Journal of Migration and Health最新文献

{"title":"Antenatal group education for pregnant asylum seeker in the netherlands","authors":"Elena Soldati ,&nbsp;Anouk E.H. Verschuuren ,&nbsp;Joanne Koomans ,&nbsp;E.I. Feijen-de Jong ,&nbsp;Jelle Stekelenburg ,&nbsp;Ineke R. Postma","doi":"10.1016/j.jmh.2026.100401","DOIUrl":"10.1016/j.jmh.2026.100401","url":null,"abstract":"<div><h3>Introduction</h3><div>Pregnant asylum seekers face increased risks of adverse maternal and perinatal outcomes. Group antenatal education may improve access and engagement. We aimed to assess the preliminary impact of implementing antenatal group education sessions for pregnant asylum seekers, focusing on their effects on health literacy and satisfaction with care.</div></div><div><h3>Methods</h3><div>We conducted a prospective quasi- experimental cohortstudy with pregnant asylum seekers older than 18 years. Participants followed two sessions of group interactive care education next to regular care, while the comparison group received standard obstetric care. Knowledge on perinatal issues, the Dutch healthcare system, and satisfaction of care were tested before and after participating in the sessions. The implementation was assessed following the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation and Maintenance).</div></div><div><h3>Results</h3><div>Participation in the antenatal group education sessions was associated with an increase in knowledge scores within the intervention group. However, no significant difference was found relative to the comparison group. Satisfaction with care also did not differ significantly between groups. Reach and Adoption showed good results, while Implementation was hampered by the frequent relocations.</div></div><div><h3>Conclusions</h3><div>A relatively small sample size and high loss to follow-up because of frequent relocations have influenced the results of this study.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100401"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146182783","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":"Essential worker status, gender, and migration background disparities in COVID-19: An intersectional approach","authors":"Narges GHOROUBI ,&nbsp;Myriam KHLAT ,&nbsp;Emilie COUNIL ,&nbsp;the EpiCoV Study group","doi":"10.1016/j.jmh.2025.100392","DOIUrl":"10.1016/j.jmh.2025.100392","url":null,"abstract":"<div><h3>Objectives</h3><div>COVID-19 disproportionately hit women, immigrants, ethno-racial minorities, and essential workers. This study examines disparities in SARS-CoV-2 seropositivity by gender and migration background in France (late 2020) and assesses how much essential worker status explains them.</div></div><div><h3>Methods</h3><div>We grouped 30,018 workers from the EpiCoV cohort into four categories defined by gender and migration background. Worker status included seven categories: non-essential workers; high- and low-class healthcare workers (HCWs), social and educational workers (SEWs), and other essential workers (OEWs). We assessed SARS-CoV-2 seroprevalence across gender and migration-background groups. Non-linear decomposition analysis quantified the extent to which significant seropositivity differences were driven by unequal representation in essential occupations and varying infection risk within similar essential occupations.</div></div><div><h3>Results</h3><div>SARS-CoV-2 seropositivity was lowest among men without a migration background, higher among women without a migration background, and highest among individuals with a migration background. Compared to men without a migration background, seropositivity was 1.6 percentage points higher among women without a migration background (43.7% attributed to overrepresentation among HCWs and 5.8% to greater risk within low-class HCWs), and 6.9 percentage points higher among women with a migration background (31.5% driven by their overrepresentation among HCWs and low-class SEWs, and 19.4% by stronger risks across low-class essential jobs). The 5.3-point seropositivity gap between women with and without a migration background was 33.4% attributable to stronger infection risks among low-class SEWs and low-class OEWs.</div></div><div><h3>Conclusions</h3><div>Women bore a double burden exacerbated by their migration background: overrepresentation in certain essential jobs and elevated COVID-19 risk within these occupations.