Journal of Migration and Health最新文献

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Depression, anxiety, and psychiatric morbidity in Ethiopian immigrants living with HIV 感染HIV的埃塞俄比亚移民的抑郁、焦虑和精神疾病
IF 2.9
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-03-31 DOI: 10.1016/j.jmh.2026.100409
Dor Gladstone , Hila Elinav , Matan-Joel Cohen , Keren Olshtain-Pops , Sarah Israel , Maya Korem , Meir Cherniak , Efrat Orenbuch-Harroch , Jacob Strahilevitz , Aryeh Dienstag , Yonatan Oster
{"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}
引用次数: 0
Female genital mutilation/cutting burden and perceptions among asylum-seeking women in Berlin, Germany: A cross-sectional study 德国柏林寻求庇护妇女切割女性生殖器官的负担和观念:一项横断面研究
IF 2.9
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-05-15 DOI: 10.1016/j.jmh.2026.100416
M.H. Barghouth , E. Kusi , A. Mueller , M. Kern , N. Bethke , J. Seybold , S. Theuring
{"title":"Female genital mutilation/cutting burden and perceptions among asylum-seeking women in Berlin, Germany: A cross-sectional study","authors":"M.H. Barghouth ,&nbsp;E. Kusi ,&nbsp;A. Mueller ,&nbsp;M. Kern ,&nbsp;N. Bethke ,&nbsp;J. Seybold ,&nbsp;S. Theuring","doi":"10.1016/j.jmh.2026.100416","DOIUrl":"10.1016/j.jmh.2026.100416","url":null,"abstract":"<div><h3>Introduction</h3><div>Germany is a major destination country for asylum-seekers, including from many countries where female genital mutilation/cutting (FGM/C) is practiced. Our study aimed to provide empirical data on FGM/C prevalence, associated health complaints and FGM/C-related perceptions among asylum-seeking women in Berlin.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among asylum-seeking women in Berlin, Germany between October 2018 and September 2022. Adult women self-reporting FGM/C were interviewed using a questionnaire querying FGM/C type, physical complaints, and pain domains, and open-ended questions on women’s experiences regarding FGM/C.</div></div><div><h3>Results</h3><div>In total, 15,167 women underwent the mandatory medical examination for asylum-seekers during the study period, 1.9% of which self-reported FGM/C. The prevalence reached 18.6% when restricting the population to FGM/C-practicing countries. Women living with FGM/C came predominantly from the African WHO region (61.9%). A total of 151 women consented to being interviewed. The majority (57.0%) self-allocated to FGM/C Type I/II. Menstrual pain was the most reported complaint (77.5%), followed by pain during defecation (29.1%). Most physical complaints were reported by slightly higher proportions among women with FGM/C type III. Women reported a median age of six years at FGM/C execution, which was performed largely by female, non-relatives (64.5%). The majority (90.1%) perceived FGM/C negatively while 7.9% had a neutral or positive attitude towards it due to its cultural significance.</div></div><div><h3>Conclusion</h3><div>FGM/C is prevalent in host countries like Germany with a potentially associated physical and psychosocial health burden. Our findings emphasize the need for a holistic, culturally sensitive response to such health demands by healthcare systems.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100416"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147995412","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}
引用次数: 0
Barriers to employment: The impact of health burdens among refugees in the Norwegian introduction programme 就业障碍:挪威介绍方案中难民健康负担的影响
IF 2.9
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2025-12-27 DOI: 10.1016/j.jmh.2025.100394
Kjærsti Thorsteinsen , Rebecca Nybru Gleditsch
{"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}
引用次数: 0
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 居住国重要吗?创伤后应激障碍和抑郁症的横断面比较,寻求治疗的叙利亚人居住在叙利亚和叙利亚难民在德国和土耳其。
IF 2.9
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-01-28 DOI: 10.1016/j.jmh.2026.100399
Max Bringmann , Maya Böhm , Freya Specht , Max Vöhringer , Majdy Aldoibal , Christine Knaevelsrud , Birgit Wagner , Maria Böttche , Yuriy Nesterko
{"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}
引用次数: 0
Limited English proficiency, acculturative stress, and quality of life among Korean American patients with chronic hepatitis B 美籍韩裔慢性乙型肝炎患者的英语水平有限、异文化压力和生活质量
IF 2.9
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-03-20 DOI: 10.1016/j.jmh.2026.100406
Hee-Soon Juon , Gilbert C Gee , Julia G Katcher , Daniel Yang , Katherine Smith , Ann C Klassen
{"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}
引用次数: 0
Mental health trajectories and family functioning among Syrian refugees in Switzerland: A five-year longitudinal study 瑞士境内叙利亚难民的心理健康轨迹和家庭功能:一项为期五年的纵向研究
IF 2.8
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-08-11 DOI: 10.1016/j.jmh.2026.100431
