Journal of Migration and Health最新文献

{"title":"Maternal and early childhood health and social outcomes of migrants in high-income countries and the impact of policies that restrict access to healthcare; a systematic review and meta-analysis","authors":"Dr Hannah Rayment-Jones ,&nbsp;Yahye Mohamud ,&nbsp;Holly Lovell ,&nbsp;Judith Rankin ,&nbsp;Jane Sandall ,&nbsp;Siofra Peeren ,&nbsp;Mpho Dube ,&nbsp;Nikel-Shaniece Hector-Jack ,&nbsp;Zenab Barry ,&nbsp;Cristina Fernandez Turienzo ,&nbsp;Elsie Sowah ,&nbsp;Tomasina Stacey ,&nbsp;Maria Castaner ,&nbsp;Maria Raisa Jessica Aquino ,&nbsp;Andrew Jolly ,&nbsp;Jacqueline Broadhead ,&nbsp;Mel Haith-Cooper ,&nbsp;Abigail Easter ,&nbsp;Sam Burton","doi":"10.1016/j.jmh.2025.100391","DOIUrl":"10.1016/j.jmh.2025.100391","url":null,"abstract":"<div><h3>Background</h3><div>The “healthy migrant effect” suggests migrants experience better health than local populations despite socioeconomic disadvantage. Its relevance to maternal and child health is uncertain. This systematic review and meta-analysis examined outcomes among migrant women and children in high-income countries (HICs), and the impact of restrictive healthcare policies.</div></div><div><h3>Methods</h3><div>Studies published between 2014 and 2024 comparing outcomes for foreign-born migrant women and children (up to five years) with local-born populations were included. Quality was assessed using the Newcastle-Ottawa Scale. Pooled odds ratios (ORs) were calculated using random-effects meta-analyses.</div></div><div><h3>Findings</h3><div>Fifty-one moderate- or high-quality studies (67,471,879 participants across 16 HICs) were included. Migrant women were more likely to be from minority ethnic groups, have lower educational and socioeconomic status, and be older and multiparous. Migrants had higher odds of emergency caesarean birth (OR=1.24, 95%CI=1.16–1.33), food insecurity (OR=2.49, 95%CI=1.24–5.96), perinatal depression/anxiety (OR=1.67, 95%CI=1.10–2.54), intimate partner violence (OR=2.20, 95%CI=1.31–3.72), and low Apgar scores (OR=1.37, 95%CI=1.19–1.56). Odds of low birth weight were slightly lower (OR=0.95, 95%CI=0.90–1.00). Associations persisted under restrictive healthcare policies. No significant differences were found in maternal mortality, severe maternal morbidity, preterm birth, fetal loss, neonatal intensive care use, or vaccination coverage. There is a notable lack of evidence on longer-term child health outcomes.</div></div><div><h3>Interpretation</h3><div>The “healthy migrant effect” may not apply during the perinatal period. Migrant women face significant health inequities, exacerbated by exclusionary policies. Further research, particularly into long-term child outcomes and in inclusive healthcare settings, is needed to inform equitable policy and practice.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100391"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The lived experiences of Ethiopian women trafficked to the Middle East: Departure motives, gender-specific trauma, and coping strategies","authors":"Yedilfana Adinew","doi":"10.1016/j.jmh.2025.100375","DOIUrl":"10.1016/j.jmh.2025.100375","url":null,"abstract":"<div><h3>Objective</h3><div>The primary focus of the study was to explore the psychosocial experiences, abuses, and exploitations, and adaptation mechanisms of Ethiopian women who were victims of trafficking in the Middle East countries. The study explores contributing factors to trafficking, mental health impacts, significant forms of abuses and exploitations, victims' coping strategies, and post trafficking situations.</div></div><div><h3>Method</h3><div>a phenomenological qualitative approach was used using a semi-structured in-depth interview with 30 Ethiopian women who survived human trafficking. To identify key patterns in the participants' narratives, thematic analysis was used.</div></div><div><h3>Results</h3><div>The results of the study show that economic hardship, gender-based violence, and the need for a better life were the primary causes of trafficking. Survivors endured harsh labor exploitation, economic exploitation, sexual abuse, and psychological trauma. Social isolation, combined with language and cultural barriers, aggravated their agony. After being released from trafficking, survivors faced health decline, psychological trauma, and substance abuse. The coping mechanisms used by victims were spirituality, writing, music, familial support, and maladaptive strategies.</div></div><div><h3>Conclusion</h3><div>The findings of the study emphasize the need for trauma-informed interventions, psychosocial supports, and legal protections for human trafficking victim survivors. Policymakers and service providers should address systematic vulnerabilities and optimize rehabilitation efforts to mitigate long-term consequences.