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100392"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939204","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":"Nutritional status of displaced children including unaccompanied minors on Lesvos, Greece","authors":"H. Benjeddi ,&nbsp;M.P. Gruppen ,&nbsp;S.A. Post ,&nbsp;A.D. Groenewegen ,&nbsp;E.B.K. Egen ,&nbsp;E. Samiotaki Logotheti ,&nbsp;Z. Livaditou ,&nbsp;W.P. Voskuijl ,&nbsp;A.M. Tutu-van Furth ,&nbsp;M. Boele van Hensbroek ,&nbsp;A. Terzidis ,&nbsp;M. van der Kuip","doi":"10.1016/j.jmh.2025.100393","DOIUrl":"10.1016/j.jmh.2025.100393","url":null,"abstract":"<div><h3>Introduction</h3><div>The number of displaced people worldwide has reached an unprecedented 120 million, of whom 40% are children. There is limited knowledge about the health of children in refugee camps, particularly regarding their nutritional status. This study examines the nutritional status of 304 displaced children (0–18 years) in Closed Controlled Access Centre (CCAC) Mavrovouni, Lesvos, Greece.</div></div><div><h3>Methods</h3><div>An observational study was conducted between February and August 2023 at CCAC Mavrovouni. Data collection included demographics, dietary details, health and nutritional status. The primary outcome was the prevalence of wasting, stunting and overweight using World Health Organization (WHO) criteria. We also conducted subgroup analyses for unaccompanied minors (UAMs) separately. Secondary outcomes of our study included the role of breastfeeding and other factors that potentially affect nutritional status.</div></div><div><h3>Results</h3><div>The overall prevalence of stunting among minors in CCAC at baseline was 11%. 10% of children under five were wasted. Of all children, 5% underweight and 13% were overweight. Nutritional status does not change during their stay in the camp: wasting (improvement in Z-score by 0.2, 95% CI -0.5–0.1), stunting (decrease in Z-score by 0.07, 95% CI -0.2–0.3). There was a significantly higher prevalence of stunting in the UAM sub-group (31%, <em>p</em> &lt; 0.01). No association was found between breastfeeding and weight-for-height Z-scores under two years old (Z-score difference of 1.3, <em>p</em> = 1.18), but there was in the larger age group up to five (Z-score difference of 0.82, <em>p</em> &lt; 0.01).</div></div><div><h3>Conclusions</h3><div>Our results show that poor nutritional status is prevalent amongst displaced children on Lesvos, highlighting their vulnerability. Our results underline the compromised health and vulnerability of UAMs, with nearly one third of this group being stunted.. The unexpected prevalence of overweight highlights complex nutritional challenges.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100393"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939208","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":"Intersectional relationships between age, sex, ethnicity, nationality and experience of racism in the UK using different ethnicity categorisations: A comparative study using survey data","authors":"Joseph Lam ,&nbsp;Aaron Koay ,&nbsp;Mario Cortina-Borja ,&nbsp;Robert Aldridge ,&nbsp;Ruth Blackburn ,&nbsp;Katie Harron","doi":"10.1016/j.jmh.2025.100384","DOIUrl":"10.1016/j.jmh.2025.100384","url":null,"abstract":"<div><div>Traditionally, research has relied on broad ethnic categories such as \"Asian,\" \"Black,\" \"White,\" \"Mixed,\" and \"Other.\" These categories often mask significant variations in experiences and outcomes among ethnic subgroups. The Intersectional Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (I-MAIHDA) approach has become an increasingly recognised quantitative method to study intersectional health inequities. There is a need for better understanding of how the granularity with which ethnicity is measured impacts the interpretation of I-MAIHDA. We used the Evidence from Equality National Survey: A Survey of Ethnic Minorities During the COVID-19 Pandemic, 2021 (EVENS) study, a cross-sectional survey conducted between February and November 2021, including 14,221 individuals with 21 ethnic categories. We constructed intersectional social strata using sex, age, ethnicity and UK nationality. We compared models using 21-category and 5-category ethnicity on describing predicted lifetime experience of racism. Overall, 65% of participants reported experiencing racism in their lifetime. The 5-category model has a higher interaction effect compared to 21-caterogy model due to artefacts from coarse ethnic categorisation. While the interaction effects in 21-category model are smaller, they are potentially more meaningful. The 21-cateogory models revealed significant variations within coarse ethnic groups, showing that individuals from Black Caribbean, African and mixed backgrounds had a higher likelihood of experiencing racism, regardless of UK nationality. The 5-category model failed to attribute the protective effect of not being UK nationality to lower predicted experience of racism in White other backgrounds. Our study demonstrates that using more granular ethnicity categories can lead to more accurate and specific insights in characterising inequities when applying quantitative intersectional approaches, over and above coarse ethnicity groupings used in I-MAIHDA or traditional non-interactive models.