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Background: Inequalities in immigrants' oral health are often masked in population-level data. Therefore, this paper was planned to assess the prevalence data on oral health diseases, namely dental caries, and periodontitis, among immigrants worldwide. Methods: Following a systematic search in Scopus, Embase, and PubMed for studies published between 2011 and 2023, 1342 records were identified. Following title and abstract screening, 76 studies remained for full-text eligibility-screening based on predefined inclusion criteria. Thirty-two studies were included in the review. Results: Dental caries figures were higher in immigrant populations compared to the local population, regardless of host countries, age, gender, or nationality. In children, the overall mean and standard deviation (SD) for decayed, missing, and filled teeth in the primary dentition (d3mft) was 3.63(2.47), and for D3MFT (permanent dentition), it was 1.7(1.2). Upon comparing overall mean caries counts in children and adults with their control groups in the included studies, untreated dental caries (D3T and d3t) constituted the dominant share of caries experience (D3MFT and d3mft) in immigrant children. For the local population, the highest proportion of caries experience was attributed to filled teeth (FT and ft). Dentin caries prevalence among immigrants ranged from 22% to 88.7% in the primary dentition and 5.6% to 90.9% in the permanent dentition. Gingivitis ranged from 5.1% to 100%. Oral health varied greatly between studies. Regarding oral health accessibility, 52% to 88% of immigrant children had never been to a dentist, suggesting a very limited level of accessibility to dental health services. Conclusion: It is imperative to develop interventions and policies that have been customized to address the oral health disparities experienced by immigrant populations. Additionally, host countries should actively implement measures aimed at enhancing the accessibility of oral health care services for these individuals. The utilization of available data is crucial in establishing a hierarchy of objectives aimed at enhancing the oral health of immigrant populations. Trial registration: The Scoping review protocol was registered at OSF Registries with registration number (https://doi.org/10.17605/OSF.IO/MYXS4). [ABSTRACT FROM AUTHOR]

In this paper 2 2 This paper was supported by the PRIN project n.2022CZKPMY entitled "Health and Wellbeing of the Elderly", funded by the MUR. we explore the impact of the 2007 European Union enlargement to Romania and Bulgaria on the mental health of documented immigrants from these countries who arrived in Italy before 2007. Using data from a unique administrative data set for the Italian Lombardy region and by employing a difference-in-differences individual fixed effect estimator, we find that this enlargement caused a significant improvement in the mental health of young male immigrants. To shed light on the mechanisms behind these results, we use data from a unique survey administered in the Lombardy region and show that the enlargement mitigates sources of health concerns and increases income and employment stability through permanent job contracts for young male immigrants. Overall, these findings suggest that enhanced labour market conditions due to enlargement may lead to a subsequent important decrease in psychological distress among immigrants. [ABSTRACT FROM AUTHOR]

In this article, the author reflects on the paper "Striving against adversity: the dynamics of migration, health and poverty in rural South Africa," by Mark A. Collinson. He relates the aspect of rural-to-urban migration as the most important demographic phenomenon across the developing world. He stresses that Collinson's paper highlights the important issue of what happens to those family members left behind when an adult family member migrates to the city for employment.

Introduction Malaysia's economic development increases the demand for immigrant workers to ensure health equality. To achieve Universal Health Coverage, issues related to immigrants need to be revisited. Methods A narrative review was conducted on specific scopes of health access barriers among immigrants from Scopus, PubMed, Web of Science, and Google Scholar. Results Immigrants face health inequalities due to complex immigration policies, cultural and social adaptation differences, language barriers, financial constraints, and low literacy awareness of healthcare systems. Conclusions This brief essay highlights challenges for immigrants adhering to Malaysia’s Health White Paper strategies in meeting Universal Health Coverage. Expanding these strategies is vital to uphold immigrants’ fundamental rights and ensure health equality among the minority group of the population. [ABSTRACT FROM AUTHOR]

Does overseas development aid necessarily translate into more generous national policies for refugees? Evidence from Jordan suggests that this is not always the case. Since the arrival of an estimated 756,000 Syrian refugees, international funding has made Jordan one of the top seven recipients of foreign aid in the world. Despite sustained international financing, however, national policies towards refugees have become increasingly restrictive, especially when it comes to healthcare. Based on fieldwork conducted between 2017 and 2019, this paper argues that Jordan's healthcare policies towards Syrian refugees are not necessarily correlated to international financing, but are rather the product of political considerations aimed at maintaining domestic stability, increasing bargaining power in the global policymaking arena and resisting international pressures to integrate Syrian refugees. This paper contributes to filling a gap in the literature on the complex and interdependent factors which influence the evolution of national healthcare policies towards refugees in a country not only highly dependent on foreign aid, but also at the geopolitical crossroads of international interests in the Middle East. [ABSTRACT FROM AUTHOR]

This paper examines the relationship between historical cultural norms and attitudes towards loneliness, specifically within the context of second-generation immigrants. We uncover an intergenerationally transmitted cultural element that emphasizes restraint and adherence to strict rules characterizing highly-intensive pre-industrial agricultural systems. This cultural dimension significantly impacts how individuals perceive their social relationships and influences their likelihood of experiencing loneliness. Additionally, we demonstrate that the identified cultural trait serves as a predictor of loneliness in a two-stage model for health. Our research shows that loneliness directly impacts body mass index and specific mental health issues, and these findings hold true across a battery of sensitivity checks. The results add to the existing body of research highlighting the importance of attitudes in predicting economic and health outcomes, shedding light on how deeply ingrained geographical, cultural, and individual characteristics can shape economic development processes in both home and host countries. • Attitudes towards loneliness are historically determined. • Intergenerationally transmitted norms shape the likelihood of loneliness. • Historical determinants of loneliness are used as exogenous source of loneliness. • Loneliness has a direct impact on body mass index and specific mental health issues. • The effect of instrumented loneliness is much larger in magnitude. [ABSTRACT FROM AUTHOR]

