Journal of Migration and Health最新文献

筛选
英文 中文
Mental health as a non-communicable disease among refugees, asylum seekers, and beneficiaries of subsidiary protection: A scoping review 心理健康作为难民、寻求庇护者和辅助保护受益者的非传染性疾病:范围审查
IF 2.9
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-03-20 DOI: 10.1016/j.jmh.2026.100404
Ana Pinto de Oliveira , Regina Loesch , Cláudia Conceição , Inês Fronteira
{"title":"Mental health as a non-communicable disease among refugees, asylum seekers, and beneficiaries of subsidiary protection: A scoping review","authors":"Ana Pinto de Oliveira ,&nbsp;Regina Loesch ,&nbsp;Cláudia Conceição ,&nbsp;Inês Fronteira","doi":"10.1016/j.jmh.2026.100404","DOIUrl":"10.1016/j.jmh.2026.100404","url":null,"abstract":"<div><h3>Background</h3><div>The number of forcibly displaced people has reached unprecedented levels, exposing refugees, asylum seekers, and beneficiaries of subsidiary protection to cumulative adversities that severely affect health. Non-communicable diseases - particularly mental health conditions - represent a growing yet inadequately addressed component of this burden, with mental health remaining poorly integrated into non-communicable disease care frameworks. Within the NCD framework, mental disorders are increasingly recognized as chronic, disabling conditions with profound social and economic consequences.</div></div><div><h3>Objective</h3><div>This scoping review mapped and synthesized evidence on mental health outcomes and associated risk factors among forcibly displaced adults in host countries. It also examined how mental health has been conceptualized and integrated within the broader non-communicable disease framework.</div></div><div><h3>Methods</h3><div>We conducted a scoping review in accordance with established methodological frameworks and reported it in accordance with the PRISMA-Scoping Review guidelines. Six databases were searched for studies published between 2000 and 2020. Eligible studies included observational, qualitative, mixed-methods, and review articles addressing mental health outcomes or associated risk factors among forcibly displaced adults in host countries. Data was extracted using a standardized tool and synthesized narratively.</div></div><div><h3>Results</h3><div>Of 4,341 records identified, 231 met the inclusion criteria, and 82 reported mental health outcomes. Depression, anxiety, and post-traumatic stress disorder were most common, with prevalence consistently higher than in host populations. Pre-migration trauma - such as war exposure and torture - and post-migration stressors, including unemployment, discrimination, social isolation, language barriers, and legal insecurity, significantly worsened mental health. Women and older adults were particularly vulnerable. Barriers to access, cultural incongruence, and limited-service availability were recurring challenges. However, substantial heterogeneity in study design, sampling strategies, and assessment instruments limited direct comparability across contexts.</div></div><div><h3>Conclusions</h3><div>Mental health disorders among forcibly displaced populations constitute a critical yet often overlooked aspect of the global non-communicable diseases burden. Addressing them requires integrated, culturally competent, trauma-informed care and supportive social and legal measures to improve equity and inclusion. Policy responses must therefore extend beyond clinical care to address structural determinants, including legal status, employment, housing, and social integration.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100404"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147538824","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
Is Screening for Anemia in Newly Arrived Refugees Recommendable? A Cross-Sectional Study of Anemia Prevalence in Refugees Resettled in Aarhus, Denmark 是否推荐对新来的难民进行贫血筛查?在丹麦奥胡斯重新安置的难民中贫血患病率的横断面研究
IF 2.9
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2025-12-02 DOI: 10.1016/j.jmh.2025.100380
Rebecca Vigh Margolinsky , Anna Andersen-Civil , Zélia Muggli , Christian Wejse , Anne Mette Fløe Hvass
