Skip to main content
Top
Published in: BMC Psychiatry 1/2017

Open Access 01-12-2017 | Research article

Prevalence and associated factors of common mental disorders among Ethiopian migrant returnees from the Middle East and South Africa

Authors: Kassahun Habtamu, Abebaw Minaye, Waganesh A. Zeleke

Published in: BMC Psychiatry | Issue 1/2017

Login to get access

Abstract

Background

Ethiopian migrants to the Middle East and South Africa experience a range of problems at various stages of their migration including overwork, sleep deprivation, denial of food, emotional abuse, difficulty adapting to the host culture, salary denial, sexual abuse, labor exploitation, confiscation of their travel documents, confinement, denial of medication, lack of access to legal service and degrading attitude by employers, traffickers and smugglers. These experiences can be associated with different types of mental disorders. This study sought to determine the prevalence of common mental disorders (CMD) and socio-demographic and other migration related associated factors among Ethiopian migrant returnees from the Middle East and South Africa.

Method

A cross-sectional study was conducted using non-probability (i.e. purposive, availability and snowball) sampling techniques. Migrant returnees (n = 1036) were contacted individually at their homes in eight high prevalent immigrant returnee locations in Ethiopia. Common mental disorders were assessed using the self-reporting questionnaire (SRQ-20) and a structured questionnaire was employed to collect data on socio-demographic and migration related characteristics. Data were analyzed using descriptive statistics, univariate logistic regression, and multivariable logistic regression.

Results

The prevalence of CMD among migrant returnees was found to be 27.6%. Highly prevalent specific CMD symptoms included headaches, poor appetite, being tired, sleeping problems, and feeling unhappy or nervous. Being originally from Amhara and Oromia regions, being Christian, being divorced, not receiving salary on time, not being able to contact family, unable to prepare for domestic labor abroad, lack of cross- cultural awareness, and lack of knowledge and skills for work were all important risk factors for CMD. Migrants experienced adversities at different stages of their migration which are associated with psychological distress and even to long term mental illnesses.

