J.B. Tankink , L.C.M. Bertens , J.P. de Graaf , M.E.T.C. van den Muijsenbergh , J.N. Struijs , B. Goodarzi , A. Franx
{"title":"Pregnancy outcomes of forced migrants in the Netherlands: A national registry-based study","authors":"J.B. Tankink , L.C.M. Bertens , J.P. de Graaf , M.E.T.C. van den Muijsenbergh , J.N. Struijs , B. Goodarzi , A. Franx","doi":"10.1016/j.jmh.2024.100261","DOIUrl":"10.1016/j.jmh.2024.100261","url":null,"abstract":"<div><h3>Background</h3><p>The rise of global forced migration urges healthcare systems to respond to the needs of forced migrants (FM) during pregnancy and childbirth. Yet, comprehensive data on the health outcomes of pregnant FM in destination countries remain scarce. This study aimed to describe the characteristics and maternal and perinatal outcomes of pregnancy in this specific migrant population on a national scale in the Netherlands and to explore differences from other populations.</p></div><div><h3>Methods</h3><p>The Dutch perinatal registry was linked to national migration data to analyze pregnancy outcomes in FM (2014–2019), using non-migrants (NM) and resident migrants (RM) as reference populations. We reported outcome rates (% [95 % CI]) for a range of primary and secondary pregnancy outcomes. Primary outcomes included perinatal mortality, small for gestational age infants (SGA), preterm birth, and emergency cesarean section (CS), for which we also calculated the crude relative risk (RR [95 % CI]) of FM compared to NM and RM. In addition, we conducted binary logistic regression analyses on primary outcomes to report adjusted odds ratios (aORs [95 % CIs]) while controlling for multiple births, maternal age and parity.</p></div><div><h3>Findings</h3><p>Compared to the NM group, the FM group had increased risks of perinatal mortality (RR 1.50 [95 % CI 1.20–1.88]), SGA (1.65 [1.59–1.71], and emergency CS (1.19 [1.13–1.25]). Compared to RM, FM still had elevated risks of SGA (1.17 [1.13–1.22]). In contrast, the risk of preterm birth was lower in FM than in NM (0.81 [0.76–0.86]) and RM (0.83 [0.77–0.88]). These differences were confirmed in the adjusted analysis. Differences in secondary outcomes included higher rates of late antenatal care in FM (29.4 % [28.5–30.3]) than in NM (6.7 % [6.6–6.9]) and RM (15.5 % [15.1–15.9]). Rates of planned CS were similarly elevated (14.3 % [95 % CI 13.7–14.8] versus 7.·8 % [7.7–7.8] and 9.6 % [9.5–9.7]), while FM had lower rates of postpartum hemorrhage (3.9 % [3.6–4.2]) versus 6.8 % [6.8–6.9] and 5.7 % [5.6–5.9]).</p></div><div><h3>Conclusion</h3><p>This first Dutch registry-based study demonstrated increased risks of multiple, though not all, adverse pregnancy outcomes in forced migrants. Our results emphasize the imperative to further unravel and address migration-related disparities, dismantle structural barriers to health among forced migrants, and improve the inclusivity of data systems. Collaborative policy, clinical practice, and research efforts are essential to ensure equitable care for every individual, regardless of migration status.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"10 ","pages":"Article 100261"},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000503/pdfft?md5=55b03b494b2619d5166bd63fa9a94278&pid=1-s2.0-S2666623524000503-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142172745","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}
Monica A. Ghabrial , Tatiana Ferguson , Ayden I. Scheim , Noah J. Adams , Moomtaz Khatoon (Imptiaz Popat) , Greta R. Bauer
{"title":"Factors associated with primary healthcare provider access among trans and non-binary immigrants, refugees, and newcomers in Canada","authors":"Monica A. Ghabrial , Tatiana Ferguson , Ayden I. Scheim , Noah J. Adams , Moomtaz Khatoon (Imptiaz Popat) , Greta R. Bauer","doi":"10.1016/j.jmh.2024.100241","DOIUrl":"https://doi.org/10.1016/j.jmh.2024.100241","url":null,"abstract":"<div><h3>Objective</h3><p>Trans and non-binary (TNB) immigrants, refugees, and newcomers (IRN) face intersecting challenges and barriers, including stigma and persecution in countries of origin, and others unique to the Canadian resettlement process. The present study aimed to investigate factors that are associated with having a primary healthcare provider among TNB IRN.</p></div><div><h3>Design</h3><p>Trans PULSE Canada was a community-based, national study of health and wellbeing among 2,873 TNB people residing in Canada, aged 14 and older, who were recruited using a multi-mode convenience sampling approach.. The survey asked questions about identity, community, service access, health – and IRN were asked questions specific to immigration/settlement.