Journal of Immigrant and Minority Health最新文献

{"title":"Pre-pregnancy, Pregnancy, and Postpartum Health and Social Concerns of Haitian Immigrants.","authors":"G Saradjha Brédy, Jeffrey A Schemm, Tracy A Battaglia, Mara E Murray Horwitz","doi":"10.1007/s10903-025-01679-w","DOIUrl":"10.1007/s10903-025-01679-w","url":null,"abstract":"<p><p>Escalating political turmoil and violence in Haiti since 2021, coupled with United States (US) immigration policy changes in early 2023, have led to an influx of Haitian immigrants to the US. Scattered reports suggest that recent immigrants from Haiti have a high burden of medical and social needs. To better understand their health risks and social needs, we analyzed survey data from 35 Haitian-born, US-based postpartum individuals on topics related to pre-pregnancy, pregnancy, and postpartum health. We calculated frequencies and odds ratios, and compared responses stratified by immigration year (before versus during/after 2021). Among the more recent immigrants, we identified a higher prevalence of hypertension in pregnancy (9/15, 60% versus 4/17, 24%; odds ratio 3.3 (95% confidence interval, 1.0-18.9)) and postpartum financial concerns (7/15, 47% versus 2/17, 12%; odds ratio 5.1 (1.3-46.3)). Our findings suggest that recent immigrants from Haiti may be at increased risk for adverse pregnancy and postpartum outcomes.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"641-645"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004127","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":"Innovative Policy Supports for Integration in Health and Social Care Focused on Culturally and Linguistically Diverse Populations in Australia: A Qualitative Study.","authors":"Maria Gabriela Uribe Guajardo, Ferdinand C Mukumbang, Mithilesh Dronavalli, Susan Woolfenden, Lisa Parcsi, Brendon McDougall, James Gillespie, Ilan Katz, Andrew Page, Vicki Giannopoulos, John Eastwood, Michelle Cunich, Carmen Huckel Schneider","doi":"10.1007/s10903-025-01697-8","DOIUrl":"10.1007/s10903-025-01697-8","url":null,"abstract":"<p><p>The fragmented nature of Australian health and social care systems present a barrier to integrated care. Culturally and linguistically diverse (CALD) communities are recognised as a priority population with unmet health and social needs. This study describes policy supports for programs that promote health and social care integration with a CALD focus, including governance and partnerships; workforce and staffing; funding and payment; and data sharing and use. The research question was 'what innovative policy supports to integrate health and social programs?'. Qualitative interviews of participants involved in the implementation of health and social care programs in the Sydney using the Innovative Policy Supports For Integrated Health And Social Care Programs Framework, were conducted. Twenty-seven participants from 24 health and social programs based in Sydney participated in the study. Six programs serviced CALD communities only. Ten had majority of CALD clients, with the remaining having a mixture of clients. Ten programs had a formal coordinator role. Most programs did not report new approaches to data sharing. Two out of the 6 CALD targeted programs reported data-sharing via teleconference in the context of emergency. These were 2 health programs addressing COVID-19 disparities and the humanitarian needs of refugees, respectively. Only 2 reported a special funding to assist vulnerable families and common emergency department presenters, respectively. This study demonstrated the lack of integration of services in health and social care. Policy development and implementation should consider bringing stakeholders together (informed by CALD groups) to advance the generation of technology for adopting universal standards and the integration of funding to better support health and social care for CALD communities in multicultural Australia.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"550-558"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969699","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":"Access Barriers to Healthcare for Undocumented Migrants in Low- and Middle-Income Countries: A Qualitative Systematic Review.","authors":"Amirah Adnan Salman, Eleanor Whyle, Livia Costa de Oliveira, Jill Olivier","doi":"10.1007/s10903-025-01693-y","DOIUrl":"10.1007/s10903-025-01693-y","url":null,"abstract":"<p><p>This review aimed to examine the barriers to accessing health systems among undocumented migrants in low- and middle-income countries (LMICs). This qualitative review study was conducted to answer the question: 'What are the tangible and intangible barriers undocumented migrants face in accessing health systems in LMICs?'