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Violence Against Women and its Effects on Mental Health and Quality of Life: A Study of Myanmar Migrant Workers in Central Thailand 对妇女的暴力行为及其对心理健康和生活质量的影响:对泰国中部缅甸移民工人的研究
IF 3.9
Journal of Migration and Health Pub Date : 2024-10-09 DOI: 10.1016/j.jmh.2024.100272
{"title":"Violence Against Women and its Effects on Mental Health and Quality of Life: A Study of Myanmar Migrant Workers in Central Thailand","authors":"","doi":"10.1016/j.jmh.2024.100272","DOIUrl":"10.1016/j.jmh.2024.100272","url":null,"abstract":"<div><h3>Background</h3><div>Women migrant workers are vulnerable to violence. Violence against women is a pervasive public health problem, violates women's rights, and may adversely affect women's quality of life (QoL) and mental health. However, few studies have focused on this problem among migrant women workers from Myanmar.</div></div><div><h3>Objective</h3><div>This study aimed to use structural equation modeling to investigate the effect of violence against migrant women workers from Myanmar on their QoL and mental health.</div></div><div><h3>Methods</h3><div>This study was a cross-sectional study of 378 migrant women workers from Myanmar in Central Thailand, conducted by multistage sampling. The authors collected the data through a face-to-face structured interview using standard questionnaires and then investigated the effects of violence on QoL and mental health mediated by social support while considering the effects of socioeconomic status on violence.</div></div><div><h3>Results</h3><div>More than half the women had experienced violence within 12 months (58.7%). Violence had a direct negative impact on their QoL and a direct positive association with mental health problems. Social support did not mediate these effects but did have a direct positive impact on QoL and a direct negative association with mental health problems. Socioeconomic status was directly affected by violence and had an indirect impact on QoL and mental health mediated by violence.</div></div><div><h3>Conclusion</h3><div>The study raises awareness about violence's impact on the QoL and mental health of migrant women workers from Myanmar in Thailand. We highlight the urgent need for comprehensive initiatives to provide social support mechanisms and promote socioeconomic empowerment. Collaborative efforts among government, nongovernment organizations, and communities are crucial for ensuring legal protections and safe working conditions, with regular monitoring and evaluation to gauge effectiveness in preventing violence and promoting these women's QoL and mental health.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142418454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impacts of climate change-induced natural hazards on women and their human rights implications: A study in the southwest coast of Bangladesh 气候变化引发的自然灾害对妇女的影响及其对人权的影响:孟加拉国西南海岸研究
IF 4.6
Journal of Migration and Health Pub Date : 2024-01-01 DOI: 10.1016/j.jmh.2024.100221
Md Shamsuddoha, Md. Akib Jabed, Md Shahnul Islam, Naznin Sultana, Al Imran, Sheikh Nur Ataya Rabbi, Tanje Un Jenat, Shanjia Shams, Mir Mehoraf Sharif
{"title":"Impacts of climate change-induced natural hazards on women and their human rights implications: A study in the southwest coast of Bangladesh","authors":"Md Shamsuddoha,&nbsp;Md. Akib Jabed,&nbsp;Md Shahnul Islam,&nbsp;Naznin Sultana,&nbsp;Al Imran,&nbsp;Sheikh Nur Ataya Rabbi,&nbsp;Tanje Un Jenat,&nbsp;Shanjia Shams,&nbsp;Mir Mehoraf Sharif","doi":"10.1016/j.jmh.2024.100221","DOIUrl":"https://doi.org/10.1016/j.jmh.2024.100221","url":null,"abstract":"<div><p>Women in coastal areas are particularly vulnerable to climate change impacts due to existing gender inequality and socio-cultural norms in Bangladesh. This research aims to explore the vulnerability of women to climate change-induced natural hazards, the challenges they face due to the chain impacts of climate change, and the resulting violation of women's rights. Quantitative and qualitative data were used in this study, where 260 structured questionnaire surveys and 15 Focus Group Discussions were performed at Mongla and Shyamnagar Upazilas in Bagerhat and Satkhira