China is a burgeoning immigrant‐receiving country, and policies on immigration are just beginning to be developed. While African immigration to China was uncommon 30 years ago, China has gradually become a major destination for African immigrants due to its robust economy, welcoming universities, and low cost of living. Currently, there are increasing numbers of African students and professionals who are migrating to China to study or work. The health status of African migrants in China shapes their wellbeing, which plays a key role in strengthening long‐term cooperative relations between China and African countries. Although previous literature has examined the socioeconomic status of these African immigrants, the role of health insurance participation in shaping the health status of African immigrants remains obscure in China. Using data from the 2019 questionnaire‐survey in Guangzhou, China, this paper investigates the underlying mechanism driving African immigrants' health insurance participation as critical to their physical and mental health. Our results demonstrate that health insurance participation is a pivotal factor in the overall health of African immigrants; specifically, purchasing health insurance and one's mental and physical health can be characterised as a feedback loop. Purchasing health insurance can positively impact mental health, and consequently, better mental health can improve physical health. Good physical health also tends to bolster mental health. Therefore, policies aimed at improving African immigrants' mental and physical health are expected to encourage them to purchase health insurance above their present low level of insurance participation. The proposal here is that health policymaking for immigrants should include the interaction mechanism between physical and mental health rather than focus only on physical health conditions. [ABSTRACT FROM AUTHOR]

In Southern European societies such as the Portuguese, family and civil society play a relevant role in welfare policies, acting as complementary or supplementary 'safety-nets' to the state. In times of crises, migrants' access to healthcare is not only questioned but put at risk. This paper unveils the specific roles played by Civil Society Organisations' (CSOs) in providing healthcare to migrants in the aftermath of TROIKA in Portugal. By categorising different types of CSOs based on their articulation with the State, and the health service delivery model adopted, we show how CSOs configure themselves differently ranging from 'service delivers' to migrants' 'advocates', adopting responses that vary between aid to co-production. [ABSTRACT FROM AUTHOR]

The paper analyses the effects of perceived discrimination on the self-rated health of immigrants living in Germany. Previous research indicates that immigrants' health is negatively affected by the psychosocial strain caused by perceived discrimination. I analyse whether feelings of belonging to both the origin and the host country play a moderating role in this association: While feelings of belonging to the origin country might buffer the health threat of perceived discrimination, a strong sense of belonging to the host country might exacerbate it because it increases immigrants' sensitivity and vulnerability to discrimination by the majority society. Using data from the German Socio-economic Panel Study (N = 10,412), I confirm previous research on the harmful effect of perceived discrimination on health. While feelings of belonging to the origin country are not a protective factor, the health threat of perceived discrimination indeed exacerbates with an increasing sense of belonging to the host country. [ABSTRACT FROM AUTHOR]

Background: The aim of this paper is to share the results of a scoping review that examined the relationship between health care disparities and the multiplicity of vulnerability factors that are often clustered together. Methods: The conceptual framework used was an innovative dynamic model that we developed to analyze the co-existence of multiple vulnerability factors (multi-vulnerability) related to the phenomenon of the 'Inverse Care Law'. A total of 759 candidate references were identified through a literature search, of which 23 publications were deemed relevant to our scoping review. Results: The review confirmed our hypothesis of a direct correlation between co-existing vulnerability factors and health care disparities. Several gaps in the literature were identified, such as a lack of research on vulnerable populations' perception of their own vulnerability and on multimorbidity and immigrant status as aspects of vulnerability. Conclusions: Future research addressing the revealed gaps would help foster primary care interventions that are responsive to the needs of vulnerable people and, eventually, contribute to the reduction of health care disparities in society. [ABSTRACT FROM AUTHOR]

Background: Migrant populations from countries with generalised HIV epidemics make up a significant proportion of all HIV/AIDS cases in many European Union and European Economic Area (EU/EEA) countries, with heterosexual transmission the predominant mode of HIV acquisition. While most of these infections are diagnosed for the first time in Europe, acquisition is believed to have predominantly occurred in the home country. A proportion of HIV transmission is believed to be occurring post-migration, and many countries may underestimate the degree to which this is occurring. Our objectives were to review the literature estimating the proportion of migrants believed to have acquired their HIV post-migration and examine which EU member states are able to provide estimates of probable country of HIV acquisition through current surveillance systems. Methods: A systematic review was undertaken to gather evidence of sexual transmission of HIV within Europe among populations from countries with a generalised epidemic. In addition, national surveillance focal points from 30 EU/EEA Member States were asked to complete a questionnaire about surveillance methods and monitoring of the likely place of HIV acquisition among migrants. Results & discussion: Twenty-seven papers from seven countries were included in the review and 24 countries responded to the survey. Estimates of HIV acquisition post-migration ranged from as low as 2 % among sub Saharan Africans in Switzerland, to 62 % among black Caribbean men who have sex with men (MSM) in the UK. Surveillance methods for monitoring post-migration acquisition varied across the region; a range of methods are used to estimate country or region of HIV acquisition, including behavioural and clinical markers. There is little published evidence addressing this issue, although Member States highlight the importance of migrant populations in their epidemics. Conclusions: There is post-migration HIV acquisition among migrants in European countries but this is difficult to quantify accurately with current data. Migrant MSM appear at particular risk of HIV acquisition post-migration. Countries that identify migrants as an important part of their HIV epidemic should focus on using an objective method for assigning probable country of HIV acquisition. Robust methods to measure HIV incidence should be considered in order to inform national prevention programming and resource allocation. [ABSTRACT FROM AUTHOR]

