Pathways to Refugee Integration: Predictions from Longitudinal Data in Colorado

AuthorJini E. Puma,Sarah E. Brewer,Paul Stein
Date01 July 2020
Published date01 July 2020
DOI10.1177/0002716220935830
82 ANNALS, AAPSS, 690, July 2020
DOI: 10.1177/0002716220935830
Pathways to
Refugee
Integration:
Predictions
from
Longitudinal
Data in
Colorado
By
JINI E. PUMA,
SARAH E. BREWER,
and
PAUL STEIN
935830ANN THE ANNALS OF THE AMERICAN ACADEMYPATHWAYS TO REFUGEE INTEGRATION
research-article2020
In this study, we examine whether and how the success
of refugee integration varies over time and the factors
that facilitate successful integration. Using data from
the Refugee Integration Survey and Evaluation (RISE),
we assess the integration of 467 newly resettled refu-
gees in Colorado over three consecutive years, begin-
ning in 2011. We find that that integration significantly
increases with more time in the United States, and that
age, gender, and education in one’s home country
explained approximately half of the variance in overall
integration three years postarrival. The integration
pathways we derive from the data explain a sizable
component of the variance, and we find differences in
the integration process across the population sub-
groups that we examine.
Keywords: refugees; integration; longitudinal data;
resettlement
At no other time in recent recorded history
has there been a displacement crisis like
the one we are witnessing at the time of this
writing. The United Nations High Commissioner
for Refugees (UNHCR) estimates 70.8 million
people worldwide have been forcibly displaced
from their homes, including 13.6 million in
2018 alone (UNHCR 2018). This figure
includes 20.4 million refugees under UNHCR’s
Jini E. Puma is an assistant professor in community and
behavioral health and the associate director of the
Rocky Mountain Prevention Research Center at the
Colorado School of Public Health. Her primary research
interests include refugee integration and health and
early childhood obesity prevention.
Sarah E. Brewer is an assistant professor of family
medicine and investigator in the Adult and Child
Consortium for Health Outcomes Research and
Delivery Sciences (ACCORDS) at the University of
Colorado Anschutz Medical Campus. Her research
engages communities to solve issues in vaccine hesi-
tancy, primary care use, and refugee health.
Correspondence: jini.puma@ucdenver.edu
PATHWAYS TO REFUGEE INTEGRATION 83
mandate. Over half of UNHCR refugees originate from Syria, Afghanistan, and
south Sudan, fleeing from war and persecution by their governments. In 2018,
92,400 refugees were resettled into receiving countries (UNHCR 2019).
Integrating such a large number of refugees into new societies is a complex,
expensive challenge that affects and is affected by national politics, social values,
the economy, government policies, and sensibilities of host communities.
For refugees, integrating into the receiving community is complex, because of
the many barriers newly resettled people face. Immediate stressors include ina-
bility to speak the host language and poor job skills (Elwell etal. 2014; Cheung
and Phillimore 2017; Hugo 2014; Taylor 2004). Over time, many refugees con-
tinue to face barriers to integration, including difficulty navigating their host
country’s bureaucracy, lack of health insurance, low literacy, lack of transporta-
tion, social isolation, and poor mental and physical health (Simich 2003; Mirza
etal. 2014; Thomson 2012; Kennedy, Seymour, and Hummel 1999; Savin etal.
2005). The confluence of these factors can present formidable obstacles to refu-
gees, in terms of integrating into the social, economic, and political fabric of a
new country. Thus, in this article, we sought to examine the longitudinal process
of integration of refugees into a metropolitan area in the United States, along
with the factors that influenced this process. Our hope is that through better
understanding of the factors that predict refugee integration over time, resources,
and support can be allocated to promote this dynamic process.
Understanding Refugee Integration
Ager and Strang’s (2008) integration framework has been used to understand
refugee integration in countries throughout the world. This conceptual frame-
work was derived based on interviews with refugees and host-country citizens in
the UK. The framework outlines ten dimensions of refugee integration that have
proven to be relevant across countries and refugee subgroups. The ten dimen-
sions of refugee integration they outline include rights and citizenship, language
and cultural knowledge, safety and stability, social bridging, social bonding, social
links, housing, employment, education, and health. The Ager and Strang
Paul Stein is founder and strategic partnerships developer for integration: Navigation,
Outreach, Wealth Building (iNOW). His work focuses on supporting refugee integration
through community engagement, economic development, and innovative service delivery.
NOTE: The Refugee Integration Survey and Evaluation (RISE) data were procured through
the Colorado Open Records Act (CORA). The authors wish to extend a heartfelt thank you to
Dr. Gary Lichtenstein for his wisdom, unwavering support, strong moral compass, and caring
for the lives and plight of refugees in Colorado and around the world. The authors also
acknowledge the Georgetown University Institute for the Study of International Migration and
the Berkley Center for Religion, Peace and World Affairs for their support of this article. The
authors wish to thank Mrs. Sharon Scarbro and Dr. Charlotte Farewell for their consultation
and assistance with some of the statistical analyses featured in this article. Last, the authors
express deep gratitude to the refugees and refugee professionals whose participation in the
RISE study made data for this article possible.

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