Journal of Immigrant and Minority Health最新文献

{"title":"Health Status of North African Adolescent and Young Adult Migrants in Europe: a Scoping Review.","authors":"Eva P Rocillo Aréchaga, Barbara Broers, Catherine Chamay Weber, Delphine Courvoisier, Lloyd Orphée Rigumye, Melanie Pinon, Yves-Laurent Jackson","doi":"10.1007/s10903-025-01821-8","DOIUrl":"10.1007/s10903-025-01821-8","url":null,"abstract":"<p><p>More than five million people from North Africa (NA) lived in Europe in 2019, including youth characterized by intense trans-border mobility, precarious living conditions and high-risk behaviours such as substance use, prostitution and illegal activities. This young population challenges health professionals and health service's ability to deliver medical care. The health literature about them remains scarce. This scoping review aims to map the existing knowledge regarding the health status of adolescent and young adult migrants from NA in Europe, the health services available to address their needs, and their access and use of these services. This scoping review followed the Arksey and O´Malley process and was based on the Population-Concept-Context framework. Six databases (CINAHL, Cochrane, Embase, PubMed, PsycINFO and Web of Science) were consulted for peer-reviewed articles and non-indexed reports. References of selected articles were systematically tracked. Initial search returned 5540 articles, 13 of which met the criteria for final inclusion. They originated from Spain, France and Germany. All records included were observational. Nine included only males and ten focused on unaccompanied minors. All studies explored aspects related to the health status of participants. Five explored aspects related to general health, seven to infectious diseases, six to mental health including substance use, four to oral health, and three to nutritional status. Two studies explored aspects related to the provision of care and related cultural elements. Evidence about the health status, access to services and health service provision of North African adolescent and young adult migrants in Europe is very limited, including important gaps about females and young adults, as well as about healthcare programs and use of services. Further research is needed to enhance a comprehensive, complex and reflective understanding of this population. Research design should emphasize gender perspective, include methodologies adapted to hard-to-reach populations and grounded into international collaboration.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1233-1244"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13612637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145523522","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":"Understanding Medical Decision-Making in Urogynecology: Insights from a Predominantly Hispanic Patient Population.","authors":"Grace K Sarris, Suyen Vilchez, Akshata Gunda, Christina Yarborough, Veronica Junco, Ariela Souroujon, Adam D Williams, Katherine Amin, Alan J Wein, Raveen Syan","doi":"10.1007/s10903-026-01851-w","DOIUrl":"10.1007/s10903-026-01851-w","url":null,"abstract":"<p><p>To explore the role of health literacy in surgical decision making in a predominately Hispanic population, we designed a mixed-methods approach to assess patient's literacy and explore what drives their choices for their healthcare. Understanding these factors will guide physicians to improve patient education, engagement and provide equitable care. In this IRB-approved study, English- and Spanish-speaking patients offered urogynecology surgery at our tertiary center were recruited. Participants completed the Short Assessment of Health Literacy (SAHL), a demographic survey, and a semi-structured interview to gain insight into their medical decision-making process. Data were analyzed using chi-square and t-tests, with p < 0.05 considered statistically significant. Grounded theory guided qualitative analysis of interview transcripts. Among 62 participants, most patients (90.3%) had sufficient health literacy. Mean SAHL scores did not differ between those electing for surgery and those declining. While Hispanic patients did tend to have lower SAHL scores (16.3) than non-Hispanic patients (17.1) (p = 0.04), the average still suggested adequate literacy. Interviews revealed that patients electing surgery often cited comfort with their physician (p = 0.01), definitive treatment (p = < 0.01), and friends' experiences (p = 0.04) as influential factors. The influence of personal faith was brought up by nineteen participants (13 electing for surgery, 6 declining surgery, p = 0.11). Our research revealed that our patient population tends to have adequate health literacy. Interviews revealed themes that influence choices, such as trust in their physician and patient's faith. Further investigation into the role that social factors play will be critical for better understanding patient surgical decision making.