Journal of Migration and Health最新文献

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Assessing the impact of paternal emigration on children ‘left-behind’—A cohort analysis 评估父亲移民对儿童“留守”的影响——队列分析
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
Socioeconomic inequalities in mortality among Italian and immigrant residents: A longitudinal population-based study 意大利和移民居民死亡率的社会经济不平等:一项基于人口的纵向研究
IF 3.9
Journal of Migration and Health Pub Date : 2025-01-01 DOI: 10.1016/j.jmh.2025.100316
Martina Ventura , Alessio Petrelli , Anteo Di Napoli , Sara Leone , Enrico Grande , Marilena Pappagallo , Luisa Frova
{"title":"Socioeconomic inequalities in mortality among Italian and immigrant residents: A longitudinal population-based study","authors":"Martina Ventura ,&nbsp;Alessio Petrelli ,&nbsp;Anteo Di Napoli ,&nbsp;Sara Leone ,&nbsp;Enrico Grande ,&nbsp;Marilena Pappagallo ,&nbsp;Luisa Frova","doi":"10.1016/j.jmh.2025.100316","DOIUrl":"10.1016/j.jmh.2025.100316","url":null,"abstract":"<div><h3>Background</h3><div>A socioeconomic mortality gradient, favourable to the most advantaged social groups, has been documented in high migratory pressure (HMPCs) and highly developed countries, including Italy. However, little is known about how this association differs between natives and immigrants. This study aimed to evaluate the association between education level, occupational class and mortality among Italian and immigrant residents.</div></div><div><h3>Methods</h3><div>Using a longitudinal design, the 2011 Italian Census population was followed up to 2019. All-cause mortality was retrieved by record linkage with the Causes of Death register. The association between education/occupational class and mortality was evaluated in subjects aged 30–64, separately by sex, citizenship/macro area of origin. Mortality rate ratios (MRR) and 95 % confidence intervals were estimated using negative binomial regression models.</div></div><div><h3>Results</h3><div>Of the 23,572,516 subjects analysed, 7 % were immigrants from HMPCs; of the 410,746 deaths, 3 % were from HMPCs. Among Italians, a mortality gradient by education was observed (low/high adjMRR: 2.37 [2.16–2.60] males; 1.79 [1.64–1.96] females), whereas a weaker association with no trend was found for HMPC immigrants (adjMRR: 1.12 [1.00–1.25] males; 1.12 [1.00–1.26] females). Regarding occupational class, for immigrants from HMPCs, a higher mortality was observed in male “farmers” and “inactives” compared to “non-manual workers” (adjMRR = 1.31 [1.06–1.61] and adjMRR = 1.67 [1.50–1.85], respectively); and in females for “inactive” subjects (adjMRR = 1.48 [1.35–1.62]).</div><div>A higher mortality for the less educated was observed for males from Romania, India and China, and for females from Central-Eastern Europe, Sub-Saharan Africa and Central and South America. A lower mortality was found for the least educated from Morocco.</div></div><div><h3>Conclusions</h3><div>The higher mortality among less educated subjects was confirmed among Italians, while it was less evident among immigrants from HMPCs. However, differences observed between citizenships, macro-areas of origin and sex highlight the need for social policies accounting for specific risk factors and cultural specificities affecting correct lifestyles and health service access.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100316"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563741","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
Increased risk of adverse maternal pregnancy outcomes among undocumented migrants in Norway 在挪威无证移民中不良妊娠结局的风险增加
IF 3.9
Journal of Migration and Health Pub Date : 2025-01-01 DOI: 10.1016/j.jmh.2025.100318
Ragnhild Misje , Frode Eick , Odd Martin Vallersnes , Heidi E. Fjeld , Ingvil K. Sørbye , Cecilie Dahl
