Trends and Impact Factors of Mental Health Service Utilization among Resettled Humanitarian Migrants in Australia: Findings from the BNLA Cohort Study

Article

Zheng, Meng, Chen, Feng, Pan, Yan, Kong, Di, Renzaho, Andre M. N., Sahle, Berhe W., Mahumud, Rashidul Alam, Ling, Li and Chen, Wen. 2022. "Trends and Impact Factors of Mental Health Service Utilization among Resettled Humanitarian Migrants in Australia: Findings from the BNLA Cohort Study ." International Journal of Environmental Research and Public Health. 19 (16). https://doi.org/10.3390/ijerph191610119
Article Title

Trends and Impact Factors of Mental Health Service Utilization among Resettled Humanitarian Migrants in Australia: Findings from the BNLA Cohort Study

ERA Journal ID44293
Article CategoryArticle
AuthorsZheng, Meng, Chen, Feng, Pan, Yan, Kong, Di, Renzaho, Andre M. N., Sahle, Berhe W., Mahumud, Rashidul Alam, Ling, Li and Chen, Wen
Journal TitleInternational Journal of Environmental Research and Public Health
Journal Citation19 (16)
Article Number10119
Number of Pages14
Year2022
PublisherMDPI AG
Place of PublicationSwitzerland
ISSN1660-4601
1661-7827
Digital Object Identifier (DOI)https://doi.org/10.3390/ijerph191610119
Web Address (URL)https://www.mdpi.com/1660-4601/19/16/10119
Abstract

Resettled humanitarian migrants (HMs) have high levels of mental disorders, but factors associated with the utilization of mental health services (MHS) are poorly understood. We aimed to explore trends and impact factors of MHS utilization among HMs in the process of resettlement in Australia. A total of 2311 HMs from the 1st (2013), 3rd, and 5th (2018) waves of a national cohort study were included. MHS utilization in the past year was assessed by two indicators: having MHS contacts and the frequency of MHS contacts. Trends were identified by Cochran–Armitage tests, and generalized linear mixed models and ordered logistic models were fitted to explore impact factors of MHS utilization. The proportion of having MHS contacts significantly rose from 13.0% to 29.4% over the five years. MHS utilization was mainly driven by perceived needs, such as post-traumatic stress disorders and the degree of post-migration stress. Unemployment and strong belongingness to the local community were also associated with having MHS contacts. No significant gender difference was found in having MHS contacts but females tended to contact MHS more frequently. Resettled HMs have a persistent dilemma of high mental illness prevalence and MHS underutilization. Sustainable mental health education and long-term resettlement services targeted at social integration that consider gender difference are urgently needed in host countries.

Keywordshumanitarian migrants; BNLA project; mental health service; impact factors; resettlement; gender difference
Byline AffiliationsSun Yat-sen University, China
Western Sydney University
Burnet Institute, Australia
Deakin University
Institute for Health Transformation, Australia
University of Melbourne
University of Sydney
Centre for Health Research
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