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Assessing the impact of paternal emigration on children ‘left-behind’—A cohort analysis
IF 3.9
Journal of Migration and Health Pub Date : 2025-01-01 DOI: 10.1016/j.jmh.2025.100308
Natalia Norori , Lucy Barrass , Maria Theresa Redaniel , Nanette R. Lee , Laura D. Howe , Duleeka Knipe
{"title":"Assessing the impact of paternal emigration on children ‘left-behind’—A cohort analysis","authors":"Natalia Norori ,&nbsp;Lucy Barrass ,&nbsp;Maria Theresa Redaniel ,&nbsp;Nanette R. Lee ,&nbsp;Laura D. Howe ,&nbsp;Duleeka Knipe","doi":"10.1016/j.jmh.2025.100308","DOIUrl":"10.1016/j.jmh.2025.100308","url":null,"abstract":"<div><h3>Background</h3><div>Previous work has shown that children ‘left-behind’ as a consequence of parental migration experience worse outcomes, although the majority of this evidence focuses on short- rather than long-term effects.</div></div><div><h3>Methods</h3><div>Using data from the Cebu Longitudinal Health and Nutrition Survey cohort (n = 1651), we assessed the association of paternal emigration (identified based on evidence of remittances sent back by mother's spouse) during childhood with the mental health and educational attainment at age 18 of Filipino children, adjusted for sex, socioeconomic position and paternal education. We explored whether timing of emigration, and household composition modified associations observed.</div></div><div><h3>Findings</h3><div>Children who had migrant fathers were found to be 1.24 times more likely to have high educational attainment at age 18 than children who did not have migrant fathers, although the association was imprecise (95 % confidence intervals: 0.83-1.85). We found no statistical evidence of a difference between children who experienced paternal migration compared to those who did not in terms of depressive symptoms or suicidal ideation at age 18. There was evidence that experiencing paternal migration in older childhood (≥10 years) was associated with better mental health. We found evidence that household composition modified associations for depressive symptoms.</div></div><div><h3>Interpretation</h3><div>This study does not suggest a detrimental long-term impact of paternal emigration on children ‘left-behind, either for educational attainment or mental health. This may reflect beneficial effects of paternal migration and/or pre-existing socioeconomic and health differences amongst families who do and do not experience paternal migration.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100308"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143101961","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
Determinants of institutional delivery service utilization among internally displaced vulnerable populations in Benadir region, Somalia: A community based cross-sectional study
IF 3.9
Journal of Migration and Health Pub Date : 2025-01-01 DOI: 10.1016/j.jmh.2025.100319
Hassan Abdullahi Dahie, Mohamed Abdullahi Osman, Yusuf Ali Jimale, Falis Ibrahim Mohamud, Hamdi Ahmed Hussein, Mohamed Osman Alasow, Abukar Abdi Osman, Abdirahman Mohamed Abdullahi, Mohamed Maalin Dakane, Dek Abdi Hussein
{"title":"Determinants of institutional delivery service utilization among internally displaced vulnerable populations in Benadir region, Somalia: A community based cross-sectional study","authors":"Hassan Abdullahi Dahie,&nbsp;Mohamed Abdullahi Osman,&nbsp;Yusuf Ali Jimale,&nbsp;Falis Ibrahim Mohamud,&nbsp;Hamdi Ahmed Hussein,&nbsp;Mohamed Osman Alasow,&nbsp;Abukar Abdi Osman,&nbsp;Abdirahman Mohamed Abdullahi,&nbsp;Mohamed Maalin Dakane,&nbsp;Dek Abdi Hussein","doi":"10.1016/j.jmh.2025.100319","DOIUrl":"10.1016/j.jmh.2025.100319","url":null,"abstract":"<div><h3>Background</h3><div>Every day, nearly 830 women succumb to preventable pregnancy and childbirth-related complications, with 99 % of maternal deaths occurring in developing nations. Maternal mortality is disproportionately higher among women in rural areas and impoverished communities, especially in Sub-Saharan Africa, where approximately 85 % of cases are concentrated. In Somalia, a country grappling with prolonged conflicts and a healthcare system in disarray, maternal mortality remains alarmingly high at 692 per 100,000 live births. Delivery institutions in the IDP camps are mainly operated by humanitarian agencies and offer their services free of charge. We aim to investigate the prevalence of institutional delivery and factors associated with it among internally displaced mothers in Benadir region.