- Authors: Williams, Ruth
- Date: 2009
- Type: Text , Journal article
- Relation: Baha'i Studies Review Vol. 15, no. 1 (2009), p. 3-18
- Full Text: false
- Reviewed:
- Description: Refugees commonly experience physical and emotional displacement. Such experiences reflect Tuan's theories relating to the anxiety of separation from home and sense of estrangement or alienation in a new land. Despite this adversity, many refugees ultimately form hybrid or trans-national identities, which allow them to operate and be accepted in two (or more) cultures. This facilitates a sense of belonging and the adaptation process to a new country and culture. The Baha'i Faith is considered to be the second most globally widespread religion after Christianity. Thus, refugees can potentially join a community anywhere in the world and be provided with a sense of familiarity, which the commonality of values and administrative structure provides. In addition, newcomers arriving in a new land are automatically affiliated to a collective identity to which they already belong. This paper draws on case study and secondary source evidence to argue that the refugee participants in this study have used the Baha'i writings, international administrative structure and global community, to construct and maintain a notion of home and sense of belonging, and thus ultimately reflect a hybrid or trans-national identity in a new land. Preliminary findings indicate that religion plays a vital role in the lives of these refugees as the central tenets of the Baha'i Faith appear to actively inform the resettlement process in a new country. Life history narratives were used as a tool for analysis in seven in-depth case study interviews with Iranian Baha'i refugees residing in and around the city of Melbourne, in the state of Victoria, Australia. The participants in this study indicated that social space gave them the strongest sense of belonging, rather than place attachment. Religious identity is explored through the affiliation to a collective membership, as it is within this context that religious identity can be strengthened via official and legitimate recognition or undermined via persecution. Collective identity on a macro scale can be associated with nationalism and trans-nationalism. The Baha'i attitude to nationalism is to afford a country its rightful respect, but discourage extreme nationalism as it is characteristically exclusionary by nature. However, the Iranian Baha'i refugees in this study identify primarily as Baha'i rather than Iranian or Australian; that is, the values under-pinning their religion outweighed the importance of place or national identity. The participants in this study embraced the notion of a global home and considered themselves citizens of the world, consequently adopting trans-national and hybrid identities. This attitude ultimately impacts on the adaptation of refugees to a new country, as they do not see themselves as moving from one home to another, but merely relocating to a different part of the one global home. (Author abstract).
A large outbreak of shigellosis commencing in an internally displaced population, Papua New Guinea, 2013
- Benny, Edwin, Mesere, Kelly, Pavlin, Boris, Yakam, Logan, Ford, Rebecca, Yoannes, Mition, Kisa, Debbie, Abdad, Mohammad, Menda, Lincoln, Greenhill, Andrew, Horwood, Paul
- Authors: Benny, Edwin , Mesere, Kelly , Pavlin, Boris , Yakam, Logan , Ford, Rebecca , Yoannes, Mition , Kisa, Debbie , Abdad, Mohammad , Menda, Lincoln , Greenhill, Andrew , Horwood, Paul
- Date: 2014
- Type: Text , Journal article
- Relation: Western Pacific surveillance and response journal : WPSAR Vol. 5, no. 3 (2014), p. 18-21
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- Description: OBJECTIVE: The objective of this study was to investigate a large outbreak of shigellosis in Papua New Guinea that began in a camp for internally displaced persons before spreading throughout the general community. METHODS: Outbreak mitigation strategies were implemented in the affected area to curtail the spread of the disease. Data were collected from the surveillance system and analysed by time, place and person. Rectal swab samples were tested by standard culture methods and real-time polymerase chain reaction to determine the etiology of the outbreak. RESULTS: Laboratory analysis at two independent institutions established that the outbreak was caused by Shigella sp., with one strain further characterized as Shigella flexneri serotype 2. Approximately 1200 suspected cases of shigellosis were reported in a two-month period from two townships in Morobe Province, Papua New Guinea. The outbreak resulted in at least five deaths, all in young children. DISCUSSION: This outbreak of shigellosis highlights the threat of enteric diseases to vulnerable populations such as internally displaced persons in Papua New Guinea, as has been observed in other global settings.
