Social Determinants of Health and Well-Being Among Older People from Refugee Backgrounds in Australia: A Longitudinal Study
摘要
Research on older refugees is scarce, particularly using longitudinal data. Using the Building a New Life in Australia (BNLA) dataset (2013–2018), this study analysed the social determinants of health and well-being among 399 recently resettled refugees who arrived in Australia at age 50 or over. At first assessment, about two-thirds of participants reported poor overall health and lower satisfaction with life, and almost half were likely to have PTSD. Over their first 5 years in Australia, the significant social determinants of health and well-being for this cohort of older refugees included region of birth, religious affiliation, long-term health conditions, socioeconomic disadvantage, sense of belonging, self-efficacy and self-sufficiency. The study highlights the need to address marginalisation and social disadvantage and ensure appropriate access to culturally responsive health/mental health care, aged care and social services that can support older refugees as they settle and age in Australia.