Background: Prenatal vitamin D deficiency is a common health concern among immigrants. No previous studies have examined the associations between prenatal vitamin D levels and developmental disorders of language, scholastic skills, and coordination in an immigrant sample. Methods: The sample included 542 immigrant mothers of cases with language, scholastic, coordination or mixed developmental disorders, 443 immigrant mothers of controls without these disorders and 542 Finnish mothers of controls. Maternal vitamin D was measured in serum samples collected during early pregnancy and stored in a national biobank. Results: The mean vitamin D levels during pregnancy were 25.0 (SD 14.4) nmol/L for immigrant mothers of cases, 25.4 (SD 15.5) for immigrant mothers of controls and 42.3 (SD 19.1) for Finnish mothers of controls. Low maternal vitamin D levels during pregnancy were not associated with the selected developmental disorders in offspring when immigrant mothers of cases were compared to immigrant mothers of controls (adjusted OR for continuous log-transformed vitamin D: 1.01, 95% CI 0.75–1.36, p = 0.96). When immigrant mothers of cases were compared to Finnish mothers of controls, the adjusted OR for continuous vitamin D was 18.94 (95% CI 11.47–31.25), p <0.001). The results were similar when vitamin D was examined as a categorical variable or divided into quintiles. Conclusions: Prenatal vitamin D levels were low, and similar, among immigrant mothers of cases with selected developmental disorders and unaffected controls. This indicates that vitamin D unlikely mediates previously observed associations between maternal immigrant status and the selected developmental disorders in offspring. The proportion of immigrant mothers with severe vitamin D deficiency was very high, which underlines the importance of prenatal counselling and overall public health efforts to improve immigrant health. [ABSTRACT FROM AUTHOR]

This paper examines two sets of ethical issues relating to the health of human migrants and the delivery of healthcare across the globe. The first set pertains to the access of migrants to health care services in their adopted (or adopting) countries. The second set of issues arises in connection with the migration of healthcare professionals from low - and middle - income countries to high-income countries. In the final section the paper looks at these two sets of issues as interconnected concerns within a broader global justice framework of healthcare delivery. We show how the justice issues in the first set relate to the justice issues in the second set. In the end, we propose the adoption of that broader framework, making reference not only to issues of justice but also to the question of the integrity of medicine and the noble objectives of healthcare delivery. [ABSTRACT FROM AUTHOR]

Objective: Cultural changes faced by immigrants and ethnic minorities after moving to a host country may have a detrimental or beneficial influence on their oral health and oral health-related behaviors. Therefore, this paper reviews the literature to see the impact of acculturation on immigrants and ethnic minorities’ oral health outcomes. Methods: We searched seven electronic databases up to January 2018. All cross-sectional and longitudinal quantitative studies that examined associations between acculturation and oral health status and/or oral health behaviors among ethnic minority and immigrant population[s] were included. Study selection, data extraction, and risk of bias assessment were completed in duplicate. The Newcastle-Ottawa checklist was used to appraise the methodological quality of the quantitative studies. A meta-analytic approach was not feasible. Results: A total of 42 quantitative studies were identified. The studies showed a positive association between acculturation and oral health status/behaviors. The most frequently used acculturation indicators were language spoken by immigrant and ethnic minorities and length of stay at the host country. High-acculturated immigrant and ethnic minority groups demonstrated better oral health outcomes, oral health behaviors, dental care utilization, and dental knowledge. Conclusions: According to existing evidence, a positive effect of acculturation on oral health status and behaviors was found. Practical implications: Dental practitioners should be culturally competent to provide the appropriate services and treatments to immigrant and ethnic minorities. Policymakers should also be sensitive to cultural diversities and properly address the unique needs of each group in order to maintain oral health equity. [ABSTRACT FROM AUTHOR]

This paper presents new evidence that immigrants have better health than natives upon arrival to their destination. It analyzes a very interesting episode in international migration, namely the exodus of Ecuadorians in the aftermath of the economic collapse in the late 1990s. More than 600,000 Ecuadorians from 1999 to 2005 left their homeland, most relocating in Spain. Using information from the birth certificate data, the paper compares the birth outcomes of immigrant women in Spain not only to that of natives at destination, but to that of natives in Ecuador and immigrants from other nationalities in Spain. These comparisons suggest that the better health at birth of children born to immigrants from Ecuador partly responds to the selection of healthier women into migration. [ABSTRACT FROM AUTHOR]

Background: The main aim of this paper is to see to what extent mortality patterns between migrants living in the Netherlands converge. This might be an indicator of health and health care acculturation.Methods: This is an observational study on the basis of standard mortality registration data collected between 1996 and 2007. Eight ethnic groups living in Amsterdam are examined to see if mortality converges or diverges over time. Trends in mortality are studied using Poisson regression. The life expectancy between groups is compared for three time periods.Results: The data showed that for males and females the life expectancy and death rates improved between 1996-1999 and 2004-2007. Most ethnic groups, both males and females, followed this positive trend. For most indicators the ethnic groups converged in terms of mortality. The data also shows the healthy migrant effect with those in Amsterdam from Dutch origin having a relatively high mortality and low life expectancy.Discussion: In this paper the "healthy migrant effect" can be clearly observed. An important cause is the emigration of the original and relatively affluent and healthy Dutch population to suburban areas. Mortality trends tend to converge between ethnic groups during the period 1997-2000 and 2004-2007. The data presented here shows further that trends in mortality and life expectancy which apply to all ethnic groups are much more powerful as this convergence. One wonders if bridging the mortality gap between groups is of much benefit for minority groups, or that minority groups would benefit more from an overall decrease in mortality.Conclusion: Mortality trends that apply to all groups tend to be much stronger compared with trends for individual groups. This shows that dynamics affecting all groups similarly have a considerably stronger effect on mortality outcomes in various ethnic groups compared with possible convergence. [ABSTRACT FROM AUTHOR]