Kevin Morisod, Khoa Nguyen, Véronique S. Grazioli, Dario Spini, Elie Abboche, Chahnaz Abdulghafour, Patrick Bodenmann
{"title":"Mental health trajectories and family functioning among Syrian refugees in Switzerland: A five-year longitudinal study","authors":"Kevin Morisod,&nbsp;Khoa Nguyen,&nbsp;Véronique S. Grazioli,&nbsp;Dario Spini,&nbsp;Elie Abboche,&nbsp;Chahnaz Abdulghafour,&nbsp;Patrick Bodenmann","doi":"10.1016/j.jmh.2026.100431","DOIUrl":"10.1016/j.jmh.2026.100431","url":null,"abstract":"<div><h3>Background and objectives</h3><div>: Longitudinal evidence on mental health among refugee families across migration policy contexts remains limited. This exploratory longitudinal study describes probable psychiatric disorder prevalence, mental health-related quality of life (MHQoL), and family functioning among Syrian forced migrant families in Switzerland, comparing trajectories between families admitted through the Swiss Resettlement Program (SRP) and those entering through the standard asylum process (non-SRP).</div></div><div><h3>Methods:</h3><div>The study followed 115 participants from 34 Syrian families between 2019 and 2023. Participants completed repeated assessments of probable psychiatric disorders and MHQoL, including the SF-12 Mental Component Summary (SF-12 MCS). Family function-ing was assessed with the Family Assessment Device. Hierarchical linear models were used as secondary exploratory analyses to examine changes over time by migration pathway and family role while accounting for repeated observations within families.</div></div><div><h3>Results:</h3><div>Adults showed a higher prevalence of probable psychiatric disorders than children. Hierarchical linear models suggested that MHQoL trajectories differed by migration pathway over time, although these findings were attenuated in sensitivity analyses. Family functioning was not independently associated with MHQoL trajectories after adjustment. Mothers consistently reported lower SF-12 MCS scores than children across all adjusted models and sensitivity analyses, whereas fathers also reported lower scores, although to a lesser extent.</div></div><div><h3>Conclusion:</h3><div>Mental health patterns among Syrian forced migrant families were dynamic and heterogeneous. Differences in MHQoL trajectories by migration pathway and consistently lower MHQoL among mothers highlight the need for sustained, culturally responsive family-centered support. Larger longitudinal studies are needed to confirm these findings and clarify underlying mechanisms.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"14 ","pages":"Article 100431"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148771254","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
Homelessness as structural vulnerability: Precarious citizenship and migrant health in a Nordic welfare state 作为结构性脆弱性的无家可归:北欧福利国家不稳定的公民身份和移民健康。
IF 2.8
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-06-26 DOI: 10.1016/j.jmh.2026.100423
Frode Eick, Synnøve Økland Jahnsen
{"title":"Homelessness as structural vulnerability: Precarious citizenship and migrant health in a Nordic welfare state","authors":"Frode Eick,&nbsp;Synnøve Økland Jahnsen","doi":"10.1016/j.jmh.2026.100423","DOIUrl":"10.1016/j.jmh.2026.100423","url":null,"abstract":"<div><h3>Background</h3><div>Housing is a key social determinant of health, yet little is known about how homelessness shapes migrants’ health in Nordic welfare states where legal status, labour market attachment and welfare entitlements are unevenly distributed. This article examines how homelessness affects the physical and mental health of migrants, and how structural barriers limit their capacity to navigate access to health care.</div></div><div><h3>Methods</h3><div>Exploratory mixed-methods study combining registry data on shelter use in Oslo (2019–2023) and interviews with ten frontline health and social care staff at a long-term, NGO-run shelter. Analyses were informed by precarious citizenship and structural vulnerability.</div></div><div><h3>Results</h3><div>Homeless migrants represented a heterogeneous group in terms of citizenship status and health problems. Migrants’ region of origin influenced their resident status, the uncertainty of their situation, and the duration of their stay. Homelessness interacted with migrants’ pre-existing vulnerabilities, such as precarious legal and economic status, language barriers, limited access to public services, and untreated chronic disease, to accelerate health decline. Precarious citizenship can be enacted through gendered arenas of exploitation, with consequences for safety, access to care and possibilities for recovery.</div></div><div><h3>Conclusion</h3><div>Homelessness among migrants reflects structural vulnerability and contributes to cumulative disadvantage. Homelessness is not simply a backdrop to migrant ill-health; it is an active health risk that exacerbates disease, disrupts treatment, and limits recovery. Shelters and low-threshold services play a crucial bridging role by enabling access to treatment and rehabilitation. Addressing migrant health inequities requires rights-based approaches and integrated policies linking housing stability and health care access.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"14 ","pages":"Article 100423"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13352168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148424990","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
