4 results on '"Keys, Hunter M."'
Search Results
2. Perceived discrimination, humiliation, and mental health: a mixed-methods study among Haitian migrants in the Dominican Republic.
- Author
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Keys, Hunter M., Kaiser, Bonnie N., Foster, Jennifer W., Burgos Minaya, Rosa Y., and Kohrt, Brandon A.
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DISCRIMINATION & psychology , *COMPETENCY assessment (Law) , *ANXIETY , *CONFIDENCE intervals , *MENTAL depression , *PSYCHOLOGY of immigrants , *INTERVIEWING , *RESEARCH methodology , *PROBABILITY theory , *PSYCHOLOGICAL tests , *SELF-evaluation , *STATISTICS , *SURVEYS , *T-test (Statistics) , *JUDGMENT sampling , *DATA analysis , *MULTIPLE regression analysis , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
Objective.Many Haitian migrants live and work as undocumented laborers in the Dominican Republic. This study examines the legacy of anti-Haitian discrimination in the Dominican Republic and association of discrimination with mental health among Haitian migrants. Design.This study used mixed methods to generate hypotheses for associations between discrimination and mental health of Haitian migrants in the Dominican Republic. In-depth interviews were conducted with 21 Haitian and 18 Dominican community members and clinicians. One hundred and twenty-seven Haitian migrants participated in a pilot cross-sectional community survey. Instruments included culturally adapted Kreyòl versions of the Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) and a locally developed function impairment scale. Results.Haitian migrants described humiliation (imilyasyon) as a reason for mental distress and barrier to health care. Dominicans reported that discrimination (discriminación) was not a current social problem and attributed negative social interactions to sociocultural, behavioral, and biological differences between Dominicans and Haitians. These qualitative findings were supported in the quantitative analyses. Perceived discrimination was significantly associated with depression severity and functional impairment. Perceived mistreatment by Dominicans was associated with a 6.6-point increase in BDI score (90% confidence interval [CI]: 3.29, 9.9). Knowing someone who was interrogated or deported was associated with a 3.4-point increase in BAI score (90% CI: 0.22, 6.64). Conclusion.Both qualitative and quantitative methods suggest that perceived discrimination and the experience of humiliation contribute to Haitian migrant mental ill-health and limit access to health care. Future research should evaluate these associations and identify intervention pathways for both improved treatment access and reduction of discrimination-related health risk factors. [ABSTRACT FROM PUBLISHER]
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- 2015
- Full Text
- View/download PDF
3. Social stressors, social support, and mental health among Haitian migrants in the Dominican Republic.
- Author
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Kaiser, Bonnie N., Keys, Hunter M., Foster, Jennifer, and Kohrt, Brandon A.
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EMIGRATION & immigration & psychology , *CONFIDENCE intervals , *INTERVIEWING , *MARITAL status , *RESEARCH methodology , *MENTAL health , *PSYCHOLOGICAL tests , *QUESTIONNAIRES , *REGRESSION analysis , *SEX distribution , *PSYCHOLOGICAL stress , *SOCIAL capital , *SOCIAL support , *CROSS-sectional method , *DESCRIPTIVE statistics - Abstract
This mixed-method study explored the social world of Haitian migrants, examining forms of social support and social stress, as well as their relationship to mental health. Among six Haitian migrant communities in the Cibao Valley of the Dominican Republic, a community-based survey ( n = 127) was conducted to assess migration experiences, current stressors, mental health, and functioning. In addition, to explore perceptions and experiences of migration, social interactions, and mental health, the study drew upon in-depth interviews and free-listing activities among Haitian migrants, as well as cognitive interviews with select survey participants. Depressive, anxiety, and mental distress survey scores were associated with 1) negative social interactions (including interrogation or deportation, perceived mistreatment by Dominicans, and overcrowding) and 2) lack of social support, including migrating alone. Mental distress scores were higher among women, and being married was associated with higher anxiety scores, potentially reflecting unmet social expectations. In qualitative data, participants emphasized a lack of social support, often referred to as tèt ansanm (literally meaning “heads together” in Haitian Creole or Kreyòl and roughly defined as solidarity or reciprocal social collaboration). The authors of the study propose that the practice of tèt ansanm —also termed konbit , and, in the Dominican Republic, convite —could be used as a means of facilitating positive-contact events among Haitians and Dominicans. These interactions could help counteract social stress and build social capital in settings similar to those of the study [ABSTRACT FROM AUTHOR]
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- 2015
- Full Text
- View/download PDF
4. Prevalence of cholera risk factors between migrant Haitians and Dominicans in the Dominican Republic.
- Author
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Lund, Andrea J., Keys, Hunter M., Leventhal, Stephanie, Foster, Jennifer W., and Freeman, Matthew C.
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CONFIDENCE intervals , *SOCIAL determinants of health , *SCIENTIFIC observation , *CHOLERA , *CROSS-sectional method , *MIGRANT labor , *SANITATION , *REGRESSION analysis , *SOCIOECONOMIC factors , *MAPS , *PSYCHOSOCIAL factors , *DESCRIPTIVE statistics , *RESEARCH funding , *HAITIANS , *DATA analysis software , *ODDS ratio , *HEALTH equity , *DISEASE risk factors - Abstract
Objective. To determine whether cholera risk factor prevalence in the Dominican Republic can be explained by nationality, independent of other factors, given the vulnerability of many Haitians in the country and the need for targeted prevention. Methods. A cross-sectional, observational household survey (103 Haitian and 260 Dominican) was completed in 18 communities in July 2012. The survey included modules for demographics, knowledge, socioeconomic status, and access to adequate water, sanitation, and hygiene (WASH) infrastructure. Logistic regression assessed differential access to WASH infrastructure and Poisson regression assessed differences in cholera knowledge, controlling for potential confounders. Results. Dominican and Haitian households differed on demographic characteristics. Haitians had lower educational attainment, socioeconomic status, and less knowledge of cholera than Dominicans (adjusted odds ratio [aOR] = 0.66; 95% confidence interval [95%CI] = 0.55-0.81). Access to improved drinking water was low for both groups, but particularly low among rural Haitians (aOR = 0.21; 95%CI: 0.04-1.01). No differences were found in access to sanitation after adjusting for sociodemographic confounders (aOR = 1.00; 95%CI: 0.57-1.76). Conclusions. Urban/rural geography and socioeconomic status play a larger role in cholera risk factor prevalence than nationality, indicating that Haitians' perceived vulnerability to cholera is confounded by contextual factors. Understanding the social dynamics that lead to cholera risk can inform control strategies, leading to better targeting and the possibility of eliminating cholera from the island. [ABSTRACT FROM AUTHOR]
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- 2015
- Full Text
- View/download PDF
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