Journal of Immigrant and Minority Health最新文献

{"title":"Native and Non-Native Individuals with Substance-Related Problems Accessing a Street Mobile Unit from 2016 To 2023: Results of a Longitudinal Study in Northern Italy.","authors":"Raimondo Maria Pavarin","doi":"10.1007/s10903-025-01775-x","DOIUrl":"https://doi.org/10.1007/s10903-025-01775-x","url":null,"abstract":"<p><p>In this cohort study, we report the characteristics of people with substance use who turned to street mobile units operating in the drug scene of the metropolitan area of Bologna (Northern Italy) from 2016 to 2023, distinguishing between natives (i.e. those born in Italy) and non-natives (i.e. those born abroad). The results of our study confirm for Northern Italy the specific peculiarities reported in the literature on people who use drugs that access street mobile units and highlight some interesting aspects that could also be related to the constant increase in the number of non-native patients: the injecting of any substance and using opioids are decreasing; smoking is increasing among heroin users and injecting is decreasing among heroin and cocaine users. From the multivariate analysis it emerged that non-natives, compared to the natives, have a higher likelihood of using benzodiazepines and smoked heroin, and a lower likelihood of injecting heroin or cocaine. Constant monitoring at a national level is necessary to continue to analyse the characteristics and trends of people accessing territorial harm reduction services.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145054001","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 Effectiveness of Online Thematic Expressive Writing on Prolonged Grief Disorder, Anxiety, Depression, and Positive Mental Health among Refugees in the Transition Stage of Asylum Seeking.","authors":"Nesreen Dababneh, Jürgen Margraf, Fawwaz Ayoub Momani, Lena-Marie Precht, Julia Brailovskaia","doi":"10.1007/s10903-025-01778-8","DOIUrl":"https://doi.org/10.1007/s10903-025-01778-8","url":null,"abstract":"<p><p>Prolonged grief disorder (PGD) is a recently recognized disorder, and there is a growing need for adapted-related interventions to contexts at higher risk. Bereaved refugees in the transition stages of asylum-seeking due to unavailable mental health services and cultural language barriers necessitate adaptive, accessible PGD interventions. Thematic expressive writing (EW), as a promising guided self-help tool, can increase integrated grief and prevent mental health deterioration. This study aims to investigate the effectiveness of online guided thematic EW based on the dual process model (DPM) of coping with bereavement in decreasing PGD, depression, and anxiety and in increasing positive mental health (PMH). An experimental longitudinal design included 116 adult bereaved refugees. Participants who resided in Jordan were randomly assigned to the experimental groups received one online psychoeducation session, followed by daily online thematic EW tasks using Pennebaker's writing paradigm over one week. The first group applied tasks related to loss, the second applied restoration-oriented tasks, the third applied a combination of both tasks, and there was one control group. Longitudinal data was collected through online self-report surveys over three time points: baseline, post-intervention, and one-week follow-up. Findings showed that the combination of the loss and restoration-oriented group had a significant within-subject effect on PGD, depression, anxiety, and PMH, while the restoration-oriented group had a significant effect on PGD. However, only PMH improved between the group conditions, and there was no significant interaction effect between time and the experimental conditions. The present results confirm that EW as a scalable intervention for bereaved refugees in the transition stage has a positive but not durable influence on mental health. Guided self-help tools can overcome refugees' challenges related to accessibility to mental health services and can be a promising, scalable intervention.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040321","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":"Have We Been Measuring Migrant Wellbeing all Wrong? Conceptualizing Migrant Wellbeing: A Systematic Review.","authors":"Salsawi Feleke Debela, Sheenagh McShane, Lauren Carpenter, Celia McMichael, Ankur Singh, Karen Block","doi":"10.1007/s10903-025-01773-z","DOIUrl":"https://doi.org/10.1007/s10903-025-01773-z","url":null,"abstract":"<p><p>Wellbeing is a widely used concept yet lacks a universal definition and standardized measurement. Migrants, especially those forcibly displaced, face challenges that impact their quality of life and wellbeing. To understand how the wellbeing of people who migrate from low/middle-income countries to middle/high-income countries has been conceptualized, defined, and measured. Four databases (MEDLINE, PubMed, EMBASE, and PsycINFO) were searched. Two researchers independently screened all articles, with narrative synthesis and the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) checklist used for analysis. The search returned 5,610 articles, with 126 included in this review. Of these 126 articles, 89 did not explicitly define nor conceptualise