{"title":"Increased risk of adverse maternal pregnancy outcomes among undocumented migrants in Norway","authors":"Ragnhild Misje ,&nbsp;Frode Eick ,&nbsp;Odd Martin Vallersnes ,&nbsp;Heidi E. Fjeld ,&nbsp;Ingvil K. Sørbye ,&nbsp;Cecilie Dahl","doi":"10.1016/j.jmh.2025.100318","DOIUrl":"10.1016/j.jmh.2025.100318","url":null,"abstract":"<div><h3>Background</h3><div>Migrants are known to have an increased risk for adverse complications during delivery. However, it is not known whether undocumented migrants have a different risk profile compared to documented migrants and non-migrants. Better knowledge about undocumented migrants’ reproductive outcomes is crucial to enable targeted preventive interventions.</div></div><div><h3>Method</h3><div>We performed a historical register-based population study based on numbers from the Medical Birth Registry of Norway (MBRN) from 1999 to 2020. Women aged 18–49 years with singleton births were included, in total 1,247,537 births. Legal status, i.e., undocumented migrants (without a Norwegian identity number), documented migrants (with a Norwegian identity number and born abroad) and non-migrants (with a Norwegian identity number and born in Norway), was used as the exposure. We used logistic regression to estimate the association between legal status and adverse maternal birth outcomes.</div></div><div><h3>Results</h3><div>In total 5856 undocumented migrant women gave birth during the study period, representing 0.5 % of all births in Norway. Undocumented migrants had an odds ratio (OR) of 1.39 (95 % Confidence Interval (CI) 1.28–1.50) for an acute CS and OR=0.86 (95 % CI 0.76–0.98) for a planned CS, both compared to non-migrants. Similarly, the OR for severe postpartum haemorrhage (PPH) was =1.22 (95 % CI 1.03–1.43) and OR=0.69 (95 % CI=0.56–0.85) for anal sphincter injury. None of the results were significantly different when documented migrants were used as the reference group.</div></div><div><h3>Conclusion</h3><div>Undocumented migrants have an increased risk of adverse maternal birth complications compared to non-migrants, but not different from documented migrants. This indicates that for maternal birth complications, factors concerning migration may affect the risk profile to a larger degree than legal status.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100318"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550339","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 导航医疗保健途径:在寻求庇护者和难民慢性病毒性肝炎的级联预防和护理。意大利北部的多中心分析
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
Migrant women’s experience of antenatal care in an urban and rural setting in north and North-West Thailand: A cross sectional survey 泰国北部和西北部城市和农村环境中移民妇女的产前护理经验:一项横断面调查
IF 3.9
Journal of Migration and Health Pub Date : 2025-01-01 DOI: 10.1016/j.jmh.2025.100333
Taco Jan Prins , Nunnapus Rueanprasert , Prapatsorn Misa , Anchayarat Puttanusegsan , Jasper Ko Ko Aung , Natasha Herber , Myo Myo , Marcus J Rijken , Michele van Vugt , Chaisiri Angkurawaranon , Rose McGready
{"title":"Migrant women’s experience of antenatal care in an urban and rural setting in north and North-West Thailand: A cross sectional survey","authors":"Taco Jan Prins ,&nbsp;Nunnapus Rueanprasert ,&nbsp;Prapatsorn Misa ,&nbsp;Anchayarat Puttanusegsan ,&nbsp;Jasper Ko Ko Aung ,&nbsp;Natasha Herber ,&nbsp;Myo Myo ,&nbsp;Marcus J Rijken ,&nbsp;Michele van Vugt ,&nbsp;Chaisiri Angkurawaranon ,&nbsp;Rose McGready","doi":"10.1016/j.jmh.2025.100333","DOIUrl":"10.1016/j.jmh.2025.100333","url":null,"abstract":"<div><h3>Background</h3><div>Nearly 50 % of women in low- and middle-income countries fail to obtain adequate antenatal care due to barriers in reaching the health facility. A key element of the quality of care is women’s perception of treatment they receive. This study aims to compare the perspectives of urban and rural migrant women from Myanmar in Thailand and the obstacles they face when trying to access care.</div></div><div><h3>Methods</h3><div>From October-2023 to May-2024, a survey was conducted among migrant women, 74 at Sarapee hospital in Chang Mai Province, and 148 at the clinics of Shoklo Malaria Research Unit (SMRU), Tak Province. Questions based on REPRO-Q were used for scoring satisfaction in several domains using a Likert scale ranging from dissatisfied to satisfied.</div></div><div><h3>Results</h3><div>The majority of women in Sarapee and SMRU reported pleasant visits, 86.5 % (64/74), 99.3 % (144/145) respectively. Disrespectful behaviour against migrant women was low and mentioned by 14.9 % (11/74) in Sarapee and 1.4 % (2/148) at SMRU. The women attending care at Sarapee reported significantly lower satisfaction 60.8 % (45/74) on being able to refuse examination or treatment compared to women attending care in SMRU 83.0 % (122/147) P &lt; 0.001.