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201 to 225 of 843Validation of a brief mental health screener for Karen refugees in primary care.
Background: Karen refugees from Burma are one of the largest refugee groups currently resettling in the USA. Karen people have endured decades of civil war and human rights violations, leaving them more likely to develop serious mental health disorders. There is a noted lack of brief, culturally validated tools present in primary care settings for detecting posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) in Karen refugees.
Objective: To create the Karen Mental Health Screener, a five-question screening tool used to identify depression and PTSD and to validate it against a clinical reference standard.
Methods: This validation study was conducted during a primary care visit. Participants completed a 20-item questionnaire using a 4-point visual aid and the PTSD and MDD portions of the Structured Clinical Interview for DSM Disorders (SCID-CV for DSM-IV) as the refere…
matched on resettlement (text), Refugees (mesh)
A life course perspective on migration and mental health among Asian immigrants: the role of human agency.
The relationship between human agency and health is an important yet under-researched topic. This study uses a life course perspective to examine how human agency (measured by voluntariness, migratory reasons, and planning) and timing (measured by age at immigration) affect mental health outcomes among Asian immigrants in the United States. Data from the National Latino and Asian American Study showed that Asian immigrants (n=1491) with multiple strong reasons to migrate were less likely to suffer from mental health problems (i.e., psychological distress and psychiatric disorders in the past 12 months) than those without clear goals. Moreover, Asian immigrants with adequate migratory planning had lower levels of distress and lower rates of 12-month psychiatric disorders than those with poorly planned migration. Compared with migrants of the youngest age category (six or younger), those w…
matched on Emigrants and Immigrants (mesh), Acculturation (mesh), Asian (mesh), immigrant (text), migrant (text)
Rethinking the concept of acculturation: implications for theory and research.
This article presents an expanded model of acculturation among international migrants and their immediate descendants. Acculturation is proposed as a multidimensional process consisting of the confluence among heritage-cultural and receiving-cultural practices, values, and identifications. The implications of this reconceptualization for the acculturation construct, as well as for its relationship to psychosocial and health outcomes, are discussed. In particular, an expanded operationalization of acculturation is needed to address the "immigrant paradox," whereby international migrants with more exposure to the receiving cultural context report poorer mental and physical health outcomes. We discuss the role of ethnicity, cultural similarity, and discrimination in the acculturation process, offer an operational definition for context of reception, and call for studies on the role that con…
matched on Emigrants and Immigrants (mesh), Acculturation (mesh), Refugees (mesh), immigrant (text), migrant (text)
Prevalence of Mental Health Disorders Among Immigrant, Refugee, and Nonimmigrant Children and Youth in British Columbia, Canada.
Importance: There remains limited understanding of population-level patterns of mental disorder prevalence for first- and second-generation immigrant and refugee children and youth and how such patterns may vary across mental disorders.
Objective: To examine the diagnostic prevalence of conduct, attention-deficit/hyperactivity disorder (ADHD), and mood/anxiety disorders in immigrant, refugee, and nonimmigrant children and youth in British Columbia, Canada.
Design, setting, and participants: This retrospective, population-level cohort study examined linked health administrative records of children and youth in British Columbia (birth to age 19 years) spanning 2 decades (1996-2016). Physician billings, hospitalizations, and drug dispensations were linked to immigration records to estimate time-in-British Columbia-adjusted prevalence of mental disorder diagnosis among children and youth fro…
matched on Refugees (mesh), immigrant (text)
Lijtmaer RM (2022)MEDLINE-indexed journal, not yet read by usAmerican journal of psychoanalysis7 citations Social Trauma, Nostalgia and Mourning in the Immigration Experience.