- Authors: Benny, Edwin , Mesere, Kelly , Pavlin, Boris , Yakam, Logan , Ford, Rebecca , Yoannes, Mition , Kisa, Debbie , Abdad, Mohammad , Menda, Lincoln , Greenhill, Andrew , Horwood, Paul
- Date: 2014
- Type: Text , Journal article
- Relation: Western Pacific surveillance and response journal : WPSAR Vol. 5, no. 3 (2014), p. 18-21
- Full Text:
- Reviewed:
- Description: OBJECTIVE: The objective of this study was to investigate a large outbreak of shigellosis in Papua New Guinea that began in a camp for internally displaced persons before spreading throughout the general community. METHODS: Outbreak mitigation strategies were implemented in the affected area to curtail the spread of the disease. Data were collected from the surveillance system and analysed by time, place and person. Rectal swab samples were tested by standard culture methods and real-time polymerase chain reaction to determine the etiology of the outbreak. RESULTS: Laboratory analysis at two independent institutions established that the outbreak was caused by Shigella sp., with one strain further characterized as Shigella flexneri serotype 2. Approximately 1200 suspected cases of shigellosis were reported in a two-month period from two townships in Morobe Province, Papua New Guinea. The outbreak resulted in at least five deaths, all in young children. DISCUSSION: This outbreak of shigellosis highlights the threat of enteric diseases to vulnerable populations such as internally displaced persons in Papua New Guinea, as has been observed in other global settings.
The effect of acculturation and harm beliefs on medication adherence on Middle Eastern hypertensive refugees and migrants in Australia
- Shahin, Wejdan, Kennedy, Gerard, Cockshaw, Wendell, Stupans, Ieva
- Authors: Shahin, Wejdan , Kennedy, Gerard , Cockshaw, Wendell , Stupans, Ieva
- Date: 2021
- Type: Text , Journal article
- Relation: International Journal of Clinical Pharmacy Vol. 43, no. 5 (2021), p. 1283-1292
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- Reviewed:
- Description: Background Different populations have different levels of acculturation, and beliefs about medications. Little is known about the differences between refugees and migrants regarding these various beliefs. Adherence to medications is influenced by many factors, including individuals’ characteristics, acculturation, and their perceptions about medications. Having a thorough understanding of these beliefs contributes to understanding medication adherence in refugee and migrant populations. Objectives To evaluate the differences between Middle Eastern refugees and migrants in Australia regarding acculturation, beliefs about medications, and medication adherence, and to evaluate the association of acculturation and beliefs about medications and natural remedies with medication adherence. Setting Participants were recruited from various community groups and English language learning centres in Australia. Arabic Facebook community groups were also used to recruit participants for this study. Method A total of 320 Middle Eastern refugees and migrants with hypertension completed Arabic or English versions of the general Beliefs about Medicine Questionnaire (BMQ)—harm scale, a question about beliefs in natural remedies, six items about acculturation and the Medication Adherence Questionnaire. Two models of multiple mediation were applied. The first model examined the role of acculturation, length of residency, beliefs about natural remedies, and harm beliefs as mediators between migration status and medication adherence. The second model identified the role of acculturation, and beliefs about natural remedies as mediators between migration status and medication harm beliefs. Main outcome measure Medication adherence, harm beliefs about medication, acculturation, and beliefs about natural remedies. In addition, the differences between refugees and migrants regarding these beliefs and medication adherence. Results Differences were found between refugees and migrants for medication adherence and medication beliefs. Refugees were likely to have more harm beliefs towards medicine and were less acculturated than migrants (p = 0.0001). They were also less likely to adhere to medications (p = 0.0001), and perceived natural remedies to be safer than Western medications (p = 0.0001). Perceiving medications as harmful substances, and beliefs in natural remedies were mediators in the relationship between migration status and medication adherence. Beliefs in natural remedies and acculturation were mediators in the relationship between migration status and harm beliefs. Conclusion Beliefs about medications and natural remedies, and acculturation in refugees and migrants need to be better understood to enhance medication adherence and potentially overall health outcomes. © 2021, The Author(s), under exclusive licence to Springer Nature Switzerland AG part of Springer Nature.
