Exploring the Relationship between Housing and Health for Refugees and Asylum Seekers in South Australia: A Qualitative Study
Abstract
:1. Introduction
1.1. A Note on Terminology
1.2. Approaches to Considering Housing as a Social Determinant of Health
1.3. Housing and Health for Refugees and Asylum Seekers
2. Materials and Methods
2.1. Participants
2.2. Procedure and Data Analysis
3. Results
3.1. Overall Health and Wellbeing
When we have a home we live in peace of mind and relax without problems.—Bijan (male, Middle East, asylum seeker)
Everybody needs accommodation to feel safe in it, which is very important. If you had a place then you’ve got peace of mind and that helps to reduce your anxiety.—Mina (female, Middle East, refugee)
3.2. Affordability
I like to have that kind of place (own room) but I cannot afford it. The problem is financial problem... Because I have a language barrier and I don’t have a job, when I go and apply for a job usually they ask me my language and when I said I don’t speak English, then they won’t give me job; as a result at this age I cannot get the job. If I can find a job and make money then I can afford to get a better place, otherwise with the government support I cannot afford to get a better place. Because of the financial difficulties, that put me under pressure that live with sharing the house and room with others.—Aaron (male, Middle East, asylum seeker)
The house is very expensive; this disturbs me a lot.—Naeva (female, Africa, refugee)
The house is too old and expensive, sometime my children ask me mum why are we living in this house? It is difficult in Australia who have big family to have good house.—Daina (female, Africa, refugee)
3.3. Physical Elements
Housing affordability is an issue that affect diverse and linguistic people as we do not have referees and this cause most refugees and Asylum seekers to sign contracts for houses that are in bad condition.—Samuel (male, Africa, refugee)
3.3.1. Cold and Damp
(The house) It’s kind of wet. It’s kind of moisture, yeah, and as a result of that most of the time we feel the chronic pain, like a lower back on the foot and those kinds of things.—Aaron (male, Middle East, asylum seeker)
Some house very (mouldy), make bad for breathe or something, chest (…) now, inside my house very cold than outside (…) but I cannot say very bad because we are refugee here and we cannot explain.—Sajad (male, Middle East, asylum seeker)
It was winter and the house became cold and green—with the green stuff—mould and we know the mould can cause some breathing—breathing—asthma (…) I was a little bit sad, and a little bit angry too (about the poor condition of the house) I said to (the caseworker)—yes It’s true—I come from the Middle East–but still I know my rights—Edris (male, Middle East, refugee)
3.3.2. Space and Layout
So last year or before last year, I think in 2014, I got a mental problem as well because we knew that the house is very noisy but (…) they don’t care about people like that. If you’re making the food, you cook the food anyone can eat the—(they never let) no other people to come to dinner with them. Yeah it’s a little bit (difficult).—Adeeb (male, Middle East, asylum seeker)
Yes, actually it does affect me a lot. You know, the problem is I can’t sleep at night time, I can’t sleep well, it’s because of having not good house (…) the house is very small. It’s not good enough for four people (…) my kids, they can’t go outside. We don’t have back yard, they can’t play outside. The house is very small for them to play.—Nafisa (female, Middle East, asylum seeker)
When your house is small and you are sharing your bedroom and there is no place for you to get out and be alone and give time for yourself, at that time when you want to come out of that down situation and you don’t have that place to be, or place to go, and yeah it has really affected me.—Asmita (female, Southeast Asia, refugee)
Housing does affect how you—you know, your health because the old house, it was dark, it was small. I was feeling really depressed—not the kids, me myself, I was feeling really depressed—but not this house. It’s bigger, it’s better; I’m happier.—Tahira (female, Middle East, asylum seeker)
I had depression before, a good house had a positive impact on my mental health and I feel much better now.—Parisa (female, Middle East, asylum seeker)
3.4. Social Environment
3.4.1. Safety and Disorder
