Journal of Migration and Health最新文献

{"title":"Barriers and facilitators for the sexual and reproductive health and rights of displaced Venezuelan adolescent girls in Brazil","authors":"Leidy Janeth Erazo Chavez ,&nbsp;Zeni Carvalho Lamy ,&nbsp;Larissa da Costa Veloso ,&nbsp;Laura Froes Nunes da Silva ,&nbsp;Ana Maria Ramos Goulart ,&nbsp;Natalia Cintra ,&nbsp;Sarah Neal ,&nbsp;Pía Riggirozzi","doi":"10.1016/j.jmh.2024.100252","DOIUrl":"10.1016/j.jmh.2024.100252","url":null,"abstract":"<div><h3>Background</h3><p>The crisis in Venezuela has forced almost eight million people to flee to mainly neighbouring countries, including Brazil. Half of the displaced Venezuelans are women and girls, with adolescent girls facing distinctive challenges to their sexual and reproductive health during displacement and settlement. The aim of this study is to understand the barriers and facilitators for the sexual and reproductive health of adolescent Venezuelan girls residing in Brazil.</p></div><div><h3>Methods</h3><p>The study used qualitative methods, including semi-structured interviews with 19 Venezuelan migrant adolescent girls conducted in Boa Vista and Manaus. We analysed transcripts using thematic analysis, and mapped findings to a theoretical framework based on the Bronfenbrenner Socio-ecological Model, which we adapted to explore how intersectional vulnerabilities at the individual level interact with contextual factors creating barriers and facilitators for health and rights of migrant adolescent girls.</p></div><div><h3>Results</h3><p>Venezuelan adolescent migrants in Brazil face practical and structural barriers in realising their sexual and reproductive health and rights in four areas: menstruation; family planning, contraception and sexually transmitted infection; prenatal, childbirth and postnatal care; and preventing gender-based violence. The reported barriers were lack of knowledge around sexual and reproductive health rights, exposure to violence and lack of access to age-appropriate healthcare services. Mitigating factors included education (both in the family setting and at school); prevention activities undertaken by health services; care provision from non-governmental organisations and international agencies; and best practices in local health services.</p></div><div><h3>Conclusions</h3><p>Host states must take action to enhance the right to sexual and reproductive health for adolescent migrants to allow them to make autonomous, independent and informed choices. A socioecological perspective on sexual and reproductive health and rights can help formulate intersectional policies that interconnect different levels of adolescent migrants’ experience.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"10 ","pages":"Article 100252"},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000412/pdfft?md5=223335a8501e396e67bc2c871b4576f9&pid=1-s2.0-S2666623524000412-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848507","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}

{"title":"Growing up in transit. Personal development and resistance of migrant adolescents travelling through Mexico unaccompanied","authors":"Susanna Corona Maioli ,&nbsp;Delan Devakumar ,&nbsp;Shoshana Berenzon Gorn ,&nbsp;Rochelle A. Burgess","doi":"10.1016/j.jmh.2024.100245","DOIUrl":"10.1016/j.jmh.2024.100245","url":null,"abstract":"<div><p>Mexico is a major global migration corridor. The last decade has seen an increase in adolescents travelling unaccompanied from Guatemala, Honduras and El Salvador, mainly due to violence and natural disasters. This group of migrants is exposed to migration risks such as trafficking and exploitation, as well as multiple deportations and long waiting times without appropriate access to health and education services. These conditions have significant documented adverse impacts on health and mental health, but the impact on personal development has been less explored. Thus, this article aims to explore the impact of migration transit on identity and resilience of unaccompanied migrant youth, psychosocial mental health constructs that are important for wellbeing and personal development. Through 47 semi-structured interviews conducted with migrant youth and different migration workers in summer 2021 in two migrant shelters in Mexico City and Guadalajara, we found that possibilities for identity building for migrant youth were restricted in