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1088-1096"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13612605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145989556","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":"A Comparison of Cardiovascular Health Across Migration Flows on the US-Mexico Border.","authors":"Félice Lê-Scherban, Saishi Cui, Camila A Picchio, M Gudelia Rangel, Leah Bakely, J Eduardo Gonzalez-Fagoaga, Ahmed A Asadi-Gonzalez, Ana P Martinez-Donate","doi":"10.1007/s10903-026-01870-7","DOIUrl":"10.1007/s10903-026-01870-7","url":null,"abstract":"<p><p>Our objective was to characterize cardiovascular health in different migrant flows crossing through the United States (US)-Mexico border region. Participants (n = 1,264; weighted n = 682,130) in a probability-based study of migrant flows completed cross-sectional surveys and measurements from February-December 2022 at transit points in Tijuana, Matamoros, and Ciudad Juárez, Mexico. Outcomes were American Heart Association cardiovascular health (CVH) metrics (diet, physical activity, nicotine exposure, body mass index, blood lipids, blood glucose, blood pressure) (all range 0-100). We used covariate-adjusted linear regression to compare CVH outcomes by migration flow (Pre-migration, Return, Southbound, Deported). Compared to Pre-migration participants, Return and Southbound participants had significantly worse cardiovascular health scores for body mass index in adjusted models (difference = -24.0 [-38.9, -9.1] and difference = -14.7 [-26.2, -3.3], respectively), while Deported participants had significantly lower scores for blood lipids (difference = -12.3 [-23.7, -0.9]). We identified two cardiovascular risk factors that may serve as targets for intervention to improve cardiovascular health among migrants on the US-Mexico border. Findings demonstrate that migration flows represent subpopulations whose health needs and barriers to health services differ. Transit points may be potential intervention venues to improve migrant health.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1134-1145"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13371472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147354994","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":"Insulin Use Among Asian and Pacific Islander Adults with Diabetes Receiving Pharmacotherapy.","authors":"Chelsea Yin, Jeanne Darbinian, Anjali Gopolan, Morali Sharma, Joan Lo, Hasmik Arzumanyan","doi":"10.1007/s10903-026-01936-6","DOIUrl":"10.1007/s10903-026-01936-6","url":null,"abstract":"<p><p>The burden of diabetes is high among U.S. Asian and Native Hawaiian/Pacific Islander (NHPI) adults, but studies examining ethnic differences in diabetes pharmacotherapy remain limited. This study examines prevalent insulin use in adults with treated diabetes, with a focus on Asian/NHPI subgroups. Among 81,692 adults aged 45-79 years with pre-existing diabetes and pharmacotherapy in 2019, 34.6% had prevalent insulin use. Insulin use was significantly lower for Asian/NHPI (24.8%) compared to Black (39.1%), White (38.4%), and Hispanic (37.2%) adults, but varied by subgroup: 31.8-33.1% (Japanese and NHPI), 27.5% (Filipino), 22.9% (South Asian), and 20.4-20.8% (Southeast Asian and Chinese). In multivariable analyses, adjusting for age, sex, social factors, body mass index, comorbidity index, duration of diabetes and hemoglobin A1c level, all racial and ethnic minority groups had lower adjusted prevalence of insulin use compared to White adults, including 12-17% lower for Hispanic and Black, 12% lower for Japanese, 23-25% lower for Filipino and NHPI, and 30-33% lower for other Southeast Asian, Chinese, and South Asian adults. Differences between Chinese and Japanese adults were significant, and findings were also similar for the older subset aged 65-79 years. This study is among the first to report prevalent insulin use in a large and disaggregated population of Asian/NHPI adults with treated diabetes, where use was consistently lower than White adults. However, Japanese adults had higher insulin use than Chinese adults, whereas Filipino, other Southeast Asian, South Asian, and NHPI adults were similar.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1274-1279"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148317540","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":"Dietary Acculturation and the Nutritional Health and Well-Being of Sub-Saharan African Immigrants Living in Higher-Income Countries: A Scoping Review.","authors":"Rhoda Omache, Elizabeth Miltenburg, Hannah Neufeld","doi":"10.1007/s10903-025-01817-4","DOIUrl":"10.1007/s10903-025-01817-4","url":null,"abstract":"<p><p>Globalization has contributed to a significant rise in intercontinental migration from Africa, a trend expected to continue given the ongoing political and economic challenges in many African countries and the perceived opportunities in higher-income Western nations. These migration patterns threaten the preservation of valuable cultural practices and intergenerational food knowledge due to limited resources and supports for African families in host countries. While a considerable body of research exists on immigrant health and dietary acculturation broadly, there remains a notable gap in literature focusing specifically on the experiences of Sub-Saharan African immigrants in higher-income countries. This scoping review therefore aims to: (1) examine existing literature on the nutritional health and social wellbeing of Africans immigrants in higher-income countries; (2) explore the relationships between dietary behaviours, social norms, cultural