Journal of Immigrant and Minority Health最新文献

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U.S. Public Opinion About Immigration Enforcement in Sensitive Locations. 美国公众对敏感地区移民执法的看法。
IF 1.8 4区 医学
Journal of Immigrant and Minority Health Pub Date : 2025-09-01 DOI: 10.1007/s10903-025-01772-0
Christine Crudo Blackburn, Timothy Callaghan
{"title":"U.S. Public Opinion About Immigration Enforcement in Sensitive Locations.","authors":"Christine Crudo Blackburn, Timothy Callaghan","doi":"10.1007/s10903-025-01772-0","DOIUrl":"https://doi.org/10.1007/s10903-025-01772-0","url":null,"abstract":"<p><p>In 2011, the Director of U.S. Immigration and Customs Enforcement (ICE) issued a memorandum titled, \"Enforcement Actions at or Focused on Sensitive Locations.\" The memorandum stated that immigration enforcement actions should not occur at specified sensitive locations, which included schools, healthcare facilities, places of worship, sites of public religious ceremony, and sites of public demonstration. These policies were rescinded in January 2025, creating the possibility of enforcement actions in these locations. The aim of this study was to investigate U.S. public opinion regarding immigration enforcement in sensitive locations. We conducted an online survey of 3,563 American adults with quotas implemented on gender, age, race, and geographic location. The survey ran from January 23 to February 3, 2025. 3,563 individuals completed the survey. Age and political identification were the most consistent predictors of support for rescinding sensitive locations policy, as well as in the belief that such enforcement would not deter care seeking. Sympathy towards immigrants was also a predictor of support for sensitive locations policy. Our findings suggest that the majority of Americans do not think that ICE's sensitive locations policy should be rescinded and believe that rescinding this policy will deter undocumented immigrants from seeking needed medical care for themselves and their children. A lack of support for rescinding this policy suggests that it should be reinstated, a move that would help to protect healthcare access for undocumented people and their families.</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":"144956714","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}
引用次数: 0
Overcoming the Barriers to Ovarian Cancer Diagnosis and Treatment in British South Asian Communities. 克服障碍卵巢癌诊断和治疗在英国南亚社区。
IF 1.8 4区 医学
Journal of Immigrant and Minority Health Pub Date : 2025-08-29 DOI: 10.1007/s10903-025-01765-z
James S Morris
{"title":"Overcoming the Barriers to Ovarian Cancer Diagnosis and Treatment in British South Asian Communities.","authors":"James S Morris","doi":"10.1007/s10903-025-01765-z","DOIUrl":"https://doi.org/10.1007/s10903-025-01765-z","url":null,"abstract":"","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956692","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}
引用次数: 0
Domestic Abuse Knowledge and Insights Within African Communities in Canada: A Quantitative Survey. 加拿大非洲社区的家庭暴力知识和见解:一项定量调查。
IF 1.8 4区 医学
Journal of Immigrant and Minority Health Pub Date : 2025-08-26 DOI: 10.1007/s10903-025-01766-y
Hazeem A Mohamed, Natasha Atemgoua, Annastacia Ikechi, Dee Adekugbe
{"title":"Domestic Abuse Knowledge and Insights Within African Communities in Canada: A Quantitative Survey.","authors":"Hazeem A Mohamed, Natasha Atemgoua, Annastacia Ikechi, Dee Adekugbe","doi":"10.1007/s10903-025-01766-y","DOIUrl":"https://doi.org/10.1007/s10903-025-01766-y","url":null,"abstract":"<p><p>Domestic Abuse [DA] is a pattern of behavior that is used to gain or maintain power and control over a partner or family member. Despite the prevalence of DA in African communities across Canada, little is known about their level of DA knowledge, or the causes and perceptions about DA in these communities. Our study sought to investigate the level of DA knowledge held by African communities in Canada, and identify what they believe to be the causes and solutions to DA. A cross-sectional survey was conducted with members of African communities in Alberta Canada. Participants were recruited using convenience and snowball sampling. A pilot tested survey questionnaire was used for data collection. Using Slovin's formula, the minimum sample size was determined to be 385 participants. Out of 478 participants, 370 (77.4%) had high DA knowledge. The association between sociodemographic variables and knowledge of DA-related behaviors was not statistically significant. Involvement of community and faith leaders was most popular for raising DA awareness, and DA education was most popular for preventing DA. Economic and cultural factors were deemed the main causes of DA, while counselling was most popular for DA intervention. The findings suggest a knowledge-attitude gap in DA awareness, emphasizing the need for education that addresses deeper sociocultural and systemic contributors to abuse. Applying a socio-ecological lens, interventions should target multiple levels of influence to be culturally relevant and effective.