Journal of Migration and Health最新文献

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Migrant status and musculoskeletal complaints in greenhouse horticulture: integrating physical and psychosocial factors 移民身份和温室园艺中的肌肉骨骼疾病:综合生理和心理因素。
IF 2.8
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-07-13 DOI: 10.1016/j.jmh.2026.100427
Natalia Burgos-Alonso, Pedro Monzón, Marta Rentería, Begoña Landajo, Ángel Pereira, Jesús Seco-Calvo, Lars Louis Andersen, Jon Torres-Unda
{"title":"Migrant status and musculoskeletal complaints in greenhouse horticulture: integrating physical and psychosocial factors","authors":"Natalia Burgos-Alonso,&nbsp;Pedro Monzón,&nbsp;Marta Rentería,&nbsp;Begoña Landajo,&nbsp;Ángel Pereira,&nbsp;Jesús Seco-Calvo,&nbsp;Lars Louis Andersen,&nbsp;Jon Torres-Unda","doi":"10.1016/j.jmh.2026.100427","DOIUrl":"10.1016/j.jmh.2026.100427","url":null,"abstract":"<div><h3>Background</h3><div>Agricultural work involves high physical demands and organizational and psychological factors that increase the risk of musculoskeletal disorders, especially in environments such as greenhouse horticulture. Migrant workers face additional vulnerabilities stemming from precarious working conditions and reduced access to preventive resources. The aim of this study was to compare functional capacity, musculoskeletal complaints, and psychosocial outcomes between migrant and non-migrant workers engaged in greenhouse horticultural production.</div></div><div><h3>Design</h3><div>A cross-sectional study was conducted among 146 agricultural workers employed in greenhouse horticultural production in the Basque Country (Spain). Cardiorespiratory fitness, lower-limb strength, musculoskeletal complaints using the Standardised Nordic Questionnaire (SNQ) and perceived stress and anxiety were compared between migrant and non-migrant workers.</div></div><div><h3>Results</h3><div>Musculoskeletal complaints were lower in migrants workers in both sexes (<em>p</em> &lt; 0.05). A positive correlation was identified between depressive symptoms and musculoskeletal complaints. A multivariable regression model showed that being migrant, lower depressive symptom scores, greater handgrip strength, and higher work ability were associated with lower musculoskeletal complaint levels (R2 =0.574).</div></div><div><h3>Conclusion</h3><div>Musculoskeletal complaints among greenhouse agricultural workers are not explained solely by physical workload. Migrant status, psychological well-being, muscular strength, and work ability are independently associated with musculoskeletal complaints.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"14 ","pages":"Article 100427"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13418223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621646","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
Delivery of health and social programs for temporary and precarious status (TAPS) migrants in Ontario, Canada: A systematic mapping review 加拿大安大略省临时和不稳定身份(TAPS)移民的健康和社会计划的实施:系统的地图审查
IF 2.8
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-08-21 DOI: 10.1016/j.jmh.2026.100439
Monica Bustos, Laura Jane Brubacher, Y.Y. Brandon Chen, Bree Akesson, Ibukun-Oluwa Omolade Abejirinde, Leia Minaker, Bridget Beggs, Karen M. Frensch, Warren Dodd
{"title":"Delivery of health and social programs for temporary and precarious status (TAPS) migrants in Ontario, Canada: A systematic mapping review","authors":"Monica Bustos,&nbsp;Laura Jane Brubacher,&nbsp;Y.Y. Brandon Chen,&nbsp;Bree Akesson,&nbsp;Ibukun-Oluwa Omolade Abejirinde,&nbsp;Leia Minaker,&nbsp;Bridget Beggs,&nbsp;Karen M. Frensch,&nbsp;Warren Dodd","doi":"10.1016/j.jmh.2026.100439","DOIUrl":"10.1016/j.jmh.2026.100439","url":null,"abstract":"<div><h3>Background</h3><div>In recent years, Canada has accepted more temporary migrants to fulfill labour shortages and support economic productivity. These temporary and precarious status (TAPS) migrants, including temporary foreign workers, international students, refugee claimants, and non-status individuals, work in various sectors to fill gaps in the labour force. However, the precarity and uncertainty experienced by TAPS migrants create challenges around their access to health and social services. In response to shifting migration policies that may exacerbate these challenges, this study aims to identify and describe the extent, range, and nature of health and social programs for TAPS migrants in Ontario.