BACKGROUND The fertility of immigrants and their descendants is a crucial determinant of population dynamics, particularly where migrants are numerous and ethnically diverse, as in Switzerland. This paper analyses the transition to the first and second births of immigrants and their descendants and compares them with each other and with the native population. METHODS Using survival analysis and drawing on data from the Family and Generation Survey (FGS-2013), we disaggregate the fertility indicators of intensity and timing by ethnic minority and by birth order, controlling for a variety of sociodemographic characteristics. RESULTS Our results show that while there is no substantive difference in the probability and timing of first births between immigrants, their descendants, and Swiss natives, firstgeneration immigrants become parents younger and more often. Quite unexpectedly, we found that for migrants a second child is less frequent and comes after a longer birth interval than for Swiss natives, independently of whether or not they are born in Switzerland. CONCLUSIONS AND CONTRIBUTIONS This pattern of a delayed second birth for immigrants and their descendants differs from those observed in other European countries (Kulu et al. 2017). Our paper contributes to the literature by examining the heterogeneous fertility trajectories of different groups of migrants and their children. Our results by ethnic group and generation document fertility distribution in a highly diversified migration context, where new migrant groups are joining more established groups and where integration and family policies are weak, compared with the rest of Europe. [ABSTRACT FROM AUTHOR]

Modern patient-centered approaches increasingly recognize the contribution of patients' knowledge in interactions with health-care personnel. Effective involvement is exceptionally difficult when patients are migrants with limited command of specialized language. Interactional practices that promote effective distribution of knowledge and access to it are needed: by doctors interacting directly with patients in a shared language and by mediators providing interpreting services across different languages. In this paper, we look at two types of sequence which seem to be effective in involving (migrant) patients. The first concerns clinicians' reactions to spontaneous patients' initiatives, like claims to knowledge or personal narratives. The second concerns interpreters' explanations when they render the clinicians' instructions to the patients. While both sequences are clearly designed to promote patients' participation, they need particular communicative competence on the part of staff, clinicians, and interpreters. [ABSTRACT FROM AUTHOR]

This paper is part of a broader study about prostitution among foreign migrant women in the province of Almeria, Spain. The specific aim of the paper is to analyse the different profiles of women working in the sex industry and interpret the social determinants that generate social inequalities in their health. The ethnographic research was conducted in different settings involved in the sex industry (clubs, private apartments, bars, immigrant settlements, and street prostitution) between 2009 and 2012 as part of the "Damage Reduction and Health Promotion" programme run by the NGO Medicos del Mundo. The research tools used were standardised and in-depth interviews conducted with sex workers, and observation in their working environments. Findings show that the main markers for major inequalities in terms of the health of women and the use of healthcare services available are: gender (being a woman), status as an immigrant, social class, level of education and geographical area. This study argues the need to design programmes in local contexts of bio-psycho-social healthcare aimed at women who work as prostitutes with low earnings and very limited social support networks with a view to impacting on their safety, education and living conditions, as well as their lifestyles and their physical and psychological health. [ABSTRACT FROM AUTHOR]

In Europe, policies, strategies and interventions to address the growing burden of non-communicable diseases have generally neglected to take into consideration the impact of migration on health outcomes of increasingly multicultural and diverse societies. Research has shown that migrants of South Asian origin living in Europe are more at risk of acquiring non-communicable diseases than their counterparts in their country of origin or than the host European population. Using the example of migrants of South Asian origin, this paper highlights the migration-related social determinants of health and risk factors for non-communicable diseases. This paper calls for a more integrated, multi-sectoral approach to promote migrant-friendly health and social services to address non-communicable diseases in South Asia and Europe. [ABSTRACT FROM AUTHOR]

Background: There is increasing attention paid to the arrival of migrants from outwith the EU region to the European countries. Healthcare that is universally and equably accessible needs to be provided for these migrants throughout the range of national contexts and in response to complex and evolving individual needs. It is important to look at the evidence available on provision and access to healthcare for migrants to identify barriers to accessing healthcare and better plan necessary changes.Methods: This review scoped 77 papers from nine European countries (Austria, Cyprus, France, Germany, Greece, Italy, Malta, Spain, and Sweden) in English and in country-specific languages in order to provide an overview of migrants' access to healthcare. The review aims at identifying what is known about access to healthcare as well as healthcare use of migrants and refugees in the EU member states. The evidence included documents from 2011 onwards.Results: The literature reviewed confirms that despite the aspiration to ensure equality of access to healthcare, there is evidence of persistent inequalities between migrants and non-migrants in access to healthcare services. The evidence shows unmet healthcare needs, especially when it comes to mental and dental health as well as the existence of legal barriers in accessing healthcare. Language and communication barriers, overuse of emergency services and underuse of primary healthcare services as well as discrimination are described.Conclusions: The European situation concerning migrants' and refugees' health status and access to healthcare is heterogeneous and it is difficult to compare and draw any firm conclusions due to the scant evidence. Different diseases are prioritised by different countries, although these priorities do not always correspond to the expressed needs or priorities of the migrants. Mental healthcare, preventive care (immunization) and long-term care in the presence of a growing migrant older population are identified as priorities that deserve greater attention. There is a need to improve the existing data on migrants' health status, needs and access to healthcare to be able to tailor care to the needs of migrants. To conduct research that highlights migrants' own views on their health and barriers to access to healthcare is key. [ABSTRACT FROM AUTHOR]

In this paper we examine how the stresses associated with the transition to a new country combined with additional stress arising from a period of unemployment affect the mental health of immigrants. Australian immigrants are found to have poorer mental health at 6 months after arrival in Australia compared with 18 and 42 months. Furthermore, unemployment, and especially a long duration of unemployment, is found to be associated with poor mental health. We found that although immigrant women appear unaffected by their spouses’ labour force status, there is evidence that immigrant men's mental health is affected by spouse labour force status. [ABSTRACT FROM AUTHOR]

