|dc.description.abstract||Background: Previous research has consistently documented that residential
mobility creates stress, of various degrees, on the individuals involved.
However, when the process of mobility compounds other stressful postmigration
events such as poor housing, lack of relocation choice, deprivation
and disruption to the social support networks, it may have more devastating
health impact on vulnerable groups.
Objective: To explore the relationship between residential mobility and mental
health of Somali refugees and whether mobility across primary care trust (PCT)
boundaries, choice over move and distances moved are associated with higher
risk of mental disorder.
Methods: Of the 150 individuals planned, 143 (95.3%) were successfully
interviewed. 100 subjects were recruited from qualitatively mapped non-health
community venues and 43 from General Practitioners’ (GP) registers in two
boroughs of London. The present study assessed the mental status of the
study participants using culturally adopted Mini Neuro-psychiatric Interview
(MINI). Modified Accommodation Record Questionnaire collected information
on their residential movements and choice of relocation in the preceding five
and half years.
Results: Overall, 108 (75.5%) of the participants made one or more moves in
the last 5.5 years. Of these, 60 (55.6%) were females and 48 (44.4%) males;
(χ2 = 4.8, df =1, p<0.03). The majority of the movers 71 (65.7%) were recruited
from non-health community venues while the remaining 37 (34.3%) were
recruited from the General Practice (GP) registers; χ2 = 3.7, df =1, p<0.05.
In logistic regression analysis, when fully adjusted for age, gender, marital
status, social network beyond household, insult because of race or religion,
immigration status, tenure current and period of stay in the UK; risk of mental
disorder was associated with residential mobility (Odds Ratio [OR], 3.8; 95%
CI: 1.2 – 9.9, P < 0.02), Crossing Primary Care Trust Boundaries (OR, 4.0;
95%CI = 1.4 – 11.5; p = 0.005), lack of choice over move (OR, 4.3; 95% CI =
1.5 – 12.4; p = 0.008), most recent move (5.1; 95%CI = 1.6 – 16.1; p = 0.005)
and moving longer distances than 10.2km (OR, 4.6; 95% CI = 1.4 – 15; p =
0.01). Men who were cases were more likely to change address (OR, 4.9;
95%CI: 1.3 – 19; p < 0.02) than women (OR, 2.0; 95%CI: 0.5 - 11.1; p < 0.2)
even after adjusting for all possible confounding variables.
Conclusion: In addition to documented post-migration difficulties, residential
mobility, lack of choice in the process of moving and longer distances moved
were all associated with mental disorders in Somali refugees and asylum
seekers living in London. Involving clients in the decision making during the
relocation process and also taking into account the practical social support
network may lessen the burden of mental disorders of the study population.||en_US