Journal of Immigrant and Minority Health最新文献

{"title":"Do You Speak English or Spanish? Language as a Predictor of Health Outcomes Among Hispanic Adolescents.","authors":"Alyssa Lozano, Dalton Scott, Carolina Fernandez-Branson, Yannine Estrada, Maya I Ragavan, Cynthia N Lebron, Guillermo Prado","doi":"10.1007/s10903-025-01676-z","DOIUrl":"10.1007/s10903-025-01676-z","url":null,"abstract":"<p><p>Language is our primary tool for communication and a salient component of acculturation status among Hispanic populations. Importantly, language is associated with behavioral health outcomes and can identify and confront health disparities among Hispanic adolescents. The purpose of this study was to evaluate the association between adolescent language identity and drug use and depressive symptoms and examine parent-adolescent communication and parent language identity as mediators and moderators, respectively, of this association. We conducted a secondary data analysis (N = 746) of a study evaluating the effectiveness of a family-based intervention to prevent drug use and condomless sex among Hispanic adolescents. We evaluated whether adolescent language identity (i.e., Spanish or English) predicted (1) past 90-day drug use and (2) symptoms of anxiety and depression 30-months post-baseline and whether this relationship was mediated by parent-adolescent communication. We also examined whether the mediational pathway was moderated by parent language identity. English language identity was positively associated with past 90-day drug use and this association was mediated by parent-adolescent communication. The mediational pathway was not moderated by parent language identity. There was not a statistically significant association between English language use and anxiety/depression. However, this association was mediated by parent-adolescent communication. The mediational pathway was not moderated by parent language identity. Hispanic adolescents with an English language identity may have a greater propensity for drug use. Results emphasize the importance of promoting biculturalism and considering parent and adolescent language and communication when developing culturally syntonic interventions for Hispanic adolescents.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"450-457"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630607","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":"Childhood Cancer Risk in Hispanic Enclaves in California.","authors":"Darcy Van Deventer, Zuelma A Contreras, Shiwen Li, Chisom Iwundu, Beate Ritz, Myles Cockburn, Julia E Heck","doi":"10.1007/s10903-025-01675-0","DOIUrl":"10.1007/s10903-025-01675-0","url":null,"abstract":"<p><p>Residence in Hispanic enclaves may be a proxy measure of acculturation. Since acculturation among Hispanic women has been associated with unhealthy behaviors in pregnancy and adverse birth and child health outcomes, we assessed whether living in Hispanic enclaves during pregnancy affects childhood cancer risk among Hispanics. Cancer cases (n = 6,111) were identified from the California Cancer Registry between 1988 and 2013. Control children (n = 124,443) were randomly selected from California birth records. Data from the US decennial census (1990, 2000), and the American Community Survey (ACS) from 2007 to 2011 was used to create an index measure of Hispanic enclaves by census tract. In multivariable logistic regression models, we estimated the effects of living in Hispanic enclaves on cancer risk among young Hispanic children overall and by maternal nativity. We found positive associations between rhabdomyosarcoma in offspring and maternal residence in the least enclave-like tracts [OR = 1.62, 95% CI: (1.06, 2.46)]. For children of foreign-born Hispanic mothers, residence in the least enclave-like tracts was associated with lower retinoblastoma odds [OR = 0.59, 95% CI: (0.38, 0.91)]. In Los Angeles County, residing in the least enclave-like neighborhoods was positively associated with rhabdomyosarcoma and Wilms' tumor odds [OR = 2.71, 95% CI: (1.27, 5.79), OR = 2.23, 95% CI: (1.26, 3.94), respectively]. Overall residence in Hispanic enclaves did not have a uniformly beneficial effect, rather living outside of these enclaves was associated with lower odds of certain childhood cancers. However, there was substantial variation in risk by maternal nativity status and county of residence.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"472-479"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772312","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":"Risk of Somatic Diagnoses in Specialist Health Care Among Norwegian-Born Youth and Young Adults with Immigrant Parents.","authors":"Marte Karoline Raberg Kjollesdal, Naima Said Sheikh, Ylva Helland, Thor Indseth, Angela Susan Labberton","doi":"10.1007/s10903-025-01689-8","DOIUrl":"https://doi.org/10.1007/s10903-025-01689-8","url":null,"abstract":"<p><p>Knowledge about the somatic health of young adults born to immigrant parents is lacking. This study aims to assess the risk of receiving somatic diagnoses among Norwegian-born young adults with immigrant parents compared to their counterparts with two Norwegian-born parents. Data from Medical Birth Registry of Norway and Statistics Norway were linked to data from Norwegian Patient Registry on 37 diagnostic categories of somatic conditions given in specialist health care between 2008 and 2022. Norwegian-born individuals aged 16-30 years between 2008 and 2022 were included (N = 1 522 597). Hazard ratios (HR) of diagnoses by immigrant background were assessed by Cox regressions adjusted for sex, birth year, and parental education. Individuals with two immigrant parents had lower risk of receiving any somatic diagnosis [HR (95% confidence interval) 0.91 (0.90, 0.93)], as well as any infectious, medical or neurological diagnosis, than counterparts with two Norwegian-born parents. Those with an immigrant mother only had lower risk of any somatic diagnosis [HR 95% CI 0.94 (0.92, 0.95)] and of any medical or neurological diagnosis. These differences were not seen after adjustment for parental duration of residence and education. Those with an immigrant father only had higher risk of any somatic diagnosis [HR 95% CI 1.03 (1.02, 1.04)], as well as any infectious or neurological diagnosis. Norwegian-born young adults with two immigrant parents or an immigrant mother had lower risk than those with two Norwegian-born parents of receiving somatic diagnoses in specialist health care before adjustment for parental duration of residence and education, while those with an immigrant father only, had higher risk.