Sabahat Ölcer, Annika Albert, Christian Banse, Friedemann Nauck, Maximiliane Jansky
{"title":"Beyond Barriers: Reconsidering Cultural Sensitivity in Hospice and Palliative Care Services by Applying the Empathy Map.","authors":"Sabahat Ölcer, Annika Albert, Christian Banse, Friedemann Nauck, Maximiliane Jansky","doi":"10.1007/s10903-025-01838-z","DOIUrl":"10.1007/s10903-025-01838-z","url":null,"abstract":"<p><p>Culturally sensitive palliative care for patients with a migration background (PwM) remains a critical but underexplored field, especially in the German healthcare context. Our study employs Dave Gray's empathy map to capture healthcare providers' perspectives on the challenges, needs, and experiences of PwM in hospice and palliative care. We investigated palliative care challenges through open-ended questions in an online survey conducted across various hospice and palliative care settings. Based on 332 completed responses, our analysis revealed significant barriers to delivering culturally sensitive care. Using qualitative content analysis, we applied an empathy map to identify categories. Findings showed that language barriers and cultural insensitivity notably hindered communication, access, and trust-building. PwM often relied on family networks, which caused delayed care-seeking and logistical difficulties. Despite these challenges, PwM strived for dignity, trust, and care aligned with their cultural background. Our study highlights the importance of empathy-based approaches in hospice and palliative care and the effectiveness of the empathy map as an instrument for identifying challenges and gaps. By addressing the specific needs of PwM, the findings contribute meaningful insights for healthcare providers, policymakers, and researchers.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"870-880"},"PeriodicalIF":2.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145809838","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}
Atefeh Aghaei, Shan Qiao, Ben Roth, Patrick Koga, Xiaoming Li
{"title":"Post-Pandemic Multidimensional Integration of Afghan Refugee Women in the U.S.","authors":"Atefeh Aghaei, Shan Qiao, Ben Roth, Patrick Koga, Xiaoming Li","doi":"10.1007/s10903-025-01827-2","DOIUrl":"10.1007/s10903-025-01827-2","url":null,"abstract":"<p><p>Amid the recent global refugee crisis, the United States (U.S.) hosts over 200,000 Afghan refugees, many struggling to integrate into U.S. society. The COVID-19 pandemic and its subsequent health and social sequelae have severely affected Afghan refugees' lives, especially women, further complicating their integration. This study examines how the pandemic has influenced Afghan refugee women's integration through challenges and facilitators at various socio-ecological levels. Semi-structured interviews with 34 Afghan refugee women and 18 service providers in California were conducted. Interview data were analyzed using the thematic framework to identify themes indicating the impacts of COVID-19 on refugee women's integration based on Ager and Stange's integration framework. Findings revealed multifaceted challenges in refugee women's integration across multiple socio-ecological levels exacerbated by the pandemic including changes in roles, financial illiteracy, language barriers, cultural adaptation issues, inefficient policies, patriarchal culture, administrative overload, and systemic barriers in employment and education. However, factors like empowerment through education and employment, family/friends/community support, socializing, childcare support, awareness of laws and women's rights, and access to culturally competent job opportunities facilitated their integration. This study recommends policies and programs addressing Afghan refugee women's integration challenges and facilitators impacted by the pandemic for better integration into the U.S.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"794-808"},"PeriodicalIF":2.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145634320","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":"Immigrant and Mistrust in the Healthcare Setting: A Thematic Review.","authors":"Maude Arsenault, Daniel Côté","doi":"10.1007/s10903-025-01787-7","DOIUrl":"10.1007/s10903-025-01787-7","url":null,"abstract":"<p><p>Migration profoundly impacts the health and well-being of individuals and communities worldwide, yet little attention has been given to the concept of mistrust within immigrant healthcare contexts. This article presents a thematic literature review analyzing peer-reviewed articles to explore the nuanced dimensions of mistrust among immigrant populations receiving healthcare. The thematic analysis then carried out reveals that mistrust is mobilized in different ways and four key themes were analyzed: (1) the definition of mistrust given by the authors; (2) their study population, more particularly, who was mistrusting and who/what the object of their mistrust was; (3) the main sources of mistrust identified by the authors and rooted in various life situations and interactions; and finally, (4) the effects of mistrust reported by the authors, which included effects on beliefs, emotions, and behaviors. Understanding and addressing the roots and effects of mistrust are crucial for fostering trust-based healthcare relationships and improving health outcomes for immigrant populations. This research underscores the importance of culturally competent care, effective communication strategies, and policies aimed at reducing systemic biases and discrimination within healthcare systems to build trust and promote health equity among immigrant communities.