title: Forced residential mobility and social support: impacts on psychiatric disorders among Somali migrants.
abstract: BACKGROUND
  Somali migrants fleeing the civil war in their country face punishing journeys, the loss of homes, possessions, and bereavement. On arrival in the host country they encounter poverty, hostility, and residential instability which may also undermine their mental health.
  
  
  METHODS
  An in-depth and semi-structured interview was used to gather detailed accommodation histories for a five year period from 142 Somali migrants recruited in community venues and primary care. Post-codes were verified and geo-mapped to calculate characteristics of residential location including deprivation indices, the number of moves and the distances between residential moves. We asked about the reasons for changing accommodation, perceived discrimination, asylum status, traumatic experiences, social support, employment and demographic factors. These factors were assessed alongside characteristics of residential mobility as correlates of ICD-10 psychiatric disorders.
  
  
  RESULTS
  Those who were forced to move homes were more likely to have an ICD-10 psychiatric disorder (OR = 2.64, 1.16-5.98, p = 0.02) compared with those moving through their own choice. A lower risk of psychiatric disorders was found for people with larger friendship networks (0.35, 0.14-0.84, p = 0.02), for those with more confiding emotional support (0.42, 0.18-1.0, p = 0.05), and for those who had not moved during the study period (OR = 0.21, 0.07-0.62, p = 0.01).
  
  
  CONCLUSIONS
  Forced residential mobility is a risk factor for psychiatric disorder; social support may contribute to resilience against psychiatric disorders associated with residential mobility.
authors.affiliation: Wolfson Institute of Preventive Medicine, Barts & The London School of Medicine & Dentistry, Queen Mary, University of London, London, UK. k.s.bhui@qmul.ac.uk.
authors.forename: Kamaldeep
authors.initials: K
authors.lastname: Bhui
authors.forename: Salaad
authors.initials: S
authors.lastname: Mohamud
authors.forename: Nasir
authors.initials: N
authors.lastname: Warfa
authors.forename: Sarah
authors.initials: S
authors.lastname: Curtis
authors.forename: Stephen
authors.initials: S
authors.lastname: Stansfeld
authors.forename: Tom
authors.initials: T
authors.lastname: Craig