</div></div><div><h3>Methods</h3><div>We conducted a systematic mapping review using a systematic search strategy to identify relevant programs and services that addressed the social determinants of health through searching organizational, network, and institutional websites; municipal, provincial, and federal government agency websites; and the Canadian Business and Current Affairs database.</div></div><div><h3>Results</h3><div>We identified 143 programs serving TAPS migrants, mostly implemented across southern Ontario and delivering both broad settlement services and issue-specific programs. Additionally, most programs identified in this mapping review served refugee claimants in major urban and suburban cities. In contrast, there were limited programs in northern Ontario and for non-status individuals. Key elements of health and social programs serving TAPS migrants included fostering accessibility, engaging subject matter experts, and developing enabling partnerships among service providers.</div></div><div><h3>Conclusion</h3><div>These findings provide an understanding of existing programs serving TAPS migrants in Ontario and offer insights that could inform future programs as migration policies evolve in Canada.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"14 ","pages":"Article 100439"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148951547","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
Five years of the journal of migration and health: Knowledge, voices and action 《移徙与健康:知识、声音和行动》杂志创刊五年
IF 2.9
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2025-11-26 DOI: 10.1016/j.jmh.2025.100378
Helena Legido-Quigley , Maria Eugenia Esandi
{"title":"Five years of the journal of migration and health: Knowledge, voices and action","authors":"Helena Legido-Quigley ,&nbsp;Maria Eugenia Esandi","doi":"10.1016/j.jmh.2025.100378","DOIUrl":"10.1016/j.jmh.2025.100378","url":null,"abstract":"","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100378"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148241367","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 follow-up of migrant children after arrival in France: A multicenter study in hospital outpatient clinics in the Paris region 移民儿童抵达法国后的健康状况随访:巴黎地区医院门诊的一项多中心研究
IF 2.9
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-04-17 DOI: 10.1016/j.jmh.2026.100412
Alice Grognet Essaian , Frédéric Sorge , Enora Le Roux , Sophie Guilmin-Crépon , Juliette Goutines , Laurie C. Miller , Marion Taine , Romain Basmaci , Albert Faye
{"title":"Health status follow-up of migrant children after arrival in France: A multicenter study in hospital outpatient clinics in the Paris region","authors":"Alice Grognet Essaian ,&nbsp;Frédéric Sorge ,&nbsp;Enora Le Roux ,&nbsp;Sophie Guilmin-Crépon ,&nbsp;Juliette Goutines ,&nbsp;Laurie C. Miller ,&nbsp;Marion Taine ,&nbsp;Romain Basmaci ,&nbsp;Albert Faye","doi":"10.1016/j.jmh.2026.100412","DOIUrl":"10.1016/j.jmh.2026.100412","url":null,"abstract":"<div><h3>Purpose</h3><div>Many studies have examined the health issues of international migrant children upon arrival in their host country. However, very few have described their health status long after settling. We aimed to assess the health status of migrant children two years after their arrival in a high-income country.</div></div><div><h3>Methods</h3><div>We conducted a descriptive, longitudinal study among migrant children accompanied by parents who attended a migrant outpatient clinic in the Paris region, France, upon arrival between January 2018 and January 2021. A follow-up consultation was offered to all children at least two years after the initial consultation. Only children who attended the follow-up consultation were included in the study, and findings compared to status at initial consultation.</div></div><div><h3>Results</h3><div>Fifty-seven children were included. The median age at arrival was 5.5 years and the male-to-female ratio was 0.73. The median delay between the two consultations was 2.8 years. The majority of the children (84%) were from Sub-Saharan Africa. At the follow-up consultation, half of the families had unstable housing. Thirty-three children (58%) had not received routine medical care. Overweight prevalence increased from 5% to 19% between the two visits (<em>p</em> &lt; 0.01). No cases of early puberty were observed. Two children were diagnosed with delayed psychomotor development at the follow-up visit.</div></div><div><h3>Conclusion</h3><div>Health issues in migrant children may be exacerbated by persistent precarity for at least two years after arrival. Beyond initial care, new immigrant families require long-term, specific medical and preventive support.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100412"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147747521","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