Conclusions

CMD symptoms were found to be prevalent among Ethiopian migrant returnees. As pre-migration factors are associated with CMD symptoms, pre-departure training could be useful to mitigate the risk factors. Creating and routinely arranging mental health interventions and rehabilitation services are advisable for returnees who are screened for, or diagnosed with, mental health problems.
Appendix
Available only for authorised users
Literature
2.
go back to reference Assefa B, editor. International migration and development in Eastern and Southern Africa. Addis Ababa: Organization for Social Science Research in eastern and Southern Africa; 2014. Assefa B, editor. International migration and development in Eastern and Southern Africa. Addis Ababa: Organization for Social Science Research in eastern and Southern Africa; 2014.
3.
go back to reference Abebaw A. Experiences of trafficking returnee domestic workers from the Gulf States: Implications for policy and intervention. PhD Dissertation: Addis Ababa Addis Ababa University; 2013. Abebaw A. Experiences of trafficking returnee domestic workers from the Gulf States: Implications for policy and intervention. PhD Dissertation: Addis Ababa Addis Ababa University; 2013.
4.
go back to reference Butler M, Warfa N, Khatib Y, Bhui K. Migration and common mental disorder: An improvement in mental health over time? International Review of Psychiatry. 2015;27(1):51–63.CrossRefPubMed Butler M, Warfa N, Khatib Y, Bhui K. Migration and common mental disorder: An improvement in mental health over time? International Review of Psychiatry. 2015;27(1):51–63.CrossRefPubMed
5.
go back to reference US Department of State. Trafficking in persons report. Washington, D.C: US Department of State; 2015. US Department of State. Trafficking in persons report. Washington, D.C: US Department of State; 2015.
6.
go back to reference Assefa B. Globalization, imitation behavior, and refugee from Eritrea. Africa Today. 2013;60(2):3–18.CrossRef Assefa B. Globalization, imitation behavior, and refugee from Eritrea. Africa Today. 2013;60(2):3–18.CrossRef
7.
go back to reference Asaminew E, Ahmed G, Abera K, Makonnen T. International migration, remittance and poverty alleviation in Ethiopia. J Dev Stud. 2011;33(2):125–70. Asaminew E, Ahmed G, Abera K, Makonnen T. International migration, remittance and poverty alleviation in Ethiopia. J Dev Stud. 2011;33(2):125–70.
9.
go back to reference Stillman S, McKenzie D, Gibson J. Migration and mental health: Evidence from a natural experiment. J Health Econ. 2009;28:677–87.CrossRefPubMed Stillman S, McKenzie D, Gibson J. Migration and mental health: Evidence from a natural experiment. J Health Econ. 2009;28:677–87.CrossRefPubMed
10.
go back to reference Kirmayer LJ, Narasiah L, Munoz M, Rashid M, Ryder AG, Guzder J, Hassan G, Rousseau C, Pottie K. Common mental health problems in immigrants and refugees: general approach in primary care. CMAJ. 2011;183(12):E959–67.CrossRefPubMedPubMedCentral Kirmayer LJ, Narasiah L, Munoz M, Rashid M, Ryder AG, Guzder J, Hassan G, Rousseau C, Pottie K. Common mental health problems in immigrants and refugees: general approach in primary care. CMAJ. 2011;183(12):E959–67.CrossRefPubMedPubMedCentral
11.
go back to reference Bhugra D, Jones P. Migration and mental illness. Adv Psychiatr Treat. 2001;7:216–23.CrossRef Bhugra D, Jones P. Migration and mental illness. Adv Psychiatr Treat. 2001;7:216–23.CrossRef
12.