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100384"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145749686","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":"How loneliness mediates the association between migration status and health trajectories: Longitudinal evidence from Germany","authors":"Songyun Shi ,&nbsp;Silvia Loi","doi":"10.1016/j.jmh.2026.100408","DOIUrl":"10.1016/j.jmh.2026.100408","url":null,"abstract":"<div><h3>Objectives</h3><div>Evidence shows that immigrants tend to have better health upon arrival, but they experience faster health deterioration than non-immigrants. However, rarely do we assess the role of loneliness in shaping health disparities by migration status. This study examines how loneliness mediates the relationship between migration status and health.</div></div><div><h3>Methods</h3><div>Using nationally representative data from the 2012–2020 German Socio-Economic Panel, we apply a parallel process latent growth curve model with mediation analysis to examine the direct associations of migration status with mental and physical health trajectories, as well as the mediating role of loneliness, by gender and age at migration (6609 non-immigrants; 634 immigrants).</div></div><div><h3>Results</h3><div>Among women loneliness mediates the relationship between migration status and mental health (<em>β</em> = −0.013, 95 % CI = −0.022 - −0.006, <em>p</em> &lt; 0.01). Immigrants are more likely to experience loneliness, which is associated with poorer mental health. Analyses that account for gender and age at migration differences reveal that loneliness mediates the relationship only among women who moved to Germany after age 18 (<em>β</em> = −0.015, 95 % CI = −0.024 - −0.008, <em>p</em> &lt; 0.001).</div></div><div><h3>Discussion</h3><div>Loneliness contributes to mental health disparities between immigrant and non-immigrant women. Immigrant women who migrated after age 18 are particularly vulnerable. We do not observe the same mechanism among men, nor for physical health. Given that the mechanisms vary by age at migration and gender, future studies should tailor their analyses to specific population subgroups to better understand the drivers of migration-related health disparities.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100408"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147656657","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":"Using pension payments abroad to examine post-retirement migration and health among Finnish migrants in Sweden","authors":"Agneta Cederström ,&nbsp;Kaarina Korhonen ,&nbsp;Pekka Martikainen ,&nbsp;Olof M Östergren","doi":"10.1016/j.jmh.2026.100411","DOIUrl":"10.1016/j.jmh.2026.100411","url":null,"abstract":"<div><div>This prospective cohort study used linked Swedish administrative registers and pension payment data to examine post-retirement migration patterns and health selection among Finnish migrants compared to native-born Swedes. The cohort included individuals born between 1938 and 1955 who were resident in Sweden at age 64, with follow-up from age 65 until death or the end of 2021 (<em>n</em> = 1794,196; 80,313 Finnish-born). Health status was assessed using the Charlson Comorbidity Index (CCI), while pension payments were used to identify country of residence and mortality occurring after emigration. Post-retirement emigration was substantially more common among Finnish migrants (3.0 %) than native-born Swedes (0.3 %), primarily due to return migration to Finland. Contrary to the “salmon bias” hypothesis, poorer health reduced rather than increased the likelihood of emigration for both groups. Among Finnish migrants, lower CCI scores, male sex, being unmarried, and lower income predicted a higher likelihood of post-retirement migration. Sequence analyses revealed three distinct Finnish migration trajectories: early return, late return, and return with onward migration. Mortality did not differ significantly between Finnish migrants who remained in Sweden and those who resided in Finland or other countries; adjusted models even indicated slightly lower mortality among return migrants Extending follow-up abroad with pension data did not change mortality estimates, indicating unrecorded deaths abroad likely did not bias results. The findings indicate positive health selection into return migration and no evidence of a salmon bias effect. Post-retirement migration among Finnish migrants in Sweden is rare and has little impact on migrant–native mortality differences.