OTOtherOccupational therapy international2022

Factors Shaping Occupational Injustice among Resettled Syrian Refugees in the United States.

Wesam B Darawsheh, Megan Bewernitz, Sawsan Tabbaa and 1 others

PMID 35832102

WHAT IT FOUND

Resettled Syrian refugees described language barriers, rushed self-sufficiency demands, weak agency support, and unreliable interpretation as blocking work, social life, and family roles.

These contextual pressures left them in mismatched work and isolation, not personal failure.

Key findings

01Participants described systemic barriers, including American refugee and allocation policies, deficient resettlement agency roles, inefficient interpretation services, and lack of support, as shaping their living and occupational difficulties.

02The survey found differences in living difficulty scores by age, region, and time in the United States, but not by gender.

03Refugees described occupational deprivation in leisure and social activities, occupational imbalance from extensive work activities, and occupational alienation from jobs that did not match their qualifications.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The survey used convenience and snowball sampling, and recruitment relied on researchers' existing contacts and accessible organizations, so it may not represent all resettled Syrian refugees. The Living Difficulty Scale was developed for this study, so its scores are study-specific and should not be treated as a standard clinical measure. The survey was cross-sectional, so it can describe differences at one point but cannot show that age, region, or time in the United States caused the reported difficulties. The qualitative findings came from nine interviews and fieldnotes from 32 questionnaire participants, so they may not capture the experiences of all 254 survey participants. Some participants could not withdraw survey responses once submitted, and researchers read questions to participants with limited literacy, which may affect how freely responses were given.

The easy way to misread this

Do not read the differences by age, region, and time in the United States as proof that those factors caused occupational injustice. The survey was cross-sectional, and the paper reports that policies, agency practices, language access, and interpretation failures shaped reported difficulties.

Read it on PubMed →