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956973","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}
引用次数: 0
Telehealth, Telebehavioral Health, and Patient Portal Willingness, Use, and Access Challenges among Migrant Farmworkers on H-2A Visas, North Carolina, USA, 2024. 远程医疗、远程行为健康和H-2A签证移民农场工人的患者门户意愿、使用和访问挑战,北卡罗来纳州,美国,2024。
IF 1.8 4区 医学
Journal of Immigrant and Minority Health Pub Date : 2025-08-26 DOI: 10.1007/s10903-025-01767-x
Elisabeth C Reed, Nowrin Nusrat, Lilibeth Andres, Tania Connaughton-Espino, Natalie D Rivera, Modjulie A Moore, Jose A Robles Arvizu, Catherine E LePrevost, Joseph G L Lee
{"title":"Telehealth, Telebehavioral Health, and Patient Portal Willingness, Use, and Access Challenges among Migrant Farmworkers on H-2A Visas, North Carolina, USA, 2024.","authors":"Elisabeth C Reed, Nowrin Nusrat, Lilibeth Andres, Tania Connaughton-Espino, Natalie D Rivera, Modjulie A Moore, Jose A Robles Arvizu, Catherine E LePrevost, Joseph G L Lee","doi":"10.1007/s10903-025-01767-x","DOIUrl":"10.1007/s10903-025-01767-x","url":null,"abstract":"<p><p>Digital health services can facilitate patients' access to healthcare. However, access to reliable internet and utilization of digital healthcare are patterned by race, ethnicity, and class in the United States. We assessed willingness, use, and challenges accessing digital healthcare platforms among farmworkers arriving in North Carolina on temporary H-2A work visas (n = 327). We fielded a survey on digital healthcare access in English and Spanish at a central arrival hub for H-2A visa holders in 2024. We calculated descriptive statistics and assessed associations between willingness to use and uptake of digital healthcare and demographic variables. Most participants were interested in utilizing telehealth and patient portals, but few had ever used these services. Among participants who had used telehealth, 50% reported needing assistance. Older participants were less likely to utilize patient portals than younger participants. Future interventions should consider the unique context of migrant farmworkers in building digital health service models and provide digital skills training.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956755","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}
引用次数: 0
Coping Strategies To Enhance Mental Health and Wellbeing of Ethnic Minority Populations in the United Kingdom: A Scoping Review. 应对策略,以提高心理健康和福祉的少数民族人口在英国:范围审查。
IF 1.8 4区 医学
Journal of Immigrant and Minority Health Pub Date : 2025-08-25 DOI: 10.1007/s10903-025-01761-3
Rajeeb Kumar Sah, Devendra Raj Singh, Bibha Simkhada, Lalita Kumari Sah, Jenny Retzler, Tracey Smith, Wajid Khan, Michael Doyle
{"title":"Coping Strategies To Enhance Mental Health and Wellbeing of Ethnic Minority Populations in the United Kingdom: A Scoping Review.","authors":"Rajeeb Kumar Sah, Devendra Raj Singh, Bibha Simkhada, Lalita Kumari Sah, Jenny Retzler, Tracey Smith, Wajid Khan, Michael Doyle","doi":"10.1007/s10903-025-01761-3","DOIUrl":"https://doi.org/10.1007/s10903-025-01761-3","url":null,"abstract":"<p><p>Mental health issues among ethnic minority populations in the UK are a significant concern. Synthesised evidence related to coping strategies to improve mental health among these groups is lacking. This scoping review aimed to identify and consolidate literature on coping strategies used by ethnic minority groups in the UK to overcome their mental health problems. This review reflects a strengths-based approach that emphasises how ethnic minority populations deploy coping strategies in response to mental health challenges, rather than merely focusing on barriers. This scoping review was guided by the methodological framework provided by Arksey and O'Malley. Literature was searched in MEDLINE, CINAHL, PsycINFO, and Science Direct databases. The review result was reported following the PRISMA extension for Scoping Reviews (PRISMA-ScR) Checklist. A total of 2888 records were identified from the database search after removing the duplicates, and 17 records were included in the review. Different coping strategies and their barriers and challenges were identified and presented under three primary themes: (i) Self-help and immediate personal and social support networks, (ii) Community-based and professional mental health services, and (iii) Challenges and barriers. A broader understanding of the community strengths and resources of ethnic minorities and their adequate integration with mental health services can strengthen the existing efforts in improving the mental health of ethnic minority populations in the UK.