Journal of Immigrant and Minority Health最新文献

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Nutritional Vulnerabilities and Dietary Disparities Among Migrant Workers in the Informal Sectors: A Global Scoping Review. 非正规部门流动工人的营养脆弱性和饮食差异:全球范围审查。
IF 2.3 4区 医学
Journal of Immigrant and Minority Health Pub Date : 2026-09-23 DOI: 10.1007/s10903-026-02003-w
Tania Mitra, Debanjan Chakraborty, Krishnendu Manna, Subhashis Sahu
{"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}
引用次数: 0
Initial Validation of the Immigration-Related Coercive Control Scale Among Survivors of Intimate Partner Violence. 亲密伴侣暴力幸存者移民相关强制控制量表的初步验证。
IF 2.3 4区 医学
Journal of Immigrant and Minority Health Pub Date : 2026-09-23 DOI: 10.1007/s10903-026-02007-6
Iris Cardenas, Marcela Sarmiento Mellinger, Tina Jiwatram-Negrón, Judy L Postmus
{"title":"Initial Validation of the Immigration-Related Coercive Control Scale Among Survivors of Intimate Partner Violence.","authors":"Iris Cardenas, Marcela Sarmiento Mellinger, Tina Jiwatram-Negrón, Judy L Postmus","doi":"10.1007/s10903-026-02007-6","DOIUrl":"https://doi.org/10.1007/s10903-026-02007-6","url":null,"abstract":"<p><p>Immigrant survivors of intimate partner violence (IPV) experience coercive control tactics that exploit their immigration status, yet no validated measure of these tactics exists. This study evaluated the psychometric properties of the Immigration-Related Coercive Control Scale (IRCCS), a brief five-item measure. Data were drawn from two independent samples of immigrant IPV survivors recruited from domestic violence organizations (Sample 1, n = 196; Sample 2, n = 192). We conducted an exploratory factor analysis (EFA) using Sample 1 and a confirmatory factor analysis (CFA) using Sample 2. Internal consistency, cross-sample factor congruence, and convergent validity with established measures of psychological, physical, sexual, and economic abuse were also assessed. The EFA supported a one-factor structure accounting for 35.8% of the variance, and the CFA supported this structure after allowing a residual association between two conceptually related items. Internal consistency was acceptable in both samples (ω = 0.73; ω = 0.79). Tucker's congruence coefficient was 0.97, indicating stable factor loadings across samples. The IRCCS was positively and significantly associated with other forms of IPV (r = .25 to 0.42), supporting convergent validity. The IRCCS shows promising psychometric properties as a brief measure of immigration-related coercive control. It offers researchers and practitioners a tool to identify a form of violence that other IPV instruments do not capture, with potential applications across clinical, advocacy, and legal settings.</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":"149030674","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
Intersecting Identities and Mental Health Access Among African-Born Black Young Adults in Canada: A Narrative Review. 加拿大非洲裔黑人青年的交叉身份和心理健康获取:一项叙事回顾。
IF 2.3 4区 医学
Journal of Immigrant and Minority Health Pub Date : 2026-09-22 DOI: 10.1007/s10903-026-02002-x
Temitayo Sodunke, Nancy Ross, Penelope Poyah, Robert Gilbert, Jeff Karabanow
{"title":"Intersecting Identities and Mental Health Access Among African-Born Black Young Adults in Canada: A Narrative Review.","authors":"Temitayo Sodunke, Nancy Ross, Penelope Poyah, Robert Gilbert, Jeff Karabanow","doi":"10.1007/s10903-026-02002-x","DOIUrl":"https://doi.org/10.1007/s10903-026-02002-x","url":null,"abstract":"<p><p>Black immigrant young adults of African descent (BIYAD), defined here as African-born Black young adults aged 18 to 34 living in Canada, are a growing yet persistently underserved population facing mental health challenges at a formative life stage. Despite elevated distress and documented underutilisation of services, they remain largely absent from the Canadian literature as a distinct group. This narrative review synthesises evidence on the demographic context, intersecting identities and multilevel barriers shaping mental health access among BIYAD. Drawing on intersectionality theory and Levesque's framework of healthcare access, it maps race, immigration status, and developmental stage against the five dimensions of access, recording for each whether the evidence is direct or extended to this population. Black youth in Canada disproportionately enter services through emergency and forensic pathways, reflecting systemic failures in preventative and culturally responsive care. Recurrent barriers include stigma, cultural incompatibility, unaffordable outpatient services, prolonged wait times and underrepresentation of Black professionals. Because these patterns hold across both a long-established Canadian-born Black community and a predominantly African immigrant-origin population, they are extended to BIYAD on the reasoning that the operative mechanism is racialization rather than migration. Barriers arising from migration itself, and its interaction with racialization, remain undocumented for this group, which reflects a gap in measurement as much as in attention. The review calls for research disaggregating BIYAD from broader Black and immigrant populations, culturally responsive service reform, and race-conscious policy action.