</p></div><div><h3>Results</h3><p>Of the 313 IRN participants who completed the full survey version (age <em>M</em> = 34.1, <em>SE</em>=0.75), 76.4 % had a primary healthcare provider. TNB IRN largely reported being Canadian citizens (59.8 %), gender non-binary or similar (46.9 %), currently living in Ontario (35.5 %), and having immigrated from the United States (32.1 %). Chi-square analyses revealed that having a primary healthcare provider was associated with age, gender identity, citizenship status, region of origin, current location in Canada, length of time since immigrating to Canada, status in gender affirming medical care, and having extended health insurance. With modified Poisson regression, we found that TNB IRN who were non-permanent residents, originating from European, African, and Oceania regions, or living in Quebec and the Prairie provinces were less likely to have a primary healthcare provider.</p></div><div><h3>Conclusion</h3><p>Results may inform settlement organizations of the unique needs and barriers of TNB IRN. Schools and LGBTQ+ organizations may better serve this population – especially those originating from highlighted regions, who live in Quebec or the Prairie provinces, and/or are non-permanent residents – by offering programs that connect them to primary healthcare providers who are competent in cross-cultural trans health.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"10 ","pages":"Article 100241"},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266662352400031X/pdfft?md5=07124b156fe4bd5caf0acb473a68c1f9&pid=1-s2.0-S266662352400031X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141486104","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}
Kathleen Cravero , L. Ansley Hobbs , Elisabeth Manipoud Figueroa , Diana Romero
{"title":"Supporting organizations to improve migrants’ access to health services in New York City","authors":"Kathleen Cravero , L. Ansley Hobbs , Elisabeth Manipoud Figueroa , Diana Romero","doi":"10.1016/j.jmh.2024.100249","DOIUrl":"10.1016/j.jmh.2024.100249","url":null,"abstract":"<div><h3>Purpose</h3><p>To survey community-based migrant-serving organizations (MSOs) in New York City (NYC) regarding their early experiences during the COVID-19 pandemic and perspectives on academic collaborations.</p></div><div><h3>Methods</h3><p>We developed and emailed a survey via Qualtrics (12/2020-1/2021) to 122 MSOs in NYC collecting data about the organizations; challenges posed by COVID-19; and interest in potential intersectoral collaboration. Descriptive analysis focused on the pandemic's impact on service provision, type of MSO, and organizational capacity.</p></div><div><h3>Results</h3><p>Thirty-eight MSOs participated (RR=31%). COVID-19-related challenges included limited staff capacity, organizational funding, and technological and resource limitations of communities served. Organizational capacity correlated with types of services offered: smaller organizations offered health and social services, while larger organizations focused on education and employment. MSOs indicated interest in collaboration on migrant policy advocacy and communications, access to interns, and resources regarding best practices and policies.</p></div><div><h3>Conclusions</h3><p>MSOs in NYC have struggled with funding, staffing, and service provision. They specified fruitful areas for collaboration with academic research institutions.</p></div><div><h3>Implications</h3><p>Development of an academic-based migrant health resource hub will serve an identified need among MSOs in NYC.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"10 ","pages":"Article 100249"},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000382/pdfft?md5=480a30f631d7bfa39fdd44fd9bd56da4&pid=1-s2.0-S2666623524000382-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141639143","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}
Irene Torres , Mariana Pinto-Alvarez , Daniel F. López-Cevallos
{"title":"Protecting migrant children's well-being in Ecuador's public schools","authors":"Irene Torres , Mariana Pinto-Alvarez , Daniel F. López-Cevallos","doi":"10.1016/j.jmh.2024.100247","DOIUrl":"10.1016/j.jmh.2024.100247","url":null,"abstract":"<div><p>Education plays a crucial role in the adaptation and broader societal inclusion of immigrant students and their families. The current study explored the inclusion of migrants in Ecuador's school system as a fundamental tenet of protecting their health and well-being. We conducted a thematic analysis of 13 policy documents, 12 national laws and international agreements, and 31 key informant interviews, applying a human rights lens. We find that, although the 2008 Ecuadorian Constitution and migration laws protect the right of migrants to health and education, key informants argue that these laws are poorly implemented. Furthermore, they agree that the health sector generally does not consider education as a relevant setting for health. In contrast, the public education sector and non-profit organizations at the national and local levels appear to recognize the importance of coordination across the health and education sectors, including school-based initiatives for migrant inclusion.