Abstract：
Socioeconomic status (SES) is shown to be associated with refugees\' mental health, but few studies have considered that these associations may vary over time. This study aimed to examine the dynamic contributions of SES to refugees\' mental health during resettlement. We used five waves of data from a cohort study in Australia; 2399 refugees completed the interview in Wave 1, and the remaining waves had 2009, 1894, 1929, and 1881 participants, respectively. SES, high risk of severe mental illness (HR-SMI), and post-traumatic stress disorder (PTSD) were assessed in each wave. Weighted multilevel regression models were performed, and analyses were stratified by sex. For both sexes, financial hardships were consistently positively associated with HR-SMI and PTSD across all five waves. However, time or sex differences were more pronounced for associations between other SES factors and mental health. For males, there were negative associations of current paid jobs with HR-SMI and PTSD in Waves 3-5. For females, the current paid job was negatively associated with HR-SMI only in Wave 5. Our findings highlight the dynamic associations and sex differences between SES and refugees\' mental health. We recommend interventions focusing on increasing employment opportunities, particularly for male refugees in the later resettlement stages.
摘要：
社会经济地位(SES)被证明与难民的心理健康有关，但是很少有研究认为这些关联可能会随着时间的推移而变化。这项研究旨在研究SES在重新安置期间对难民心理健康的动态贡献。我们使用了来自澳大利亚队列研究的五波数据；2399名难民完成了第1波的访谈，其余的波分别为2009、1894、1929和1881名参与者，分别。SES,严重精神疾病（HR-SMI）的高风险，和创伤后应激障碍（PTSD）在每波评估。采用加权多水平回归模型，分析按性别分层。对两性来说，在所有五波中,经济困难与HR-SMI和PTSD呈正相关.然而,对于其他SES因素与心理健康之间的关联,时间或性别差异更为明显.对于男性来说，在Waves3-5中，当前有薪工作与HR-SMI和PTSD呈负相关。对于女性来说,目前的带薪工作仅在第5波中与HR-SMI呈负相关.我们的发现强调了SES和难民心理健康之间的动态关联和性别差异。我们建议采取干预措施，重点是增加就业机会，特别是在后期重新安置阶段的男性难民。
