Compounding inequalities: Adolescent psychosocial wellbeing and resilience among refugee and host communities in Jordan during the COVID-19 pandemic

dc.contributor.author Jones, Nicola
dc.contributor.author Baird, Sarah
dc.contributor.author Abu Hamad, Bassam
dc.contributor.author Bhutta, Zulfiqar A.
dc.contributor.author Oakley, Erin
dc.contributor.author Shah, Manisha
dc.contributor.author Sajdi, Jude
dc.contributor.author Yount, Kathryn M.
dc.date.accessioned 2022-02-08T11:58:17Z
dc.date.available 2022-02-08T11:58:17Z
dc.date.issued 2022-02-02
dc.description.abstract Purpose The COVID-19 pandemic and associated risk-mitigation strategies have altered the social contexts in which adolescents in low- and middle-income countries live. Little is known, however, about the impacts of the pandemic on displaced populations, and how those impacts differ by gender and life stage. We investigate the extent to which the pandemic has compounded pre-existing social inequalities among adolescents in Jordan, and the role support structures play in promoting resilience. Methods Our analysis leverages longitudinal quantitative survey data and in-depth qualitative interviews, collected before and after the onset of COVID-19, with over 3,000 Syrian refugees, stateless Palestinians and vulnerable Jordanians, living in camps, host communities and informal tented settlements. We utilize mixed-methods analysis combining multivariate regression with deductive qualitative tools to evaluate pandemic impacts and associated policy responses on adolescent wellbeing and mental health, at three and nine months after the pandemic onset. We also explore the role of support systems at individual, household, community, and policy levels. Findings We find the pandemic has resulted in severe economic and service disruptions with farreaching and heterogenous effects on adolescent wellbeing. Nine months into the pandemic, 19.3% of adolescents in the sample presented with symptoms of moderate-to severe depression, with small signs of improvement (3.2 percentage points [pp], p<0.001). Two thirds of adolescents reported household stress had increased during the pandemic, especially for Syrian adolescents in host communities (10.7pp higher than any other group, p<0.001). Social connectedness was particularly low for girls, who were 13.4 percentage points (p<0.001) more likely than boys to have had no interaction with friends in the past 7 days. Adolescent programming shows signs of being protective, particularly for girls, who were 8.8 percentage points (p<0.01) more likely to have a trusted friend than their peers who were not participating in programming. Conclusions Pre-existing social inequalities among refugee adolescents affected by forced displacement have been compounded during the COVID-19 pandemic, with related disruptions to services and social networks. To achieve Sustainable Development Goal targets to support healthy and empowered development in adolescence and early adulthood requires interventions that target the urgent needs of the most vulnerable adolescents while addressing population-level root causes and determinants of psychosocial wellbeing and resilience for all adolescent girls and boys.
dc.description.sponsorship Funding was received from the Research and Evaluation Division of the UK Foreign Commonwealth and Development Office (FCDO) for the Gender and Adolescence: Global Evidence (GAGE) longitudinal study. In addition, supplementary funding was provided by BMGF through the EMERGE PROJECT: OPP1163682 and INV018007 and Research Grants on Women, Victimization, and COVID-19 (# INV-003527). Dr Sarah Baird is the recipient of the latter. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
dc.identifier.citation Jones N, Baird S, Abu Hamad B, Bhutta ZA, Oakley E, Shah M, et al. (2022) Compounding inequalities: Adolescent psychosocial wellbeing and resilience among refugee and host communities in Jordan during the COVID-19 pandemic. PLoS ONE 17(2): e0261773. https://doi. org/10.1371/journal.pone.0261773
dc.identifier.issn 1932-6203
dc.identifier.uri https://hdl.handle.net/20.500.12213/6511
dc.language.iso en
dc.publisher PLOS
dc.title Compounding inequalities: Adolescent psychosocial wellbeing and resilience among refugee and host communities in Jordan during the COVID-19 pandemic
dc.type Article
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