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 对难民、寻求庇护者和无证移民在英国获得初级保健服务方面的构建身份和经验的关键解释综合
IF 2.9
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2025-12-25 DOI: 10.1016/j.jmh.2025.100389
Jeniffer Jeyason, Georgia B. Black
{"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}
引用次数: 0
Workplace stressors as a mediating mechanism between social support and depression among Myanmar migrant workers in Thailand: A structural equation modeling approach 工作压力源在社会支持与泰国缅甸移工抑郁之间的中介机制:结构方程建模方法。
IF 2.9
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-01-28 DOI: 10.1016/j.jmh.2026.100400
Nanda Win , Nuchanad Hounnaklang , Pankaew Tantirattanakulchai
{"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}
引用次数: 0
Comparative Outcomes of primary PCI and one-year MACE in Iranian and Afghan Patients with STEMI: A propensity score-matched retrospective cohort at Tehran Heart Center 伊朗和阿富汗STEMI患者首次PCI和一年MACE的比较结果:德黑兰心脏中心倾向评分匹配的回顾性队列
IF 2.8
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-08-25 DOI: 10.1016/j.jmh.2026.100437
Layla Nematipour MD, Muhammadhosein Moradi MD, Farzad Masoudkabir MD, MPH, Arash Jalali PhD, Amir Khoshravan MSc, Mina Pashang MSc, Akbar Shafiee MD, MSc, Ebrahim Nematipour MD, Mojtaba Salarifar MD, Hamid Reza Poorhosseini MD, Saeed Sadeghian MD, Hassan Aghajani MD
{"title":"Comparative Outcomes of primary PCI and one-year MACE in Iranian and Afghan Patients with STEMI: A propensity score-matched retrospective cohort at Tehran Heart Center","authors":"Layla Nematipour MD,&nbsp;Muhammadhosein Moradi MD,&nbsp;Farzad Masoudkabir MD, MPH,&nbsp;Arash Jalali PhD,&nbsp;Amir Khoshravan MSc,&nbsp;Mina Pashang MSc,&nbsp;Akbar Shafiee MD, MSc,&nbsp;Ebrahim Nematipour MD,&nbsp;Mojtaba Salarifar MD,&nbsp;Hamid Reza Poorhosseini MD,&nbsp;Saeed Sadeghian MD,&nbsp;Hassan Aghajani MD","doi":"10.1016/j.jmh.2026.100437","DOIUrl":"10.1016/j.jmh.2026.100437","url":null,"abstract":"<div><h3>Background</h3><div>Although advances in primary percutaneous coronary intervention (PPCI) have significantly reduced mortality and procedure-related complications, substantial disparities persist among vulnerable populations. Afghan immigrants in Iran face intersecting socioeconomic and structural barriers that may compromise long-term cardiovascular outcomes. Addressing these inequities is crucial to improving outcomes in vulnerable populations.</div></div><div><h3>Objective</h3><div>To evaluate the success of PPCI and the one-year incidence of major adverse cardiovascular events (MACE) among Iranian and Afghan patients with ST-segment elevation myocardial infarction (STEMI) treated at Tehran Heart Center.</div></div><div><h3>Methods</h3><div>This retrospective cohort study included STEMI patients who underwent PCI at Tehran Heart Center between March 2015 and March 2024. Eligible patients were categorized by nationality. Demographic data, medical history, laboratory results, and angiographic/procedural details were retrieved from the angioplasty registry. A one-year follow-up was conducted via outpatient visits and structured telephone interviews.</div></div><div><h3>Results</h3><div>A total of 6,883 STEMI patients were analyzed (6,776 Iranian; 107 Afghan). Iranian patients were older, had higher body mass index, and more cardiovascular risk factors. Angiographic findings showed greater left main and left anterior descending artery involvement in Afghan patients, while right coronary artery involvement was more common in Iranians. After applying propensity score matching, no significant differences were found in PCI failure rates (OR: 1.54; 95% CI: 0.41–10.0; p = 0.573) or 12-month MACE (HR: 0.94; 95% CI: 0.42–2.09; p = 0.884) between the two groups.</div></div><div><h3>Conclusion</h3><div>There were no significant differences in PPCI success or one-year MACE outcomes between Iranian and Afghan STEMI patients treated at our Center.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"14 ","pages":"Article 100437"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148951394","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}
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