Journal of Migration and Health最新文献

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Assessing care deficits in Ireland's international protection accommodation system: Lessons learned in COVID-19 and beyond 评估爱尔兰国际保护收容系统中的照管缺陷:COVID-19 及其后的经验教训
IF 3.9
Journal of Migration and Health Pub Date : 2024-01-01 DOI: 10.1016/j.jmh.2024.100255
Felicity Daly , Jacqui O'Riordan
{"title":"Assessing care deficits in Ireland's international protection accommodation system: Lessons learned in COVID-19 and beyond","authors":"Felicity Daly ,&nbsp;Jacqui O'Riordan","doi":"10.1016/j.jmh.2024.100255","DOIUrl":"10.1016/j.jmh.2024.100255","url":null,"abstract":"<div><p>Responding to the need for qualitative research that reveals the lived reality of how forced migrants endured the COVID-19 pandemic this paper presents findings from eleven interviews with asylum seekers residing in Ireland's Direct Provision (DP) accommodation system that detail care deficits before, during and after COVID-19 along with analysis of how care is discussed within Irish policy documents concerned with the health and wellbeing of asylum seekers. The research contributes personal testimony and documentary evidence of the inability of DP to properly adapt to the pandemic and its failure to protect the health and wellbeing of asylum seekers given pre-existing care deficits. The paper argues that an ethic of care practiced for and with asylum seekers must ensure they are not re-traumatised, and their health disparities are not exacerbated during public health crises and beyond. The findings are relevant to efforts to reform how international protection responsibilities are enacted in Ireland and other destinations of forced migrants, including EU member states.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"10 ","pages":"Article 100255"},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000448/pdfft?md5=18de0f4faacfd2da19b7b9d9526688a9&pid=1-s2.0-S2666623524000448-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141849519","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
Myanmar migrants living along the Thailand-Myanmar border: Experiences related to pandemic and migration decisions 生活在泰缅边境的缅甸移民:与流行病和移民决定有关的经历
IF 3.9
Journal of Migration and Health Pub Date : 2024-01-01 DOI: 10.1016/j.jmh.2024.100259
Wei-Ti Chen , Chengshi Shiu , Rachel H. Arbing , Khin Moe Myint , Khine Myint Oo , Shu-Sheng Lai , David Tanoko , Sarah Oung , Poy Yamada , Saiyud Moolphate , Thin Nyein Nyein Aung , Myo Nyein Aung
{"title":"Myanmar migrants living along the Thailand-Myanmar border: Experiences related to pandemic and migration decisions","authors":"Wei-Ti Chen ,&nbsp;Chengshi Shiu ,&nbsp;Rachel H. Arbing ,&nbsp;Khin Moe Myint ,&nbsp;Khine Myint Oo ,&nbsp;Shu-Sheng Lai ,&nbsp;David Tanoko ,&nbsp;Sarah Oung ,&nbsp;Poy Yamada ,&nbsp;Saiyud Moolphate ,&nbsp;Thin Nyein Nyein Aung ,&nbsp;Myo Nyein Aung","doi":"10.1016/j.jmh.2024.100259","DOIUrl":"10.1016/j.jmh.2024.100259","url":null,"abstract":"<div><h3>Importance</h3><p>In Myanmar, amid political and civil unrest, droves of Burmese are displaced to neighboring countries including Thailand. Since the COVID-19 pandemic, little is known about the available healthcare services and health and well-being among refugees and migrant workers within resettlement areas along the Myanmar-Thailand border.</p></div><div><h3>Objective</h3><p>To explore the unmet needs of migrants along the Thailand-Myanmar border during the COVID-19 pandemic and their reasons for leaving Myanmar.</p></div><div><h3>Design</h3><p>A qualitative study that used focus groups with migrant schoolteachers and school masters was undertaken. An interpretative analysis approach was used to analyze the data from the focus group sessions. The study followed the COREQ (COnsolidated criteria for REporting Qualitative) checklist.</p></div><div><h3>Setting</h3><p>In July 2022, community stakeholders from migrant schools located in the vicinity of Mae Sot, Thailand were referred to the study team.</p></div><div><h3>Participants</h3><p>A purposive sample of 17 adult participants was recruited from 4 migrant schools. The participants were schoolteachers and schoolmasters who had traveled from Myanmar to Thailand 1 to 20 years ago.</p></div><div><h3>Main Outcome(s) and Measure(s)</h3><p>Thematic analysis was used to scrutinize qualitative data for the outcomes of health and well-being, barriers, and reasons for migration.</p></div><div><h3>Results</h3><p>Three main themes were identified: “issues related to the pandemic”, “teenage marriage and pregnancies” and \"migration decisions\". The issues related to the pandemic included behavior changes in children, a diminished quality of education, and barriers to receiving COVID-19 vaccines and accessing other health care. There were more dropouts due to teenage pregnancy/marriage during the shelter in place mandate. Migration decisions were affected by concerns over health, civil unrest, and military harassment.