a context of curbed freedom. Violence and poverty led to loss of crucial formative years, pushing many to aspire only to work – regardless of the type of work. Resilience overlapped with resistance but was generally maintained with cultural narratives of goal achievement, faith and hope. Strong responsibility towards sending remittances to family made family one of the main goals of the migration journey. Workers highlighted how regional migration management, underlined by discriminatory policies which place profit and national security ideology before a recognition of common humanity, is a considerable barrier to funding services and advancing access to rights for youth. <strong>However, youth showed recognition of their own agency and humanity, which represents an important basis on which to build a counter-discriminatory vision and management of this migration.</strong> Results are reported according to COREQ guidelines.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"10 ","pages":"Article 100245"},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000345/pdfft?md5=67834569af6425a36539775e5f973a7d&pid=1-s2.0-S2666623524000345-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141639144","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}

{"title":"Prevalence of scabies and its associated environmental risk factors among the Forcibly Displaced Myanmar Nationals living in the Cox's Bazar district of Bangladesh","authors":"Md. Shakkor Rahman ,&nbsp;A.B.M. Nahid Hasan ,&nbsp;Ishrat Jahan ,&nbsp;Azaz Bin Sharif","doi":"10.1016/j.jmh.2024.100220","DOIUrl":"https://doi.org/10.1016/j.jmh.2024.100220","url":null,"abstract":"<div><h3>Introduction</h3><p>The Forcibly Displaced Myanmar Nationals (FDMNs) residing in refugee camps face various health challenges, including a rising prevalence of scabies, exacerbated by overcrowded conditions and limited healthcare access. This study aims to assess scabies prevalence, clinical features, and environmental factors among FDMNs, aiding interventions and recommendations for better health outcomes.</p></div><div><h3>Methodology</h3><p>A cross-sectional study was conducted from April to May 2023 in six camps of Teknaf/Ukhia Cox's Bazar. Using a multistage sampling technique, 12 blocks were identified, and FDMNs seeking healthcare services from Primary Health Care posts were invited to participate in the study. Participants were adults, and children who volunteered to participate in this study. Scabies diagnosis was based on clinical examinations of exposed body areas by trained health professionals. Data on sociodemographic factors, environmental risk factors, and scabies symptoms were obtained through a semi-structured questionnaire administered by trained interviewers. Statistical analysis included descriptive statistics, Chi-square tests, and binary logistic regression models to explore associations between scabies infection and other explanatory factors.</p></div><div><h3>Result</h3><p>A total of 679 FDMNs participated in the study, with a mean age of 29.13 years. Overall, 66.42 % of participants were diagnosed with scabies. Age, marital status, history of scabies infection, previous skin infection, family history of scabies and skin infection, floor type, pet animal, dust exposure, and seasonal exposure were significantly associated with the scabies infection. Binary logistic regression suggested that having history of scabies infection (OR 3.98, 95 % CI: 1.86 to 8.49, <em>p</em> &lt; 0.001), skin infection (OR 2.46, 95 % CI: 1.32 to 4.58, <em>p</em> = 0.004), having family history of scabies infection (OR 3.06, 95 % CI: 1.29 to 7.23, <em>p</em> = 0.011), family history of skin infection (OR 27.41, 95% CI: 14.46 to 51.97, <em>P</em> &lt; 0.001), having contact with street animal (OR 2.16, 95% CI: 1.27 to 3.66, <em>P</em> = 0.004), and winter season (OR 3.33, 95 % CI: 1.89 to 5.87, <em>p</em> &lt; 0.001) were significantly associated with scabies infection.</p></div><div><h3>Conclusion</h3><p>Tailored public health measures targeting hygiene, living conditions, and animal contact can mitigate the spread of scabies, particularly among vulnerable groups like Rohingya refugees, necessitating collaboration between stakeholders.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"9 ","pages":"Article 100220"},"PeriodicalIF":4.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000102/pdfft?md5=f0effac621233f18ccb1f7649b98a80e&pid=1-s2.0-S2666623524000102-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140041939","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}