Background: First generation migrants are reportedly at higher risk of mental ill-health compared to the settled population. This paper systematically reviews and synthesizes all reviews on the mental health of first generation migrants in order to appraise the risk factors for, and explain differences in, the mental health of this population.Methods: Scientific databases were searched for systematic reviews (inception-November 2015) which provided quantitative data on the mental ill-health of first generation migrants and associated risk factors. Two reviewers screened titles, abstracts and full text papers for their suitability against pre-specified criteria, methodological quality was assessed.Results: One thousand eight hundred twenty articles were identified, eight met inclusion criteria, which were all moderate or low quality. Depression was mostly higher in first generation migrants in general, and in refugees/asylum seekers when analysed separately. However, for both groups there was wide variation in prevalence rates, from 5 to 44 % compared with prevalence rates of 8-12 % in the general population. Post-Traumatic Stress Disorder prevalence was higher for both first generation migrants in general and for refugees/asylum seekers compared with the settled majority. Post-Traumatic Stress Disorder prevalence in first generation migrants in general and refugees/ asylum seekers ranged from 9 to 36 % compared with reported prevalence rates of 1-2 % in the general population. Few studies presented anxiety prevalence rates in first generation migrants and there was wide variation in those that did. Prevalence ranged from 4 to 40 % compared with reported prevalence of 5 % in the general population. Two reviews assessed the psychotic disorder risk, reporting this was two to three times more likely in adult first generation migrants. However, one review on the risk of schizophrenia in refugees reported similar prevalence rates (2 %) to estimates of prevalence among the settled majority (3 %). Risk factors for mental ill-health included low Gross National Product in the host country, downward social mobility, country of origin, and host country.Conclusion: First generation migrants may be at increased risk of mental illness and public health policy must account for this and influencing factors. High quality research in the area is urgently needed as is the use of culturally specific validated measurement tools for assessing migrant mental health. [ABSTRACT FROM AUTHOR]

Anthropologists have documented substantial and persistent differences in food preferences across social groups. My paper asks whether such food cultures can constrain caloric intake? I first document that interstate migrants within India consume fewer calories per rupee of food expenditure compared to their neighbors. Second, I show that migrants bring their origin-state food preferences with them. Third, I link these findings by showing that the gap in caloric intake between locals and migrants depends on the suitability and intensity of the migrants' origin-state preferences. The most affected migrants would consume seven percent more calories if they possessed their neighbors' preferences. (JEL D12, I12, O15, R23, Z12, Z13) [ABSTRACT FROM AUTHOR]

Racialized immigrants have low rates of accessing mental healthcare services. However, there are notable differences among immigrant groups (e.g., refugees, international students, dependants). The aim of this study is to understand racialized immigrants’ experiences of accessing mental healthcare services at both systemic and individual levels. Through a qualitative descriptive methodology, interviews were conducted in English with 16 racialized immigrants to understand barriers and facilitators encountered. Additionally, focusing on how cultural and social conceptualizations ideas shape mental healthcare services. Interviews were analyzed through Braun & Clarke’s six-step method to reflexive thematic analysis in identifying factors. Three major themes were identified: structural constraints, individual influences, and appraisal of services. With the first, racialized immigrants signaled to issues related to the systemic level that included affordability, wait times, and trust in the system. Individual influences highlighted factors of mental health literacy, social supports, stigma, severity of the issues, and awareness of services themselves. Lastly, extending on the previous theme, appraisal of services was reflective of how social and cultural ideals shaped attitudes towards the appropriateness of the provider or services themselves. The findings from this paper emphasize that racialized immigrants are not homogenous in their experiences and attitudes towards mental healthcare services. While there were similarities across different groups in the individual and systemic factors identified, there were key distinctions driven by appraisal of services themselves and if they were congruent based on their needs, more specifically, what was contributing to their negative mental health status. [ABSTRACT FROM AUTHOR]

Background: The use of machine learning (ML) in mental health (MH) research is increasing, especially as new, more complex data types become available to analyze. By examining the published literature, this review aims to explore the current applications of ML in MH research, with a particular focus on its use in studying diverse and vulnerable populations, including immigrants, refugees, migrants, and racial and ethnic minorities. Methods: From October 2022 to March 2024, Google Scholar, EMBASE, and PubMed were queried. ML-related, MH-related, and population-of-focus search terms were strung together with Boolean operators. Backward reference searching was also conducted. Included peer-reviewed studies reported using a method or application of ML in an MH context and focused on the populations of interest. We did not have date cutoffs. Publications were excluded if they were narrative or did not exclusively focus on a minority population from the respective country. Data including study context, the focus of mental healthcare, sample, data type, type of ML algorithm used, and algorithm performance were extracted from each. Results: Ultimately, 13 peer-reviewed publications were included. All the articles were published within the last 6 years, and over half of them studied populations within the US. Most reviewed studies used supervised learning to explain or predict MH outcomes. Some publications used up to 16 models to determine the best predictive power. Almost half of the included publications did not discuss their cross-validation method. Conclusions: The included studies provide proof-of-concept for the potential use of ML algorithms to address MH concerns in these special populations, few as they may be. Our review finds that the clinical application of these models for classifying and predicting MH disorders is still under development. [ABSTRACT FROM AUTHOR]

Background: Perinatal psychological distress adversely impacts the well-being and social adjustment of parents and their children. Expectant parents who have migrated may be at higher risk for perinatal psychological distress due to various migration-specific stressors and healthcare service barriers. Limited studies have examined the perceived determinants of perinatal distress in immigrant parents, particularly men. This study explored first and second-generation immigrant parents' lived experiences of social stressors and facilitators of perinatal psychological well-being. Methods: Participants were recruited by convenience and purposive sampling as part of a larger study. Semi-structured interviews were conducted virtually with first and second-generation immigrant women and men in Quebec, Canada. An inductive thematic analysis was performed. Results: Sixteen women (age = 34.8 ± 3.7 years) and ten men (age = 35.1 ± 4.9 years) from various ethnic backgrounds participated in the study at 7.4 ± 0.73 and 7.5 ± 0.72 months postpartum, respectively. Three themes were identified: (1) cultural pressures (cultural differences in parenting, gender-related cultural pressures, health and baby-related practices), (2) health and social service access (social benefits and resources, and systemic barriers in health care), and (3) discrimination (physical appearance or parental-related discrimination, gender-related discrimination, ethnic-related discrimination). First-generation immigrant parents reported greater acculturative stress (i.e. mental health stigma, health care access) and ethnic discrimination concerns related to their distress. Among men, barriers include feeling as though the paternal role was devalued by society and not receiving consideration by health care. Conclusions: Our results highlight different social factors of perinatal well-being perceived by men and women from various ethnic and immigration backgrounds during the perinatal period. Perceived factors include macro-level factors, such as a country's social climate, health and social policies and services, and social aspects of acculturative stress. Our findings suggest the need for continued efforts to challenge and eliminate discriminatory practices. Interventions and resources directed at first-generation immigrant parents should be bolstered. Understanding what parents perceive to facilitate or hinder their psychological well-being can help inform the development of tailored evidence-based programs and policies to better meet the mental health needs of Canadians and reduce gender disparities in the treatment of perinatal distress. [ABSTRACT FROM AUTHOR]

