final period after 1995 marks the fundamental transformation of the genre following the normalization of relations between the United States and Vietnam, when, energized by the possibility of returning to Vietnam, nhc Hoa li Vit shed the final vestiges of the melancholic and sentimental style it inherited from wartime nhc Vng and became its own genre. This paper examines the importance of nhc Hoa li Vit in shaping the Vietnamese exiled identity and analyzes how the practice of translation allowed the diasporic community to give expression to its refugee experience. The paper helps uncover a new kind of musical fusion that developed from an exiled culture in a transpacific context.