ArticleJournal of migration and health2025
Exploring socio-ecological context and mental health of Ukrainian refugees in Italy through eco-map: a mixed-methods study.
Article in Journal of migration and health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Following the humanitarian crisis in Ukraine, an estimated 8,174,189 refugees have fled (April 2023). Refugee status leads to a higher prevalence of mental illness, which may also arise or be worsened by post-migration stressors. Although a growing literature on the social determinants of mental health, little is known on the Ukrainian refugee population. Thus, this study aims to analyse the association between mental health and the socio-ecological context of Ukrainian refugees. Methods: A mixed-methods study was conducted involving Ukrainian refugees hosted in the province of Verona (Italy) from November 2022 to April 2023. Mental health (MH) was assessed through the International Trauma Questionnaire (ITQ) and the General Health Questionnaire-12 (GHQ-12). The socio-ecological context was explored through a semi-structured ecomap distributing individuals into ecomap clusters. Logistic regression was used to explore association between mental health outcomes and ecomap clusters adjusting for sex, age, and chronic diseases. Results: A total of 224 refugees were recruited ( Conclusions: MH distress was high in our sample and was associated with having stressful edges with public services and school or work in the resettlement country. Ecomap proved to be a useful tool to explore the social network of refugees. Reducing the stressors of refugees' social context could contribute to improving their MH.
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