Journal of Immigrant and Minority Health最新文献

{"title":"Serum Levels of Per- and Polyfluoroalkyl Substances in Adults Aged 18 and Older in Relation to the Length of Residency in United States.","authors":"Eloïse Brosset, Carlina L Colussi, Noe Fouotsa, Jean-Patrice Baillargeon, Gérard Ngueta","doi":"10.1007/s10903-025-01755-1","DOIUrl":"https://doi.org/10.1007/s10903-025-01755-1","url":null,"abstract":"<p><p>Immigrants in the United States may experience varying levels of exposure to perfluoroalkyl substances (PFAS) depending on their duration of residency and their region of origin. PFAS are persistent environmental pollutants linked to adverse health outcomes, yet little is known about exposure levels among immigrant populations. This cross-sectional study utilized data from the National Health and Nutrition Examination Survey (NHANES) 2003-2018 to assess serum PFAS concentrations among adults by length of U.S. residency and race/ethnicity (used as proxy for origin). Several PFAS compounds were analyzed using ANCOVA and general linear models. U.S.-born adults represented 74.9% (n = 8,272) of the sample. Overall, PFAS levels increased with time in the U.S., converging towards levels observed in U.S.-born individuals-, consistent with the long biological half-lives of certain PFAS compounds. Significant differences in ∑PFAS were found for immigrants residing less than 5 years (geometric mean ratio [GMR]: 0.73, 95% CI: 0.64-0.84, P < 0.0001), with smaller differences in those residing 5-10 years (GMR: 0.84, 95% CI: 0.77-0.91, P < 0.0001) or 10-15 years (GMR: 0.84, 95% CI: 0.77-0.93, P = 0.0004), compared to U.S.-born. The pace of convergence varied by race/ethnicity, reflecting both environmental exposure in the U.S. and likely differences in exposure prior to migration. These results emphasize the need to consider duration of residency and background when evaluating chemical exposure disparities. The study highlights the need for public health interventions to address PFAS exposure among immigrants, especially those newly arrived, considering their potential differential exposure risks.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816815","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 Impact of a Culturally Adapted Patient Navigator-Led Telehealth Program for Displaced Afghans' Mental Health.","authors":"Qais Alemi, Hosai Todd Hesham, Jessica Cook, Wajma Naderi, Sadaf Afif","doi":"10.1007/s10903-025-01758-y","DOIUrl":"https://doi.org/10.1007/s10903-025-01758-y","url":null,"abstract":"<p><p>This study evaluated the effectiveness of a culturally- and linguistically-adapted, patient navigator-led telehealth model in expanding mental health access and reducing depression and anxiety symptoms among Afghan refugees resettled across several U.S. states. We conducted a retrospective chart review of electronic medical records from 679 Afghan patients, assessing changes in PHQ-9 and GAD-7 scores using paired samples t-tests. Additionally, we explored which patients benefited most, analyzing variations in outcomes based on treatment plans, age, and gender. We observed statistically significant reductions in depression and anxiety symptoms between baseline and follow-up for all treatment groups (p < .001), with large effect sizes ranging from d = 0.80 to 1.06. For example, high-need patients showed a mean PHQ-9 reduction of 4.44 points (d = 1.05) and a GAD-7 reduction of 3.70 points (d = 0.94). The model was equally effective across genders and age groups. This patient navigator-led model demonstrates a promising strategy for improving mental health outcomes among Afghan newcomers. Its success highlights the potential for scalable mental health care solutions to address both clinical symptoms and structural barriers to care.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Impacts of Restrictive Migration Policies: A Qualitative Study of Highly Educated Iranian Immigrants and International Students in the U.S.","authors":"Sarvenaz Taridashti, Mitra Naseh, Elvira M Zamora Garcia, Jihye Lee","doi":"10.1007/s10903-025-01760-4","DOIUrl":"https://doi.org/10.1007/s10903-025-01760-4","url":null,"abstract":"<p><p>Immigrants constitute a substantial portion of the United States population and represent a significant minoritized group whose health is impacted by the country's migration policies as social determinants of health. This qualitative study used a phenomenological approach to document and explore the lived experiences of highly educated Iranian immigrants and International Students within the context of U.S. migration policies while considering the Social Determinants of Health framework. In-depth semi-structured interviews were conducted with 23 participants. Reflexive thematic analysis of the data revealed four major themes (1) entry and reentry visa restrictions for Iranians; (2) the emotional and social impact of the U.S. Travel Ban; (3) family separation and emotional distress; and (4) mental health impacts of immigration uncertainty. Findings highlight significant challenges faced by this population, including extended family separations, career uncertainties, and psychological distress. Participants reported heightened anxiety, insomnia, and feelings of isolation, aligning with research on migration-related mental health disparities. This research contributes to the limited literature on the experiences of Iranian immigrants in the U.S. and has implications for minoritized population health and policy reforms aimed at mitigating the adverse effects of immigration-related stress.