Journal of Immigrant and Minority Health最新文献

{"title":"Unraveling the Migration Journey: Understanding the Impact of Migration Stage Stress on the Mental Health of Mexicans and Central Americans.","authors":"Eliza Silvia Galvez, Mary Lehman Held, Fei Wang, Robert Lucio","doi":"10.1007/s10903-025-01692-z","DOIUrl":"10.1007/s10903-025-01692-z","url":null,"abstract":"<p><p>Existing research highlights the impact of migration-stage stress on the mental health of Latinx migrants. However, there remains limited understanding of the experiences of recently arrived Mexican and Central American migrants who have fled hardships and encountered substantial challenges throughout their migration journey. To address this gap, this study was designed to examine the associations between cumulative stress experienced at distinct stages of migration (pre-migration, peri-migration, and post-migration) to the United States (U.S.) and depression, anxiety, and posttraumatic stress disorder (PTSD) symptoms. Additionally, the study aimed to examine the moderating role of social support as a protective factor for these mental health outcomes. Using a cross-sectional design, survey data were collected from Mexican and Central American migrants who arrived within the past decade (n = 305). Multiple regression analyses were employed to assess the relationship between stage-specific migration stressors and reported symptoms of depression, anxiety, and PTSD. Higher pre-migration and post-migration stress were significantly associated with increased symptoms of depression, anxiety, and PTSD, while peri-migration stress was specifically associated with heightened anxiety and PTSD symptoms. Notably, social support demonstrated a protective effect on all mental health symptoms, although no significant moderating effects were observed. Findings highlight the critical importance of addressing migration-stage stress throughout all stages of migration. This study presents practice and policy implications to promote the wellbeing and integration of Mexican and Central American migrants in the U.S.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"564-577"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144159626","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":"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":"https://doi.org/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":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","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":"Barriers to Breast, Cervical, and Colorectal Cancer Screenings Faced by Refugees Resettled in the United States: A Rapid Review.","authors":"Jamie Nassur, Devesh Dajee, Amy Leader, Katherine DiSantis","doi":"10.1007/s10903-025-01690-1","DOIUrl":"10.1007/s10903-025-01690-1","url":null,"abstract":"<p><p>Millions of refugees fleeing countries with political unrest and war have been resettled in the United States (U.S.). Although refugees resettled in the U.S. are granted access to health insurance, there are large disparities in the use of preventive health services like cancer screenings between refugees and the native-born population. The U.S. Preventative Services Task Force (USPSTF) recommends screening for breast, cervical, and colorectal cancers, which are highly preventable if detected early. Previous research has investigated barriers to screening for breast, cervical, and colorectal cancers that may underlie screening disparities. However, current reviews assessing these barriers do not distinguish between immigrant and refugee populations and primarily cover breast and cervical cancer screenings. This rapid review aimed to identify barriers to breast, cervical, and colorectal cancer screenings experienced by refugee-specific communities resettled in the U.S. Of the 945 articles retrieved from the database searches, 12 articles were selected for analysis. Data extracted from the selected studies included screening barriers, screening rates, and sample demographics. Six key barrier themes were identified: (1) language and health system navigation, (2) cost, transportation, and time, (3) health knowledge and exposure, (4) fear of cancer screening and diagnosis, (5) cultural and religious beliefs, and (6) refugee experience or status. We noted variations in the screening barriers experienced by different refugee ethnic groups and noted the impact of refugee experiences and trauma in shaping refugee perspectives on screening. The findings of this review suggest the need for interventions aimed at increasing screening rates to consider the nuances in perceived barriers by different refugee ethnic groups and the role of trauma associated with refugee experiences in shaping these barriers.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"609-622"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144159624","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":"Pre-pregnancy, Pregnancy, and Postpartum Health and Social Concerns of Haitian Immigrants.","authors":"G Saradjha Brédy, Jeffrey A Schemm, Tracy A Battaglia, Mara E Murray Horwitz","doi":"10.1007/s10903-025-01679-w","DOIUrl":"10.1007/s10903-025-01679-w","url":null,"abstract":"<p><p>Escalating political turmoil and violence in Haiti since 2021, coupled with United States (US) immigration policy changes in early 2023, have led to an influx of Haitian immigrants to the US. Scattered reports suggest that recent immigrants from Haiti have a high burden of medical and social needs. To better understand their health risks and social needs, we analyzed survey data from 35 Haitian-born, US-based postpartum individuals on topics related to pre-pregnancy, pregnancy, and postpartum health. We calculated frequencies and odds ratios, and compared responses stratified by immigration year (before versus during/after 2021). Among the more recent immigrants, we identified a higher prevalence of hypertension in pregnancy (9/15, 60% versus 4/17, 24%; odds ratio 3.3 (95% confidence interval, 1.0-18.9)) and postpartum financial concerns (7/15, 47% versus 2/17, 12%; odds ratio 5.1 (1.3-46.3)). Our findings suggest that recent immigrants from Haiti may be at increased risk for adverse pregnancy and postpartum outcomes.