{"title":"Is Screening for Anemia in Newly Arrived Refugees Recommendable? A Cross-Sectional Study of Anemia Prevalence in Refugees Resettled in Aarhus, Denmark","authors":"Rebecca Vigh Margolinsky ,&nbsp;Anna Andersen-Civil ,&nbsp;Zélia Muggli ,&nbsp;Christian Wejse ,&nbsp;Anne Mette Fløe Hvass","doi":"10.1016/j.jmh.2025.100380","DOIUrl":"10.1016/j.jmh.2025.100380","url":null,"abstract":"<div><h3>Background</h3><div>Anemia is a major contributor to the global burden of disease and is associated with poor health outcomes and impaired quality of life. Refugees often flee from countries with poverty or conflict and deteriorating health systems. As a result, refugees are vulnerable to several underlying causes of anemia. This study aimed to investigate the prevalence of anemia and its associations with sociodemographic factors in refugees resettling in Denmark.</div></div><div><h3>Methods</h3><div>This cross-sectional study is based on health assessments comprising medical interviews, physical examinations, and blood samples offered to newly arrived refugees in Aarhus Municipality from January 2014 – November 2018. Data on 1) hemoglobin level, 2) age, 3) sex, 4) pregnancy status, 5) country of origin, 6) educational attainment and 7) route of arrival were extracted for analysis.</div></div><div><h3>Results</h3><div>Of 1261 refugees who participated in the health assessment, 45.8% were female. Main countries of origin were Syria, Eritrea and Iran. A total of 101 participants (8%) had anemia. Prevalence was high among pregnant woman and adults &gt;25 years, and low among children &lt;15 years. Prevalence was higher among refugees arriving through family reunification programs and programs coordinated by the United Nations High Commissioner for Refugees (UNHCR). The analysis revealed notable differences in prevalence when using hemoglobin thresholds defined by the World Health Organization (WHO) versus by local guidelines.</div></div><div><h3>Conclusion</h3><div>Anemia is prevalent among refugees and is associated with various sociodemographic factors. Using internationally accepted hemoglobin thresholds may provide a more accurate estimate of anemia in refugee populations. Given the low cost and simplicity of hemoglobin measurement, we recommend including screening for anemia in health assessments for resettled refugees.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100380"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145705706","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
What has been the impact of western governments’ laws and policies on the mental health of asylum seekers and refugees? A systematic-narrative hybrid literature review 西方政府的法律和政策对寻求庇护者和难民的心理健康有什么影响?系统叙述混合文献综述
IF 2.9
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2025-12-05 DOI: 10.1016/j.jmh.2025.100382
Imen El Amouri, Tihomir Sabchev
{"title":"What has been the impact of western governments’ laws and policies on the mental health of asylum seekers and refugees? A systematic-narrative hybrid literature review","authors":"Imen El Amouri,&nbsp;Tihomir Sabchev","doi":"10.1016/j.jmh.2025.100382","DOIUrl":"10.1016/j.jmh.2025.100382","url":null,"abstract":"<div><div>This article reviews research on the causal impact of Western governments’ laws and policies on the mental health of asylum seekers and refugees. The systematic-narrative hybrid literature review yielded 34 studies using quantitative, qualitative and mixed methods approaches, focusing almost exclusively on restrictive and deterrence-oriented measures. The synthesis shows that, over the last two decades, Western governments’ laws and policies around detention, access to basic rights, asylum procedure, and reception have had a substantial and almost exclusively negative impact on the mental health of protection seekers. Based on our findings, we urge legislators and policymakers to consider the long-term consequences and costs of the laws and policies they introduce, within and beyond the realm of mental health. In addition, we highlight the need for more research on governmental measures that are likely to have a positive impact on the mental health of asylum seekers and refugees.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100382"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798338","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
Challenges to healthcare access for migrants in transit: A scoping review 过境移徙者获得医疗保健的挑战:范围审查
IF 2.9
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-01-05 DOI: 10.1016/j.jmh.2026.100395
Vidya Gopinadhan , Tee Wen Li , Vanja Kovacic , Cecilio Tang , Norman Sitali
