Discrimination and mental health among Somali refugee adolescents: the role of acculturation and gender.
This study examines the role of social identity (acculturation and gender) in moderating the association between discrimination and Somali adolescent refugees' mental health. Participants were English-speaking Somali adolescent refugees between the ages of 11 and 20 (N = 135). Perceived discrimination, trauma history, posttraumatic stress disorder (PTSD), depressive symptoms, and behavioral acculturation were assessed in structured interviews. Fourteen in-depth qualitative interviews and 3 focus groups were also conducted. Results indicated that discrimination was common and associated with worse mental health. For girls, greater Somali acculturation was associated with better mental health. Also, the association between discrimination and PTSD was less strong for girls who showed higher levels of Somali acculturation. For boys, greater American acculturation was associated with better mental health, and the association between discrimination and depression was less strong for boys with higher levels of American acculturation.
Ellis
B Heidi
BH
Children's Hospital Boston, MA 02115, USA. heidi.ellis@childrens.harvard.edu
MacDonald
Helen Z
HZ
Klunk-Gillis
Julie
J
Lincoln
Alisa
A
Strunin
Lee
L
Cabral
Howard J
HJ
D000069:Acculturation; D000293:Adolescent; D002648:Child; D003863:Depression / Q000209:etiology / Q000523:psychology; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008603:Mental Health; D009511:New England; D011287:Prejudice; D011581:Psychological Tests; D012036:Refugees / Q000523:psychology*; D012067:Religion; D012737:Sex Factors; D012933:Social Identification; D012998:Somalia / Q000208:ethnology; D055815:Young Adult