Skip to main content
Top
Published in: BMC Public Health 1/2021

Open Access 01-12-2021 | Research article

The potential role of network-oriented interventions for survivors of sexual and gender-based violence among asylum seekers in Belgium

Authors: Emilomo Ogbe, Alaa Jbour, Ladan Rahbari, Maya Unnithan, Olivier Degomme

Published in: BMC Public Health | Issue 1/2021

Login to get access

Abstract

Background

Social support and social network members have been identified as an important factor in mitigating the effects of sexual and gender-based violence (SGBV) and improving the coping process for many survivors. Network oriented strategies have been advocated for among domestic violence survivors, as they help build on improving social support and addressing factors that alleviate repeat victimization. There are opportunities to implement such strategies among asylum seekers who are survivors of SGBV in asylum centres, however, this has not been fully explored. This study sought to identify key strategies and opportunities for developing peer-led and network-oriented strategies for mitigating the effects of SGBV among asylum seekers at these centres.

Methods

Twenty-seven interviews, were conducted with service providers (n = 14) / asylum seekers (n = 13) at three asylum centres in Belgium. A theoretical model developed by the research team from a literature review and discussions with experts and stakeholders, was used as a theoretical framework to analyse the data. An abduction approach with qualitative content analysis was used by the two researchers to analyse the data. Data triangulation was done with findings from observations at these centres over a period of a year.

Results

Many of the asylum seekers presented with PTSD or psychosomatic symptoms, because of different forms of SGBV, including intimate partner violence, or other trauma experienced during migration. Peer and family support were very influential in mitigating the effects and social costs of violence among the asylum seekers by providing emotional and material support. Social assistants were viewed as an information resource that was essential for most of the asylum seekers. Peer-peer support was identified as a potential tool for mitigating the effects of SGBV.

