The impact of migration on health beliefs and behaviours: The case of Ethiopian refugees in the UK
Irena Papadopoulos
Transcultural Health and Nursing, Middlesex University; Research Centre for Transcultural Studies in Health, Middlesex University, London, United Kingdom
Maggie Lay
Researcher, Research Centre for Transcultural Studies in Health, Middlesex University, London, United Kingdom
Shelley Lees
Research Fellow, Research Centre for Transcultural Studies in Health, Middlesex University, London, United Kingdom
Alem Gebrehiwot
Manager, Ethiopian Community Centre (ECCUK), London, United Kingdom
PP: 210 - 221
Abstract
The Research Centre for Transcultural Studies in Health, Middlesex University and the Ethiopian Community Centre in the UK conducted a study to explore the migration experiences of Ethiopian refugees in the UK and the impact of this on their health beliefs and behaviours.
Data was collected via: i) semi-structured interviews were conducted with Ethiopians refugees and asylum seekers and Ethiopian professionals providing services for Ethiopian refugees; ii) a semi-structured questionnaire; iii) a documentary analysis of newspaper articles concerning refugees; and iv) an ethnohistory of Ethiopia.
The findings revealed that Ethiopian refugees place a stronger emphasis on externalised factors influencing health (such as happiness and good social relations) than they did in Ethiopia. The study found that participants fled Ethiopia due to oppression, violence, fear and poverty; and once in the UK experience poor housing, unemployment, racism and isolation, all of which impact on their health status.
Whilst it is difficult to ascertain how these factors affect health beliefs it is probable that these negative experiences and the consequent unhappiness they have caused have highlighted to them the relationship between health and subjective well-being, something that people who have not suffered such life traumas may take for granted. In the UK Ethiopian refugees are more likely to seek Western medicine than they did in Ethiopia, which reflects both acculturation and differences in health resources.
This study highlights that Ethiopian refugees, require holistic health care that addresses all their needs - physical, mental, spiritual, environmental and social-cultural. Nurses should understand that many refugees have had traumatic experiences and continue to live in desperate circumstances. Thus nurses should be aware of the experiences, needs and beliefs of refugees and address their own cultural competence.
Keywords
Ethiopians; refugees; migration; health beliefs; health behaviours
References
Berhane Y., Gossaye Y., Emmelin M. & Hogberg U. (2001) Women's health in rural setting in societal transition in Ethiopia. Social Science and Medicine 53, 1525-1539.
Central Intelligence Agency (2001) The World Factbook [online]. http://www.odci.gov/cia/publications/factbook/geos/et.html (25/07/03)
Ethiopian Embassy (2003) Religion. http://www.ethioembassy.org.uk/fact%20file/factfile.htm (25/07/2003)
Huka G. (1996) Ethiopian Health Support (EHS): Service provisions and organisational strategy. EHS Group, London.
Leininger M (1998) What Is Transcultural Nursing? http://www.tcns.org/introduction/tcnursing.shtml (25/07/2003)
Muchie M & Papadopoulos I (2002) Ethnohistory of Ethiopia. In: Papadopoulos I & Gebrehiwot A (Eds) The EMBRACE UK Project: The Ethiopian Migrants, their Beliefs, Refugeedom, Adaptation, Calamities, and Experiences in the United Kingdom. Middlesex University. London.
Papadopoulos I & Gebrehiwot A (2002) (Eds) The EMBRACE UK Project: The Ethiopian Migrants, their Beliefs, Refugeedom, Adaptation, Calamities, and Experiences in the United Kingdom. Middlesex University. London.
Patton M.Q. (1990) Qualitative evaluation and research methods. Sage Publications, London.
Refugee Council (2000) Information for asylum seekers. Refugee Council, London.
Spector R.E. (1991) Cultural Diversity in Health and Illness. Third Edition. Appleton and Lange, Norwalk.
Tesch R. (1990) Qualitative research: Analysis types and software tools. Palmer Press, London.
The Guardian (February 2000 and February 2001) Guardian Newspapers Limited. London.
The Sun (February 2000 and February 2001) News Group Newspapers Limited, London.
Young A. (1986) Internalising and Externalising Medical Belief Systems: An Ethiopian Example. In Currer, C. and Stacey, M. (eds). Concepts of Health, Illness and Disease: A comparative perspective. Oxford/Providence: Berg Publishers Ltd.
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