districts, respectively. The quantitative data were analyzed using SPSS 26.0 software, and qualitative data was analyzed thematically. The results disclose that most respondents in Mongla and Shyamnagar reported an increase in the occurrence rate of climate change-induced natural hazards, with cyclones, salinity, and riverbank erosion being the most devastating in Mongla and cyclones, salinity, and storm surges in Shyamnagar. It affects the lives and livelihoods of people, with women being particularly vulnerable due to limited access to education, healthcare, and economic opportunities, and women's rights are violated in these areas. Half of the study area's population has been suffering from infections or inflammation in reproductive organs, especially among fisherwomen. The findings of this study recommend that provisions for alternative livelihoods should be made for women, and all women must be brought under the umbrella of fair social safety net programs.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000114/pdfft?md5=ebdb2708525229ca2954c59577e01bbe&pid=1-s2.0-S2666623524000114-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140113876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Everyday discrimination, co-ethnic social support and mood changes in young adult immigrants in Germany–Evidence from an ecological momentary assessment study 德国年轻成人移民的日常歧视、同族裔社会支持和情绪变化--来自生态瞬间评估研究的证据
IF 4.6
Journal of Migration and Health Pub Date : 2024-01-01 DOI: 10.1016/j.jmh.2024.100212
Heike Krüger
{"title":"Everyday discrimination, co-ethnic social support and mood changes in young adult immigrants in Germany–Evidence from an ecological momentary assessment study","authors":"Heike Krüger","doi":"10.1016/j.jmh.2024.100212","DOIUrl":"10.1016/j.jmh.2024.100212","url":null,"abstract":"<div><h3>Objective</h3><p>In the context of international migration flows, Germany is the second largest receiving country of migrants in the world. The aim of this study is to investigate the momentary mood effects of discrimination experiences for young adult immigrants and which social resources can buffer negative effects. A distinction is made between the importance of inter and intra-ethnic interaction partners in processing stressors.</p></div><div><h3>Method</h3><p>Using an ecological momentary assessment design, first-generation migrants in Germany who had recently migrated from Poland, Turkey or Syria were interviewed three times a day over seven days in June 2021 (N individuals = 976; N observations = 11,470). The timing of the short surveys was chosen at random using a signal contingent sampling method. Participants reported their momentary mood and instances of discrimination, along with information on social support perception and interaction partners during the preceding hour in the context of their everyday lives. Hybrid mixed-effects regression models were estimated and the research questions were tested with three-way interactions.</p></div><div><h3>Results</h3><p>The results indicate that perceived social support only moderately buffers the negative effect of everyday discrimination experiences on mood. A positive main effect on mood is observed for situational variations in perceived social support as well as for support from interaction partners.</p></div><div><h3>Conclusion</h3><p>The findings illustrate that being embedded in supportive relationships is important in everyday life, regardless of the occurrence of stressors. Furthermore, the study suggests that the level of perceived support is more important for first-generation migrants than the ethnic origin of the support provider.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000023/pdfft?md5=e4d33945615ef054a4016cc371da7d48&pid=1-s2.0-S2666623524000023-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139395274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Breast cancer-specific survival among immigrants and non-immigrants invited to BreastScreen Norway 应邀参加挪威乳腺癌筛查的移民和非移民的乳腺癌特异性存活率
IF 4.6
Journal of Migration and Health Pub Date : 2024-01-01 DOI: 10.1016/j.jmh.2024.100222
Sameer Bhargava , Jonas Gjesvik , Jonas Thy , Marthe Larsen , Solveig Hofvind