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100375"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of mental health with living and working conditions among Nepali migrant workers in destination countries","authors":"Poonam Subedi ,&nbsp;Madhusudan Kaphle ,&nbsp;Padam P Simkhada ,&nbsp;Biraj Man Karmacharya ,&nbsp;Minani Gurung ,&nbsp;Archana Shrestha","doi":"10.1016/j.jmh.2026.100402","DOIUrl":"10.1016/j.jmh.2026.100402","url":null,"abstract":"<div><h3>Background</h3><div>Depression, anxiety, and stress are widespread mental health conditions globally. Migrant workers, in particular, are vulnerable to experiencing these mental health challenges, including Nepali migrant workers. There have been limited studies on adverse living and working conditions prevalent in their circumstances and development of these mental illnesses among this population. The study aims to assess association between mental health and living and working conditions among Nepali migrant workers which, otherwise, has not been explored or examined.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study with 334 Nepali migrant workers employed in Korea, Malaysia, Saudi Arabia, Kuwait, UAE, and Qatar using convenience sampling. We collected the data using two approaches; an online self-administered questionnaire for migrant workers living in their respective countries of employment and interview with migrant returnees at Tribhuvan International Airport in Nepal<strong>.</strong> We fitted three hierarchical multivariate logistic regression models and gsem models to explore potential association between depression symptoms, anxiety symptoms, stress symptoms and living and working conditions, respectively.</div></div><div><h3>Result</h3><div>Depression, anxiety and stress is highly prevalent among Nepali migrant workers working in Korea, Malaysia, Saudi Arabia, Kuwait, UAE, Qatar. About 20 %, 20 % and 15 % of the study participants had symptoms of depression, anxiety symptoms and stress symptoms, respectively. About 49 % and 36 % of study participants had poor working conditions and poor living conditions, respectively. The analyses showed that there are associations of depression symptoms, anxiety symptoms and stress symptoms with living and working conditions, respectively. The odds of having depression symptoms (aOR: 2.76, 95 % CI: 1.27-6.01, p value=0.010), anxiety symptoms (aOR: 3.93, 95 % CI: 1.71-8.98, p value=0.001), and stress symptoms (aOR: 4.81, 95 % CI: 1.80-12.82, p value=0.002) was higher among study participants with poor living conditions compared to good living conditions.</div><div>Meanwhile, the odds of having depression symptoms (aOR: 4.03, 95 % CI: 1.83-8.90, p value=0.001), anxiety symptoms (aOR: 2.33, (95 % CI: 1.10-4.92, p value=0.026), and stress symptoms (aOR: 3.18, 1.30-7.75, p value=0.011) was higher among study participants with poor working conditions compared to good working conditions.</div></div><div><h3>Conclusion</h3><div>The high prevalence of depression, anxiety, and stress among Nepali migrant workers due to poor conditions necessitates action. Pre-departure mental health programs are crucial, and both origin and destination governments must ensure safe and dignified conditions for these workers. Implementing these measures can alleviate mental health challenges and enhance their well-being.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100402"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147396583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression, anxiety, and psychiatric morbidity in Ethiopian immigrants living with HIV","authors":"Dor Gladstone ,&nbsp;Hila Elinav ,&nbsp;Matan-Joel Cohen ,&nbsp;Keren Olshtain-Pops ,&nbsp;Sarah Israel ,&nbsp;Maya Korem ,&nbsp;Meir Cherniak ,&nbsp;Efrat Orenbuch-Harroch ,&nbsp;Jacob Strahilevitz ,&nbsp;Aryeh Dienstag ,&nbsp;Yonatan Oster","doi":"10.1016/j.jmh.2026.100409","DOIUrl":"10.1016/j.jmh.2026.100409","url":null,"abstract":"<div><div>The prevalence of mental health morbidity among Ethiopian immigrants in Israel is higher than in the general population, with diagnosis complicated by differing clinical presentations and unfamiliarity with the concept of depression. Among Ethiopian immigrants living with HIV, mental health challenges may further be exacerbated by HIV related stigma, anti-retroviral treatment, and HIV-associated neurotoxicity.</div></div><div><h3>Aims</h3><div>Assess the rates of depression and identify risk factors among Ethiopians with HIV living in Israel.</div></div><div><h3>Methods</h3><div>Two culturally adapted questionnaires in Amharic (SRQ-F and HADS) were administered to HIV + patients of Ethiopian origin in the Hadassah AIDS center between April 2021 and December 2022. Demographic and clinical data were collected and compared to the questionnaire's outcomes. Relationships with questionnaire outcomes were analyzed using chi-square tests, ANOVA, T-tests, and Wilcoxon-rank test.</div></div><div><h3>Results</h3><div>Ninety patients were recruited to the study, 60% of them were identified by at least one of the questionnaires as suffering from depression, anxiety, or psychopathology, with both questionnaires yielding consistent results. A significant correlation was found between depression or psychopathology and employment status, immigration dates 2000–2009, CD4 at diagnosis, current viral load, and the number of antiretroviral pills taken.