Immigration and exile can qualify as social traumas. The individual is deprived of a holding, secure environment in which to continue their life. The process of mourning is a necessary step to connect with "going on being." Another psychic experience in migration is nostalgia; it helps the immigrant defend against the aggression resulting from current frustrations. The feeling of nostalgia can also be used to protect the ego from inadequacy. The complex components of nostalgia come from positive ones such as joy and gratitude connected with sadness about the associated loss of security, familiarity, and historical continuity. At other times, nostalgia cannot evolve, particularly in forced migration or exile. In this case, the individual enters a depressed state with accompanying feelings of self-pity, resentment, envy, and guilt, which prevents the mourning process from developing. To de…
matched on Emigrants and Immigrants (mesh), Emigration and Immigration (mesh), immigrant (text)
Mental Health in Adolescents with a Migration Background in 29 European Countries: The Buffering Role of Social Capital.
Previous research is inconclusive as to whether having an immigration background acts as a risk factor for poor mental health in adolescents, and furthermore, what contribution the social context in which adolescents grow up may make. To address these questions, the current study uses an integrative resilience framework to investigate the association between immigration background and adolescent mental health, and the moderating role of social capital at the individual, the school, and the national level. The study uses data gathered from nationally representative samples of adolescents aged 11, 13, and 15 years (Ngirls = 63,425 (52.1%); Mage = 13.57, SD = 1.64) from 29 countries participating in the 2017/18 Health Behaviour in School-aged Children (HBSC) study. Data analysis reveals that first- and second-generation immigrants reported higher levels of life dissatisfaction and psychosom…
matched on Emigrants and Immigrants (mesh), Emigration and Immigration (mesh), immigrant (text)
Structural Racism and Immigrant Health in the United States.
Immigration has been historically and contemporarily racialized in the United States. Although each immigrant group has unique histories, current patterns, and specific experiences, racialized immigrant groups such as Latino, Asian, and Arab immigrants all experience health inequities that are not solely due to nativity or years of residence but also influenced by conditional citizenship and subjective sense of belonging or othering. Critical race theory and intersectionality provide a critical lens to consider how structural racism might uniquely impact the health of racialized immigrants, and to understand and intervene on the interlocking systems that shape these shared experiences and health consequences. We build on and synthesize the work of prior scholars to advance how society codifies structural disadvantages for racialized immigrants into governmental and institutional policies…
matched on Emigrants and Immigrants (mesh), Emigration and Immigration (mesh), immigrant (text)
A qualitative study on the impact of the 2016 US election on the health of immigrant families in Southeast Michigan.
Background: Given the anti-immigrant rhetoric and policy proposals by President Donald Trump during the 2016 presidential campaign and afterwards, his election to president in November 2016 and subsequent policy changes has affected immigrant families. In this study, we aim to better understand how post-election policy change may have impacted the health and well-being, including health and social service utilization, of Latino immigrants in Southeastern Michigan.
Methods: We conducted 28 in-depth interviews with frontline staff at two Federally Qualified Health Centers and a non-profit agency. These staff had intimate knowledge of and insights into the lived experiences of the mixed-status immigrant families they serve. The interviews were audio recorded, transcribed, and analyzed thematically.
Results: Our findings show three major themes: (1) An increased and pervasive fear of deporta…
matched on Emigrants and Immigrants (mesh), Emigration and Immigration (mesh), immigrant (text)
Immigration policy, practices, and procedures: The impact on the mental health of Mexican and Central American youth and families.
Currently, 15 million Mexican and Central American individuals live in the United States, with this number projected to rise in the next few decades (Lesser & Batalova, 2017; Zong & Batalova, 2017). Research has begun to investigate the impact of the nation's immigration practices and policies on immigrant Latino/a families and youth. Current immigration policies can create vulnerabilities, including fear and mistrust, discrimination, limited access to services, parent-child separation, and poverty. These experiences increase risk for poor mental health outcomes and may exacerbate prior exposure to traumas in the home country (e.g., violence) and during migration (e.g., extortion). This paper reviews current immigration policies for arriving Mexican and Central American immigrants and links to mental health among documented and undocumented immigrant families and youth. A discussion of p…
matched on Emigrants and Immigrants (mesh), Emigration and Immigration (mesh), immigrant (text)
Immigrant Trauma and Mental Health Outcomes Among Latino Youth.