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1015-1027"},"PeriodicalIF":2.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145445227","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 Persistent Health Care Gap for Undocumented Children.","authors":"Jesus Ruiz","doi":"10.1007/s10903-026-01928-6","DOIUrl":"10.1007/s10903-026-01928-6","url":null,"abstract":"<p><p>Undocumented children in the United States remain systematically excluded from comprehensive preventive health care, not due to lack of need, but as a consequence of deliberate policy design. Drawing on lived experience as an undocumented child and current practice as a family medicine physician in a rural federally qualified health center, this commentary examines how insurance exclusion structures a two-tiered childhood health system within the same communities-and often the same families. National evidence demonstrates that undocumented children experience higher rates of uninsurance, delayed care, reduced preventive service utilization, and increased reliance on emergency departments, despite sharing comparable developmental and chronic disease risks with their insured peers. The absence of routine primary care undermines life-course health, exacerbates inequities, and shifts costs toward crisis-driven systems. This essay argues that framing child health coverage as contingent on immigration status represents a failure of public health logic, economic efficiency, and ethical responsibility. Ensuring universal access to preventive care for all children, regardless of status, is not only a moral imperative but a necessary investment in population health and health system sustainability.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"780-783"},"PeriodicalIF":2.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816114","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":"Attitudes and Perceptions Regarding Aging and Dementia in South Asians in Greater Atlanta: Findings from an Online Convenience Sample Survey.","authors":"Yash Kamdar, Yantong Chen, Mansura Khanam, Monica Parker, Megha Shah, Ambar Kulshreshtha","doi":"10.1007/s10903-025-01836-1","DOIUrl":"10.1007/s10903-025-01836-1","url":null,"abstract":"<p><p>Over 5 million South Asians (SAs) live in the United States, and it is one of the fastest-growing populations. SAs, have high rates of cardiovascular risk factors, and are likely to experience unique challenges as they age. The South Asian Healthy Aging Research project assesses attitudes toward aging and dementia in the SA community. A cross-sectional online survey was conducted in 2022-24 with participants ≥ 18 years old who self-identified as South Asians. Participants were recruited through community outreach efforts in Greater Atlanta to assess their perception of aging and dementia, stress, discrimination, and health literacy. 191 participants completed the surveys, with an average age of 43.9 (SD: 13.1) years and 50.5% were female. Approximately 80% were first-generation immigrants, and 97% had high school or above level education. Despite high education levels, language barriers were a concern, with 24% feeling misunderstood due to their language and 42.9% preferring healthcare materials in their native language. High levels of stress were reported with 25% experiencing workplace discrimination. More than 64% were aware of someone living with dementia but had misconceptions regarding the condition, with 66% believing memory loss is inevitable with age and 30.2% having stigma associated with dementia. Findings demonstrate a lack of awareness of risk factors of dementia and high levels of chronic stress within this SA cohort. The findings highlight the necessity for culturally tailored outreach and educational programs to improve awareness of healthy aging and brain health in this high-risk population.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1033-1038"},"PeriodicalIF":2.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13487628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145800595","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":"Health Impacts of Migration and Policy on the Iranian Diaspora.","authors":"Jihye Lee, Mitra Naseh, Sahar Badiezadeh, Sarvenaz Taridashti, Erick da Luz Scherf","doi":"10.1007/s10903-025-01844-1","DOIUrl":"10.1007/s10903-025-01844-1","url":null,"abstract":"","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"935-944"},"PeriodicalIF":2.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145917565","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}
Alison K Herrmann, Genevieve Flores-Haro, Barbara Berman, Alison M Elliott, Maritza Lopez, L Cindy Chang, Norma Gonzalez, Catherine M Crespi, Michael K Ong, Arcenio Lopez, Roshan Bastani
{"title":"Tobacco Use, Experiences and Knowledge Among Indigenous Mexican Agricultural Workers.","authors":"Alison K Herrmann, Genevieve Flores-Haro, Barbara Berman, Alison M Elliott, Maritza Lopez, L Cindy Chang, Norma Gonzalez, Catherine M Crespi, Michael K Ong, Arcenio Lopez, Roshan Bastani","doi":"10.1007/s10903-025-01840-5","DOIUrl":"10.1007/s10903-025-01840-5","url":null,"abstract":"","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"892-902"},"PeriodicalIF":2.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145827905","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}