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956927","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}
引用次数: 0
Factors Affecting South and East Asian Immigrants' Access to Mental Health Services in Canada: A Scoping Review. 影响加拿大南亚和东亚移民获得精神卫生服务的因素:范围审查。
IF 1.8 4区 医学
Journal of Immigrant and Minority Health Pub Date : 2025-08-21 DOI: 10.1007/s10903-025-01757-z
Daniella Ysabel Aguilar, Fatima Osman, Hsin-Hsiu Essential Yeh, Setareh Ghahari
{"title":"Factors Affecting South and East Asian Immigrants' Access to Mental Health Services in Canada: A Scoping Review.","authors":"Daniella Ysabel Aguilar, Fatima Osman, Hsin-Hsiu Essential Yeh, Setareh Ghahari","doi":"10.1007/s10903-025-01757-z","DOIUrl":"https://doi.org/10.1007/s10903-025-01757-z","url":null,"abstract":"<p><p>South and East Asian immigrants represent a growing population in Canada. Despite the availability of Canadian mental healthcare services, utilization rates among these populations remain lower. Cultural differences, communication barriers, mental health literacy, and systemic challenges significantly hinder accessibility. Addressing these factors is crucial for achieving equitable access to mental healthcare. This study aimed to investigate the factors influencing access to mental healthcare services among South and East Asian immigrants in Canada. This scoping review followed Arksey and O'Malley's five-stage framework. Four databases (MEDLINE, EMBASE, PsycINFO, and CINAHL) were searched for studies published from 2000 onwards. The inclusion criteria were peer-reviewed articles in English that examined access to mental health services in Canada for South and East Asian immigrants aged 18 years or older. Eighteen studies were included in the final review, following the screening of 278 papers. Multiple researchers conducted data extraction to resolve any conflicts through discussion and debate. Three key factors associated with barriers to accessing Canadian mental healthcare services were identified: communication, cultural, and systemic factors. These factors intersect with stigma as a crosscutting theme influencing access to mental health services. This study identified three key factors influenced by stigma, illustrating the barriers faced by South and East Asian immigrants in accessing mental health services. Future research should focus on enhancing facilitators and reducing barriers to improve access to mental healthcare in Canada for these populations.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956936","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}
引用次数: 0
Optimizing HCV Management Among Rohingya Refugees in Cox's Bazar, Bangladesh: Addressing Cofactors and Environmental Risks to Mitigate Long-Term Liver Disease Complications. 优化孟加拉国考克斯巴扎尔罗兴亚难民的丙型肝炎病毒管理:解决辅助因素和环境风险以减轻长期肝病并发症
IF 1.8 4区 医学
Journal of Immigrant and Minority Health Pub Date : 2025-08-19 DOI: 10.1007/s10903-025-01751-5
Giancarlo Ceccarelli, Francesco Branda, Fariha Fairouz, Mattia Albanese, Fabio Scarpa, Massimo Ciccozzi
{"title":"Optimizing HCV Management Among Rohingya Refugees in Cox's Bazar, Bangladesh: Addressing Cofactors and Environmental Risks to Mitigate Long-Term Liver Disease Complications.","authors":"Giancarlo Ceccarelli, Francesco Branda, Fariha Fairouz, Mattia Albanese, Fabio Scarpa, Massimo Ciccozzi","doi":"10.1007/s10903-025-01751-5","DOIUrl":"10.1007/s10903-025-01751-5","url":null,"abstract":"<p><p>Hepatitis C virus (HCV) infection is increasingly reported among Rohingya refugees in Cox's Bazar, with active infection rates in adults reaching 20% by 2023. The risk of liver disease progression and hepatocellular carcinoma (HCC) may be amplified by coexisting factors such as chronic malnutrition, coinfections, aflatoxin exposure, metabolic disorders, and environmental toxins. Despite WHO-led efforts, data on these risk factors remain fragmented, and access to care is limited. This study underscores the need for comprehensive surveillance, epidemiological research, and long-term prevention strategies to reduce HCV-related morbidity and the future burden of HCC in displaced Rohingya populations.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873472","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}