{"title":"Cancer mortality among Colombian and foreign populations over a 15-year period","authors":"Diana M. Hernandez ,&nbsp;Amr S. Soliman ,&nbsp;Almira G.C. Lewis ,&nbsp;Isabel C. Garcés-Palacio","doi":"10.1016/j.jmh.2024.100257","DOIUrl":"10.1016/j.jmh.2024.100257","url":null,"abstract":"<div><h3>Purpose</h3><p>We aimed to compare cancer mortality among foreign- and Colombian populations in Colombia during the period of 2006–2020.</p></div><div><h3>Methods</h3><p>This retrospective study utilized vital statistics from the Colombian National Department of Statistics (DANE). The dataset included variables such as age group, sex, country of permanent residency, insurance, education level, marital status, ethnicity, and cause of death. The population data to calculate rates was obtained from the Colombian census and the United Nations. Crude and adjusted rates as well as proportional mortality rates were calculated.</p></div><div><h3>Results</h3><p>A total of 561,932 cancer deaths occurred in Colombia from 2006 to 2020. The foreign population (country of permanent residency different to Colombia) had a lower crude cancer mortality rate (31.1 per 100,000 inhabitants) than the Colombian population (81.9 per 100,000 inhabitants). However, the age-adjusted cancer mortality rate among the foreign population was 253.6 per 100,000, compared to 86.1 per 100,000 among the Colombian population. The proportional cancer mortality was 10.4 % among foreign population compared to 17.4 % among Colombian population.</p></div><div><h3>Conclusions</h3><p>The proportional cancer mortality shows that the proportion of cancer-related deaths is greater among the Colombian population compared to the immigrant population. However, immigrants in Colombia have a higher age-adjusted cancer mortality rate than Colombians, indicating that immigrants have worse cancer outcomes than the Colombians even though the immigrant population is younger. This is likely due to the frequent barriers that immigrants encounter in accessing health care in Colombia. Future research needs to focus on access to care for the immigrant population by investigating cancer-related risk factors among immigrants and addressing their barriers to cancer prevention and treatment.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"10 ","pages":"Article 100257"},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000461/pdfft?md5=f316d4c867d15f69bbfeec01e74aa68e&pid=1-s2.0-S2666623524000461-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141954563","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}

{"title":"Does network homophily persist in multicultural volunteering programs? Results from an Exponential Random Graph Model","authors":"Qiuchang (Katy) Cao ,&nbsp;Holly Dabelko-Schoeny ,&nbsp;Keith Warren ,&nbsp;Mo Yee Lee","doi":"10.1016/j.jmh.2024.100256","DOIUrl":"10.1016/j.jmh.2024.100256","url":null,"abstract":"<div><p>Few studies examined the social network structures within multicultural volunteer programs for low-income diverse older adults, making it unclear how diverse older adults establish social connections beyond their co-ethnic community. This study aims to identify the social network structures within a Senior Companion Program (SCP), a multicultural low-income volunteer program in a Midwestern Metropolitan area in the United States. Data were collected through surveys during a SCP monthly in-service training in October 2021. Russian, Khmer, Somali, Nepali, and English-speaking older volunteers in the SCP (<em>N</em> = 41) identified friends through a nomination form. Exponential Random Graph Modeling (ERGM) was used to identify statistically significant structural features of the SCP network. Graphs and ERGM results demonstrated that participants tended to form friendships with other volunteers of the same gender (β=3.27, <em>p</em> &lt; 0.001), from the same country (β=2.89, <em>p</em> &lt; 0.001), with the same education level (β=0.71, <em>p</em> &lt; 0.001), and from the same volunteer recruitment site (β=2.77, <em>p</em> &lt; 0.001). Surprisingly, there were few transitive ties (β= -1.01, <em>p</em> &lt; 0.001), the tendency to make friends with a friend of a friend, which is typically common in friendship networks. Relationships among diverse older volunteers are largely driven by homophily in this multicultural volunteer program. Addressing language barriers and assigning volunteers from different countries to the same recruitment site may counteract homophily by nationality. However, more research needs to identify whether the opportunity to interact with people of one's <em>same</em> or <em>different</em> cultural backgrounds is a stronger incentive for volunteer engagement and connectedness.