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The Bhutanese refugee camps of eastern Nepal are home to a mass resettlement operation; over half the population has been relocated within the past five years. While recent research suggests Bhutanese refugees are experiencing degradation of social networks and rising suicide rates, little is known about ethnocultural pathways to coping and resilience in this population.

A common coping measure (Brief COPE) was adapted to the linguistic and cultural context of the refugee camps and administered to a representative sample of 193 Bhutanese refugees as part of a broader ten‐month ethnographic study of resilience.

Active coping, planning, and positive reframing were the most frequently utilized strategies, followed by acceptance, religion, and seeking emotional support. Exploratory factor analysis resulted in five factors: humor, denial, behavioral disengagement; positive reframing, planning, active coping; emotional support, instrumental support; interpersonal (a new sub‐scale), acceptance, self‐blame; and venting, religion.

Data support the relevance of some dimensions of coping while revealing particularities of this population.

Findings can inform future research and intervention efforts aimed at reducing suicide and promoting mental health across the Bhutanese refugee diaspora.

This is the first mixed‐methods study of coping in the Bhutanese refugee camp population since the start of a mass resettlement exercise. Qualitative data and ethnography were used to illuminate measured trends in local coping behavior.

The purpose of this paper is to explore factors associated with alcohol use disorders (AUDs) among Bhutanese refugees in Nepal, where there has been a mass third-country resettlement operation in place since 2007.

A case-control study was conducted in which the Alcohol Use Disorder Identification Test (AUDIT) was used to confirm AUDs and participants’ eligibility for placement in a case or control group. A translated questionnaire measuring demographic variables and context of drinking was also administered.

In total, 128 questionnaires were completed (32 cases, 96 controls). Compared to participants without AUDs, those with AUDs were more likely to be older (36-50 years) (OR=10.5, 95 per cent CI 2.17-50.81), (50+years) (OR=10.3, 95 per cent CI 2.02-52.71), illiterate (OR=7.3 (2.80-18.42)), use tobacco (smoking or chewing) (OR=4.3 (1.84-10.01)) and be male (OR=3.5 (1.35-8.67)). Reasons for excessive alcohol use included unemployment, unoccupied time and increased family tensions.

The study is the first of which the authors are aware that attempts to examine risk factors associated with AUDs within the context of a mass resettlement operation where camp services are winding down. The findings of this study suggest that greater attention needs to be given toward creating meaningful activities for adult, less educated male migrants awaiting resettlement.

The purpose of this study is to highlight the challenges and opportunities for the well-being of older migrants and refugees in rural Australia by learning from the example of the Bhutanese community in Albury, New South Wales.

This viewpoint focusses on health and aged care barriers that affect the well-being of older migrants and refugees in Australia. It also demonstrates how these can be intensified due to the COVID-19 pandemic.

Engagement though agriculture, and a sense of “belonging” strengthen the cultural well-being of the Bhutanese older adults in Albury. However, major issues remain as health-related resources and information are lacking in rural Australia. How this group’s meaningful activities in Albury enabled collaborations to be built is shown in this working example and can provide lessons for other communities that experience similar problems of disconnection as they get older.

The information regarding the Bhutanese older adults in Albury is primarily based on the authors’ personal communication with the General Secretary of the Bhutanese Australian Community Support Group in Albury Wodonga Inc.

Australia’s older population is growing rapidly, and older adults from culturally and linguistically diverse migrant and refugee backgrounds face numerous barriers such as limited linguistic, health and digital literacy. The authors describe common health and aged care issues that affect the well-being of older adults in rural Australia. They particularly emphasize those that occurred or intensified due to the COVID-19 pandemic. This novel information is now especially relevant to the health and aged care sectors in changing and diverse communities not only in Australia but also overseas.