practices and acculturation; and (3) identify priorities for future research, policy and interventions. Three online databases (PubMed, Scopus and PsycINFO) were utilized to identify relevant studies, yielding in 343 articles. These articles were uploaded into Covidence for screening, resulting in 44 studies included in the final extraction and analysis. Four key themes emerged, highlighting the nutritional, cultural, and social challenges that affect Sub-Saharan African immigrants' integration into new food environments. These interrelated challenges can hinder African immigrants' efforts to maintain cultural food practices and contribute to difficulties in establishing a sense of belonging in their host countries. Findings highlighted the need for further research on the lived experiences of Sub-Saharan African immigrants with an emphasis on culturally informed strategies to support their health, dietary wellbeing, and social inclusion.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1218-1232"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145768315","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":"Counting Demographics: Patient Trust in the Era of Deportation.","authors":"Margot Mai, Rose L Molina","doi":"10.1007/s10903-026-01956-2","DOIUrl":"10.1007/s10903-026-01956-2","url":null,"abstract":"<p><p>With the entry of U.S. immigration enforcement into health facilities and health records since January 2025, timely questions have arisen over data justice and patient trust in health care. Although guidelines for the collection and analysis of demographic data promote statistical nuance and data disaggregation, not all patients will want to provide details about their personal information and may interpret these questions as especially intrusive or risky in the current sociopolitical context. Reckoning with the motives that cause patients to mask potentially sensitive information is a necessary path forward for health systems and an actionable way for health care spaces to become as welcoming and inclusive of immigrants as possible. Health care leaders and the systems they represent can proactively approach patient nondisclosure with care by providing abundantly transparent communication over the use of personal information, avoiding documentation of certain questions-like immigration status-altogether, and affirming nonresponse as a valid and welcome response.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1050-1053"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148390884","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":"Unpacking Health Literacy Disparities in Migrant and Ethnic Minority Communities in England.","authors":"Carolina Machuca Vargas, Samia Turkistani, Anita David","doi":"10.1007/s10903-026-01861-8","DOIUrl":"10.1007/s10903-026-01861-8","url":null,"abstract":"<p><p>Health literacy is essential for navigating healthcare systems and making informed decisions. Migrant and minority ethnic populations often face barriers that impact their health literacy and access to care. This study explored the health literacy profiles and lived experiences of African and Latin American communities in England. A mixed-methods study was conducted using Phase 1 of the Ophelia (Optimising Health Literacy and Access) process. Sixty-five participants completed the Health Literacy Questionnaire (HLQ), and hierarchical cluster analysis identified distinct health literacy profiles. Two focus groups (n = 7 each) were held to explore participants' experiences in greater depth. Qualitative data were analysed using thematic analysis. While participants demonstrated strengths in accessing and understanding health information, significant disparities emerged in areas requiring institutional engagement, trust in healthcare providers, and emotional support. Key barriers included digital exclusion, limited interpreter availability, fear of immigration consequences, and experiences of being dismissed or misunderstood in clinical settings. These challenges disproportionately affected asylum seekers and those with insecure immigration status, reflecting structural vulnerability and institutional racism. The study highlights the limitations of individual-level interventions and calls for system-wide changes to address the relational and structural barriers that undermine health equity. Improving health literacy among migrant populations requires more than accessible information. Equity-focused, co-designed interventions that confront institutional racism, invest in culturally safe communication, and prioritise emotional safety are essential to reducing racial and ethnic health disparities.