Objective Many Haitian migrants live and work as undocumented laborers in the Do
ID: 3339942 • Letter: O
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Objective Many Haitian migrants live and work as undocumented laborers in the Dominican Republic. This study examines the legacy of anti Haitian discrimination in the Dominican Republic and association of discrimination with mental health among Haitian migrants. Design. This study used mixed methods to generate hypotheses for associations between discrimination and mental health of Haitian migrants in the Dominican Republic. In-depth interviews were conducted with 21 Haitian and 18 Dominican community members and clinicians. One hundred and twenty-seven Haitian migrants participated in a pilot cross-sectional community survey Instruments included culturally adapted Kreyòl versions of the Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAl) and a locally developed function impairment scale Results. Haitian migrants described humiliation (imilyasyon) as a reason for mental distress and barrier to health care. Dominicans reported that discrimination (discriminación) was not a current social problem and attributed negative social interactions to sociocultural, behavioral, and biological differences between Dominicans and Haitians. These qualitative findings were supported in the quantitative analyses. Perceived discrimination was significantly associated with depression severity and functional impairment. Perceived mistreatment by Dominicans was associated with a 66-point increase in BDI score (90% confidence interval [C113 29.9 9) Knowing someone who was interrogated or deported was associated with a 3 4-port increase in BAI score (90% Cl 0 22.6 64) conclusion Both qualitative and quantitative methods suggest that perceived discrimination and the experience of humiliation contribute to Haitian migrant mental ill-health and limit access to health care. Future research should evaluate these associations and identify intervention pathways for both improved treatment access and reduction of discrimination-related health risk factors. [ABSTRACT FROM AUTHOR] 9Explanation / Answer
The study was conducted to identify the association between discrimination and mental health of Haitian migrants in Dominican Republic.
127 migrants of 21 Haitian and 18 Dominic community members were interviewed in the study. BDI score, BAI score and locally developed function impairment scale was measured for the study.
Results of the study -
Perceived discrimination was significantly associated with depression severity and functional impairment.
Qualitative analysis -
Haitian migrants believe humiliation as a reason for mental distress and low health.
Dominicans believe that humiliation as a reason sociocultural, behavioral and biological differences between Dominicans/Haitians.
Qualitative analysis -
Perceived discrimination is associated with increase in 6.6 increase in BDI score. 90% confidence interval of the increase in BDI score is (3.29, 9.9)
Perceived discrimination (led to interrogation and deportation) is associated with increase in 3.4 increase in BAI score. 90% confidence interval of the increase in BDI score is (0.22, 6.64)
The study can be modeled by a multiple regression model to explain the relationship between Perceived discrimination and depression severity/ functional impairment.
DiscriminationScore = a0 + a1 BDIScore + a2 BAIScore + a3 DominicansorHaitians + a4 HealthAccess + a5 FunctionalImpairmentScale
where BDIScore, BAIScore and FunctionalImpairmentScale are continuous variables
DominicansorHaitians is a categorical variable denotes that whether the subject is Dominicans/Haitians
HealthAccess is a categorical variable denotes that whether the subject has access to Health care or not.
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