Experiences of armed conflicts and forced migration among women from countries in the Middle East, Balkans, and Africa: a systematic review of qualitative studies

Carlsson, T (通讯作者),Swedish Red Cross Univ, Dept Hlth Sci, Huddinge, Sweden.;Carlsson, T (通讯作者),Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden.
2022-9-7
Background A significant proportion of the global population is displaced, many being women. Qualitative studies can generate in-depth findings that will contribute to an understanding of their experiences, but there is a need for further synthetization efforts. The aim was to provide a comprehensive perspective about adult women's experiences of armed conflicts and forced migration, focusing on women in or from countries in the Middle East, Balkans, or Africa. Methods Systematic review of English reports presenting empirical qualitative studies published in scientific journals 1980 or later, utilizing searches performed in September 2021 within three databases combined with manual screening. Of the 3 800 records screened in total, 26 were included. Methodological details and quality were appraised using pre-specified extraction and appraisal tools. The findings within the included reports were analyzed with thematic analysis. Results Most reports utilized interviews, including in total 494 participants, and were appraised as having insignificant methodological limitations. The first theme concerns changed living conditions, involving reduced safety, insufficient access to resources meeting basic needs, forced migration as a last resort, and some positive effects. The second theme concerns the experienced health-related consequences, involving psychological distress, risks during pregnancy and childbirth, exposure to violence and discrimination as a woman, as well as a lack of adequate healthcare services and social support. The third theme concerns the resources and strategies that enhance resilience, involving social support and family life, as well as utilization of internal resources and strategies. Conclusion When experiencing armed conflicts and forced migration, women face significant challenges related to changed living conditions and are exposed to health-related consequences. Consistently, women are targets of severe structural and personal violence, while lacking access to even the most basic healthcare services. Despite facing considerable hardships, these women display extraordinary resilience and endurance by finding strength through social support and internal resources. Synthesized qualitative research illustrates that women value social support, including peer support, which is a promising intervention that needs to be evaluated in future experimental studies.
CONFLICT AND HEALTH
卷号:16|期号:1
ISSN:1752-1505|收录类别:SCIE
语种
英语
来源机构
Sophiahemmet University; Karolinska Institutet; Uppsala University
资助信息
Open access funding provided by Uppsala University. This study was funded by the Swedish Red Cross, Region Skane, and Skane Association of Local Authorities (Swedish:Kommunforbundet). The funders had no role in the study design, in the collection, analysis and interpretation of data, the writing of articles, or the decision to submit for publication.
被引频次(WOS)
1
被引频次(其他)
1
180天使用计数
5
2013以来使用计数
5
出版年
2022-9-7
DOI
10.1186/s13031-022-00481-x
WOS学科分类
Public, Environmental & Occupational Health
学科领域
循证公共卫生
关键词
Armed conflicts Internal displacement Life change events Qualitative research Refugees Systematic review Women
资助机构
Uppsala University Swedish Red Cross, Region Skane Skane Association of Local Authorities (Swedish:Kommunforbundet)