Abstract
The present study examined experiences of school and community violence exposure, perceptions of neighborhood, and socio-emotional health among refugee and nonrefugee youth in The Republic of The Gambia, West Africa. Participants included 943 10th and 11th grade students at 6 Gambian senior secondary schools. Participants completed a self-report survey (the Social and Health Assessment). Findings indicate that, although both refugee (n = 33) and nonrefugee (n = 910) youth reported frequent exposure to community and school violence, refugee youth report the highest levels. Refugee youth also reported significantly higher levels of post-traumatic stress reaction and delinquent behavior compared with their Gambian peers. Refugee youth were significantly more likely to report having been high from alcohol or marijuana at school, and having sold drugs to earn money within the past year compared to Gambian youth. Among Gambian youth, those living in neighborhoods with a refugee presence were more likely than those living in neighborhoods without refugees to report higher levels of community and school violence exposure. Perceptions of neighborhood emerged as a significant moderator in the link between refugee status and delinquent behavior and depression. Negative perceptions of neighborhood were related to increased levels of delinquent behavior among refugee youth, but not among Gambian youth. Neighborhood perceptions did not appear to influence post-traumatic stress reaction among refugee or Gambian youth. The research sheds light on the socio-emotional health of refugee youth who are in the resettlement stage of adjustment and their nonrefugee peers.
References
2008). Understanding integration: A conceptual framework. Journal of Refugee Studies, 21, 166–191. 10.1093/jrs/fen016
(1990). The national adolescent student health survey: A report of the health of America’s youth. Oakland, CA: Third Party Publishing.
. (2010). State weakness and ‘vacuum of power’ in Lebanon. Studies in Conflict & Terrorism, 33, 757–782. 10.1080/1057610X.2010.494172
(2011). Examining the neighborhood context of the violent offending-victimization relationship: A prospective investigation. Journal of Quantitative Criminology, 27, 427–451. 10.1007/s10940-011-9129-7
(2012). Neighborhood cultural heterogeneity and adolescent violence. Journal of Quantitative Criminology, 28, 411–435. 10.1007/s10940-011-9146-6
(2001). Children and war: Current understandings and future directions. Public Health Nursing (Boston, Mass.), 18, 243–252. 10.1046/j.1525-1446.2001.00243.x
(2006). Antisocial involvement, use of substances, and sexual behaviors among urban youth in the Czech Republic. Studia Psychologica, 48, 107–124.
(2011). Psychological distress in refugee children: A systematic review. Clinical Child and Family Psychology Review, 14, 44–56. 10.1007/s10567-010-0081-0
(2011). Trust building in post-conflict West Africa: Urban hunting societies in Sierra Leone and The Gambia (Unpublished doctoral dissertation). Boston University.
(1991). Youth risk behavior survey. Atlanta, GA: Author.
. (2013). The Gambia. Retrieved from https://www.cia.gov/library/publications/the-world-factbook/geos/ga.html
. (2010). Longing to belong: Social inclusion and wellbeing among youth with refugee backgrounds in the first three years in Melbourne, Australia. Social Science & Medicine, 71, 1399–1408. 10.1016/j.socscimed.2010.07.018
(2003). No solutions in sight: The problem of protracted refugee situations in Africa. New Issues in Refugee Research (Working Paper No. 75). Geneva, Switzerland: UNHCR Evaluation and Policy Analysis Unit.
(2007). From symptom to context: A review of the literature on refugee children’s mental health. Hellenic Journal of Psychology, 4, 233–256.
(2008). Beyond the school gates: Supporting refugees and asylum seekers in secondary schools. Retrieved from Refugee Council website: http://www.refugeecouncil.org.uk/assets/0001/7042/Inclusive_Schools_project_research_report_May_08
(1994). Factors associated with the use of violence among urban black adolescents. American Journal of Public Health, 84, 612–617. 10.2105/AJPH.84.4.612
(2012). Creating a safe haven in schools: Refugee and asylum-seeking children’s and young people’s mental health. Child Abuse Review, 21, 219–226. 10.1002/car.1197
(2013). ECOWAS member states. Retrieved from http://www.ecowas.int/
. (1989). Multiple problem youth: Delinquency, substance use, and mental health problems. New York, NY: Springer-Verlag. 10.1007/978-1-4613-9637-6
(2005). Prevalence of serious mental disorder in 7000 refugees resettled in western countries: A systematic review. The Lancet, 365, 1309–1314. 10.1016/S0140-6736(05)61027-6
(1993). The prevalence and consequences of exposure to violence among African-American youth. Journal of the American Academy of Child & Adolescent Psychiatry, 32, 424–430. 10.1097/00004583-199303000-00026
(2004). Gender differences in posttraumatic stress and related symptoms among inner-city minority youth exposed to community violence. Journal of Youth and Adolescence, 33, 59–69. 10.1023/A:1027386430859
(2000). The Sierra Leonean refugee experience: Traumatic events and psychiatric sequelae. Journal of Nervous and Mental Disease, 188, 490–495. 10.1097/00005053-200008000-00003
(1992). Childhood PTSD reaction index. Unpublished manuscript.
