Journal of Immigrant and Minority Health最新文献

{"title":"Nativity as a Clinical Variable in Gastric Cancer Prevention: An Immigrant Health Perspective.","authors":"Chul Hyun","doi":"10.1007/s10903-026-02012-9","DOIUrl":"https://doi.org/10.1007/s10903-026-02012-9","url":null,"abstract":"<p><p>Marked differences in gastric cancer risk among immigrant populations have long been recognized, yet migration-related information remains underutilized in routine clinical care. Nativity is more than a demographic characteristic; it serves as a pragmatic surrogate for cumulative life-course exposures, including early-life environmental conditions, Helicobacter pylori acquisition, dietary patterns, and socioeconomic influences that shape gastric cancer risk long after migration. Although birthplace and exposure history are routinely incorporated into prevention strategies for conditions such as hepatitis B virus infection and latent tuberculosis, comparable approaches remain underdeveloped in gastric cancer prevention. This narrative review examines the epidemiologic, biologic, and clinical evidence supporting nativity as an important component of gastric cancer risk assessment in immigrant populations. We review evidence that gastric cancer risk declines after migration from high-incidence to low-incidence countries but does not fully converge with host-population levels, suggesting persistent effects of early-life exposures. We further discuss how declining H. pylori prevalence and increasing eradication rates may weaken the ability of current infection status alone to reflect cumulative carcinogenic exposure and lifetime risk. We argue that the principal challenge is increasingly one of implementation. Despite growing recognition of migration-related disparities, healthcare systems rarely capture or use nativity in ways that inform gastric cancer prevention. Incorporating nativity and migration history into electronic health records, clinical decision-support tools, and risk-stratification frameworks may help to identify high-risk individuals and support more equitable, risk-based prevention strategies. More broadly, this framework illustrates how life-course exposure history can be translated into actionable clinical care for increasingly diverse populations.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110740","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":"Medicaid Eligibility Changes and Continuity of Care for Refugees with Disabilities and Chronic Health Conditions.","authors":"Mustafa Rfat, Emre Umucu, Lindsay Stark, Jean-François Trani","doi":"10.1007/s10903-026-02016-5","DOIUrl":"https://doi.org/10.1007/s10903-026-02016-5","url":null,"abstract":"<p><p>The 2025 Tax and Budget Law (Public Law 119 - 21 [H.R. 1]) introduces Medicaid eligibility changes affecting several humanitarian groups, including refugees. These changes may have important implications for refugees with disabilities and chronic health conditions, who often depend on continuous access to healthcare during a critical period of resettlement. This article discusses the potential effects of changes to Medicaid eligibility on continuity of care and highlights administrative considerations for state governments, federal agencies, healthcare systems, and resettlement organizations. Emergency-only coverage is unlikely to address ongoing healthcare and disability-related needs, underscoring the importance of coordinated efforts to minimize avoidable disruptions in access to care. Early planning and interagency collaboration may help preserve continuity of services and reduce strain on safety-net systems serving refugees with complex health needs.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110804","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 Case for Peer-Support in Addressing the Mental Health Needs of Ukrainian Refugees in Europe.","authors":"Feride Nur Haskaraca, Lena Anna Schmid","doi":"10.1007/s10903-026-02001-y","DOIUrl":"https://doi.org/10.1007/s10903-026-02001-y","url":null,"abstract":"<p><p>Since the escalation of the war in Ukraine in February 2022, more than six million Ukrainians have sought refuge across Europe, facing significant psychosocial strain. Disrupted social networks, family separation, economic uncertainty, and barriers to services contribute to elevated levels of anxiety, depression, and post-traumatic stress, particularly among women and single mothers who constitute the majority of refugees. Despite host countries' efforts to provide protection and basic services, access to mental health care remains limited due to overstretched systems, language barriers, bureaucratic hurdles, and culturally incongruent care models. While several psychological interventions have been proposed, their scalability and accessibility remain constrained. This commentary argues that peer support represents a promising yet underutilized complement to existing mental health responses. Grounded in shared lived experience, peer-led approaches can foster social connection, emotional validation, and practical guidance while helping to reduce some barriers to formal care. Integrating structured peer-support programs into mental health strategies may help address service gaps and strengthen resilience among Ukrainian refugees in Europe.