Journal of Immigrant and Minority Health最新文献

{"title":"Supporting Successful Transplantation: An Innovative Tool for Assessing Newcomers' Concerns and Strengths.","authors":"Toupey Luft, Peter Kellett","doi":"10.1007/s10903-025-01735-5","DOIUrl":"https://doi.org/10.1007/s10903-025-01735-5","url":null,"abstract":"<p><p>With more immigrants coming to Canada, mental health providers are supporting increasingly diverse clients. The Supporting Successful Transplantation (SST) tool offers a potential solution to explore intersectional aspects of newcomer identities; to identify their diverse challenges, including shared issues like racism and discrimination, as well as their unique strengths, and resources. The SST tool emerged from the findings of a study of immigrants to southern Alberta. Using the universal visual metaphor of a tree planted in new conditions, it seeks to provide an intuitive and collaborative way to identify migrants' strengths and challenges and honour their diverse contexts. In this note from the field, we overview the SST resource and its development and provide suggestions for how various community professionals may utilize it in collaboration with their newcomer clients.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144618588","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":"Factors Related to Unmet Healthcare Needs among Immigrants in South Korea.","authors":"Eunjeong Kang, Minah Baek","doi":"10.1007/s10903-025-01724-8","DOIUrl":"https://doi.org/10.1007/s10903-025-01724-8","url":null,"abstract":"<p><p>To reduce health disparities among migrant populations, it is critical to fully understand the barriers they face when accessing and utilizing healthcare services. This study uses data from a survey of 1,060 immigrants from various backgrounds to investigate the causes of unmet healthcare needs. The findings show that 298 respondents reported having unmet healthcare needs. Significant contributors to these unmet healthcare needs include country of origin, visa status, occupation, experiences of discrimination during the COVID-19 pandemic, self-assessed health status, anxiety, depression, and disability. Immigrant health disparities must be effectively addressed through policy reforms and increased budgetary allocations for migrant healthcare. Furthermore, developing educational programs and informational pamphlets to raise immigrants' awareness of their healthcare rights is critical for empowering them to protect these rights. Furthermore, initiatives that promote integration and facilitate the exchange of information and mutual assistance between immigrants and native populations are critical for promoting social cohesion and addressing healthcare disparities.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608531","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":"Evaluating Emergency Department Utilization among Undocumented Patients Receiving Care at a Community Health Clinic.","authors":"Ana Acevedo, Elizabeth Whidden, Francisco Zepeda, K Jane Muir, D Daphne Owen","doi":"10.1007/s10903-025-01723-9","DOIUrl":"https://doi.org/10.1007/s10903-025-01723-9","url":null,"abstract":"<p><p>Undocumented immigrants in the US rely on community health clinics (CHCs) and emergency departments (EDs) for preventive and acute care due to health insurance ineligibility and financial constraints. CHCs provide low-cost, accessible healthcare for thousands of undocumented immigrants in cities throughout the U.S. Limited evidence exists on this population's use of EDs despite establishing care in CHCs. This cross-sectional study described the key characteristics of ED visits among undocumented immigrants with established care at a single CHC in a major US city. ED visits (n = 319) were extracted using a random sample of patient records from a CHC serving a largely undocumented population between April 1, 2023, and April 1, 2024. The most common discharge diagnoses were categorized as infections (23%), injuries (22%), gastrointestinal diseases (16%), and OB/GYN diseases (11%). Disposition data showed that 81% of patients were discharged directly from the ED, 14% were admitted to the hospital, and 4% were placed under observation. For 309 visits, 61% were classified as preventable by the NYU ED algorithm (NYU-EDA). These findings suggest that most visits were preventable or primary care treatable, often driven by acute health issues rather than chronic care needs. Study results inform how CHCs, EDs, and health systems can address care gaps, enhance preventative care strategies, and advance equitable care delivery.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608530","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 Scoping Review of Barriers and Facilitators of Physical Activity among Equity-denied Groups in Canada: An Intersectional Equity Lens.","authors":"Eun-Young Lee, Yas Alamshahi, Joy Cheng, Leigh M Vanderloo, Guy Faulkner, Leah Ferguson, John C Spence","doi":"10.1007/s10903-025-01727-5","DOIUrl":"https://doi.org/10.1007/s10903-025-01727-5","url":null,"abstract":"","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591436","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":"Longitudinal Trends in Racial and Gender Representation among Academic Faculty: A Systematic Review.","authors":"Zahra Jafari, Mohammad Habibnezhad, Marjorie Johnstone, Ellen Hickey","doi":"10.1007/s10903-025-01721-x","DOIUrl":"https://doi.org/10.1007/s10903-025-01721-x","url":null,"abstract":"<p><p>Despite ongoing efforts to improve faculty diversity, systemic barriers have historically marginalized racial and ethnic minorities, particularly women, in academic positions. This systematic review addresses a critical gap in the literature by synthesizing longitudinal trends in the racial and gender composition of academic faculty, shedding light on the evolution of these disparities over time. