Journal of Migration and Health最新文献

{"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}

{"title":"Effects of state immigrant insurance coverage policies on access to adequate prenatal care among immigrant pregnant women in the United States","authors":"Gunah Kim ,&nbsp;S. Wilton Choi ,&nbsp;Younhee Kim","doi":"10.1016/j.jmh.2025.100350","DOIUrl":"10.1016/j.jmh.2025.100350","url":null,"abstract":"<div><h3>Background</h3><div>The 1996 federal welfare and immigration reform restricted immigrant eligibility for public health insurance such as Medicaid and CHIP. As of January 2023, 34 states have adopted policies to expand insurance coverage for immigrant pregnant individuals through Medicaid/CHIP.</div></div><div><h3>Objective</h3><div>To estimate the effects of state immigrant insurance policies on prenatal care utilization and timing among pregnant immigrants.</div></div><div><h3>Methods</h3><div>A difference-in-differences approach was used to compare states that expanded immigrant insurance coverage to those that did not. The main data source is the restricted natality data from the National Center for Health Statistics, including all singleton births to immigrant mothers aged 15–44 across all 50 states and D.C. from 2015 to 2019.</div></div><div><h3>Results</h3><div>In states adopting the State-only funds option, publicly insured immigrants had higher odds of receiving intermediate (OR: 1.429; 95 % CI: 1.210–1.687), adequate (OR: 1.723; 95 % CI: 1.526–1.946), and adequate plus (OR: 1.373; 95 % CI: 1.256–1.500) prenatal care, and lower odds of inadequate care (OR: 0.480; 95 % CI: 0.406–0.568) compared to uninsured immigrants. Additionally, this policy was associated with an 87.1 percentage point increase in first-trimester care initiation (95 % CI: 1.622–2.159), and significant decreases in delayed care (−43.8 pp; 95 % CI: 0.430–0.736) and no care until delivery (−67.3 pp; 95 % CI: 0.204–0.522) for publicly insured immigrant populations compared to uninsured immigrants.</div></div><div><h3>Conclusions</h3><div>Expanding immigrant insurance coverage was associated with earlier and more adequate prenatal care. However, only State-only funds showed consistent improvements in the adequacy of prenatal care utilization.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"12 ","pages":"Article 100350"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144766825","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}

{"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}

{"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}

{"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}

{"title":"Global burden of cancer among refugees: A systematic review and meta-analysis","authors":"Fantu Mamo Aragaw ,&nbsp;Angela Dawson ,&nbsp;Andrew Hayen","doi":"10.1016/j.jmh.2025.100356","DOIUrl":"10.1016/j.jmh.2025.100356","url":null,"abstract":"<div><h3>Background</h3><div>Refugees are a distinct group of migrants with a variety of cancer risks through cumulative exposures from their country of origin, migration process, and host countries. We conducted a comprehensive systematic synthesis of the epidemiological burden (incidence, prevalence, and mortality) of overall and site specific cancers among refugee populations globally.</div></div><div><h3>Method</h3><div>We systematically searched in OVID (Medline, Embase), CINAHL, and Scopus for studies reporting cancer prevalence, incidence, or mortality data among refugees globally from database inception to December 15, 2023. We screened for eligible studies using Covidence®. We applied a random-effects model to estimate the pooled proportions of site-specific cancer proportions using R software.</div></div><div><h3>Result</h3><div>Twenty-nine studies from 12 host countries comprising 561,850 refugees, mainly from Syria and Iraq were included. The pooled proportions for commonly reported site-specific cancer among refugee cancer patients were breast cancer (25.4% (95% CI: 20.3%, 30.4%)), lung cancer (4.8% (95% CI: 3.9%, 5.6%)), leukaemia (16.9% (95% CI: 8.2%, 25.6%)), and central nervous system (CNS) cancer (7.0% (95% CI: 5.3%, 8.7%)) respectively. Studies also reported a higher cervical cancer incidence among female refuges and higher liver cancer mortality among male refugees than non-refugee populations.</div></div><div><h3>Conclusion</h3><div>Although the existing evidence is limited, this review highlights a notable cancer burden among refugees, with higher incidence and mortality for certain cancers such as cervical and liver cancer among refugees than non-refugees. Targeted practical initiatives in ensuring optimal cancer continuum of care for refugees with cross-disciplinary collaboration are needed.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"12 ","pages":"Article 100356"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157590","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}