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"641-645"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004127","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":"The Interconnected Issue of Antimicrobial Resistance Due to Social Inequalities Worldwide.","authors":"Andrea Zovi, Andrea Silenzi, Antonio Vitiello","doi":"10.1007/s10903-025-01705-x","DOIUrl":"10.1007/s10903-025-01705-x","url":null,"abstract":"<p><p>Antimicrobial resistance (AMR) is an escalating global health threat, exacerbated by significant social inequalities. While inappropriate antibiotic use is a known driver, socioeconomic factors such as poverty, limited access to healthcare, and poor living conditions play a crucial role in the emergence and spread of resistant pathogens, particularly in low- and middle-income countries. Disadvantaged populations often resort to self-medication or substandard drugs, contributing to resistance development. This complex interplay calls for a systemic, cross-sectoral response rooted in the One Health and Planetary Health frameworks, recognizing social inequality as a key determinant of AMR. Effective action requires equitable access to quality healthcare, sustainable food systems, improved sanitation, and environmental policies addressing pharmaceutical pollution. Only through coordinated global efforts can we mitigate the rise of AMR and protect both human Q1 and planetary health.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"513-515"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216045","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":"Innovative Policy Supports for Integration in Health and Social Care Focused on Culturally and Linguistically Diverse Populations in Australia: A Qualitative Study.","authors":"Maria Gabriela Uribe Guajardo, Ferdinand C Mukumbang, Mithilesh Dronavalli, Susan Woolfenden, Lisa Parcsi, Brendon McDougall, James Gillespie, Ilan Katz, Andrew Page, Vicki Giannopoulos, John Eastwood, Michelle Cunich, Carmen Huckel Schneider","doi":"10.1007/s10903-025-01697-8","DOIUrl":"10.1007/s10903-025-01697-8","url":null,"abstract":"<p><p>The fragmented nature of Australian health and social care systems present a barrier to integrated care. Culturally and linguistically diverse (CALD) communities are recognised as a priority population with unmet health and social needs. This study describes policy supports for programs that promote health and social care integration with a CALD focus, including governance and partnerships; workforce and staffing; funding and payment; and data sharing and use. The research question was 'what innovative policy supports to integrate health and social programs?'. Qualitative interviews of participants involved in the implementation of health and social care programs in the Sydney using the Innovative Policy Supports For Integrated Health And Social Care Programs Framework, were conducted. Twenty-seven participants from 24 health and social programs based in Sydney participated in the study. Six programs serviced CALD communities only. Ten had majority of CALD clients, with the remaining having a mixture of clients. Ten programs had a formal coordinator role. Most programs did not report new approaches to data sharing. Two out of the 6 CALD targeted programs reported data-sharing via teleconference in the context of emergency. These were 2 health programs addressing COVID-19 disparities and the humanitarian needs of refugees, respectively. Only 2 reported a special funding to assist vulnerable families and common emergency department presenters, respectively. This study demonstrated the lack of integration of services in health and social care. Policy development and implementation should consider bringing stakeholders together (informed by CALD groups) to advance the generation of technology for adopting universal standards and the integration of funding to better support health and social care for CALD communities in multicultural Australia.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"550-558"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969699","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":"Distinctive and Shared Health Needs of Minority Communities by Immigrant Status.","authors":"Erin An, Damian Crow, Nhat Minh Ho, Leslie Omeire, Charles Yang, Jacob Luddington, Jessica Jones, Mathivarshini Sivachidambaram, Robert Ferrer, Robert Wood, Jasmine Rodriguez, Rosemary Williams, Melanie Stone, Fozia Ali, Elena Jimenez Gutierrez","doi":"10.1007/s10903-025-01672-3","DOIUrl":"10.1007/s10903-025-01672-3","url":null,"abstract":"<p><p>To identify distinct and shared health barriers, priorities, and desired information within minority communities by immigrant status. Health needs assessment surveys were conducted at three different health fairs in San Antonio from October 22, 2022 to January 14, 2023. Data was compared using descriptive statistics by immigration status. Among 59 US-born and 55 non-US-born respondents, nutrition and mental health were the highest health priorities. Time was a greater barrier among US-born respondents (p =.007) while lack of insurance was a greater barrier among non-US-born respondents (p =.008). Although the US-born group had higher rates of insurance (74%) compared to the non-US-born group (64%) (p =.019), both had similar rates of having a primary care provider. The US-born group had a higher number of emergency department (ED) visits (p =.030). There are multiple commonalities and differences among health needs in ethnically diverse communities in South Texas. Future health interventions targeted toward minority communities should consider nutrition and mental health while also addressing unique barriers. Multiple factors such as access to free clinics, personal safety, language, and health insurance status are integral to minority group health.