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149025123","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
Diabetes Medication Regimen Complexity and Glycemic Outcomes among Medically Underserved Latino Adults: Implications for Pharmacoequity. 在医疗服务不足的拉丁裔成年人中,糖尿病药物治疗方案的复杂性和血糖结局:对药物公平的影响。
IF 2.3 4区 医学
Journal of Immigrant and Minority Health Pub Date : 2026-09-21 DOI: 10.1007/s10903-026-01999-5
Cheryl Wisseh, Jaylen Lee, Margarita Loeza, Linda Opara, Loan T Le
{"title":"Diabetes Medication Regimen Complexity and Glycemic Outcomes among Medically Underserved Latino Adults: Implications for Pharmacoequity.","authors":"Cheryl Wisseh, Jaylen Lee, Margarita Loeza, Linda Opara, Loan T Le","doi":"10.1007/s10903-026-01999-5","DOIUrl":"https://doi.org/10.1007/s10903-026-01999-5","url":null,"abstract":"<p><p>Latino adults in South Los Angeles living with type 2 diabetes mellitus (T2DM) experience disproportionate cardiometabolic complications alongside structural barriers that influence medication regimen complexity (MRC) and medication access. During 2017-2022, diabetes treatment guidelines increasingly emphasized cardioprotective antihyperglycemic medications while concurrent federal and state policy changes influenced health coverage continuity and pharmacy access for underserved populations. The present study evaluated the association between diabetes specific MRC (DM MRC) and cardiometabolic outcomes (glycemic, atherogenic cholesterol and blood pressure control) among underserved Latino adults living with T2DM and examined the implications of these relationships for pharmacoequity within the context of medication access and health system design. A single-center, cross-sectional retrospective chart review was conducted among 342 adults receiving primary care at a federally qualified health center in South Los Angeles between January 2017 and October 2022. Logistic regression analyses revealed a significant association between higher DM MRC and lower likelihood of glycemic control. Participants with moderate and high DM MRC were less likely to achieve glycemic control compared to those with low DM MRC. No associations were observed between diabetes specific MRC and atherogenic cholesterol and blood pressure control. There was a low uptake of cardioprotective medications such as sodium glucose cotransporter-2 inhibitors and glucagon-like peptide-1 receptor agonists among the study population. Insurance status was also negatively and independently associated with glycemic control, highlighting the role of structural determinants and coverage related barriers in diabetes management. These findings suggest that DM MRC operates within a policy and pharmacoequity context in which insurance transitions, formulary restrictions, and administrative barriers may negatively impact access to evidence-based antihyperglycemic medications in structurally vulnerable populations. Pharmacist-integrated care models and policies that improve continuity of medication access and uptake of optimal diabetes medications may help reduce inequities in diabetes outcomes.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149016588","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
Occupational Injuries and Illnesses Under the Employment Permit System: Exploring Perceptions and Responses of Migrant Workers in South Korea. 就业许可制度下的职业伤害与疾病:探讨韩国移工的认知与回应。
IF 2.3 4区 医学
Journal of Immigrant and Minority Health Pub Date : 2026-09-21 DOI: 10.1007/s10903-026-01997-7
Hayoung Lee, Myung-Joo Kang, Seung-Sup Kim