</p></div><div><h3>Conclusions and Relevance</h3><p>This study presented the difficulties experienced by Myanmar migrants currently living along the Thailand-Myanmar border. The reasons for leaving Myanmar included health and safety. Suspending education during the pandemic caused more school dropouts due to teenage pregnancy/marriage. Additionally, behavioral changes in children, a diminished quality of education, barriers to receiving COVID-19 vaccines and access to other health care services were reported. Future studies should focus on how migration stress and access to mental health care impact the migrant population.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"10 ","pages":"Article 100259"},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000485/pdfft?md5=a172887907f2b1fba189aee690196cee&pid=1-s2.0-S2666623524000485-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141852459","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
Estimating the prevalence of chronic infections among asymptomatic migrants: results of a screening programme in Catalonia, Spain 估算无症状移民中的慢性感染流行率:西班牙加泰罗尼亚地区筛查计划的结果
IF 3.9
Journal of Migration and Health Pub Date : 2024-01-01 DOI: 10.1016/j.jmh.2024.100278
Angeline Cruz , Angela Martínez-Perez , Alex Almuedo-Riera , Carme Roca Saumell , Marina Gigante Lopez , Oriol Gasch , Gemma Falcó , Ana Jiménez-Lozano , Consol Sanchez-Collado , Julio Alonso-Padilla , Juan Carlos Hurtado , Miriam J Álvarez-Martínez , Aina Casellas , Ana Requena-Méndez
{"title":"Estimating the prevalence of chronic infections among asymptomatic migrants: results of a screening programme in Catalonia, Spain","authors":"Angeline Cruz ,&nbsp;Angela Martínez-Perez ,&nbsp;Alex Almuedo-Riera ,&nbsp;Carme Roca Saumell ,&nbsp;Marina Gigante Lopez ,&nbsp;Oriol Gasch ,&nbsp;Gemma Falcó ,&nbsp;Ana Jiménez-Lozano ,&nbsp;Consol Sanchez-Collado ,&nbsp;Julio Alonso-Padilla ,&nbsp;Juan Carlos Hurtado ,&nbsp;Miriam J Álvarez-Martínez ,&nbsp;Aina Casellas ,&nbsp;Ana Requena-Méndez","doi":"10.1016/j.jmh.2024.100278","DOIUrl":"10.1016/j.jmh.2024.100278","url":null,"abstract":"<div><h3>Background</h3><div>Migrants are disproportionately affected by several infectious diseases differing the risk within migrant groups. This study aimed to estimate the prevalence of six chronic infections in asymptomatic migrants attended at primary care or specialized units where health assessments are offered.</div></div><div><h3>Methods</h3><div>A multicentric cross-sectional study was conducted to estimate the prevalence of human immunodeficiency virus (HIV), hepatitis B and C virus, <em>Strongyloides stercoralis, Schistosoma</em> spp<em>.</em>, and <em>Trypanosoma cruzi</em> infections in the migrant population who participated in a screening programme implemented at six primary health care centres, and two infectious diseases outpatient clinics in Catalonia, Spain.</div></div><div><h3>Results</h3><div>Of the 314 recruited migrants, 284 (90.4 %) were tested for at least one infection. The prevalence of the infections was as follows: 1.8 % for HIV, 1.8 % for chronic hepatitis B virus, 14.1 % for previous exposure to a hepatitis B virus infection, 0.4 % for hepatitis C virus infection, 2.6 % for <em>S.stercoralis</em> infection, and 7.0 % for <em>T.cruzi</em> infection. No cases infected with <em>Schistosoma</em> spp<em>.</em> were reported. A higher prevalence of HIV, hepatitis B and C virus was observed in Sub-Saharan Africans, whereas a higher prevalence of <em>S.stercoralis</em> and <em>T.cruzi</em> infections was reported in migrants from Latin-America and the Caribbean.</div></div><div><h3>Conclusion</h3><div>Findings suggest a high burden of the studied infections, including parasitic infections, in the migrant population with variations within migrant groups based on areas of birth.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"10 ","pages":"Article 100278"},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142657530","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
The impact of the health microinsurance M-FUND on the utilization of health services among migrant workers and their dependents in Thailand: A case-control study 健康小额保险 M-FUND 对泰国外来务工人员及其家属使用医疗服务的影响:病例对照研究
IF 4.6
Journal of Migration and Health Pub Date : 2024-01-01 DOI: 10.1016/j.jmh.2024.100236
Andrea König , Jarntrah Sappayabanphot , Li Liang , Steffen Fleßa , Volker Winkler