. Thirty-one studies published in English, Portuguese or Spanish between 2013 and 2023 were included. As a growing body of evidence demonstrates, undocumented migrants are among the most vulnerable populations with access to healthcare services impacted by high costs, legal barriers, document requirements and unclear policy messages. This review found that these barriers are interrelated and complicated by individual and institutional discrimination, xenophobia, and perceptions that undocumented migrants are less deserving and compete for local resources. Delayed care and limited primary healthcare access with critical health consequences were described in all such cases. The review suggests that barriers to healthcare access result from the intersection of outdated legislation, economic factors, weak health systems and service provision, bureaucratic inefficiencies and cultural norms and values. As such, improving access to care for undocumented migrants require intersectoral action and policy change that needs to be guided by context-sensitive research.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"595-608"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025021","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":"Distinctive and Shared Health Needs of Minority Communities by Immigrant Status.","authors":"Erin An, Damian Crow, Nhat Minh Ho, Leslie Omeire, Charles Yang, Jacob Luddington, Jessica Jones, Mathivarshini Sivachidambaram, Robert Ferrer, Robert Wood, Jasmine Rodriguez, Rosemary Williams, Melanie Stone, Fozia Ali, Elena Jimenez Gutierrez","doi":"10.1007/s10903-025-01672-3","DOIUrl":"10.1007/s10903-025-01672-3","url":null,"abstract":"<p><p>To identify distinct and shared health barriers, priorities, and desired information within minority communities by immigrant status. Health needs assessment surveys were conducted at three different health fairs in San Antonio from October 22, 2022 to January 14, 2023. Data was compared using descriptive statistics by immigration status. Among 59 US-born and 55 non-US-born respondents, nutrition and mental health were the highest health priorities. Time was a greater barrier among US-born respondents (p =.007) while lack of insurance was a greater barrier among non-US-born respondents (p =.008). Although the US-born group had higher rates of insurance (74%) compared to the non-US-born group (64%) (p =.019), both had similar rates of having a primary care provider. The US-born group had a higher number of emergency department (ED) visits (p =.030). There are multiple commonalities and differences among health needs in ethnically diverse communities in South Texas. Future health interventions targeted toward minority communities should consider nutrition and mental health while also addressing unique barriers. Multiple factors such as access to free clinics, personal safety, language, and health insurance status are integral to minority group health.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"579-585"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020872","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":"Mobilizing COVID-19 Vaccination Partnerships for Newcomer Refugees and Immigrants in the Calgary, Canada Area, 2021-2022.","authors":"Fariba Aghajafari, Laurent Wall, Amanda M Weightman, Alyssa Ness, Deidre Lake, Krishna Anupindi, Gayatri Moorthi, Bryan Kuk, Maria Santana, Annalee Coakley","doi":"10.1007/s10903-025-01687-w","DOIUrl":"10.1007/s10903-025-01687-w","url":null,"abstract":"<p><p>The COVID-19 public health emergency challenged the capacity for public health systems to vaccinate newcomer refugees and immigrants in the Calgary, Canada, area. In response, community-health partnerships emerged in 2021-2022 to provide accessible, culturally responsive, and adapted services for community members. This research highlights community mobilization and partnerships' role in COVID-19 vaccine delivery for newcomer refugees and immigrants, including challenges faced and lessons learned. Researchers conducted structured interviews with Government Assisted Refugees (GARs), and semi-structured interviews with Privately Sponsored Refugees (PSRs), private refugee sponsors, and diverse health and community informants involved in COVID-19 vaccine responses. Thematic analysis highlighted themes related to partnership development, strategies and actions of partnerships, alignment with World Health Organization recommendations, and partnership benefits and challenges. Multiple newcomer-specific vaccination models were developed through various community-based partnerships. The roles of community partners included information translation and transmission, outreach, and advocacy. Partnerships faced challenges, including existing infrastructure and inequitable policies for COVID-19 vaccine distribution. These existing elements required substantial advocacy to be more equitable in their outcomes. This research highlights how gaps in the public health system during early vaccination efforts catalyzed communities to mobilize and drove the creation of community-health partnerships in the Calgary area. These partnerships were effective at facilitating vaccine uptake through innovative, community-informed and culturally-responsive approaches. A key concern remains that, despite learnings and changes to COVID-19 vaccination systems, the health system has not sufficiently integrated changes to address equity in the long term.