Journal of Immigrant and Minority Health最新文献

{"title":"Post-traumatic Stress Symptoms and Suicide Risk among Syrian Refugees: The Mediating Role of Anxiety Sensitivity.","authors":"Salih Metin, Güliz Şenormancı, Hüseyin Aygün, Ömer Şenormancı, Mustafa Çetin, Ferhat Ekinci","doi":"10.1007/s10903-026-01858-3","DOIUrl":"10.1007/s10903-026-01858-3","url":null,"abstract":"<p><p>Forced migration, as exemplified by the ongoing Syrian refugee crisis, has been consistently associated with elevated rates of psychiatric conditions, including post-traumatic stress disorder (PTSD), depression, anxiety, and increased suicide risk. However, the psychological mechanisms linking trauma-related symptoms to suicide risk in refugee populations remain insufficiently understood. The present study examines the mediating role of anxiety sensitivity in the relationship between PTSD symptoms and suicide risk among Syrian refugees residing in Turkey. Data were collected from 627 Syrian refugees aged 18-65 years living in Bursa province. Participants completed validated self-report measures assessing PTSD symptoms (Impact of Event Scale-Revised; IES-R), depression (Beck Depression Inventory; BDI), anxiety sensitivity (Anxiety Sensitivity Index-3; ASI-3), and suicide risk (Suicide Probability Scale; SPS). Elevated PTSD symptom levels were observed in 81.2% of the sample. Logistic regression and mediation analyses were conducted to examine associations between PTSD symptom clusters, anxiety sensitivity dimensions, and suicide risk. Results indicated that intrusion and hyperarousal symptoms were positively associated with suicide risk, whereas avoidance symptoms and physical concern (ASI-3 subscale) were negatively associated. Mediation analysis revealed that cognitive concern-defined as fear of losing mental control-partially mediated the association between PTSD symptoms and suicidal ideation (SPS suicidal ideation subscale). Taken together, these findings suggest that maladaptive interpretations of cognitive distress may represent a clinically relevant target for reducing suicide risk in trauma-exposed refugee populations. In contrast, avoidance and heightened awareness of bodily sensations may function as temporary protective strategies in the context of overwhelming stress. Overall, the findings underscore the importance of trauma-informed interventions that prioritize suicide stabilization in forcibly displaced individuals prior to the initiation of PTSD-focused treatment.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1114-1125"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146113296","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":"Multi-Stakeholder Primary Health Care for Migrant Populations in Thailand's Border Regions: A Qualitative Study of Barriers and Opportunities.","authors":"Kitti Sranacharoenpong, Bang-On Thepthien, Pyae Phyo Kyaw, Mathuros Tipayamongkholgul","doi":"10.1007/s10903-025-01845-0","DOIUrl":"10.1007/s10903-025-01845-0","url":null,"abstract":"<p><p>Primary health care (PHC) in Thailand's border regions remains challenged by the needs of mobile and marginalized populations, despite the country's progressive Universal Health Coverage (UHC). This qualitative study explores the dynamics of cross-border PHC systems along Thailand's borders with Myanmar, Lao PDR, and Cambodia through a people-centered lens. We conducted 101 semi-structured interviews with diverse stakeholders across six border provinces. Findings reveal that migrants and refugees face complex barriers, including legal exclusion, geographic isolation, and fear of deportation, leading to reliance on self-medication and delayed care. Health priorities consistently included communicable diseases, maternal and child health, and occupational risks, yet the context varied significantly by border. The Myanmar border was characterized by Non-Government Organizations (NGOs)-dependent, fragmented services for undocumented migrants and refugees. In contrast, the Lao PDR border demonstrated more stable, seasonal migration and smoother bilateral health cooperation. The Cambodia border was defined by labor migration and inconsistent employer-based health arrangements. Multi-stakeholder collaboration-particularly through migrant health volunteers and NGOs-was identified as both feasible and essential for service delivery, but remains ad hoc and donor-dependent. Sustainable solutions require formalizing the roles of community-based actors, creating institutionalized coordination platforms, and developing tailored, context-specific strategies that address the fundamental social determinants of health. Achieving health equity in these borderlands necessitates inclusive policies that bridge the gap between national UHC ambitions and the realities of cross-border mobility.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1193-1203"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13612608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145900644","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":"Digital Health Inequalities Among Immigrants in the United States: An Intersectional Analysis Using Nationally Representative Survey Data.","authors":"Cheng Chow, Joonhyeog Park, Shetal Vohra-Gupta","doi":"10.1007/s10903-026-01875-2","DOIUrl":"10.1007/s10903-026-01875-2","url":null,"abstract":"<p><p>The rapid expansion of digital health during COVID-19 transformed healthcare delivery, offering new opportunities for remote care. However, health access remains inequitable, with barriers such as technology access, language barriers, and financial constraints disproportionately affecting immigrants and marginalized populations. This study applied an intersectional approach to examine digital health utilization trends by immigration status and key sociodemographic factors. This study analyzed nationally representative data from the 2021-2023 National Health Interview Survey (NHIS) for adults (N = 83,116). Immigration status was cross-classified with race/ethnicity, gender, marital status, education, income, health insurance, chronic conditions, and rural residency. Weighted logistic regression models examined disparities and moderation effects. While digital health utilization generally declined post-pandemic with increased access to in-person care, disparities across populations persisted. While naturalized immigrants had similar odds of digital health use compared to U.S.-born individuals, noncitizen immigrants had significantly lower odds. The findings also reveal noncitizen immigrants, particularly those with lower income, no insurance, and living in rural areas, face significant barriers in accessing digital health services. These disparities highlight the need for targeted policies to ensure equitable access to digital health resources for immigrant populations.