{"title":"Challenges to healthcare access for migrants in transit: A scoping review","authors":"Vidya Gopinadhan ,&nbsp;Tee Wen Li ,&nbsp;Vanja Kovacic ,&nbsp;Cecilio Tang ,&nbsp;Norman Sitali","doi":"10.1016/j.jmh.2026.100395","DOIUrl":"10.1016/j.jmh.2026.100395","url":null,"abstract":"<div><h3>Background</h3><div>Migrants in transit face numerous health challenges which are further exacerbated by barriers to accessing healthcare. Understanding these barriers is essential for designing effective health interventions and policies that ensure equitable healthcare access for this population. This scoping review aims to investigate the barriers and the existing health policies that complicate healthcare access for migrants in transit and to recommend alternatives to improve access.</div></div><div><h3>Methods</h3><div>This review scoped 26 papers between 2011 and June 2024, including grey literature, using the Arksey and O’Malley framework and the PRISMA-ScR checklist. The databases searched included Medline, Migration Research Hub, Science Direct, Biomed Central, OECD, and third-sector websites. Results were thematically coded using inductive and deductive analysis.</div></div><div><h3>Results</h3><div>16 peer-reviewed articles and 11 grey literature reports were included in this review. 69% of research was centred in the low- and middle-income European countries, and 80% of primary research focused on healthcare provider and civil organization perspectives. 46% of the studies directly analysed the barriers to healthcare, which were categorized into dimensions of acceptability, availability, affordability and accessibility. Only 23% of articles discussed policies and potential solutions, but there were no studies evaluating implementation of these policies or solutions.</div></div><div><h3>Conclusion</h3><div>Despite the growing body of literature on migrant health, significant gaps remain in understanding the extent of healthcare challenges faced by migrants in transit. Future research is needed to inform policy, practice, and the development of more effective healthcare systems for migrants in transit.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100395"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977268","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
Health status and living conditions of north-bound migrant minors in Mexico at place of origin and during the migration journey: A cross-sectional, mixed-methods study 墨西哥北部未成年移民在原籍地和移民途中的健康状况和生活条件:一项横断面混合方法研究
IF 2.9
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2025-12-30 DOI: 10.1016/j.jmh.2025.100390
Zeus Aranda , Ana Cristina Sedas , Daniel Bernal , José Pulido-Manzanero , Enrique Regidor , Anna M. Mandalakas , Karla Fredricks
{"title":"Health status and living conditions of north-bound migrant minors in Mexico at place of origin and during the migration journey: A cross-sectional, mixed-methods study","authors":"Zeus Aranda ,&nbsp;Ana Cristina Sedas ,&nbsp;Daniel Bernal ,&nbsp;José Pulido-Manzanero ,&nbsp;Enrique Regidor ,&nbsp;Anna M. Mandalakas ,&nbsp;Karla Fredricks","doi":"10.1016/j.jmh.2025.100390","DOIUrl":"10.1016/j.jmh.2025.100390","url":null,"abstract":"<div><div>The passage of north-bound migrants through Mexico has increased dramatically in the last decade, with an increasing proportion of minors. However, there is still little evidence on the health status and living conditions of migrant minors in transit through Mexico. The aim of this study was to better characterize the evolution of health status and its contributing factors in this population from the place of origin to the period of travel. We conducted a cross-sectional mixed-methods study with migrant caregivers staying with minors in shelters in northern Mexico. Quantitative data were collected through surveys using validated tools to assess minors’ well-being and health-related social needs and were analyzed descriptively and inferentially. Qualitative data were obtained through focus groups using a semi-structured interview guide and analyzed through thematic analysis. Information was collected on 200 minors between July and September 2024. Caregivers reported precarious and unsafe living conditions at origin and along the journey, as well as a series of barriers to accessing health services. Deterioration in the mental and physical health of minors was observed between the pre-departure and travel periods. Our study illuminates adversities faced by migrant children and adolescents in Latin America along the migratory journey and emphasizes the impact of these adversities on their well-being. There remains a need to continue supporting the implementation of interventions that contribute to the well-being of minors in transit in the region.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100390"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977266","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