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"539-549"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025023","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":"Investing in Group Psychedelic Therapy for Latinx Immigrants.","authors":"Juliana Zambrano, Fernando Espi Forcen, Jose Hidalgo, Franklin King Iv","doi":"10.1007/s10903-025-01702-0","DOIUrl":"10.1007/s10903-025-01702-0","url":null,"abstract":"<p><p>Despite increasing interest in psychedelic-assisted therapies (PAT), there remains a critical gap in extending these treatments to marginalized and vulnerable populations, including Latinx immigrants. This underrepresentation in both research and clinical practice exacerbates disparities in mental health care access for racial and ethnic minorities, who already face systemic barriers. The Latinx population, despite experiencing mental health challenges at rates similar to their white counterparts, has lower treatment engagement due to factors like cultural stigma, language barriers, and limited access to culturally competent care. Psychedelic-assisted therapies have shown promise in treating depression and PTSD, but their current application primarily targets Western populations, often neglecting cultural adaptations. This paper explores the potential for group-based, culturally adapted models of PAT tailored to Latinx immigrants, emphasizing community healing, collective therapeutic processes, and the incorporation of cultural traditions. It highlights the benefits of group psychedelic therapy in enhancing social connections, reducing isolation, and increasing accessibility, while addressing the unique stressors faced by immigrant populations. Rigorous research and culturally competent care models are essential to ensure that PAT can effectively reach and benefit marginalized communities, reducing the mental health disparities that persist in the U.S.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"518-522"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248186","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":"Lessons from a Free Health Fair Organized by Students for the Underserved Population in the Post-Pandemic Era.","authors":"Pinyu Chen, Walter Duy, Amos Wu, Alexandra Jennings, Monica Brown, Melanee Mills, Michael Lischke","doi":"10.1007/s10903-025-01712-y","DOIUrl":"10.1007/s10903-025-01712-y","url":null,"abstract":"<p><p>Winston-Salem, North Carolina is one of the poorest cities in the state, with a city-wide poverty rate of 20.6%. Poverty rates in the neighborhoods located to the east and south of Wake Forest University School of Medicine continue to rise over the years. Many residents are uninsured or underinsured and don't have a primary care provider. Share the Health Fair (STHF) is an annual, one-day student run event that provides free health screenings to the Winston-Salem area community, regardless of income, insurance, or immigration status. STHF was paused for 2 years because of the pandemic and restarted in 2022. Screenings offered include core health screenings, STI, glucose and cholesterol tests, dermatology, pulmonology, vision, pap smears, and dental. Survey data from STHF attendees in 2022 and 2023 were collected. The lack of healthcare maintenance exacerbated by the pandemic has led to an increased attendance at STHF. The demographics changed since before the pandemic- increasing to 90% Hispanic or Latino attendees in 2023, with 78% of the attendees being uninsured and 82% making less than $30,000 a year. Dental and vision screenings remain the most sought-after free services among the attendees.