Psychosocial health of asylum seeking women living in state-provided accommodation in Germany during pregnancy and early motherhood

• Verfasst von: Gewalt, Sandra Claudia [VerfasserIn]
• Verfasst von: Berger, Sarah [VerfasserIn]
• Verfasst von: Ziegler, Sandra [VerfasserIn]
• Verfasst von: Szecsenyi, Joachim [VerfasserIn]
• Verfasst von: Bozorgmehr, Kayvan [VerfasserIn]
• Titel: Psychosocial health of asylum seeking women living in state-provided accommodation in Germany during pregnancy and early motherhood
• Titelzusatz: a case study exploring the role of social determinants of health
• Verf.angabe: Sandra Claudia Gewalt, Sarah Berger, Sandra Ziegler, Joachim Szecsenyi, Kayvan Bozorgmehr
• E-Jahr: 2018
• Jahr: December 28, 2018
• Umfang: 22 S.
• Fussnoten: Gesehen am 01.04.2019
• Titel Quelle: Enthalten in: PLOS ONE
• Ort Quelle: San Francisco, California, US : PLOS, 2006
• Jahr Quelle: 2018
• Band/Heft Quelle: 13(2018,12) Artikelnummer e0208007, 22 Seiten
• ISSN Quelle: 1932-6203
• DOI: doi:10.1371/journal.pone.0208007
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Behavioral and social aspects of health
• Sach-SW: Germany
• Sach-SW: Health care policy
• Sach-SW: Mental health and psychiatry
• Sach-SW: Mothers
• Sach-SW: Pregnancy
• Sach-SW: Psychological and psychosocial issues
• Sach-SW: Psychological stress
• K10plus-PPN: 1662598998

Abstract

Background: Pregnant women and new mothers seeking asylum are subject to major challenges that may affect their health and increase their vulnerability. The study aim was to investigate asylum seeking women’s experiences and perceived needs during pregnancy and early motherhood whilst living in state-provided accommodation in one federal state in Southern Germany, with a particular focus on psychosocial factors. Methods: In this exploratory case study, individual semi-structured interviews were conducted with participants in pregnancy and up to the six-week postnatal assessment. Two female interviewers performed interviews assisted by female professional interpreters. Interviews were recorded digitally and transcribed verbatim. An inductive approach was taken to content analysis of interview material. Results: 21 interviews were performed with nine women seeking asylum in pregnancy and early motherhood. Women shared experiences and perceived consequences on their psychosocial health. The following five key themes were identified during content analysis: a) psychosocial stressors, b) stressful living circumstances, c) stressful relationships, d) social support and e) coping styles. Psychosocial factors were a significant source of mental stress for participants, especially due to future uncertainties linked with the asylum seeking process. Living circumstances were also marked by stressors including a lack of privacy, verbal and physical threats and experiences of powerlessness. Further strain and emotional pressure were caused by stressful relationships with the unborn child’s father. Social support and personal coping styles provided relief for some participants. Conclusions: This study provides in-depth insights into the experiences and perceived needs of pregnant asylum seekers and new mothers living in state-provided accommodation. Key results identified psychosocial factors such as future uncertainties, stressful living circumstances and stressful relationships, as social determinants of health that were perceived to adversely affect women’s health. Adequate social support and individual coping styles increased resilience and counterbalanced psychosocial stressors during the asylum seeking process.