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821530","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":"Accessibility To Ethnic Food Stores Authorized by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Washington State.","authors":"Kana Ogaki, Edmund Y W Seto, Cristen L Harris, M Pia Chaparro","doi":"10.1007/s10903-025-01753-3","DOIUrl":"https://doi.org/10.1007/s10903-025-01753-3","url":null,"abstract":"<p><p>The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) is a U.S. federal nutrition assistance program that provides low-income pregnant, breastfeeding, and postpartum women, infants, and children up to age 5 with supplemental foods, healthcare referrals, and nutrition education. At least 20% of participants of WIC in Washington state are immigrants. Information on how many WIC-authorized stores are ethnic stores, where immigrants could more readily access culturally preferred foods, is unknown. This study aims to assess the availability and distribution of WIC-authorized ethnic stores in Washington state, relative to the location of immigrant WIC-eligible populations. Data on the location of WIC-authorized stores, classified as ethnic or non-ethnic stores, were obtained from the Washington WIC Shopper mobile app. Sociodemographic information for each census tract was obtained from the American Community Survey 2017-2021. We estimated the distribution of, and distance to, WIC-authorized ethnic stores, compared across census tracts with high versus low proportions of foreign-born individuals and WIC-eligible children in Washington state. Almost 1/3 (29%) of census tracts in Washington state had WIC-authorized stores; 1.7% had WIC-authorized ethnic stores. Census tracts with high proportions of both foreign-born individuals and WIC-eligible children, compared with census tracts with low proportions, had more ethnic stores (14.5%) and shorter distances to them (3.0 km). Census tracts in Washington state with higher proportions of foreign-born individuals and WIC-eligible children had better physical access to WIC-authorized ethnic stores, though these stores are rare. Future research should explore barriers and facilitators for ethnic stores becoming WIC-authorized.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812102","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":"Perspectives of Spanish-Speaking Families on RSV Immunoprophylaxis for Healthy Newborns.","authors":"Sevde Felek Boyvat, Sarah Hinderstein, Elena Aragona, Jaspreet Loyal","doi":"10.1007/s10903-025-01742-6","DOIUrl":"https://doi.org/10.1007/s10903-025-01742-6","url":null,"abstract":"<p><p>During the first year of respiratory syncytial virus (RSV) immunoprophylaxis availability in 2023, quantitative studies found increased acceptance amongst parents who speak languages other than English, and qualitative studies of English-speaking parents identified hesitation about the novelty and side effects of the immunization. In this study, we sought to explore perspectives of Spanish-speaking parents on RSV immunoprophylaxis. Qualitative methodology was used to interview, using an interpreter, parents who speak Spanish (the most common non-English primary language of our patient population) of healthy term and late preterm newborns admitted to the maternity and well-newborn units between October 2024- February 2025. Semi-structed interviews were performed in a constant comparative matter until thematic sufficiency was reached. We conducted 21 interviews that included 25 participants; 81% of participants planned to give RSV immunoprophylaxis to their infant. Four major themes emerged: (1) most Spanish-speaking parents of healthy newborns reported a general lack of knowledge about RSV and RSV immunoprophylaxis, (2) many reported that they would trust the pediatricians on whatever was recommended to protect their newborns, (3) discussions around RSV immunoprophylaxis upon admission to the postpartum unit was not ideal, and (4) quality of interpretation services may have affected decision-making. Spanish-speaking parents frequently accepted the pediatricians' and nurses' recommendations for RSV immunoprophylaxis despite reporting a lack of knowledge on the subject. We identified potential inequities in the newborn immunization consenting process with families who speak Spanish which require further exploration.