Acquiring health resources during settlement in rural areas? Refugees' experiences of health infrastructure and leisure practices in Germany 在农村定居期间获取卫生资源?难民对德国卫生基础设施和休闲活动的体验
IF 2.9
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2025-12-03 DOI: 10.1016/j.jmh.2025.100381
David Spenger, Stefan Kordel, Lukas Schorner
{"title":"Acquiring health resources during settlement in rural areas? Refugees' experiences of health infrastructure and leisure practices in Germany","authors":"David Spenger,&nbsp;Stefan Kordel,&nbsp;Lukas Schorner","doi":"10.1016/j.jmh.2025.100381","DOIUrl":"10.1016/j.jmh.2025.100381","url":null,"abstract":"<div><div>Addressing the research desideratum of health status and practices of refugees in the settlement phase as well as rural specificities in dealing with health issues, this article explores refugees’ self-reported health status as well as experiences with health infrastructure. Following a salutogenic approach to health, we consider both disease prevention and health promotion and explicitly take into account leisure practices as a way to acquire health resources. Results firstly show a persistence of self-reported diseases and manifold interactions with the settlement process, e.g. housing or language acquisition. Secondly, we found that refugees are looking for (new) leisure activities at the place of living, which allow to gain sovereignty about everyday lives and thus improve their health status. Based on our results, we suggest to take up post-medicinal and life-course approaches in future research designs for a more profound understanding of migrant health.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100381"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145749685","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
Depression and anxiety symptoms in internally migrated women and men after the German unification: Baseline results from the German National Cohort Study (NAKO) 德国统一后国内移民男女的抑郁和焦虑症状:来自德国国家队列研究(NAKO)的基线结果
IF 2.9
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-02-26 DOI: 10.1016/j.jmh.2026.100403
D. Otten , C. Kasinger , L. Kriechel , A.N. Tibubos , K. Berger , G. Schomerus , T. McLaren , M.E. Beutel , S. Speerforck , E. Brähler
{"title":"Depression and anxiety symptoms in internally migrated women and men after the German unification: Baseline results from the German National Cohort Study (NAKO)","authors":"D. Otten ,&nbsp;C. Kasinger ,&nbsp;L. Kriechel ,&nbsp;A.N. Tibubos ,&nbsp;K. Berger ,&nbsp;G. Schomerus ,&nbsp;T. McLaren ,&nbsp;M.E. Beutel ,&nbsp;S. Speerforck ,&nbsp;E. Brähler","doi":"10.1016/j.jmh.2026.100403","DOIUrl":"10.1016/j.jmh.2026.100403","url":null,"abstract":"<div><div>Background: Internal migration is a special case in Germany, with its history of two formerly divided and re-unified states. In this study, we examined mental health of women and men who migrated internally after the German reunification and compared them with each other and with the non-migrated population in Eastern and Western Germany.</div><div>Methods: Baseline data of 161,795 participants (49.9 % women; internal migrants East-West = 7160 [4.4 %] and West-East = 3966 [2.5 %]) from the population-based German National Cohort were used. Internal migration was measured using information on previous (1988) and current residency. To assess mental health (i.e., current depression and anxiety symptoms), the Depression Module of the Patient Health Questionnaire (PHQ-9) and the Generalised Anxiety Disorder Symptoms Scale (GAD-7) were applied. Group differences were assessed using analyses of covariance and Tukey’s Tests. Strengths of effects were tested using omega squared.</div><div>Results: Significant differences in levels of current depression and anxiety symptoms between the four groups were found for both women and men, but effect sizes were extremely small (ω² ≈ 0.000–0.002). East-West migrants reported slightly lower current depression symptoms (adj. <em>M</em><sub>women</sub> = 4.00, adj. <em>M</em><sub>men</sub> = 3.17) than West-East migrants (adj. <em>M</em><sub>women</sub> = 4.48, adj. <em>M</em><sub>men</sub> = 3.69). For East-West migrated men the same was found for anxiety symptoms (adj. M = 2.52 versus adj. M = 2.96). Mental health of internal migrants was not better compared to their non-migrated counterparts.</div><div>Conclusion: Subgroup analyses revealed group differences to depend on sex, but show negligible effect sizes, with internal migration only explaining less than 0.2 % of the variance for depression and anxiety symptoms. Internal migration alone is thus no substantial factor in explaining mental health differences. Future studies should use longitudinal data to determine temporal associations between internal migration and mental health.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100403"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515229","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
