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Article << Previous     |     Next >>   Contents Vol 17(1)

Health status and use of health services among recently arrived men with refugee backgrounds: a comparative analysis of urban and regional settlement in South-east Queensland

Ignacio Correa-Velez A D, Adrian G. Barnett B, Sandra M. Gifford A and Donata Sackey C

A La Trobe Refugee Research Centre, School of Social Sciences, La Trobe University, Vic. 3086, Australia.
B Institute of Health and Biomedical Innovation, School of Public Health, Queensland University of Technology, GPO Box 2434, Brisbane, Qld 4001, Australia.
C Mater UQ Centre for Primary Health Care Innovation, Mater Health Services and University of Queensland, Level 2 Potter Building Annex, Annerley Road, South Brisbane, Qld 4101, Australia.
D Corresponding author. Email: i.correa-velez@latrobe.edu.au

Australian Journal of Primary Health 17(1) 66-71 http://dx.doi.org/10.1071/PY10051
Submitted: 25 August 2010  Accepted: 14 December 2010   Published: 16 March 2011

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Approximately one-third of refugee and humanitarian entrants to Australia are adult men. Many of these men and their families settle in regional areas. Little is known about the health status of refugee men and the use of health services, and whether or not there are differences between those living in urban and regional areas. This paper reports on the cross-sectional differences in health status and use of health services among a group of 233 recently arrived refugee men living in urban and regional areas of South-east Queensland. Overall, participants reported good levels of subjective health status, moderate to good levels of well-being, and low prevalence of mental illness. Men living in urban areas were more likely to have a long-standing illness and report poorer health status than those settled in regional areas. In contrast, men living in regional areas reported poorer levels of well-being in the environment domain and were more likely to visit hospital emergency departments. Targeted health promotion programs will ensure that refugee men remain healthy and develop their full potential as members of the Australian community. Programs that facilitate refugees’ access to primary health care in regional areas may promote more appropriate use of hospital emergency departments by these communities.

Additional keywords:access to health care, refugees, rural settlement.


Australian Bureau of Statistics (2006) 2004–05 National Health Survey: summary of results. (ABS: Canberra) Available at http://www.ausstats.abs.gov.au/Ausstats/subscriber.nsf/0/3B1917236618A042CA25711F00185526/$File/43640_2004-05.pdf [Verified 24 July 2010]

Byrne M (2006) ‘The other 50%: refugee men’s health.’ (NSW Refugee Health Service, NSW Health: Sydney)

Carlsson JM, Mortensen EL, Kastrup M (2006) Predictors of mental health and quality of life in male tortured refugees. Nordic Journal of Psychiatry 60, 51–57.
CrossRef | PubMed |

Coello M, Aroche J (1998) Refugee men’s health. In ‘Health and human rights: refugee health an issue for action – First National Symposium’. (Eds M Cunningham, E Harris, E Comino) pp. 55–59. (Warwick Farm: Sydney)

Correa-Velez I, Onsando G (2009) Educational and occupational outcomes amongst African men from refugee backgrounds living in urban and regional Southeast Queensland. Australasian Review of African Studies 30, 114–127.

Department of Health and Ageing (2010) ‘National male health policy: building on the strengths of Australian males.’ (Australian Government Department of Health and Ageing: Canberra)

Derogatis LR, Lipman RS, Rickels K, Uhlenhuth EH, Covi L (1974) The Hopkins Symptom Checklist (HSCL): a self-report symptom inventory. Behavioral Science 19, 1–15.
CrossRef | CAS | PubMed |

DIAC (2009) Fact sheet 97: humanitarian settlement in regional Australia. Department of Immigration and Citizenship, Canberra. Available at http://www.immi.gov.au/media/fact-sheets/97humanitarian_settlement.htm [Verified 18 July 2010]

DIAC (2010) Settlement database. Department of Immigration and Citizenship, Canberra. Available at http://www.immi.gov.au/living-in-australia/delivering-assistance/settlement-reporting-facility/ [Verified 15 July 2010]

Elliott E, Watson AJ, Harries U (2002) Harnessing expertise: involving peer interviewers in qualitative research with hard-to-reach populations. Health Expectations 5, 172–178.
CrossRef |

Fazel M, Wheeler J, Danesh J (2005) Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review. Lancet 365, 1309–1314.
CrossRef | PubMed |

Fink A (1995) ‘How to sample in surveys.’ (Sage Publications: Thousand Oaks, CA)

