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Abstract

The marginalization process of refugees during resettlement has rarely been explored empirically due to the challenges in identifying and accessing the population. To understand how stress and coping throughout the migration and resettlement processes can result in marginalization in refugees resettled in the United States, this study conducted in-depth individual interviews with 16 homeless Hmong refugee families. The findings revealed how cumulated adversities eroded coping resources and how impeded coping capacity fuels social isolation and marginalization. In addition, an enclosed family support system tends to limit types of available help and social interactions and thus frustrates the use of diversified coping strategies that are critical to healthy acculturation. This study underscores the importance of expanded resettlement services that promote both formal and informal social supports and enhance balanced social integration of the refugee community.

Keywords

stress and coping Hmong refugees resettlement marginalization homelessness acculturation

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References

Andersson

(2003). Immigrant youth and the dynamics of marginalization. Young, 11(1), 74–89.

Atwell

Correa-Velez

Gifford

(2007). Ageing out of place: Health and well-being needs and access to home and aged care services for recently arrived older refugees in Melbourne, Australia. International Journal of Migration, Health and Social Care, 3(1), 4–14. https://doi.org/10.1108/17479894200700002

Banyard

V. L.

(1995). “Taking another route”: Daily survival narratives from mothers who are homeless. American Journal of Community Psychology, 23(6), 871–891. https://doi.org/10.1007/BF02507019

Banyard

V. L.

Graham-Bermann

S. A.

(1993). Can women cope? A gender analysis of theories of coping with stress. Psychology of Women Quarterly, 17, 303–318.

Bernard

L. C.

Krupat

(1994). Health psychology: Biopsychosocial factors in health and illness. Harcourt Brace College Publishers.

Berry

J. W.

(1997). Immigration, acculturation, and adaptation. Applied Psychology, 46(1), 5–34.

Berry

J. W.

(2005). Acculturation: Living successfully in two cultures. International Journal of Intercultural Relations, 29(6), 697–712. https://doi.org/10.1016/j.ijintrel.2005.07.013

Betancourt

T. S.

Abdi

Ito

B. S.

Lilienthal

G. M.

Agalab

Ellis

. (2015). We left one war and came to another: Resource loss, acculturative stress, and caregiver–child relationships in Somali refugee families. Cultural Diversity and Ethnic Minority Psychology, 21(1), 114–125. https://doi.org/10.1037/a0037538

Birman

Tran

(2008). Psychological distress and adjustment of Vietnamese refugees in the United States: Association with pre- and postmigration factors. American Journal of Orthopsychiatry, 78(1), 109–120. https://doi.org/10.1037/0002-9432.78.1.109

10.

Bynner

(1997). Agenda for youth research in the next century: A British perspective. Young, 5(4), 34–49. https://doi.org/10.1177/110330889700500403

11.

Chung

R. C.

Lin

(1994). Help-seeking behavior among Southeast Asian refugees. Journal of Community Psychology, 22, 109–120. https://doi.org/10.1002/1520-6629(199404)22:2<109::AID-JCOP2290220207>3.0.CO;2-V

12.

Chung

R. C. Y.

Bemak

(2002). The relationship of culture and empathy in cross-cultural counseling. Journal of Counseling & Development, 80(2), 154–159.

13.

Ellis

B. H.

MacDonald

H. Z.

Lincoln

A. K.

Cabral

H. J.

(2008). Mental health of Somali adolescent refugees: The role of trauma, stress, and perceived discrimination. Journal of Consulting and Clinical Psychology, 76(2), 184–193. https://doi.org/10.1037/0022-006X.76.2.184

14.

Folkman

(2013). Stress: Appraisal and coping. In Gellman

M. D.

Turner

J. R.

(Eds.), Encyclopedia of behavioral medicine (pp. 1913–1915). Springer.

15.

Fung

Wong

Y.-L. R.

(2000). Factors influencing attitudes towards seeking professional help among East and Southeast Asian immigrant and refugee women. International Journal of Social Psychiatry, 53(3), 216–231. https://doi.org/10.1177/0020764006074541

16.

