Cited by 77Migration, Health and TraumaMental Health Treatment and AccessPosttraumatic Stress Disorder Research

Barriers to Mental Health Help-Seeking Amongst Refugee Men

Open access
Byrow, Yulisha, Pajak, Rosanna, McMahon, Tadgh, Rajouria, Amitabh, Nickerson, Angela·2019·International Journal of Environmental Research and Public Health

Abstract

Rates of help-seeking for mental health problems are low amongst refugee communities, despite the high prevalence of PTSD reported amongst these individuals. Research suggests that the key barriers to seeking help for psychological problems include structural barriers (e.g., unstable housing), cultural barriers (e.g., mental health stigma), and barriers specific to refugees and asylum seekers (e.g., visa status). This study examined the effect of structural, cultural and refugee specific barriers on the relationship between PTSD symptom severity and intentions to seek help from professional, social, and community sources. Data was collected from 103 male refugees and asylum seekers with an Arabic-, Farsi-, or Tamil-speaking background. Participants completed measures indexing demographics, trauma exposure, PTSD symptoms, mental health stigma, and help-seeking intentions. Path analyses indicated that PTSD severity was associated with lower help-seeking intentions indirectly via mental health stigma (self-stigma for seeking help and self-stigma for PTSD) and visa security. PTSD severity was also associated with greater help-seeking intentions from community members indirectly via structural barriers. These findings are important to consider when identifying key barriers to mental health help-seeking and developing interventions designed to increase help-seeking for psychological problems, within this group.

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Crossref · 10.3390/ijerph16152634

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  • Men and some minority groups report stigma as being particularly prolific in this context.

    “Men and some minority groups report stigma as being particularly prolific in this context [18,19].”

    From Providing Self-Led Mental Health Support Through an Artificial Intelligence–Powered Chat Bot (Leora) to Meet the Demand of Mental Health Care (2023) · cites this paper as [19]

    The Introduction reports that mental-health stigma is more prevalent in refugee communities than in Western resettlement communities, and the Conclusions identify it as a key barrier to help-seeking among male refugees. This supports the point for the refugee groups studied, but not for men generally or minority groups beyond those discussed in the paper. (LLM, conf=0.83)

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Research works printed but not linked: 2

  1. [17]Rickwood D. Thomas K. Bradford S. Help-Seeking Measures in Mental Health: A Rapid Review Sax Institute Ultimo, Australia 2012 1 35 Available online: https://doi.org/https://www.saxinstitute.org.au/wp-content/uploads/02_Help-seeking-measures-in-mental-health.pdf (accessed on 8 October 2018)
  2. [47]Schumacker R. Lomax R. A Beginners Guide to Structural Equation Modeling Routledge New York, NY, USA 2010

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Authors
Byrow, Y., Pajak, R., McMahon, T., Rajouria, A., & Nickerson, A.
Affiliations
  • UNSW Sydney (AU)
  • Flinders University (AU)
  • Settlement Services International, Sydney, NSW 2131, Australia
Corresponding author
Byrow, Yulisha
Venue
International Journal of Environmental Research and Public Health
Publisher
MDPI AG
Published
2019-07-24
Volume
16
Issue
15
Pages
2634
ISSN
1660-4601 (ISSN-L)
OpenAlex
W2963499340
Cited by
76
References
69
Citations by year
2026: 9 · 2025: 10 · 2024: 11 · 2023: 12 · 2022: 12 · 2021: 15 · 2020: 6 · 2019: 1
FWCI
9.93
Type
journal article
Language
en
Open access
Locations
  • International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
beyondblue (CLT 7237)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Keywords
help-seeking intentions, mental health help-seeking, refugee men, asylum seekers, PTSD symptom severity, mental health stigma, self-stigma, visa status, structural barriers, cultural barriers, Arabic-speaking refugees
MeSH terms
Adult, Australia, Humans, Male, Mental Health, Mental Health Services, Middle Aged, Refugees, Stress Disorders, Post-Traumatic, Intention, Young Adult, Social Stigma

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