{"title":"Breast cancer-specific survival among immigrants and non-immigrants invited to BreastScreen Norway","authors":"Sameer Bhargava ,&nbsp;Jonas Gjesvik ,&nbsp;Jonas Thy ,&nbsp;Marthe Larsen ,&nbsp;Solveig Hofvind","doi":"10.1016/j.jmh.2024.100222","DOIUrl":"https://doi.org/10.1016/j.jmh.2024.100222","url":null,"abstract":"<div><h3>Introduction</h3><p>We have previously shown that immigrants have lower attendance in BreastScreen Norway than non-immigrants and that non-Western immigrants have lower incidence of breast cancer, but more advanced disease.</p></div><div><h3>Purpose</h3><p>To compare breast cancer-specific survival for immigrants versus non-immigrants diagnosed with screen-detected or symptomatic breast cancer.</p></div><div><h3>Material and methods</h3><p>We analyzed data from 28,320 women aged 50–69 diagnosed with breast cancer after being invited to BreastScreen Norway. We divided women into three groups; non-immigrants, immigrants from Western countries and immigrants from non-Western countries. We stratified our analyses according to detection mode (screen-detected breast cancer, interval cancer and cancer detected outside screening), and used cox regression to model the association between immigrants/non-immigrants and time to breast cancer death.</p></div><div><h3>Results</h3><p>Among screen-detected breast cancers, 28.7% were histologic grade 3 among immigrants from non-Western countries compared to 21.3% among non-immigrants. Interval cancers and cancers detected outside screening had larger tumor diameter and a higher percentage were histologic grade 3 and lymph node positive among immigrants from non-Western countries compared to non-immigrants. Hazard ratio (95% confidence interval) adjusted for age and year of diagnosis for time to breast cancer death compared to non-immigrants was 0.70 (0.39–1.27) for immigrants from Western countries and 0.52 (0.23–1.17) for immigrants from non-Western countries.</p></div><div><h3>Conclusion</h3><p>Despite more advanced histopathological tumor characteristics among immigrants from non-Western countries compared to non-immigrants, we did not observe statistically significant differences in breast-cancer specific survival between the two groups. Keeping in mind the low number of breast cancer deaths and possible overestimation of survival among immigrants, this might imply that equity in outcome can be achieved through adequate follow-up and treatment despite inequal access.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000126/pdfft?md5=0f26e7d4ce6e7d6f07000e1cfa1a11bd&pid=1-s2.0-S2666623524000126-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140069278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of a co-designed exercise and sport intervention on cardiorespiratory fitness and metabolic syndrome components among individuals living in a refugee camp in Greece: A randomized controlled trial 共同设计的运动和体育干预措施对希腊难民营居民心肺功能和代谢综合征成分的影响:随机对照试验
IF 4.6
Journal of Migration and Health Pub Date : 2024-01-01 DOI: 10.1016/j.jmh.2024.100227
Florian Knappe , Konstantinia Filippou , Antonis Hatzigeorgiadis , Ioannis D. Morres , Emmanouil Tzormpatzakis , Elsa Havas , Harald Seelig , Sebastian Ludyga , Flora Colledge , Marianne Meier , Yannis Theodorakis , Roland von Känel , Uwe Pühse , Markus Gerber
{"title":"Effects of a co-designed exercise and sport intervention on cardiorespiratory fitness and metabolic syndrome components among individuals living in a refugee camp in Greece: A randomized controlled trial","authors":"Florian Knappe ,&nbsp;Konstantinia Filippou ,&nbsp;Antonis Hatzigeorgiadis ,&nbsp;Ioannis D. Morres ,&nbsp;Emmanouil Tzormpatzakis ,&nbsp;Elsa Havas ,&nbsp;Harald Seelig ,&nbsp;Sebastian Ludyga ,&nbsp;Flora Colledge ,&nbsp;Marianne Meier ,&nbsp;Yannis Theodorakis ,&nbsp;Roland von Känel ,&nbsp;Uwe Pühse ,&nbsp;Markus Gerber","doi":"10.1016/j.jmh.2024.100227","DOIUrl":"https://doi.org/10.1016/j.jmh.2024.100227","url":null,"abstract":"<div><h3>Background</h3><p>The metabolic syndrome epidemic, including in forcibly displaced individuals, requires cost-effective prevention and treatment strategies. Yet, the health needs of forcibly displaced individuals often remain underserved. Our study evaluated the effect of a co-designed exercise and sport intervention on cardiorespiratory fitness and metabolic syndrome components among individuals in a refugee camp in Greece and examined the indirect effect through cardiorespiratory fitness on metabolic syndrome components.