Health Hazards of Migration in People Seeking Asylum in New York City, 2023.

IF 9.6 1区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American journal of public health Pub Date : 2025-07-11 DOI:10.2105/ajph.2025.308065

Christian Olivo-Freites,Patricia Miguez-Arosemena,Andrés Henao-Martínez,Jose Antonio Suarez,Carlos Franco-Paredes,Deborah Edelman,Cristina Olivo-Freites,Jennifer Marquez,Carlos Plazola,Kayla Leschly,Jayme Leschly,Nathan Gundacker,Amir M Mohareb

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引用次数: 0

Abstract

Objectives. To identify hazardous migration experiences among asylum seekers and associations with psychiatric illness. Methods. We conducted a cross-sectional study of asylum seekers in a federally qualified health center in New York City from January 1 to November 30, 2023, to determine the frequency of and factors associated with hazardous migration events: physical or sexual assault, kidnapping, extortion, illnesses, and incarceration. Results. Of 530 people (median age = 28 years, 55.5% female), most were from Venezuela (38.5%), Ecuador (20.0%), and other countries in South America (27.0%). They reported physical assault (24.9%), sexual assault (1.9%), kidnapping (4.7%), extortion (48.3%), and illness (19.4%) during migration. Crossing the Darien Gap was independently associated with experiencing physical or sexual violence (as a composite outcome, adjusted odds ratio [AOR] = 2.71; 95% confidence interval [CI] = 1.47, 5.10), illness (AOR = 3.71; 95% CI = 1.70, 8.58), and extortion (AOR = 1.94; 95% CI = 1.12, 3.34). Among adults, 10.7% (95% CI = 7.7%, 14.3%) were diagnosed with psychiatric illness during their initial evaluation, and this was more common in those who were incarcerated in immigration detention centers (OR = 2.02; 95% CI = 1.13, 3.66). Conclusions. Asylum seekers journeying through the Darien Gap frequently encounter hazardous traumatic events. Detention by immigration authorities is associated with psychiatric illnesses. (Am J Public Health. Published online ahead of print July 10, 2025:e1-e9. https://doi.org/10.2105/AJPH.2025.308065).

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纽约市寻求庇护者移民的健康危害，2023。

目标。确定寻求庇护者的危险移民经历及其与精神疾病的联系。方法。从2023年1月1日至11月30日，我们在纽约市一家联邦认证的医疗中心对寻求庇护者进行了一项横断面研究，以确定危险移民事件的频率和相关因素：身体或性侵犯、绑架、勒索、疾病和监禁。结果。在530人中（年龄中位数为28岁，55.5%为女性），大多数来自委内瑞拉（38.5%）、厄瓜多尔（20.0%）和南美洲其他国家（27.0%）。他们报告了迁移过程中的身体攻击（24.9%）、性侵犯（1.9%）、绑架（4.7%）、敲诈勒索（48.3%）和疾病（19.4%）。穿越达连峡与遭受身体或性暴力独立相关(作为综合结果，调整优势比[AOR] = 2.71；95%可信区间[CI] = 1.47, 5.10)，疾病(AOR = 3.71；95% CI = 1.70, 8.58)，敲诈勒索(AOR = 1.94；95% ci = 1.12, 3.34)。在成年人中，10.7% （95% CI = 7.7%, 14.3%）在最初评估时被诊断为精神疾病，这在被关押在移民拘留中心的人中更为常见(OR = 2.02；95% ci = 1.13, 3.66)。结论。穿越达连峡的寻求庇护者经常遇到危险的创伤事件。被移民当局拘留与精神疾病有关。公共卫生。2025年7月10日在线出版：e1-e9。https://doi.org/10.2105/AJPH.2025.308065)。

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来源期刊

American journal of public health 医学-公共卫生、环境卫生与职业卫生

CiteScore

9.50

自引率

3.90%

发文量

1109

审稿时长

2-4 weeks

期刊介绍： The American Journal of Public Health (AJPH) is dedicated to publishing original work in research, research methods, and program evaluation within the field of public health. The journal's mission is to advance public health research, policy, practice, and education.