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The migrant Hazara Shias of Pakistan and their social determinants for PTSD, mental disorders and life satisfaction
BACKGROUND: Ensuring safety and wellbeing of all the minority populations of Pakistan is essential for collective national growth. The Pakistani Hazara Shias are a marginalized non-combative migrant population who face targeted violence in Pakistan, and suffer from great challenges which compromise...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9922968/ https://www.ncbi.nlm.nih.gov/pubmed/36794096 http://dx.doi.org/10.1016/j.jmh.2023.100166 |
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author | Jafree, Sara Rizvi Nadir, Syed Mujtaba Hasnain Mahmood, Qaisar Khalid Burhan, Syeda Khadija |
author_facet | Jafree, Sara Rizvi Nadir, Syed Mujtaba Hasnain Mahmood, Qaisar Khalid Burhan, Syeda Khadija |
author_sort | Jafree, Sara Rizvi |
collection | PubMed |
description | BACKGROUND: Ensuring safety and wellbeing of all the minority populations of Pakistan is essential for collective national growth. The Pakistani Hazara Shias are a marginalized non-combative migrant population who face targeted violence in Pakistan, and suffer from great challenges which compromise their life satisfaction and mental health. In this study, we aim to identify the determinants of life satisfaction and mental health disorders in Hazara Shias and ascertain which socio-demographic characteristics are associated with post-traumatic stress disorder (PTSD). METHODS: We used a cross-sectional quantitative survey, utilizing internationally standardized instruments; with an additional qualitative item. Seven constructs were measured, including household stability; job satisfaction; financial security; community support; life satisfaction; PTSD; and mental health. Factor analysis was performed showing satisfactory Cronbach alpha results. A total of 251 Hazara Shias from Quetta were sampled at community centers through convenience method based on their willingness to participate. RESULTS: Comparison of mean scores shows significantly higher PTSD in women and unemployed participants. Regression results reveal that people who have low community support, especially from national and ethnic community, religious community, and other community groups, had higher risk of mental health disorders. Structural equation modeling identified that four study variables contribute to greater life satisfaction, including: household satisfaction (β = 0.25, p < 0.001); community satisfaction (β = 0.26, p < 0.001); financial security (β = 0.11, p < 0.05); and job satisfaction (β = 0.13, p < 0.05). Qualitative findings revealed three broad areas which create barriers to life satisfaction, including: fears of assault and discrimination; employment and education problems; and financial and food security issues. CONCLUSIONS: The Hazara Shias need immediate assistance from state and society to improve safety, life opportunities, and mental health. Interventions for poverty alleviation, mental health, and fair education and employment opportunities need to be planned in partnership with the primary security issue. |
format | Online Article Text |
id | pubmed-9922968 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-99229682023-02-14 The migrant Hazara Shias of Pakistan and their social determinants for PTSD, mental disorders and life satisfaction Jafree, Sara Rizvi Nadir, Syed Mujtaba Hasnain Mahmood, Qaisar Khalid Burhan, Syeda Khadija J Migr Health Article BACKGROUND: Ensuring safety and wellbeing of all the minority populations of Pakistan is essential for collective national growth. The Pakistani Hazara Shias are a marginalized non-combative migrant population who face targeted violence in Pakistan, and suffer from great challenges which compromise their life satisfaction and mental health. In this study, we aim to identify the determinants of life satisfaction and mental health disorders in Hazara Shias and ascertain which socio-demographic characteristics are associated with post-traumatic stress disorder (PTSD). METHODS: We used a cross-sectional quantitative survey, utilizing internationally standardized instruments; with an additional qualitative item. Seven constructs were measured, including household stability; job satisfaction; financial security; community support; life satisfaction; PTSD; and mental health. Factor analysis was performed showing satisfactory Cronbach alpha results. A total of 251 Hazara Shias from Quetta were sampled at community centers through convenience method based on their willingness to participate. RESULTS: Comparison of mean scores shows significantly higher PTSD in women and unemployed participants. Regression results reveal that people who have low community support, especially from national and ethnic community, religious community, and other community groups, had higher risk of mental health disorders. Structural equation modeling identified that four study variables contribute to greater life satisfaction, including: household satisfaction (β = 0.25, p < 0.001); community satisfaction (β = 0.26, p < 0.001); financial security (β = 0.11, p < 0.05); and job satisfaction (β = 0.13, p < 0.05). Qualitative findings revealed three broad areas which create barriers to life satisfaction, including: fears of assault and discrimination; employment and education problems; and financial and food security issues. CONCLUSIONS: The Hazara Shias need immediate assistance from state and society to improve safety, life opportunities, and mental health. Interventions for poverty alleviation, mental health, and fair education and employment opportunities need to be planned in partnership with the primary security issue. Elsevier 2023-01-26 /pmc/articles/PMC9922968/ /pubmed/36794096 http://dx.doi.org/10.1016/j.jmh.2023.100166 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Article Jafree, Sara Rizvi Nadir, Syed Mujtaba Hasnain Mahmood, Qaisar Khalid Burhan, Syeda Khadija The migrant Hazara Shias of Pakistan and their social determinants for PTSD, mental disorders and life satisfaction |
title | The migrant Hazara Shias of Pakistan and their social determinants for PTSD, mental disorders and life satisfaction |
title_full | The migrant Hazara Shias of Pakistan and their social determinants for PTSD, mental disorders and life satisfaction |
title_fullStr | The migrant Hazara Shias of Pakistan and their social determinants for PTSD, mental disorders and life satisfaction |
title_full_unstemmed | The migrant Hazara Shias of Pakistan and their social determinants for PTSD, mental disorders and life satisfaction |
title_short | The migrant Hazara Shias of Pakistan and their social determinants for PTSD, mental disorders and life satisfaction |
title_sort | migrant hazara shias of pakistan and their social determinants for ptsd, mental disorders and life satisfaction |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9922968/ https://www.ncbi.nlm.nih.gov/pubmed/36794096 http://dx.doi.org/10.1016/j.jmh.2023.100166 |
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