</div></div><div><h3>Conclusions</h3><div>We found a higher-than-expected rate of psychiatric morbidity among Ethiopian immigrants living with HIV in Israel, exceeding global rates reported for PLWH. The strong correlation between mental health issues and social factors (unemployment, immigration year) and HIV-related factors (CD4, pill burden, viral load) underscores the role of social difficulties experienced by this community in the community's well-being. A detectable viral load should alert healthcare providers to the possibility of undiagnosed depression and/or anxiety. As untreated depression and anxiety can lead to poor treatment adherence, there is a pressing need for a structured, culturally adapted program for the detection and treatment of mental illness in this population.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100409"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147656791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to employment: The impact of health burdens among refugees in the Norwegian introduction programme","authors":"Kjærsti Thorsteinsen ,&nbsp;Rebecca Nybru Gleditsch","doi":"10.1016/j.jmh.2025.100394","DOIUrl":"10.1016/j.jmh.2025.100394","url":null,"abstract":"<div><h3>Purpose</h3><div>Refugees often experience significant health burdens that can impact their integration into the labor market. This study examines the prevalence of psychological and musculoskeletal health burdens among refugees while participating in the Norwegian Introduction Programme (NIP) and how these health burdens influence later labor marked integration.</div></div><div><h3>Methods</h3><div>Using longitudinal health registry data on 60,325 refugees who completed the NIP between 2005 and 2018, we analyzed how health burdens during the NIP affected their employment status in 2020.</div></div><div><h3>Results</h3><div>Indicate that 20.2% of refugees received a psychological diagnosis and 42.6% received a musculoskeletal diagnosis during program participation. Health burdens were associated with lower employment rates: refugees with a psychological diagnosis or a musculoskeletal diagnosis had lower odds of employment in 2020.</div></div><div><h3>Conclusions</h3><div>The findings highlight the substantial health challenges faced by refugees and their impact on labor market integration. Strengthening healthcare support and integrating health-promoting activities within the NIP may enhance refugees' ability to participate in the workforce and improve their economic outcomes. Addressing both mental and physical health burdens early in the integration process may support long-term employment and successful social integration among refugees.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100394"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does country of residence matter? A cross-sectional comparison of PTSD and depression among traumatized, treatment-seeking Syrians residing in Syria and Syrian refugees in Germany and Turkey","authors":"Max Bringmann ,&nbsp;Maya Böhm ,&nbsp;Freya Specht ,&nbsp;Max Vöhringer ,&nbsp;Majdy Aldoibal ,&nbsp;Christine Knaevelsrud ,&nbsp;Birgit Wagner ,&nbsp;Maria Böttche ,&nbsp;Yuriy Nesterko","doi":"10.1016/j.jmh.2026.100399","DOIUrl":"10.1016/j.jmh.2026.100399","url":null,"abstract":"<div><h3>Background</h3><div>Refugees, including Syrians, exhibit higher rates of posttraumatic mental disorders than non-refugee populations, partly due to traumatic events and stressors before, during, and after displacement. However, differences in symptom load cannot solely be attributed to being a refugee, as comparison groups vary in other characteristics, such as country of residence and origin. Using a cross-country comparative design, the present study examined mental health outcomes associated with being a refugee by contrasting Syrian refugees with Syrian residents.</div></div><div><h3>Methods</h3><div>Syrians residing in Syria (SRS) were compared with Syrian refugees in Germany (RSG) and Turkey (RST) regarding posttraumatic stress disorder (PTSD; using the PTSD Checklist for DSM-5), depression (using the Patient Health Questionnaire-9 (PHQ-9)), and traumatic event exposure (using a curated list of traumatic events). Participants (<em>n</em> = 689 total, <em>n</em> = 236 SRS, <em>n</em> = 254 RSG, <em>n</em> = 199 RST) were recruited from an open-label dissemination study between 2021 and 2024. Prevalence rates and trauma exposure were compared between groups, and mediation models examined trauma exposure as a potential mechanism underlying group differences, adjusting for employment, education, family status, age, and gender.