Gender-based violence among refugee women referred to a Cultural Consultation Service in Montreal

Abstract

Gender-based violence (GBV) among female refugees/asylum seekers is a major underreported/understudied psychosocial issue. The aims of this study were: to describe the proportion of GBV-related experiences among female refugees/asylum seekers referred to a Cultural Consultation Service (CCS) in Montreal; to describe their sociodemographic and clinical characteristics; and to compare these characteristics among women who make GBV their principal refugee claim (Group A), those who did not but had suffered GBV (Group B1), and those who had never reported GBV (Group B2). Data on sociodemographic and clinical variables and GBV were gathered by chart review. Data were analyzed using chi-square for categorical and ANOVA for continuous comparisons. A total of 91 female refugees/asylum seekers were evaluated from 2000 to 2013; 80% (73/91) having reported GBV, with 38.5% (35/91) using GBV as the principal reason for seeking asylum in Canada (Group A), mainly due to intimate partner violence (IPV). Fully 66.6% (38/56) of women who sought asylum for reasons other than GBV reported having experienced GBV (Group B1). When compared to the other groups, Group A women exhibited a number of statistically significant differences: they tended to migrate alone (p < .001), be divorced/single (p = .02), have more suicidal thoughts/behaviors (p < .001), and report a history of IPV (p < .001). Women from Group B1 were more likely to be diagnosed with Affective Disorders (p = .045), and to have suffered sexual violence (p < .001). Results suggest that GBV is frequently experienced by refugee/asylum seeker women in this small, tertiary care clinical sample. When assessing refugee women such as these, differences in the kind of violence suffered, migration process, family/social support, and clinical related features should be taken into account and explored by clinicians in a culturally appropriate and safe manner.

Keywords

asylum domestic violence gender refugees women

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References

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). https://doi.org/10.1176/appi.books.9780890423349

Bennett

L. R.

Manderson

Astbury

(2000). Mapping a global pandemic: Review of current literature on rape, sexual assault and sexual harassment of women, consultation on sexual violence against women. Global Forum for Health Research.

Bui

H. N.

Morash

. (1999). Domestic violence in the Vietnamese immigrant community: An exploratory study. Violence Against Women, 5(7), 769–795. https://doi.org/10.1177/10778019922181473

Colorado-Yohar

Tormo

M. J.

Salmerón

Dios

Ballesta

Navarro

. (2012). Violence reported by the immigrant population is high as compared with the native population in southeast Spain. Journal of Interpersonal Violence, 27(16), 3322–3340. https://doi.org/10.1177/0886260512441260

De Keseredy

Schwartz

(2011). Theoretical and definitional issues in violence against women. In Renzetti

C. M.

Edleson

J. L.

Kennedy Bergen

(Eds.), Sourcebook on violence against women (pp. 3–21). Sage. https://doi.org/10.4135/9781452224916.n1

Ellsberg

Jansen

H. A.

Heise

Watts

C. H.

Garcia-Moreno

, & WHO Multi-country Study on Women’s Health and Domestic Violence against Women Study Team. (2008). Intimate partner violence and women’s physical and mental health in the WHO multi-country study on women’s health and domestic violence: An observational study. The Lancet, 371(9619), 1165–1172. https://doi.org/10.1016/S0140-6736(08)60522-X

Garcia-Moreno

Jansen

H. A.

Ellsberg

Heise

Watts

C. H.

, & WHO Multi-country Study on Women’s Health and Domestic Violence against Women Study Team. (2006). Prevalence of intimate partner violence: Findings from the WHO multi-country study on women’s health and domestic violence. The Lancet, 368(9543), 1260–1269. https://doi.org/10.1016/S0140-6736(06)69523-8

Godoy-Ruiz

Toner

Mason

Vidal

McKenzie

. (2015). Intimate partner violence and depression among Latin American women in Toronto. Journal of Immigrant and Minority Health, 17(6), 1771–1780. https://doi.org/10.1007/s10903-014-0145-1

Hynes

Lopes Cardozo

. (2000). Sexual violence against refugee women. Journal of Women’s Health & Gender-Based Medicine, 9(8), 819–823. https://doi.org/10.1089/152460900750020847

10.