</p></div><div><h3>Methods</h3><p>We conducted a randomized controlled trial involving an intervention and a wait-list control group with <em>n</em> = 142 (52.8 % women) forcibly displaced Southwest Asians and Sub-Saharan Africans. The intervention group participated for 10 weeks in exercise and sport activities. Outcomes were cardiorespiratory fitness and single metabolic syndrome components. Effects were analyzed with structural equation modeling.</p></div><div><h3>Results</h3><p>In total, 62.7 % of participants presented with low cardiorespiratory fitness levels (&lt;40th percentile), and 24.6 % met the criteria for metabolic syndrome. In the intervention group, 73.5 % attended the exercise and sport sessions at least once a week. There was evidence for a direct intervention effect on cardiorespiratory fitness, ß<sub>direct</sub> = 0.12, <em>p</em> = 0.022, but not for any of the metabolic syndrome components (<em>p</em> ≥ 0.192). Cardiorespiratory fitness significantly facilitated the intervention's indirect effect on abdominal obesity, ß<sub>indirect</sub> = −0.03, <em>p</em> = 0.012, high diastolic blood pressure, ß<sub>indirect</sub> = −0.04, <em>p</em> = 0.011, and elevated triglycerides, ß<sub>indirect</sub> = −0.03, <em>p</em> = 0.025.</p></div><div><h3>Conclusion</h3><p>Implementing exercise and sport activities in a refugee camp in Greece effectively reaches a wider target population and improves cardiorespiratory fitness among forcibly displaced individuals. The intervention contributes to a decrease in abdominal obesity, high diastolic blood pressure and elevated triglycerides indirectly via improved cardiorespiratory fitness.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000175/pdfft?md5=83267243c4634d82de0f20a3ed480d65&pid=1-s2.0-S2666623524000175-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140328617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From basic care to beyond: A Q methodology study into the English communication needs among Thai caregivers of foreign older adults 从基本护理到其他护理:关于外国老年人的泰国护理人员英语交流需求的 Q 方法研究
IF 3.9
Journal of Migration and Health Pub Date : 2024-01-01 DOI: 10.1016/j.jmh.2024.100253
{"title":"From basic care to beyond: A Q methodology study into the English communication needs among Thai caregivers of foreign older adults","authors":"","doi":"10.1016/j.jmh.2024.100253","DOIUrl":"10.1016/j.jmh.2024.100253","url":null,"abstract":"<div><p>A shift toward the aging population worldwide brings about a growing demand of caregivers, who can communicate effectively with their care recipients. Using Q methodology, this study investigates the English communication needs among Thai caregivers of foreign older adults, aiming to profile the specific tasks that necessitate effective intercultural communication. Data were collected through card-sorting task and follow-up interviews. The findings show that caregiver's target tasks can be classified into <em>hands-on nurturers, emotional supporters</em>, and <em>trusted companions</em>. The hands-on nurturers focused on tasks requiring direct physical care and day-to-day assistance, emphasizing the role of English in activities such as bathing and aiding with hygiene. The emotional supporters recognized the importance of English in providing psychological and emotional comfort. Trusted companions placed value on English for fostering social connections, engaging in leisurely activities, and facilitating casual exchanges. This study highlights Thai caregivers’ multifaceted roles, stressing the necessity for comprehensive English training for intercultural communication in caregiving.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000424/pdfft?md5=af3027b7a27c76296f0229d052d84fcd&pid=1-s2.0-S2666623524000424-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Albania and Kosovo-Albania Immigrants' Perceptions of Mental Well-Being and the Psychological Challenges Faced in Malaysia 阿尔巴尼亚和科索沃-阿尔巴尼亚移民对心理健康的看法以及在马来西亚面临的心理挑战
IF 4.6