Acculturative risk or selective retention? A longitudinal study of binge drinking in Asian and Latinx immigrant youth 异文化风险还是选择性留存?亚洲和拉丁裔移民青年酗酒的纵向研究
IF 2.9
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-05-09 DOI: 10.1016/j.jmh.2026.100415
Zobayer Ahmmad
{"title":"Acculturative risk or selective retention? A longitudinal study of binge drinking in Asian and Latinx immigrant youth","authors":"Zobayer Ahmmad","doi":"10.1016/j.jmh.2026.100415","DOIUrl":"10.1016/j.jmh.2026.100415","url":null,"abstract":"<div><div>Alcohol consumption is a significant public health concern in the US, increasingly impacting racial/ethnic minority youth. This study investigates binge drinking from adolescence to mature adulthood among Asian and Latinx Americans, using three waves of Add Health data and mixed-effects (melogit) modeling technique. Nativity and gender were used as key moderating variables. Guided by the acculturative risk framework, which posits that immigrants' healthier behavioral profiles diminish with longer US residence, the findings from this study offer only partial support for this hypothesis but provide stronger evidence for selection effects. Immigrants reported lower binge drinking rates than their US-born counterparts. While some acculturative risk was observed (e.g., English use among Latinx individuals), most immigrant segments maintained healthier profiles. Notably, immigrant females, particularly within the Latinx group, exhibited the flattest binge drinking trajectories, highlighting gender as a fundamental indicator of selective retention of alcohol consumption among US immigrants.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"13 ","pages":"Article 100415"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147951101","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
A scoping review of the available literature on the epidemiologic profile of migrants in-transit through South America, Central America, and Mexico from 2013-2025 对2013-2025年通过南美、中美洲和墨西哥的过境移民的流行病学概况的现有文献进行范围审查
IF 2.8
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-07-03 DOI: 10.1016/j.jmh.2026.100422
Rachel Gittinger, Emma Halper, Nushrat Nur, Audrey Kennar, Hannah Thomas, Samantha Loh, Katrina M. Byrd, Daniel Ehlman, Nirma D. Bustamante
{"title":"A scoping review of the available literature on the epidemiologic profile of migrants in-transit through South America, Central America, and Mexico from 2013-2025","authors":"Rachel Gittinger,&nbsp;Emma Halper,&nbsp;Nushrat Nur,&nbsp;Audrey Kennar,&nbsp;Hannah Thomas,&nbsp;Samantha Loh,&nbsp;Katrina M. Byrd,&nbsp;Daniel Ehlman,&nbsp;Nirma D. Bustamante","doi":"10.1016/j.jmh.2026.100422","DOIUrl":"10.1016/j.jmh.2026.100422","url":null,"abstract":"<div><h3>Background</h3><div>Migration through Latin America has increased, resulting in new routes and greater diversity among migrants. Timely, accurate data on the epidemiologic profiles of migrants in-transit could inform public health surveillance and interventions.</div></div><div><h3>Objective</h3><div>Provide an overview of the type of data collected on the epidemiologic profiles of migrants in-transit through South America, Central America, and Mexico.</div></div><div><h3>Methods</h3><div>We conducted a scoping review from peer-reviewed and grey literature reporting quantitative health data on selected infectious and non-infectious diseases, vaccination coverage, and causes of mortality migrants in-transit through South America, Central America, and Mexico between 2013 and 2025 by searching Embase, Medline, Global Health, Sociological Abstracts, Scopus, LILACS, NTIS, OpenGrey, and MedRxlv.