</div></div><div><h3>Methods</h3><div>Community-based survey was conducted in ten Internally Displaced Persons (IDP) camps in the Benadir region of Somalia from September to October 2023. Questionnaires were administered to 410 women who had given birth in the last 6 months. Subsequent to data collection, a logistic regression analysis was performed to reveal associations between covariates of interest and the outcome variable.</div></div><div><h3>Results</h3><div>The study observed a 25 % prevalence of institutional delivery, with key associations identified. Women who were married during the data collection period had more than twice the odds of opting for healthcare facility deliveries (AOR 2.283, CI: 1.272–4.097), while employed women demonstrated nearly double the odds (AOR 1.916, CI: 1.109–3.312). Those who experienced their first pregnancy before the age of 20 had 1.7 times higher odds of delivering at a health facility (AOR 1.741, CI: 1.088–2.785). ANC attendees displayed over thirteen times the odds of choosing health facilities for delivery (AOR 13.299, CI: 6.752–26.196), and women knowledgeable about danger signs exhibited four times higher odds (AOR: 4.483, CI: 2.381–8.438). On the other hand, home deliveries are driven by various factors such as financial constraints, distant facility locations, urgent labor situations, lack of transportation, facility closures, a preference for the comfort of home, and fear of surgical procedures at health facilities.</div></div><div><h3>Conclusion &amp; recommendation</h3><div>The study highlights a troublingly low prevalence of institutional delivery compared with the national target, underscoring challenges in promoting healthcare facility utilization for childbirth. To improve rates, interventions should address socio-economic factors, emphasize healthcare benefits, and enhance community awareness of danger signs and antenatal care importance. Tackling access barriers, including financial constraints and facility distance, is pivotal in reducing the preference for home deliveries.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100319"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143471570","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
Navigating healthcare pathways: Cascade of prevention and care for chronic viral hepatitis in asylum seekers and refugees. A multicenter analysis in Northern Italy
IF 3.9
Journal of Migration and Health Pub Date : 2025-01-01 DOI: 10.1016/j.jmh.2025.100307
Beatrice Formenti , Roberto Benoni , Jacopo Testa , Giulia Bertoli , Giacomo Stroffolini , Maria Grazia Pizzi , Barbara Menzaghi , Niccolò Ronzoni , Paola Magro , Issa El Hamad , Carla Scolari , Angiola Spinetti , Serena Zaltron , Francesco Castelli , Valentina Marchese , Alberto Matteelli
{"title":"Navigating healthcare pathways: Cascade of prevention and care for chronic viral hepatitis in asylum seekers and refugees. A multicenter analysis in Northern Italy","authors":"Beatrice Formenti ,&nbsp;Roberto Benoni ,&nbsp;Jacopo Testa ,&nbsp;Giulia Bertoli ,&nbsp;Giacomo Stroffolini ,&nbsp;Maria Grazia Pizzi ,&nbsp;Barbara Menzaghi ,&nbsp;Niccolò Ronzoni ,&nbsp;Paola Magro ,&nbsp;Issa El Hamad ,&nbsp;Carla Scolari ,&nbsp;Angiola Spinetti ,&nbsp;Serena Zaltron ,&nbsp;Francesco Castelli ,&nbsp;Valentina Marchese ,&nbsp;Alberto Matteelli","doi":"10.1016/j.jmh.2025.100307","DOIUrl":"10.1016/j.jmh.2025.100307","url":null,"abstract":"<div><div>Viral hepatitis is a leading cause of mortality and a global public health challenge that, until recently, has been largely neglected as a health priority. This study describes the prevalence of viral hepatitis B and C in asylum seekers and refugees who participated in screening across three cities in Northern Italy. The analysis highlights significant pitfalls in linkage and retention in care, as well as factors associated with continuing or discontinuing the healthcare pathways, controlling for WHO Region of origin, gender, age and study site. Hospital records provided demographic and clinical data. Screening for HBV, HCV, and HIV was conducted, followed by clinical management and vaccination where appropriate. Multinomial logistic regression identified distinct care pathways. Of 1,514 participants, 80.2 % underwent screening, with 87.3 % testing negative for all infections. For those with chronic infections, 20.8 % missed