Restrictive immigration policies harm the mental health of undocumented immigrants and their U.S. citizen family members. As a sociopolitical stressor, threat to family due to immigration policy can heighten anxiety, yet it is unclear whether political engagement helps immigrant-origin students to cope. We used a cross-sectional survey of college students from immigrant families (N = 2,511) to investigate whether anxiety symptomatology was associated with perceived threat to family and if political engagement moderated this relationship. We stratified analyses by self/parental immigration statuses—undocumented students, U.S. citizens with undocumented parents, and U.S. citizens with lawfully present parents—to examine family members' legal vulnerability. Family threat was significantly associated with anxiety; higher levels of political engagement reduced the strength of this relationship. However, this moderation effect was significant only for U.S. citizens with lawfully present parents. These findings emphasize the importance of the family immigration context in shaping individuals' mental health outcomes. [ABSTRACT FROM AUTHOR]

BACKGROUND Cross-national research shows that although immigrants initially have better health than their native-born counterparts, their health deteriorates over time in their destination countries, converging to natives' health (health convergence). Explanations include acculturation to negative health behaviors, exposure to low socioeconomic status, and social exclusion. OBJECTIVE This study is the first to examine how material deprivation, a measure of relative disadvantage that includes elements of SES and social exclusion, interacts with duration of stay to affect immigrants' health convergence. METHODS Using data from Italy (2009), we assess the association between duration of stay and three health outcomes, and we estimate interaction effects of duration of stay with material deprivation. RESULTS We find immigrants' duration of stay is negatively associated with self-rated health, chronic morbidity, and activity limitations. Immigrants' health converges to natives', net of controls. Convergence is most dramatic for self-rated health, but the pattern is also reflected in chronic morbidity and activity limitations. The health of immigrants who live in conditions of material deprivation is more similar to natives' health at shorter durations of stay, compared to their not-deprived counterparts. CONTRIBUTION The paper contributes to a better understanding of the role of social exclusion - measured as material deprivation - on the immigrant-native health convergence process. It is the first to assess the interaction of material conditions and duration of stay in a host country. [ABSTRACT FROM AUTHOR]

This paper explores a global public goods approach to the health of migrants. It suggests that this approach establishes that there are a number of health goods which must be provided to migrants not because these are theirs by right (although thismayindependently be the case), but because these goods are primary goods which fit the threefold criteria of global public goods. There are two key advantages to this approach: first, it is nonconfrontational and non-oppositional, and second, it provides self-interested arguments to provide at least some health goods to migrants and thus appeals to those little moved by rights-based arguments. [ABSTRACT FROM AUTHOR]

The existence of a healthy immigrant effect-where immigrants are on average healthier than the native born-is a widely cited phenomenon across a multitude of literatures including epidemiology and the social sciences. There are many competing explanations. The goals of this paper are twofold: first, to provide further evidence on the presence of the healthy immigrant effect across source and destination country using a set of consistently defined measures of health; and second, to evaluate the role of selectivity as a potential explanation for the existence of the phenomenon. Utilizing data from four major immigrant recipient countries, USA, Canada, UK, and Australia allows us to compare the health of migrants from each with the respective native born who choose not to migrate. This represents a much more appropriate counterfactual than the native born of the immigrant recipient country and yields new insights into the importance of observable selection effects. The analysis finds strong support for the healthy immigrant effect across all four destination countries and that selectivity plays an important role in the observed better health of migrants vis a vis those who stay behind in their country of origin. [ABSTRACT FROM AUTHOR]

Few empirical studies have been conducted to analyse the disparities in health variables affecting immigrants in a given country. To our knowledge, no theoretical analysis has been conducted to explain health disparities for immigrants between regions in the same country that differs in term of languages spoken and income. In this paper, we use the Canadian Community Health Survey (CCHS) to compare multiple health measures among immigrants in Quebec, immigrants in the rest of Canada and Canadian-born individuals. We propose a simple structural model and conduct an empirical analysis in order to assess possible channels that can explain the health disparities for immigrants between two regions of the same country. Our results show that well-being and health indicators worsen significantly for immigrants in Quebec, compared to their counterparts in the rest of Canada and Canadian-born individuals. Additional econometric analysis also shows that life satisfaction is statistically and significantly associated with health outcomes. The proposed structural model predicts that, when the decision to migrate to a particular area is based on income alone, and if the fixed costs associated with the language barrier are large, immigrants may face health issues. [ABSTRACT FROM AUTHOR]