Every two months we had police in our street and every morning we had police in front of the street. I saw in bus stop, people just transfer drugs and it was really bad because I had two boys and I was very worried for my son (…) I had stress all the time for my sons.—Hastee (female, Middle East, asylum seeker)
The safety—you know—to feel safe. With the break-ins. This is not good. I want to feel safe. It (neighbourhood) impacts the mental—mental health. It is very important. It is an area that makes a big difference to you.—Edris (male, Middle East, refugee)
I don’t like (the neighbourhood) you know, the old unit next to the housing and (you’re) not safe because the two times they’ve stolen the bicycles. We have to always worry about the door is closed or the car is safe; always worried about these things.—Najme (female, Middle East, asylum seeker)
I just worry about the guys, the people around [the neighbourhood] that want money (I scared) one day they kill me; that’s why I move from there.—Janan (male, Middle East, asylum seeker)
We frightened from the neighbour and then we also frightened from all Australians because of the neighbour. She was too—every day she was coming at our house and knocking and shouting (…) Like we lose plenty of confident after this.—Rachel (female, Southeast Asia, refugee)
3.4.2. Social Connections
So the most important thing for me is the security and peace of mind. Yeah, security, safety and peace (…) good neighbours.—Rasul (male, Middle East, refugee)
I mostly like it here because of the peace of mind I have here (…) because of the residents. It has good residents.—Piruz (male, Middle East, asylum seeker)
That’s a problem because almost I lost my confidence as a community to live together with the neighbour people to live together. I lost the confidence; that’s a very bad thing for me.—Samuel (male, Africa, refugee)
(When) my landlord go for holiday and she just tell me …”you can contact (for example), number 13, they’re all home” (…) I went “oh that’s perfect. That’s for—anything happen I can go to every house. I know I’m safe here, opposite that house”.—Hastee (female, Middle East, asylum seeker)
3.5. Insecurity of Tenure
Your house is a place for feeling relaxed and peaceful. If I rent I don’t feel good. I want to feel peaceful.—Hozan (male, Middle East, asylum seeker)
I am worried about being displaced. It causes your mental and physical health to be endangered.—Tirdad (male, Middle East, asylum seeker)
Maybe the owner of the house will say ‘I want to (turn) my house—or I’m giving notice, I need to repair this house.’ Where are we going to go with those kids?—Ariane (female, Africa, refugee)
She (mother) doesn’t really like the fact that we move almost every year. She just wants to settle in, stay around the area so the kids not move all the time (…) And do you know, if you are moving (a lot) it can give you like stress, depression, moving. Even kids always complain ‘why are we always moving? Every time we miss our friends at school’ and whatever.—Naeva (female, Africa, refugee)
I worry a lot because like in this situation we haven’t found a house yet but we know that the—because we were told if we don’t move out when we are supposed to they will throw our things out so that means we could become homeless and that worries me a lot.—Daina (female, Africa, refugee)
4. Discussion
5. Conclusions
Acknowledgments
Author Contributions
Conflicts of Interest
References
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Ziersch, A.; Walsh, M.; Due, C.; Duivesteyn, E. Exploring the Relationship between Housing and Health for Refugees and Asylum Seekers in South Australia: A Qualitative Study. Int. J. Environ. Res. Public Health 2017, 14, 1036. https://doi.org/10.3390/ijerph14091036
Ziersch A, Walsh M, Due C, Duivesteyn E. Exploring the Relationship between Housing and Health for Refugees and Asylum Seekers in South Australia: A Qualitative Study. International Journal of Environmental Research and Public Health. 2017; 14(9):1036. https://doi.org/10.3390/ijerph14091036
Chicago/Turabian StyleZiersch, Anna, Moira Walsh, Clemence Due, and Emily Duivesteyn. 2017. "Exploring the Relationship between Housing and Health for Refugees and Asylum Seekers in South Australia: A Qualitative Study" International Journal of Environmental Research and Public Health 14, no. 9: 1036. https://doi.org/10.3390/ijerph14091036
APA StyleZiersch, A., Walsh, M., Due, C., & Duivesteyn, E. (2017). Exploring the Relationship between Housing and Health for Refugees and Asylum Seekers in South Australia: A Qualitative Study. International Journal of Environmental Research and Public Health, 14(9), 1036. https://doi.org/10.3390/ijerph14091036