their first infectious disease consultation, and only 39.3 % were retained in care after one year. Among the 591 individuals (55.8 % of the total) eligible for HBV vaccination, 10.0 % (59 out of 591) actually received the vaccine. Seven distinct care pathways were identified, where significant differences were observed based on the region of origin and the specific study site, highlighting the impact of local healthcare infrastructure and support systems. This study highlights the critical need for innovative, intersectoral and community-based approaches that are responsive to migrants' needs and perspectives. Key recommendations include enhancing linkage to care, improving followup strategies, and establishing a robust national and European network to ensure continuity of care and to integrate public health efforts across the entire care pathway and deliver fair and equitable healthcare..</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100307"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143101956","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
Unequal weathering: How immigrants’ health advantage vanishes over the life-course
IF 3.9
Journal of Migration and Health Pub Date : 2025-01-01 DOI: 10.1016/j.jmh.2025.100303
Silvia Loi , Peng Li , Mikko Myrskylä
{"title":"Unequal weathering: How immigrants’ health advantage vanishes over the life-course","authors":"Silvia Loi ,&nbsp;Peng Li ,&nbsp;Mikko Myrskylä","doi":"10.1016/j.jmh.2025.100303","DOIUrl":"10.1016/j.jmh.2025.100303","url":null,"abstract":"<div><div>The weathering hypothesis implies that there is an interaction between age and race or ethnicity that results in marginalized groups experiencing a more rapid decline in health than the dominant groups. This hypothesis has been tested mostly focusing on racial and ethnic health inequalities, while less is known about weathering by immigration background. This paper aims at contributing to this strand of research by addressing four research questions: is the health of immigrants declining at a faster pace over the life-course, compared to non-immigrants? Do higher levels of education protect immigrants from accelerated ageing compared to non-immigrants? How do income and marital status affect the health trajectories of immigrants and non-immigrants? How do these patterns vary by sex? We use longitudinal survey data to estimate healthy ageing trajectories of immigrants and non-immigrants over the life-course, in the German context. We examine the roles of education, income, and marital status, separately for men and women. We find that immigrants, and especially immigrant women, have a faster health decline than non-immigrants; that high education is linked to higher levels of health, but does not protect immigrants from ageing in poorer health compared to non-immigrants; and that health disparities between immigrants and non-immigrants persist over the life-course net of the socio-economic controls, which appear to be secondary to other unobserved determinants.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100303"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143101960","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
Rate estimation and trend analysis of new HIV infections among the international migrant population in Chile from 2013 to 2022
IF 3.9
Journal of Migration and Health Pub Date : 2025-01-01 DOI: 10.1016/j.jmh.2024.100297
Rodrigo Puentes , María Alejandra Dünner , Natalia T. Santis-Alay , Mario E. Soto-Marchant , Cecilia Canales , Janepsy Díaz
{"title":"Rate estimation and trend analysis of new HIV infections among the international migrant population in Chile from 2013 to 2022","authors":"Rodrigo Puentes ,&nbsp;María Alejandra Dünner ,&nbsp;Natalia T. Santis-Alay ,&nbsp;Mario E. Soto-Marchant ,&nbsp;Cecilia Canales ,&nbsp;Janepsy Díaz","doi":"10.1016/j.jmh.2024.100297","DOIUrl":"10.1016/j.jmh.2024.100297","url":null,"abstract":"<div><h3>Background</h3><div>International migrants are central to HIV research, but comparative data on their infection rates versus resident populations, including in Chile, are scarce. This study compares HIV incidence rates between international migrants and Chileans.