go back to reference Bhui K, Craig T, Mohamud S, Warfa N, Stansfeld SA, Thornicroft G, Curtis S, McCrone P. Mental disorders among Somali refugees: Developing culturally appropriate measures and assessing socio-cultural risk factors. Soc Psychiatry Psychiatr Epidemiol. 2006;41:400–8.CrossRefPubMed Bhui K, Craig T, Mohamud S, Warfa N, Stansfeld SA, Thornicroft G, Curtis S, McCrone P. Mental disorders among Somali refugees: Developing culturally appropriate measures and assessing socio-cultural risk factors. Soc Psychiatry Psychiatr Epidemiol. 2006;41:400–8.CrossRefPubMed
13.
go back to reference Warfaa N, Bhuia K, Craig T, Curtis S, Mohamuda S, Stansfeld S, McCronePaul G, Thornicroft G. Post-migration geographical mobility, mental health and health service utilisation among Somali refugees in the UK: A qualitative study. Health & Place. 2006;12:503–15.CrossRef Warfaa N, Bhuia K, Craig T, Curtis S, Mohamuda S, Stansfeld S, McCronePaul G, Thornicroft G. Post-migration geographical mobility, mental health and health service utilisation among Somali refugees in the UK: A qualitative study. Health & Place. 2006;12:503–15.CrossRef
14.
go back to reference Fenta H, Hyman I, Noh S. Mental Health Service Utilization by Ethiopian Immigrants and Refugees in Toronto. J Nerv Ment Dis. 2006;194(12):925–34.CrossRefPubMed Fenta H, Hyman I, Noh S. Mental Health Service Utilization by Ethiopian Immigrants and Refugees in Toronto. J Nerv Ment Dis. 2006;194(12):925–34.CrossRefPubMed
15.
go back to reference Cantor-Graae E, Selten JP. Schizophrenia and migration: a meta-analysis and review. Am J Psychiatr. 2005;162(1):12–24.CrossRefPubMed Cantor-Graae E, Selten JP. Schizophrenia and migration: a meta-analysis and review. Am J Psychiatr. 2005;162(1):12–24.CrossRefPubMed
16.
go back to reference El-Hilu SM, Mousa R, Abdulmalek H, Kamel N, Zohdi M, Al-Aamriti M. Psychiatric morbidity among foreign housemaids in Kuwait. Int J Soc Psychiatry. 1990;36(4):291–9.CrossRefPubMed El-Hilu SM, Mousa R, Abdulmalek H, Kamel N, Zohdi M, Al-Aamriti M. Psychiatric morbidity among foreign housemaids in Kuwait. Int J Soc Psychiatry. 1990;36(4):291–9.CrossRefPubMed
17.
go back to reference Zahida MA, Fidoa AA, Razik MA, Mohsen MA, El-Sayedb AA. Psychiatric Morbidity among Housemaids in Kuwait. a. Prevalence of Psychiatric Disorders in the Hospitalized Group of Housemaids. Med Princ Pract. 2004;13:249–54.CrossRef Zahida MA, Fidoa AA, Razik MA, Mohsen MA, El-Sayedb AA. Psychiatric Morbidity among Housemaids in Kuwait. a. Prevalence of Psychiatric Disorders in the Hospitalized Group of Housemaids. Med Princ Pract. 2004;13:249–54.CrossRef
18.
go back to reference Nicholson BL. The influence of pre-emigration and postemigration stressors on mental health: A study of Southeast Asian refugees. Soc Work Res. 1997;21(1):19–31.CrossRef Nicholson BL. The influence of pre-emigration and postemigration stressors on mental health: A study of Southeast Asian refugees. Soc Work Res. 1997;21(1):19–31.CrossRef
19.
go back to reference Berry JW, Poortinga YH, Segall MH, Dasen PR. Cross-cultural psychology: Research and applications. New York: Cambridge University Press; 1990. Berry JW, Poortinga YH, Segall MH, Dasen PR. Cross-cultural psychology: Research and applications. New York: Cambridge University Press; 1990.
20.
go back to reference Karachiwalla FI. Mental Health Considerations in Refugee Populations. UBCMJ. 2011;2(2) Karachiwalla FI. Mental Health Considerations in Refugee Populations. UBCMJ. 2011;2(2)
21.
go back to reference Chang-Muy F, Congress EP, editors. Social work with immigrants and refugees: Legal issues, clinical skills, and advocacy. New York: Springer Publishing Company; 2009. Chang-Muy F, Congress EP, editors. Social work with immigrants and refugees: Legal issues, clinical skills, and advocacy. New York: Springer Publishing Company; 2009.
22.