{"title":"The impact of the health microinsurance M-FUND on the utilization of health services among migrant workers and their dependents in Thailand: A case-control study","authors":"Andrea König ,&nbsp;Jarntrah Sappayabanphot ,&nbsp;Li Liang ,&nbsp;Steffen Fleßa ,&nbsp;Volker Winkler","doi":"10.1016/j.jmh.2024.100236","DOIUrl":"https://doi.org/10.1016/j.jmh.2024.100236","url":null,"abstract":"<div><h3>Background</h3><p>Even though Thailand has launched multiple migrant health policies, migrants still face various barriers in accessing health care. To some extent, these barriers may be reduced by health microinsurance. The M-FUND is a low-cost, not-for-profit health protection scheme for migrant workers in Thailand, created by Dreamlopments Social Enterprise and Foundation to support sustainable access to quality healthcare services for migrants. We aimed to investigate the impact of the M-FUND on utilization of health services.</p></div><div><h3>Methods</h3><p>Over a period of three months, we conducted quantitative face-to-face interviews with 408 M-FUND members, and 452 age, sex and location matched non-member controls in Tak Province, Thailand. We compared utilization of health services between members and non-members using logistic regression controlling for a number of socio-demographic variables and variables related to migration such as years in Thailand, legal status, etc.</p></div><div><h3>Findings</h3><p>M-FUND members were more likely to have utilized outpatient services (adjusted odds ratio: 1·74, 95 % confidence interval: 1·24–2·44), inpatient services (2·96, 1.11–7·92), and emergency care (1·89, 0·78–4·56), although the latter was not statistically significant. Members were more likely not to have purchased medicines over-the-counter (1·67, 1·22–2·27) than non-members. Members were also more likely to have utilized any additional specific service during a consultation (2·31, 1·49–3·58) including any type of imaging method (2·62, 1·29–5·29) and blood tests (1·64, 0·99–2·71). There were some differences between men and women, but most were not statistically significant.</p></div><div><h3>Interpretation</h3><p>The M-FUND health microinsurance was positively associated with the utilization of all major types of health services among migrant workers and their dependents in Thailand. For migrants, particularly vulnerable migrant workers and their dependents, the M-FUND appears to be a good approach to reducing barriers to health care. This study of the impact of health microinsurance for migrants provides important information for policy and program planners in the field of migrant health. However, more research is needed on health microinsurance schemes for migrants in different settings and for other underserved communities as well as the sex-specific impact on health service utilization.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"9 ","pages":"Article 100236"},"PeriodicalIF":4.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000266/pdfft?md5=f886084713c0f3d53248d28a04e76e83&pid=1-s2.0-S2666623524000266-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140951496","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
Providing continuity of care for people living with noncommunicable diseases in humanitarian settings: A qualitative study of health actors' experiences in Lebanon 在人道主义环境中为非传染性疾病患者提供持续护理:对黎巴嫩卫生工作者经验的定性研究
IF 3.9
Journal of Migration and Health Pub Date : 2024-01-01 DOI: 10.1016/j.jmh.2024.100269
C. Akik , Z. El Dirani , R. Willis , C. Truppa , C. Zmeter , S. Aebischer Perone , J. Roswall , R. Hamadeh , K. Blanchet , B. Roberts , M.F. Fouad , P. Perel , É. Ansbro
{"title":"Providing continuity of care for people living with noncommunicable diseases in humanitarian settings: A qualitative study of health actors' experiences in Lebanon","authors":"C. Akik ,&nbsp;Z. El Dirani ,&nbsp;R. Willis ,&nbsp;C. Truppa ,&nbsp;C. Zmeter ,&nbsp;S. Aebischer Perone ,&nbsp;J. Roswall ,&nbsp;R. Hamadeh ,&nbsp;K. Blanchet ,&nbsp;B. Roberts ,&nbsp;M.F. Fouad ,&nbsp;P. Perel ,&nbsp;É. Ansbro","doi":"10.1016/j.jmh.2024.100269","DOIUrl":"10.1016/j.jmh.2024.100269","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;The burden of non-communicable diseases (NCDs) is increasing among populations living in humanitarian settings. Continuity of care (CoC) involves following an individual over time and across different levels of healthcare (management, longitudinal, informational and interpersonal continuity); it is an essential component of good quality, person-centred NCD care. Providing CoC is particularly challenging in humanitarian crises where health care access may be interrupted or restricted. This paper aimed to explore health actors’ experiences of continuity of hypertension and diabetes care for Syrian refugees and vulnerable Lebanese in Lebanon.