Journal of Migration and Health Pub Date : 2024-01-01 DOI: 10.1016/j.jmh.2024.100234
Voltisa Thartori , Nik Ahamd Hisham Ismail
{"title":"Albania and Kosovo-Albania Immigrants' Perceptions of Mental Well-Being and the Psychological Challenges Faced in Malaysia","authors":"Voltisa Thartori ,&nbsp;Nik Ahamd Hisham Ismail","doi":"10.1016/j.jmh.2024.100234","DOIUrl":"10.1016/j.jmh.2024.100234","url":null,"abstract":"<div><h3>Background</h3><p>Immigrants who relocate to a foreign country often face numerous stressors and challenges as they try to assimilate to a new culture. This transition can often have a significant impact on their mental well-being. In this qualitative study, we aim to explore and examine the life experiences of 16 Albanian and Kosovo-Albania immigrants who have settled in Malaysia, as well as those who previously resided in Malaysia but are now living in Australia and Albania.</p></div><div><h3>Objectives</h3><p>This study aimed to investigate two main objectives: (i) to explore immigrants’ psychological problems and how they perceive and approach mental well-being; and (ii) to identify the challenges and barriers that immigrants face in Malaysia.</p></div><div><h3>Methods</h3><p>The data was obtained using a qualitative phenomenological case study, using in-depth semi-structured interviews. The interviews were audio-recorded, transcribed, and thematically analysed.</p></div><div><h3>Results</h3><p>The study's findings indicate that immigrants' mental well-being is positively affected by inner peace, happiness, fulfilling family needs, a balanced life, and self-improvement. On the other hand, challenges related to visa and employment pass issues, difficulty in securing employment status, feeling like a foreigner, and lack of family support have a negative impact on their mental well-being.</p></div><div><h3>Implications</h3><p>The study's findings advocate for targeted support programmes to address the psychological challenges of Albanian immigrants. Prioritising inner peace and self-improvement benefits their mental well-being. Policymakers are encouraged to prioritise reducing employment pass difficulties and fostering an inclusive job market to improve employment opportunities for this community.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000242/pdfft?md5=92d579c1f88ebf278c4f8c78650bf938&pid=1-s2.0-S2666623524000242-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141137856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the impact of preconception care and unintended pregnancy on access to antenatal healthcare services among Rohingya women: Insights from a cross-sectional survey 探索孕前保健和意外怀孕对罗辛亚妇女获得产前保健服务的影响:横断面调查的启示
IF 4.6
Journal of Migration and Health Pub Date : 2024-01-01 DOI: 10.1016/j.jmh.2024.100213
Md Nuruzzaman Khan , Shimlin Jahan Khanam , Md Badsha Alam
{"title":"Exploring the impact of preconception care and unintended pregnancy on access to antenatal healthcare services among Rohingya women: Insights from a cross-sectional survey","authors":"Md Nuruzzaman Khan ,&nbsp;Shimlin Jahan Khanam ,&nbsp;Md Badsha Alam","doi":"10.1016/j.jmh.2024.100213","DOIUrl":"https://doi.org/10.1016/j.jmh.2024.100213","url":null,"abstract":"<div><h3>Background</h3><p>The low utilization of antenatal healthcare services among Rohingya refugee women contributes to high maternal and child mortality rates. The objective of this study was to evaluate the prevalence of antenatal healthcare services utilization and the impacts of preconception care and pregnancy intention on accessing these services among Rohingya refugee women in Bangladesh.</p></div><div><h3>Methods</h3><p>We analyzed data from 708 women collected through a multistage cross-sectional survey conducted in April 2023. The outcome variable was the uptake of at least one antenatal healthcare services, while the exposure variables were preconception care uptake and unintended pregnancy. We used a multivariate logistic regression model to determine the effects of preconception care and unintended pregnancy on antenatal care utilization, adjusting for potential covariates.