引用次数: 0
What Happens to Refugees when Accessing Primary Care in the United States?: A Qualitative Meta-synthesis. 难民在美国获得初级保健时会发生什么?:定性综合。
IF 1.8 4区 医学
Journal of Immigrant and Minority Health Pub Date : 2025-08-14 DOI: 10.1007/s10903-025-01745-3
Chanmi Lee, Kathleen Sneed, Samantha Stonbraker, Heather Coats
{"title":"What Happens to Refugees when Accessing Primary Care in the United States?: A Qualitative Meta-synthesis.","authors":"Chanmi Lee, Kathleen Sneed, Samantha Stonbraker, Heather Coats","doi":"10.1007/s10903-025-01745-3","DOIUrl":"https://doi.org/10.1007/s10903-025-01745-3","url":null,"abstract":"<p><p>Refugees in the United States (US) face complex barriers to access healthcare. Sustainable access to primary care is critical for refugees' health and quality of life in the US. Synthesizing existing literature on refugees' experiences in accessing primary care will enhance understanding of how the healthcare system can better support this population. We applied the qualitative meta-synthesis method developed by Sandelowski and Barroso (Handbook for synthesizing qualitative research, Springer Pub. Co., New York, 2007) to integrate the literature on refugees' experiences accessing primary care in the US. We searched PubMED, CINAHL, Web of Science, and Google Scholar for published literature using the PRISMA guideline (2020). 14 of 1,053 articles met inclusion criteria and were included in our analysis. Each selected article underwent critical appraisal using the Critical Review Form - Qualitative Studies (version 2.0) developed by Letts et al. (Guidelines for critical review form: Qualitative studies (Version 2.0). McMaster university occupational therapy evidence-based practice research group 1-12, 2007). Using inductive approach through a reciprocal translation process, findings of the 14 articles were synthesized into three themes highlighting refugees' experiences accessing primary care in the US: (1) differences in medical practices and the healthcare system between the home country and the US; (2) complexity in navigating access to primary care in the US; and (3) diverse experiences from person to person include both positive and negative moments. Primary care professionals need to recognize that refugees may view the US healthcare system, primary care services, and non-verbal communication differently than the non-refugee population. Interventions and policies for improving the quality of interpretation and community resources could encourage refugees' access to primary care in the US.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855490","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}
引用次数: 0
Evaluating the Cultural Adaptation of Evidence-Based HIV Prevention Interventions for African Immigrant Women: Exploratory Pilot Mixed-Methods Study. 评估非洲移民妇女基于证据的艾滋病预防干预的文化适应性:探索性试点混合方法研究。
IF 1.8 4区 医学
Journal of Immigrant and Minority Health Pub Date : 2025-08-13 DOI: 10.1007/s10903-025-01762-2
Nipher Malika, Laura M Bogart, Nabila Adamu, Gray Maganga, Elaine D Jeon, Esete Habtemariam Fenta, Khady Diouf, Bisola Ojikutu
{"title":"Evaluating the Cultural Adaptation of Evidence-Based HIV Prevention Interventions for African Immigrant Women: Exploratory Pilot Mixed-Methods Study.","authors":"Nipher Malika, Laura M Bogart, Nabila Adamu, Gray Maganga, Elaine D Jeon, Esete Habtemariam Fenta, Khady Diouf, Bisola Ojikutu","doi":"10.1007/s10903-025-01762-2","DOIUrl":"10.1007/s10903-025-01762-2","url":null,"abstract":"<p><p>African-born Black women living in the US experience markedly higher rates of HIV diagnosis than their US-born counterparts, with condom use and PrEP remaining underutilized despite their effectiveness. Existing HIV prevention interventions for African-born Black women are limited in scope; some lack cultural tailoring, linguistic appropriateness, and most not do include PrEP. Using the ADAPT-ITT model, we culturally adapted two evidence-based interventions for US Black women-Sister-to-Sister and Sisters Informing Sisters about Topics on AIDS (SISTA)-to increase condom use and PrEP uptake among African-born Black