Purpose This study aims to determine the prevalence of selected health behaviors (smoking, diet, exercise and early cancer detection) and outcomes (obesity, cardiovascular fitness, type II diabetes mellitus and cancer) among Arab immigrants living in Colorado and evaluate the relationships between acculturation and health behaviors from a socio-ecological perspective.Design/methodology/approach This paper is a cross-sectional survey of 100 adult Arab immigrants living in Colorado.Findings The study showed that Arab immigrants in Colorado engage in healthy behaviors such as eating a healthy diet rich in fruits and vegetables (34 per cent), exercising (44 per cent) and seeking early cancer screening (35 per cent among women and 42 per cent among men). In comparison to the general population in Colorado, the study results showed that Arab immigrants were more likely to engage in moderate or vigorous exercise (p < 0.001, OR = 1.84) and consume the recommended daily amounts of fruits and vegetables (p = 0.05, OR = 1.56). The study revealed that culture plays an important role in shaping and affecting Arab immigrant health behaviors. Those who were more acculturated were more likely to be physically active and eat healthy.Research/limitations/implications The prevalence of overweight in the current sample was similar to the rate of overweight in other studies of Arab immigrants. This study’s findings about overweight signal a need for culturally sensitive health promotion interventions for Arab immigrants. The study limitations included the use of self-reported measures in the survey, the use of cross-sectional design and the use of a probability sample.Originality/value Understanding culturally relevant predictors of certain health behaviors, such as exercise and diet, can help health providers design health promotion interventions that focus on the individual and the environment to meet the health needs of Arab immigrants. [ABSTRACT FROM AUTHOR]

Migration policies have a significant impact on population health, particularly for individuals living with human immunodeficiency virus (HIV). These policies not only determine who is allowed to enter a country but also influence which immigrants can access services provided by the government. Some countries continue to impose restrictions on HIV-positive individuals, justifying these measures as necessary to protect public health and mitigate healthcare and economic concerns. However, these restrictions lack a valid public health rationale. Due to social, economic and political constraints, restrictive migration laws hinder access to HIV prevention, care and treatment services for immigrants living with HIV. Immigrants face numerous challenges in accessing medication, adhering to treatment regimens and benefitting from HIV preventive efforts. This situation increases the risk of HIV infection and adverse health outcomes due to limited access to preventive programmes, social stigma and engagement in risky behaviours. Additionally, these restrictive migration rules negatively affect immigrants' mental health. To improve the health of both immigrants and host communities, inclusive and evidence-based migration policies that address healthcare through public health and human rights lenses are required. [ABSTRACT FROM AUTHOR]

Purpose: Effective asthma management relies on individuals' knowledge, inhaler technique, and perceptions of asthma and medications. Investigating barriers and enablers to optimal asthma management is vital. This research pursues a comprehensive understanding of asthma control, asthma-related experiences, perceptions, inhaler technique, and knowledge among Arabic-speaking Middle Eastern migrants and refugees living in Australia. Furthermore, it aims to explore the factors influencing optimal asthma management within this demographic. Patients and Methods: This study involved interviews with 17 participants, with nine identified as migrants and eight as refugees. All participants were Arabic-speaking Middle Eastern individuals residing in Australia and diagnosed with asthma. Interviews were thematically analysed, and findings were presented following the guidelines of the consolidated criteria for reporting qualitative research (COREQ). Results: The thematic analysis yielded five key themes: (1) asthma experiences; (2) participant perspectives on asthma; (3) asthma management; (4) asthma health literacy; and (5) strategies to overcome obstacles in asthma management. Some disparities were noted between refugees and migrants in terms of their comprehension and views on asthma, medications use, interactions with healthcare providers, and inhaler technique. Refugees experienced more psychological distress and lacked social support, while migrants were more concerned about long-term medication use and preferred specialised care. Conclusion: This research addresses a knowledge gap concerning asthma control among Middle Eastern immigrants. It provides insights into their beliefs and medication adherence. It underscores the importance of considering the unique characteristics of Middle Eastern migrants and refugees when delivering healthcare interventions to enhance overall health and medication adherence within these populations. To address these differences, the study recommends tailored education, specialised clinics, and culturally relevant asthma management plans to enhance self-management support for both groups. Future studies should explore the impact of modifying beliefs, attitudes, and knowledge regarding medications and asthma to enhance asthma management within this population. [ABSTRACT FROM AUTHOR]

Background: A growing literature has documented the social, economic, and health impacts of exclusionary immigration and immigrant policies in the early 21st century for Latiné communities in the US, pointing to immigration and immigrant policies as forms of structural racism that affect individual, family, and community health and well-being. Furthermore, the past decade has seen an increase in bi-partisan exclusionary immigration and immigrant policies. Immigration enforcement has been a major topic during the 2024 Presidential election cycle, portending an augmentation of exclusionary policies towards immigrants. Within this context, scholars have called for research that highlights the ways in which Latiné communities navigate exclusionary immigration and immigrant policies, and implications for health. This study examines ways in which Mexican-origin women in a midwestern northern border community navigate restrictive immigration and immigrant policies to access health-promoting resources and care for their well-being. Methods: We conducted a grounded theory analysis drawing on interviews with 48 Mexican-origin women in Detroit, Michigan, who identified as being in the first, 1.5, or second immigrant generation. Interviews were conducted in English or Spanish, depending on participants' preferences, and were conducted at community-based organizations or other locations convenient to participants in 2013–2014. Results: Women reported encountering an interconnected web of institutional processes that used racializing markers to infer legal status and eligibility to access health-promoting resources. Our findings highlight women's use of both individual and collective action to navigate exclusionary policies and processes, working to: (1) maintain access to health-promoting resources; (2) limit labeling and stigmatization; and (3) mitigate adverse impacts of immigrant policing on health and well-being. The strategies women engaged were shaped by both the immigration processes and structures they confronted, and the resources to which they had access to within their social network. Conclusions: Our findings suggest a complex interplay of immigration-related policies and processes, social networks, and health-relevant resources. They highlight the importance of inclusive policies to promote health for immigrant communities. These findings illuminate women's agency in the context of structural violence facing immigrant women and are particularly salient in the face of anti-immigrant rhetoric and exclusionary immigration and immigrant policies. [ABSTRACT FROM AUTHOR]