</div></div><div><h3>Conclusion</h3><div>Both urban and rural settings had high rates of perceived pleasant visits and recommending the service to friends, although this could result from hesitancy to give negative feedback. At this critical stage of the life course both institutions can improve, to eliminate experiences of perceived disrespectful behavior.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100333"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Breastfeeding practices and exclusive breastfeeding among syrian refugee mothers in Jordanian Host Communities 约旦收容社区叙利亚难民母亲的母乳喂养做法和纯母乳喂养
IF 3.9
Journal of Migration and Health Pub Date : 2025-01-01 DOI: 10.1016/j.jmh.2025.100324
Suhaila Halasa , Reema Safadi , Dua' Al-Maharma , Manar Nabolsi , Jennifer Dohrn , Muayyad Ahmad
{"title":"Breastfeeding practices and exclusive breastfeeding among syrian refugee mothers in Jordanian Host Communities","authors":"Suhaila Halasa ,&nbsp;Reema Safadi ,&nbsp;Dua' Al-Maharma ,&nbsp;Manar Nabolsi ,&nbsp;Jennifer Dohrn ,&nbsp;Muayyad Ahmad","doi":"10.1016/j.jmh.2025.100324","DOIUrl":"10.1016/j.jmh.2025.100324","url":null,"abstract":"<div><div>Breastfeeding initiation and exclusivity are essential in reducing maternal and neonatal mortality and morbidity rates. Employing the Health Belief Model as a framework, this cross-sectional survey aimed to identify influencing factors and barriers to exclusive breastfeeding among 523 eligible Syrian refugee mothers living in Jordan. Of these, 35.8 % practiced exclusive breastfeeding and 36.9 % initiated breastfeeding within the first hour of birth. The logistic regression model showed that prior breastfeeding experience (OR = 5.06, <em>p</em> &lt; 0.001, 95 % CI: 2.17–11.82), maternal satisfaction with feeding method (OR = 3.58, <em>p</em> &lt; 0.001, 95 % CI: 1.89–6.76), medical insurance (OR = 1.74, <em>p</em> = 0.015, 95 % CI: 1.11–2.73), birth method (OR = 1.69, <em>p</em> = 0.034, 95 % CI: 1.04–2.73) and infant gender (OR= 0.64, <em>p</em> = 0.05, 95 % CI: 0.41–0.99) significantly influenced exclusive breastfeeding rates.</div><div>The findings revealed that breastfeeding practices do not align with WHO recommendations, emphasizing the crucial role of healthcare providers in supporting breastfeeding mothers during crises. It is essential to consider the unique circumstances and cultural backgrounds of refugees when evaluating their needs for developing breastfeeding programs. International health organizations, like the UNHCR, and host country policymakers should prioritize access to antenatal and postnatal counseling services and health insurance for mothers and children during crises.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100324"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768138","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 不平等风化:移民的健康优势如何在一生中消失
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
Exploring health literacy among Japanese and international university students in Japan: A comparative cross-sectional study 日本大学生与国际大学生健康素养探讨:一项比较横断面研究
IF 3.9
Journal of Migration and Health Pub Date : 2025-01-01 DOI: 10.1016/j.jmh.2025.100334
Akindele Abimibayo Adeoya
{"title":"Exploring health literacy among Japanese and international university students in Japan: A comparative cross-sectional study","authors":"Akindele Abimibayo Adeoya","doi":"10.1016/j.jmh.2025.100334","DOIUrl":"10.1016/j.jmh.2025.100334","url":null,"abstract":"<div><h3>Objective</h3><div>Health literacy (HL) is the ability to access, understand, evaluate, and apply health information for well-being. However, comparisons between domestic and international students remain limited. This study aims to investigate HL among Japanese and international university students in Japan and explore the factors that influence it.