- Authors: Shahin, Wejdan , Kennedy, Gerard , Cockshaw, Wendell , Stupans, Ieva
- Date: 2021
- Type: Text , Journal article
- Relation: International Journal of Clinical Pharmacy Vol. 43, no. 5 (2021), p. 1283-1292
- Full Text:
- Reviewed:
- Description: Background Different populations have different levels of acculturation, and beliefs about medications. Little is known about the differences between refugees and migrants regarding these various beliefs. Adherence to medications is influenced by many factors, including individuals’ characteristics, acculturation, and their perceptions about medications. Having a thorough understanding of these beliefs contributes to understanding medication adherence in refugee and migrant populations. Objectives To evaluate the differences between Middle Eastern refugees and migrants in Australia regarding acculturation, beliefs about medications, and medication adherence, and to evaluate the association of acculturation and beliefs about medications and natural remedies with medication adherence. Setting Participants were recruited from various community groups and English language learning centres in Australia. Arabic Facebook community groups were also used to recruit participants for this study. Method A total of 320 Middle Eastern refugees and migrants with hypertension completed Arabic or English versions of the general Beliefs about Medicine Questionnaire (BMQ)—harm scale, a question about beliefs in natural remedies, six items about acculturation and the Medication Adherence Questionnaire. Two models of multiple mediation were applied. The first model examined the role of acculturation, length of residency, beliefs about natural remedies, and harm beliefs as mediators between migration status and medication adherence. The second model identified the role of acculturation, and beliefs about natural remedies as mediators between migration status and medication harm beliefs. Main outcome measure Medication adherence, harm beliefs about medication, acculturation, and beliefs about natural remedies. In addition, the differences between refugees and migrants regarding these beliefs and medication adherence. Results Differences were found between refugees and migrants for medication adherence and medication beliefs. Refugees were likely to have more harm beliefs towards medicine and were less acculturated than migrants (p = 0.0001). They were also less likely to adhere to medications (p = 0.0001), and perceived natural remedies to be safer than Western medications (p = 0.0001). Perceiving medications as harmful substances, and beliefs in natural remedies were mediators in the relationship between migration status and medication adherence. Beliefs in natural remedies and acculturation were mediators in the relationship between migration status and harm beliefs. Conclusion Beliefs about medications and natural remedies, and acculturation in refugees and migrants need to be better understood to enhance medication adherence and potentially overall health outcomes. © 2021, The Author(s), under exclusive licence to Springer Nature Switzerland AG part of Springer Nature.
