Journal of Immigrant and Minority Health最新文献

{"title":"Diagnoses of Mental Health Disorders Among Norwegian-Born Youth and Young Adults with Immigrant Parents-A Register-Based Study.","authors":"Naima Said Sheikh, Melanie Lindsay Straiton, Guido Philipp Emmanuel Biele, Marte Karoline Råberg Kjøllesdal","doi":"10.1007/s10903-025-01726-6","DOIUrl":"10.1007/s10903-025-01726-6","url":null,"abstract":"<p><p>Adolescence and early adulthood are associated with an increase in mental health problems. Migration is also a risk factor for mental disorders. Yet, we know little about the risk of mental disorders among young descendants of immigrants. This study aims to investigate the risk of being diagnosed with a mental disorder between the ages of 16-30 years among those born in Norway with at least one immigrant parent compared to those with Norwegian-born parents. Data were sourced from the Medical Birth Registry of Norway, the Norwegian Patient Register, and Statistics Norway. Cox proportional hazard regressions were used to estimate hazard ratios (HR) of receiving diagnoses of depression, anxiety, bipolar affective disorders, eating disorders, and schizophrenia among those with one or two immigrant parents, in total and by parental region of origin. Individuals with Norwegian-born parents were the reference group. Analyses were adjusted for sex, year of birth, and parental education. Individuals with two immigrant parents had a lower hazard of most mental disorder diagnoses, including anxiety, depression, bipolar affective disorder, and eating disorders, compared to those with Norwegian-born parents, but a higher hazard of a schizophrenia diagnosis. Individuals with one immigrant parent showed a higher hazard of mental disorder diagnoses compared to those with two Norwegian-born parents. These patterns were generally consistent across parental regions of origin. The findings show a lower risk of a diagnosis among those with two immigrant parents. It is unclear whether this is due to better health, different patterns of help-seeking or barriers to care. Higher risk of diagnoses among those with one immigrant parent points towards a need for targeted preventive measures.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"667-676"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12420709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advocating for Change: Addressing Barriers To Tuberculosis Care for Immigrants and Refugees in Canada.","authors":"Nawang Yanga","doi":"10.1007/s10903-025-01744-4","DOIUrl":"10.1007/s10903-025-01744-4","url":null,"abstract":"<p><p>Tuberculosis (TB) disproportionately affects immigrants and refugees in Canada, who accounted for 80% of active TB cases in 2023 despite making up only 23% of the population. This commentary highlights the urgent need to address systemic barriers that hinder access to timely and effective TB care across the cascade, from screening and diagnosis to treatment completion. Drawing on recent policy reports and emerging evidence, this paper focuses on four main intersecting challenges: language barriers, limited cultural competency among providers, healthcare system inefficiencies, and misinformation. These barriers not only delay diagnosis, but also undermine treatment adherence and trust in the healthcare system. This commentary calls for scalable, equity-driven interventions including improved interpretation services, and tailored community-based education to TB-specific training for healthcare providers. To advance Canada's TB elimination goals, we must center the lived realities of immigrants and refugees, whilst strengthening the responsiveness, accessibility, and continuity of care within the Canadian healthcare system.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"647-651"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144760302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Qualitative Study to Understanding Barriers to PTSD Treatment for Immigrants and Refugees in Primary Care.","authors":"Nuha Alshabani, Kathryn Price, Helena Kennedy, James K Haws, Sarah L Kimball","doi":"10.1007/s10903-025-01746-2","DOIUrl":"10.1007/s10903-025-01746-2","url":null,"abstract":"<p><p>We share findings from a needs assessment to understand barriers to posttraumatic stress disorder (PTSD) treatment for immigrants and refugees (IR) in primary care settings. Providing culturally responsive and accessible PTSD treatment to IR patients is critical. The study conducted qualitative interviews with 15 interprofessional staff and providers (e.g., primary care physicians, behavioral health clinicians, case manager, and a nurse practitioner) as well as two focus groups with physician residents serving IR patients. Results from qualitative analysis revealed several key barriers to integrating PTSD treatment for IR in primary care settings, including training gaps, mental health literacy and stigma, poor social determinants of health (i.e., food insecurity, housing stability, economic security, transportation), and lack of PTSD screening. Our findings suggest that reducing barriers to PTSD treatment for IRs may be addressed through multilevel changes and interventions for providers (e.g., training in culturally responsive trauma-informed intervention) and patients (e.g., addressing the intersection of stigma, trauma, and social determinants of health).