Richard C Cervantes, Brian E McCabe, Rosa M Gonzalez-Guarda, Cindy L Keig
{"title":"Reliability and Validity of the Hispanic Stress Inventory 2 - The Abbreviated Immigrant Version of the HSI2.","authors":"Richard C Cervantes, Brian E McCabe, Rosa M Gonzalez-Guarda, Cindy L Keig","doi":"10.1007/s10903-025-01828-1","DOIUrl":"10.1007/s10903-025-01828-1","url":null,"abstract":"","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"843-850"},"PeriodicalIF":2.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145827910","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}
Laura Fitzharris, Rikke Siersbaek, Michael Moran, David Mockler, Emer McGowan, Julie Broderick
{"title":"Barriers and Facilitators to Asylum Seekers and Refugees Accessing Non-Hospital-Based Care: A Mixed-Methods Systematic Review.","authors":"Laura Fitzharris, Rikke Siersbaek, Michael Moran, David Mockler, Emer McGowan, Julie Broderick","doi":"10.1007/s10903-025-01783-x","DOIUrl":"10.1007/s10903-025-01783-x","url":null,"abstract":"<p><p>Asylum seekers and refugees face complex healthcare challenges that are often compounded by the limitations of health and social care systems. While much attention has been directed toward access to emergency departments, the significant barriers these individuals encounter in obtaining non-hospital-based care has received less attention. This mixed-methods systematic review aims to identify barriers and facilitators to asylum seekers and refugees accessing non-hospital-based care. In January 2023, a search strategy for Medline, PubMed, EMBASE, PsycINFO, and the Cochrane Library identified qualitative, quantitative, and mixed methods studies on this topic, utilising the Joanna Briggs Institute methodology for synthesis. No time filter was applied to the search. 25 European based studies were included (19 qualitative, 4 quantitative, 2 mixed methods). Findings were organised into four themes: (i) health system structure, (ii) healthcare diversity and discrimination, (iii) pre-migration experiences, and (iv) language and communication. Key barriers identified included language difficulties, challenges in navigating the healthcare system, and a lack of cross-cultural sensitivity. Key facilitators involved the utilisation of refugee centres and social support. The findings illustrate the interconnected roles of language, cultural sensitivity, and the healthcare system structure on migrants' access to non-hospital-based care. Qualitative studies suggest that healthcare systems could improve to better serve this diverse population, however there is a limited number of quantitative studies to support this idea.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"963-978"},"PeriodicalIF":2.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251447","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":"Global Research Trends on Postpartum Care for Migrant Women: A Comprehensive Bibliometric Analysis (1983-2024).","authors":"Tuba Uçar, Ayça Demir Yıldırım, Sema Dereli Yılmaz, Güldane Damla Kaya, Yeliz Çakır-Koçak","doi":"10.1007/s10903-025-01796-6","DOIUrl":"10.1007/s10903-025-01796-6","url":null,"abstract":"<p><p>Postpartum is critical for maternal and newborn health, particularly for immigrant women who may experience unique barriers related to language, cultural differences, and access to healthcare. This study aims to analyse global research trends on postpartum period for immigrant women using bibliometric methods, identify key contributors, and highlight emerging themes and gaps in the literature. A bibliometric analysis was conducted using Web of Science databases. Relevant studies published until December 2024 were retrieved using specific keywords related to postpartum period and immigrant women. The data were analysed using VOS viewer (Visualization of Similarities viewer software) and Bibliometrics for citation analysis, co-authorship networks, and keyword co-occurrence mapping. The number of publications has shown a steady increase since 2008. The most influential journals include BMC Pregnancy and Childbirth and the Journal of Immigrant and Minority Health, with Collins and colleagues in 2011 as the most referenced study. Leading countries in research output are Canada, the United States and the United Kingdom, with strong international collaborations between the University of Toronto, Johns Hopkins University and the University of Oxford. Thematic analysis, based on the co-occurrence of author keywords, revealed five main research clusters: postpartum depression with social support; migration with perinatal care; breastfeeding with cultural adaptation; mental health with inequities in access to care; and maternal well-being with postpartum anxiety. The findings highlight significant advancements in research but also reveal critical gaps in intervention studies and culturally tailored postpartum period models. Future research should prioritise more diverse studies exploring immigrant women's lived experiences and the development of evidence-based, culturally sensitive postpartum period policies.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"828-842"},"PeriodicalIF":2.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318510","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}