go back to reference Anbesse B, Hanlon C, Alem A, Packer S, Whitley R. Migration and mental health: a study of low-income Ethiopian women working in middle eastern countries. Int J Soc Psychiatry. 2009;55(6):557–68.CrossRefPubMed Anbesse B, Hanlon C, Alem A, Packer S, Whitley R. Migration and mental health: a study of low-income Ethiopian women working in middle eastern countries. Int J Soc Psychiatry. 2009;55(6):557–68.CrossRefPubMed
23.
go back to reference Getnet B, Fekadu A, Getnet A, Wondie Y. Trauma and Depression in Ethiopian Women Returning From Middle Eastern Countries. Am J Psychiatr. 2016;173(4):330–1.CrossRefPubMed Getnet B, Fekadu A, Getnet A, Wondie Y. Trauma and Depression in Ethiopian Women Returning From Middle Eastern Countries. Am J Psychiatr. 2016;173(4):330–1.CrossRefPubMed
24.
go back to reference Papadopoulos I, Lees S, Lay M, Gebrehiwot A. Ethiopian refugees in the UK: migration, adaptation and settlement experiences and their relevance to health. Ethnicity & Health. 2004;9(1):55–73.CrossRef Papadopoulos I, Lees S, Lay M, Gebrehiwot A. Ethiopian refugees in the UK: migration, adaptation and settlement experiences and their relevance to health. Ethnicity & Health. 2004;9(1):55–73.CrossRef
25.
go back to reference Meskerem M. Psychosocial and Economic Experiences of Gulf States Returnee Ethiopian Women Domestic Workers. MA Thesis: Addis Ababa Addis Ababa University; 2011. Meskerem M. Psychosocial and Economic Experiences of Gulf States Returnee Ethiopian Women Domestic Workers. MA Thesis: Addis Ababa Addis Ababa University; 2011.
26.
go back to reference Bhugra D. Migration and depression. Acta Psychiatr Scand. 2003;108(Suppl. 418):67–72.CrossRef Bhugra D. Migration and depression. Acta Psychiatr Scand. 2003;108(Suppl. 418):67–72.CrossRef
27.
go back to reference Zahid MA, Fido AA, Alowaish R, Mohsen MA, Razik MA. Psychiatric morbidity among housemaids in Kuwait: The precipitating factors. Annals Of Saudi Medicine. 2002;22(5–6):384–787.PubMed Zahid MA, Fido AA, Alowaish R, Mohsen MA, Razik MA. Psychiatric morbidity among housemaids in Kuwait: The precipitating factors. Annals Of Saudi Medicine. 2002;22(5–6):384–787.PubMed
28.
go back to reference Laban CJ, Gernaat HB, Komproe IH, Tweel I, Jong JT. Postmigration Living Problems and Common Psychiatric Disorders in Iraqi Asylum Seekers in the Netherlands. J Nerv Ment Dis. 2005;193(12):825–32.CrossRefPubMed Laban CJ, Gernaat HB, Komproe IH, Tweel I, Jong JT. Postmigration Living Problems and Common Psychiatric Disorders in Iraqi Asylum Seekers in the Netherlands. J Nerv Ment Dis. 2005;193(12):825–32.CrossRefPubMed
29.
go back to reference Wurff FB, Beekmana AT, Dijkshoornb H, Spijkerb JA, Smits CH, Steka ML, Verhoeff A. Prevalence and risk-factors for depression in elderly Turkish and Moroccan migrants in the Netherlands. J Affect Disord. 2004;83:33–41.CrossRefPubMed Wurff FB, Beekmana AT, Dijkshoornb H, Spijkerb JA, Smits CH, Steka ML, Verhoeff A. Prevalence and risk-factors for depression in elderly Turkish and Moroccan migrants in the Netherlands. J Affect Disord. 2004;83:33–41.CrossRefPubMed
30.
go back to reference Waganesh Z, Abebaw M, Gibbs YK. Mental health and somatic distress among Ethiopian migrant returnees from the Middle East. International Journal of Mental health and Psychiatry. 2015;1(2):1–6. Waganesh Z, Abebaw M, Gibbs YK. Mental health and somatic distress among Ethiopian migrant returnees from the Middle East. International Journal of Mental health and Psychiatry. 2015;1(2):1–6.
31.
go back to reference Beusenberg M, Orley J: Auser’s guide to the Self-Reporting Questionnaire (SRQ).. Geneva World Health Organisation; 1994. Beusenberg M, Orley J: Auser’s guide to the Self-Reporting Questionnaire (SRQ).. Geneva World Health Organisation; 1994.