women through community stakeholder input. DADA, which was adapted from SISTA, consists of two 3-hour peer-led, group-level intervention and Dada kwa Dada (DKD), adapted from Sister-to-Sister, is a 1-hour individual-level intervention. To test feasibility and acceptability, 29 African-born women without HIV were recruited from social media groups and community partner listservs in Massachusetts and New York; 17 were randomized to DKD and 12 to DADA. Participants completed risk assessments at baseline and provided post-intervention feedback interviews and surveys. Both adapted interventions demonstrated high feasibility and acceptability, with participants expressing positive qualitative and quantitative feedback regarding their culturally appropriateness, and relevance. This study addresses critical gaps in tailored HIV prevention approaches for African-born Black women and paves the way for future trials to improve condom use and PrEP in this population. Next steps are to conduct a fully-powered comparative effectiveness trial to assess the relative impact of both interventions on increased condom use and uptake of PrEP.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12376918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144835267","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}
引用次数: 0
Beyond Knowledge: Trust and the Engagement of Newly Arrived Refugee Women in Cervical Cancer Prevention. 超越知识:新来的难民妇女在预防子宫颈癌方面的信任和参与。
IF 1.8 4区 医学
Journal of Immigrant and Minority Health Pub Date : 2025-08-13 DOI: 10.1007/s10903-025-01756-0
Toluwani Adekunle, Tiwaladeoluwa Adekunle, Esther Afolabi
{"title":"Beyond Knowledge: Trust and the Engagement of Newly Arrived Refugee Women in Cervical Cancer Prevention.","authors":"Toluwani Adekunle, Tiwaladeoluwa Adekunle, Esther Afolabi","doi":"10.1007/s10903-025-01756-0","DOIUrl":"https://doi.org/10.1007/s10903-025-01756-0","url":null,"abstract":"<p><p>Refugee women face unique challenges in accessing preventive healthcare services upon resettlement, particularly for cervical cancer screening and HPV vaccination. Despite national efforts to reduce cervical cancer incidence, uptake remains disproportionately low among newly arrived refugee populations. Emerging research suggests that trust in healthcare systems and providers plays a pivotal role in shaping engagement with these services, yet little is known about how trust is built or broken in the early resettlement period. This study explores how trust and medical mistrust shape cervical cancer prevention behaviors among newly arrived refugee women in the United States, with attention to the multilevel relational and contextual factors that influence screening and vaccination. We conducted in-depth, semi-structured interviews with 17 refugee women resettled within the past two years in a Mid-western City, recruited through a community-based organization. Interviews were conducted in participants' preferred languages and lasted approximately 60 min. Data were thematically analyzed using Braun and Clarke's six-step framework, supported by Dedoose software. A codebook was developed through double coding and refined via consensus meetings. Themes were reviewed collaboratively and verified through member checking to enhance analytical rigor. Participants (n = 17) ranged in age from 21 to 56 and represented five countries, with the majority from Rwanda and Congo. Most had less than a high school education, and nearly all reported limited or no prior knowledge of cervical cancer, Pap smears, or HPV vaccination. Some confused HPV with other illnesses, while others attributed cervical cancer to unrelated factors such as stress or diet. Four themes emerged: trust as a precondition for engagement; provider trust shaped by cultural concordance, communication, and respect; systemic mistrust shaped by health literacy, practical/access issues and social influences; and the importance of community-based relationships in rebuilding trust and supporting preventive care engagement. Refugee women's engagement with cervical cancer prevention is shaped not only by knowledge but also by cultural safety, provider concordance, and systemic trust. Interventions must prioritize community-rooted education, gender-concordant care, and culturally responsive communication to improve prevention outcomes.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144835266","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}
引用次数: 0
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