Accumulated environmental risk in young refugees - A prospective evaluation

EClinicalMedicine
Martin BegemannHannelore Ehrenreich

Abstract

Recently, we reported a strong, disease-independent relationship between accumulated preadult environmental risks and violent aggression later in life. Risk factors were interchangeable, and migration was among the explored risks. Alarmed by these data, we assessed collected risk load in young 'healthy' refugees as a specific subgroup of current migration streams and evaluated first signals of behavioral abnormalities. In 9 German refugee centers, n = 133 young refugees, not previously in contact with the health system, were recruited, many of them unaccompanied minors. Risk factors experienced apart from migration/refuge were carefully assessed: Traumatic experiences before/during/after flight (including war, genocide, human trafficking, torture, murder, slavery, terrorist attacks), urbanicity, physical and sexual abuse, problematic alcohol and cannabis use (lifetime). Evaluation comprised physical exam and psychopathology screening. Refugees arrived in Germany via Eastern Mediterranean/Balkan route (34.6%), from Africa via Central Mediterranean route (39.1%), by plane (17.3%) or other routes, such as Western Mediterranean or Atlantic (9.0%). Flight reasons were war/expulsion (25.6%), persecution/threats to life (51.9%), econo...Continue Reading

Citations

Oct 10, 2020·Global Health Action·Ralf Weigel, Carsten Krüger
Nov 1, 2020·International Journal of Environmental Research and Public Health·David A HuberJohannes Kirchebner
Apr 8, 2021·Molecular Psychiatry·Agnes A Steixner-KumarHannelore Ehrenreich

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