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"559-563"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248187","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":"Risk of Somatic Diagnoses in Specialist Health Care Among Norwegian-Born Youth and Young Adults with Immigrant Parents.","authors":"Marte Karoline Raberg Kjollesdal, Naima Said Sheikh, Ylva Helland, Thor Indseth, Angela Susan Labberton","doi":"10.1007/s10903-025-01689-8","DOIUrl":"10.1007/s10903-025-01689-8","url":null,"abstract":"<p><p>Knowledge about the somatic health of young adults born to immigrant parents is lacking. This study aims to assess the risk of receiving somatic diagnoses among Norwegian-born young adults with immigrant parents compared to their counterparts with two Norwegian-born parents. Data from Medical Birth Registry of Norway and Statistics Norway were linked to data from Norwegian Patient Registry on 37 diagnostic categories of somatic conditions given in specialist health care between 2008 and 2022. Norwegian-born individuals aged 16-30 years between 2008 and 2022 were included (N = 1 522 597). Hazard ratios (HR) of diagnoses by immigrant background were assessed by Cox regressions adjusted for sex, birth year, and parental education. Individuals with two immigrant parents had lower risk of receiving any somatic diagnosis [HR (95% confidence interval) 0.91 (0.90, 0.93)], as well as any infectious, medical or neurological diagnosis, than counterparts with two Norwegian-born parents. Those with an immigrant mother only had lower risk of any somatic diagnosis [HR 95% CI 0.94 (0.92, 0.95)] and of any medical or neurological diagnosis. These differences were not seen after adjustment for parental duration of residence and education. Those with an immigrant father only had higher risk of any somatic diagnosis [HR 95% CI 1.03 (1.02, 1.04)], as well as any infectious or neurological diagnosis. Norwegian-born young adults with two immigrant parents or an immigrant mother had lower risk than those with two Norwegian-born parents of receiving somatic diagnoses in specialist health care before adjustment for parental duration of residence and education, while those with an immigrant father only, had higher risk.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"586-594"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086351","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":"From Acculturation to Action: A Comprehensive Framework for Addressing Cardiovascular Disparities in Asian Americans.","authors":"Alina Yang","doi":"10.1007/s10903-025-01686-x","DOIUrl":"10.1007/s10903-025-01686-x","url":null,"abstract":"<p><p>Cardiovascular health disparities among Asian American subpopulations are influenced by acculturation, gender, and socioeconomic factors. High acculturation links to varying health outcomes across ethnic groups, while gender differences impact the adoption of healthy behaviors. Culturally tailored interventions and equitable public health strategies are crucial for addressing these disparities and promoting health equity.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"516-517"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999789","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 Therapeutic Alliance in Refugee Mental Health and Psychosocial Support: A Narrative Review.","authors":"Miriam Potocky","doi":"10.1007/s10903-025-01688-9","DOIUrl":"10.1007/s10903-025-01688-9","url":null,"abstract":"<p><p>The therapeutic alliance-a collaborative relationship between mental health/psychosocial support (MHPSS) providers and clients-has consistently demonstrated positive impacts on mental health outcomes. This narrative review focuses on the therapeutic alliance within the context of refugee clients, who face unique challenges stemming from forced displacement, trauma, and systemic barriers. Utilizing a systematic search and thematic synthesis, 20 studies published between 2014 and 2024 were analyzed to address four key questions: the state of knowledge, the role of interpreters, strategies for improvement, and gaps in research. Findings highlight significant challenges in building alliances with refugee clients due to cultural and linguistic differences, power dynamics, and trauma-related distrust. The presence of interpreters transforms the traditional dyadic alliance into a triadic relationship, introducing both benefits and complexities. Interpreters act as co-constructors of the alliance, requiring strong collaboration and role negotiation with providers. Recommendations for strengthening the alliance include flexible therapeutic boundaries, advocacy integration, continuity of care, and tailored training for providers and interpreters. Despite the growing body of research, gaps remain in understanding non-verbal communication, virtual care dynamics, and the perspectives of clients discontinuing therapy. This review emphasizes the need for a paradigm shift recognizing clients, providers, and interpreters as equal partners in therapeutic processes, alongside further exploration of emerging contexts such as telehealth and refugee-led MHPSS initiatives.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"623-630"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995396","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}