Conclusion

Interventions involving asylum seekers and members of their network (especially peers), have the potential for improving physical and mental health outcomes of asylum seekers who are SGBV survivors.
Appendix
Available only for authorised users
Literature
1.
go back to reference Levendosky AA, Bogat GA, Theran SA, Trotter JS, Eye AV, Davidson WS. The social networks of women experiencing domestic violence. Am J Community Psychol. 2004;34(1–2):95–109.PubMedCrossRef Levendosky AA, Bogat GA, Theran SA, Trotter JS, Eye AV, Davidson WS. The social networks of women experiencing domestic violence. Am J Community Psychol. 2004;34(1–2):95–109.PubMedCrossRef
2.
go back to reference Sullivan CM, Bybee DI. Reducing violence using community-based advocacy for women with abusive partners. J Consult Clin Psychol. 1999;67(1):43.PubMedCrossRef Sullivan CM, Bybee DI. Reducing violence using community-based advocacy for women with abusive partners. J Consult Clin Psychol. 1999;67(1):43.PubMedCrossRef
3.
go back to reference Uchino BN, Trettevik R, Kent de Grey RG, Cronan S, Hogan J, Baucom BR. Social support, social integration, and inflammatory cytokines: A meta-analysis. Health Psychol. 2018;37(5):462.PubMedCrossRef Uchino BN, Trettevik R, Kent de Grey RG, Cronan S, Hogan J, Baucom BR. Social support, social integration, and inflammatory cytokines: A meta-analysis. Health Psychol. 2018;37(5):462.PubMedCrossRef
5.
go back to reference Freedman J. Sexual and gender-based violence against refugee women: a hidden aspect of the refugee “crisis”. Reprod Health Matters. 2016;24(47):18–26.PubMedCrossRef Freedman J. Sexual and gender-based violence against refugee women: a hidden aspect of the refugee “crisis”. Reprod Health Matters. 2016;24(47):18–26.PubMedCrossRef
6.
go back to reference Keygnaert I, Vettenburg N, Temmerman M. Hidden violence is silent rape: sexual and gender-based violence in refugees, asylum seekers and undocumented migrants in Belgium and the Netherlands. Culture Health Se. 2012;14(5):505–20.CrossRef Keygnaert I, Vettenburg N, Temmerman M. Hidden violence is silent rape: sexual and gender-based violence in refugees, asylum seekers and undocumented migrants in Belgium and the Netherlands. Culture Health Se. 2012;14(5):505–20.CrossRef
7.
go back to reference Butchart A, García-Moreno C, Mikton C. Preventing intimate partner and sexual violence against women: taking action and generating evidence: World Health Organization; 2010. Butchart A, García-Moreno C, Mikton C. Preventing intimate partner and sexual violence against women: taking action and generating evidence: World Health Organization; 2010.
8.
go back to reference Garcia-Moreno C, Pallitto C, Devries K, Stockl H, Watts C, Abrahams N. Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence; 2013. Garcia-Moreno C, Pallitto C, Devries K, Stockl H, Watts C, Abrahams N. Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence; 2013.
9.
go back to reference Ellsberg M, Arango DJ, Morton M, Gennari F, Kiplesund S, Contreras M, et al. Prevention of violence against women and girls: what does the evidence say? Lancet. 2015;385(9977):1555–66.PubMedCrossRef Ellsberg M, Arango DJ, Morton M, Gennari F, Kiplesund S, Contreras M, et al. Prevention of violence against women and girls: what does the evidence say? Lancet. 2015;385(9977):1555–66.PubMedCrossRef
11.
go back to reference Schwarzer R, Leppin A. Social support and health: a theoretical and empirical overview. J Soc Pers Relat. 1991;8(1):99–127.CrossRef Schwarzer R, Leppin A. Social support and health: a theoretical and empirical overview. J Soc Pers Relat. 1991;8(1):99–127.CrossRef
12.
go back to reference Katerndahl D, Burge S, Ferrer R, Becho J, Wood R. Differences in social network structure and support among women in violent relationships. J Interpers Violence. 2013;28(9):1948–64.PubMedCrossRef Katerndahl D, Burge S, Ferrer R, Becho J, Wood R. Differences in social network structure and support among women in violent relationships. J Interpers Violence. 2013;28(9):1948–64.PubMedCrossRef
13.
go back to reference Hatcher AM, Romito P, Odero M, Bukusi EA, Onono M, Turan JM. Social context and drivers of intimate partner violence in rural Kenya: implications for the health of pregnant women. Culture Health Sex. 2013;15(4):404–19.CrossRef Hatcher AM, Romito P, Odero M, Bukusi EA, Onono M, Turan JM. Social context and drivers of intimate partner violence in rural Kenya: implications for the health of pregnant women. Culture Health Sex. 2013;15(4):404–19.CrossRef
14.
go back to reference Kaukinen C, Gover AR, Hartman JL. College women’s experiences of dating violence in casual and exclusive relationships. Am J Crim Justice. 2012;37(2):146–62.CrossRef Kaukinen C, Gover AR, Hartman JL. College women’s experiences of dating violence in casual and exclusive relationships. Am J Crim Justice. 2012;37(2):146–62.CrossRef
15.
go back to reference Fugate M, Landis L, Riordan K, Naureckas S, Engel B. Barriers to domestic violence help seeking: implications for intervention. Violence Against Women. 2005;11(3):290–310.PubMedCrossRef Fugate M, Landis L, Riordan K, Naureckas S, Engel B. Barriers to domestic violence help seeking: implications for intervention. Violence Against Women. 2005;11(3):290–310.PubMedCrossRef
