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Elshahat S, Moffat T, Morshed M, Alkhawaldeh H, Madani K, Mohamed A, Nadeem N, Emira S, Newbold KB, Donnelly M. A Scoping Review of the Relationship Between Physical Activity and Mental Health Among Immigrants in Western Countries: An Integrated Bio-Psycho-Socio-Cultural Lens. J Immigr Minor Health 2023; 25:1137-1151. [PMID: 37402074 DOI: 10.1007/s10903-023-01518-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/14/2023] [Indexed: 07/05/2023]
Abstract
Epidemiological evidence suggests that regular physical activity (PA) positively impacts individuals' mental health (MH). The PA-MH relationship may be critical among immigrants owing to psycho-social-cultural influences. This scoping review of 61 studies employed a holistic bio-psycho-socio-cultural framework to thoroughly investigate the complex relationship between PA (across life domains) and immigrants' MH in Western countries. A systematic search of five electronic databases (Medline, PubMed, Embase, PsycINFO and Anthropology Plus) was conducted to locate relevant articles. No limitations were applied to study design, age, gender, home country, MH condition or PA type. A bio-psycho-socio-cultural-informed conceptual model guided the analysis of the multi-domain PA-MH relationship. Immigrant PA-MH studies were conducted and reported most commonly in the USA (38%), Australia (18%), and Canada (11%). Overall, PA was positively related to MH. Each domain-specific PA appeared to be associated with unique MH-promoting pathways/mechanisms. Leisure-related PA may support MH by enhancing self-agency and minimizing risky behaviors, whilst travel- and domestic-related PA may promote self-accomplishment and physical engagement. Ethnic sports appeared to enhance resilience. Occupational-related PA was associated with either positive or negative MH, depending on the type of occupation. A bio-psycho-socio-cultural-informed model is required to gain an encompassing and integrated understanding of immigrants' health. The first iteration of such a model is presented here, along with an illustration of how the model may be used to deepen analysis and understanding of the multi-domain PA-MH relationship among immigrants and inform public health planners and practitioners.
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Affiliation(s)
- Sarah Elshahat
- Faculty of Social Sciences, McMaster University, Chester New Hall, Hamilton, ON, Ontario, L8S 4L9, Canada.
| | - Tina Moffat
- Faculty of Social Sciences, McMaster University, Chester New Hall, Hamilton, ON, Ontario, L8S 4L9, Canada
| | - Mahira Morshed
- Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
| | | | - Keon Madani
- Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
- School of Biomedical Engineering, McMaster University, Hamilton, ON, Canada
| | - Aya Mohamed
- Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
| | - Naya Nadeem
- Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
| | - Sara Emira
- Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - K Bruce Newbold
- School of Earth, Environment & Society, McMaster University, Hamilton, ON, Canada
| | - Michael Donnelly
- Centre for Public Health, Queen's University Belfast, Institute of Clinical Sciences, Block B, Royal Victoria Hospital, Belfast, UK
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Pittaway T, Riggs E, Dantas JAR. Intergenerational conflict among resettled South Sudanese in Australia. Transcult Psychiatry 2022; 60:215-225. [PMID: 35971563 DOI: 10.1177/13634615221105115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
South Sudanese families have faced many hardships in the process of acculturation to Australian society. This has led to rapid family breakdown amongst refugees from South Sudan who live in Melbourne, Australia, and has created tension between families, the wider South Sudanese community, and authorities. This qualitative study explores how shifting dynamics of religious faith, the concept of family and cultural values impacts South Sudanese families and young people. The study consisted of 23 semi-structured interviews, three focus groups and two feedback forums, gathering data from South Sudanese youth aged 14 to 21 years, social workers, elders and parents from the South Sudanese community. Several themes were identified including the impact of intergenerational conflict, coping with new freedoms in Australia, the associated tensions these freedoms create within the South Sudanese community, and young people's conflict with religion. The patriarchal system that underpins the family structure of the South Sudanese culture is under significant strain as women and children are becoming aware of their rights, resulting in friction between men and women, parents and children. Male elders believed the embracing of freedom by women and children was at the core of family breakdown, leading to cultural erosion, and was the root of the problems experienced by the youth. The church as a traditional meeting place and a centre point for social inclusion within the South Sudanese community remains relevant as an important factor in social networking for parents and elders but lacks relevance for many South Sudanese youth.
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Affiliation(s)
- Troy Pittaway
- Curtin School of Population Health, 1649Curtin University, Bentleigh, Western Australia, Australia
| | - Elisha Riggs
- Intergenerational Health, 34361Murdoch Children's Research Institute, Parkville, Victoria, Australia.,Department of General Practice, The University of Melbourne, Victoria, Australia
| | - Jaya A R Dantas
- Curtin School of Population Health, 1649Curtin University, Bentleigh, Western Australia, Australia
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Miller E, Ziaian T, de Anstiss H, Baak M. Ecologies of Resilience for Australian High School Students from Refugee Backgrounds: Quantitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19020748. [PMID: 35055569 PMCID: PMC8775447 DOI: 10.3390/ijerph19020748] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/12/2021] [Revised: 01/03/2022] [Accepted: 01/04/2022] [Indexed: 02/06/2023]
Abstract
Forced displacement of refugees, currently at record levels, leads to increased cultural diversity in many countries with benefits and challenges for individuals, communities, and societies. Refugees often face significant stressors both pre- and post-migration, and hence are at increased risk of poor mental health and wellbeing. Children and adolescents make up a significant proportion of refugees globally, and hence mental health supports for these young people are crucial. Current mental health research often uses pathologized approaches that focus on trauma, although there is growing literature highlighting the importance of a sense of belonging and the reduction in discrimination and social exclusion, emphasizing strengths and agency of individuals and communities. Resilience is often noted for its positive influence on mental health and wellbeing; however, research regarding how mechanisms of resilience function is still developing. This study investigated mental health and wellbeing of refugee-background Australian youth to better understand the role and function of resilience. Findings suggest that intersecting social ecologies, such as those within family, school, or community networks, contribute to development of identity and a sense of belonging for youth, which together form a resilient system that provides resources for wellbeing. Adaptations of school policy and practice can support positive mental health and wellbeing outcomes by contributing to and developing resilient environments, such as through building connections to family, improving positive recognition of cultural identity for individuals and across the whole school community, and actively working to minimize discrimination.
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Affiliation(s)
- Emily Miller
- Justice and Society, University of South Australia, Adelaide 5001, Australia; (T.Z.); (H.d.A.)
- Correspondence:
| | - Tahereh Ziaian
- Justice and Society, University of South Australia, Adelaide 5001, Australia; (T.Z.); (H.d.A.)
| | - Helena de Anstiss
- Justice and Society, University of South Australia, Adelaide 5001, Australia; (T.Z.); (H.d.A.)
| | - Melanie Baak
- Education Futures, University of South Australia, Adelaide 5001, Australia;
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