Purpose – To examine children and youth's participation in civic society in Norway with a particular focus on immigrant children's participation in May 17 (Constitution Day).Methodology – We observed May 17 activities in Trondheim, Norway, over several years and conducted in-depth interviews with immigrant children about their participation in May 17 activities. We also relied on archival data and statistical reports of youth participation and immigration policy as well as attitudes toward immigrants to provide context for the observations and interviews.Findings – We found three clear patterns in the data. First, the children continually expressed their enjoyment of traditional intergenerational activities and in the discussion we see how certain activities helped to integrate themselves and their families into their communities. Second, the children displayed a keen knowledge of the 17th of May traditions, their history, and their symbolic value in Norwegian society. Third, especially the older children and youth often discussed their feelings of being Norwegian while also expressing an awareness of their immigrant status and cultural heritage. Their reflections on these dual identities provide more general insights into immigrant status, assimilation, and multiculturalism in Norway.

This chapter draws on qualitative interviews to examine how Bhutanese refugees interact with norms around mothering and childbirth. Since these women have birthed and reared children in Bhutan and/or Nepal, as well as in the United States, their stories help to explore how the implications of medicalization differ for individuals by race, class, and nation, with a unique cross-comparative lens. In particular, the respondents uniquely identify epidurals as an important medical intervention, simultaneously increasing their autonomy while subscribing to neoliberal mothering. This research furthers our understanding of neoliberal mothering and medicalization by showing a nuanced script that illuminates social processes, resistance, and internalization through an intersectional and cross-cultural lens.

The purpose of this paper is to identify factors, within a framework for integration, associated with healthcare utilization (primary care use, dental care, and insurance coverage) for Colorado refugees, by gender.

The Refugee Integration Survey and Evaluation project was a four-year longitudinal study of refugees that resettled in Colorado beginning in 2011. Refugees from Burma and Bhutan were used in this secondary data analysis. Various integration domains were explored as predictors, across gender groups, of the healthcare utilization outcome variables (physical exam in the past 12 months, dental exam in the past 12 months, and current healthcare coverage) using bivariate and multivariate logistic regression analyses.

In 2015, 73.1 percent of the sample reported accessing primary health care in the past year, and only 13.2 percent used dental care services. Nearly three-quarters reported having health insurance at the time of survey. In the adjusted models, there was a strong positive association between the outcome variable “physical exam” and the predictor variables “employment and economic self-sufficiency” (OR=0.70, p<0.001), “social bonding” (OR=3.73, p<0.001), and “safety and stability” (OR=2.23, p<0.001). Additionally, education and training predicted dental visit (OR=2.06, p<0.01). None of the integration domains were statistically significant predictors of dental visits in the adjusted models.

This study offers insights about facilitators and barriers to healthcare utilization uptake after resettling in a major US city. These findings can be used by agencies and governmental organizations to best tailor healthcare services and promotion of those services for this vulnerable population.

The community health workers (CHWs) model, which refers to individuals from the same community, sharing the same culture and origin, was used to conduct lifestyle, food and health assessments in the refugee and immigrant communities in the study area. In order to understand the process and effectiveness of CHW model, the purpose of this paper is to identify key characteristics of CHWs; and, describe the major roles CHWs play in reaching and carrying out health-based research among under-served refugee populations.

The results of this paper reflect a grounded theory approach that specifically analyzed core categories or themes of the CHW model that were observed and recorded from the process of a larger study examining health and diet habits of refugees. In this study, women from the study community were recruited to be trained as CHWs. Recruitment criteria for potential CHWs included women from the same origin of the study community, live in the study area for several years and have familiarity with the community, and possess basic English reading and writing skills.

The results showed that CHWs were most effective when they possessed specific key characteristics. These characteristics included being invested in the community and research project, being objective and non-judgmental and able to understand guidelines of research ethics. The CHW helped to carry out the study by acting as a gatekeeper by building trust among community members and, by acting as a cultural broker by explaining the study questions using culturally appropriate probes.