32.
go back to reference Hanlon C, Medhin G, Selamu M, Breuer E, Worku B, Hailemariam M, Lund C, Prince M, Fekadu A. Validity of brief screening questionnaires to detect depression in primary care in Ethiopia. J Affect Disord. 2015;186:32–9.CrossRefPubMed Hanlon C, Medhin G, Selamu M, Breuer E, Worku B, Hailemariam M, Lund C, Prince M, Fekadu A. Validity of brief screening questionnaires to detect depression in primary care in Ethiopia. J Affect Disord. 2015;186:32–9.CrossRefPubMed
33.
go back to reference Hanlon C, Medhin G, Alem A, Araya M, Abdulahi A, Hughes M, Tesfaye M, Wondimagegn D, Patel V, Prince M. Detecting perinatal common mental disorders in Ethiopia: validation of the self-reporting questionnaire and Edinburgh Postnatal Depression Scale. J Affect Disord. 2008;108:251–62.CrossRefPubMed Hanlon C, Medhin G, Alem A, Araya M, Abdulahi A, Hughes M, Tesfaye M, Wondimagegn D, Patel V, Prince M. Detecting perinatal common mental disorders in Ethiopia: validation of the self-reporting questionnaire and Edinburgh Postnatal Depression Scale. J Affect Disord. 2008;108:251–62.CrossRefPubMed
34.
go back to reference Mumford DB. Somatization: A Transcultural Perspective. Int Rev Psychiatry. 1993;5(2–3):231–42.CrossRef Mumford DB. Somatization: A Transcultural Perspective. Int Rev Psychiatry. 1993;5(2–3):231–42.CrossRef
35.
go back to reference Fekadu A, Medhin G, Selamu M, Shiferaw T, Hailemariam M, Rathod SD, Jordans M, Teferra S, Lund C, Breuer E, et al. Non-fatal suicidal behaviour in rural Ethiopia: a cross-sectional facility- and population-based study. BMC Psychiatry. 2016;16(75) Fekadu A, Medhin G, Selamu M, Shiferaw T, Hailemariam M, Rathod SD, Jordans M, Teferra S, Lund C, Breuer E, et al. Non-fatal suicidal behaviour in rural Ethiopia: a cross-sectional facility- and population-based study. BMC Psychiatry. 2016;16(75)
36.
go back to reference Alderete E, Vega WA, Kolody B, Aguilar-Gaxiola S. Lifetime Prevalence of and Risk Factors for Psychiatric Disorders Among Mexican Migrant Farmworkers in California. Am J Public Health. 2000;90(4):608–14.CrossRefPubMedPubMedCentral Alderete E, Vega WA, Kolody B, Aguilar-Gaxiola S. Lifetime Prevalence of and Risk Factors for Psychiatric Disorders Among Mexican Migrant Farmworkers in California. Am J Public Health. 2000;90(4):608–14.CrossRefPubMedPubMedCentral
37.
go back to reference Ornelas IJ, Perreira KM. The role of migration in the development of depressive symptoms among Latino immigrant parents in the USA. Soc Sci Med. 2011;73:1169–77.CrossRefPubMedPubMedCentral Ornelas IJ, Perreira KM. The role of migration in the development of depressive symptoms among Latino immigrant parents in the USA. Soc Sci Med. 2011;73:1169–77.CrossRefPubMedPubMedCentral
38.
go back to reference Lindert J, Ehrenstein OS, Priebe S, Mielck A, Brahler E. Depression and anxiety in labor migrants and refugees – A systematic review and meta-analysis. Soc Sci Med. 2009;69:246–57.CrossRefPubMed Lindert J, Ehrenstein OS, Priebe S, Mielck A, Brahler E. Depression and anxiety in labor migrants and refugees – A systematic review and meta-analysis. Soc Sci Med. 2009;69:246–57.CrossRefPubMed
40.
go back to reference Haasen C, Demiralay C, Reimer J. Acculturation and mental distress among Russian and Iranian migrants in Germany. European Psychiatry. 2008;23:S10–3.CrossRef Haasen C, Demiralay C, Reimer J. Acculturation and mental distress among Russian and Iranian migrants in Germany. European Psychiatry. 2008;23:S10–3.CrossRef
41.