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784462","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 National Study of the SNAP Nonparticipation Rate Among Income-Eligible U.S. Refugee Households.","authors":"Nasser Sharareh, Sara Simonsen, Rachel Hess, Catherine Elmore, Andrea Wallace, Fernando Wilson","doi":"10.1007/s10903-025-01748-0","DOIUrl":"https://doi.org/10.1007/s10903-025-01748-0","url":null,"abstract":"<p><p>Food insecurity (FI) prevalence rates among U.S. refugees can range up to 85%. FI-related health outcomes, such as hypertension and obesity, are also prevalent among refugees. The Supplemental Nutrition Assistance Program (SNAP) is an evidence-based federal nutrition assistance program that can reduce FI and improve health outcomes. Previous research shows that not every eligible refugee can access SNAP. What remains unknown is the SNAP nonparticipation rate among a representative sample of U.S. refugees. We estimated this rate using the 2021 Annual Survey of Refugees, which provides nationally representative data of U.S. refugees who were resettled between fiscal years 2016 and 2020. We determined the eligibility for SNAP by using the average monthly net household income of a household, the household size (i.e., the number of people residing in a household), and the SNAP net income eligibility thresholds for 2021. Percentages and their 95% confidence intervals were calculated with weighted data to be nationally representative of the U.S. refugee population. Results suggest that 28.6% (95% confidence interval: 23.4-33.8) of income-eligible refugee households (those with a net income below the federal poverty level) did not participate in SNAP. Future research should comprehensively identify barriers and facilitators in accessing SNAP and develop strategies to improve refugees' access to SNAP.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health-Related Education for New Immigrants to Prevent Chronic Diseases: A Systematic Review.","authors":"Salima Hemani, Sohnia Sansanwal, Russell de Souza, Laura Banfield, Sonia Anand","doi":"10.1007/s10903-025-01737-3","DOIUrl":"https://doi.org/10.1007/s10903-025-01737-3","url":null,"abstract":"<p><p>Cardiovascular diseases (CVD) and cancers are chronic, often preventable diseases that remain the leading causes of mortality and morbidity globally. Immigrants are at higher risk of developing CVD and cancers, therefore, and it is important to understand the effectiveness of health-related education targeted to this group to improve knowledge, attitudes, and behaviours related to chronic disease prevention. The objective of this systematic review is to examine the effectiveness of health-related education delivered to new immigrants to western countries at improving knowledge, attitudes, and health behaviours to prevent chronic disease. A systematic review was carried out using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Literature was searched using Medline, Embase, Emcare, Global Health, and Google Scholar was used to identify grey literature. Each database was searched from its inception through April 16th, 2024. A narrative synthesis was completed. Appropriate validated tools were utilized to assess the methodological quality of each study. A comprehensive assessment of study quality was undertaken for all the studies using the QUaDS tool. A total of 11 studies were included in the review, which included quantitative, qualitative and mixed-method studies. The 11 studies included 1,212 participants with age range from 18-75 years of age. The studies included changes in knowledge, (deeper understanding of food and health, recipes to cook traditional foods with healthier recipes, diabetes prevention strategies), behaviours (an increase in weekly step count, reading food labels when doing grocery shopping, purchasing food based on nutritional quality, eliminating unhealthy foods, consumption of more fruits and vegetables, quitting smoking, and improved sleep behaviours). Several methodological limitations of the included studies were identified. This review highlights that the use of behaviour change theories can assist clinicians better understand behaviour change and at the same time inform the development of evidence-based interventions. Given the significant burden of chronic diseases in immigrant populations, it is imperative that health-related education programs are made available, and immigrant populations are informed and valued at each phase of the program. Tailored approaches, for example, story-telling, in-class instructions, healthy heart melas (community gatherings), video and pictorial illustrations have been found to be particularly effective.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784461","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":"Unraveling the Migration Journey: Understanding the Impact of Migration Stage Stress on the Mental Health of Mexicans and Central Americans.","authors":"Eliza Silvia Galvez, Mary Lehman Held, Fei Wang, Robert Lucio","doi":"10.1007/s10903-025-01692-z","DOIUrl":"10.1007/s10903-025-01692-z","url":null,"abstract":"<p><p>Existing research highlights the impact of migration-stage stress on the mental health of Latinx migrants. However, there remains limited understanding of the experiences of recently arrived Mexican and Central American migrants who have fled hardships and encountered substantial challenges throughout their migration journey. To address this gap, this study was designed to examine the associations between cumulative stress experienced at distinct stages of migration (pre-migration, peri-migration, and post-migration) to