</div></div><div><h3>Results</h3><div>We identified 7,355 publications; 124 met inclusion criteria. Of these, 24% specified a transit migration phase. Cross-sectional methodology was employed in 86%; and 62% were published in the last four years (2022-2025). Sociodemographic variables were inconsistently reported, and migration-related variables were infrequent. Health concepts frequently investigated included HIV (28%), TB (14%) COVID-19 (15%), mental health (33%), food insecurity (14%), mortality (10%) and vaccination (6%). Chronic conditions were frequently reported as comorbidities.</div></div><div><h3>Conclusion</h3><div>Limited detailed information is available to inform health surveillance and interventions among migrants in-transit. Additional migration-related variables, including time in-transit and transit migration phase, an expansion of data collection to geographical areas experiencing an increase in mobility, and rigorous study designs could yield valuable insights.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"14 ","pages":"Article 100422"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148570900","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
Delayed access to COVID-19 vaccination among migrants in Spain during 2021: an electronic health records-based study 2021年期间西班牙移民延迟获得COVID-19疫苗接种:基于电子健康记录的研究
IF 2.8
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-07-23 DOI: 10.1016/j.jmh.2026.100430
Jhosy Canedo, Sandra Campos, Sophie Campman, Carmen Olmedo, Olivier Núñez, Susana Monge
{"title":"Delayed access to COVID-19 vaccination among migrants in Spain during 2021: an electronic health records-based study","authors":"Jhosy Canedo,&nbsp;Sandra Campos,&nbsp;Sophie Campman,&nbsp;Carmen Olmedo,&nbsp;Olivier Núñez,&nbsp;Susana Monge","doi":"10.1016/j.jmh.2026.100430","DOIUrl":"10.1016/j.jmh.2026.100430","url":null,"abstract":"<div><h3>Background</h3><div>In Spain, COVID-19 vaccination started on 27 December 2020, prioritizing people in long-term care facilities (LTCF), the elderly, and healthcare and essential workers. Different barriers to vaccination might have decreased or delayed uptake for migrant populations. We assessed the time to first COVID-19 vaccination by country of birth.</div></div><div><h3>Methods</h3><div>We studied ≥12-year-olds registered within the Spanish healthcare administrative database between 27 December 2020 and 31 December 2021, not living in LTCF, with information on country of birth, and at least one COVID-19 vaccine dose. Using Weibull parametric survival models, we compared time to first vaccination between Spanish-born individuals and those born in: Western countries (WC), Eastern Europe (EE), North Africa and the Middle East (NAME), Sub-Saharan Africa (SSA), South-East Asia (SEA), Central America and the Caribbean (CAC), or South America (SA); adjusting for sex, age, priority vaccination group and region.</div></div><div><h3>Results</h3><div>We included 26,720,450 individuals (Spanish-born: 86.1%; WC: 3.5%; EE: 0.4%; SSA: 0.6%; NAME: 2.1%; SEA: 0.6%; CAC: 1.4%; SA: 5.3%). Hazard Ratio for first vaccination was lower for all migrants’ groups, WC: 0.68, EE: 0.45, SSA: 0.49, NAME: 0.56, SEA: 0.64, CAC: 0.65 and SA: 0.74, and median time to vaccination (days) was higher, WC: 164, EE: 185, SSA: 181, NAME: 174, SEA: 167, CAC: 166 and SA: 160, compared to 147 in Spanish-born.</div></div><div><h3>Conclusions</h3><div>Migrants of any origin living in Spain accessed COVID-19 vaccination later than Spanish-born individuals. These findings highlight existing barriers increasing migrants’ vulnerability during the pandemic and call for additional efforts to ensure equitable access.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"14 ","pages":"Article 100430"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13453005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702095","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
Identification of food and water security issues in a refugee center located in a high human development index country: The case of the Harmanli refugee center in Bulgaria 人类发展指数高的国家的难民中心的食物和水安全问题的确定:以保加利亚的哈曼利难民中心为例
IF 2.8
Journal of Migration and Health Pub Date : 2026-01-01 Epub Date: 2026-10-19 DOI: 10.1016/j.jmh.2026.100449
Gregory Hostetler, Zied Ben Taleb, Rosanne Blanchet, Malek Batal, Mylene Ratelle
