@article{ref1,
title=""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",
journal="International journal of environmental research and public health",
year="2021",
author="Barada, Rassil and Potts, Alina and Bourassa, Angela and Contreras-Urbina, Manuel and Nasr, Krystel",
volume="18",
number="9",
pages="e4500-e4500",
abstract="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 &quot;it always came back to the economy&quot;. 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.<p /> <p>Language: en</p>",
language="en",
issn="1661-7827",
doi="10.3390/ijerph18094500",
url="http://dx.doi.org/10.3390/ijerph18094500"
}