A qualitative exploration of the impact of knowledge and perceptions about hypertension in medication adherence in Middle Eastern refugees and migrants
- Shahin, Wejdan, Kennedy, Gerard, Stupans, Ieva
- Authors: Shahin, Wejdan , Kennedy, Gerard , Stupans, Ieva
- Date: 2021
- Type: Text , Journal article
- Relation: Exploratory Research in Clinical and Social Pharmacy Vol. 3, no. (2021), p. 100038-100038
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- Reviewed:
- Description: Knowledge and perceptions about chronic disease and medications play a crucial role in determining long-term treatment adherence to diseases such as hypertension. Exploring in depth the barriers and enablers to medication adherence in specific population subgroups such as Middle Eastern refugees and migrants in Australia is important. This may provide a better understanding of each of these groups' beliefs and knowledge and suggest strategies and interventions to improve medication adherence. This study aimed to understand Middle Eastern refugees' and migrants' experiences, perceptions, and knowledge about hypertension and to explore factors affecting medication adherence. In this study 15 participants who identified themselves as Middle Eastern refugees and migrants in Australia and had been diagnosed with hypertension were interviewed (migrants = 5, refugees =10) using semi-structured interviews. Recorded interviews were analysed using a thematic analysis framework and the findings were reported according to consolidated criteria for reporting qualitative research. Three key themes emerged from the interview analysis: (1) dealing with the illness in terms of understanding the symptoms and causes, self-managing of high blood pressure, and coping and acquaintance with the illness (2) beliefs, practices around medication adherence and the barriers and facilitators to taking medications regularly and (3) healthcare encounters represented by participants trust in healthcare providers. Differences were found between refugees and migrants relating to the understanding, control, and coping with hypertension, beliefs about medications, trust of healthcare providers, and taking medications as prescribed. There were also differences in the social context of the two groups. Understanding the factors that prevent adherence to hypertension in Middle Eastern refugees addressed the gap in the literature regarding refugees' beliefs and medication adherence. Future studies are recommended to assess the improvement in medication adherence in refugees by modifying their beliefs, attitude, and knowledge about medications and illness. In addition, healthcare providers should consider the differences between Middle Eastern refugees and migrants when providing the health advice that targets each of these population independently to ultimately improve their overall health and adherence to medications. Erratum: The publisher regrets that the section below was accidentally anonymized in the original published version of this article: “Ethical approval was obtained from (redacted) 60–19/22299”. This section should read: “Ethical approval was obtained from RMIT University Ethics Committee 60–19/22299”. The publisher would like to apologise for any inconvenience caused.
- Authors: Shahin, Wejdan , Kennedy, Gerard , Stupans, Ieva
- Date: 2021
- Type: Text , Journal article
- Relation: Exploratory Research in Clinical and Social Pharmacy Vol. 3, no. (2021), p. 100038-100038
- Full Text:
- Reviewed:
- Description: Knowledge and perceptions about chronic disease and medications play a crucial role in determining long-term treatment adherence to diseases such as hypertension. Exploring in depth the barriers and enablers to medication adherence in specific population subgroups such as Middle Eastern refugees and migrants in Australia is important. This may provide a better understanding of each of these groups' beliefs and knowledge and suggest strategies and interventions to improve medication adherence. This study aimed to understand Middle Eastern refugees' and migrants' experiences, perceptions, and knowledge about hypertension and to explore factors affecting medication adherence. In this study 15 participants who identified themselves as Middle Eastern refugees and migrants in Australia and had been diagnosed with hypertension were interviewed (migrants = 5, refugees =10) using semi-structured interviews. Recorded interviews were analysed using a thematic analysis framework and the findings were reported according to consolidated criteria for reporting qualitative research. Three key themes emerged from the interview analysis: (1) dealing with the illness in terms of understanding the symptoms and causes, self-managing of high blood pressure, and coping and acquaintance with the illness (2) beliefs, practices around medication adherence and the barriers and facilitators to taking medications regularly and (3) healthcare encounters represented by participants trust in healthcare providers. Differences were found between refugees and migrants relating to the understanding, control, and coping with hypertension, beliefs about medications, trust of healthcare providers, and taking medications as prescribed. There were also differences in the social context of the two groups. Understanding the factors that prevent adherence to hypertension in Middle Eastern refugees addressed the gap in the literature regarding refugees' beliefs and medication adherence. Future studies are recommended to assess the improvement in medication adherence in refugees by modifying their beliefs, attitude, and knowledge about medications and illness. In addition, healthcare providers should consider the differences between Middle Eastern refugees and migrants when providing the health advice that targets each of these population independently to ultimately improve their overall health and adherence to medications. Erratum: The publisher regrets that the section below was accidentally anonymized in the original published version of this article: “Ethical approval was obtained from (redacted) 60–19/22299”. This section should read: “Ethical approval was obtained from RMIT University Ethics Committee 60–19/22299”. The publisher would like to apologise for any inconvenience caused.