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1157-1165"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13612701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146157426","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":"Impact of Adverse Childhood Experiences (ACEs) on Mental Health Help-Seeking Among Asian American Adults: Findings from the 2021 California Health Interview Survey.","authors":"Cindy Chwa, Biblia S Cha, Gloria J Kim, Judith Borghouts, Elizabeth Eikey, Dana B Mukamel, Stephen M Schueller, Margaret Schneider, Nicole A Stadnick, Kai Zheng, Dara H Sorkin","doi":"10.1007/s10903-026-01874-3","DOIUrl":"10.1007/s10903-026-01874-3","url":null,"abstract":"","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1146-1156"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13612678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146220036","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":"Diabetes Self-Care among South Asians in Western Countries: A Systematic Review.","authors":"Saranya Puzhakkal, Barbara Conway, Syed Tabish Razi Zaidi, Chia Siang Kow, Syed Shahzad Hasan","doi":"10.1007/s10903-025-01825-4","DOIUrl":"10.1007/s10903-025-01825-4","url":null,"abstract":"<p><p>Diabetes self-care is a patient-driven approach to managing diabetes, supported by healthcare professionals, that aims to empower patients to reduce long-term complications associated with the disease. This is particularly important for South Asians, who are among the populations most affected by diabetes. This mixed-methods systematic review synthesises both qualitative and quantitative evidence on diabetes self-care among South Asians living in Western countries and presents an integrated framework covering key areas for optimal self-care. The review followed PRISMA guidelines, and the protocol was registered with PROSPERO. Seven databases were searched for both qualitative and quantitative studies published between January 2000 and December 2024 to provide a comprehensive understanding of the evidence. The Joanna Briggs Institute critical appraisal checklist for quality assessment and the Risk of Bias V2 tool for trials were utilised, with data integrated through the Pillar Integration Process (PIP). Twenty studies met the inclusion criteria and were incorporated into this review. Most qualitative, cohort, and cross-sectional studies met over 70% of quality criteria, and all four randomised controlled trials demonstrated a low risk of bias. Qualitative findings highlighted the significance of culturally relevant education and support, while quantitative studies showed improvements in diabetes outcomes through educational and physical activity interventions. Common barriers included difficulties with self-monitoring, adherence to dietary guidelines, and implementing lifestyle changes. The PIP analysis identified three core pillars: providing adequate diabetes education, involving patients in care planning, and encouraging daily physical activity. Culturally tailored education, improved healthcare access, and patient-centred interventions are vital for enhancing self-care among South Asians. As this population's presence in Western countries increases, broader participation in self-care programmes can promote better integration and health outcomes.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1246-1267"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13612628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145564262","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":"Ending SNAP Eligibility for Refugees and Humanitarian Entrants: Food Access and Health Implications.","authors":"Savannah A Daines, Nasser Sharareh","doi":"10.1007/s10903-026-01962-4","DOIUrl":"10.1007/s10903-026-01962-4","url":null,"abstract":"<p><p>In 2025, the One Big Beautiful Bill (OBBB) eliminated Supplemental Nutrition Assistance Program (SNAP) eligibility for refugees and other humanitarian entrants in the United States. This policy change occurs within a broader restrictive immigration environment and affects a population that experiences disproportionately high rates of food insecurity, compounded by structural, economic, and social barriers during resettlement. The policy may also affect immigrants who remain eligible for SNAP, as fears surrounding the immigration consequences of public benefit use may exacerbate 'chilling effects' that discourage SNAP participation. The consequences of the OBBB eligibility change are likely to extend beyond food purchasing support alone, with implications for food insecurity, health outcomes, health care utilization and costs, and long-term immigrant integration. We outline and qualitatively assess five federal and state policy options across dimensions of equity and near-term feasibility and highlight community-level mitigation strategies to support immediate needs. Sustaining access to nutrition assistance during resettlement remains central to protecting health, promoting equitable integration, reducing longer-term strain on health systems and public resources, and upholding humanitarian commitments.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1054-1059"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148436537","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":"Health Literacy by Hispanic Ethnicity and its Association with Healthcare Experiences, Self-rated Health, and Quality of Life.","authors":"Athena K Ramos, Rishad Ahmed, Maria Jose Sanchez Roman, Natalia Trinidad, Marcela Carvajal-Suarez","doi":"10.1007/s10903-026-01848-5","DOIUrl":"10.1007/s10903-026-01848-5","url":null,"abstract":"","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1070-1080"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145998331","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":"Recognizing Diversity in Health Care Research: A Call for Co-Designed Approaches in the South Asian Context.","authors":"Navjot Gill-Chawla, George Heckman","doi":"10.1007/s10903-026-01912-0","DOIUrl":"10.1007/s10903-026-01912-0","url":null,"abstract":"","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1064-1069"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147592640","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":"\"We Protect Us:\" Immigration Enforcement Campaigns as a Public Health Crisis in Minneapolis.","authors":"Lucia Vitale","doi":"10.1007/s10903-026-01946-4","DOIUrl":"10.1007/s10903-026-01946-4","url":null,"abstract":"","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1045-1049"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148368460","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":"Outcomes Among Patients with Systolic Heart Failure and Limited English Proficiency.","authors":"Zara Latif, Tracy Makuvire, Anna Modest, Pablo Quintero Pinzon, Rishi Wadhera, Eli Gelfand, Fatima Rodriguez, A Reshad Garan, Haider Warraich","doi":"10.1007/s10903-026-01864-5","DOIUrl":"10.1007/s10903-026-01864-5","url":null,"abstract":"","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1126-1133"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146124981","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}