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110785","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":"Medication Errors after Hospital Discharge among Families who use a Language other than English.","authors":"Hadley Brighton, Alexandra Lieberman, Charlene Thomas, Sumeet Banker","doi":"10.1007/s10903-026-01850-x","DOIUrl":"10.1007/s10903-026-01850-x","url":null,"abstract":"<p><p>Medication errors are common after pediatric hospital discharge, and families who use languages other than English may be at increased risk. In this study, we aimed to determine the association between caregiver language and medication errors after pediatric hospital discharge across two different clinical sites. We performed a cross-sectional study surveying parents who speak English and Spanish of hospitalized children < 18 years old who were prescribed a new scheduled oral medication upon discharge. We recruited patients between March 2022-November 2023 from two clinical sites, an academic tertiary care center and a community-based hospital. We surveyed parents about management of their children's medication at home and collected patient demographics as well as visit/ hospital characteristics. Bivariate analyses compared subject/visit-level factors and discharge processes with medication errors. We surveyed 145 parents, 59 of whom use Spanish and 86 who use English. Liquid medications (88%) and antibiotics (78%) were prescribed most frequently. Overall, 50 medication errors made by 39 unique individuals were identified, including 18 dosing errors. 19% of parents who use Spanish reported dosing errors compared to 8.1% of parents who use English (p = 0.06). Parents whose children were discharged from the academic tertiary care center were more likely to make a medication administration error (p = 0.03). Medication errors were common after pediatric hospital discharge and were more frequent among parents whose children were discharged from an academic children's hospital. Language of care was not associated with statistically significant differences in medication error rates. Future studies should explore factors related to site of care and language that may contribute to post-discharge errors.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1081-1087"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145944583","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":"Examining Audiometric Screening Outcomes in Non-Native English-Speaking Pediatric Patients.","authors":"Christopher P Kruglik, John L Rustad, Josephine Yalovitser, Jonathan A Chen, Andrea E Green, Daniel Gerges","doi":"10.1007/s10903-026-01876-1","DOIUrl":"10.1007/s10903-026-01876-1","url":null,"abstract":"<p><p>Early identification of hearing loss through screening, such as pure-tone audiometry, is a crucial aspect of preventive pediatric care that helps minimize negative developmental outcomes. However, non-native English-speaking (NNES) children, often immigrants or children of immigrant families, encounter systemic barriers in healthcare that limit their access to recommended screenings. This study is the first to investigate the differences in audiometric screening adherence and outcomes between NNES and native English-speaking (NES) children. Using a retrospective cohort analysis, demographic and audiometric screening data were collected from 176 patients (88 NNES and 88 NES) during well-child checks (WCC) at ages four, five, six, and eight at an academic outpatient pediatric clinic in the United States. Statistical analyses compared adherence to recommended hearing screenings between the two groups. Both NNES and NES groups had a mean age of 10.8 years (p = 0.83), shared similar insurance coverage, and had a balanced sex distribution. The non-English languages represented included Nepali (40%), Mai-Mai (11%), and Swahili (8%). Our findings showed that NNES children had lower audiometric screening rates at the four-year WCC (p = 0.04) and the six-year WCC (p = 0.04). No disparities were found in screening failure rates or referral rates to audiologists or pediatric otolaryngologists. Implementing targeted cultural competency interventions could help reduce implicit provider bias and improve hearing screening practices. The variability in adherence to hearing screening during attended WCC visits and test frequencies used underscores the necessity for more standardized and universally adopted guidelines for pediatric hearing screens at pediatric clinics.