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"10 ","pages":"Article 100247"},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000369/pdfft?md5=e640f88d2cb51507b9f7a1a8656e6de6&pid=1-s2.0-S2666623524000369-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141842075","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}
Benjamin Schmid , Carla Njeim , Lavanya Vijayasingham , Leah Anku Sanga , Rima Kighsro Naimi , Fouad M. Fouad , Chaza Akik , Carla Zmeter , Sigiriya Aebischer Perone , Lars Bruun Larsen , Jytte Roswall , Éimhín Ansbro , Pablo Perel
{"title":"Implementing (and evaluating) peer support with people living with noncommunicable diseases in humanitarian settings","authors":"Benjamin Schmid , Carla Njeim , Lavanya Vijayasingham , Leah Anku Sanga , Rima Kighsro Naimi , Fouad M. Fouad , Chaza Akik , Carla Zmeter , Sigiriya Aebischer Perone , Lars Bruun Larsen , Jytte Roswall , Éimhín Ansbro , Pablo Perel","doi":"10.1016/j.jmh.2024.100229","DOIUrl":"https://doi.org/10.1016/j.jmh.2024.100229","url":null,"abstract":"<div><p>In line with the peer reviewers comments, the authors have added highlights in stead of an abstract. It was felt that it was better able to capture the findings and is more in line with the paper's target audience.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"9 ","pages":"Article 100229"},"PeriodicalIF":4.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000199/pdfft?md5=494e5283ea7da21efd72eebfbd7d2d2c&pid=1-s2.0-S2666623524000199-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140549466","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":"Comparing health service usage of migrant groups in Australia: Evidence from the household income and labour dynamics survey of Australia","authors":"Heather Brown , Emily Breislin","doi":"10.1016/j.jmh.2024.100277","DOIUrl":"10.1016/j.jmh.2024.100277","url":null,"abstract":"<div><h3>Purpose</h3><div>We explored differences in primary and secondary health care usage across migrants from different regions in Australia.</div></div><div><h3>Design/methodology/approach</h3><div>Data comes from the Household Income and Labour Dynamics of Australia survey from waves 9, 13, and 17 (2009, 2013, and 2017). Zero inflated Poisson regressions and non-linear decompositions were estimated.</div></div><div><h3>Findings</h3><div>Younger women from South Asia, Latin America and Eastern and Southern Europe and younger men from Eastern and Southern Europe had lower rates of GP visits compared to the host population. Older African men have higher rates of nights in hospital and younger Eastern and Southern European women, older women from the Rest of Asia, and younger African men and women have lower rates of nights in hospital compared to the host population</div></div><div><h3>Originality</h3><div>This is the first paper to investigate differences in primary and service usage amongst immigrants across the life course. Our results have important implications for planning of health service resources.</div></div><div><h3>Practical implications</h3><div>Migrants are a heterogenous group and health policy needs to consider these differences to ensure the effectiveness and efficiency of service provision.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"10 ","pages":"Article 100277"},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142432073","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}
Carmen H. Logie , Moses Okumu , Zerihun Admassu , Frannie MacKenzie , Lauren Tailor , Jean-Luc Kortenaar , Amaya Perez-Brumer , Rushdia Ahmed , Shamilah Batte , Robert Hakiza , Daniel Kibuuka Musoke , Brenda Katisi , Aidah Nakitende , Robert-Paul Juster , Marie-France Marin , Peter Kyambadde
