Displacement and Mental Health Problems in Children and Adolescents of a Colombian Indigenous Population

哥伦比亚土著居民儿童和青少年流离失所与心理健康问题

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Abstract

OBJECTIVES: To explore the relationship between forced displacement and variables associated with mental health in an indigenous Colombian pediatric population. METHODS: A mixed methods design was applied with 69 children aged six to 16 years belonging to 45 families of the Embera Dobidá People: 25 displaced families and 20 non-displaced families. The qualitative phase involved focus groups, while the quantitative phase used a cross-sectional correlational design. RESULTS: Quantitative findings revealed statistically significant correlations (p < 0.001) between displacement and multiple mental health indicators, particularly emotional and behavioral problems. Food insecurity showed a moderate but meaningful effect, highlighting the impact of nutritional vulnerability on the emotional wellbeing of displaced children and adolescents. In the qualitative phase distinct themes emerged in each community: A territory that cannot be returned to, in Caldas, and The angry and dying territory, in Chocó. CONCLUSION: For Indigenous communities in Colombia, mental health is closely tied nutritional sufficiency and a meaningful relationship with ancestral territory. These elements are disrupted by forced displacement, contributing to elevated suicidal risk and emotional distress among children and adolescents.

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