Background: Women who are migrants experience discrimination and face major risks, including sexual exploitation, trafficking, and violence, which affect their health and well-being. This study explored critical health incidents experienced by immigrant Thai women in marriage migration. Methods: A qualitative explorative approach with in-depth interviews was used. Forty immigrant Thai women who currently or previously had a Swedish spouse were recruited for the study. An inductive critical incident technique was used to collect and analyze the data as the first step. In a second deductive step, the Newman system model was used to categorize health dilemmas. Results: The women reported 438 critical health incidents in five main areas. Psychological health dilemmas included emotional abuse, feeling overwhelmed due to family responsibilities and the stress of leaving family behind. Sociocultural health dilemmas included transnational family duties or not performing family duties. Physiological health dilemmas included experiencing physical violence and environmental, domestic or work accidents. Developmental health dilemmas included failing health, difficulties upholding the duties expected of a spouse in the target culture and caring for an elderly husband. Spiritual health dilemmas included critical incidents in which the women perceived themselves to have failed in their hopes and duties as a wife, which intensified their dependence on faith, particularly the Buddhist concept of karma. Conclusion: Professionals in health and welfare practices in Thailand together with professionals in Western countries who work with women in marriage migration situations need to recognize the psychological, sociocultural, physiological, developmental, and spiritual health dilemmas experienced by these women. Furthermore, civil organizations that meet Thai women in foreign countries, such as Buddhist cultural associations, would benefit from the multicultural knowledge revealed by the present study. This knowledge can facilitate healthcare and welfare support for women in marriage migration situations. [ABSTRACT FROM AUTHOR]

Abundant evidence has tracked the labour market and health assimilation of immigrants, including static analyses of differences in how foreign-born and native-born residents consume health care services. However, we know much less about how migrants' patterns of healthcare usage evolve with time of residence, especially in countries providing universal or quasi-universal coverage. We investigate this process in Spain by combining all the available waves of the local health survey, which allows us to separately identify period, cohort, and assimilation effects. We find robust evidence of migrant assimilation in health care use, specifically in visits to general practitioners and emergency care and among foreign-born women. The differential effects of ageing on health care use between foreign-born and native-born populations contributes to the convergence of utilisation patterns in most health services after 15 years in Spain. Substantial heterogeneity by the time of arrival and by region of origin both suggest that studies modelling future welfare state finances would benefit from a more thorough assessment of migration. [ABSTRACT FROM AUTHOR]

The paper analyses four different perspectives on well-being: the medical viewpoint and the hegemony of trauma, the cultural approach and the balance of social, spiritual and natural realms, the psycho-social position and the scrutiny of the social environment, and multi-levelled ecological models that integrate multiple layers. The paper advocates a shift away from analyses of localities/phases/contexts and well-being towards those of processes, predicated on the separation of physical dis(re)-locations from psychological dis(em)-placements. When examining processes and negotiations with life events, of which displacement is one, well-being is understood as a process of being 'of' rather than being 'in'. [ABSTRACT FROM AUTHOR]

The paper outlines the trajectories of Tibetan refugees afflicted by tuberculosis (TB) within the exile community of Dharamsala (H-P). These stories reveal the political nature of TB status disclosure, highlighting the often conflicting ways in which the disease is perceived among different Tibetan exile regional and generational groups. On the basis of these case studies, I aim to show that differentiated experiences of treatment and stigma within “intermediary” host communities such as Dharamsala partially determine the ways in which Tibetans deal with the risk of TB in their “onward” journeys further afield, in Europe, Canada and the United States. With the now well-established connection between migration-related stresses and the onset or reappearance of TB symptoms, we may need to consider that, in some cases, it is the compounding of attitudes to disease in “intermediary” diasporic communities with the stigmatising label of “migrant menace” in the second stages of migration that impedes the care of migrants and even precipitates illness. With this premise the paper proposes that investigations of disease in diasporic communities should explore the totality of migration “stages” and their impact on health. [ABSTRACT FROM AUTHOR]

The Affordable Care Act (ACA) aimed to reduce stark health inequalities by providing universal health insurance to all Americans and long-term authorised immigrants. Later regulations, however, gave the 50 U.S. states latitude to choose the degree of coverage for their constituencies. In this paper, we explore how interactions with these diverse systems of care contribute to the incorporation of immigrants into America, especially among the most likely to remain uninsured: the working poor. We uncovered a process in which immigrants’ access to health coverage and care was informed by the procedural justice embedded in their interactions with representatives of the health care system. These interactions signalled to immigrants their deservingness in American society, operating as a system of incorporation in the most inclusive states and as a barrier to incorporation in the most exclusive ones. Repealing the ACA may exacerbate differences across states in access to health care among eligible immigrants and end the incipient transformation of the U.S. health care system into an agent of immigrant incorporation. [ABSTRACT FROM AUTHOR]

The recent Greek economic crisis has affected hardest vulnerable social groups such as immigrants. Historically, economic downturns lead to dramatic socio-economic alterations which may further negatively affect individuals’ emotional and psychological well-being. The main rationale of the paper is to unravel the negative emotions towards the Greek economic conditions experienced by immigrants of different demographic and social class profiles during recessionary times. The study uses data derived from the LIVEWHAT (Living with Hard Times) project. Descriptive analysis portrays immigrants’ emotions of anger, disgust, fear, anxiety, sadness, and depression in relation to their demographic and social class characteristics. Multiple regression analysis evaluates the effects of demographic and social class attributes on the “Anxiety-Depression-Sadness” and “Aversion” emotional indicators. The findings underline immigrants’ similar demographic attributes predicting the emotional indicators under study; however distinct emotional reactions may arise across immigrants of different social standing. Whilst previous research has explored general population’s emotions during crises, to the best of our knowledge there are no quantitative studies focusing on immigrants. Since negative emotions may be central to determining individuals’ psychological well-being, the preliminary findings can stimulate future explanatory research. Such research may aid in the design of community intervention programs that target to promote immigrants’ positive emotional and psychological health during recessionary times. [ABSTRACT FROM AUTHOR]

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Copyright of Culture, Health & Sexuality is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Culture, Health & Sexuality is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)