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020 ▼a 9781085578189
035 ▼a (MiAaPQ)AAI13809227
040 ▼a MiAaPQ ▼c MiAaPQ ▼d 247004
0820 ▼a 301
1001 ▼a Fox, Samara .
24510 ▼a Social Integration and the Mental Health Needs of LGBTQ Asylum Seekers in North America.
260 ▼a [S.l.]: ▼b Yale University., ▼c 2019.
260 1 ▼a Ann Arbor: ▼b ProQuest Dissertations & Theses, ▼c 2019.
300 ▼a 50 p.
500 ▼a Source: Dissertations Abstracts International, Volume: 81-02, Section: A.
500 ▼a Advisor: Pachankis, John.
5021 ▼a Thesis (M.D.)--Yale University, 2019.
506 ▼a This item must not be sold to any third party vendors.
506 ▼a This item must not be added to any third party search indexes.
520 ▼a This study examined the mental health burden of LGBTQ asylum seekers and associated psychosocial risk factors with a focus on barriers to social integration. This study also characterized LGBTQ asylum seekers' interest in interventions aimed at alleviating mental distress and social isolation. Respondents (n = 308) completed an online survey which included the Refugee Health Screener (RHS-15), the NIH loneliness scale, and an adapted scale of sexual identity disclosure. Most respondents (80.20%) screened positive for mental distress. Loneliness (OR = 1.14, 95% CI = 1.09, 1.19) and LGBTQ identity disclosure (OR = 3.46, 95% CI = 1.01, 12.02) were associated with screening positive for mental distress. Transgender identity (OR = 3.60, 95% CI = 1.02, 16.02) approached significance for a positive association with mental distress. Those who had been granted asylum (OR = 0.36, 95% CI = 0.169, 0.75) or had higher Englishlanguage proficiency (OR = 0.35, 95% CI = 0.12, 0.94) were less likely to screen positive. Most of those who screened positive (70.45%) were interested in receiving mental health counseling. Almost all participants wanted more LGBTQ friends (83.1%), wanted to mentor an LGBTQ newcomer (83.8%), and were interested in joining an LGBTQ community center (68.2%). LGBTQ asylum seekers are highly likely to experience mental distress and are interested in participating in mental health treatment and LGBTQ community building. Loneliness, outness, indeterminate immigration status, and low English proficiency are unique risk factors associated with mental distress.
590 ▼a School code: 0265.
650 4 ▼a Mental health.
650 4 ▼a Physiology.
650 4 ▼a Medicine.
650 4 ▼a Sexuality.
650 4 ▼a Clinical psychology.
650 4 ▼a Public health.
650 4 ▼a Social psychology.
690 ▼a 0347
690 ▼a 0451
690 ▼a 0573
690 ▼a 0211
690 ▼a 0564
690 ▼a 0622
690 ▼a 0719
690 ▼a 0492
71020 ▼a Yale University. ▼b Yale School of Medicine.
7730 ▼t Dissertations Abstracts International ▼g 81-02A.
773 ▼t Dissertation Abstract International
790 ▼a 0265
791 ▼a M.D.
792 ▼a 2019
793 ▼a English
85640 ▼u http://www.riss.kr/pdu/ddodLink.do?id=T15490578 ▼n KERIS ▼z 이 자료의 원문은 한국교육학술정보원에서 제공합니다.
980 ▼a 202002 ▼f 2020
990 ▼a ***1008102
991 ▼a E-BOOK