{"title":"The mental health and wellbeing of Belarusians in exile in Lithuania, Poland and Georgia","authors":"Aliaksandr Kazakou,&nbsp;Felicity Thomas","doi":"10.1016/j.jmh.2025.100331","DOIUrl":"10.1016/j.jmh.2025.100331","url":null,"abstract":"<div><div>The large-scale international migration of Belarusian citizens is not a new phenomenon. However, it has escalated significantly since the fraudulent Presidential elections in August 2020 led to mass protests, repression, and the forced emigration and exile of between 300,000–500,000 Belarusians. This paper reports on the health and wellbeing experiences and needs of Belarusians who have migrated to Lithuania, Poland and Georgia since August 2020. Drawing on data from a survey (822 respondents), and from 60 in-depth interviews with those in exile the paper examines experiences of settlement and adjustment, challenges accessing healthcare services, migrant mental health needs and the role of diaspora groups in the provision of support. Across these themes we report how ontological insecurity and ambiguities around ‘deservingness’ have been exacerbated by the unfolding tensions and conflict across the eastern European region, with widescale detrimental impacts on Belarusian migrants’ health and wellbeing.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100331"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143783631","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}

{"title":"A cross-sectional analysis of occupational stress and mental health among migrant healthcare workers in Ireland","authors":"Sindhu Thankachen ,&nbsp;Zubair Kabir ,&nbsp;Anvar Sadath","doi":"10.1016/j.jmh.2025.100325","DOIUrl":"10.1016/j.jmh.2025.100325","url":null,"abstract":"<div><h3>Background</h3><div>The migration of healthcare workers (HCWs) to European countries has witnessed a recent increase in both number and diversity. While facing various socio-cultural challenges in the host country, it becomes imperative to investigate the mental health of these workers, given the significance for their well-being and the safety of patients. This study aims to assess the extent of occupational stress and psychological distress among migrant healthcare workers in Ireland, along with exploring the contributing factors.</div></div><div><h3>Methods</h3><div>A cross-sectional online survey, utilizing Google Forms, was conducted via social media platforms among overseas nursing and Healthcare Assistants currently employed in the Republic of Ireland. Occupational stress and psychological distress were assessed using the Brief Job Stress Questionnaire (BJSQ) and the Kessler Psychological Distress Scale (K6). Multivariable linear regression models were employed to identify significant predictors of occupational stress and psychological distress.</div></div><div><h3>Results</h3><div>The response rate was 35.8 (<em>n</em> = 447) from 1250 invitees. The majority of participants were nurses (93 %), largely from India (72.7 %), followed by the Philippines (17.7 %). The healthcare workers reported moderate to high job stress, with elevated scores in quantitative overloads, mental demands at work, and physical work demands. Migrant healthcare workers with &lt;10 years of work experience in Ireland perceived higher job stress (<em>t</em> = 2.826; β = 0.154; <em>p</em> = 0.005) and psychological distress (<em>t</em> = 5.666; β = 0.303; <em>p</em> = 0.000). Working in private healthcare sectors was associated with a lower perception of job stress (<em>t</em> = -3.077; β = 0.15; <em>p</em> = 0.002) and psychological distress (<em>t</em> = -2.643; β = 0.126; <em>p</em> = 0.009).</div></div><div><h3>Conclusion</h3><div>The findings highlight that HCWs experience moderate to high job stress, particularly those with &lt;10 years of experience. Psychological distress was also prevalent, with private-sector employment associated with lower stress levels. These results emphasize the need for targeted interventions to support migrant HCWs’ well-being.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100325"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143714267","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}