(2012). Closing the education gender gap: Estimating the impact of girls’ scholarship program in The Gambia. Unpublished manuscript. Retrieved from http://www.dartmouth.edu/~neudc2012/docs/paper_31.pdf
(1994). Cross-cultural normative assessment: Translation and adaptation issues influencing the normative interpretation of assessment instruments. Psychological Assessment, 6, 304–312. 10.1037/1040-3590.6.4.304
(1990). Seattle social development project. Social Development Research Group, School of Social Work, University of Washington.
(2011). New issues in refugee research: Casamance refugees in The Gambia: Self-settlement and the challenges of integration. Retrieved from UNHCR Policy Development and Evaluation Service website: http://www.unhcr.org/cgi-bin/texis/vtx/home/opendocPDFViewer.html?docid=4e79ef7c9&query=%22New%20issues%20in%20Refugee%20Research%22
(2011). Psychopathology in African unaccompanied refugee minors in Austria. Child Psychiatry and Human Development, 42, 307–319. 10.1007/s10578-011-0219-4
(2012). Statistical Package for the Social Sciences, 12.0.
. (1989). School health study. Boulder, CO: Institute of Behavioral Science, University of Colorado.
(1990). Monitoring the future. University of Michigan. Ann Arbor: Institute for Social Research.
(2008). Genocide and its aftermath: The case of Rwanda. International Social Work, 51, 324–336. 10.1177/0020872807088079
(2011). Youth employment and skills development in the Gambia. World Bank Working Paper No. 217. Africa Human Development Series. Washington, DC: The World Bank. Retrieved January 28, 2014, from https://openknowledge.worldbank.org/bitstream/handle/10986/5923/638450PUB0Exto00Box0361527B0PUBLIC0.pdf?sequence=1
(2013). How neighborhood structural and institutional features can shape neighborhood social connectedness: A multilevel study of adolescent perceptions. American Journal of Community Psychology, 51(3–4), 451–467. 10.1007/s10464-012-9563-1
(1994). Relationship between goal attributes and the academic achievement of Southeast Asian adolescent refugees. Journal of Counseling Psychology, 41, 45–52. 10.1037/0022-0167.41.1.45
(2012). Casamance conflict is unhealed sore for Senegal. Reuters. Retrieved January 15, 2014, from http://www.reuters.com/article/2012/02/25/us-senegal-casamance-idUSTRE81O09C20120225
(2002). A 3-year follow-up study of psychosocial functioning and general symptoms in settled refugees. Acta Psychiatrica Scandinavica, 106, 415–425. 10.1034/j.1600-0447.2002.01436.x
(2009). Understanding the challenge. Forced Migration Review, 33, 9–11.
(2004). Review of child and adolescent refugee mental health. Journal of the American Academy of Child & Adolescent Psychiatry, 43, 24–36. 10.1097/00004583-200401000-00012
(1993). The NIMH community violence project: II. Children’s distress symptoms associated with violence exposure. Psychiatry: Interpersonal and Biological Processes, 56, 22–35.
(2009). Darfur refugees in Cairo: Mental health and interpersonal conflict in the aftermath of genocide. Journal of Interpersonal Violence, 24, 1835–1848. 10.1177/0886260508325491
(2000). Development of the Multidimensional Peer-Victimization Scale. Aggressive Behavior, 26, 169–178. 10.1002/(SICI)1098-2337(2000)26:2<169::AID-AB3>3.0.CO;2-A
(2002). Multidimensional resilience in urban children exposed to community violence. Child Development, 73(4), 1265–1282. 10.1111/1467-8624.00471
(2011). Community violence exposure and post traumatic stress reactions among Gambian youth: The moderating role of parents and school. Social Psychiatry and Psychiatric Epidemiology, 46(1), 59–67. 10.1007/s00127-009-0162
(2006). Status of drug use/abuse in Africa: A review. International Journal of Mental Health and Addiction, 4, 87–102. 10.1007/s11469-006-9015-y
(2013). Nigerians perceived as rivals in The Gambia. American Street News. Retrieved from http://americanstreetnews.com/news/nigerians-perceived-as-rivals-in-gambia-ambassador
(2005). Predisplacement and postdisplacement factors associated with mental health of refugees and internally displaced persons: A meta-analysis. JAMA: Journal of the American Medical Association, 294, 602–612. 10.1001/jama.294.5.602
(1987). Life threat and posttraumatic stress in school-age children. Archives of General Psychiatry, 44, 1057–1063. 10.1001/archpsyc.1987.01800240031005
(1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401. 10.1177/014662167700100306
(2008). The Gambia mental health strategic plan, 2007–2012. Banjul, The Gambia: Department of Health and Social Welfare.
