Identifying the Causes and Contexts of Social Harms Related to the Health of Marginalized Teenagers in Karaj City

Migration from rural areas and smaller cities to bigger cities has caused the disorderly and unbridled growth of urbanization, which is the consequence of this situation of the challenge of marginalization. This issue causes the emergence of many problems and social problems for the health of teenagers. This study was conducted with the aim of identifying the causes, contexts and consequences of marginalization on the health of adolescents in the marginal areas of Karaj city. This research was carried out in a qualitative and grounded theory method in the marginal areas of Karaj city. The research community consists of 18 people who are well-informed in the field of social harm and health. Sampling was purposeful and with maximum variety based on semi-structured interview format, data analysis and output was done through MAXQDA 20 software. The categories of “economic poverty”, “abandonment of children” and “family disorder” as causal conditions, the categories of “low accountability of institutions” and “cultural heterogeneity” as background conditions, “severe population displacement” and “being influenced by the peer group” were determined as intervention conditions. Supporting the marginalized by professional voluntary groups, creating financial funds to provide the minimum living standards of the marginalized families and providing job opportunities for the  marginalized were identified as the strategies of this research. Teenagers have  faced consequences such as “depression”, “disease spread”, “despair”, “social resilience”, “spread of corruption and prostitution”, “harm to the new generation” and “low level of neighborhood health”. The central category of the research is called “marginalization as double deprivation”. The results of this study indicate the frequency of social harms in marginalized areas and the teenagers of these areas are facing many problems in the psychological, social, health and health fields. Therefore, planning to solve problems and empower marginalized teenagers to reduce social damage and improve their health is an important necessity.