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"10 ","pages":"Article 100256"},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266662352400045X/pdfft?md5=559f017a5740166510452345b9682466&pid=1-s2.0-S266662352400045X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141840942","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}

{"title":"A controlled weight loss intervention study among women of Somali background in Norway","authors":"Linn Bohler ,&nbsp;Haakon E. Meyer ,&nbsp;Hein Stigum ,&nbsp;Maria J. Leirbakk ,&nbsp;Danielle Cabral ,&nbsp;Mia Charlott Wedegren ,&nbsp;Eivind Andersen ,&nbsp;Mark L. Wieland ,&nbsp;Ahmed A. Madar","doi":"10.1016/j.jmh.2024.100231","DOIUrl":"https://doi.org/10.1016/j.jmh.2024.100231","url":null,"abstract":"<div><h3>Background</h3><p>Women of Somali background in Norway have a high prevalence of overweight and obesity, compared with women in the general Norwegian population. For lifestyle interventions to be applicable for immigrants to Norway, it is important to culturally tailor interventions in collaboration with relevant communities. The primary outcome was a difference in weight change between the intervention and control groups.</p></div><div><h3>Methods</h3><p>In this interventional study, Somali women living in one borough of Oslo Municipality in Norway with body mass index (BMI) ≥27.0 kg^.<em>m</em>^-² received a co-created, culturally tailored 12-month weight loss intervention consisting of 24 interactive sessions during the first three months, and monthly sessions for the next nine months, compared to a control group. Both groups were measured at baseline and 12 months.</p></div><div><h3>Results</h3><p>A total of 169 participants were recruited, and 101 participants completed the follow-up. After multiple imputation, the mean difference in weight change adjusted for baseline weight, age, education, employment, marital status, number of children in the household and length of Norwegian residency was -1.6 kg (95 % CI -3.57, 0.43, <em>p</em> = 0.12) in the intervention compared to the control group.</p></div><div><h3>Conclusion</h3><p>This culturally tailored intervention study demonstrated a modest non-significant effect on weight change after 12 months, possibly due to the short intervention duration and COVID-19. Further studies of a longer duration and considering the provision of childcare are needed to understand whether this approach can be transferred to other immigrant groups and genders.</p><p>Trial registration: The study was registered at clinicaltrials.gov NCT04578067, 2020-09-29.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"9 ","pages":"Article 100231"},"PeriodicalIF":4.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000217/pdfft?md5=26aa7b358afa4a5ec30d72714a6556e8&pid=1-s2.0-S2666623524000217-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140895011","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}

{"title":"Between the lines: A mixed-methods study on the impacts of parental deportation on the health and well-being of U.S. citizen children","authors":"Ana Martinez-Donate ,&nbsp;M. Gudelia Rangel ,&nbsp;Jamile Tellez Lieberman ,&nbsp;J. Eduardo Gonzalez-Fagoaga ,&nbsp;Catalina Amuedo-Dorantes ,&nbsp;Elizabeth McGhee Hassrick ,&nbsp;Carmen Valdez ,&nbsp;Kevin Wagner ,&nbsp;Yosselin Turcios ,&nbsp;Ahmed Asadi Gonzalez ,&nbsp;Xiao Zhang","doi":"10.1016/j.jmh.2024.100233","DOIUrl":"10.1016/j.jmh.2024.100233","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the impacts of parental deportation on the health and well-being of U.S. citizen children of Mexican immigrants.</p></div><div><h3>Methods</h3><p>From 2019–2020, this ambi-directional cohort study recruited U.S.-based families with an undocumented Mexican immigrant parent and U.S.