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100411"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147656792","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":"Mental health and quality of life of migrants in transit through the Darién gap: A cross-sectional assessment in Panama","authors":"Justo Pinzón-Espinosa ,&nbsp;Jennifer Toller Erausquin ,&nbsp;Eugenia Flores Millender ,&nbsp;Tomás Rincón ,&nbsp;Gonzalo Cabezas Talavero ,&nbsp;Carlos Franco-Paredes ,&nbsp;Narcis Cardoner ,&nbsp;Casey D. Xavier Hall ,&nbsp;Frankie Y. Wong ,&nbsp;Liying Wang ,&nbsp;Carmen Alvarez ,&nbsp;Amanda Gabster","doi":"10.1016/j.jmh.2026.100405","DOIUrl":"10.1016/j.jmh.2026.100405","url":null,"abstract":"<div><h3>Background</h3><div>Migration through the Darién Gap en route to the US peaked in 2023, with hundreds of thousands of people in transit exposed to physical and psychological health hazards. However, systematic data on mental health conditions for this population remain limited. This study explored the prevalence of psychological symptoms, mental disorders, exposure to psychological trauma, and health-related quality of life among migrants in transit through Darién and described age- and sex-based differences.</div></div><div><h3>Methods</h3><div>In January 2022, we conducted a cross-sectional mental health assessment at a government-run Migrant Reception Station in Darién, Panama. Randomly selected adults and adolescents aged ≥12 years completed the Refugee Health Screener-15 (RHS-15) and the EUROHIS-QoL-8. Those who screened positive were offered clinical evaluation by mental health specialists using the Mini International Neuropsychiatric Interview.</div></div><div><h3>Results</h3><div>Among 137 participants (median 30.0 years [IQR 11.0]; 54.1 % male), 65.0 % screened positive for psychological distress, and 35.6 % met the diagnostic criteria for at least one psychiatric disorder. Trauma- and stress-related disorders (24.4 %) and depressive disorders (17.0 %) were most prevalent. Females reported higher exposure to psychological trauma during the crossing relative to males (43.6 % vs. 23.3 %; <em>p</em> = 0.01) and higher prevalence of history of mental disorder (25.8 % vs. 5.5 %; <em>p</em> = 0.001). A larger proportion of adolescents and younger adults [12–24 years] scored at-risk for suicide compared with older participants [ages 25 years and older] (36.7 % vs. 10.5 %, <em>p</em> = 0.001). Findings highlight significant mental health burden during transit and suggest the potential utility of targeted screening and referral mechanisms in reception settings.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100405"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147656790","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 Resilience and Inequality in Healthcare Utilization: A Longitudinal Comparison Between North Korean Refugees and South Korean Residents","authors":"Ki-Bong Yoo ,&nbsp;Young-Jin Kim ,&nbsp;Ye-Won Jung ,&nbsp;Jin-Won Noh","doi":"10.1016/j.jmh.2026.100407","DOIUrl":"10.1016/j.jmh.2026.100407","url":null,"abstract":"<div><h3>Introduction</h3><div>This study compared the long-term patterns of healthcare utilization and health status of North Korean refugees (NKRs) and South Korean residents following the refugees’ resettlement in South Korea.</div></div><div><h3>Methods</h3><div>This population-based cohort study utilized customized data from the National Health Insurance between 2007 and 2022. The NKRs were matched in a 1:5 ratio with South Korean residents from the general population based on year of first healthcare utilization , age, sex, income level, disability status, and region. The final study sample comprised 23,836 NKRs and 118,280 South Korean residents. Healthcare utilization was measured by the length of stay (LOS), number of outpatient visits, and total medical expenditure. Health indicators were assessed using the Charlson Comorbidity Index and number of primary diagnoses. The Generalized Estimating Equation was used to analyze temporal trends, and the Cox proportional hazards model for survival analysis.</div></div><div><h3>Results</h3><div>NKRs incurred significantly higher total medical expenditures compared to South Koreans during the initial seven months following resettlement. Subsequently, expenditures decreased but gradually increased over time, similar to the pattern observed for South Koreans.</div></div><div><h3>Discussion</h3><div>The key finding indicated that NKRs exhibited higher healthcare utilization and disease burden compared to South Korean residents, during the initial post-settlement period. Although this disparity appeared to stabilize over time, refugees continued to demonstrate higher medical service use and poorer health status in the long term. Notably, the Cox regression analysis revealed a significantly lower risk of mortality among refugees compared to South Koreans.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100407"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147802179","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":"Using the Refugee Health Screener with Children and Young People Seeking Asylum and Refugees who are unaccompanied (CYPSAR-U): A mixed-methods evaluation","authors":"Alexandra Cardoso Pinto ,&nbsp;Zoe Given-Wilson ,&nbsp;Nikola Mongey ,&nbsp;Mishka Mahdi ,&nbsp;Caroline Foster","doi":"10.1016/j.jmh.2026.100413","DOIUrl":"10.1016/j.jmh.2026.100413","url":null,"abstract":"<div><h3>Introduction</h3><div>Children and Young People seeking asylum and refugees who are unaccompanied (CYPSAR-U) have a high risk of developing depression, anxiety, and post-traumatic stress disorder (PTSD), yet culturally sensitive screening approaches remain limited. This evaluation explored the use of the Refugee Health Screener (RHS), focusing on patient outcomes and healthcare professionals’ experiences of administration.