Hall

Stevens

Meleis

(1994). Marginalization: A guiding concept for valuing diversity in nursing knowledge development. Advanced Nursing Science, 16(4), 23–41. https://doi.org/10.1097/00012272-199406000-00005

17.

Hobfoll

S. E.

Schwarzer

Chon

K. K.

(1998). Disentangling the stress labyrinth: Interpreting the meaning of the term stress as it is studied in health context. Anxiety, Stress and Coping, 11(3), 181–212. https://doi.org/10.1080/10615809808248311

18.

Hynes

Cardozo

B. L.

(2000). Observations from the CDC: Sexual violence against refugee women. Journal of Women’s Health & Gender-Based Medicine(8), 819–823.

19.

Johnson

(2002). Hmong health beliefs and experiences in the western health care system. Journal of Transcultural Nursing, 13(2), 126–132. https://doi.org/10.1177/104365960201300205

20.

Kagan

Evans

Knowles

Sixsmith

Burns

Burton

(2002, November). Working with people who are marginalized by the social system: Challenges for community psychological work. In Psicología Comunitaria Europea: Comunidad, Poder, Ética y Valores [European Community Psychology: Community, Power, Ethics and Values] (Papers from the European Community Psychology Congress, Barcelona) (pp. 400–412). Publicacions Universitat de Barcelona.

21.

Karunakara

Stevenson

(2012). Ending neglect of older people in the response to humanitarian emergencies. PLOS Medicine, 9(12), Article e1001357. https://doi.org/10.1371/journal.pmed.1001357

22.

King

(1998). Template analysis. In Symon

Cassell

(Eds.), Qualitative methods and analysis in organizational research: A practical guide (pp. 118–134). Sage.

23.

Knipscheer

J. W.

Kleber

R. J.

(2007). Acculturation and mental health among Ghanaians in Netherlands. International Journal of Social Psychiatry, 53(4), 369–383. https://doi.org/10.1177/0020764007078344

24.

Lamba

N. K.

Krahn

(2003). Social capital and refugee resettlement: The social networks of refugees in Canada. Journal of International Migration and Integration, 4(3), 335–360. https://doi.org/10.1007/s12134-003-1025-z

25.

Lazarus

R. S.

Folkman

(1984). Stress, appraisal and coping. Springer.

26.

Lazarus

R. S.

Folkman

(1987). Transaction theory and research on emotions and coping. European Journal of Personality, 1, 141–169. https://doi.org/10.1002/per.2410010304

27.

Lee

Roberts

L. J.

(2018). Between individual and family coping: A decade of theory and research on couples coping with health-related stress. Journal of Family Theory & Review, 10(1), 141–164. https://doi.org/10.1111/jftr.12252

28.

Lee

H. Y.

Lytle

Yang

P. N.

Lum

(2010). Mental health literacy in Hmong and Cambodian elderly refugees: A barrier to understanding, recognizing, and responding to depression. The International Journal of Aging and Human Development, 71(4), 323–344. https://doi.org/10.2190/AG.71.4.d

29.

Liao

H. Y.

Rounds

Klein

A. G.

(2005). A test of Cramer’s (1999) help-seeking model and acculturation effects with Asian and Asian American college students. Journal of Counseling Psychology, 52(3), 400–411. https://doi.org/10.1037/0022-0167.52.3.400

30.

Loi

Sundram

(2014). To flee, or not to flee, that is the question for older asylum seekers. International Psychogeriatrics, 26(9), 1403–1406.

31.

Miller

P. M.

(2015). Families’ experiences in different homeless and highly mobile settings: Implications for school and community practice. Education and Urban Society, 47(1), 3–32.

32.

Morris

M. D.

Popper

S. T.

Rodwell

T. C.

Brodine

S. K.

Brouwer

K. C.

(2009). Healthcare barriers of refugees post-resettlement. Journal of Community Health, 34(6), 529–538.

33.

O’Reilly

Parker

(2013). “Unsatisfactory saturation”: A critical exploration of the notion of saturated sample sizes in qualitative research. Qualitative Research, 13(2), 190–197.