</div></div><div><h3>Methods</h3><div>A longitudinal study was conducted. Crude and standardized rates of new HIV infections reported by the Institute of Public Health of Chile (ISP) were calculated for the period 2013 to 2022, using data from public and private health facilities nationwide. Population estimates for international migrants and Chileans were obtained from the National Institute of Statistics (INE) and the National Migration Service (SERMIG). Rates were adjusted for age and sex using the direct method.</div></div><div><h3>Results</h3><div>A total of 51,513 validated new HIV infections were analyzed, of which 14,936 (29.0 %) occurred in international migrants and 36,577 (71.0 %) in Chileans. International migrants showed an increase in incidence rates between 2013 and 2022 (adjusted rate from 22.6 [95 % CI: 18.3 – 27.0] to 115.6 [95 % CI: 110.5 – 120.7] new HIV infections per 100,000 population). Throughout the study period, the ratio of adjusted incidence rates between international migrants and Chileans increased from 1.0 [95 % CI: 0.9 – 1.2] to 7.6 [95 % CI: 7.2 – 8.0].</div></div><div><h3>Conclusions</h3><div>HIV incidence rates were higher in international migrants than in Chileans and increased over the study period. This may be influenced by various exogenous factors, including social determinants of health and the COVID-19 pandemic. It is crucial to focus on HIV diagnosis, prevention, and control strategies for international migrants in Chile.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100297"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11759548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048124","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
Contexts of reception and refugee health: Experiences of foreign-born people in the United States and Belgium
IF 3.9
Journal of Migration and Health Pub Date : 2025-01-01 DOI: 10.1016/j.jmh.2024.100288
Solveig A. Cunningham , Hadewijch Vandenheede , Rebecca Jones-Antwi
{"title":"Contexts of reception and refugee health: Experiences of foreign-born people in the United States and Belgium","authors":"Solveig A. Cunningham ,&nbsp;Hadewijch Vandenheede ,&nbsp;Rebecca Jones-Antwi","doi":"10.1016/j.jmh.2024.100288","DOIUrl":"10.1016/j.jmh.2024.100288","url":null,"abstract":"<div><div>Immigrants’ health may differ with the characteristics of the place they resettle. We examined eating patterns and weight status across two differing environments - Atlanta, United States and Brussels, Belgium - collecting information on diet and health from a diverse sample of 111 refugees, asylum-seekers and other migrants. Analyses used descriptive statistics, multivariate regressions, and text analysis. People who had resettled in Atlanta reported higher weight categories than those in Belgium. In both locations, the most commonly adopted items were processed foods (71 % in Atlanta, 45 % in Brussels); many also listed adopting fruits and vegetables (31 % in Atlanta, 14 % in Brussels). Thus, changes in health-related behaviors after migration included both healthy and unhealthy components of the contexts of reception. Longer time since arrival was associated with lower odds of having adopted processed foods and higher odds of having adopted fresh foods, suggesting that dietary change is nuanced with immigrants’ integration trajectories.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100288"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081352","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
Association between new-onset atrial fibrillation and adverse clinical outcomes by country of origin: A matched nationwide cohort study
IF 3.9
Journal of Migration and Health Pub Date : 2025-01-01 DOI: 10.1016/j.jmh.2025.100306
Juliane Frydenlund , Jan Brink Valentin , Nicklas Vinter , Pia Cordsen , Marie Norredam , Sam Riahi , Kristian Hay Kragholm , Henrik Bøggild , Lars Frost , Søren Paaske Johnsen
{"title":"Association between new-onset atrial fibrillation and adverse clinical outcomes by country of origin: A matched nationwide cohort study","authors":"Juliane Frydenlund ,&nbsp;Jan Brink Valentin ,&nbsp;Nicklas Vinter ,&nbsp;Pia Cordsen ,&nbsp;Marie Norredam ,&nbsp;Sam Riahi ,&nbsp;Kristian Hay Kragholm ,&nbsp;Henrik Bøggild ,&nbsp;Lars Frost ,&nbsp;Søren Paaske Johnsen","doi":"10.1016/j.jmh.2025.100306","DOIUrl":"10.1016/j.jmh.2025.100306","url":null,"abstract":"<div><h3>Background</h3><div>Incidence and prevalence of atrial fibrillation (AF) is increasing worldwide, and the condition is associated with high risk of adverse clinical outcomes. Increasing global migration results in more diverse patient populations, and knowledge about AF-related outcomes in immigrants is warranted.