wellbeing. Forty-three measurement tools were used to measure the wellbeing of 281,478 migrants in more than 35 countries. Seven tools were used in three or more articles, two of which were not specifically designed for wellbeing measurement. Two tools Personal Wellbeing Index (PWI) and WHO Quality of life Brief (WHOQoL-BREF) had satisfactory COSMIN scores. Fewer than half (47.6%) of the articles reported translating tools into respondents' languages. Tools designed and developed in the context of Global North, middle-class populations, might not accurately measure wellbeing in migrant groups. This review highlights critical gaps in the way migrant wellbeing is measured. Without culturally informed tools, understanding of migrant wellbeing will remain fragmented, limiting development of effective and equitable public health interventions and policies.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145029948","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 Bibliometric Review of Research on Children and Adolescents' Mental Health Following Parental Migration.","authors":"Leila Salimova, Gulnara Dzhunushalieva","doi":"10.1007/s10903-025-01774-y","DOIUrl":"https://doi.org/10.1007/s10903-025-01774-y","url":null,"abstract":"<p><p>Growing tendencies in parental migration highlight the importance of safeguarding the health and well-being of children who are left behind. Our research intended to focus on the growing mental health issues faced by children and adolescents (CAA) following parental migration, in extreme cases, potentially leading to psychological challenges and suicide. Using a database of 425 English-language publications from Scopus and Web of Science, published between 1972 and 2025 (as of 23rd March 2025), we employ descriptive and bibliometric analyses. Our findings highlight three distinct evolutionary periods, with a notable increase in the third (2015-2025). The influential journals in this field are Social Science and Medicine, Social Psychiatry and Psychiatric Epidemiology, Children and Youth Services Review, and Journal of Youth and Adolescence. The domain's intellectual structure is mapped into eight clusters using network visualisation. These clusters cover topics such as \"Health Impact of Migration\", \"Health and Age\", \"Migrant Mobility\", \"Parent-Child Relations\", \"Wellbeing\", and \"Socioeconomic Status\". The recent trends identified in the three domains, Family Dynamics, Mental Health and Well-being, and Social Exclusion, demonstrate the multidimensional nature of migration's impact on CAA. The findings helped us to provide future research directions, ranging from the longitudinal impact of parental migration to policy implications on CAA. This work bridges gaps in the literature, highlighting the leading journals and the interdisciplinary structure of the research domain, and proposes future research directions to better understand and address CAA's mental health challenges related to parental migration.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145029997","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":"\"I'm Sorry, I Can't Hire You because of That\": Examining the Role of Employment and Exclusion on Health and Well-Being among U.S. Asylum Seekers.","authors":"Lana Sabbah, Juliana E Morris, Margarita G Velasco, Altaf Saadi","doi":"10.1007/s10903-025-01764-0","DOIUrl":"https://doi.org/10.1007/s10903-025-01764-0","url":null,"abstract":"<p><p>Employment is a social determinant of health, providing differential access to health insurance, social networks, and other resources that influence health trajectories. Asylum seekers are a subgroup of immigrants who have fled persecution in their home countries and with both precarious immigration status and employment access while they await adjudication of their asylum claims. We explored U.S. asylum seekers' experiences at the intersections of immigration, employment, and health and wellbeing. English and Spanish-speaking asylum seekers (age >/=18 years old) were recruited predominantly from an academic medical center-based Asylum Clinic. Interviews were conducted over the phone by a bilingual research coordinator, recorded, transcribed, and analyzed thematically. We identified four themes: (1) Work as essential yet inaccessible within the asylum process, marked by waiting, limited ability to access basic necessities and health services, and people resorting to desperate methods to obtain income; (2) Underemployment, which involved suboptimal opportunities due to devaluing of experience in their home country, transportation challenges, and competing demands; (3) Workplace inequity and exploitation; and (4) Employment as a source of stability, identity, and purpose. Our study highlights the employment challenges faced by U.S. asylum seekers, which can harm their health and wellbeing. Increasing pathways to employment during the asylum adjudication process can be one mechanism for promoting health and wellbeing in this population. Further, asylum policy, and the labor regulations connected to it, must be examined through the lens of structural vulnerability.