</div></div><div><h3>Results</h3><div>Prevalence rates were calculated for depression (SRS: 90%, RSG: 91%, RST: 86%) and PTSD (SRS: 75%, RSG: 81%, RST: 72%), with no significant differences between refugees and Syrian residents. However, both refugee groups reported significantly more trauma load (SRS vs. RSG: <em>t</em> = -5.94, <em>p</em> &lt; 0.001; SRS vs. RST: <em>t</em> = -4.87, <em>p</em> &lt; 0.001). Mediation models indicated that trauma load partly explained existing differences in mental health outcomes between refugees and Syrian residents (Indirect effects - SRS vs. RSG for PTSD: <em>β</em> = 0.040, 95% CI [0.015, 0.065], <em>p</em> = 0.002; SRS vs. RST for depression: <em>β</em> = 0.028, 95% CI [0.003, 0.053], <em>p</em> &lt; 0.03; SRS vs. RST for PTSD: <em>β</em> = 0.059, 95% CI [0.028, 0.090], <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>PTSD and depression rates did not differ between refugees and Syrian residents from Syria, emphasizing the high mental health symptom burden in treatment-seeking Syrians regardless of their country of residence. Notably, though trauma exposure was higher among refugees and explained existing differences in symptom load, underscoring the need for psychosocial support across host countries.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100399"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146228946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Limited English proficiency, acculturative stress, and quality of life among Korean American patients with chronic hepatitis B","authors":"Hee-Soon Juon ,&nbsp;Gilbert C Gee ,&nbsp;Julia G Katcher ,&nbsp;Daniel Yang ,&nbsp;Katherine Smith ,&nbsp;Ann C Klassen","doi":"10.1016/j.jmh.2026.100406","DOIUrl":"10.1016/j.jmh.2026.100406","url":null,"abstract":"<div><h3>Background</h3><div>Chronic hepatitis B (CHB) is one of the most widespread liver diseases in the world and disproportionately affects Asian Americans, who are further impacted by the lower quality of life imposed by the infection. Limited English proficiency (LEP) and acculturative stress play an important role in the study of patients with CHB, but the interrelationships of LEP, acculturative stress, and health outcomes are not well studied in this population. This study aims to explore how acculturative stress mediates the relationship between LEP and health outcomes among Korean American patients with CHB.</div></div><div><h3>Methods</h3><div>A total of 365 CHB patients completed the enrollment survey. SF-12v2 was used to measure physical and mental component summary scores (PCS-12, MCS-12). The Riverside Acculturative Stress Inventory (<em>n</em> = 15, alpha=0.89) measured acculturative stress. Linear regression analyses were conducted. For mediation analyses, structural equation modeling with full information maximum likelihood estimation method was used. The bias-corrected bootstrap confidence interval (CI) method for inferential tests of the indirect effects was also conducted in mediation analysis.</div></div><div><h3>Results</h3><div>LEP was associated with higher acculturative stress (β=3.62, <em>p</em>&lt;.01). LEP had a direct effect on physical health and no direct effect on mental health. Acculturative stress partially mediated the relationship between LEP and health outcomes (e.g., PCS-12, MCS-12).</div></div><div><h3>Discussion</h3><div>This study indicates that acculturative stress plays an important role in mediating the relationship between LEP and both physical and mental health outcomes. Future studies will develop interventions to achieve better health outcomes by reducing acculturative stress in this population.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100406"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147538658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A critical interpretive synthesis of the constructed identities and experiences of refugees, asylum seekers, and undocumented migrants in relation to accessing primary care services in the UK","authors":"Jeniffer Jeyason,&nbsp;Georgia B. Black","doi":"10.1016/j.jmh.2025.100389","DOIUrl":"10.1016/j.jmh.2025.100389","url":null,"abstract":"<div><div>Refugees, asylum seekers, and undocumented migrants face significant structural and social barriers when accessing, or attempting to access, primary care delivered by the NHS in the United Kingdom. The aim of this research is to conduct a critical interpretive synthesis of primary research articles, identified via a systematic search of several online databases. This review approach was chosen in order to develop a new synthesis of the constructed identities and experiences of refugees, asylum seekers and undocumented migrants, and contribute to a further understanding of the barriers and facilitators that these populations face in relation to primary care access. This research used an interdisciplinary framework, guided by Penchansky and Thomas’ theory of healthcare access, as well as Bhaba’s, Spivak’s and Berry’s post-colonial theories. Differences in social cues, the impact of the past, and the role of communities are examples of the various barriers and enablers that refugees, asylum seekers, and undocumented migrants face in relation to primary care in the UK. This analysis generated a new model, the <em>Tangibility of Access</em>, which theorises that recognising the tangibility of various identities and experiences can provide a deeper insight into persisting barriers of primary care access. These findings highlight the implications of assuming the nature of identities and experiences in research, and identifying how differences in the knowledge of these vulnerable groups between research and policymaking can lead to continued difficulties surrounding primary care access. Further interdisciplinary research is necessary to determine the causal effects of deterrents to approaching primary care, and provide insights into how the quality of primary care can be improved, especially concerning intangible identities and experiences. A holistic perspective is needed to challenge assumptions regarding the identities and experiences of refugees, asylum seekers, and undocumented migrants, which may prove harmful to help-seeking behaviour if not confronted.