Measuring the health impact of human rights violations related to Australian asylum policies and practices: a mixed methods studyReportar como inadecuado




Measuring the health impact of human rights violations related to Australian asylum policies and practices: a mixed methods study - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC International Health and Human Rights

, 9:1

First Online: 03 February 2009Received: 24 June 2008Accepted: 03 February 2009DOI: 10.1186-1472-698X-9-1

Cite this article as: Johnston, V., Allotey, P., Mulholland, K. et al. BMC Int Health Hum Rights 2009 9: 1. doi:10.1186-1472-698X-9-1

Abstract

BackgroundHuman rights violations have adverse consequences for health. However, to date, there remains little empirical evidence documenting this association, beyond the obvious physical and psychological effects of torture. The primary aim of this study was to investigate whether Australian asylum policies and practices, which arguably violate human rights, are associated with adverse health outcomes.

MethodsWe designed a mixed methods study to address the study aim. A cross-sectional survey was conducted with 71 Iraqi Temporary Protection Visa TPV refugees and 60 Iraqi Permanent Humanitarian Visa PHV refugees, residing in Melbourne, Australia. Prior to a recent policy amendment, TPV refugees were only given temporary residency status and had restricted access to a range of government funded benefits and services that permanent refugees are automatically entitled to. The quantitative results were triangulated with semi-structured interviews with TPV refugees and service providers. The main outcome measures were self-reported physical and psychological health. Standardised self-report instruments, validated in an Arabic population, were used to measure health and wellbeing outcomes.

ResultsForty-six percent of TPV refugees compared with 25% of PHV refugees reported symptoms consistent with a diagnosis of clinical depression p = 0.003. After controlling for the effects of age, gender and marital status, TPV status made a statistically significant contribution to psychological distress B = 0.5, 95% CI 0.3 to 0.71, p ≤ 0.001 amongst Iraqi refugees. Qualitative data revealed that TPV refugees generally felt socially isolated and lacking in control over their life circumstances, because of their experiences in detention and on a temporary visa. This sense of powerlessness and, for some, an implicit awareness they were being denied basic human rights, culminated in a strong sense of injustice.

ConclusionGovernment asylum policies and practices violating human rights norms are associated with demonstrable psychological health impacts. This link between policy, rights violations and health outcomes offers a framework for addressing the impact of socio-political structures on health.

Download fulltext PDF



Autor: Vanessa Johnston - Pascale Allotey - Kim Mulholland - Milica Markovic

Fuente: https://link.springer.com/







Documentos relacionados