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, with a systematic search of five databases (Sociological Abstracts, APA PsycINFO, CINAHL, Gender Studies Database, and MEDLINE) conducted between 2014 and July 2024 without language restrictions. Of the 8,423 records initially identified, 52 peer-reviewed articles, predominantly from medical and health-related departments, met the inclusion criteria for review. Using the Joanna Briggs Institute critical appraisal checklist, the methodological design of most included articles was assessed as high quality. Key findings revealed a general increase in the representation of underrepresented in medicine (URiM) faculty in some fields but stagnation or decline in others, particularly at senior levels. An intersectional analysis of race and gender highlighted that URiM women face unique challenges, including lower promotion rates and higher attrition risks. While these findings point to some progress in the overall representation of URiM faculty, substantial inequities persist, particularly at leadership levels and in promotion and retention processes. These challenges are further exacerbated by intersectional factors. Future research should incorporate qualitative data to better understand barriers and guide the development of targeted interventions.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567517","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":"Prevalence of Helicobacter pylori Infection and Micronutrient Deficiencies in a Clinically Referred Cohort of Ezidi Refugees in Rural Armidale: Findings from a Retrospective Study.","authors":"Grace Noh, Nelson Tran, Oliver McMorran, Edric Hu, Joëlle V F Coumans, Salma Hago Mustafa Ali","doi":"10.1007/s10903-025-01715-9","DOIUrl":"https://doi.org/10.1007/s10903-025-01715-9","url":null,"abstract":"<p><p>In Australia, Middle Eastern refugees, notably the Ezidi community (an ethnic and religious minority from Northern Iraq and Syria) are disproportionately affected by high rates of vitamin and iron deficiencies. These deficiencies pose significant health risks and can impact overall well-being. Recent studies have suggested a possible correlation between Helicobacter pylori (H. pylori) infection and deficiencies in essential vitamins and iron, highlighting an important area of research that warrants further exploration. Understanding the relationship between H. pylori infection and nutrient deficiencies in newly arrived Ezidi refugees is critical for several reasons. First, it may provide insights into the underlying health challenges faced by this population, who often arrive with pre-existing health issues. Second, establishing this association could inform current screening practices, allowing for targeted interventions that address both H. pylori infection and nutritional deficiencies. Ultimately, this research aims to contribute to the development of effective health strategies that enhance the well-being of Ezidi refugees, ensuring they receive the necessary support to thrive in their new environment. By focusing on this intersection of infectious disease and nutritional health, we can better understand and mitigate the risks faced by this vulnerable group. A retrospective cohort study was performed using data collected from Ezidi refugees in Armidale Medical Centre and Armidale Hospital from 2018 to 2024. The data was analysed to determine the prevalence of H. pylori and deficiencies in iron, vitamin B12, and vitamin D. Further analysis was done with data from Armidale Medical Center only, to study any potential association between H. pylori infection and those same micronutrient deficiencies. H. pylori infection was detected in 76.7% of refugees tested. The rates of iron deficiency were 35.2% at Armidale Medical Centre and 41.9% at Armidale Hospital. Vitamin B12 deficiency was found in 50.7% and 58% of individuals, and vitamin D deficiency was present in 79.6% and 82.6%, respectively. No statistically significant associations were found between H. pylori infection and iron or vitamin D deficiency. However, a statistically significant association was observed between the absence of H. pylori and vitamin B12 deficiency. There is a significantly higher prevalence of H. pylori infection, iron deficiency, vitamin B12 deficiency, and vitamin D deficiency among Ezidi refugees in Armidale. The relationship between H. pylori infection and micronutrient deficiencies remains unclear. Further research is needed to clarify these associations and guide future screening protocols for Ezidi refugees.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540492","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":"Healthcare Access and Outcomes for Refugee Women in Transit: A Scoping Review of Facilitators and Barriers in South and Southeast Asia.","authors":"Gabriela Fernando, Asiyah Nida Khafiyya, Anak Agung Istri Diah Tricesaria, Jessica Watterson, Sabina Satriyani Puspita","doi":"10.1007/s10903-025-01722-w","DOIUrl":"https://doi.org/10.1007/s10903-025-01722-w","url":null,"abstract":"<p><p>Forced displacement has reached unprecedented levels globally, with women and girls comprising over half of the refugee population. In South and Southeast Asia, transit refugee women face unique health challenges, yet their health experiences and needs remain underexplored and underserved. This review explores the existing evidence on the health experiences and healthcare access of transit refugee women in these regions. A search was conducted using PubMed [MEDLINE], Scopus, Google Scholar, alongside UNHCR, WHO, and IOM databases between October 2023 and January 2024. Peer-reviewed and grey literature published from 2013 to 2024 that analysed health outcomes and experiences of transit refugee women in South and Southeast Asia were included. A narrative synthesis was used to identify the major themes related to the health outcomes and healthcare access of transit refugee women. Fourteen articles met the inclusion criteria, of which a majority of the studies were from Bangladesh, Thailand-Myanmar border, and Malaysia, mainly drawing insights from Rohingya, Karen, and Chin communities. Key