Interpretation of vulnerability and cumulative disadvantage among unaccompanied adolescent migrants in Greece: A qualitative study


Autoři: Divya Mishra aff001;  Paul B. Spiegel aff001;  Vasileia Lucero Digidiki aff004;  Peter J. Winch aff001
Působiště autorů: Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America aff001;  Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire, United States of America aff002;  Center for Humanitarian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America aff003;  François-Xavier Bagnoud Center for Health and Human Rights, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Maryland, United States of America aff004
Vyšlo v časopise: Interpretation of vulnerability and cumulative disadvantage among unaccompanied adolescent migrants in Greece: A qualitative study. PLoS Med 17(3): e32767. doi:10.1371/journal.pmed.1003087
Kategorie: Research Article
doi: 10.1371/journal.pmed.1003087

Souhrn

Background

In settings of mass displacement, unaccompanied minors (UAMs) are recognized as a vulnerable group and consequently prioritized by relief efforts. This study examines how the interpretation of vulnerability by the national shelter system for male UAMs in Greece shapes their trajectories into adulthood.

Methods and findings

Between August 2018 and April 2019, key informant interviews were carried out with child protection staff from Greek non-governmental organizations that refer UAMs to specialized children’s shelters in Athens to understand how child protection workers interpret vulnerability. In-depth interviews and life history calendars were collected from 44 male migrant youths from Afghanistan, Pakistan, Bangladesh, and Iran who arrived in Greece as UAMs but had since transitioned into adulthood. Analysis of in-depth interviews and life history calendars examined how cumulative disadvantage and engagement with the shelter system altered youths’ trajectories into adulthood. Younger adolescents were perceived as more vulnerable and prioritized for shelters over those who were “almost 18” years old. However, a subset of youths who requested shelter at the age of 17 years had experienced prolonged journeys where they spent months or years living on their own in socially isolated environments that excluded them from experiences conducive to adolescent development. The shelter system for UAMs in Greece enabled youths to develop new skills and networks that facilitated integration into society, and transferred them into adult housing when they turned 18 years old so that they could continue developing new skills. Those who were not in shelters by age 18 years could not access adult housing and lost this opportunity. Limitations included possible underrepresentation of homeless youth as well as the inability to capture all nationalities of UAMs in Greece, though the 2 most common nationalities, Afghan and Pakistani, were included.

Conclusions

Due to the way vulnerability was interpreted by the shelter system for UAMs, youths who had the greatest need to learn new skills to facilitate their integration often had the least opportunity to do so. To avoid creating long-lasting disparities between UAMs who are placed in shelters and those who are not, pathways should be developed to allow young adult males to enter accommodation facilities and build skills and networks that facilitate integration. Furthermore, cumulative disadvantages should be taken into account while assessing UAMs’ vulnerability. Following UAMs’ trajectories into early adulthood was critical for capturing this long-term consequence of the shelter system’s interpretation of vulnerability.

Klíčová slova:

Adolescents – Adults – Greece – Greek people – Children – Shelters – Schools – Young adults


Zdroje

1. United Nations Children’s Fund. A child is a child: protecting children on the move from violence, abuse, and exploitation. New York: United Nations Children’s Fund; 2017 [cited 2020 Mar 10]. Available from: https://www.unicef.org/publications/index_95956.html.

2. United Nations Children’s Fund. Uprooted: the growing crisis for refugee and migrant children. New York: United Nations Children’s Fund; 2016 [cited 2020 Mar 10]. Available from: https://www.unicef.org/publications/index_92710.html.

3. Bhabha J. Arendt’s children: do today’s migrant children have a right to have rights? Hum Rights Q. 2009;31(2):410–51.

4. United Nations Children’s Fund. Harrowing journeys: children and youth on the move across the Mediterranean Sea, at risk of trafficking and exploitation. New York: United Nations Children’s Fund; 2017 [cited 2020 Mar 10]. Available from: https://www.unicef.org/publications/index_100621.html.

5. Fili A, Xythali V. The continuum of neglect: unaccompanied minors in Greece. Social Work Society Int Online J. 2017;15(2):1–14.

6. International Federation of Red Cross and Red Crescent Societies. Revised emergency plan of action (EPoA)—Greece: population movement. Geneva: International Federation of Red Cross and Red Crescent Societies; 2017 [cited 202 Mar 11]. Available from: adore.ifrc.org/Download.aspx?FileId=157931.