</div></div><div><h3>Methods</h3><div>A mixed-methods service evaluation was conducted in two London-based clinics. The demographics, language, interpreter use, and RHS scores were extracted from electronic health records of 115 CYPSAR-U screened using either the RHS-13 (West London Clinic, WLC) or RHS-15 (North London Clinic, NLC) and analysed descriptively. Semi-structured discussions with 10 healthcare professionals who administered the RHS across both clinics were examined using content analysis.</div></div><div><h3>Results</h3><div>In WLC, 48 CYPSAR-U (median age 16 years, 87.5% male) mainly originated from Eritrea (21.3%), Sudan (17.0%), and Ethiopia (12.8%), while in NLC, 67 CYPSAR-U (median age 17 years, all male) were primarily from Iran (20.9%), Sudan (20.9%), Eritrea (13.4%), and Iraq (13.4%). In the WLC RHS assessments were mostly conducted in English (52.1%) or Arabic (33.3%), with interpreters in 85.4% of consultations. At the NLC all were in English with an interpreter. At the WLC, 56% of young people scored above the clinically significant threshold of the RHS, requiring further assessment and support. At the NLC, 67% scored above the RHS clinically significant threshold. Most frequently endorsed symptoms were low mood and excessive thoughts. Clinicians reported that the RHS supported early identification, facilitated multidisciplinary communication, and helped build rapport with young people. However, challenges included linguistic and cultural barriers, interpreter variability, time pressures, and difficulties in comprehension for some CYPSAR-U.</div></div><div><h3>Conclusion</h3><div>Within the two evaluated services, the RHS provided a structured approach to support early identification of emotional distress among CYPSAR-U and facilitated communication between healthcare professionals across services. However, challenges related to cross-cultural communication and interpretation were identified. These findings highlight the importance of using the RHS alongside clinical judgement and embedding it within trauma-informed care pathways in similar service contexts.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100413"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147858707","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 shocks and earnings trajectories: A comparative study of migrants and natives in Finland","authors":"Waseem Haider ,&nbsp;Laura Salonen ,&nbsp;Elina Kilpi-Jakonen","doi":"10.1016/j.jmh.2025.100387","DOIUrl":"10.1016/j.jmh.2025.100387","url":null,"abstract":"<div><h3>Objective</h3><div>The earnings gap between migrants and natives is well-documented, but the extent to which health shocks contribute to this gap remains unclear. We estimated the impact of a health shock on long-term earnings for both natives and migrants from different regions of origin.</div></div><div><h3>Methods</h3><div>Using high-quality full-population register data, we followed all residents aged 25 to 58 years in 2011, who were employed and did not experience a health shock between 2011 and 2012. A health shock was defined as the unanticipated hospitalization in 2013–14. Annual earnings were followed from 2011 to 2018. Using an event-study approach, we estimated the average treatment effects on the treated using dynamic difference-in-differences models stratified by gender and region of origin.</div></div><div><h3>Results</h3><div>Health shocks led to substantial and persistent earnings losses. On average, the health shock reduced earnings levels by 7.4 % for natives and 13.5 % for migrants compared to their pre-shock earnings levels. Among migrants, significant declines were observed in earnings among those from European &amp; Western, Russia and the former Soviet Union, as well as from ‘other’ region of origin. By gender, the earnings penalty due to health shocks was greater for migrant men (17.7 %), 1.5 times that of their female counterparts (8.6 %).</div></div><div><h3>Conclusions</h3><div>The overall migrant–native difference of about six percentage points was small. Even if the average earnings penalty of a health shock is similar across groups, health shocks could still contribute to migrant–native disparities if migrants are more likely to experience such shocks initially.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100387"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939293","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}