</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"877-881"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acculturation and Healthcare Access Among Labour Migrants: A Systematic Review.","authors":"Amirah Zafirah Zaini, Tharani Loganathan, Sally Hargreaves, Cathy Zimmerman, Hazreen Abdul Majid, Mahmoud Danaee","doi":"10.1007/s10903-025-01747-1","DOIUrl":"10.1007/s10903-025-01747-1","url":null,"abstract":"<p><p>Acculturation plays a significant role in migrant health. However, there has been little synthesis of the relationship between migrants' acculturation and healthcare access. This systematic review examines how acculturation is measured and its relationship with healthcare access among labour migrants. A systematic search of primary research studies (January 2000-July 2024) was conducted in PubMed, ScienceDirect, Scopus, and Web of Science using predefined MeSH terms and keywords. Records were screened by two independent reviewers and data were extracted on study characteristics, the measures of acculturation, healthcare access outcomes, and covariates. Assessment of study quality was done using the Newcastle-Ottawa quality assessment scale. Results were reported following PRISMA 2020 guidelines. The protocol was registered in PROSPERO (registration number CRD42024532204). Twenty-four studies met the inclusion criteria for final analysis. Four main acculturation proxies influencing labour migrants' access to healthcare were identified: length of stay, proficiency in local languages, country of origin, and immigration status. Longer residency and higher local languages proficiency were associated with better healthcare access. The influence of the origin country varied by migrant group. Irregular immigration status negatively affected healthcare access, with undocumented migrants having the poorest access. The identification of key acculturation proxies suggests targets for inclusive policies that improve specific areas of acculturation to increase equitable healthcare access for labour migrants. Future research is needed in low-and middle-income destination countries, incorporating validated instruments of acculturation, longitudinal studies, and the exploration of other contributing factors for a greater understanding of the acculturation process.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"820-829"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rejection, Stigma and Self-Esteem Among South American Immigrants in an Irregular Situation in Chile.","authors":"José Berríos-Riquelme, Dolores Frías-Navarro, Viviana Vargas-Salinas, Olaya Grau-Rengifo","doi":"10.1007/s10903-025-01696-9","DOIUrl":"10.1007/s10903-025-01696-9","url":null,"abstract":"<p><p>The reality of individuals without an immigration status is complicated because of administrative problems and the effects of negative social interactions on their well-being. The present article analyzes the possible mediating role of internalized stigma in the relationship between perceived rejection and self-esteem among South American individuals without an immigration status in Chile. The study involved the participation of 174 immigrants living in Chile for at least one year without an immigration status; their participation was voluntary and they did not receive any payment for being part of the study. The results indicate that internalized stigma fully mediates the effect of perceived rejection on the self-esteem of these people, which shows how negative social interactions can be for this population. We conclude with the importance of the findings for future studies, policies, and interventions with South American individuals without an immigration status.