Gagnon AJ, Tuck J, Barkun L (2004) A systematic review of questionnaires measuring the health of resettling refugee women. Health Care for Women International 25, 111–149.
CrossRef |

Gerritsen AAM, Bramsen I, Devillé W, van Willigen LHM, Hovens JE, van der Ploeg HM (2004) Health and health care utilisation among asylum seekers and refugees in the Netherlands: design of a study. BMC Public Health 4, 7
CrossRef | PubMed |

Hollifield M, Warner TD, Lian N, Krakow B, Jenkins JH, Kesler J, Stevenson J, Westermeyer J (2002) Measuring trauma and health status in refugees. Journal of the American Medical Association 288, 611–621.
CrossRef |

Ichikawa M, Nakahara S, Wakai S (2006) Cross-cultural use of the predetermined scale cutoff points in refugee mental health research. Social Psychiatry and Psychiatric Epidemiology 41, 248–250.
CrossRef |

Kish L (1995) ‘Survey sampling.’ (John Wiley & Sons: New York)

Marshall GN, Schell TL, Elliot MN, Berthold SM, Chun C-A (2005) Mental health of Cambodian refugees 2 decades after resettlement in the United States. Journal of the American Medical Association 294, 571–579.
CrossRef | CAS |

Mollica RF, Wyshack G, de-Marneffe D, Khuon F, Lavelle J (1987) Indochinese versions of the Hopkins Symptoms Checklist-25: a screening instrument for the psychiatric care of refugees. The American Journal of Psychiatry 144, 497–500.
| CAS |

Mollica RF, Caspi-Yavin Y, Bollini P, Truong T, Tor S, Lavelle J (1992) The Harvard Trauma Questionnaire: validating a cross-cultural instrument for measuring torture, trauma and posttraumatic stress disorder in Indochinese refugees. The Journal of Nervous and Mental Disease 180, 111–116.
CrossRef | CAS | PubMed |

Mollica RF, McInnes K, Sarajlic N, Lavelle J, Sarajlic I, Massagli MP (1999) Disability associated with psychiatric comorbidity and health status in Bosnian refugees living in Croatia. Journal of the American Medical Association 282, 433–439.
CrossRef | CAS | PubMed |

Newcombe RG (1998) Interval estimation for the difference between independent proportions: comparison of eleven methods. Statistics in Medicine 17, 873–890.
CrossRef | CAS | PubMed |

Office for National Statistics (2005) ‘General household survey, 2004/2005.’ (Office for National Statistics, Social and Vital Statistics Division: London)

Ohaeri JU, Awadalla AW, El-Abassi A-HM, Jacob A (2007) Confirmatory factor analytical study of the WHOQOL-Bref: experience with Sudanese general population and psychiatric samples. BMC Medical Research Methodology 7, 37
CrossRef | PubMed |

Rasmussen A, Smith H, Keller AS (2007) Factor structure of PTSD symptoms among west and central African refugees. Journal of Traumatic Stress 20, 271–280.
CrossRef | PubMed |

Sayer GP, Britt H, Horn F, Bashale A, McGeechan K, Charles J, Miller GC, Hull B, Scahill S (2000) ‘Measures of health and health care delivery in general practice in Australia. AIHW Cat. No. GEP 3.’ (Australian Institute of Health and Welfare: Canberra)

Schweitzer R, Melville F, Steel Z, Lacherez P (2006) Trauma, post-migration living difficulties, and social support as predictors of psychological adjustment in resettled Sudanese refugees. The Australian and New Zealand Journal of Psychiatry 40, 179–187.
| PubMed |

Shepley C (2007) ‘Regional settlement in Australia: research into the settlement experience of humanitarian entrants in regional Australia, 2006–07.’ (Citizenship, Settlement and Multicultural Affairs Division, Department of Immigration and Citizenship: Canberra)

Stolk Y, Minas IH, Klimidis S (2008) ‘Access to mental health services in Victoria: a focus on ethnic communities.’ (Victorian Transcultural Unit: Melbourne)

Stoll K, Johnson P (2007) Determinants of the psychosocial adjustment of Southern Sudanese men. Journal of Refugee Studies 20, 621–640.
CrossRef |

Taylor J, Stanovic D (2005) ‘Refugees and regional settlement: balancing priorities.’ (Brotherhood of St Laurence: Melbourne)

World Health Organization (1996) ‘WHOQOL-BREF: introduction, administration, scoring and generic version of the assessment.’ (Programme on Mental Health, WHO: Geneva)

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