{"title":"Occupational Injuries and Illnesses Under the Employment Permit System: Exploring Perceptions and Responses of Migrant Workers in South Korea.","authors":"Hayoung Lee, Myung-Joo Kang, Seung-Sup Kim","doi":"10.1007/s10903-026-01997-7","DOIUrl":"https://doi.org/10.1007/s10903-026-01997-7","url":null,"abstract":"<p><p>The number of migrant workers for temporary labor has rapidly increased, alongside high mortality rates in South Korea. This study explores the occupational safety and health conditions of migrant workers employed under the Employment Permit System (EPS). Data were collected through in-depth interviews with 11 EPS migrant workers who had experienced occupational injuries and illnesses, supplemented by secondary data such as official government guidelines, administrative manuals, and relevant legislation. The data were analyzed using thematic analysis. The results are as follows: first, regarding migrant workers' perceptions of the workplace environments that contributed to occupational injuries and illnesses, four subthemes were identified: restricted access to EPS workplace information; assignment to small-scale workplaces; inadequate safety training; and nominally conducted safety inspections. Second, three subthemes emerged regarding the contexts that prevented migrant workers from appropriately responding to their occupational injuries and illnesses: inaccessibility of medical services; institutional barriers to the Workers' Compensation System; and lack of the right to transfer workplaces. Based on the results, this study highlights the importance of linking occupational health and safety policy with labor migration policy.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149016689","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
Psychological and Emotional Well-being of Autistic Individuals with an Immigrant Background: Exploring Strengths and Challenges Through a Mixed-methods Systematic Review. 具有移民背景的自闭症个体的心理和情绪健康:通过混合方法系统回顾探索优势和挑战。
IF 2.3 4区 医学
Journal of Immigrant and Minority Health Pub Date : 2026-09-17 DOI: 10.1007/s10903-026-02010-x
Anastasia Kourti, Fotini Zikou, Vassiliki Costarelli, Despina Papoudi, Katerina Antonopoulou
{"title":"Psychological and Emotional Well-being of Autistic Individuals with an Immigrant Background: Exploring Strengths and Challenges Through a Mixed-methods Systematic Review.","authors":"Anastasia Kourti, Fotini Zikou, Vassiliki Costarelli, Despina Papoudi, Katerina Antonopoulou","doi":"10.1007/s10903-026-02010-x","DOIUrl":"10.1007/s10903-026-02010-x","url":null,"abstract":"<p><p>There is evidence of a high prevalence of autism within immigrant populations. However, the studies focusing on the lived experiences, well-being, and possible unique strengths in these groups, are relatively scarce. This systematic review aimed to synthesise existing research on the psychological and emotional well-being of autistic individuals from immigrant backgrounds, specifically examining the challenges and strengths inherent in this intersectional identity. A systematic review was conducted using the PRISMA 2020 guidelines. The following databases were accessed: DOAJ, ERIC, Google Scholar, PubMed, PsychINFO, SCOPUS and ProQuest, from 2007 up to January, 30, 2026. An updated supplementary search was conducted on June 15, 2026. The systematic review has been registered in the PROSPERO database (CRD420251249414). A total of 12 studies were considered eligible (8 quantitative and 4 qualitative). Findings suggest that autistic individuals with an immigrant background may experience additional psychological, emotional, and social challenges. However, direct comparisons with both non-autistic immigrants and autistic non-immigrants were limited across the included studies. Autistic children with an immigrant background may also experience greater difficulties in areas such as social relationships, emotional reactions, adaptation to change, fears, and anxiety compared to autistic children without an immigrant background. Some studies concluded that autistic immigrants on the other hand may face less stigma than non-immigrant autistic individuals by their peers. Furthermore, autistic immigrants may experience lower acculturative stress than non-autistic immigrants. Autistic immigrants face unique challenges but also possess strengths that may help them shape their identity. Both challenges and strengths should be taken into consideration when providing services to this population.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148990292","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
Insights on Gastrointestinal Illnesses from Traditional Healers in Morelos, Mexico. 墨西哥莫雷洛斯州传统治疗师对胃肠疾病的见解。
IF 2.3 4区 医学
Journal of Immigrant and Minority Health Pub Date : 2026-09-17 DOI: 10.1007/s10903-026-02006-7
Zephelline Huerta, Jacob Appel