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We conducted 20 in-depth qualitative interviews with health actors, including eleven with health care providers at four urban-based health facilities supported by international humanitarian agencies that provide NCD care to Syrian refugees and vulnerable Lebanese, one representative of a governmental institution, one international delegate and seven humanitarian actors. Thematic analysis, combining inductive and deductive approaches, was guided by a conceptual framework for NCD models of care in humanitarian settings. We reported our findings against the conceptual framework's domains relating to health system inputs and intermediate goals, reflecting on their impact on the domains of CoC.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Findings&lt;/h3&gt;&lt;div&gt;Existing health system weaknesses and novel challenges (the economic crisis, COVID-19 pandemic and Beirut blast) to continuity of NCD care were identified. Health system input challenges: governance and financing (weakened governance, limited central financing, historical dependence on local NGOs for primary healthcare, a dominant private sector), health workforce (exodus of health care providers from the public system), inconsistent medicines and equipment supplies, and limited health information systems (no unified system across institutions or levels of care, lack of formal referral systems, and inconsistent facility-level data collection) contributed to limited public primary care, poorly integrated within a fragile, pluralistic health system. These factors negatively impacted the intermediate health system goals of access, standardisation and quality of NCD care for Syrian refugee and Lebanese patients, and collectively hampered the management, longitudinal, informational and interpersonal continuity of NCD care in Lebanon.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;We recommend that humanitarian actors continue the work underway with the Lebanese Ministry of Public Health to align with and strengthen health system inputs, including supporting health governance through the accreditation process, exploring new funding mechanisms, strengthening the workforce via task sharing and training, supporting the medication supply chain, improving access to facilities and service quality, and supporting the development, standardisatio","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"10 ","pages":"Article 100269"},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142418455","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
Barriers and facilitators for the sexual and reproductive health and rights of displaced Venezuelan adolescent girls in Brazil 巴西境内来自委内瑞拉的流离失所少女的性健康和生殖健康及权利的障碍和促进因素
IF 3.9
Journal of Migration and Health Pub Date : 2024-01-01 DOI: 10.1016/j.jmh.2024.100252
Leidy Janeth Erazo Chavez , Zeni Carvalho Lamy , Larissa da Costa Veloso , Laura Froes Nunes da Silva , Ana Maria Ramos Goulart , Natalia Cintra , Sarah Neal , Pía Riggirozzi
{"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}
引用次数: 0
Growing up in transit. Personal development and resistance of migrant adolescents travelling through Mexico unaccompanied 在过境中成长。在无人陪伴的情况下穿越墨西哥的移民青少年的个人成长和抵抗力
IF 3.9
Journal of Migration and Health Pub Date : 2024-01-01 DOI: 10.1016/j.jmh.2024.100245
Susanna Corona Maioli , Delan Devakumar , Shoshana Berenzon Gorn , Rochelle A. Burgess
{"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}
引用次数: 0
Prevalence of scabies and its associated environmental risk factors among the Forcibly Displaced Myanmar Nationals living in the Cox's Bazar district of Bangladesh 生活在孟加拉国考克斯巴扎尔地区被迫流离失所的缅甸人中的疥疮流行率及其相关环境风险因素
IF 4.6
Journal of Migration and Health Pub Date : 2024-01-01 DOI: 10.1016/j.jmh.2024.100220
Md. Shakkor Rahman , A.B.M. Nahid Hasan , Ishrat Jahan , Azaz Bin Sharif
{"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}
引用次数: 0
Cancer mortality among Colombian and foreign populations over a 15-year period 15 年间哥伦比亚和外国人口的癌症死亡率
IF 3.9
Journal of Migration and Health Pub Date : 2024-01-01 DOI: 10.1016/j.jmh.2024.100257
Diana M. Hernandez , Amr S. Soliman , Almira G.C. Lewis , Isabel C. Garcés-Palacio
{"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}
引用次数: 0
Does network homophily persist in multicultural volunteering programs? Results from an Exponential Random Graph Model 多元文化志愿服务项目中是否持续存在网络同质性?指数随机图模型的结果
IF 3.9
Journal of Migration and Health Pub Date : 2024-01-01 DOI: 10.1016/j.jmh.2024.100256
Qiuchang (Katy) Cao , Holly Dabelko-Schoeny , Keith Warren , Mo Yee Lee
{"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}
引用次数: 0
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