While research has demonstrated an association between trauma and mental health, this study examined the association between trauma experienced premigration, during migration, and postmigration, and current mental health status among Latino youth aged 12-17 years old living in the US for < 3 years. Participants reported traumatic events experienced in their home country, during migration, and after settling in the US. Regression models examined trauma experienced at each stage of the migration process predicting current levels of depression, anxiety, and post-traumatic stress disorder. Two-thirds of youth experienced at least one traumatic event, 44% experienced an event once, and 23% experienced two or more traumatic events during migration. Trauma experienced at different migration stages was associated with distinctive mental health outcomes. It is essential that access to culturally …
matched on Emigrants and Immigrants (mesh), Emigration and Immigration (mesh), immigrant (text)
Risk For Postpartum Depression Among Immigrant Arabic Women in the United States: A Feasibility Study.
Introduction: Postpartum depression (PPD) affects approximately 14% of women in the United States and 10% to 37% of Arabic women in the Middle East. Evidence suggests that immigrant women experience higher rates, but information on PPD among immigrant women of Arabic descent in the United States is nonexistent.
Methods: A cross-sectional descriptive feasibility study was conducted to assess the practicality of implementing a larger proposed research study to examine predictors of PPD in US immigrant women of Arabic descent residing in Dearborn, Michigan. Fifty women were recruited from an Arab community center and completed demographic data, the Arabic version of the Edinburgh Postpartum Depression Scale (EPDS), and the Postpartum Depression Predictors Inventory-Revised (PDPI-R).
Results: Among participants, 36% were considered at high risk for developing PPD. Lack of social support, ant…
matched on Emigrants and Immigrants (mesh), Emigration and Immigration (mesh), immigrant (text)
Mental health, migration stressors and suicidal ideation among Latino immigrants in Spain and the United States.
Background: Immigration stress appears to augment the risk for suicide behaviors for Latinos. Yet, specific risk factors that contribute to suicidal ideation (SI) among diverse Latino immigrant populations are not well established.
Methods: Data were collected in Boston, Madrid and Barcelona using a screening battery assessing mental health, substance abuse risk, trauma exposure, demographics, and sociocultural factors. Prevalence rates of lifetime and 30-day SI were compared across sites. Logistic regression modeling was used to identify sociodemographic, clinical, and sociocultural-contextual factors associated with 30-day SI.
Results: Five hundred and sixty-seven Latino patients from primary care, behavioral health and HIV clinics and community agencies participated. Rates of lifetime SI ranged from 29-35%; rates for 30-day SI were 21-23%. Rates of SI were not statistically different …
matched on Emigrants and Immigrants (mesh), Emigration and Immigration (mesh), immigrant (text)
Examining the relationship between neighbourhood deprivation and mental health service use of immigrants in Ontario, Canada: a cross-sectional study.
Objective: While newcomers are often disproportionately concentrated in disadvantaged areas, little attention is given to the effects of immigrants' postimmigration context on their mental health and care use. Intersectionality theory suggests that understanding the full impact of disadvantage requires considering the effects of interacting factors. This study assessed the inter-relationship between recent immigration status, living in deprived areas and service use for non-psychotic mental health disorders.
Study design: Matched population-based cross-sectional study.
Setting: Ontario, Canada, where healthcare use data for 1999-2012 were linked to immigration data and area-based material deprivation scores.
Participants: Immigrants in urban Ontario, and their age-matched and sex-matched long-term residents (a group of Canadian-born or long-term immigrants, n=501,417 pairs).
Primary and …
matched on Emigrants and Immigrants (mesh), Emigration and Immigration (mesh), immigrant (text)
South Asian populations in Canada: migration and mental health.
Background: South Asian populations are the largest visible minority group in Canada; however, there is very little information on the mental health of these populations. The objective of this study was to determine the prevalence rates and characteristics of mental health outcomes for South Asian first-generation immigrant and second-generation Canadian-born populations.
Methods: The Canadian Community Health Survey (CCHS) 2011 was used to calculate the estimated prevalence rates of the following mental health outcomes: mood disorders, anxiety disorders, fair-poor self-perceived mental health status, and extremely stressful life stress. The characteristics associated with these four mental health outcomes were determined through multivariate logistic regression analysis of merged CCHS 2007-2011 data.