{"title":"Insights on Gastrointestinal Illnesses from Traditional Healers in Morelos, Mexico.","authors":"Zephelline Huerta, Jacob Appel","doi":"10.1007/s10903-026-02006-7","DOIUrl":"https://doi.org/10.1007/s10903-026-02006-7","url":null,"abstract":"<p><p>Gastrointestinal (GI) disorders among Latine populations remain frequently underdiagnosed due to limited access to care, language barriers, and culturally discordant care. Traditional healers remain an important source of care for individuals of Mexican descent, yet healer perspectives on GI illness have not been documented in Morelos, Mexico specifically, leaving a gap in regionally grounded knowledge relevant to clinicians caring for patients with ties to this region. Ten traditional healers (4 curanderas, 4 terapeutas, 2 integrative medicine practitioners) were recruited through community networks with subsequent snowball sampling in Morelos, Mexico. Semi-structured interviews averaging 60 minutes were conducted in Spanish. Data collection relied on contemporaneous handwritten field notes analyzed using inductive thematic analysis with iterative constant comparison. Healers described GI illness as an underlying imbalance between the digestive and emotional systems rather than distinct physiological disorders, attributing symptoms such as constipation, bloating, and diarrhea to emotional disturbance or dietary excess. Treatment was conceptualized as rebalancing through four interconnected modalities: herbal medicine including plant-based teas and tinctures; manual therapies such as abdominal massage and ventosas; energetic and spiritual interventions including limpias; and lifestyle and dietary counseling. Healers also described referring patients to biomedical care when needed and expressed desire for greater collaboration with biomedical providers. Traditional healers in this study conceptualize GI illness as the embodied convergence of physical, emotional, and spiritual imbalance. These findings encourage clinicians to explore emotional and cultural dimensions of digestive illness, ask patients about their use of traditional medicine, and recognize traditional healers as community resources whose engagement could contribute to more culturally responsive GI care.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148990342","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
Correction: "Nobody Wants to Die That Way": The Intersection of Immigration Enforcement and Emergency Medical Services in a Rural South Texas County. 更正:“没人想那样死”:移民执法和紧急医疗服务在德克萨斯州南部农村县的交集。
IF 2.3 4区 医学
Journal of Immigrant and Minority Health Pub Date : 2026-09-17 DOI: 10.1007/s10903-026-02008-5
Christine Crudo Blackburn, Emma Newman
{"title":"Correction: \"Nobody Wants to Die That Way\": The Intersection of Immigration Enforcement and Emergency Medical Services in a Rural South Texas County.","authors":"Christine Crudo Blackburn, Emma Newman","doi":"10.1007/s10903-026-02008-5","DOIUrl":"10.1007/s10903-026-02008-5","url":null,"abstract":"","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148990302","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
Healthcare Access and Utilization Among Sexual and Gender Minority Migrants to Europe: A Systematic Review. 欧洲性和性别少数移民的医疗保健获取和利用:系统回顾。
IF 2.3 4区 医学
Journal of Immigrant and Minority Health Pub Date : 2026-09-15 DOI: 10.1007/s10903-026-02005-8
Seda Karakaya Çataldaş, Tuğba Şahin Tokatlıoğlu, Cemile Hurrem Ayhan
{"title":"Healthcare Access and Utilization Among Sexual and Gender Minority Migrants to Europe: A Systematic Review.","authors":"Seda Karakaya Çataldaş, Tuğba Şahin Tokatlıoğlu, Cemile Hurrem Ayhan","doi":"10.1007/s10903-026-02005-8","DOIUrl":"https://doi.org/10.1007/s10903-026-02005-8","url":null,"abstract":"<p><p>The purpose of this systematic review was to examine healthcare access and utilization among sexual and gender minority (SGM) migrants in Europe. We conducted a Preferred Reporting Items for Systematic Reviews and Meta-Analyses-guided search in PubMed, Web of Science, Scopus, CINAHL, and Ovid MEDLINE from database inception through October 2025. Inclusion criteria were the following: (1) peer-reviewed journal article published in English; (2) conducted in European countries; (3) focused on sexual and gender minority (SGM) migrants; and (4) examined healthcare access, healthcare utilization, or care experiences, with health outcomes considered as a secondary criterion only when reported alongside one of these primary measures. Studies that failed to meet all criteria were excluded. The methodological quality of included articles was assessed using the Joanna Briggs Institute appraisal tools, and findings were synthesized narratively. Sixteen studies were included in the final synthesis (10 quantitative, 6 qualitative). Most were cross-sectional and focused on HIV and sexual health services, particularly among migrant men who have sex with