Experience of discrimination during COVID-19 pandemic: the impact of public health measures and psychological distress among refugees and other migrants in Europe
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10451/53483 |
Resumo: | © The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
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Experience of discrimination during COVID-19 pandemic: the impact of public health measures and psychological distress among refugees and other migrants in EuropeCOVID-19Mental healthMigrantsPublic healthSocial stigma© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.Background: The COVID-19 pandemic has had a disproportionately hard impact on refugees and other migrants who are often exposed to the virus with limited means to protect themselves. We tested the hypothesis that during the COVID-19 pandemic, refugees and other migrants have suffered a negative impact on mental health and have been unjustly discriminated for spreading the disease in Europe (data collection from April to November 2020). Methods: Participants in the ApartTogether Survey (N = 8297, after listwise deletion of missing items final N = 3940) provided data regarding to their difficulties to adhere to preventive recommendations against COVID-19 infection (CARE), self-perceived stigmatization (SS), and psychological distress (PD). Structural Equation Modeling was used to investigate PD as a mediator in the pathway linking CARE to SS, while adjusting for the housing and residence status. To improve confidence in the findings, single hold-out sample cross-validation was performed using a train/test split ratio of 0.8/0.2. Results: In the exploratory set (N = 3159) SS was associated with both CARE (B = 0.200, p < 0.001) and PD (B = 0.455, p < 0.001). Moreover, PD was also associated with CARE (B = 0.094, p = 0.001) and mediated the effect of CARE on SS (proportion mediated = 17.7%, p = 0.001). The results were successfully replicated in the confirmation set (N = 781; total effect = 0.417, p < 0.001; proportion mediated = 29.7%, p < 0.001). Follow-up analyses also found evidence for an opposite effect (i.e., from SS to CARE, B = 0.132; p < 0.001), suggesting that there might be a vicious circle between the self-perceived stigmatization and the access to health care and the use of preventive measures against COVID-19 infection. Conclusions: Refugees and other migrants who had more difficulties in accessing health care and preventive measures against COVID-19 infection experienced worse mental health and increased discrimination. These negative effects appeared to be stronger for those with more insecure housing and residence status, highlighting from one side the specific risk of insecure housing in the impact of COVID-19 upon mental health and infection protection, and for another side the need to proper housing as a strategy to prevent both COVID-19 and mental distress.This project has received funding from the European Union’s Horizon 2020 Research and Innovation Programme under Grant Agreement No 101016233 and from the World Health Organization. Fábio Botelho Guedes has a FCT scholarship (SFRH/BD/148299/2019).Springer NatureRepositório da Universidade de LisboaMarchi, MattiaMagarini, Federica MariaChiarenza, AntonioGaleazzi, Gian MariaPaloma, VirginiaGarrido, RocíoIoannidi, ElisabethVassilikou, KaterinaMatos, Margarida Gaspar deGaspar, TaniaGuedes, Fábio BotelhoPrimdahl, Nina LangerSkovdal, MortenMurphy, RebeccaDurbeej, NatalieOsman, FatumoWatters, Charlesvan den Muijsenbergh, MariaSturm, GesineOulahal, RachidPadilla, BeatrizWillems, SaraSpiritus-Beerden, EvaVerelst, AnDerluyn, Ilse2022-06-24T12:50:35Z20222022-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/53483engBMC Public Health. 2022 May 11;22(1):94210.1186/s12889-022-13370-y1471-2458info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:59:16Zoai:repositorio.ul.pt:10451/53483Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:04:24.999105Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Experience of discrimination during COVID-19 pandemic: the impact of public health measures and psychological distress among refugees and other migrants in Europe |
title |
Experience of discrimination during COVID-19 pandemic: the impact of public health measures and psychological distress among refugees and other migrants in Europe |
spellingShingle |
Experience of discrimination during COVID-19 pandemic: the impact of public health measures and psychological distress among refugees and other migrants in Europe Marchi, Mattia COVID-19 Mental health Migrants Public health Social stigma |
title_short |
Experience of discrimination during COVID-19 pandemic: the impact of public health measures and psychological distress among refugees and other migrants in Europe |
title_full |
Experience of discrimination during COVID-19 pandemic: the impact of public health measures and psychological distress among refugees and other migrants in Europe |
title_fullStr |
Experience of discrimination during COVID-19 pandemic: the impact of public health measures and psychological distress among refugees and other migrants in Europe |
title_full_unstemmed |
Experience of discrimination during COVID-19 pandemic: the impact of public health measures and psychological distress among refugees and other migrants in Europe |
title_sort |
Experience of discrimination during COVID-19 pandemic: the impact of public health measures and psychological distress among refugees and other migrants in Europe |
author |
Marchi, Mattia |
author_facet |
Marchi, Mattia Magarini, Federica Maria Chiarenza, Antonio Galeazzi, Gian Maria Paloma, Virginia Garrido, Rocío Ioannidi, Elisabeth Vassilikou, Katerina Matos, Margarida Gaspar de Gaspar, Tania Guedes, Fábio Botelho Primdahl, Nina Langer Skovdal, Morten Murphy, Rebecca Durbeej, Natalie Osman, Fatumo Watters, Charles van den Muijsenbergh, Maria Sturm, Gesine Oulahal, Rachid Padilla, Beatriz Willems, Sara Spiritus-Beerden, Eva Verelst, An Derluyn, Ilse |
author_role |
author |
author2 |
Magarini, Federica Maria Chiarenza, Antonio Galeazzi, Gian Maria Paloma, Virginia Garrido, Rocío Ioannidi, Elisabeth Vassilikou, Katerina Matos, Margarida Gaspar de Gaspar, Tania Guedes, Fábio Botelho Primdahl, Nina Langer Skovdal, Morten Murphy, Rebecca Durbeej, Natalie Osman, Fatumo Watters, Charles van den Muijsenbergh, Maria Sturm, Gesine Oulahal, Rachid Padilla, Beatriz Willems, Sara Spiritus-Beerden, Eva Verelst, An Derluyn, Ilse |
author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório da Universidade de Lisboa |
dc.contributor.author.fl_str_mv |
Marchi, Mattia Magarini, Federica Maria Chiarenza, Antonio Galeazzi, Gian Maria Paloma, Virginia Garrido, Rocío Ioannidi, Elisabeth Vassilikou, Katerina Matos, Margarida Gaspar de Gaspar, Tania Guedes, Fábio Botelho Primdahl, Nina Langer Skovdal, Morten Murphy, Rebecca Durbeej, Natalie Osman, Fatumo Watters, Charles van den Muijsenbergh, Maria Sturm, Gesine Oulahal, Rachid Padilla, Beatriz Willems, Sara Spiritus-Beerden, Eva Verelst, An Derluyn, Ilse |
dc.subject.por.fl_str_mv |
COVID-19 Mental health Migrants Public health Social stigma |
topic |
COVID-19 Mental health Migrants Public health Social stigma |
description |
© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-06-24T12:50:35Z 2022 2022-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10451/53483 |
url |
http://hdl.handle.net/10451/53483 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
BMC Public Health. 2022 May 11;22(1):942 10.1186/s12889-022-13370-y 1471-2458 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Springer Nature |
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Springer Nature |
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