health issues included sexual and reproductive health, including family planning, contraceptive use, HIV transmission, sexual and gender-based violence, and mental health. Distance and availability of health services, spousal consent for health-seeking, out-of-pocket health expenditure, cultural and religious beliefs, and stigmatization were barriers to accessing healthcare. These barriers may contribute to foregoing contraceptive usage, poor family planning, poor HIV-related health knowledge transmission, high psychological distress, and poor mental health outcomes. However, targeted interventions such as having the UNHCR card, the availability of health clinics within camps, recruiting female health workers, provision of counselling and health education programs, can positively influence health outcomes, healthcare seeking and utilization behaviours, and health knowledge transmission. Transit refugee women in South and Southeast Asia face significant challenges due to unmet health needs and limited healthcare access. These insights highlight the need for future health research, programs and policy action to better integrate targeted, gender-responsive interventions that can enhance health access of this vulnerable subgroup regionally.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528268","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":"Exploring Barriers To Visual Screening for Canadian Immigrants in a General Primary Care Clinic: A Retrospective Chart Review.","authors":"Ramez Michail, Ernest Chan, Tim Holland","doi":"10.1007/s10903-025-01720-y","DOIUrl":"10.1007/s10903-025-01720-y","url":null,"abstract":"","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528267","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":"Navigating Healthcare and Public Benefits in NC: Perspectives of Undocumented Latina Women with U.S.-Born Infants.","authors":"Brittany J Raffa, Isabella C A Higgins, Catalina Montiel, Allison McCord Stafford, Rushina Cholera","doi":"10.1007/s10903-025-01714-w","DOIUrl":"https://doi.org/10.1007/s10903-025-01714-w","url":null,"abstract":"<p><p>Mixed-documentation status Latino families face unique barriers to accessing healthcare and public benefits. We examined the experiences of undocumented Latina mothers in North Carolina and the role of anti-immigrant policies and rhetoric in their decisions to access care and public benefits for themselves and their U.S.-born infants. We conducted a qualitative descriptive study to explore Latina mothers' experiences seeking care for themselves and their infants during the perinatal period. We used Emergency Medicaid at delivery as a proxy to identify undocumented mothers with U.S.-born infants. Twenty semi-structured audio interviews were conducted in Spanish via Zoom. We used rapid qualitative content analysis for timely, action-oriented analysis. Rapid qualitative analysis uses visual displays, such as matrices, to connect and analyze findings. Five themes emerged: confusion around public benefit eligibility and complicated enrollment processes; concerns and fears around immigration policy and rhetoric; cost as the most influential barrier to healthcare; positive experiences with language support and respectfulness of providers; \"making it work\" with the help of social support systems. While mothers narrated their experiences in the setting of prohibitive costs of accessing healthcare and fears and confusion about public benefits, they viewed meeting their child's health needs as a necessity, with social support systems important in navigating complex systems. Postpartum undocumented mothers with U.S.-born infants experience several barriers to NC Medicaid and public benefit enrollment for their infants, including complicated application processes, costs, and immigration-related fear. Advocacy is needed to prevent the dismantling of existing policies and create inclusive policies for immigrants.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144511980","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":"Attitudes of Students in Medical and Health Sciences Faculties Toward Syrians and Influential Factors.","authors":"Gülbu Tanrıverdi, Coşkun Bakar, Melike Yalçın Gürsoy, Göksel Öztürk","doi":"10.1007/s10903-025-01729-3","DOIUrl":"https://doi.org/10.1007/s10903-025-01729-3","url":null,"abstract":"<p><p>This study examines the attitudes of students in Medical and Health Sciences faculties in Turkey toward Syrians and identifies the factors shaping these attitudes. 465 students were included in the cross-sectional study. Data were collected via an online survey form, which included demographic questions and the Attitudes Towards Syrians Scale. The survey included demographic questions and the Attitudes Toward Syrians Scale. Descriptive statistics, t-tests, ANOVA, and linear regression analysis were employed for data analysis. Age was negatively correlated with discrimination scores (r=-0.203, p < 0.001), suggesting that older students exhibited lower levels of discrimination. Students with negative experiences involving Syrians had significantly higher discrimination scores (p < 0.001). Those perceiving fewer cultural similarities also had higher discrimination scores (p < 0.001). Faculty differences were significant, with Health Sciences students displaying higher discrimination scores than medical students (p = 0.008). Among departments, Emergency and Disaster Management students reported the highest levels of discrimination (p < 0.001). Age, cultural perceptions, and personal experiences influence students' attitudes toward Syrians. Cultural awareness programs and opportunities for positive interactions may help reduce discrimination, particularly among younger students and those with limited cultural engagement. These findings emphasize the importance of inclusive education policies in fostering social cohesion within healthcare settings.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497231","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}