The CHWs described in this study represent the key characteristics of effectiveness they possess in reaching refugee and immigrant groups in the USA. The limitation reflects the need for further examination of the characteristics that make for effective CHWs in a US-based refugee resettlement context concerning health-based research and outreach reaching a general low-income, racial/ethnic minority groups in the USA.

The CHW model is key in conducting culturally appropriate research with an under-served and difficult to reach population.

There is limited published research on the use of the CHW in health-based research in the USA resettlement context and this research study is one step toward closing the gap in our examination of the CHW model.

This paper aims to conduct a qualitative needs assessment to explore the effectiveness of Houston’s refugee resettlement efforts in the areas of employment, health care and education.

Using referral sampling, the authors identified refugee community leaders and staff members at the five refugee resettlement agencies in Houston. The authors conducted 29 qualitative interviews with these contacts from February–August 2017.

Recently resettled refugees may struggle to find and maintain employment in Houston due to difficulty accessing public transportation. Refugees seeking medical care in Houston often have difficulty navigating the complexities of the health-care system and communicating with their physicians due to language barriers. Finally, refugee children may have trouble adapting to Houston public schools, sometimes because they have limited experience with formal education. This study provided insights into the challenges Houston refugees face during resettlement and these barriers can be mitigated with policies designed specifically to address them.

The authors recommend decreasing public transportation fees for refugees, supporting programs that donate used vehicles to refugees, expanding access to English as a Second Language classes for refugee children and adults and giving refugees designated time to learn English upon arrival.

Houston welcomes more resettled refugees than any other American city. However, few studies have explored the barriers refugees face during the resettlement process.

The purpose of this paper is to examine the economic development strategies of Nepal and Bhutan to understand the economic factors that have contributed to economic growth.

After a brief discussion of each country's modern history, their economies are examined together with their development strategies during the past half century. Standard economic growth models for Nepal and Bhutan are developed and estimated. To ensure the stationarity of the data series, tests of unit root are conducted. Further, a cointegration test is conducted and an appropriate error‐correction model is developed.

The results of the estimations reveal that domestic capital has been a significant source of economic growth in Nepal whereas foreign aid has not had any appreciable effect on growth. In the case of Bhutan, foreign assistance has been a significant source of growth while domestic capital has not.

Bhutan and Nepal also differ in terms of non‐economic factors such as culture, language, politics, and religion. These factors may also help to explain the difference in economic performance of these countries. While important, these issues are beyond the scope this paper and indicate directions for further research.

It is one of the first attempts to compare the economic growth strategies of Nepal and Bhutan. It may provide useful insight to policymakers and others interested in economic growth in Nepal, Bhutan and other developing countries.

The purpose of this study is to conduct a systematic search of the literature as it pertains to interventions delivered by peers to refugees and asylum seekers during the resettlement process.

A preferred reporting items for systematic reviews and meta-analysis-compliant scoping review based on Arskey and O’Malley’s (2006) five steps was used. Four databases, Scopus, Embase, Ebsco and ScienceDirect, were searched for peer-reviewed articles published in English from 2000 to 2021. Studies were included if they reported on interventions, outcomes or the training received by adult peers to support refugees and asylum seekers during the resettlement process. Of an initial 632 journal articles retrieved, 14 met the inclusion criteria for this review.

Most included studies were conducted in Western high-income countries, with the exception of one. Studies were heterogeneous in terms of the nationalities of peers and those receiving peer interventions, the outcomes reported on, the content of interventions and the methodologies used. Findings suggest that peer interventions seem to be effective in addressing many of the challenges faced by refugees and asylum seekers. Community integration, acculturation and reductions in psychological distress are some of the key benefits. When such interventions are co-produced in participatory research involving refugees, asylum seekers and the civil society organisations that support this population, they are naturally culturally responsive and can, therefore, address issues relative to different ethnic needs during the resettlement process.

To the best of the authors’ knowledge, this is the first scoping review to be conducted in this area and adds to what is a very limited body of research.