{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T10:27:26Z","timestamp":1782815246735,"version":"3.54.5"},"reference-count":43,"publisher":"SAGE Publications","issue":"5-6","license":[{"start":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T00:00:00Z","timestamp":1512086400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Transcult Psychiatry"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:p> There are few studies on the role of migration within sub-Saharan Africa and its relation to the development of mental illness. We investigated post-resettlement adaptation and mental health challenges of African refugees\/migrants in Durban, South Africa. We interviewed 335 African help-seeking refugees\/migrants for anxiety, depression (25-item Hopkins Symptom Checklist) and post-traumatic stress symptoms (30-item Harvard Trauma Questionnaire). Socio-demographic and migration history, focusing on post-migration circumstances and experiences of discrimination in the host country, were obtained. Association between migration and post-settlement factors and mental health outcomes were assessed using adjusted logistic regression models. Prevalence of mental distress was high: 49.4% anxiety, 54.6% depression and 24.9% post-traumatic stress symptoms. After adjustment for family separation since migration, recent arrival in South Africa was associated with increased risk for depression (aOR\u2009=\u20094.0, 95% CI:1.3\u201311.8) and post-traumatic stress (aOR\u2009=\u20095.2, 95% CI:1.7\u201315.9), while in unadjusted models, older age on arrival was associated with anxiety (aOR\u2009=\u20095.3, 95% CI:1.4\u201319.8) and depression (aOR\u2009=\u20096.2, 95% CI:1.6\u201324.3). History of family separation since migration was independently associated with depression and post-traumatic stress in all models. Discriminatory experiences since migration was also an independent risk factor for all three mental health outcomes. Finally, being divorced\/widowed was associated with an increased risk for post-traumatic stress, while higher income earners were protected against post-traumatic symptoms, even after adjustment. Refugees\/migrants in South Africa show a significant burden of mental distress that is linked to challenges of adjustment in an often hostile context. Services addressing these and other health-related, social-economic needs should be developed as a priority. <\/jats:p>","DOI":"10.1177\/1363461517745472","type":"journal-article","created":{"date-parts":[[2017,12,11]],"date-time":"2017-12-11T13:23:00Z","timestamp":1512998580000},"page":"715-732","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":43,"title":["Counting the cost of Afrophobia: Post-migration adaptation and mental health challenges of African refugees in South Africa"],"prefix":"10.1177","volume":"54","author":[{"given":"Lindokuhle","family":"Thela","sequence":"first","affiliation":[{"name":"University of KwaZulu-Natal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Tomita","sequence":"additional","affiliation":[{"name":"University of KwaZulu-Natal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Varsha","family":"Maharaj","sequence":"additional","affiliation":[{"name":"University of KwaZulu-Natal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mpho","family":"Mhlongo","sequence":"additional","affiliation":[{"name":"University of KwaZulu-Natal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan K.","family":"Burns","sequence":"additional","affiliation":[{"name":"University of Exeter"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,12,11]]},"reference":[{"issue":"4","key":"bibr1-1363461517745472","first-page":"318","volume":"126","author":"Ahmed A. 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(2014). Refugees, safety and xenophobia in South African cities: The role of local government. Johannesburg, South Africa: Centre for the Study of Violence and Reconciliation. 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