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145000757","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":"Navigating New Horizons: Experiences of African-Educated Nurses Transitioning To the American Healthcare System.","authors":"Chinomso Nwozichi, Elizabeth Maciejewski, Omolabake Salako, Olamide Taiwo, Roxanne Bennett","doi":"10.1007/s10903-025-01754-2","DOIUrl":"https://doi.org/10.1007/s10903-025-01754-2","url":null,"abstract":"<p><p>The increasing global nursing shortage has led to a rise in the migration of African-educated nurses (AENs) to the United States. Despite being essential to the U.S. healthcare workforce, AENs face significant challenges during their transition, including cultural, professional, and emotional adjustments. This study aimed to explore the lived experiences of AENs transitioning into the American healthcare system and to identify the specific support needs required for their successful integration. A phenomenological approach guided by Ricoeur's interpretive phenomenology framework and Afaf Meleis's transitions theory was used. A combination of purposive and convenience sampling was employed to select 19 AENs who were trained in Africa but are currently working in various U.S. health institutions, and they participated in in-depth, unstructured interviews. Data were analyzed thematically to capture the essence of participants' experiences. Five main themes emerged: (1) Navigating an Unfamiliar Ground, including culture shock, language barriers, and differences in patient care standards; (2) Developing a Thriving Mindset, highlighting resilience, determination, and the importance of social support; (3) Institutional Factors Affecting Transitioning, such as the role of mentorship programs and perceived racial biases; (4) Heavy Performance Demands, reflecting the need for constant skill demonstration and managing high workloads; and (5) Leveraging Opportunities for Growth, focusing on career progression, financial benefits, and access to advanced healthcare technologies. AENs experience a complex transition into the U.S. healthcare system characterized by significant challenges and growth opportunities. Targeted support interventions, including cultural competence training, mentorship, and institutional support systems, are essential to facilitate their successful integration and enhance their contributions to patient care.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992589","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":"Language Concordance and Interpreter Use in Primary Care: Perspectives from Spanish-preferring Patients.","authors":"Zachary Predmore, Nabeel Qureshi, Mary E Slaughter, Shannon Walsh, Yareliz Diaz, Efrain Talamantes, Yesenia Curiel, Rosa Elena Garcia, Denise D Quigley","doi":"10.1007/s10903-025-01768-w","DOIUrl":"https://doi.org/10.1007/s10903-025-01768-w","url":null,"abstract":"<p><p>Healthcare provided by bilingual providers or with assistance from qualified interpreters is intended to improve patient-provider communication. Despite federal laws requiring healthcare facilities to provide access to appropriate interpretation language assistance services for patients not proficient in English, many Spanish-preferring patients receive primary care from providers not fluent in Spanish or who regularly use formal interpreters. Partnering with two urban SafetyNet providers in Southern California, we conducted focus groups in Spanish with Spanish-preferring patients who received care from providers who: (1) were Spanish-qualified, (2) used formal interpreters, and (3) used informal interpreters or other communication strategies. We coded transcripts to identify themes and compared patient experiences across provider types. Our study included 62 adult Spanish-preferring primary care patients. Spanish-preferring patients reported preference for continuity with their English-speaking providers despite language barriers because of established rapport. Patients receiving care from Spanish-language-qualified providers reported greater trust, more comprehensive care (i.e., covered more issues with minimal detail), yet with many interactions rushed. Formal interpreters facilitated better understanding and professional communication, however, impersonalized some patient-provider interactions. Informal interpreters or ad-hoc strategies led to mixed experiences, often dependent on patient or provider ability to accurately convey medical information. Overall, Spanish-preferring patient experiences highlighted the necessity for healthcare systems to support robust language and interpretation services that enhance direct communication, ensure interpreter quality, and maintain long-term patient-provider relationships. Improvements in policy and practice are needed to optimize healthcare communication for Spanish-preferring patients, since patient-provider communication is critical for high-quality health outcomes and experiences in multilingual settings.