. (1993). The NIMH community violence project: I. Children as victims of and witnesses to violence. Psychiatry: Interpersonal and Biological Processes, 56, 7–21.
(1997). Neighborhoods and violent crime: A multilevel study of collective efficacy. Science, 277, 918–924. 10.1126/science.277.5328.918
(2004). Commentary on crossing cultural barriers: Informed consent in developing countries. Cleveland, OH: Ethics Center for Engineering and Science, Case Western Reserve University.
(1995). The social and health assessment. New Haven, CT: Yale University Medical School.
(1999). No safe haven. II: The effects of violence exposure on urban youth. Journal of the American Academy of Child & Adolescent Psychiatry, 38, 359–367. 10.1097/00004583-199904000-00007
(1999). Refugee youth at risk: A quest for rational policy. Children’s Services: Social Policy, Research, & Practice, 2, 139–158. 10.1207/s15326918cs0203_2
(2013). Neighborhood perceptions and emotional well-being in young adulthood. Journal of Child and Adolescent Psychiatric Nursing, 26, 62–73. 10.1111/jcap.12016
(2001). Political refugees’ violence in Norway. Journal of Scandinavian Studies in Criminology and Crime Prevention, 2, 84–103. 10.1080/140438501317205565
(2006). Mental-health services for refugee women and children in Africa: A call for activism and advocacy. International Social Work, 49, 9–17. 10.1177/0020872806059398
(2003). Refugee families during asylum seeking. Nordic Journal of Psychiatry, 57, 203–207. 10.1080/08039480310001364
(2000). Gender differences in young adolescents’ exposure to violence and rates of PTSD symptomatology. American Journal of Orthopsychiatry, 70, 370–379. 10.1037/h0087637
(2010). Refugee integration: Emerging trends and remaining agendas. Journal of Refugee Studies, 23, 589–607. 10.1093/jrs/feq046
(The Gambia Atlas of 2003 Population and Housing Census. Retrieved from http://www.academia.edu/5159853/The_Gambia_Atlas_of_2003_Population_and_Housing_Census
1986). Comparison of ANOVA alternatives under variance heterogeneity and specific noncentrality structures. Psychological Bulletin, 99, 90–99.
(1999). The Quebec Adolescent Refugee Project: Psychopathology and family variables in a sample from 35 nations. Journal of the American Academy of Child & Adolescent Psychiatry, 38, 1426–1432. 10.1097/00004583-199911000-00018
(1995). Psychological variables as determinants of neuroticism among refugees in Nigeria. African Journal for the Psychological Study of Social Issues, 2, 140–150.
(2011). A year of crises: UNHCR global trends 2011. Retrieved from http://www.unhcr.org/4fd6f87f9.pdf
. (2014). Gambia: 2014 regional operations profile–West Africa. Retrieved from http://www.unhcr.org/cgi-bin/texis/vtx/page?p.=49e4848831
. (1990). Convention on the rights of the child. Retrieved from http://www.ohchr.org/en/professionalinterest/pages/crc.aspx
. (2012). The Gambia 2012 human rights report. Retrieved from http://www.state.gov/j/drl/rls/hrrpt/humanrightsreport/index.htm#wrapper
. (2012). The Gambia 2012 OSAC crime and safety report. Retrieved from https://www.osac.gov/Pages/ContentReportDetails.aspx?cid=12064
. (2003). Violence exposure and substance use in adolescents: Findings from three countries. Pediatrics, 111, 535–540. 10.1542/peds.111.3.535
(1991). The social and health assessment. New Haven, CT: Yale University Medical School.
(1991). Primary prevention of acculturative stress among refugees. Application of psychological theory and practice. American Psychologist, 46, 632–641. 10.1037/0003-066X.46.6.632
(2007). Effects of gender, ethnicity, and educational status on exposure to community violence and psychological distress in adolescence. Journal of Aggression, Maltreatment & Trauma, 15, 93–111. 10.1300/J146v15n01_06
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