{"title":"Identification of food and water security issues in a refugee center located in a high human development index country: The case of the Harmanli refugee center in Bulgaria","authors":"Gregory Hostetler,&nbsp;Zied Ben Taleb,&nbsp;Rosanne Blanchet,&nbsp;Malek Batal,&nbsp;Mylene Ratelle","doi":"10.1016/j.jmh.2026.100449","DOIUrl":"10.1016/j.jmh.2026.100449","url":null,"abstract":"<div><div>Food and water security remain critical priorities in refugee centers. Despite studies on food insecurity among migrants, refugees, and asylum seekers in high-income countries, there is a lack of data on food security within refugee centers in those nations. The primary objective of this study was to assess issues related to food and water security at a refugee center in eastern Europe.</div><div>Data collection took place in July 2024 in Harmanli Refugee Center (Bulgaria) and involved mixed methods; key informant interviews with stakeholders (n = 6), observation of food and water access, focus groups (n = 2) with residents, and surveys with one participant per household (n = 91). Food security surveys were based on the FAO Food Insecurity Experience Scale (FIES), the Health Survey Household Food Security Survey Module (HFSSM), the Global Diet Quality Questionnaire (DQQ). Water security assessment was customized to the project.</div><div>Nearly all households (96%) experience food insecurity. Dietary diversity was low, with an average daily consumption of 2.2–2.4 food groups. More than a third of survey respondents reported not drinking water for an entire day in the past month due to lack of access. The average weekly expenditure on water was equivalent to 7.12 USD per person.</div><div>Observations, interviews and focus groups identified technical, administrative, and cultural barriers to food and water security. The findings support a better understanding of experiences related to water and food insecurity in a refugee center and allow the recommendation of potential interventions.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"14 ","pages":"Article 100449"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149282606","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 socio-ecological context and mental health of Ukrainian refugees in Italy through eco-map: a mixed-methods study. 通过生态地图探索意大利乌克兰难民的社会生态背景和心理健康:一项混合方法研究。
IF 2.9
Journal of Migration and Health Pub Date : 2025-08-07 eCollection Date: 2025-01-01 DOI: 10.1016/j.jmh.2025.100351
Roberto Benoni, Anna Sartorello, Elena Paiola, Loretta Berti, Marina Sorina, Giovanna Varischi, Francesco Marchiori, Stefano Tardivo, Michela Rimondini, Francesca Moretti
{"title":"Exploring socio-ecological context and mental health of Ukrainian refugees in Italy through eco-map: a mixed-methods study.","authors":"Roberto Benoni, Anna Sartorello, Elena Paiola, Loretta Berti, Marina Sorina, Giovanna Varischi, Francesco Marchiori, Stefano Tardivo, Michela Rimondini, Francesca Moretti","doi":"10.1016/j.jmh.2025.100351","DOIUrl":"10.1016/j.jmh.2025.100351","url":null,"abstract":"<p><strong>Background: </strong>Following the humanitarian crisis in Ukraine, an estimated 8,174,189 refugees have fled (April 2023). Refugee status leads to a higher prevalence of mental illness, which may also arise or be worsened by post-migration stressors. Although a growing literature on the social determinants of mental health, little is known on the Ukrainian refugee population. Thus, this study aims to analyse the association between mental health and the socio-ecological context of Ukrainian refugees.</p><p><strong>Methods: </strong>A mixed-methods study was conducted involving Ukrainian refugees hosted in the province of Verona (Italy) from November 2022 to April 2023. Mental health (MH) was assessed through the International Trauma Questionnaire (ITQ) and the General Health Questionnaire-12 (GHQ-12). The socio-ecological context was explored through a semi-structured ecomap distributing individuals into ecomap clusters. Logistic regression was used to explore association between mental health outcomes and ecomap clusters adjusting for sex, age, and chronic diseases.