Hudon

. (2015). Women in Canada: A gender-based statistical report . Statistics Canada. http://www.statcan.gc.ca/pub/89-503-x/2015001/article/14217-eng.pdf

11.

Immigration and Refugee Board. (1993). Guidelines on women refugee claimants fearing gender-related persecution. Ottawa: Immigration and Refugee Board. https://irb.gc.ca/en/legal-policy/policies/Pages/GuideDir04.aspx

12.

Immigration and Refugee Board of Canada. (2017). Refugee claims-claimants . http://www.irb-cisr.gc.ca/Eng/RefClaDem/Pages/ClaDem.aspx

13.

Jarvis

G. E.

Kirmayer

L. J.

Jarvis

G. K.

Whitley

. (2005). The role of Afro-Canadian status in police or ambulance referral to emergency psychiatric services. Psychiatric Services, 56(6), 705–710. https://doi.org/10.1176/appi.ps.56.6.705

14.

Jarvis

G. E.

Toniolo

Ryder

A. G.

Sessa

Cremonese

. (2011). High rates of psychosis for black inpatients in Padua and Montreal: Different contexts, similar findings. Social Psychiatry and Psychiatric Epidemiology, 46(3), 247–253. https://doi.org/10.1007/s00127-010-0187-1

15.

Keygnaert

Guieu

Ooms

Vettenburg

Temmerman

Roelens

. (2014). Sexual and reproductive health of migrants: Does the EU care? Health Policy, 114(2−3), 215–225. https://doi.org/10.1016/j.healthpol.2013.10.007

16.

Keygnaert

Vettenburg

Temmerman

. (2012). Hidden violence is silent rape: Sexual and gender-based violence in refugees, asylum seekers and undocumented migrants in Belgium and the Netherlands. Culture, Health & Sexuality, 14(5), 505–520. https://doi.org/10.1080/13691058.2012.671961

17.

Kirmayer

L. J.

Groleau

Guzder

Blake

Jarvis

. (2003). Cultural consultation: A model of mental health service for multicultural societies. The Canadian Journal of Psychiatry/La Revue canadienne de psychiatrie, 48(3), 145–153. https://doi.org/10.1177/070674370304800302

18.

Lever

Ottenheimer

Teysir

Singer

Atkinson

H. G

. (2019). Depression, anxiety, post-traumatic stress disorder and a history of pervasive gender-based violence among women asylum seekers who have undergone female genital mutilation/cutting: A retrospective case review. Journal of Immigrant and Minority Health, 21(3), 483–489. https://doi.org/10.1007/s10903-018-0782-x

19.

Loue

Faust

. (1998). Intimate partner violence among immigrants: Handbook of immigrant health. Plenum Press. https://doi.org/10.1080/07399332.2011.569220

20.

McLean

Roberts

S. A.

White

Paul

. (2011). Female genital injuries resulting from consensual and non-consensual vaginal intercourse. Forensic Science International, 204(1−3), 27–33. https://doi.org/10.1016/j.forsciint.2010.04.049

21.

Ministère de l’Immigration et des Communautés culturelles, Direction de la recherche et d’analyse prospective. (2012). L’immigration permanente au Québec selon les catégories d’immigration et quelques composantes.

22.

Narayan

. (1995). “Male-order” brides: Immigrant women, domestic violence and immigration law. Hypatia, 10(1), 104–119. https://doi.org/10.1111/j.1527-2001.1995.tb01355.x

23.

Norredam

Mygind

Krasnik

. (2006). Access to health care for asylum seekers in the European Union: A comparative study of country policies. European Journal of Public Health, 16(3), 286–290. https://doi.org/10.1093/eurpub/cki191

24.

Okeke-Ihejirika

Yohani

Muster

Ndem

Chambers

Pow

. (2020). A scoping review on intimate partner violence in Canada’s immigrant communities. Trauma, Violence & Abuse, 21(4), 788–810. https://doi.org/10.1177/1524838018789156

25.

Palermo

Bleck

Peterman

. (2014). Tip of the iceberg: Reporting and gender-based violence in developing countries. American Journal of Epidemiology, 179(5), 602–612. https://doi.org/10.1093/aje/kwt295

26.

Raj

Silverman

. (2002). Violence against immigrant women: The roles of culture, context, and legal immigrant status on intimate partner violence. Violence Against Women, 8(3), 367–398. https://doi.org/10.1177/10778010222183107

27.