the United States (U.S.) and depression, anxiety, and posttraumatic stress disorder (PTSD) symptoms. Additionally, the study aimed to examine the moderating role of social support as a protective factor for these mental health outcomes. Using a cross-sectional design, survey data were collected from Mexican and Central American migrants who arrived within the past decade (n = 305). Multiple regression analyses were employed to assess the relationship between stage-specific migration stressors and reported symptoms of depression, anxiety, and PTSD. Higher pre-migration and post-migration stress were significantly associated with increased symptoms of depression, anxiety, and PTSD, while peri-migration stress was specifically associated with heightened anxiety and PTSD symptoms. Notably, social support demonstrated a protective effect on all mental health symptoms, although no significant moderating effects were observed. Findings highlight the critical importance of addressing migration-stage stress throughout all stages of migration. This study presents practice and policy implications to promote the wellbeing and integration of Mexican and Central American migrants in the U.S.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"564-577"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144159626","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":"Barriers to Breast, Cervical, and Colorectal Cancer Screenings Faced by Refugees Resettled in the United States: A Rapid Review.","authors":"Jamie Nassur, Devesh Dajee, Amy Leader, Katherine DiSantis","doi":"10.1007/s10903-025-01690-1","DOIUrl":"10.1007/s10903-025-01690-1","url":null,"abstract":"<p><p>Millions of refugees fleeing countries with political unrest and war have been resettled in the United States (U.S.). Although refugees resettled in the U.S. are granted access to health insurance, there are large disparities in the use of preventive health services like cancer screenings between refugees and the native-born population. The U.S. Preventative Services Task Force (USPSTF) recommends screening for breast, cervical, and colorectal cancers, which are highly preventable if detected early. Previous research has investigated barriers to screening for breast, cervical, and colorectal cancers that may underlie screening disparities. However, current reviews assessing these barriers do not distinguish between immigrant and refugee populations and primarily cover breast and cervical cancer screenings. This rapid review aimed to identify barriers to breast, cervical, and colorectal cancer screenings experienced by refugee-specific communities resettled in the U.S. Of the 945 articles retrieved from the database searches, 12 articles were selected for analysis. Data extracted from the selected studies included screening barriers, screening rates, and sample demographics. Six key barrier themes were identified: (1) language and health system navigation, (2) cost, transportation, and time, (3) health knowledge and exposure, (4) fear of cancer screening and diagnosis, (5) cultural and religious beliefs, and (6) refugee experience or status. We noted variations in the screening barriers experienced by different refugee ethnic groups and noted the impact of refugee experiences and trauma in shaping refugee perspectives on screening. The findings of this review suggest the need for interventions aimed at increasing screening rates to consider the nuances in perceived barriers by different refugee ethnic groups and the role of trauma associated with refugee experiences in shaping these barriers.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"609-622"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144159624","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":"The Interconnected Issue of Antimicrobial Resistance Due to Social Inequalities Worldwide.","authors":"Andrea Zovi, Andrea Silenzi, Antonio Vitiello","doi":"10.1007/s10903-025-01705-x","DOIUrl":"10.1007/s10903-025-01705-x","url":null,"abstract":"<p><p>Antimicrobial resistance (AMR) is an escalating global health threat, exacerbated by significant social inequalities. While inappropriate antibiotic use is a known driver, socioeconomic factors such as poverty, limited access to healthcare, and poor living conditions play a crucial role in the emergence and spread of resistant pathogens, particularly in low- and middle-income countries. Disadvantaged populations often resort to self-medication or substandard drugs, contributing to resistance development. This complex interplay calls for a systemic, cross-sectoral response rooted in the One Health and Planetary Health frameworks, recognizing social inequality as a key determinant of AMR. Effective action requires equitable access to quality healthcare, sustainable food systems, improved sanitation, and environmental policies addressing pharmaceutical pollution. Only through coordinated global efforts can we mitigate the rise of AMR and protect both human Q1 and planetary health.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"513-515"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216045","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}