Food Security for People with Lived-Refugee Experiences is Interrelated with Culture and Mental Health: Perspectives from Workers Supporting the Settlement Journey in Australia

People from refugee backgrounds generally have long and stressful journeys that involve involuntarily fleeing their homes and often include dislocation from family and friends. Food is integral to settlement when arriving in a destination country, as it is entwined with self-identity, culture, and connectedness to family and community. The aim of this study was to understand the facilitators and barriers of accessing cultural foods during the settlement journey for families with a refugee background, from the perspectives of workers who support the settlement journey. The study used participatory action research methodology to conduct focus groups with settlement and other workers who regularly interacted with people from refugee backgrounds, spoke English, and preferably self-identified with a refugee background. Participants were recruited through community organisations in Brisbane, Australia, and focus groups were held at workplaces or online. Eight focus groups (n = 32) were conducted between June and October 2021. The main theme was that food security, culture, and mental health were interrelated. When cultural food access, culture, or mental health were maintained or adversely impacted, all three factors were likewise affected. The behaviours around purchasing cultural foods were motivated by the desire to express and validate culture, which in turn improved mental health. It was also found that individual and community support systems sustained access to cultural foods, while social, environmental, institutional, and political structures impacted this access, sometimes detrimentally. This study highlights the need for interventions that foster social capital for families with refugee backgrounds and consider food security, culture, and mental health collectively. In addition, there is a need for increased awareness of the settlement journey, and for cultural inclusivity to be integrated into government policies, by working with communities and providing opportunities for people to express their culture, improve access to cultural foods, and maintain mental health.