African women’s experience of domestic violence and help-seeking behaviour in Melbourne, Australia
- Kuyini, Ahmed, Kor, Deng, Diu, Joyce, David, Ruffina, Yoa, Tut
- Authors: Kuyini, Ahmed , Kor, Deng , Diu, Joyce , David, Ruffina , Yoa, Tut
- Date: 2022
- Type: Text , Journal article
- Relation: Australasian Review of African Studies Vol. 43, no. 2 (2022), p. 59-86
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- Description: This study explored African refugee background women’s experience of domestic violence and help-seeking behaviour. The women were part of a domestic violence prevention and intervention project run by a local community organisation. Underpinned by help-seeking frameworks such as Theory of Planned Behaviour, data were gathered via two focus group interviews with seventeen women in Melbourne, Australia. Thematic analysis was used to analyse the data. The results showed that participants experienced different forms of violence. Many did not seek help early, and help-seeking was constrained by cultural considerations and children in the relationship. Implications are discussed in relation to formal and informal support or interventions. © 2022, Australasian Review of African Studies. All Rights Reserved.
- Authors: Kuyini, Ahmed , Kor, Deng , Diu, Joyce , David, Ruffina , Yoa, Tut
- Date: 2022
- Type: Text , Journal article
- Relation: Australasian Review of African Studies Vol. 43, no. 2 (2022), p. 59-86
- Full Text:
- Reviewed:
- Description: This study explored African refugee background women’s experience of domestic violence and help-seeking behaviour. The women were part of a domestic violence prevention and intervention project run by a local community organisation. Underpinned by help-seeking frameworks such as Theory of Planned Behaviour, data were gathered via two focus group interviews with seventeen women in Melbourne, Australia. Thematic analysis was used to analyse the data. The results showed that participants experienced different forms of violence. Many did not seek help early, and help-seeking was constrained by cultural considerations and children in the relationship. Implications are discussed in relation to formal and informal support or interventions. © 2022, Australasian Review of African Studies. All Rights Reserved.
Health beliefs and chronic illnesses of refugees : a systematic review
- Shahin, Wejdan, Stupans, Ieva, Kennedy, Gerard
- Authors: Shahin, Wejdan , Stupans, Ieva , Kennedy, Gerard
- Date: 2021
- Type: Text , Journal article
- Relation: Ethnicity and Health Vol. 26, no. 5 (2021), p. 756-768
- Full Text: false
- Reviewed:
- Description: Objective: To evaluate beliefs, and attitudes about health of refugees with chronic conditions such as diabetes mellitus type 2, hypertension, chronic obstructive pulmonary disease, and posttraumatic stress disorder and the consequent effects on self-care in comparison to resident populations. Design: A systematic review methodology was used. PubMed, Embase, PsycINFO and CINAHL databases were searched for relevant articles. The main terms analysed were health beliefs, chronic conditions and refugee populations. From 844 articles, 45 were retained for further assessment, and finally 5 met the inclusion criteria. Results: Differences in the health beliefs, attitudes and self-care management approaches of refugees compared to resident populations were identified in two studies. The remaining three papers did not make comparisons between the refugees and the resident population, nor did they specifically explore the refugees’ health beliefs. Of the five studies, three were carried out in Sweden and two in the US. Refugees who have poorer mental and physical health as well as higher prevalence of chronic diseases than the populations among which they resettle seem to lack the knowledge about their illness, symptoms and self-management and thus are less able to control their chronic conditions. Conclusion: The findings highlighted the deficiency in the literature of studies which examine health beliefs and attitudes of minority groups such as refugees who have chronic conditions. The findings also gave insight to the need for a distinctive understanding of refugee health and the management of chronic conditions in comparison to other non-refugee migrant groups. Further research is needed to fully understand the differences between refugees and local populations in terms health beliefs, chronic disease and self-management. © 2018 Informa UK Limited, trading as Taylor & Francis Group.