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"717-722"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alcohol and Cannabis Use and Co-Use among Ethnic Groups in California.","authors":"Raul Caetano, M J Paschall, Patrice A C Vaeth, Zoe Kaplan","doi":"10.1007/s10903-025-01743-5","DOIUrl":"10.1007/s10903-025-01743-5","url":null,"abstract":"<p><p>Nationally, approximately 11% of people who drank in the past 12 months also used cannabis. The objective of this paper is to examine rates and correlates of alcohol and cannabis use and co-use among ethnic/racial groups in California. Data are from the 2022 California Health Interview Survey (CHIS) (N = 21,463, 49.1% male, 50.9% female), a representative household survey of the non-institutionalized population in California. Data were analyzed using a multinomial logistic regression. Alcohol and cannabis co-use was higher among respondents in the Other/Two or more races group (17.7%) and Whites (17.0%) compared to other ethnic groups (p < 0.001). Among alcohol users only, the mean number of monthly drinks was higher among Whites than among Blacks and Asians (p<,004). Binge drinking was highest among Hispanics (41.9%; p > 0.001). Among co-users there were no differences in the mean number of drinks across ethnic groups, but binge drinking was highest among the Other/Two or more races group (62.5%; p < 0.001). There were no statistically significant differences in the percentage of illicit drug use across ethnic groups. In multinomial logistic regression, Hispanics, Blacks, and Asians were statistically less likely than Whites to report alcohol use only and co-use, while Hispanics and Blacks were less likely than Whites to report cannabis use only. Ethnic/racial minority groups appear to be less likely than Whites to co-use alcohol and cannabis. Because co-users are a group at higher risk for a variety of associated problems, it is important to maintain future monitoring of this behavior given the legalization of recreational cannabis use in California.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"799-808"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing Equity in Breast Cancer Screening Among Immigrant East African Women in Seattle, WA: A Focus-Group Study.","authors":"Rebecca S Gold, Anisha P Ganguly, Yodit Wongelemengist, Anab Abdullahi, Michelle Y Zhang, Rachel L Yung, Adelaide H McClintock","doi":"10.1007/s10903-025-01730-w","DOIUrl":"10.1007/s10903-025-01730-w","url":null,"abstract":"<p><p>Black women are diagnosed with breast cancer at later stages and have a higher cancer-related mortality rate than white women. Low mammography completion contributes to racial disparities in breast cancer. Immigrant Black women face additional barriers that compound these inequities; notably, mammography rates are among the lowest for recent immigrants. We sought to describe experiences and preferences related to breast cancer screening among Somali and Ethiopian women, two growing Black immigrant populations in our community, to inform system interventions to increase screening rates within a diverse patient population at a large, urban academic medical center. We conducted semi-structured focus groups with women who were born in Somalia or Ethiopia, had immigrated to the US, and were overdue for breast cancer screening. Each focus group discussed participant views on healthcare, breast cancer screening, and opportunities for outreach. Interviews were conducted in Somali or Amharic with a real-time certified bilingual interpreter and cultural mediator. Verbatim transcripts from audio recordings underwent constant comparison and iterative data reduction analysis by two study authors. Eleven women from Somalia participated in two Somali-speaking focus groups (SSFG) and seven women from Ethiopia participated in two Amharic-speaking focus groups (ASFG). Several themes were shared between groups related to screening barriers (e.g., access, need for interpreters, competing needs and responsibilities, lack of symptoms, silence, fear) and facilitators (e.g., physician recommendation, community information and experiences about screening, stories of people with cancer). Both groups recommended more provider presence in community outreach and recommended oral or visual materials for health communication. Themes more common among SSFG participants included an expectation of pain and consideration of religion in health. ASFG participants described a desire for more separation between religion and healthcare and emphasized the role of the doctor as a trusted source of information. This study identified barriers to screening and opportunities for developing tailored, culturally relevant interventions to improve mammography completion among East African communities in our region. Health systems must consider the unique needs of both populations for interventions to meaningfully impact screening rates and ultimately reduce disparities in breast cancer.