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1106-1113"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13612664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146132011","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":"Physician-Identified Barriers to Completing the \"Medical Certification for Disability Exceptions\" (N-648) Citizenship Forms for Applicants with Disabilities.","authors":"DeMarcus M Burke, Jocelyn Ra, Mira Menon, Blessing Nnate, Shreya Salwi, Varshini Odayar, Yara S Batista, Maya Almoussa","doi":"10.1007/s10903-026-01913-z","DOIUrl":"10.1007/s10903-026-01913-z","url":null,"abstract":"","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"1166-1173"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13612625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147633265","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":"Elevated Blood Lead Levels Among Refugee Children in Urban Primary Care: A Retrospective Analysis Following Revised CDC Guidelines.","authors":"Julia Levin, Kiran Lorick, Barbara O'Neill, Margaret Mirabella-Pimer, Cecil Tengatenga, Elizabeth Lorick","doi":"10.1007/s10903-026-02004-9","DOIUrl":"10.1007/s10903-026-02004-9","url":null,"abstract":"<p><p>Refugee children are at increased risk for lead exposure due to environmental hazards encountered before, during, and after resettlement. In 2021, the Centers for Disease Control and Prevention (CDC) lowered the blood lead reference value (BLRV) from 5.0 to 3.5 micrograms per deciliter (µg/dL), prompting the need to reassess screening guidelines, practices, and follow-up care. This retrospective chart review evaluated blood lead levels (BLLs) among refugee and non-refugee children aged 1 to 6 years old who received care at an urban primary care center in Hartford, Connecticut (CT) from 2020 to 2023. Of 565 patients, 24 were identified as refugees. Refugee children had 1.94 times the risk of BLLs ≥ 3.5 µg/dL (p = 0.034) and 4.36 times the risk of BLLs ≥ 5.0 µg/dL (p = 0.0002) compared to non-refugees, while causing only a slight increase in prevalence. Refugees represented 4.2% of the total sample but 16.2% of children with BLLs ≥ 5.0 µg/dL. Notably, while refugees in this cohort originated from multiple countries, 83% of those with BLLs ≥ 5.0 µg/dL were born in or last resided in Afghanistan, suggesting that although there appears to be an association between this country and lead exposure, lead exposure risk may have occurred anywhere along the migration path, including the country of birth, the country of nationality, and intermediary countries where families lived prior to United States (U.S.) resettlement. These findings highlight the need to follow the CDC Refugee Health Guidelines for post-resettlement lead screening, and to work towards improved coordination between primary care providers and resettlement agencies. Although many refugee children may have experienced initial exposures overseas, public health efforts should not assume this eliminates new or ongoing exposure, as the family may have brought lead containing pottery or cosmetics with them, or are being resettled into an older home that may contain lead. So, there should be a focus on preventing further exposure, identifying sources of lead, and ensuring timely follow-up of elevated BLL. Broader policy and community engagement are essential to reduce disparities in lead exposure and the burden of elevated blood lead levels among refugee children.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074668","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":"Nutritional Vulnerabilities and Dietary Disparities Among Migrant Workers in the Informal Sectors: A Global Scoping Review.","authors":"Tania Mitra, Debanjan Chakraborty, Krishnendu Manna, Subhashis Sahu","doi":"10.1007/s10903-026-02003-w","DOIUrl":"https://doi.org/10.1007/s10903-026-02003-w","url":null,"abstract":"<p><p>Migrant workers and their families have an increased risk of nutritional vulnerabilities. This scoping review synthesised global evidence on nutritional status, dietary inadequacies, and structural determinants of nutritional vulnerability among migrant workers. We searched PubMed, Google Scholar, and Scopus for peer-reviewed empirical studies published between January 2001 and June 2025 by following the Arksey and O'Malley framework. 59 studies were included from 1,275 identified records across different sectors. The evidence revealed a significant level of undernutrition, such as wasting, underweight, and stunting, especially in children across agricultural, brickfield, and construction settlements. Other frequently reported micronutrient-related conditions included iron-deficiency anaemia and vitamin D deficiency. A double burden of malnutrition was reported in several studies, which recorded overweight and obesity as well as undernutrition. Nutritional vulnerabilities, including food insecurity (affecting up to 87% of households), low wages, unstable employment conditions, physically demanding labour, dietary acculturation, gender-specific vulnerabilities, health inequities, and limited healthcare access, were the key determinants of the nutritional vulnerabilities. Findings highlighted migration as a structural determinant of malnutrition, operating through labour precarity, food insecurity, gendered caregiving disruptions, and exclusion from social protection systems. Critical gaps in this review include the predominance of cross-sectional designs and the limited number of intervention-based or longitudinal studies. There was also insufficient focus on mental health-nutrition linkages, left-behind family members, and intervention-based research. Nutrition-specific policies should be included in health programmes for migrant workers to reduce nutritional vulnerabilities and improve their health and well-being.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030695","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}