Results: South Asian Canadian-born (3.5%, 95% CI 3.4-3.6%) and South Asian immigrant po…
matched on Emigrants and Immigrants (mesh), Emigration and Immigration (mesh), immigrant (text)
Ramadan fasting and diabetes: an observational study among Turkish migrants in Belgium.
Aims: To investigate (i) Ramadan participation, (ii) provision of Ramadan-related advice by healthcare providers, (iii) medication use during Ramadan fasting among Turkish migrants with diabetes in Belgium.
Methods: This pilot observational study was conducted among a convenience sample of 52 Turkish migrants with diabetes in Belgium. Two questionnaires collected information on socio-demographic characteristics, diabetes-related characteristics, current hypoglycaemic medication with dosing regimen, participation in the past Ramadan, reasons for (non-)participation, use of hypoglycaemic medication during the past Ramadan, advice from their healthcare providers about fasting during Ramadan and follow-up of this advice.
Results: Sixteen patients (31%) had fasted during the past Ramadan. Main reason for Ramadan participation was reinforcement of faith (12/15), while the main reason for non-p…
matched on Emigrants and Immigrants (mesh), Emigration and Immigration (mesh), migrant (text)
Passel JS (2011)MEDLINE-indexed journal, not yet read by usThe Future of children66 citations Demography of immigrant youth: past, present, and future.
Jeffrey Passel surveys demographic trends and projections in the U.S. youth population, with an emphasis on trends among immigrant youth. He traces shifts in the youth population over the past hundred years, examines population projections through 2050, and offers some observations about the likely impact of the immigrant youth population on American society. Passel provides data on the legal status of immigrant youth and their families and on their geographic distribution and concentration across the United States. He emphasizes two demographic shifts. First, immigrant youth-defined as those children under age eighteen who are either foreign-born or U.S.-born to immigrant parents-now account for one-fourth of the nation's 75 million children. By 2050 they are projected to make up one-third of more than 100 million U.S. children. Second, the wave of immigration under way since the mid-19…
matched on Emigrants and Immigrants (mesh), Emigration and Immigration (mesh), immigrant (text)
Cultural awareness through medical student and refugee patient encounters.
Purpose: This paper presents findings from a qualitative investigation of cultural awareness that medical students developed in the context of providing medical care to refugees. Our evaluation question was: What kinds of cultural awareness and communication lessons do medical students derive from clinical encounters with refugee patients?
Methods: Thirty-eight semi-structured interviews were conducted to debrief a sample of 27 medical students. A multidisciplinary research team analyzed the debriefing texts following an interpretive "immersion-crystallization" approach.
Results: Three domains in cultural awareness training encompassed 13 key lessons or themes. Students reported enhanced awareness about the use of interpretation services and cross-cultural communication. A second set of lessons reflected awareness of the refugees' cultural background, and a third learning component invol…
matched on Refugees (mesh), immigrant (text)
Interpreter services, language concordance, and health care quality. Experiences of Asian Americans with limited English proficiency.
Background: Patients with limited English proficiency (LEP) have more difficulty communicating with health care providers and are less satisfied with their care than others. Both interpreter- and language-concordant clinicians may help overcome these problems but few studies have compared these approaches.
Objective: To compare self-reported communication and visit ratings for LEP Asian immigrants whose visits involve either a clinic interpreter or a clinician speaking their native language.
Design: Cross-sectional survey-response rate 74%.
Patients: Two thousand seven hundred and fifteen LEP Chinese and Vietnamese immigrant adults who received care at 11 community-based health centers across the U.S.
Measurements: Five self-reported communication measures and overall rating of care.
Results: Patients who used interpreters were more likely than language-concordant patients to report havi…
matched on Asian (mesh), immigrant (text)
Postpartum depression risk factors among recent refugee, asylum-seeking, non-refugee immigrant, and Canadian-born women: results from a prospective cohort study.
