학술논문
The "lost boys of Sudan": functional and behavioral health of unaccompanied refugee minors re-settled in the United States.
Document Type
Academic Journal
Author
Geltman PL; Department of Pediatrics and Emergency Medicine, Boston University School of Medicine, Boston, MA 02120, USA. pgeltman@bu.edu; Grant-Knight W; Mehta SD; Lloyd-Travaglini C; Lustig S; Landgraf JM; Wise PH
Source
Publisher: American Medical Association Country of Publication: United States NLM ID: 9422751 Publication Model: Print Cited Medium: Print ISSN: 1072-4710 (Print) Linking ISSN: 10724710 NLM ISO Abbreviation: Arch Pediatr Adolesc Med Subsets: MEDLINE
Subject
Language
English
ISSN
1072-4710
Abstract
Objective: To assess the functional and behavioral health of unaccompanied Sudanese refugee minors approximately 1 year after resettlement in the United States.
Design: A descriptive survey.
Setting: Local refugee foster care programs affiliated with the US Unaccompanied Refugee Minors Program.
Participants: A total of 304 Sudanese refugee minors enrolled in the US Unaccompanied Refugee Minors Program.
Main Outcome Measures: Health outcomes were assessed using the Harvard Trauma Questionnaire and the Child Health Questionnaire. Outcomes included the diagnosis of posttraumatic stress disorder and scores on all Child Health Questionnaire subscales and global single-item assessments.
Results: Twenty percent of the minors had a diagnosis of posttraumatic stress disorder and were more likely to have lower (worse) scores on all the Child Health Questionnaire subscales. Low functional and behavioral health scores were seen mainly in functioning in the home and in subjective health ratings. Social isolation and history of personal injury were associated with posttraumatic stress disorder.
Conclusions: Unaccompanied Sudanese minors have done well in general. The minors function well in school and in activities; however, behavioral and emotional problems manifest in their home lives and emotional states. The subset of children with traumatic symptoms had characteristics that may distinguish them from their peers and that may inform future resettlement services for unaccompanied minors in the United States.
Design: A descriptive survey.
Setting: Local refugee foster care programs affiliated with the US Unaccompanied Refugee Minors Program.
Participants: A total of 304 Sudanese refugee minors enrolled in the US Unaccompanied Refugee Minors Program.
Main Outcome Measures: Health outcomes were assessed using the Harvard Trauma Questionnaire and the Child Health Questionnaire. Outcomes included the diagnosis of posttraumatic stress disorder and scores on all Child Health Questionnaire subscales and global single-item assessments.
Results: Twenty percent of the minors had a diagnosis of posttraumatic stress disorder and were more likely to have lower (worse) scores on all the Child Health Questionnaire subscales. Low functional and behavioral health scores were seen mainly in functioning in the home and in subjective health ratings. Social isolation and history of personal injury were associated with posttraumatic stress disorder.
Conclusions: Unaccompanied Sudanese minors have done well in general. The minors function well in school and in activities; however, behavioral and emotional problems manifest in their home lives and emotional states. The subset of children with traumatic symptoms had characteristics that may distinguish them from their peers and that may inform future resettlement services for unaccompanied minors in the United States.