men. Barriers to healthcare access varied by domain: qualitative studies of general healthcare access (4 of 16 studies) reported legal insecurity, discrimination, language barriers, and limited culturally responsive, migrant-sensitive, and linguistically accessible services, whereas quantitative studies of HIV and sexual health services identified more specific, study-varying barriers such as low perceived risk and uneven testing or PrEP uptake. Evidence on mental health, general healthcare, and gender-affirming care was limited, with transgender people, and lesbian and bisexual women, underrepresented and no identified study specifically addressing healthcare access or utilization among intersex migrants. Most studies were conducted in a small number of regions, limiting generalizability across Europe. SGM migrants in Europe face substantial and multifaceted barriers to accessing healthcare, with existing research concentrating on a narrow range of services and populations. Broader research is needed to understand diverse healthcare needs better and to support equitable and accessible healthcare systems for SGM migrants.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148977093","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
Ecological Factors Associated with Psychological Resilience Among War-Displaced Ukrainians Across Europe and Ukraine: A Cross-Sectional Study. 与欧洲和乌克兰战争流离失所的乌克兰人心理弹性相关的生态因素:一项横断面研究。
IF 2.3 4区 医学
Journal of Immigrant and Minority Health Pub Date : 2026-09-15 DOI: 10.1007/s10903-026-01987-9
Małgorzata Szkup, Elena Rousou, Karmen Erjavec, Olha Fedortsiv, Sabina Krsnik, Emilia Burbela, Sanja Stanisavljević, Agnieszka Kleszcz, Rita Fernandes, Paraskevi Charitou, Marzena Mikła, Małgorzata Zimny, Magdalena Kuczyńska, Marta Giezek, Artur Kotwas
{"title":"Ecological Factors Associated with Psychological Resilience Among War-Displaced Ukrainians Across Europe and Ukraine: A Cross-Sectional Study.","authors":"Małgorzata Szkup, Elena Rousou, Karmen Erjavec, Olha Fedortsiv, Sabina Krsnik, Emilia Burbela, Sanja Stanisavljević, Agnieszka Kleszcz, Rita Fernandes, Paraskevi Charitou, Marzena Mikła, Małgorzata Zimny, Magdalena Kuczyńska, Marta Giezek, Artur Kotwas","doi":"10.1007/s10903-026-01987-9","DOIUrl":"https://doi.org/10.1007/s10903-026-01987-9","url":null,"abstract":"<p><p>Since Russia's full-scale invasion of Ukraine in 2022, millions of Ukrainians have experienced forced displacement. This study examined multilevel social determinants of resilience among Ukrainian refugees and internally displaced persons, guided by Bronfenbrenner's bioecological model. In 2025, we conducted a cross-sectional, multi-country study involving 1.622 Ukrainian adults living in seven European countries and internally displaced persons living in Ukraine. Participants completed the Resilience Scale-25, the Cultural Symptoms of Trauma Scale, and a sociodemographic questionnaire. Country-adjusted, domain-specific multivariable logistic regression models were used to identify factors independently associated with moderate-to-high versus low resilience. Resilience levels were heterogeneous: 30.2% of participants had low resilience, 38.4% moderate resilience, and 31.4% high resilience. After adjustment for country of residence, stronger social relationships (OR = 1.20, p < 0.005), stronger family relationships (OR = 1.20, p < 0.005), supporting local initiatives for Ukraine (OR = 1.32, p < 0.05), greater satisfaction with work or education (OR = 1.33, p < 0.001), and better economic condition (OR = 1.24, p < 0.001) were independently associated with moderate-to-high resilience. Diminished competence and agency (OR = 0.45, p < 0.001) and spiritual or existential distress (OR = 0.78, p < 0.05) were negatively associated with resilience, whereas frequency of prayer was positively associated with resilience (OR = 1.23, p < 0.005). Departure from Ukraine more than three months after the outbreak of war was associated with lower odds of moderate-to-high resilience (OR = 0.75, p < 0.05), while stable or improved socioeconomic functioning after migration was associated with higher odds (OR = 1.46, p < 0.05). Resilience among war-displaced Ukrainians was associated with relational, socioeconomic, cultural, and temporal determinants. Responses to forced displacement should extend beyond trauma-focused care to strengthen social ties, support work and education, reduce economic insecurity, and restore competence and agency.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148977134","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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