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1174-1183"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146180661","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 Hispanic/Latino Community Health Worker Intervention Addressing Acculturative Stress and Resilience: Feasibility, Acceptability, and Preliminary Effectiveness.","authors":"Irene C Felsman, Maralis Mercado Emerson, Brian E McCabe, Gabriela Nagy, Rosa M Gonzalez-Guarda","doi":"10.1007/s10903-026-01859-2","DOIUrl":"10.1007/s10903-026-01859-2","url":null,"abstract":"<p><p>Among Hispanic/Latino immigrants, substance abuse, intimate partner violence, HIV, and mental health form a syndemic that exacerbates health inequities. Promotoras (community health workers) play a critical role in reaching these vulnerable populations by providing culturally relevant healthcare connections. This study examines the feasibility, acceptability, and effects of an intervention by promotoras addressing acculturative stress and resilience among Hispanic/Latino immigrants to the US. The intervention consisted of four virtual sessions- two one-on-one and two group sessions- delivered by Latino/a community health workers, known as promotoras, using motivational interviewing and group coaching strategies to enhance resilience and reduce health risk behaviors. Feasibility and acceptability were assessed through study logs and post-intervention participant feedback, while a pre-post assessment measured intervention effects. A single-group, longitudinal pilot intervention design was employed. Participants included 30 young adult (18-44 years) immigrants from Latin America or the Caribbean residing in the US for ≥ 1 year. Measured variables included acculturative stress, depressive symptoms, emotional and instrumental support, pandemic stress, COVID-19 knowledge, and COVID-19 risk behaviors. Multiple analytic methods (paired sample t-test, Wilcoxon signed-rank test, McNemar's test) were applied to assess the feasibility, acceptability, and effects of the intervention. Findings indicate high intervention satisfaction, with participants recommending increased social engagement for enhanced impact. Acculturative stress (p = .041), depressive symptoms (p = .005), and risk behaviors (p = .021) showed significant reductions, while COVID-19 knowledge and pandemic stress remained unchanged. This study supports the feasibility and scalability of the intervention in addressing syndemic behavioral and mental health conditions, with broader implications for reducing health inequities among Hispanic/Latino immigrants. Clinical Trial Registration: NCT03527654.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1097-1105"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146194574","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":"Intergenerational Associations of Childhood War Exposure, Adverse Childhood Experiences, and Mental Health in Offspring of Lebanese Immigrants.","authors":"Diab A Ali, Susan Mikulich-Gilbertson, C Neill Epperson","doi":"10.1007/s10903-026-01942-8","DOIUrl":"10.1007/s10903-026-01942-8","url":null,"abstract":"<p><p>Lebanese Americans, the largest Arab ethnic group in the United States, remain underrepresented in mental health research despite collective exposure to conflict, displacement, and immigration. This study examined intergenerational associations of parental childhood war exposure (CWE) during the Lebanese Civil War (1975-1990) on the mental health of second-generation Lebanese American young adults (G1) and characterized G1 clinical symptoms and service use. Using community-partnered recruitment, 92 G1 (mean age 28.1 years, SD 4.5) participants reported on their own adverse childhood experiences (ACEs), psychiatric symptoms, past mental health service use, and duration of CWE in their 184 immigrant parents (G0; mean maternal and paternal ages 54.6 and 58.7 years, respectively). G1s showed high levels of clinical range psychopathology: 48.9% for depression, 44.6% for anxiety, and 22.5% for PTSD, with 58.7% meeting criteria for at least one internalizing disorder. Females had significantly higher anxiety (mean GAD-7 = 9.7 vs. 7.5; p = 0.04) and PTSD symptoms (mean PCL-5 = 26.3 vs. 15.5; p < 0.01), while males reported greater nicotine use symptoms (mean 1.2 vs. 0.5; p = 0.01). Maternal CWE duration was associated with G1 depression (ρ = 0.24; p = 0.023) and PTSD (ρ = 0.22; p = 0.037); Paternal CWE was associated with G1 nicotine use (ρ = 0.21; p = 0.047). These results remained largely consistent after controlling for G1 ACEs. Only 25.9% of G1s with clinical threshold symptoms accessed care in the past year. Findings highlight distinct maternal and paternal intergenerational patterns and major gaps in service use.