</div></div><div><h3>Methods</h3><div>This cross-sectional study used both the English and Japanese versions of the 47-item European Health Literacy Survey Questionnaire (HLS-EU-Q47). Using convenience sampling, a total of 1366 university students across six regions in Japan who provided informed consent participated in this self-administered, online-based survey. Descriptive statistics, <em>t</em>-tests, ANOVA and multiple regression were conducted as appropriate at a 0.05 alpha level using JMP statistical software (version 17.0.0)</div></div><div><h3>Results</h3><div>The results revealed that 60 % and 32 % of participants had inadequate and problematic HL, respectively, indicating that 92 % of all students had limited HL. International students exhibited better HL than Japanese university students (<em>p</em> &lt; 0.0001), a difference that remained after adjusting for sociodemographic and educational factors (β = 3.39, 95 % confidence interval = 2.83 – 3.95, <em>p</em> &lt; 0.0001). The competency of “appraising” within the healthcare domain presented the greatest challenge for international students, whereas “understanding” within the disease prevention domain was most difficult for Japanese students. Furthermore, the results indicated a strong association between HL and sociodemographic factors such as age, level of study, marital status, and religious affiliation. In contrast, health literacy showed an inverse association with economic status, program of study and parental education level. There was an observable trend between improved Japanese language proficiency and improved HL among international students.</div></div><div><h3>Conclusion</h3><div>International students in Japan demonstrated better HL than Japanese university students. Educational institutions must take a more proactive role in fostering HL for all students through general health education and peer-to-peer programs to create a more informed, healthy, and productive student community.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100334"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143894949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Posttraumatic stress among refugees: The moderating effect of perceived social support 难民创伤后压力:感知社会支持的调节作用
IF 3.9
Journal of Migration and Health Pub Date : 2025-01-01 DOI: 10.1016/j.jmh.2025.100323
Victoria Sophie Boettcher, Frank Neuner
{"title":"Posttraumatic stress among refugees: The moderating effect of perceived social support","authors":"Victoria Sophie Boettcher,&nbsp;Frank Neuner","doi":"10.1016/j.jmh.2025.100323","DOIUrl":"10.1016/j.jmh.2025.100323","url":null,"abstract":"<div><h3>Objective</h3><div>Social support has been associated with the mental health of refugees. However, little is known about the characteristics and effects of social support in this group. The aim of this study was to investigate the protective role of social support, specifically through the perceived opportunity to confide in someone. We hypothesized that the opportunity to confide would have a moderating influence on the dose-effect relationship between trauma exposure and PTSD symptoms.</div></div><div><h3>Methods</h3><div>Clinical face-to-face interviews were conducted with 65 adult refugees who were living in the north-east of North Rhine-Westphalia. Interpreters (Arabic, Farsi, Kurmancî) were present if necessary. Interviews included a detailed assessment of traumatic event types, PTSD symptoms (assessed via the PTSD Checklist for DSM-5 (PCL-5)), and social support experienced by the participants.</div></div><div><h3>Results</h3><div>The multiple hierarchical regression analysis revealed a significant moderation of the perceived opportunity to confide on the association of number of traumatic event types reported and PTSD symptomatology. For refugees with limited trauma exposure, opportunity to confide was associated with lower PTSD symptoms. Most confidants were located within the countries of reception, while contacts in the home countries were less often identified as protective.</div></div><div><h3>Conclusions</h3><div>Social support, in particular the opportunity to confide, seems to act as a buffering factor up to a certain number of experienced traumatic event types. Specialized interventions may be necessary for people with a high trauma load and / or high symptom level.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100323"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760179","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 接纳和难民健康的背景:美国和比利时外国出生的人的经验。
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
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