Who is a mobile man ‘at risk’? Masculinity, work-related mobility, and HIV-related risks in Uganda and South Africa 谁是“处于危险之中”的移动男性?乌干达和南非的男性气质、工作流动性和艾滋病相关风险
IF 2.9
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-05-01 DOI: 10.1016/j.jmh.2026.100414
Martin Mbonye , Janet Seeley , Julie Fox , Emily L Webb , Andrew Medina-Marino , Eugene Ruzagira , Thabang Manyaapelo , Seluleko E. Ngcobo , the Mobile Men Study Team
{"title":"Who is a mobile man ‘at risk’? Masculinity, work-related mobility, and HIV-related risks in Uganda and South Africa","authors":"Martin Mbonye ,&nbsp;Janet Seeley ,&nbsp;Julie Fox ,&nbsp;Emily L Webb ,&nbsp;Andrew Medina-Marino ,&nbsp;Eugene Ruzagira ,&nbsp;Thabang Manyaapelo ,&nbsp;Seluleko E. Ngcobo ,&nbsp;the Mobile Men Study Team","doi":"10.1016/j.jmh.2026.100414","DOIUrl":"10.1016/j.jmh.2026.100414","url":null,"abstract":"<div><div>Men who move for work (e.g., taxi drivers, fishermen, labourers) are often described as a homogeneous group at equal risk of HIV acquisition. This framing often masks important differences between men. Using data from rapid ethnographic assessments and a baseline survey in two settings in South Africa and one in Uganda, we examine how sexual risk- taking among men who travel frequently for work is shaped by mobility. We describe the different mobility patterns of men who are engaged in fishing, driving taxis and trucks and motorcycle-taxi riders, showing how these patterns interacted with reputational and respectable masculinities to shape sexual risk. The availability of alcohol and sex workers while away from home offered opportunities for engaging in opportunistic sex, particularly among younger mobile men drawn to building their reputation as a sexually-active man. Other factors such as older age, relationship status, fatherhood, time in the place and previous risky behaviours, shaped the enactment of respectable masculinities, especially among the older men. These findings illustrate that the link between HIV risk and mobility is understood better when looking at the different interacting factors at play in different contexts. The same mobile men may enact different forms of masculinity depending on their relationships status, social obligations and past experiences with risk, resulting in different exposures to HIV risk. Intervention approaches which target men who are mobile for work need to be tailored to address the different factors which affect risk-taking at different times in mobile men’s lives.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100414"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147858667","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
Association of migration with hospitalization and mortality among Medicare beneficiaries with end-stage renal disease in Puerto Rico after Hurricane Maria 飓风玛丽亚后波多黎各终末期肾病医疗保险受益人的移民与住院和死亡率的关系
IF 2.8
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-07-30 DOI: 10.1016/j.jmh.2026.100433
Daeho Kim, Sweta Patel, Elizabeth Fussell, Rajnish Mehrotra, Amal N. Trivedi, Maricruz Rivera-Hernandez
{"title":"Association of migration with hospitalization and mortality among Medicare beneficiaries with end-stage renal disease in Puerto Rico after Hurricane Maria","authors":"Daeho Kim,&nbsp;Sweta Patel,&nbsp;Elizabeth Fussell,&nbsp;Rajnish Mehrotra,&nbsp;Amal N. Trivedi,&nbsp;Maricruz Rivera-Hernandez","doi":"10.1016/j.jmh.2026.100433","DOIUrl":"10.1016/j.jmh.2026.100433","url":null,"abstract":"<div><h3>Background</h3><div>Hurricane Maria, which struck Puerto Rico (PR) on September 20, 2017, was one of the worst natural disasters in modern US history. Maria disproportionately impacted chronically ill patients, such as those with end-stage renal disease (ESRD), some of whom migrated to the US mainland to receive care.</div></div><div><h3>Objective</h3><div>We aim to examine the association of migration with hospitalization and mortality among Medicare beneficiaries with ESRD.</div></div><div><h3>Methods</h3><div>Using Medicare claims data, we applied a difference-in-differences (DD) approach to compare changes in hospitalization and mortality after Hurricane Maria among migrants with ESRD relative to concurrent changes among non-migrant ESRD patients in PR from 2016 through 2019.