34.

Ryan

Dooley

Benson

(2008). Theoretical perspectives on post-migration adaptation and psychological well-being among refugees: Towards a resource-based model. Journal of Refugee Studies, 21(1), 1–18. https://doi.org/10.1093/jrs/fem047

35.

Salant

Lauderdale

D. S.

(2003). Measuring culture: A critical review of acculturation and health in Asian immigrant populations. Social Science & Medicine, 57, 71–90.

36.

Sam

Berry

(1995). Acculturative stress among young immigrants in Norway. Scandinavian Journal of Psychology, 36(1), 10–24.

37.

Schweitzer

Melville

Steel

Lacherez

(2006). Trauma, post-migration living difficulties, and social support as predictors of psychological adjustment in resettled Sudanese refugees. Australian & New Zealand Journal of Psychiatry, 40(2), 179–187.

38.

Silove

Steel

Bauman

Chey

McFarlane

(2007). Trauma, PTSD and the longer-term mental health burden amongst Vietnamese refugees. Social Psychiatry and Psychiatric Epidemiology, 42(6), 467–476.

39.

Ssenyonga

Owens

Olema

D. K.

(2013). Posttraumatic growth, resilience, and posttraumatic stress disorder (PTSD) among refugees. Procedia-Social and Behavioral Sciences, 82, 144–148.

40.

Sue

D. W.

Sue

(2003). Counseling the culturally diverse: Theory and practice (4th ed.). Wiley.

41.

Thalacker

K. M.

(2011). Hypertension and the Hmong community: Using the health belief model for health promotion. Health Promotion Practice, 12(4), 538–543.

42.

Thoits

P. A.

(2011). Mechanisms linking social ties and support to physical and mental health. Journal of Health and Social Behavior, 52(2), 145–161.

43.

Thorburn

Kue

Keon

K. L.

(2012). Medical mistrust and discrimination in health care: A qualitative study of Hmong women and men. Journal of Community Health, 37(4), 822–829.

44.

Tischler

(2009). “I’m not coping, I’m surviving”: Understanding coping in a marginalised population. Qualitative Research in Psychology, 6(3), 191–202. https://doi.org/10.1080/14780880701826176

45.

Tompsett

C. J.

Fowler

P. J.

Toro

P. A.

(2009). Age differences among homeless individuals: Adolescence through adulthood. Journal of Prevention & Intervention in the Community, 37(2), 86–99. https://doi.org/10.1080/10852350902735551

46.

U.S. Census Bureau. (2015). Asian alone or in any combination by selected groups, 2015 American Community Survey 1-Year Estimates. https://factfinder.census.gov/bkmk/table/1.0/en/ACS/15_1YR/B02018

47.

Weine

Muzurovic

Kulauzovic

Besic

Lezix

Mujagic

… Pavkovic

(2004). Family consequences of refugee trauma. Family Process, 43(2), 147–160. https://doi.org/10.1111/j.1545-5300.2004.04302002.x

48.

Williams

Berry

(1991). Primary prevention of acculturative stress among refugees: Application of psychological theory and practice. American Psychologist, 46(6), 632–641. https://doi.org/10.1037/0003-066X.46.6.632

49.

Yakushko

Watson

Thompson

(2008). Stress and coping in the lives of recent immigrants and refugees: Considerations for counseling. International Journal for the Advancement of Counselling, 30(3), 167–178. https://doi.org/10.1007/s10447-008-9054-0

50.

Yang

(2003). Hmong diaspora of the post-war period. Asian and Pacific Migration Journal, 12(3), 271–300. https://doi.org/10.1177/011719680301200302

51.

Zetter

(2007). More labels, fewer refugees: Remaking the refugee label in an era of globalization. Journal of Refugee Studies, 20(2), 172–192. https://doi.org/10.1093/jrs/fem011

Falling Through the Cracks: Stress and Coping in Migration and Resettlement Among Marginalized Hmong Refugee Families in the United States

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