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956687","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":"Understanding the Role of Collective Trauma on Afghan Refugee Mental Health: A Transformative Mixed Methods Study.","authors":"Jaclyn Kirsch, Arati Maleku, Youn Kyoung Kim, Taqdeerullah Aziz, Shaima Dada","doi":"10.1007/s10903-025-01769-9","DOIUrl":"10.1007/s10903-025-01769-9","url":null,"abstract":"<p><p>Afghan refugees in the United States experience high rates of individual trauma, resulting in poor mental health outcomes. Decades of war and displacement have also produced extensive collective trauma, a construct that is rarely investigated in forced migration literature. This study aimed to increase understanding of the concept of collective trauma among Afghan refugees and examine its association with mental health outcomes. A transformative explanatory mixed-method design was used, incorporating community-based participatory research methods. Quantitative analysis included regression models to test the role of collective trauma as both an independent variable and a moderating variable between individual trauma and mental health outcomes. Qualitative data were collected to contextualize and deepen understanding of the quantitative findings. Regression analyses demonstrated that collective trauma was a significant predictor of mental health outcomes and significantly moderated the relationship between individual trauma and mental health. Specifically, the effect of individual trauma on mental health worsened at higher levels of collective trauma. Qualitative findings supported these results, with participants describing collective trauma experiences such as the loss of culture, land, and language, as well as concerns over the integration of their children. These findings highlight the significant impact of collective trauma on Afghan refugees' mental health and underscore the need to consider collective trauma as an important factor in mental health research and interventions for forced migrant populations. Future research should further explore this construct to enhance understanding of collective trauma across diverse forced migrant groups.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956760","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 Mixed-Methods Evaluation of the Afghan Evacuee Resettlement Programme in Aotearoa New Zealand.","authors":"Nadia A Charania, Irene Zeng, Priyanka Kumar, Claudia Gaylor, Eleanor Holroyd","doi":"10.1007/s10903-025-01752-4","DOIUrl":"https://doi.org/10.1007/s10903-025-01752-4","url":null,"abstract":"<p><p>In 2021, following the Taliban's control of Afghanistan, Aotearoa New Zealand (NZ) welcomed over 1,700 Afghan nationals at risk due to their association with NZ agencies. The New Settlers Family and Community Trust (NFACT) was contracted to provide tailored resettlement support. This study evaluated NFACT's Afghan evacuee resettlement programme using a mixed-methods approach, including a cross-sectional survey, interviews, and focus groups with Afghan evacuees and NFACT staff. Of the 101 surveyed evacuees, most (93.1%) expressed satisfaction with the support they received, and almost all (97.0%) would recommend NFACT's programme to newcomers. Analysis across integration domains revealed consistently high ratings for services and support. Qualitative findings from Afghan evacuees (n = 12) highlighted the challenges of adjusting to new systems, the crucial guidance provided by NFACT, and the need for ongoing, tailored support to foster their dreams and sense of purpose. NFACT staff (n = 11) emphasised their dedication to support evacuees beyond contractual obligations, how limited resourcing constrained their efforts, and how their shared values and experiences underpinned the success of the programme. The findings underscore the need for comprehensive, culturally sensitive, and sustainable resettlement programmes. These findings have implications for governments to strengthen support for humanitarian evacuation responses within the evolving geopolitical landscape.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956919","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":"Forced Displacement, Social Support, and Resilience: Meta-analytic Evidence.","authors":"Linda Wulkau, Justina Racaite, Paul Bain, Anke Bramesfeld, Jutta Lindert","doi":"10.1007/s10903-025-01759-x","DOIUrl":"https://doi.org/10.1007/s10903-025-01759-x","url":null,"abstract":"<p><p>Various systematic reviews underscore the relevance of social support for resilience among refugees. This meta-analysis aims to determine the quantitative assessment of social support and resilience among refugees and the extent of the associations between social support and resilience among refugees. After a systematic literature search, we included twenty-three studies, and performed random-effects meta-regressions. Studies on resilience and social support among refugees very heterogeneously operationalize both constructs. While increases in social support among refugees accompany higher resilience in numerous studies, these associations are not significant. In contrast to previous reviews' conclusions, the current data cannot confirm a relationship between resilience and social support among refugees. Substantiated conclusions about the relationship between resilience and social support among refugees might be reached by a population-specific clear conceptualization and operationalization of the constructs, the content differentiation of the constructs, representative samples, and longitudinal and intervention studies.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956774","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}