</p><p><strong>Results: </strong>A total of 224 refugees were recruited (<i>F</i> = 80.8 %; median age=35.5 years, IQR 24.7-44.0). At the GHQ-12, 119/214 (55.6 %) individuals were found to be at risk for psychological distress; at the ITQ, 86/211 (40.8 %) tested positive for post-traumatic stress disorder (PTSD) and 28/211 (13.3 %) for complex PTSD.Five clusters of stressful edges were identified: none (53.4 %), family (15.5 %), social network (12.1 %), public services (9.7 %), school/work (9.2 %). Refugees from the stressful clusters social network, public services and school/work had an odds ratio of PTSD 1.24 [0.95CI 1.01-1.53, <i>p</i> = 0.049], 1.41 [0.95CI 1.12-1.78, <i>p</i> = 0.031] and 1.46 [0.95CI 1.15-1.85, <i>p</i> = 0.002] times higher than none. The risk of a positive GHQ-12 was 1.29 [0.95CI 1.02-1.62, <i>p</i> = 0.031] and 1.46 [0.95CI 1.14-1.87, <i>p</i> = 0.003] times higher in the public services and school/work clusters compared to none.</p><p><strong>Conclusions: </strong>MH distress was high in our sample and was associated with having stressful edges with public services and school or work in the resettlement country. Ecomap proved to be a useful tool to explore the social network of refugees. Reducing the stressors of refugees' social context could contribute to improving their MH.</p>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"12 ","pages":"100351"},"PeriodicalIF":2.9,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12355118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875587","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
Burden of chronic diseases in migrant workers (MW) in Singapore and impact on COVID-19: A large single-centre cohort study during the peak MW 2020 outbreak 新加坡移民工人(MW)慢性病负担及其对COVID-19的影响:2020年MW高峰爆发期间的一项大型单中心队列研究
IF 2.9
Journal of Migration and Health Pub Date : 2025-01-01 Epub Date: 2025-09-22 DOI: 10.1016/j.jmh.2025.100365
Sapna P. Sadarangani , Joshua K. Tan , Pei Hua Lee , Hanley Ho , Angela Chow , Rinkoo Dalan , Lai Gwen Chan , Thirugnanam Umapathi , Shawn Vasoo
{"title":"Burden of chronic diseases in migrant workers (MW) in Singapore and impact on COVID-19: A large single-centre cohort study during the peak MW 2020 outbreak","authors":"Sapna P. Sadarangani ,&nbsp;Joshua K. Tan ,&nbsp;Pei Hua Lee ,&nbsp;Hanley Ho ,&nbsp;Angela Chow ,&nbsp;Rinkoo Dalan ,&nbsp;Lai Gwen Chan ,&nbsp;Thirugnanam Umapathi ,&nbsp;Shawn Vasoo","doi":"10.1016/j.jmh.2025.100365","DOIUrl":"10.1016/j.jmh.2025.100365","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic unmasked systemic inequities amongst migrants globally. In Singapore, dormitory residing migrant workers (MWs) were disproportionately impacted accounting for over 54,500 COVID-19 cases (93% of all cases) in 2020. Their limited health insurance did not cover outpatient acute or chronic illness care. There is a lack of systematic data on the chronic disease prevalence amongst MWs.</div></div><div><h3>Methods</h3><div>In this cohort study, we analysed the electronic medical data of all MWs with PCR-confirmed symptomatic COVID-19 admitted to the National Centre for Infectious Diseases (NCID), Singapore from 1st to 30th April 2020, the peak of the MW outbreak. We aimed to ascertain the prevalence of chronic diseases and their impact on COVID-19 disease severity.</div></div><div><h3>Results</h3><div>2,498 male MWs were included. Majority (&gt;90%) were of South Asian origin. Median age was 34 years (IQR 29-40). 247 (9.9%) had at least one chronic disease; 99 (4.0%) had diabetes mellitus (22 (22.2%) newly diagnosed), 69 (2.8%) had dyslipidaemia (26 (37.7%) newly diagnosed), and 135 (5.4%) had hypertension (21 (15.5%) newly diagnosed). While 278 (11.1%) had pneumonia, only 16 (0.6%) required oxygen or intensive/high-dependency care, with no mortality. Charlson’s score ≥ 1 (compared to 0) was associated with 80% higher odds of moderate-severe COVID-19 outcome, aOR (adjusted odds ratio) 1.83 (1.16-2.90), <em>P</em>=0.01, adjusted for age and nationality in multivariable analyses.</div></div><div><h3>Conclusions</h3><div>Although MWs had favourable COVID-19 medical outcomes during their acute illness, our study demonstrates a considerable burden of undiagnosed chronic diseases predisposing to cardiovascular disease and highlights health disparities that should be addressed by health policies.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"12 ","pages":"Article 100365"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145227188","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}
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