In and out of place: Civilizational interaction and the making of Australia in Oceania and Asia
- Authors: Smith, Jeremy
- Date: 2019
- Type: Text , Journal article
- Relation: Comparative civilizations review Vol. , no. 80 (2019), p. 37-49
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- Description: The making of Euro-Australia occurred against the backdrop of two dimensions of its historical constitution. First, it occurred on the back of Britain's entry into the Oceanian world and its intercivilizational encounters with Pacific cultures. The second dimension was the appropriation of the land of a complex and internally diverse Aboriginal civilization and suppression of its social world view. This was vital to a lasting sense of ambivalence in Australian identity and in the relations of the Commonwealth of Australia with island states in the Pacific. After Federation (1901), Australia became more independent in the context of devolution of the Commonwealth. Engagement in the Pacific War heralded a turn from allegiance to Britain to alliance with the United States. A new orientation to the Asia-Pacific was not a chosen course, but one compelled by geo-political conditions and a growing dynamism in this multicivilizational world region. From the 1970s to the end of the twentieth century, engagement in Asia accelerated with the onset of a policy regime of multiculturalism and a process of neo-liberal modernization. This essay argues that Euro-Australia emerged out of complex intercivilizational interactions entailing colonialism, diverse migratory and cultural flows, and the creation of a homogenizing collective memory. I contend that Australian modernity, due in part to its suppression of its indigenous civilization and accompanying denial of that suppression, has borne considerable cultural and political ambivalence about its place in the region - an ambivalence which structures its economic and political relations with neighbouring countries. In this essay, I focus on Pacific relations. I compare developments and turns in Australian foreign policy with patterns of cultural engagement since the 1970s. Towards the end, I raise the Australian regime of refugee detention in relation to climate refugees. The essay concludes with notes on the merits of civilizational analysis in understanding the Oceanian constellation and its potential futures and points for further research on Australia in a multi-civilizational context.
- Authors: Smith, Jeremy
- Date: 2019
- Type: Text , Journal article
- Relation: Comparative civilizations review Vol. , no. 80 (2019), p. 37-49
- Full Text:
- Reviewed:
- Description: The making of Euro-Australia occurred against the backdrop of two dimensions of its historical constitution. First, it occurred on the back of Britain's entry into the Oceanian world and its intercivilizational encounters with Pacific cultures. The second dimension was the appropriation of the land of a complex and internally diverse Aboriginal civilization and suppression of its social world view. This was vital to a lasting sense of ambivalence in Australian identity and in the relations of the Commonwealth of Australia with island states in the Pacific. After Federation (1901), Australia became more independent in the context of devolution of the Commonwealth. Engagement in the Pacific War heralded a turn from allegiance to Britain to alliance with the United States. A new orientation to the Asia-Pacific was not a chosen course, but one compelled by geo-political conditions and a growing dynamism in this multicivilizational world region. From the 1970s to the end of the twentieth century, engagement in Asia accelerated with the onset of a policy regime of multiculturalism and a process of neo-liberal modernization. This essay argues that Euro-Australia emerged out of complex intercivilizational interactions entailing colonialism, diverse migratory and cultural flows, and the creation of a homogenizing collective memory. I contend that Australian modernity, due in part to its suppression of its indigenous civilization and accompanying denial of that suppression, has borne considerable cultural and political ambivalence about its place in the region - an ambivalence which structures its economic and political relations with neighbouring countries. In this essay, I focus on Pacific relations. I compare developments and turns in Australian foreign policy with patterns of cultural engagement since the 1970s. Towards the end, I raise the Australian regime of refugee detention in relation to climate refugees. The essay concludes with notes on the merits of civilizational analysis in understanding the Oceanian constellation and its potential futures and points for further research on Australia in a multi-civilizational context.
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