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      Between Care and Coercion: Asylum Seekers’ Experiences With COVID-19 Containment and Mitigation Measures in German Reception Centres

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          Abstract

          Objectives: COVID-19 containment and mitigation measures have been criticised for amplifying pre-existing individual and structural vulnerabilities among asylum seekers. We qualitatively explored their experiences with and attitudes towards pandemic measures to inform people-centred responses in future health emergencies.

          Methods: We interviewed eleven asylum seekers in a German reception centre (July-December 2020). The semi-structured interviews were recorded, transcribed, and analysed thematically with an inductive-deductive approach.

          Results: Quarantine was experienced as burdensome by participants. Shortcomings in social support, everyday necessities, information, hygiene, and daily activities exacerbated the strains of quarantine. Interviewees held different opinions about the usefulness and appropriateness of the various containment and mitigation measures. These opinions differed by individual risk perception and the measures’ comprehensibility and compatibility with personal needs. Power asymmetries related to the asylum system furthermore impacted on preventive behaviour.

          Conclusion: Quarantine can amplify mental health burdens and power asymmetries and can therefore constitute a considerable stressor for asylum seekers. Provision of diversity-sensitive information, daily necessities, and accessible psychosocial support is required to counteract adverse psychosocial impacts of pandemic measures and safeguard wellbeing in this population.

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          The psychological impact of quarantine and how to reduce it: rapid review of the evidence

          Summary The December, 2019 coronavirus disease outbreak has seen many countries ask people who have potentially come into contact with the infection to isolate themselves at home or in a dedicated quarantine facility. Decisions on how to apply quarantine should be based on the best available evidence. We did a Review of the psychological impact of quarantine using three electronic databases. Of 3166 papers found, 24 are included in this Review. Most reviewed studies reported negative psychological effects including post-traumatic stress symptoms, confusion, and anger. Stressors included longer quarantine duration, infection fears, frustration, boredom, inadequate supplies, inadequate information, financial loss, and stigma. Some researchers have suggested long-lasting effects. In situations where quarantine is deemed necessary, officials should quarantine individuals for no longer than required, provide clear rationale for quarantine and information about protocols, and ensure sufficient supplies are provided. Appeals to altruism by reminding the public about the benefits of quarantine to wider society can be favourable.
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            One size fits all? What counts as quality practice in (reflexive) thematic analysis?

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              Situated Knowledges: The Science Question in Feminism and the Privilege of Partial Perspective

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                Author and article information

                Contributors
                Journal
                Int J Public Health
                Int J Public Health
                Int J Public Health
                International Journal of Public Health
                Frontiers Media S.A.
                1661-8556
                1661-8564
                13 March 2023
                2023
                13 March 2023
                : 68
                : 1605230
                Affiliations
                [1] 1 Section Health Equity Studies & Migration , Department of General Practice and Health Services Research , Heidelberg University Hospital , Heidelberg, Germany
                [2] 2 Department of Population Medicine and Health Services Research , School of Public Health , Bielefeld University , Bielefeld, Germany
                Author notes

                Edited by: Sonja Merten, Swiss Tropical and Public Health Institute (Swiss TPH), Switzerland

                Reviewed by: Adekunle Adedeji, North-West University, South Africa

                Prince Agwu, Prince Chiemeka Agwu, Nigeria

                *Correspondence: Kayvan Bozorgmehr, kayvan.bozorgmehr@ 123456uni-bielefeld.de
                [ † ]

                ORCID: Kayvan Bozorgmehr, orcid.org/0000-0002-1411-1209

                This Original Article is part of the IJPH Special Issue “Migration Health Around the Globe - a Construction Site With Many Challenges.”

                Article
                1605230
                10.3389/ijph.2023.1605230
                10041458
                36994090
                1b106a01-8cf6-4ef0-91d2-39c3d42fb9e6
                Copyright © 2023 Rast, Perplies, Biddle and Bozorgmehr.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 19 July 2022
                : 27 February 2023
                Funding
                Funded by: Bundeszentrale für Gesundheitliche Aufklärung , doi 10.13039/501100003108;
                Funded by: Deutsche Forschungsgemeinschaft , doi 10.13039/501100001659;
                The data was collected with financial support from the Federal Centre for Health Education (BZgA) (COVMIG FKZ: Z2/60.5/20). Data analysis and manuscript preparation were supported by the German Research Foundation (DFG) as part of the project NEXUS - (BO5233/1-1-FOR 2928 PH-LENS).
                Categories
                Public Health Archive
                Original Article

                Public health
                mental health,qualitative research,covid-19,quarantine,refugees
                Public health
                mental health, qualitative research, covid-19, quarantine, refugees

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