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086351","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":"National Estimates for Developmental and Physical Health Among Middle Eastern and North African Children in the United States.","authors":"Kyrah K Brown, Florence J Dallo, Tiffany B Kindratt","doi":"10.1007/s10903-025-01695-w","DOIUrl":"https://doi.org/10.1007/s10903-025-01695-w","url":null,"abstract":"<p><p>Middle Eastern and North African (MENA) children in the United States (US) have been invisibilized in population health research due to being classified as White on federal reporting forms. Our primary objective was to estimate and compare the prevalence of developmental and physical health conditions among foreign-born MENA children compared to US-born White children. Cross-sectional data from the 2000-2018 National Health Interview Survey (n = 358,686 children; ages 0-17 years) captured parent reports of their child's developmental or physical health conditions. Foreign-born MENA were compared to US-born White and foreign-born White, Black, Hispanic, and Asian children. Age- and sex-adjusted prevalence estimates were calculated. Logistic regression was used to compare foreign-born MENA to US-born White children after adjusting for sociodemographic factors. The prevalence of any health conditions among MENA children was 8.3%, which was significantly lower than US-born (16.8%) and foreign-born (13.7%) White children (p <.05). Foreign-born MENA children had lower odds of ADD/ADHD (OR = 0.26; 95%CI = 0.15-0.46), developmental delays (OR = 0.47; 95%CI = 0.25-0.89), and asthma (OR = 0.62; 95%CI = 0.41-0.96) compared to US-born White children. All foreign-born groups had lower odds of ADD/ADHD and asthma compared to US-born White children. Our findings support the immigrant health paradox, theorizing that the health of foreign-born individuals is better than US-born individuals. Health patterns among foreign-born MENA children are more similar to foreign-born minoritized children. Future studies should examine how the health patterns of foreign-born MENA children may change longitudinally as they become more acculturated to living in the United States.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015203","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":"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":"https://doi.org/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":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-06","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":"The Therapeutic Alliance in Refugee Mental Health and Psychosocial Support: A Narrative Review.","authors":"Miriam Potocky","doi":"10.1007/s10903-025-01688-9","DOIUrl":"https://doi.org/10.1007/s10903-025-01688-9","url":null,"abstract":"<p><p>The therapeutic alliance-a collaborative relationship between mental health/psychosocial support (MHPSS) providers and clients-has consistently demonstrated positive impacts on mental health outcomes. This narrative review focuses on the therapeutic alliance within the context of refugee clients, who face unique challenges stemming from forced displacement, trauma, and systemic barriers. Utilizing a systematic search and thematic synthesis, 20 studies published between 2014 and 2024 were analyzed to address four key questions: the state of knowledge, the role of interpreters, strategies for improvement, and gaps in research. Findings highlight significant challenges in building alliances with refugee clients due to cultural and linguistic differences, power dynamics, and trauma-related distrust. The presence of interpreters transforms the traditional dyadic alliance into a triadic relationship, introducing both benefits and complexities. Interpreters act as co-constructors of the alliance, requiring strong collaboration and role negotiation with providers. Recommendations for strengthening the alliance include flexible therapeutic boundaries, advocacy integration, continuity of care, and tailored training for providers and interpreters. Despite the growing body of research, gaps remain in understanding non-verbal communication, virtual care dynamics, and the perspectives of clients discontinuing therapy. This review emphasizes the need for a paradigm shift recognizing clients, providers, and interpreters as equal partners in therapeutic processes, alongside further exploration of emerging contexts such as telehealth and refugee-led MHPSS initiatives.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995396","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":"https://doi.org/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":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-02","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}

{"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":"https://doi.org/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":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-02","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":"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":"https://doi.org/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":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-30","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":"A Single-Center Report of Hypertension in Native American Kidney Transplant Recipients.","authors":"Ian P Rios, Ahmed Elsaidi, Danielle E Akin, Ashlyn M Nowland, Pooja Budhiraja, Musab S Hommos, Raymond L Heilman, Bassam G Abu Jawdeh","doi":"10.1007/s10903-025-01691-0","DOIUrl":"https://doi.org/10.1007/s10903-025-01691-0","url":null,"abstract":"<p><p>Based on the current American Heart Association/American College of Cardiology definition [systolic blood pressure (SBP) ≥ 130 and/or diastolic BP(DBP) ≥ 80], hypertension affects 45% of the adult U.S. population. Post-kidney transplant (KT) hypertension has been associated with immunosuppression and worse graft outcomes. Hypertension data on Native American (NAm) KT recipients (KTR) is scarce. In our center, we serve a significant NAm population, and measure ambulatory blood pressure (AMBP) routinely in KTR at 4- and 12-months post-transplant. In a noninterventional, observational study we queried our transplant database for all NAm KTR who were transplanted at our center between years 2003 and 2023. Patients who had 4- and/or 12-months AMBP were included in our study. 262 NAm KTR met inclusion criteria. Average (sd) BP was 133.0 (15.0)/76.2 (9.7) and 134.1 (15.6)/76.5 (9.9) at 4- and 12-months respectively. Male gender (p = 0.03) and older donor age (p = 0.02) were associated with BP ≥ 130/80 at 4-months. Male gender (p = 0.05) and pre-transplant diabetes (p = 0.01) were associated with BP ≥ 130/80 at 12-months. About two-thirds of NAm KTR had uncontrolled hypertension at 4- and 12-months. The burden of hypertension, as measured by the gold standard AMBP monitoring is significant in NAm KTR, and therefore, attention to hypertension management is prudent in this minority patient population.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013871","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}