Deterioration of housing environment and mental health of asylum seekers – a multi-level analysis

Mohsenpour A, Biddle L, Bozorgmehr K (2019)
In: European Journal of Public Health., 29(Suppl. 4). Oxford: Oxford Univ Press.

Kurzbeitrag Konferenz / Poster | Veröffentlicht | Englisch
 
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Abstract / Bemerkung
Background Asylum seekers arriving in Germany are assigned to a local district and an accommodation centre wherein. We developed and validated a six-item questionnaire for rapid assessment of housing deterioration and investigated its association with inhabitant mental health. Methods Using cross-sectional data from a state-wide survey in Germany, we applied a random-effects modelling approach to estimate the exposure effect of housing deterioration on depression and general anxiety among a random sample of asylum seekers, using validated instruments (GAD2/PHQ2) for outcome variables. Housing deterioration was assessed on six items (windows/glass, walls/roof, garbage, graffiti, outside spaces, overall living environment) resulting in a deterioration score as exposure of interest. Additionally, we assessed the instrument’s intra- and inter-rater reliability and internal consistency. Results Of the 412 asylum seekers living in 58 accommodation centres, 45.7% reported symptoms of depression and 45.0% suffered general anxiety. Most centres (76.7%) were based in urban municipalities and 45.7% of inhabitants were living in an accommodation centre hosting ≥51 inhabitants. Preliminary adjusted odds ratio for accommodation centres with highest deterioration (Q 4) was 2.07 (0.67-6.40) for generalized anxiety, compared to 1.17 (0.45-3.08) for centres with lowest deterioration (Q 1). For depression, preliminary odds ratio was 1.92 (0.87-4.27) compared to 1.26 (0.63-2.50). The validation study confirmed inter-/intra-rater reliability (Brennan-Prediger coefficient: 0.81 and 0.92, respectively) and internal consistency (Crohnbach’s α: 0.80). Conclusions There are higher odds ratios for generalized anxiety disorder and depression among asylum seekers based on higher deterioration of housing environment. A questionnaire for rapid deterioration assessment and identification of accommodations needing further evaluation has been developed and successfully validated. Key messages Deterioration of small-scale housing environment is associated with poorer mental health for asylum seekers living in accommodation centres. A highly reliable new tool has been developed for rapid assessment of deterioration status of accommodation centres and identification of those needing further evaluation.
Erscheinungsjahr
2019
Titel des Konferenzbandes
European Journal of Public Health
Band
29
Ausgabe
Suppl. 4
Konferenz
12th European Public Health Conference
Konferenzort
Marseille, France
Konferenzdatum
2019-11-20 – 2019-11-23
ISSN
1101-1262
eISSN
1464-360X
Page URI
https://pub.uni-bielefeld.de/record/2940739

Zitieren

Mohsenpour A, Biddle L, Bozorgmehr K. Deterioration of housing environment and mental health of asylum seekers – a multi-level analysis. In: European Journal of Public Health. Vol 29. Oxford: Oxford Univ Press; 2019.
Mohsenpour, A., Biddle, L., & Bozorgmehr, K. (2019). Deterioration of housing environment and mental health of asylum seekers – a multi-level analysis. European Journal of Public Health, 29 Oxford: Oxford Univ Press. doi:10.1093/eurpub/ckz185.323
Mohsenpour, A., Biddle, L., and Bozorgmehr, K. (2019). “Deterioration of housing environment and mental health of asylum seekers – a multi-level analysis” in European Journal of Public Health, vol. 29, (Oxford: Oxford Univ Press).
Mohsenpour, A., Biddle, L., & Bozorgmehr, K., 2019. Deterioration of housing environment and mental health of asylum seekers – a multi-level analysis. In European Journal of Public Health. no.29 Oxford: Oxford Univ Press.
A. Mohsenpour, L. Biddle, and K. Bozorgmehr, “Deterioration of housing environment and mental health of asylum seekers – a multi-level analysis”, European Journal of Public Health, vol. 29, Oxford: Oxford Univ Press, 2019.
Mohsenpour, A., Biddle, L., Bozorgmehr, K.: Deterioration of housing environment and mental health of asylum seekers – a multi-level analysis. European Journal of Public Health. 29, Oxford Univ Press, Oxford (2019).
Mohsenpour, Amir, Biddle, L., and Bozorgmehr, Kayvan. “Deterioration of housing environment and mental health of asylum seekers – a multi-level analysis”. European Journal of Public Health. Oxford: Oxford Univ Press, 2019.Vol. 29.

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