Compounding inequalities: Adolescent psychosocial wellbeing and resilience among refugee and host communities in Jordan during the COVID-19 pandemic Article Swipe
Nicola Jones
,
Sarah Baird
,
Bassam Abu Hamad
,
Zulfiqar A Bhutta
,
Erin Oakley
,
Manisha Shah
,
Jude Sajdi
,
Kathryn M. Yount
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pone.0261773
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pone.0261773
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 far-reaching 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.
Related Topics
Concepts
Pandemic
Psychosocial
Psychological resilience
Refugee
Mental health
Environmental health
Social isolation
Psychology
Poverty
Medicine
Demography
Gerontology
Geography
Psychiatry
Economic growth
Coronavirus disease 2019 (COVID-19)
Sociology
Social psychology
Disease
Economics
Infectious disease (medical specialty)
Archaeology
Pathology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1371/journal.pone.0261773
- OA Status
- gold
- Cited By
- 47
- References
- 84
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4210716481
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4210716481Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1371/journal.pone.0261773Digital Object Identifier
- Title
-
Compounding inequalities: Adolescent psychosocial wellbeing and resilience among refugee and host communities in Jordan during the COVID-19 pandemicWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-02-02Full publication date if available
- Authors
-
Nicola Jones, Sarah Baird, Bassam Abu Hamad, Zulfiqar A Bhutta, Erin Oakley, Manisha Shah, Jude Sajdi, Kathryn M. YountList of authors in order
- Landing page
-
https://doi.org/10.1371/journal.pone.0261773Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1371/journal.pone.0261773Direct OA link when available
- Concepts
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Pandemic, Psychosocial, Psychological resilience, Refugee, Mental health, Environmental health, Social isolation, Psychology, Poverty, Medicine, Demography, Gerontology, Geography, Psychiatry, Economic growth, Coronavirus disease 2019 (COVID-19), Sociology, Social psychology, Disease, Economics, Infectious disease (medical specialty), Archaeology, PathologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
47Total citation count in OpenAlex
- Citations by year (recent)
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2025: 9, 2024: 15, 2023: 14, 2022: 9Per-year citation counts (last 5 years)
- References (count)
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84Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| corresponding_author_ids | https://openalex.org/A5061038849, https://openalex.org/A5064982357, https://openalex.org/A5047331568, https://openalex.org/A5044432173, https://openalex.org/A5031009188, https://openalex.org/A5052911861, https://openalex.org/A5025634579, https://openalex.org/A5042600726 |
| countries_distinct_count | 6 |
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| corresponding_institution_ids | https://openalex.org/I118185606, https://openalex.org/I150468666, https://openalex.org/I161318765, https://openalex.org/I193531525, https://openalex.org/I21215505, https://openalex.org/I2801317318, https://openalex.org/I2802952180, https://openalex.org/I4210152783 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/1 |
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| sustainable_development_goals[0].display_name | No poverty |
| citation_normalized_percentile.value | 0.98668316 |
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