go back to reference Kortmann F, ten Horn S. Comprehension and motivation in responses to a psychiatric screening instrument. Validity of the SRQ in Ethiopia. Br J Psychiatry. 1988;153:95–101.CrossRefPubMed Kortmann F, ten Horn S. Comprehension and motivation in responses to a psychiatric screening instrument. Validity of the SRQ in Ethiopia. Br J Psychiatry. 1988;153:95–101.CrossRefPubMed
42.
go back to reference Mulatu MS. Prevalence and risk factors of psychopathology in Ethiopian children. J Am Acad Child Adolesc Psychiatry. 1995;34(1):1100–9.CrossRef Mulatu MS. Prevalence and risk factors of psychopathology in Ethiopian children. J Am Acad Child Adolesc Psychiatry. 1995;34(1):1100–9.CrossRef
43.
go back to reference Tafari S, Aboud FE, Larson CP. Determinants of mental illness in a rural Ethiopian adult population. Soc Sci Med. 1991;32(2):197–201.CrossRefPubMed Tafari S, Aboud FE, Larson CP. Determinants of mental illness in a rural Ethiopian adult population. Soc Sci Med. 1991;32(2):197–201.CrossRefPubMed
44.
go back to reference Kebede D, Alem A, Rashid E. The prevalence and socio-demographic correlates of mental distress in Addis Ababa, Ethiopia. Acta Psychiatr Scand. 1999;99(397):5–10.CrossRef Kebede D, Alem A, Rashid E. The prevalence and socio-demographic correlates of mental distress in Addis Ababa, Ethiopia. Acta Psychiatr Scand. 1999;99(397):5–10.CrossRef
45.
go back to reference Alem A, Kebede D, Woldesemiat G, Jacobsson L, Kullgren G. The prevalence and socio-demographic correlates of mental distress in Butajira, Ethiopia. Acta Psychiatr Scand. 1999;99(397):48–55.CrossRef Alem A, Kebede D, Woldesemiat G, Jacobsson L, Kullgren G. The prevalence and socio-demographic correlates of mental distress in Butajira, Ethiopia. Acta Psychiatr Scand. 1999;99(397):48–55.CrossRef
46.
go back to reference Tadesse B, Kebede D, Tegegne T, Alem A. Childhood behavioural disorders in Ambo district, western Ethiopia. I Prevalence estimates. Acta Psychiatr Scand. 1999;397:92–7.CrossRef Tadesse B, Kebede D, Tegegne T, Alem A. Childhood behavioural disorders in Ambo district, western Ethiopia. I Prevalence estimates. Acta Psychiatr Scand. 1999;397:92–7.CrossRef
47.
go back to reference Hanlon C, Medhin G, Alem A, Tesfaye F, Lakew Z, Worku B, Dewey M, Araya M, Abdulahi A, Hughes M, et al. Impact of antenatal common mental disorders upon perinatal outcomes in Ethiopia: the P-MaMiE population-based cohort study. Tropical Med Int Health. 2009;14(2):156–66.CrossRef Hanlon C, Medhin G, Alem A, Tesfaye F, Lakew Z, Worku B, Dewey M, Araya M, Abdulahi A, Hughes M, et al. Impact of antenatal common mental disorders upon perinatal outcomes in Ethiopia: the P-MaMiE population-based cohort study. Tropical Med Int Health. 2009;14(2):156–66.CrossRef
48.
go back to reference Hanlon C, Medhin G, Alem A, Araya M, Abdulahi A, Tomlinson M, Hughes M, Patel V, Dewey M, Prince M. Sociocultural practices in Ethiopia: association with onset and persistence of postnatal common mental disorders. Br J Psychiatry. 2010;197(6):468–75.CrossRefPubMedPubMedCentral Hanlon C, Medhin G, Alem A, Araya M, Abdulahi A, Tomlinson M, Hughes M, Patel V, Dewey M, Prince M. Sociocultural practices in Ethiopia: association with onset and persistence of postnatal common mental disorders. Br J Psychiatry. 2010;197(6):468–75.CrossRefPubMedPubMedCentral
Metadata
Title
Prevalence and associated factors of common mental disorders among Ethiopian migrant returnees from the Middle East and South Africa
Authors
Kassahun Habtamu
Abebaw Minaye
Waganesh A. Zeleke
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2017
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-017-1310-6

Other articles of this Issue 1/2017

BMC Psychiatry 1/2017 Go to the issue