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Article

“I Go up to the Edge of the Valley, and I Talk to God”: Using Mixed Methods to Understand the Relationship between Gender-Based Violence and Mental Health among Lebanese and Syrian Refugee Women Engaged in Psychosocial Programming

1
Abaad Resource Center for Gender Equality, Beirut 21133, Lebanon
2
Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
3
The Global Women’s Institute, George Washington University, Washington, DC 20052, USA
4
World Bank, Washington, DC 20433, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(9), 4500; https://doi.org/10.3390/ijerph18094500
Received: 30 March 2021 / Revised: 17 April 2021 / Accepted: 19 April 2021 / Published: 23 April 2021
Lebanon’s intersecting economic and political crises exacerbate complex public health issues among both host and refugee populations. This mixed-methods study by a Lebanese service provider, in partnership with an international research institute, seeks to better understand how experiences of gender-based violence (GBV) and mental health intersect in the lives of Syrian and Lebanese women, and how to better meet these needs. It employs a randomized cross-sectional survey of 969 Abaad service users and focus groups with community members and service providers. There were significant associations between GBV and ill mental health; notably, respondents reporting transactional sex had 4 times the likelihood of severe distress (aOR 4.2; 95% CI 1.2–14.8; p ≤ 0.05). Focus groups emphasized less-visible forms of violence, such as emotional violence, and the importance of environmental factors in one’s ability to cope, noting “it always came back to the economy”. Recommendations include providing a more holistic and coordinated approach between GBV, mental health, livelihood, and basic assistance sectors; and sensitive, accessible, and higher-quality mental health services informed by GBV response actors’ experience putting in place survivor-centered programming and made available to both host and refugee community members. View Full-Text
Keywords: gender-based violence; intimate partner violence; mental health; humanitarian; Lebanon; Syrian refugees; gender; LMICs gender-based violence; intimate partner violence; mental health; humanitarian; Lebanon; Syrian refugees; gender; LMICs
MDPI and ACS Style

Barada, R.; Potts, A.; Bourassa, A.; Contreras-Urbina, M.; Nasr, K. “I Go up to the Edge of the Valley, and I Talk to God”: Using Mixed Methods to Understand the Relationship between Gender-Based Violence and Mental Health among Lebanese and Syrian Refugee Women Engaged in Psychosocial Programming. Int. J. Environ. Res. Public Health 2021, 18, 4500. https://doi.org/10.3390/ijerph18094500

AMA Style

Barada R, Potts A, Bourassa A, Contreras-Urbina M, Nasr K. “I Go up to the Edge of the Valley, and I Talk to God”: Using Mixed Methods to Understand the Relationship between Gender-Based Violence and Mental Health among Lebanese and Syrian Refugee Women Engaged in Psychosocial Programming. International Journal of Environmental Research and Public Health. 2021; 18(9):4500. https://doi.org/10.3390/ijerph18094500

Chicago/Turabian Style

Barada, Rassil; Potts, Alina; Bourassa, Angela; Contreras-Urbina, Manuel; Nasr, Krystel. 2021. "“I Go up to the Edge of the Valley, and I Talk to God”: Using Mixed Methods to Understand the Relationship between Gender-Based Violence and Mental Health among Lebanese and Syrian Refugee Women Engaged in Psychosocial Programming" Int. J. Environ. Res. Public Health 18, no. 9: 4500. https://doi.org/10.3390/ijerph18094500

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