7. Zaragoza-Cristiani J. Containing the refugee crisis: how the EU turned the Balkans and Turkey into an EU borderland. The International Spectator. 2017;52(4):59–75.

8. Tondo L. Nearly 900,000 asylum seekers living in limbo in EU, figures show. The Guardian. 2019 Aug 25 [cited 2020 Mar 11]. Available from: https://www.theguardian.com/world/2019/aug/25/asylum-seekers-limbo-eu-countries.

9. United Nations Children’s Fund. More than 1100 unaccompanied refugee and migrant children in Greece need urgent shelter and protection. New York: United Nations Children’s Fund; 2019 [cited 2020 Mar 11]. Available from: https://www.unicef.org/press-releases/more-1100-unaccompanied-refugee-and-migrant-children-greece-need-urgent-shelter-and.

10. National Center for Social Solidarity. Situation update: unaccompanied children (UAC) in Greece. National Center for Solidarity; 2019 [cited 2020 Mar 11]. Available from: http://www.ekka.org.gr/images/EKKA_Dashboard_30-9-2019.pdf.

11. Asylum Information Database, European Council on Refugees and Exiles. The concept of vulnerability in European asylum procedures. Asylum Information Database; 2017 [cited 2020 Mar 11]. Available from: http://www.asylumineurope.org/sites/default/files/shadow-reports/aida_vulnerability_in_asylum_procedures.pdf.

12. Galos E, Bartolini L, Cook H, Grant N. Migrant Vulnerability to human trafficking and exploitation: evidence from the Central and Eastern Mediterranean migration routes. Geneva: International Organization for Migration; 2017 [cited 2020 Mar 11]. Available from: https://publications.iom.int/system/files/pdf/migrant_vulnerability_to_human_trafficking_and_exploitation.pdf.

13. Freccero J, Biswas D, Whiting A, Alrabe K, Seelinger KT. Sexual exploitation of unaccompanied migrant and refugee boys in Greece: approaches to prevention. PLoS Med. 2017;14(11):e1002438. doi: 10.1371/journal.pmed.1002438 29166401

14. Digidiki V, Bhabha J. Sexual abuse and exploitation of unaccompanied migrant children in Greece: identifying risk factors and gaps in services during the European migration crisis. Child Youth Serv Rev. 2018;92:114–21.

15. Ferrara P, Corsello G, Sbordone A, Nigri L, Caporale O, Ehrich J, et al. The invisible children: uncertain future of unaccompanied minor migrants in Europe. J Pediatr. 2016;169:332–3.e1. doi: 10.1016/j.jpeds.2015.10.060 26810103

16. National Center for Social Solidarity. Situation update: unaccompanied children (UAC) in Greece. National Center for Social Solidarity; 2018 [cited 2020 Mar 11]. Available from: https://www.unicef.org/eca/sites/unicef.org.eca/files/2018-12/Unaccompanied%20children%20in%20Greece%20%2030%20nov%202018.pdf.

17. United Nations High Commissioner for Refugees, United Nations Children’s Fund, International Organization for Migration. Refugee and migrant children in Europe: accompanied, unaccompanied, and separated. Geneva: International Organization for Migration; 2017 [cited 2020 Mar 11]. Available from: http://migration.iom.int/docs/Infographic_on_Children__Q3_2017_.pdf.

18. Brun D. Men and boys in displacement: assistance and protection challenges for unaccompanied boys and men in refugee contexts. Geneva: Care International; 2016 [cited 2020 Mar 11]. Available from: https://reliefweb.int/sites/reliefweb.int/files/resources/CARE-Promundo_Men-and-boys-in-displacement_2017.pdf.

19. Kotef H. Objects of security: gendered violence and securitized humanitarianism in occupied Gaza. Comp Stud South Asia Africa Middle East. 2010;30(2):179–91.

20. Fassin D. Inequality of lives, hierarchies of humanity. In: Feldman I, Ticktin M, editors. In the name of humanity: the government of threat and care. Durham (NC): Duke University Press; 2010.

21. Ticktin M. Casualties of care: immigration and the politics of humanitarianism in France. Berkeley: University of California Press; 2011.

22. World Health Organization. Recognizing adolescence. Geneva: World Health Organization; 2014 [cited 2020 Mar 11]. Available from: http://apps.who.int/adolescent/second-decade/section2/page1/recognizing-adolescence.html.

23. Collyer M. In-between places: trans-Saharan transit migrants in Morocco and the fragmented journey to Europe. Antipode. 2007;39(4):668–90.