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1268-1273"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148264785","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":"Increasing Immigration Enforcement in the Hospital Setting: Public Health Risks and Guidance for Hospitals and Healthcare Professionals.","authors":"Victor Agbafe, Ryan Guidi, Megan Lane, Caleb Haley, Shane Morrison","doi":"10.1007/s10903-026-01969-x","DOIUrl":"10.1007/s10903-026-01969-x","url":null,"abstract":"<p><p>Healthcare settings, dedicated to patient care and healing, have traditionally been somewhat insulated from broader political and cultural controversies. However, on January 21, 2025, the Department of Homeland Security rescinded the \"sensitive location\" designation for hospitals and other healthcare facilities, permitting Immigration and Customs Enforcement to conduct more enforcement actions in these settings. The previous sensitive location designation effectively meant that immigration enforcement actions, such as arrests or surveillance, were to be avoided absent exigent circumstances (i.e., emergent situations in which inaction would compromise safety or law enforcement goals). As a result, healthcare professionals are likely to encounter increased immigration enforcement activity in the workplace, raising important concerns about patient privacy, public health, and the professional responsibilities of clinicians and health systems. In this viewpoint, we offer practical guidance for healthcare professionals and institutions on mitigating risks to patient privacy and safety amid heightened immigration enforcement in healthcare settings, and we explain the narrow circumstances under which immigration officials may lawfully request or obtain identifying patient information. Our aim is to offer suggestions to help foster a patient care environment that maximizes patient trust and safety. We also hope to assist in clarifying healthcare systems' legal obligations.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1060-1063"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148684828","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":"Experiences of Racial Discrimination: Qualitative Findings from Injured New Zealand Migrants.","authors":"Kelly Radka, Sarah Derrett, Emma Wyeth","doi":"10.1007/s10903-026-01871-6","DOIUrl":"10.1007/s10903-026-01871-6","url":null,"abstract":"","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1184-1192"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13612677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146132063","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 Role of Culture, Religion, and Spirituality on the Mental Health of Africans in Australia.","authors":"Bekithemba Sibanda, Bindu Joseph, Michael Olasoji","doi":"10.1007/s10903-025-01811-w","DOIUrl":"10.1007/s10903-025-01811-w","url":null,"abstract":"<p><p>Australia's population is shaped by cultural and linguistic diversity, with almost half of its population identifying as culturally and linguistically diverse. It is this diversity, however, that is presenting the Australian health care system with challenges. Health inequalities in Australia are, and have been, prominent features in mental health care despite reforms. This scoping review explores the experiences and views of African Australians regarding the impact of culture, religion, and spirituality on the mental health care provided to them. Five electronic databases-PubMed, Scopus, Embase, PsycInfo, and Web of Science Core Collection were searched between January 2025 and March 2025. Additionally, a manual search of the reference lists and bibliographies of key articles was conducted to identify studies that met the inclusion criteria. This scoping review meticulously utilises the five-step framework in conjunction with thematic data analysis. A total of twenty-one (n = 21) articles were reviewed. Three themes emerged from the review and analysis: aetiology of mental illness, barriers to engagement, and propositions for improvement of care. Findings from this scoping review reveal that culture, religion, and spirituality can have both positive effects by buffering psychotic symptoms and negative effects by acting as barriers to seeking mental health care. Furthermore, evidence from this scoping review is in tandem with previous results, which revealed that Australian mental health services are not offering culturally appropriate care and continue to be lacking when it comes to delivering inclusive or responsive treatment for its diverse population, particularly for African Australians. This is despite decades of research revealing inequalities in mental health provisions for African Australians.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1204-1217"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145505018","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}