{"title":"Exploring ecosocial contexts of alcohol use and misuse during the COVID-19 pandemic among urban refugee youth in Kampala, Uganda: Multi-method findings","authors":"Carmen H. Logie , Moses Okumu , Zerihun Admassu , Frannie MacKenzie , Lauren Tailor , Jean-Luc Kortenaar , Amaya Perez-Brumer , Rushdia Ahmed , Shamilah Batte , Robert Hakiza , Daniel Kibuuka Musoke , Brenda Katisi , Aidah Nakitende , Robert-Paul Juster , Marie-France Marin , Peter Kyambadde","doi":"10.1016/j.jmh.2024.100215","DOIUrl":"https://doi.org/10.1016/j.jmh.2024.100215","url":null,"abstract":"<div><p>Urban refugees may be disproportionately affected by socio-environmental stressors that shape alcohol use, and this may have been exacerbated by additional stressors in the COVID-19 pandemic. This multi-method study aimed to understand experiences of, and contextual factors associated with, alcohol use during the pandemic among urban refugee youth in Kampala, Uganda. We conducted a cross-sectional survey (<em>n</em> = 335), in-depth individual interviews (IDI) (<em>n</em> = 24), and focus groups (<em>n</em> = 4) with urban refugee youth in Kampala. We also conducted key informant interviews (<em>n</em> = 15) with a range of stakeholders in Kampala. We conducted multivariable logistic regression analyses with survey data to examine socio-demographic and ecosocial (structural, community, interpersonal) factors associated with ever using alcohol and alcohol misuse. We applied thematic analyses across qualitative data to explore lived experiences, and perceived impacts, of alcohol use. Among survey participants (<em>n</em> = 335, mean age= 20.8, standard deviation: 3.01), half of men and one-fifth of women reported ever using alcohol. Among those reporting any alcohol use, half (<em>n</em> = 66, 51.2 %) can be classified as alcohol misuse. In multivariable analyses, older age, gender (men vs. women), higher education, and perceived increased pandemic community violence against women and children were associated with significantly higher likelihood of ever using alcohol. In multivariable analyses, very low food security, relationship status, transactional sex, and lower social support were associated with increased likelihood of alcohol misuse. Qualitative findings revealed: (1) alcohol use as a coping mechanism for stressors (e.g., financial insecurity, refugee-related stigma); and (2) perceived impacts of alcohol use on refugee youth health (e.g., physical, mental). Together findings provide insight into multi-level contexts that shape vulnerability to alcohol mis/use among urban refugee youth in Kampala and signal the need for gender-tailored strategies to reduce socio-environmental stressors.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"9 ","pages":"Article 100215"},"PeriodicalIF":4.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000059/pdfft?md5=9c08b838ba111097b73d3f41f2c06f4d&pid=1-s2.0-S2666623524000059-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139726781","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}
Wing Lam Erica Fong , Vincent G Nguyen , Rachel Burns , Yamina Boukari , Sarah Beale , Isobel Braithwaite , Thomas E Byrne , Cyril Geismar , Ellen Fragaszy , Susan Hoskins , Jana Kovar , Annalan MD Navaratnam , Youssof Oskrochi , Parth Patel , Sam Tweed , Alexei Yavlinsky , Andrew C Hayward , Robert W Aldridge
{"title":"The incidence of COVID-19-related hospitalisation in migrants in the UK: Findings from the Virus Watch prospective community cohort study","authors":"Wing Lam Erica Fong , Vincent G Nguyen , Rachel Burns , Yamina Boukari , Sarah Beale , Isobel Braithwaite , Thomas E Byrne , Cyril Geismar , Ellen Fragaszy , Susan Hoskins , Jana Kovar , Annalan MD Navaratnam , Youssof Oskrochi , Parth Patel , Sam Tweed , Alexei Yavlinsky , Andrew C Hayward , Robert W Aldridge","doi":"10.1016/j.jmh.2024.100218","DOIUrl":"https://doi.org/10.1016/j.jmh.2024.100218","url":null,"abstract":"<div><h3>Background</h3><p>Migrants in the United Kingdom (UK) may be at higher risk of SARS-CoV-2 exposure; however, little is known about their risk of COVID-19-related hospitalisation during waves 1–3 of the pandemic.</p></div><div><h3>Methods</h3><p>We analysed secondary care data linked to Virus Watch study data for adults and estimated COVID-19-related hospitalisation incidence rates by migration status. To estimate the total effect of migration status on COVID-19 hospitalisation rates, we ran mixed-effect Poisson regression for wave 1 (01/03/2020–31/08/2020; wildtype), and mixed-effect negative binomial regressions for waves 2 (01/09/2020–31/05/2021; Alpha) and 3 (01/06/2020–31/11/2021; Delta). Results of all models were then meta-analysed.</p></div><div><h3>Results</h3><p>Of 30,276 adults in the analyses, 26,492 (87.5 %) were UK-born and 3,784 (12.5 %) were migrants. COVID-19-related hospitalisation incidence rates for UK-born and migrant individuals across waves 1–3 were 2.7 [95 % CI 2.2–3.2], and 4.6 [3.1–6.7] per 1,000 person-years, respectively. Pooled incidence rate ratios across waves suggested increased rate of COVID-19-related hospitalisation in migrants compared to UK-born individuals in unadjusted 1.68 [1.08–2.60] and adjusted analyses 1.35 [0.71–2.60].</p></div><div><h3>Conclusion</h3><p>Our findings suggest migration populations in the UK have excess risk of COVID-19-related hospitalisations and underscore the need for more equitable interventions particularly aimed at COVID-19 vaccination uptake among migrants.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"9 ","pages":"Article 100218"},"PeriodicalIF":4.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000084/pdfft?md5=9c5ab662413559a18dd9a82ffd5c6bbf&pid=1-s2.0-S2666623524000084-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140187879","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}