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"787-798"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with Help-seeking Behavior among U.S. Chinese Older Adults who Experienced Elder Mistreatment.","authors":"Ying-Yu Chao, Jin Young Seo, Peijia Zha, Yu-Ping Chang","doi":"10.1007/s10903-025-01716-8","DOIUrl":"10.1007/s10903-025-01716-8","url":null,"abstract":"","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"697-705"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12420729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144575538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"We Should Not Call an Ambulance, Even If We are Very Sick\": Ukrainian Refugee Women's Experiences in the United States Healthcare System.","authors":"Yana D Gepshtein, Jung-Ah Lee, Dawn T Bounds, Candace W Burton","doi":"10.1007/s10903-025-01710-0","DOIUrl":"10.1007/s10903-025-01710-0","url":null,"abstract":"<p><p>As the number and diversity of refugees worldwide increases, healthcare providers working with these populations face unique challenges. Thus, healthcare providers in host countries have limited understanding of challenges refugees face when using healthcare in host countries. The goal of the study is to achieve an interpretive understanding of women refugees' perspectives on their interactions with healthcare systems and providers, as well as to identify factors and processes that women refugees view as enabling or hindering their access to healthcare. Study participants were refugee women from Ukraine in the US (N = 17), who volunteered to take part in semi-structured interviews about their experiences in the US healthcare. The interviews were transcribed in original languages and analyzed using Charmaz's constructivist grounded theory methodology, which is based on constant comparison between codes and data exemplars within and between interviews. Three priority theoretical elements were identified: (1) barriers to care, which encompassed codes: uncertainty about costs, lack of health insurance, time constraints, difficulties in communication, problems of distance and transportation, and finding a trustworthy provider; (2) systemic and organizational features that hinder care, which encompassed codes: the system is confusing, inconsistencies across organizations and providers; limited scope of organizations meant to help refugees; and (3) processes and factors that do or would alleviate impediments to care, which encompassed codes: clear and relevant information, getting help from others, addressing patients' concerns, acknowledging patient circumstances. The study emphasizes the importance of continuity of care in refugee health, indicates the culture-bound nature of trust in healthcare providers, and underscores the essential role of non-formal and non-structured support for refugees.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"766-777"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12420730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Mental Health of Incarcerated Immigrants, Survey of Prison Inmates, 2016.","authors":"Rachel A Zajdel, Chelsea Duong, Erik J Rodriquez, Eliseo J Pérez-Stable","doi":"10.1007/s10903-025-01749-z","DOIUrl":"10.1007/s10903-025-01749-z","url":null,"abstract":"<p><p>Immigrants tend to exhibit better mental health compared to their U.S.-born counterparts, but this immigrant health advantage is not uniform across immigrant populations. The objective of this study is to examine if the immigrant health advantage extends to incarcerated individuals and if there are differences by race and/or ethnicity. We used data from the 2016 Survey of Prison Inmates (n=20,226) and multivariable linear and logistic regression models to examine the relationship between immigration status, race and/or ethnicity, and mental health (psychological distress, depression, anxiety) among imprisoned individuals. The analytic sample included Black (n=7,104), Latino (n=5,029), and White (n=8,093) respondents, ten percent of whom were foreign-born. The average Kessler 6-item psychological distress score was 5.9 and 24.4% and 19.8% of respondents reported ever having been diagnosed with depression and anxiety, respectively. Incarcerated U.S.-born individuals reported significantly more symptoms of psychological distress (β=0.89; C.I.=0.46,1.32; p<0.001) and higher odds of depression (OR=2.03; C.I.=1.64,2.50; p<0.001) and anxiety (OR=2.30; C.I.=1.82, 2.90; p<0.001) compared to incarcerated foreign-born individuals. When stratified by race and/or ethnicity, the same patterns emerged for incarcerated Latino individuals by U.S. birth. In contrast, incarcerated U.S.-born Black individuals had lower levels of psychological distress (β=-1.64; C.I.=-2.99,-0.29; p<0.05) compared to incarcerated foreign-born Black individuals. No relationship between immigration status and mental health was observed among incarcerated White individuals. Findings suggest that the immigrant health advantage may vary by race and ethnicity within the imprisoned population.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"734-742"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12420754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}