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"579-585"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020872","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":"Mobilizing COVID-19 Vaccination Partnerships for Newcomer Refugees and Immigrants in the Calgary, Canada Area, 2021-2022.","authors":"Fariba Aghajafari, Laurent Wall, Amanda M Weightman, Alyssa Ness, Deidre Lake, Krishna Anupindi, Gayatri Moorthi, Bryan Kuk, Maria Santana, Annalee Coakley","doi":"10.1007/s10903-025-01687-w","DOIUrl":"10.1007/s10903-025-01687-w","url":null,"abstract":"<p><p>The COVID-19 public health emergency challenged the capacity for public health systems to vaccinate newcomer refugees and immigrants in the Calgary, Canada, area. In response, community-health partnerships emerged in 2021-2022 to provide accessible, culturally responsive, and adapted services for community members. This research highlights community mobilization and partnerships' role in COVID-19 vaccine delivery for newcomer refugees and immigrants, including challenges faced and lessons learned. Researchers conducted structured interviews with Government Assisted Refugees (GARs), and semi-structured interviews with Privately Sponsored Refugees (PSRs), private refugee sponsors, and diverse health and community informants involved in COVID-19 vaccine responses. Thematic analysis highlighted themes related to partnership development, strategies and actions of partnerships, alignment with World Health Organization recommendations, and partnership benefits and challenges. Multiple newcomer-specific vaccination models were developed through various community-based partnerships. The roles of community partners included information translation and transmission, outreach, and advocacy. Partnerships faced challenges, including existing infrastructure and inequitable policies for COVID-19 vaccine distribution. These existing elements required substantial advocacy to be more equitable in their outcomes. This research highlights how gaps in the public health system during early vaccination efforts catalyzed communities to mobilize and drove the creation of community-health partnerships in the Calgary area. These partnerships were effective at facilitating vaccine uptake through innovative, community-informed and culturally-responsive approaches. A key concern remains that, despite learnings and changes to COVID-19 vaccination systems, the health system has not sufficiently integrated changes to address equity in the long term.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"539-549"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025023","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":"Investing in Group Psychedelic Therapy for Latinx Immigrants.","authors":"Juliana Zambrano, Fernando Espi Forcen, Jose Hidalgo, Franklin King Iv","doi":"10.1007/s10903-025-01702-0","DOIUrl":"10.1007/s10903-025-01702-0","url":null,"abstract":"<p><p>Despite increasing interest in psychedelic-assisted therapies (PAT), there remains a critical gap in extending these treatments to marginalized and vulnerable populations, including Latinx immigrants. This underrepresentation in both research and clinical practice exacerbates disparities in mental health care access for racial and ethnic minorities, who already face systemic barriers. The Latinx population, despite experiencing mental health challenges at rates similar to their white counterparts, has lower treatment engagement due to factors like cultural stigma, language barriers, and limited access to culturally competent care. Psychedelic-assisted therapies have shown promise in treating depression and PTSD, but their current application primarily targets Western populations, often neglecting cultural adaptations. This paper explores the potential for group-based, culturally adapted models of PAT tailored to Latinx immigrants, emphasizing community healing, collective therapeutic processes, and the incorporation of cultural traditions. It highlights the benefits of group psychedelic therapy in enhancing social connections, reducing isolation, and increasing accessibility, while addressing the unique stressors faced by immigrant populations. Rigorous research and culturally competent care models are essential to ensure that PAT can effectively reach and benefit marginalized communities, reducing the mental health disparities that persist in the U.S.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"518-522"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248186","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":"Access Barriers to Healthcare for Undocumented Migrants in Low- and Middle-Income Countries: A Qualitative Systematic Review.","authors":"Amirah Adnan Salman, Eleanor Whyle, Livia Costa de Oliveira, Jill Olivier","doi":"10.1007/s10903-025-01693-y","DOIUrl":"10.1007/s10903-025-01693-y","url":null,"abstract":"<p><p>This review aimed to examine the barriers to accessing health systems among undocumented migrants in low- and middle-income countries (LMICs). This qualitative review study was conducted to answer the question: 'What are the tangible and intangible barriers undocumented migrants face in accessing health systems in LMICs?'. Thirty-one studies published in English, Portuguese or Spanish between 2013 and 2023 were included. As a growing body of evidence demonstrates, undocumented migrants are among the most vulnerable populations with access to healthcare services impacted by high costs, legal barriers, document requirements and unclear policy messages. This review found that these barriers are interrelated and complicated by individual and institutional discrimination, xenophobia, and perceptions that undocumented migrants are less deserving and compete for local resources. Delayed care and limited primary healthcare access with critical health consequences were described in all such cases. The review suggests that barriers to healthcare access result from the intersection of outdated legislation, economic factors, weak health systems and service provision, bureaucratic inefficiencies and cultural norms and values. As such, improving access to care for undocumented migrants require intersectoral action and policy change that needs to be guided by context-sensitive research.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"595-608"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025021","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}