Flávia B. Pilecco , Andrainolo Ravalihasy , Agnès Guillaume , Annabel Desgrées du Loû , the Parcours Study Group
{"title":"HIV and induced abortion among migrants from sub-Saharan Africa living in Île-de-France: Results of the PARCOURS study","authors":"Flávia B. Pilecco , Andrainolo Ravalihasy , Agnès Guillaume , Annabel Desgrées du Loû , the Parcours Study Group","doi":"10.1016/j.jmh.2024.100237","DOIUrl":"https://doi.org/10.1016/j.jmh.2024.100237","url":null,"abstract":"<div><h3>Introduction</h3><p>HIV heavily affects sub-Saharan African women living in France and can impact reproductive decisions. It was investigated whether HIV was associated with induced abortion in pregnancies held after migration by women from sub-Saharan Africa living in Île-de-France.</p></div><div><h3>Methods</h3><p>We used data on ANRS Parcours, a retrospective life event survey conducted in health facilities in the metropolitan region of Paris, between February 2012 and May 2013, with migrants from sub-Saharan Africa. Data on the history of pregnancies were collected among women living with HIV (HIV group) and those attending primary care centers (reference group). We investigated 242 women in the reference group, who had 729 pregnancies, and the 277 women in the HIV group, who had 580 pregnancies. The association between abortion and HIV was evaluated using clustered logistic models, successively adjusted for women and pregnancy characteristics, for the whole sample, and stratified by pregnancy intendedness.</p></div><div><h3>Results</h3><p>In the reference group, 11.0 % of pregnancies were terminated in abortion, the same situation as 14.1 % in the HIV group (<em>p</em> = 0.124). HIV was not associated with abortion in the crude and adjusted models. However, after adjustments, HIV exhibited a non-significant trend towards reducing the likelihood of abortion, particularly when considering the intendedness of pregnancy variable.</p></div><div><h3>Conclusions</h3><p>Factors that shape the overall context of women's lives and pregnancies, which are shared with the reference group, may have a more significant impact on reproductive decision-making than HIV alone. Health services must pay attention to the intendedness of pregnancies, providing advice and support on the prevention of mother-to-child transmission to women living with HIV who intend to become pregnant, in addition to strengthening the provision of family planning and the prevention of unintended pregnancies.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"10 ","pages":"Article 100237"},"PeriodicalIF":4.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000278/pdfft?md5=b874b472bdcf1d89b784eaa0826375f3&pid=1-s2.0-S2666623524000278-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141328747","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 study of refugees in Norway and Serbia: Levels of mental distress and social-demographic risk factors","authors":"Halldis Niesser Grøtvedt , Sverre Varvin , Ivana Vladisavljević , Bojana Trivuncic , Idunn Brekke","doi":"10.1016/j.jmh.2024.100238","DOIUrl":"10.1016/j.jmh.2024.100238","url":null,"abstract":"<div><p>This cross-sectional study has assessed and compared symptoms of anxiety, depression, and posttraumatic stress disorder (PTSD) among one refugee group during flight (in Serbia) and another refugee group after flight (in Norway). Results indicate high levels of mental distress in both samples of refugees (Serbia: <em>N</em> = 100, Norway: <em>N</em> = 78). Participants in Serbia reported higher levels of symptoms than the participants in Norway. Moreover, the study found that <em>female gender, low education, refused asylum, high age,</em> and <em>concerns about family</em> correlated with mental distress among the participants.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"10 ","pages":"Article 100238"},"PeriodicalIF":4.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266662352400028X/pdfft?md5=5f601bf43da150cd9f1d7228ffefa5da&pid=1-s2.0-S266662352400028X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141411984","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}