</p></div><div><h3>Results</h3><p>Approximately 47 % of women reported not accessing any antenatal healthcare services during their most recent pregnancy. Moreover, around 68 % of women did not receive any preconception care, and nearly one-third of pregnancies were unintended at conception. We observed lower likelihoods of antenatal care utilization among women without preconception care or with unintended pregnancy. The negative effects were even more pronounced when women reported no use of preconception care along with experiencing mistimed (aOR, 0.61, 95 % CI: 0.45–0.77) and unwanted (aOR, 0.43, 95 % CI: 0.34–0.52) pregnancy for their most recent pregnancy.</p></div><div><h3>Conclusion</h3><p>Maternal healthcare service utilization is alarmingly low among Rohingya refugees, with a significant lack of preconception care and a high prevalence of unintended pregnancies. This underscores the critical importance of implementing awareness-building programs to increase uptake of antenatal healthcare services.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000035/pdfft?md5=5909b0e1759dc8e2629f41bcb66f4de9&pid=1-s2.0-S2666623524000035-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139505492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors associated with attendance to and completion of prenatal care visits in Colombia among urban-residing Venezuelan refugee and migrant women 居住在哥伦比亚城市的委内瑞拉难民和移民妇女接受并完成产前检查的相关因素
IF 3.9
Journal of Migration and Health Pub Date : 2024-01-01 DOI: 10.1016/j.jmh.2024.100273
{"title":"Factors associated with attendance to and completion of prenatal care visits in Colombia among urban-residing Venezuelan refugee and migrant women","authors":"","doi":"10.1016/j.jmh.2024.100273","DOIUrl":"10.1016/j.jmh.2024.100273","url":null,"abstract":"<div><div>Between 2015 and 2023, 7.3 million Venezuelans have been displaced globally. We aimed to assess uptake of and factors associated with prenatal care among Venezuelan refugees and migrants in Colombia. We analyzed data from a cross-sectional survey of 6,221 urban-residing adult Venezuelans who were displaced to Colombia between 2015 and 2022. Analyses were restricted to 917 women aged 18–49 years who reported at least one pregnancy and delivered in Colombia; of these, 564 (61.5%) women completed ≥4 prenatal care visits in their most recent pregnancy. We used general linear models with negative binomial regression to identify associations and estimate the adjusted prevalence ratios (aPrR) of variables associated with completing ≥4 prenatal care visits during last complete pregnancy (WHO's pre-2016 recommendations). Having an irregular migration status was independently associated with a 12% lower likelihood (aPrR:0.88, 95%CI:0.78–0.99; <em>p</em> = 0.028) of completing ≥4 prenatal care visits compared to women with a regular status. Participants who reported an experience of denial of prenatal care at some point while Colombia (<em>n</em> = 135; 15.2%) were 42.8% less likely (aPrR:0.57, 95%CI:0.45–0.73; <em>p</em> &lt; 0.001) to complete ≥4 prenatal care visits than those with no reported denial of care. Urban area of residence was also independently associated with prenatal care, while there was no evidence of association with educational attainment, literacy levels, or year of migration. Prenatal care attendance is suboptimal among Venezuelan refugees and migrants, particularly those with an irregular migration status, despite that prenatal care became officially available in 2018 to all Venezuelans in Colombia regardless of migration status. Reducing barriers to prenatal care by ensuring Venezuelan refugees and migrants are aware of available care, are supported in navigating the health system, and by preventing discrimination and stigma in the health facility are critical to ensuring the health and wellbeing of displaced people, their children, and the surrounding community.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142538065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors contributing to the mental wellbeing of Afghan migrants in Iran during the COVID-19 pandemic 在 COVID-19 大流行期间影响伊朗境内阿富汗移民心理健康的因素
IF 4.6
Journal of Migration and Health Pub Date : 2024-01-01 DOI: 10.1016/j.jmh.2024.100211
Fatemeh Khozaei , Qamar Ul Islam , T Ramayah , Nadia Ayub , Claus-Christian Carbon
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