Sipsma

H. L.

Falb

K. L.

Willie

Bradley

E. H.

Bienkowski

Meerdink

Gupta

. (2015). Violence against Congolese refugee women in Rwanda and mental health: A cross-sectional study using latent class analysis. BMJ Open, 5(4), Article e006299. https://doi.org/10.1136/bmjopen-2014-006299

28.

Stark

Roberts

Wheaton

Acham

Boothby

Ager

. (2010). Measuring violence against women amidst war and displacement in northern Uganda using the “neighbourhood method”. Journal of Epidemiology and Community Health, 64(12), 1056–1061. https://doi.org/10.1136/jech.2009.093799

29.

Statistics Canada. (2017). Women in Canada: A gender-based statistical report . https://www150.statcan.gc.ca/n1/pub/89-503-x/2015001/article/14217-eng.htm

30.

Tavara

. (2006). Sexual violence. Best practice & research. Clinical Obstetrics & Gynaecology, 20(3), 395–408. https://doi.org/10.1016/j.bpobgyn.2006.01.011

31.

Tay

A. K.

Riley

Islam

Welton-Mitchell

Duchesne

Waters

Varner

Moussa

Mahmudul Alam

Elshazly

M. A.

Silove

Ventevogel

. (2019). The culture, mental health and psychosocial wellbeing of Rohingya refugees: A systematic review. Epidemiology and Psychiatric Sciences, 28(5), 489–494. https://doi.org/10.1017/S2045796019000192

32.

Tjaden

Thoennes

. (2000). The role of stalking in domestic violence crime reports generated by the Colorado Springs Police Department. Violence And Victims, 15(4), 427–441. https://doi.org/10.1891/0886-6708.15.4.427

33.

United Nations General Assembly: Declaration on the Elimination of Discrimination Against Women. (1993). DEDAW general recommendation No. 19: Violence against women . http://www.refworld.org/docid/52d920c54.html

34.

United Nations High Commissioner for Refugees. (2003). Sexual and gender-based violence against refugees, returnees and internally displaced persons: Guidelines for prevention and response . https://www.unhcr.org/en-au/protection/women/3f696bcc4/sexual-gender-based-violence-against-refugees-returnees-internally-displaced.html

35.

United Nations High Commissioner for Refugees. (2005). Report on the High Commissioner’s five commitments to refugee women (EC/55/SC/CRP.17). http://www.refworld.org/docid/49997af91a.html

36.

United Nations High Commissioner for Refugees. (2014). Prevention of and response to gender based violence . http://www.unhcr.org/3f696bcc4.pdf

37.

United Nations High Commissioner for Refugees. (2016). Global trends: Forced displacement in 2016 . https://www.unhcr.org/5943e8a34.pdf

38.

van den Ameele

Keygnaert

Rachidi

Roelens

Temmerman

(2013). The role of the healthcare sector in the prevention of sexual violence against sub-Saharan transmigrants in Morocco: A study of knowledge, attitudes and practices of healthcare workers. BMC Health Services Research, 13, Article 77. https://doi.org/10.1186/1472-6963-13-77

39.

Adam

Wirtz

Pham

Rubenstein

Glass

Beyrer

Singh

. (2014). The prevalence of sexual violence among female refugees in complex humanitarian emergencies: A systematic review and meta-analysis. PLoS Currents, 6. https://doi.org/10.1371/currents.dis.835f10778fd80ae031aac12d3b533ca7

40.

Wako

Elliott

De Jesus

Zotti

M. E.

Swahn

M. H.

Beltrami

. (2015). Conflict, displacement, and IPV: Findings from two Congolese refugee camps in Rwanda. Violence Against Women, 21(9), 1087–1101. https://doi.org/10.1177/1077801215590669

41.

Wirtz

A. L.

Glass

Pham

Aberra

Rubenstein

L. S.

Singh

. (2013). Development of a screening tool to identify female survivors of gender-based violence in a humanitarian setting: Qualitative evidence from research among refugees in Ethiopia. Conflict and Health, 7(1), Article 13. https://doi.org/10.1186/1752-1505-7-13

42.

World Health Organization. (2012). Understanding and addressing intimate partner violence . https://apps.who.int/iris/handle/10665/77432