24. Schapendonk J. Migrants’ im/mobilities on their way to the EU: lost in transit? Tijdschr Econ Soc Geogr. 2012;103(5):577–83.

25. Kaytaz ES. Afghan journeys to Turkey: narratives of immobility, travel and transformation. Geopolitics. 2016;21(2):284–302.

26. Mainwaring Ċ, Brigden N. Beyond the border: clandestine migration journeys. Geopolitics. 2016;21(2):243–62.

27. Monsutti A. Migration as a rite of passage: young Afghans building masculinity and adulthood in Iran. Iran Stud. 2007;40(2):167–85.

28. Markstrom CA, Iborra A. Adolescent identity formation and rites of passage: the Navajo Kinaaldá ceremony for girls. J Res Adolesc. 2003;13(4):399–425.

29. Vigil JD. Street baptism: Chicano gang initiation. Hum Organ. 1996;55(2):149–53.

30. Delaney CH. Rites of passage in adolescence. Adolescence. 1995;30(120):891. 8588524

31. Dunham RM, Kidwell JS, Wilson SM. Rites of passage at adolescence: a ritual process paradigm. J Adolesc Res. 1986;1(2):139–53.

32. McDade TW, Harris KM. The biosocial approach to human development, behavior, and health across the life course. RSF. 2018;4(4):2–26. doi: 10.7758/RSF.2018.4.4.01 30923747

33. World Health Organization. Adolescence: psychological and social changes. Geneva: World Health Organization; 2014 [cited 2020 Mar 11]. Available from: http://apps.who.int/adolescent/second-decade/section2/page5/adolescence-psychological-and-social-changes.html.

34. Sanders RA. Adolescent psychosocial, social, and cognitive development. Pediatr Rev. 2013;34(8):354–8. doi: 10.1542/pir.34-8-354 23908362

35. Elder G. Perspectives on the life course. In: Elder G, editor. Life course dynamics. Ithaca: Cornell University Press; 1985.

36. Elder G. The life course as developmental theory. Child Dev. 1998;69(1):1–12. 9499552

37. Sampson RJ, Laub JH. A life course theory of cumulative disadvantage and the stability of delinquency. In: Thornberry TP, editor. Developmental theories of crime and delinquency. Advances in criminological theory, volume 7. Piscataway (NJ): Transaction Publishers; 1997. pp. 133–61.

38. Moffitt TE. Adolescence-limited and life-course-persistent antisocial behavior: a developmental taxonomy. Psychol Rev. 1993;100(4):674–701. 8255953

39. Magnani R, Sabin K, Saidel T, Heckathorn D. Review of sampling hard-to-reach and hidden populations for HIV surveillance. AIDS. 2005;19(Suppl 2):S67–72.

40. Saunders B, Sim J, Kingstone T, Baker S, Waterfield J, Bartlam B, et al. Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant. 2018;52(4):1893–907. doi: 10.1007/s11135-017-0574-8 29937585

41. Weller SC, Vickers B, Bernard HR, Blackburn AM, Borgatti S, Gravlee CC, et al. Open-ended interview questions and saturation. PLoS ONE. 2018;13(6):e0198606. doi: 10.1371/journal.pone.0198606 29924873

42. Malterud K, Siersma VD, Guassora AD. Sample size in qualitative interview studies: guided by information power. Qual Health Res. 2015;26(13):1753–60.

43. Nelson IA. From quantitative to qualitative: adapting the life history calendar method. Field Methods. 2010;22(4):413–28.

44. Guest G, MacQueen KM, Namey EE. Applied thematic analysis. Thousand Oaks (CA): SAGE Publications; 2012.

45. International QSR. NVivo qualitative data analysis software. Version 12. Victoria: QSR International; 2018.

46. Jakobsen M, Meyer DeMott MA, Wentzel-Larsen T, Heir T. The impact of the asylum process on mental health: a longitudinal study of unaccompanied refugee minors in Norway. BMJ Open. 2017;7(6):e015157. doi: 10.1136/bmjopen-2016-015157 28637731

47. Keles S, Idsoe T, Friborg O, Sirin S, Oppedal B. The longitudinal relation between daily hassles and depressive symptoms among unaccompanied refugees in Norway. J Abnorm Child Psychol. 2017;45(7):1413–27. doi: 10.1007/s10802-016-0251-8 28025756

48. Feldman I. Care and suspicion: corruption as definition in humanitarian relations. Curr Anthropol. 2018;59(S18):S160–70.

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PLOS Medicine


2020 Číslo 3

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