</div></div><div><h3>Aim</h3><div>To examine clinical outcomes after AF diagnosis across migrant populations in Denmark.</div></div><div><h3>Method</h3><div>Patients with first-time AF and sex-, age- and country of origin matched non-AF population (ratio 1:5) were followed from age 45 from 1998 to 2017. Poisson regression was used and stratified by country of origin for the clinical outcomes: stroke, major bleeding, heart failure, and all-cause mortality. Analyses were adjusted for sex, age, comorbidity, contacts to general practitioners, and socioeconomic variables.</div></div><div><h3>Results</h3><div>The population contained 1,940,010 individuals of Danish origin and 47,952 with origin in one of the ten most represented countries. For all outcomes, the adjusted incidence rate ratio (IRR) was higher for individuals diagnosed with AF. For stroke, the lowest and highest IRR were observed for individuals from Pakistan (1.87 [95 %CI: 1.14; 3.07]) and Bosnia-Herzegovina (5.32 [95 %CI: 3.37;7.93]), for heart failure: Iraq (5.06 [95 %CI:3.07;8.34]) and Bosnia-Herzegovina (8.10 [95 %CI: 6.07;10.80]), for major bleeding: Finland (2.04 [95 %CI: 1.42;2.95]) and Yugoslavia (3.53 [95 %CI: 2.70;4.62]), and death: Germany (1.60 [95 %CI: 1.51;1.69]) and Pakistan (2.33 [95 %CI: 1.83;2.98]).</div></div><div><h3>Conclusion</h3><div>AF was associated with a substantially higher risk of adverse clinical outcomes among Danish-born, and all examined migrant populations. However, the impact of AF appeared to differ according to country of origin, which could indicate potential differences in AF care and compliance.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100306"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143101958","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
Health-related quality of life and mental state in women with polycystic ovary syndrome and migration or minority background – A cross-sectional study
IF 3.9
Journal of Migration and Health Pub Date : 2025-01-01 DOI: 10.1016/j.jmh.2025.100313
Konstantin Hofmann , Claire Decrinis , Norman Bitterlich , Annette Bachmann , Petra Stute
{"title":"Health-related quality of life and mental state in women with polycystic ovary syndrome and migration or minority background – A cross-sectional study","authors":"Konstantin Hofmann ,&nbsp;Claire Decrinis ,&nbsp;Norman Bitterlich ,&nbsp;Annette Bachmann ,&nbsp;Petra Stute","doi":"10.1016/j.jmh.2025.100313","DOIUrl":"10.1016/j.jmh.2025.100313","url":null,"abstract":"<div><h3>Introduction</h3><div>Polycystic Ovary Syndrome (PCOS) is the most prevalent endocrine disorder among women of reproductive age on a global scale. The severity of symptoms and individual distress can vary greatly and may also depend on the respective ethnic and cultural background. This study aimed to investigate potential variations in health-related quality of life (HRQOL), depression, and anxiety between PCOS patients with a migration (MB) or minority background (Min) and those without (Non-MB/Non-Min).</div></div><div><h3>Methods</h3><div>An online questionnaire was anonymously distributed to gynecologists, hospitals, and women's clinics in Austria, Germany, and Switzerland, along with social media channels to reach women with PCOS. The survey was conducted between November 14th, 2023, and February 5th, 2024. Various aspects including HRQOL, levels of anxiety/depression and self-esteem were evaluated using the Modified-PCOS-Questionnaire (MPCOSQ), Hospital Anxiety and Depression Scale (HADS) and Rosenberg Self-Esteem Scale (RSE) respectively. The participants were screened for migration background and self-identification with a socially relevant minority. The selection of potential confounding variables was based on their plausibility and estimated impact. Adjusted odds ratios and their corresponding 95 % confidence intervals were calculated using regression analysis.</div></div><div><h3>Results</h3><div>The study involved 587 participants with PCOS. MB and Min exhibited significantly poorer HRQOL, and greater symptoms of depression compared to PCOS patients in the two control groups. (MPCOSQ-Total: MB/Non-MB <em>p</em> = 0.02; Min/Non-Min <em>p</em> &lt; 0.001; HADS-Depression: MB/Non-MB <em>p</em> = 0.03; Min/Non-Min <em>p</em> = 0.01) Additionally, MB and Min had significantly lower self-esteem according to the RSE (RSE: MB/Non-MB <em>p</em> = 0.04; Min/Non-Min <em>p</em> = 0.049). In the univariate analysis, Non-MB and Non-Min were associated with partially better HRQOL and lower depression (or respectively poorer HRQOL and depression for MB and Min). However, in the multivariate analysis only Non-Min showed a statistically significant association with higher HRQOL (B: 0.34; CI: 0.04; 0.63; <em>p</em> = 0.03) and only Non-MB was associated with lower depression (B:1.28; CI:2.31; -0.24; <em>p</em> = 0.02).