16.
go back to reference Smith J, Ho L, Langston A, Mankani N, Shivshanker A, Perera D. Clinical care for sexual assault survivors multimedia training: a mixed-methods study of effect on healthcare providers’ attitudes, knowledge, confidence, and practice in humanitarian settings. Confl Health. 2013;7(1):14.PubMedPubMedCentralCrossRef Smith J, Ho L, Langston A, Mankani N, Shivshanker A, Perera D. Clinical care for sexual assault survivors multimedia training: a mixed-methods study of effect on healthcare providers’ attitudes, knowledge, confidence, and practice in humanitarian settings. Confl Health. 2013;7(1):14.PubMedPubMedCentralCrossRef
17.
go back to reference Goodman LA, Smyth KF. A call for a social network-oriented approach to services for survivors of intimate partner violence. Psychol Violence. 2011;1(2):79.CrossRef Goodman LA, Smyth KF. A call for a social network-oriented approach to services for survivors of intimate partner violence. Psychol Violence. 2011;1(2):79.CrossRef
18.
go back to reference Latkin CA, Sherman S, Knowlton A. HIV prevention among drug users: outcome of a network-oriented peer outreach intervention. Health Psychol. 2003;22(4):332.PubMedCrossRef Latkin CA, Sherman S, Knowlton A. HIV prevention among drug users: outcome of a network-oriented peer outreach intervention. Health Psychol. 2003;22(4):332.PubMedCrossRef
19.
go back to reference Kelly JA, St Lawrence JS, Diaz YE, Stevenson LY, Hauth AC, Brasfield TL, et al. HIV risk behavior reduction following intervention with key opinion leaders of population: an experimental analysis. Am J Public Health. 1991;81(2):168–71.PubMedPubMedCentralCrossRef Kelly JA, St Lawrence JS, Diaz YE, Stevenson LY, Hauth AC, Brasfield TL, et al. HIV risk behavior reduction following intervention with key opinion leaders of population: an experimental analysis. Am J Public Health. 1991;81(2):168–71.PubMedPubMedCentralCrossRef
20.
go back to reference Vissenberg C, Stronks K, Nijpels G, Uitewaal P, Middelkoop B, Kohinor M, et al. Impact of a social network-based intervention promoting diabetes self-management in socioeconomically deprived patients: a qualitative evaluation of the intervention strategies. BMJ Open. 2016;6(4):e010254.PubMedPubMedCentralCrossRef Vissenberg C, Stronks K, Nijpels G, Uitewaal P, Middelkoop B, Kohinor M, et al. Impact of a social network-based intervention promoting diabetes self-management in socioeconomically deprived patients: a qualitative evaluation of the intervention strategies. BMJ Open. 2016;6(4):e010254.PubMedPubMedCentralCrossRef
21.
go back to reference Hogan BE, Linden W, Najarian BJ. Social support interventions: Do they work? Clin Psychol Rev. 2002;22(3):381–440.CrossRef Hogan BE, Linden W, Najarian BJ. Social support interventions: Do they work? Clin Psychol Rev. 2002;22(3):381–440.CrossRef
22.
go back to reference McFarlane J, Wiist W. Preventing abuse to pregnant women: implementation of a'mentor mother’advocacy model. J Community Health Nurs. 1997;14(4):237–49.PubMedCrossRef McFarlane J, Wiist W. Preventing abuse to pregnant women: implementation of a'mentor mother’advocacy model. J Community Health Nurs. 1997;14(4):237–49.PubMedCrossRef
23.
go back to reference Weine S, Kulauzovic Y, Klebic A, Besic S, Mujagic A, Muzurovic J, et al. Evaluating a multiple-family group access intervention for refugees with PTSD. J Marital Fam Ther. 2008;34(2):149–64.PubMedCrossRef Weine S, Kulauzovic Y, Klebic A, Besic S, Mujagic A, Muzurovic J, et al. Evaluating a multiple-family group access intervention for refugees with PTSD. J Marital Fam Ther. 2008;34(2):149–64.PubMedCrossRef
26.
go back to reference Solomon P. Peer support/peer provided services underlying processes, benefits, and critical ingredients. Psychiatr Rehabil J. 2004;27(4):392.PubMedCrossRef Solomon P. Peer support/peer provided services underlying processes, benefits, and critical ingredients. Psychiatr Rehabil J. 2004;27(4):392.PubMedCrossRef
27.
go back to reference Ogbe E, Jbour A, Degomme O. The potential role of network oriented interventions for GBV among refugees in Belgium. Eur J Public Health. 2018;28(suppl_4):446–7.CrossRef Ogbe E, Jbour A, Degomme O. The potential role of network oriented interventions for GBV among refugees in Belgium. Eur J Public Health. 2018;28(suppl_4):446–7.CrossRef
28.
go back to reference Pooley JA, Cohen L. Resilience: a definition in context. Aust Community Psychol. 2010;22(1):30–7. Pooley JA, Cohen L. Resilience: a definition in context. Aust Community Psychol. 2010;22(1):30–7.
29.
go back to reference Ando H, Cousins R, Young C. Achieving saturation in thematic analysis: Development and refinement of a codebook. Comprehen Psychol. 2014;3:03 CP. 3.4. Ando H, Cousins R, Young C. Achieving saturation in thematic analysis: Development and refinement of a codebook. Comprehen Psychol. 2014;3:03 CP. 3.4.
30.
go back to reference Walker JL. The Use of Saturation in Qualitative Research. Can J Cardiovasc Nurs. 2012;22(2):37–46.PubMed Walker JL. The Use of Saturation in Qualitative Research. Can J Cardiovasc Nurs. 2012;22(2):37–46.PubMed