{"title":"A critical role of navigator for vulnerable migrants in health emergency: overcoming administrative barriers to COVID-19 vaccination in Japan","authors":"Saki Ikeda ,&nbsp;Kyoko Sudo ,&nbsp;Azusa Iwamoto ,&nbsp;Miwa Kanda ,&nbsp;Ritsuko Aoyagi ,&nbsp;Sanae Ota ,&nbsp;Mina Shakya ,&nbsp;Midori Nii ,&nbsp;Takashi Sawada ,&nbsp;Tamotsu Nakasa ,&nbsp;Masami Fujita","doi":"10.1016/j.jmh.2025.100332","DOIUrl":"10.1016/j.jmh.2025.100332","url":null,"abstract":"<div><h3>Introduction</h3><div>Migrants face significant barriers in accessing healthcare, particularly during public health emergencies such as the COVID-19 pandemic. In Japan, the residency-based healthcare system posed administrative challenges for migrants, especially undocumented individuals, in obtaining vaccination vouchers—a prerequisite for receiving COVID-19 vaccines. The COVID-19 Vaccination Information Center for International Citizens (COVIC) was established to bridge this gap by offering multilingual support and direct casework assistance.</div></div><div><h3>Methods</h3><div>This study employed a case study design, analyzing 275 inquiries involving 418 migrants who sought assistance from COVIC between September 2021 and March 2022. Using Castañeda et al.'s framework on migration and health, administrative barriers were examined, and COVIC's role as a navigator was evaluated. Descriptive statistics were used to assess COVIC's impact on vaccine access.</div></div><div><h3>Results</h3><div>The majority of migrants seeking assistance (38.5 %) were undocumented, and 91.3 % of them lacked a vaccination voucher before contacting COVIC. The intervention facilitated voucher issuance for 73.8 % of migrants who inquired about it. While COVIC successfully helped all short-term and mid-to-long-term residents obtain vouchers, only 54.2 % of undocumented migrants were able to receive one, reflecting persistent systemic exclusions.</div></div><div><h3>Conclusion</h3><div>COVIC played a crucial role in mitigating administrative barriers, yet structural limitations prevented full healthcare access for undocumented migrants. These findings underscore the need for standardized administrative policies, integrated navigator programs, and inclusive healthcare strategies to enhance equitable access for migrant populations in future health crises.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100332"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143894948","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}

{"title":"Cultural persistence of self-assessed health: A study of first- and second-generation migrants","authors":"Joan Costa-Font ,&nbsp;Azusa Sato ,&nbsp;Belen Saenz-de-Miera","doi":"10.1016/j.jmh.2024.100280","DOIUrl":"10.1016/j.jmh.2024.100280","url":null,"abstract":"<div><h3>Objectives</h3><div>We measure the cultural persistence of health assessments; namely the association between first (and second) generation migrants' health assessments and those of their home country (and that of their parents).</div></div><div><h3>Measure</h3><div>We use individual data records from over thirty host European countries and over ninety sending countries, as well as controls for migration timing and legal citizenship status. Furthermore, we leverage a wide range of sample countries to attenuate the presence of selection bias.</div></div><div><h3>Results</h3><div>Our estimates document evidence of cultural persistence of health self-assessments in a wide array of different specifications which vary with age. We estimate that a one standard deviation change in self-reported health in the sendning country is associated with an increase in migrants’ self-reported health of about 0.17 standard deviations. The effect size is sensitive to the inclusion of country of residence fixed effects as well as the presence of selection on observables and other robustness checks.</div></div><div><h3>Conclusion</h3><div>Cross-country comparisons of self-reported health should consider cultural reference points individuals use in assessing their health.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100280"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932709","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}