</div></div><div><h3>Conclusion</h3><div>This study highlights the association between MB or Min and poorer HRQOL, higher depression rates, and lower self-esteem among PCOS patients. While genetic and epigenetic factors may contribute, socioeconomic and sociocultural influences likely play significant roles. Healthcare professionals should remain attuned to the diverse needs of women with PCOS, especially those from migration or minority backgrounds, to ensure equitable access to care.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100313"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395058","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 and determinants of anaemia in South Asian diaspora women residing in Hong Kong: An exploratory cross-sectional study
IF 3.9
Journal of Migration and Health Pub Date : 2025-01-01 DOI: 10.1016/j.jmh.2025.100312
Gary Ka-Ki Chung , Bulbul Sharma , Danna Camille Vargas , Woohyung Lee , Kai Sing Sun , Heidi Hung , Hasiba Munir , Soniya Pun , Mariem Sharif , Lee Sha Tong , Tsz Lui Tang , Man Hin Chio , Chi Yui Wong , Eliza Lai-Yi Wong , Dong Dong , Eng-Kiong Yeoh
{"title":"Prevalence and determinants of anaemia in South Asian diaspora women residing in Hong Kong: An exploratory cross-sectional study","authors":"Gary Ka-Ki Chung ,&nbsp;Bulbul Sharma ,&nbsp;Danna Camille Vargas ,&nbsp;Woohyung Lee ,&nbsp;Kai Sing Sun ,&nbsp;Heidi Hung ,&nbsp;Hasiba Munir ,&nbsp;Soniya Pun ,&nbsp;Mariem Sharif ,&nbsp;Lee Sha Tong ,&nbsp;Tsz Lui Tang ,&nbsp;Man Hin Chio ,&nbsp;Chi Yui Wong ,&nbsp;Eliza Lai-Yi Wong ,&nbsp;Dong Dong ,&nbsp;Eng-Kiong Yeoh","doi":"10.1016/j.jmh.2025.100312","DOIUrl":"10.1016/j.jmh.2025.100312","url":null,"abstract":"<div><h3>Background</h3><div>Anaemia has been a significant public health challenge for the South Asian community, in particular women and migrant populations. Despite abundant research in developed Western settings, evidence in urbanized Asian settings is extremely scarce for comparisons. This study aims to assess the prevalence and social determinants of anaemia in South Asian women residing in Hong Kong, an advanced economy in Asia.</div></div><div><h3>Methods</h3><div>Between June 2022 and December 2023, 675 non-pregnant South Asian adult women were recruited through territory-wide outreach health assessments for anthropometric and biomedical measurements, in addition to a survey on self-reported sociodemographic, lifestyle, and health factors. Multivariable ordinal logistic regression was employed to identify the predictors of anaemia severity.</div></div><div><h3>Results</h3><div>The observed prevalence of mild and moderate/severe anaemia (haemoglobin level &lt;12 g/dL) were 26.8 % and 31.4 %, respectively. Findings supported the independent protective role of better diet quality against anaemia severity (aOR=0.40 [95 % CI = 0.22, 0.73] for high diet quality compared to poor diet quality), and that women of reproductive age (aOR=2.36 [1.03, 5.44] for the 35–44 age group compared to the youngest group), having a larger household size (aOR=1.11 [1.01,1.21] per person increase), and staying for a longer period in Hong Kong (aOR=1.83 [1.07, 3.13] for &gt; 7 years compared to &lt; 3 years) were associated with more severe anaemia.</div></div><div><h3>Conclusion</h3><div>The high prevalence of anaemia in our sampled South Asian women in Hong Kong, especially those of reproductive age, was partly attributable to nutrition, acculturation, and cultural preference on larger family size, beyond potential genetic predisposition.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100312"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429108","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
Cultural persistence of self-assessed health: A study of first- and second-generation migrants 自我评估健康的文化持久性:对第一代和第二代移民的研究。
IF 3.9
Journal of Migration and Health Pub Date : 2025-01-01 DOI: 10.1016/j.jmh.2024.100280
Joan Costa-Font , Azusa Sato , Belen Saenz-de-Miera
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