-citizen childrens (ages 13–17) recently exposed to parental deportation (<em>N</em> = 61), and similar families without a history of parental deportation (<em>N</em> = 51). Children health, behavioral, economic, and academic outcomes were measured via phone surveys upon enrollment and six months later. A subsample of “exposed” caregivers (<em>N</em> = 14) also completed in-depth semi-structured interviews. Data were analyzed using fixed-effects regression models and thematic analyses.</p></div><div><h3>Results</h3><p>Childrens exposed to parental deportation had significantly worse health status, behavioral problems, material hardship, and academic outcomes than children in the control arm (<em>p</em>&lt;.05). Caregivers’ interviews illustrated these health, behavioral, academic and family impacts.</p></div><div><h3>Conclusions</h3><p>Parental deportations have wide and potentially long-lasting health, behavioral, economic, and academic consequences for U.S. citizen youth. Changes in immigration policies and enforcement practices are urgently needed to protect the unity of mixed-legal status families in the U.S. and prevent the suffering of U.S. children in these families.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"9 ","pages":"Article 100233"},"PeriodicalIF":4.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000230/pdfft?md5=d73e484b445337590c41c96ce1023a22&pid=1-s2.0-S2666623524000230-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141036472","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}

{"title":"Engagement in sexual healthcare and STI/HIV burden of first- and second-generation migrant and Western-born female sex workers in the Netherlands: A retrospective cohort study","authors":"C.M.M. Peters ,&nbsp;Y.J. Evers ,&nbsp;C.J.G. Kampman ,&nbsp;M.J. Theunissen–Lamers ,&nbsp;M.A.M. van den Elshout ,&nbsp;N.H.T.M. Dukers-Muijrers ,&nbsp;C.J.P.A. Hoebe","doi":"10.1016/j.jmh.2024.100281","DOIUrl":"10.1016/j.jmh.2024.100281","url":null,"abstract":"<div><h3>Introduction</h3><div>Scarcely available European studies suggest that migrant female sex workers (FSW) have a higher likelihood of sexually transmitted infections (STI) but a lower likelihood of HIV compared to non-migrant FSW. This study assessed demographics, STI/HIV burden, and engagement in sexual healthcare among first-generation (FGM) and second-generation (SGM) migrant FSW versus Western-born FSW.</div></div><div><h3>Methods</h3><div>This large retrospective cohort study included 27,532 Dutch STI clinic consultations from 11,363 individual FSW between 2016 and 2021. STI diagnoses (chlamydia/gonorrhoea/ infectious syphilis/infectious hepatitis B/HIV) in the first consultation were compared using Chi-squared test. Logistic regression adjusting for age, urbanity and sexual behaviour assessed associations between migration status and STI diagnoses. Incidence of repeat consultation was compared between migration groups using Cox proportional hazards regression, adjusting for age and STI clinic urbanity.</div></div><div><h3>Results</h3><div>FGM FSW (<em>n</em> = 5085) mostly originated from Eastern Europe (50.5 %) and SGM FSW (<em>n</em> = 1309) from Suriname/Netherlands Antilles (36.3 %). Among FGM, SGM and Western-born FSW, 11.4 %, 15.2 % and 13.3 %, respectively (<em>p</em> &lt; 0.001) were diagnosed with any STI. FGM FSW had a lower odds (aOR 0.78, 95 %:CI 0.65–0.94,<em>p</em> &lt; 0.01) of chlamydia or gonorrhoea diagnosis, but a higher aOR (6.38,95 %CI:2.63–15.49,<em>p</em> &lt; 0.001) of HIV, syphilis, or hepatitis B diagnosis in the first consultation. FGM FSW had a lower likelihood of a repeat consultation at any time (aHR:0.73,95 %CI:0.69–0.77,<em>p</em> &lt; 0.001) than Western-born FSW.</div></div><div><h3>Conclusion</h3><div>Migrant FSW versus Western-born FSW demonstrated a varying burden of STI, FGM heightened proportions and odds of infectious syphilis, hepatitis B and HIV and lower likelihood of repeat consultations. Enhancing accessibility and outreach efforts for migrant FSW in sexual healthcare services is imperative.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"10 ","pages":"Article 100281"},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578567","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}

