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Quality of life among immigrants in Swedish immigration detention centres: a cross-sectional questionnaire study.

Puthoopparambil SJ, Bjerneld M, Källestål C - Glob Health Action (2015)

Bottom Line: The level of support detainees received from detention staff was significantly positively associated with detainees' physical (βadjusted 3.93, confidence interval [CI] 0.06-7.80) and psychological (βadjusted 5.72, CI 1.77-9.66) domain scores.The general health score in the WHOQOL-BREF was significantly associated with the detainees' ability to understand the Swedish or English languages.Services provided at the centres, especially the support received from detention staff, is positively associated with their QOL.

View Article: PubMed Central - PubMed

Affiliation: Department of Women's and Children's Health, International Maternal and Child Health, Uppsala University, Uppsala, Sweden; soorej.jose@kbh.uu.se.

ABSTRACT

Background: Detention of immigrants negatively affects their health and well-being. Quality of life (QOL) is a broad concept incorporating the self-evaluation of one's own health and well-being that can provide an understanding of the health and well-being of immigrant detainees. The aim of this study was to estimate QOL among immigrant detainees in Sweden and to assess its relationship with the services provided in detention centres and with the duration of detention.

Design: All immigrants in all five existing Swedish detention centres (N=193) were invited to participate in the study (n=127). In this cross-sectional study, QOL was measured using the WHOQOL-BREF questionnaire, which was administered by the first author. The questionnaire contained four additional questions measuring participants' satisfaction with the services provided in detention. Associations between QOL domain scores and service satisfaction scores were assessed using regression analysis. The Spearman's rank correlation coefficient was calculated to measure the degree of association between the duration of detention and QOL scores.

Results: The mean QOL domain scores (out of 100) were 47.0, 57.5, 41.9, and 60.5 for the environmental, physical, psychological, and social domains, respectively. The level of support detainees received from detention staff was significantly positively associated with detainees' physical (βadjusted 3.93, confidence interval [CI] 0.06-7.80) and psychological (βadjusted 5.72, CI 1.77-9.66) domain scores. There was also significant positive association between detainees' satisfaction with the care they received from detention staff and the domain scores. The general health score in the WHOQOL-BREF was significantly associated with the detainees' ability to understand the Swedish or English languages. Although not statistically significant, a longer duration of detention was negatively correlated with QOL scores.

Conclusion: Immigrant detainees report low QOL. Services provided at the centres, especially the support received from detention staff, is positively associated with their QOL. A review of detention guidelines addressing language barriers, staff training, and duration of detention is highly recommended.

No MeSH data available.


Related in: MedlinePlus

Plot showing the relationship between psychological health and duration of detention.
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Figure 0001: Plot showing the relationship between psychological health and duration of detention.

Mentions: The negative correlations between the duration of detention and the physical (ρs=−0.11, p>0.05), psychological (ρs=−0.11, p>0.05), social (ρs=−0.03, p>0.05), environmental (ρs=−0.1, p>0.05) and general health scores (ρs=−0.14, p>0.05), were not statistically significant. However, Fig. 1 shows a fluctuating trend in the detainees’ psychological domain score during the initial period of detention (up to approximately 30 days of detention) followed by a decreasing trend. Physical domain scores also follow a similar trend. The general QOL was significantly negatively correlated to duration of detention (ρs=−0.19, p<0.05). Moreover, all service satisfaction scores, except for one, were significantly negatively correlated with the duration of detention. There was almost no correlation between duration of detention and participants’ score on their ability to understand information provided by authorities (ρs=−0.03, p>0.05).


Quality of life among immigrants in Swedish immigration detention centres: a cross-sectional questionnaire study.

Puthoopparambil SJ, Bjerneld M, Källestål C - Glob Health Action (2015)

Plot showing the relationship between psychological health and duration of detention.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4507748&req=5

Figure 0001: Plot showing the relationship between psychological health and duration of detention.
Mentions: The negative correlations between the duration of detention and the physical (ρs=−0.11, p>0.05), psychological (ρs=−0.11, p>0.05), social (ρs=−0.03, p>0.05), environmental (ρs=−0.1, p>0.05) and general health scores (ρs=−0.14, p>0.05), were not statistically significant. However, Fig. 1 shows a fluctuating trend in the detainees’ psychological domain score during the initial period of detention (up to approximately 30 days of detention) followed by a decreasing trend. Physical domain scores also follow a similar trend. The general QOL was significantly negatively correlated to duration of detention (ρs=−0.19, p<0.05). Moreover, all service satisfaction scores, except for one, were significantly negatively correlated with the duration of detention. There was almost no correlation between duration of detention and participants’ score on their ability to understand information provided by authorities (ρs=−0.03, p>0.05).

Bottom Line: The level of support detainees received from detention staff was significantly positively associated with detainees' physical (βadjusted 3.93, confidence interval [CI] 0.06-7.80) and psychological (βadjusted 5.72, CI 1.77-9.66) domain scores.The general health score in the WHOQOL-BREF was significantly associated with the detainees' ability to understand the Swedish or English languages.Services provided at the centres, especially the support received from detention staff, is positively associated with their QOL.

View Article: PubMed Central - PubMed

Affiliation: Department of Women's and Children's Health, International Maternal and Child Health, Uppsala University, Uppsala, Sweden; soorej.jose@kbh.uu.se.

ABSTRACT

Background: Detention of immigrants negatively affects their health and well-being. Quality of life (QOL) is a broad concept incorporating the self-evaluation of one's own health and well-being that can provide an understanding of the health and well-being of immigrant detainees. The aim of this study was to estimate QOL among immigrant detainees in Sweden and to assess its relationship with the services provided in detention centres and with the duration of detention.

Design: All immigrants in all five existing Swedish detention centres (N=193) were invited to participate in the study (n=127). In this cross-sectional study, QOL was measured using the WHOQOL-BREF questionnaire, which was administered by the first author. The questionnaire contained four additional questions measuring participants' satisfaction with the services provided in detention. Associations between QOL domain scores and service satisfaction scores were assessed using regression analysis. The Spearman's rank correlation coefficient was calculated to measure the degree of association between the duration of detention and QOL scores.

Results: The mean QOL domain scores (out of 100) were 47.0, 57.5, 41.9, and 60.5 for the environmental, physical, psychological, and social domains, respectively. The level of support detainees received from detention staff was significantly positively associated with detainees' physical (βadjusted 3.93, confidence interval [CI] 0.06-7.80) and psychological (βadjusted 5.72, CI 1.77-9.66) domain scores. There was also significant positive association between detainees' satisfaction with the care they received from detention staff and the domain scores. The general health score in the WHOQOL-BREF was significantly associated with the detainees' ability to understand the Swedish or English languages. Although not statistically significant, a longer duration of detention was negatively correlated with QOL scores.

Conclusion: Immigrant detainees report low QOL. Services provided at the centres, especially the support received from detention staff, is positively associated with their QOL. A review of detention guidelines addressing language barriers, staff training, and duration of detention is highly recommended.

No MeSH data available.


Related in: MedlinePlus