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  • 1
    In: Current Issues in Sport Science (CISS), University of Bern, Vol. 8, No. 2 ( 2023-02-14), p. 006-
    Abstract: Human made conflicts and natural disasters led to a doubling of forced displacement in the past 10 years (United Nations High Commissioner for Refugees, 2022). Forcibly displaced people are generally challenged with severe mental and physical strains before, during and after their flight. Whereas forcibly displaced people show high levels of resilience (Dangmann et al., 2021), their risk of mental health struggles is markedly increased (Mesa-Vieira et al., 2022). The objective of this study was to explore the perception of regular participation in a co-designed and tailored sport and exercise intervention among adults living in a Greek refugee camp. The methodological approach relied on ethnography including informal discussions and participative observations. Data was collected and documented daily in a research diary over a period of eight months. Additionally, debrief meetings with the coaches (4 women and 4 men) were held regularly. These insights built the basis for a critical understanding and interpretation of 13 focus group discussions (n = 49, 19 women) and 38 self-recorded testimonies (17 women). Focus group discussions were conducted after a 10-week physical activity intervention period. The same participants were asked, after a 10-week follow-up, to provide a self-recorded testimony. Overall, 58 (55.8%) of the participants took part in the physical activities on a regular basis. Regular participation benefitted domains of psychological well-being, social cohesion, personal competencies, change in behavior and physiological health. However, some of the same domains were likewise negatively affected for certain participants, namely social cohesion and physiological health. The results indicate that organized sport and exercise activities have the potential to positively impact the living conditions of adults living in a Greek refugee camp. However, participation is not imperatively beneficial and only a specific target population can be addressed. References Dangmann, C., Solberg, Ø., Myhrene Steffenak, A. K., Høye, S., & Andersen, P. N. (2021). Syrian refugee youth resettled in Norway: Mechanisms of resilience influencing health-related quality of life and mental distress. Frontiers in Public Health, 9, Article 711451. https://doi.org/10.3389/fpubh.2021.711451 Mesa-Vieira, C., Haas, A. D., Buitrago-Garcia, D., Roa-Diaz, Z. M., Minder, B., Gamba, M., Salvador, D., Gomez, D., Lewis, M., Gonzalez-Jaramillo, W. C., Pahud de Mortanges, A., Buttia, C., Muka, T., Trujillo, N., & Franco, O. H. (2022). Mental health of migrants with pre-migration exposure to armed conflict: A systematic review and meta-analysis. The Lancet Public Health, 7(5), e469-e481. https://doi:10.1016/S2468-2667(22)00061-5 United Nations High Commissioner for Refugees. (2022). Global Trends. Forced Displacement in 2021. Retrieved from https://www.unhcr.org/publications/brochures/62a9d1494/global-trends-report-2021.html
    Type of Medium: Online Resource
    ISSN: 2414-6641
    Language: Unknown
    Publisher: University of Bern
    Publication Date: 2023
    detail.hit.zdb_id: 2859600-6
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  • 2
    In: Frontiers in Public Health, Frontiers Media SA, Vol. 11 ( 2023-6-16)
    Abstract: Forcibly displaced people face various challenges and are therefore at higher risk of being affected by mental and physiological distress. The present study aimed to determine levels of psychological well-being, PTSD symptom severity, metabolic syndrome, and associated factors among forcibly displaced people in Greece in response to WHO’s call for evidence-based public health policies and programs for forcibly displaced people. Methods We conducted a cross-sectional study among n  = 150 (50% women) forcibly displaced people originating from Sub-Sahara Africa and Southwest Asia living in a Greek refugee camp. Self-report questionnaires were used to assess psychological well-being, symptoms of PTSD, depression, generalized anxiety disorder and insomnia, perceived stress, headache, and perceived fitness. Cardiovascular risk markers were assessed to determine metabolic syndrome, and cardiorespiratory fitness was measured with the Åstrand-Rhyming Test of Maximal Oxygen Uptake. Results The prevalence of mental distress and physiological disorders was overall elevated. Only 53.0% of participants rated their psychological well-being as high. Altogether, 35.3% scored above the clinical cut-off for PTSD, 33.3% for depression, 27.9% for generalized anxiety disorder, and 33.8% for insomnia. One in four (28.8%) participants met criteria for metabolic syndrome. While the prevalence of moderate or severe insomnia symptoms and metabolic syndrome differed little from the global population, the risk of being affected by mental distress was markedly increased. In multivariable analysis, higher perceived fitness was associated with higher psychological well-being (OR = 1.35, p  = 0.003) and a decreased likelihood for metabolic syndrome (OR = 0.80, p  = 0.031). Participants with elevated psychiatric symptoms were less likely to report high psychological well-being (OR = 0.22, p  = 0.003) and had increased odds for higher PTSD severity (OR = 3.27, p  = 0.034). Increased stress perception was associated with higher PTSD symptoms (OR = 1.13, p  = 0.002). Conclusion There is an elevated risk for mental distress compared to the global population and an overall high mental and physiological burden among people living in a Greek refugee camp. The findings underpin the call for urgent action. Policies should aim to reduce post-migration stressors and address mental health and non-communicable diseases by various programs. Sport and exercise interventions may be a favorable add-on, given that perceived fitness is associated with both mental and physiological health benefits.
    Type of Medium: Online Resource
    ISSN: 2296-2565
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2023
    detail.hit.zdb_id: 2711781-9
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