31.
go back to reference Charmaz K, Belgrave LL. Grounded theory. The Blackwell encyclopedia of sociology. 2007. Charmaz K, Belgrave LL. Grounded theory. The Blackwell encyclopedia of sociology. 2007.
32.
go back to reference Richardson R, Kramer EH. Abduction as the type of inference that characterizes the development of a grounded theory. Qual Res. 2006;6(4):497–513.CrossRef Richardson R, Kramer EH. Abduction as the type of inference that characterizes the development of a grounded theory. Qual Res. 2006;6(4):497–513.CrossRef
33.
go back to reference Mayring P. Qualitative content analysis. Companion Qual Res. 2004;1(2004):159–76. Mayring P. Qualitative content analysis. Companion Qual Res. 2004;1(2004):159–76.
34.
go back to reference Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277–88.PubMedCrossRef Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277–88.PubMedCrossRef
35.
go back to reference Triangulation DS. The use of triangulation in qualitative research. Oncol Nurs Forum. 2014;41(5):545–7.CrossRef Triangulation DS. The use of triangulation in qualitative research. Oncol Nurs Forum. 2014;41(5):545–7.CrossRef
36.
go back to reference Lipowski ZJ. What does the word “psychosomatic” really mean?. In Psychosomatic Medicine and Liaison Psychiatry. Boston: Springer; 1984. pp. 119-137. Lipowski ZJ. What does the word “psychosomatic” really mean?. In Psychosomatic Medicine and Liaison Psychiatry. Boston: Springer; 1984. pp. 119-137.
37.
go back to reference Shelton RC, Lee M, Brotzman LE, Crookes DM, Jandorf L, Erwin D, et al. Use of social network analysis in the development, dissemination, implementation, and sustainability of health behavior interventions for adults: a systematic review. Soc Sci Med. 2019;220:81–101.PubMedCrossRef Shelton RC, Lee M, Brotzman LE, Crookes DM, Jandorf L, Erwin D, et al. Use of social network analysis in the development, dissemination, implementation, and sustainability of health behavior interventions for adults: a systematic review. Soc Sci Med. 2019;220:81–101.PubMedCrossRef
38.
go back to reference Tappis H, Freeman J, Glass N, Doocy S. Effectiveness of interventions, programs and strategies for gender-based violence prevention in refugee populations: an integrative review. PLoS currents. 2016;8:1–19. Tappis H, Freeman J, Glass N, Doocy S. Effectiveness of interventions, programs and strategies for gender-based violence prevention in refugee populations: an integrative review. PLoS currents. 2016;8:1–19.
39.
go back to reference Lloyd A. Building information resilience: how do resettling refugees connect with health information in regional landscapes–implications for health literacy. Aust Acad Res Libr. 2014;45(1):48–66.CrossRef Lloyd A. Building information resilience: how do resettling refugees connect with health information in regional landscapes–implications for health literacy. Aust Acad Res Libr. 2014;45(1):48–66.CrossRef
40.
go back to reference Laban CJ, Gernaat HB, Komproe IH, Schreuders BA, De Jong JT. Impact of a long asylum procedure on the prevalence of psychiatric disorders in Iraqi asylum seekers in the Netherlands. J Nerv Ment Dis. 2004;192(12):843–51.PubMedCrossRef Laban CJ, Gernaat HB, Komproe IH, Schreuders BA, De Jong JT. Impact of a long asylum procedure on the prevalence of psychiatric disorders in Iraqi asylum seekers in the Netherlands. J Nerv Ment Dis. 2004;192(12):843–51.PubMedCrossRef
41.
go back to reference Asgary R, Segar N. Barriers to health care access among refugee asylum seekers. J Health Care Poor Underserved. 2011;22(2):506–22.PubMedCrossRef Asgary R, Segar N. Barriers to health care access among refugee asylum seekers. J Health Care Poor Underserved. 2011;22(2):506–22.PubMedCrossRef
42.
go back to reference Robertshaw L, Dhesi S, Jones LL. Challenges and facilitators for health professionals providing primary healthcare for refugees and asylum seekers in high-income countries: a systematic review and thematic synthesis of qualitative research. BMJ Open. 2017;7(8):e015981.PubMedPubMedCentralCrossRef Robertshaw L, Dhesi S, Jones LL. Challenges and facilitators for health professionals providing primary healthcare for refugees and asylum seekers in high-income countries: a systematic review and thematic synthesis of qualitative research. BMJ Open. 2017;7(8):e015981.PubMedPubMedCentralCrossRef
44.
go back to reference Stenmark H, Catani C, Neuner F, Elbert T, Holen A. Treating PTSD in refugees and asylum seekers within the general health care system. A randomized controlled multicenter study. Behav Res Ther. 2013;51(10):641–7.PubMedCrossRef Stenmark H, Catani C, Neuner F, Elbert T, Holen A. Treating PTSD in refugees and asylum seekers within the general health care system. A randomized controlled multicenter study. Behav Res Ther. 2013;51(10):641–7.PubMedCrossRef
Metadata
Title
The potential role of network-oriented interventions for survivors of sexual and gender-based violence among asylum seekers in Belgium
Authors
Emilomo Ogbe
Alaa Jbour
Ladan Rahbari
Maya Unnithan
Olivier Degomme
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-020-10049-0

Other articles of this Issue 1/2021

BMC Public Health 1/2021 Go to the issue