ArticlePloS one2018
Discrimination and distress among Afghan refugees in northern California: The moderating role of pre- and post-migration factors.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.
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Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Dementia risk among individuals with a migrant background-a scoping review.Frontiers in dementia · 2025Pooled it
- Everyday life experiences and mental health among conflict-affected forced migrants: A meta-analysis.Journal of affective disorders · 2020Pooled it
- Self-perceived problems of Afghan asylum seekers and refugees and their experiences with a short psychological intervention.BMC public health · 2023Trial
- Randomized Controlled Trial of a Multilevel Intervention to Address Social Determinants of Refugee Mental Health.American journal of community psychology · 2020Trial
- Unintentional Home Injuries: Community-Based Participatory Research among Afghan Immigrants and Refugees in British Columbia, Canada.Journal of racial and ethnic health disparities · 2026Article
- Health and Health Care Access Among Afghan Refugee Women in the United States.JAMA network open · 2026Article
- Exploring Afghan Refugees' Post-Resettlement Experiences in North America: A Scoping Review.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2026Article
- Understanding the Role of Collective Trauma on Afghan Refugee Mental Health: A Transformative Mixed Methods Study.Journal of immigrant and minority health · 2026Article
- Predictors of psychological distress among Afghan and Syrian refugee women in Houston, Texas.Frontiers in global women's health · 2026Article
- "SSM. Mental health · 2025Article
- Discrimination and intersecting inequities to healthcare access among refugee newcomers in the United States.Archives of public health = Archives belges de sante publique · 2025Article
- Refugee stigma and its toll on mental health: development and validation of the refugee stigma scale (RSS).BMJ global health · 2025Article
- Caring for the mental health of Afghan refugee youth through a decolonial paradigm: A qualitative analysis of distress, coping mechanisms, and priorities for treatment.American journal of community psychology · 2025Article
- Is cultural appropriateness culturally specific? Intersectional insights from a community-based participatory mental health intervention study conducted with diverse cultural groups.American journal of community psychology · 2025Article
- From multilevel to trans-level interventions: A critical next step for creating sustainable social change to improve mental health.The American journal of orthopsychiatry · 2025Article
- Measuring culturally and contextually specific distress among Afghan, Iraqi, and Great Lakes African refugees.The American journal of orthopsychiatry · 2024Article
- Links between ethnic discrimination, mental health, protective factors, and hair cortisol concentrations in asylum seekers living in Germany.European journal of psychotraumatology · 2024Article
- The association of migration-related stress with poor mental health among recently resettled Afghan refugees.Journal of migration and health · 2024Article
- Afghan mental health and psychosocial well-being: thematic review of four decades of research and interventions.BJPsych open · 2023Review
- Predicting PTSD and Complex PTSD among Iraqi and Syrian Refugees.Community mental health journal · 2023Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study investigates the effect of perceived discrimination on the mental health of Afghan refugees, and secondly, tests the distress moderating effects of pre-migration traumatic experiences and post-resettlement adjustment factors. In a cross-sectional design, 259 Afghans completed surveys assessing perceived discrimination and a number of other factors using scales developed through inductive techniques. Multivariable analyses consisted of a series of hierarchical regressions testing the effect of perceived discrimination on distress, followed by a sequential analysis of moderator variables. Perceived discrimination was significantly associated with higher distress, and this relationship was stronger among those with a strong intra-ethnic identity and high pre-resettlement traumatic experiences. The expected buffering effects of civic engagement, ethnic orientation (e.g. integration), and social support were not significant. Discrimination is a significant source of stress for Afghan refugees, which may exacerbate stresses associated with other pre- and post-migration stressors. Future research is needed to tailor interventions that can help mitigate the stress associated with discrimination among this highly vulnerable group.
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