{"title":"“Sometimes it can be like an icebreaker”: A mixed method evaluation of the implementation of the Refugee Health Screener-13 (RHS-13)","authors":"Ana Hagström ,&nbsp;Henna Hasson ,&nbsp;Anna-Clara Hollander ,&nbsp;Carl Vahtra ,&nbsp;Sara Delilovic ,&nbsp;Hanna Augustsson","doi":"10.1016/j.jmh.2024.100243","DOIUrl":"10.1016/j.jmh.2024.100243","url":null,"abstract":"<div><h3>Background</h3><p>Forced migrants are at risk of developing mental illness, yet challenges remain with underutilization of mental healthcare among this population. This study examined the implementation of the Refugee Health Screener-13 (RHS-13) in the health assessment for forced migrants in eight primary health care centres in Stockholm Region, Sweden.</p></div><div><h3>Methods</h3><p>A mixed-methods convergent parallel design was used, combining nurses self-reported quantitative data on the levels and reasons for RHS-13 use in the health assessment with qualitative interview data on the barriers and facilitators for RHS-13 use. The Consolidated Framework for Implementation Research (CFIR) was used as a coding framework for the qualitative analysis.</p></div><div><h3>Results</h3><p>Levels of RHS-13 use varied between primary health care centres, resulting in two groups: three centres with high-level (65–92%) and five centres with low-level (0–36%) implementation. Factors related to the tool itself, as well as the inner and outer context, influenced the use of RHS-13. Language barriers, insufficient time, and lack of trust in the validity and utility of RHS-13 were the main barriers, while its availability in many languages and that it was perceived as an important complement to the health assessment were the main facilitators.</p></div><div><h3>Conclusion</h3><p>RHS-13 contributes to the standardization of assessing mental health in the health assessment. Identifying context-based implementation strategies and addressing language and time issues as well as nurses trust in the tool's utility are recommended to enhance the use of RHS-13.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"10 ","pages":"Article 100243"},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000321/pdfft?md5=0229f441ddf971c562a651826f4dd247&pid=1-s2.0-S2666623524000321-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141695182","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}

{"title":"Abortion care access and experience among U.S. immigrants: A systematic review","authors":"Lauren J. Shiman ,&nbsp;Sarah Pickering ,&nbsp;Diana Romero ,&nbsp;Heidi E. Jones","doi":"10.1016/j.jmh.2024.100248","DOIUrl":"10.1016/j.jmh.2024.100248","url":null,"abstract":"<div><h3>Purpose</h3><p>United States (US) immigrant populations face unique barriers to accessing health care, including reproductive health care. Abortion access and experiences among immigrant populations in the US are not well understood.</p></div><div><h3>Methods</h3><p>We conducted a systematic review to synthesize existing literature about US immigrant populations’ access to and use of abortion services. Eight studies met the eligibility criteria, which included being published in English and presenting at least one finding relevant to US immigrant populations’ access to or experience utilizing abortion; key findings were identified using content analysis.</p></div><div><h3>Results</h3><p>We present results organized within three main categories: (1) overall rates of abortion among immigrant versus US-born individuals, (2) characteristics of US immigrants who receive abortion services, and (3) barriers to abortion access for US immigrant populations, which included concepts pertaining to discrimination, challenges navigating the healthcare systems, and lack of knowledge about legal rights.</p></div><div><h3>Conclusion</h3><p>Study findings illustrate three categories of results relevant to immigrant experiences accessing abortion care in the US, including revealing barriers to abortion services rooted in lack of knowledge of US institutional systems and mistreatment in clinical and legal settings due to race or immigration status. Further research is needed to better understand nuances in experiences among immigrant subpopulations, experiences of US immigrants who speak a language other than English or Spanish, and use of self-managed abortions or abortions in informal settings among US immigrants.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"10 ","pages":"Article 100248"},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000370/pdfft?md5=e9a020ec03fabcf1366c1641621728bb&pid=1-s2.0-S2666623524000370-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141736648","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}