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100389"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Workplace stressors as a mediating mechanism between social support and depression among Myanmar migrant workers in Thailand: A structural equation modeling approach","authors":"Nanda Win ,&nbsp;Nuchanad Hounnaklang ,&nbsp;Pankaew Tantirattanakulchai","doi":"10.1016/j.jmh.2026.100400","DOIUrl":"10.1016/j.jmh.2026.100400","url":null,"abstract":"<div><h3>Introduction</h3><div>Depression is a major global public health challenge and a leading cause of disability worldwide, with a particularly high and concerning burden among migrant workers. This research objective is to discover the association between social support and depression, and the mediating role of workplace stressors.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted via simple random sampling among 500 Myanmar migrant workers in nine factories. Workplace stressor, The Interpersonal Support Evaluation List-12, and The Center for Epidemiological Studies-Depression were used to collect the data. Mplus version 8.7 was used to construct the structural equation model.</div></div><div><h3>Results</h3><div>Among 500 total participants, the prevalence of depression was around 47%. The SEM good fit with the data (χ2/df = 3.526, RMSEA = 0.071, CFI = 0.972). Social support had negatively direct effect on workplace stressor (<em>β</em> = 0.175, <em>p</em> &lt; 0.001) as well as on depression (<em>β</em> = 0.078, <em>p</em> &lt; 0.05). Workplace stressor had positively direct effect on depression (<em>β</em> = 0.787, <em>p</em> &lt; 0.001). Social support negatively indirect effect on depression mediating through workplace stressor (<em>β</em> = 0.138, <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>These findings indicated that workplace stressors and social support are important variables that effect on depression among Myanmar migrant workers in Thailand. Therefore, health policymakers need to adopt some preventive measures for improving social support and creating a healthy working environment for migrant workers.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100400"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health care use as an aspect of immigrant integration? An analysis of health care cost convergence among new immigrants and natives in Finland","authors":"Maria Vaalavuo,&nbsp;Tuukka Holster,&nbsp;Natalia Skogberg,&nbsp;Heidi Kuusinen","doi":"10.1016/j.jmh.2025.100386","DOIUrl":"10.1016/j.jmh.2025.100386","url":null,"abstract":"<div><div>The aim of this study is to analyse 1) how average health care costs differ between newly arrived immigrants and natives in Finland, 2) whether the costs of immigrants converge to the level of natives over time, and 3) how other factors of integration are associated with convergence in health care use. We use individual-level register data on total working-age (18–64) population living in Finland between 2008 and 2017 combined with their health care use in public specialized health care. We focus on immigrants who arrived in Finland between 2008–2010. To illustrate trajectories in health care costs, we employ growth curve models. Our results show that immigrants have lower health care costs compared to natives: on average native costs are 1.6 times higher than those of immigrants. Moreover, they do not converge to the native level over a 7-years observation period. This finding of little convergence over time holds also among immigrants who have more local social, cultural, and economic capital, although the native-immigrant gap is narrower among more integrated immigrants. Notably, the costs differ remarkably between different immigrant groups and by other factors. Information on these differences is crucial for assessing equity in the distribution of health care. In addition to better health among immigrants, lower health care use among immigrants may indicate, for example, different approaches to health care use or unmet needs due to barriers to accessing health care services. To make informed policy decisions, future research is needed to uncover the factors behind the lower health care use among immigrants and whether this affects health outcomes and health inequality.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100386"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}