</div></div><div><h3>Results</h3><div>The study population of 10,630 Medicare beneficiaries with ESRD initially residing in Puerto Rico between 2016 to 2019 included 1,046 (9.8%) migrants to the mainland US and 9,584 (90.2%) non-migrants who stayed in PR. After adjusting for patient characteristics, prior hospitalizations, and calendar-quarter fixed effects, migration was associated with reductions in the number of hospital admissions per quarter by 0.10 (relative reduction of 19.2%) and hospital days per quarter by 0.81 (23.5% relative reduction), with no significant impact on mortality.</div></div><div><h3>Conclusions</h3><div>Results show that migrants from PR to the US after Hurricane Maria experienced fewer hospitalizations and unchanged mortality. The findings suggest that migration from the disaster-affected area was associated with a reduction in the use of acute care among patients with ESRD.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"14 ","pages":"Article 100433"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148730193","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
Design and results of a pilot community screening strategy for hepatitis B and hepatitis C to promote early access to treatment among migrant populations from high-prevalence countries residing in Catalonia (MiCatC) 乙型肝炎和丙型肝炎试点社区筛查策略的设计和结果,以促进居住在加泰罗尼亚(MiCatC)的高流行国家移民人口早期获得治疗
IF 2.8
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-07-14 DOI: 10.1016/j.jmh.2026.100429
Venus Forero, Sandra Manzanares-Laya, Hakima Ouaarab, Prat Jordi Gómez i, Anna Not, Marcos Montoro, Esteve Muntada, Jordi Casabona, Elisa Martró, Mayara Torres, María Serrano Gregori, Manuel Gómez-Barrera, Raquel Domínguez-Hernández, Xavier Majó, Joan Colom
{"title":"Design and results of a pilot community screening strategy for hepatitis B and hepatitis C to promote early access to treatment among migrant populations from high-prevalence countries residing in Catalonia (MiCatC)","authors":"Venus Forero,&nbsp;Sandra Manzanares-Laya,&nbsp;Hakima Ouaarab,&nbsp;Prat Jordi Gómez i,&nbsp;Anna Not,&nbsp;Marcos Montoro,&nbsp;Esteve Muntada,&nbsp;Jordi Casabona,&nbsp;Elisa Martró,&nbsp;Mayara Torres,&nbsp;María Serrano Gregori,&nbsp;Manuel Gómez-Barrera,&nbsp;Raquel Domínguez-Hernández,&nbsp;Xavier Majó,&nbsp;Joan Colom","doi":"10.1016/j.jmh.2026.100429","DOIUrl":"10.1016/j.jmh.2026.100429","url":null,"abstract":"<div><h3>Introduction</h3><div>The elimination of hepatitis C virus (HCV) and hepatitis B virus (HBV) requires strategies to overcome barriers associated with access to healthcare among migrants. The objective was to design and implement a community-screening-strategy (MiCat) for HBV and HCV among migrant populations from high-prevalence countries residing in Catalonia.</div></div><div><h3>Methodology</h3><div>A pilot community-screening was conducted in religious sites, associations or community centres. A multidisciplinary team consisting of peer educators, community health agents, and nurses was established. interventions consisted of workshops pertaining to viral hepatitis, rapid tests featuring onsite results and the collection of dried blood samples for HCV RNA test if anti-HCV-positive result. HBsAg-positive and/or HCV-RNA-positive participants were contacted and referred for hepatology.</div></div><div><h3>Results</h3><div>A total of 1,505 people (71% men; 68% Pakistani) were screened over 10 months. Of the total, 71% were long-term residents in Catalonia (&gt;5 years). The history of exposure was more common among women. A total of individuals tested, 3% (95% CI 2.2-4.0) (n=44) were HBsAg-positive (91% men; 33% new diagnoses), 36.4% (n=16) referred to hepatology (33% women) and 2 treated; and a 3.3% (95% CI 2.42-4.28) (n=49) were anti-HCV-positive (84% men), of these 32.6% (n=16) were HCV-RNA-positive (1.06% viremia prevalence; all new diagnoses), 13 patients completed the treatment.</div></div><div><h3>Conclusions</h3><div>MiCatC project was able to detect, link to care and treat migrant population from countries with high prevalence of HCV and/or HBV based on a multidisciplinary team including community assets. It is essential to include the gender perspective to ensure that migrant women with hepatitis can receive specialised care.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"14 ","pages":"Article 100429"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148635984","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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信
小红书