Purpose: The objective was to examine and compare risk factors for postpartum depression among: (1) recent (≤5 years) migrant and Canadian-born women, and (2) refugee, asylum-seeking, and non-refugee immigrant women.
Methods: A sample of 1536 women (1024 migrant and 512 Canadian-born) were recruited from 12 hospitals. Women completed questionnaires at 1-2 and 16 weeks postpartum including questions on socio-demographics, biomedical history, health services, and migration and resettlement factors. Bivariate analyses and multivariate logistic regression were performed to examine and compare risk factors for postpartum depressive symptoms at 16 weeks postpartum.
Results: Recent migrant women had significantly higher rates (6%) of depressive symptoms at 16 weeks postpartum than Canadian-born women (2.9%). Asylum-seekers had the highest rate (14.3%), followed by refugee (11.5%) and non-refuge…
matched on Emigrants and Immigrants (mesh), resettlement (text), Refugees (mesh), immigrant (text), migrant (text)
A qualitative view of drug use behaviors of Mexican male injection drug users deported from the United States.
Deportees are a hidden yet highly vulnerable and numerous population. Significantly, little data exists about the substance use and deportation experiences of Mexicans deported from the United States. This pilot qualitative study describes illicit drug use behaviors among 24 Mexico-born male injection drug users (IDUs), ≥ 18 years old, residing in Tijuana, Mexico who self-identified as deportees from the United States. In-person interviews were conducted in Tijuana, Mexico in 2008. Content analysis of interview transcripts identified major themes in participants' experiences. Few participants had personal or family exposures to illicit drugs prior to their first U.S. migration. Participants reported numerous deportations. Social (i.e., friends/family, post-migration stressors) and environmental factors (e.g., drug availability) were perceived to contribute to substance use initiation in …
matched on Emigrants and Immigrants (mesh), resettlement (text), Mexico (mesh), immigrant (text), migrant (text)
[Perceptions of Communication Barriers Experienced by Migrants in Healthcare Services].
Migrants face linguistic, cultural, and structural communicative barriers when accessing healthcare services, which impede understanding of instructions, expression of symptoms, participation in shared decision-making, and treatment adherence, thereby fostering mistrust, stigma, and exclusion from the system.
Aim: To analyze, from an integrative perspective, the primary communicative barriers perceived by migrants and to evaluate the strategies proposed in the literature to overcome them.
Methods: A scoping review was conducted following the Joanna Briggs Institute methodology and PRISMA-ScR extension. Articles indexed in Scopus, PubMed, and Web of Science up to January 2024 were retrieved using the query "language barriers AND healthcare AND migrants." After removing duplicates, 11 qualitative studies and meta syntheses published between 2011 and 2024 were selected.
Results: The studies…
matched on Transients and Migrants (mesh), migrant (text)
Development and validation of a questionnaire to assess Unaccompanied Migrant Minors' needs (AEGIS-Q).
Background: While many studies focus on specific aspects of Unaccompanied Migrant Minors' (UMMs) health, especially mental well-being, there is a lack of tools comprehensively assessing their needs. To fill this gap, we developed and validated a questionnaire to thoroughly assess unAccompaniEd miGrant mInorS' physical, psychological, legal, spiritual, social and educational needs (AEGIS-Q).
Methods: This work consisted of three stages. The first one involved an extensive literature review. Given the results of the review, a first draft of the questionnaire was developed and submitted to a panel of experts for validation (Delphi method-second stage). During the third stage, the final version of the questionnaire was pilot-tested in a sample of 18 UMMs.
Results: The questionnaire, drafted based on the results of the review, consisted of sections covering personal data, migration profile, p…
matched on Transients and Migrants (mesh), migrant (text)
Population-based differences in immune system response contribute to an increased risk of schizophrenia in African migrants?
Among the highest incidences of schizophrenia is the one documented in second-generation migrants of African descent in the Western countries. Interestingly, people of African and European ancestry demonstrate significant genetic-based differences in immune system regulation and response. As a result, the pro-inflammatory phenotype is more pronounced in people of African descent than it is in Europeans. At the same time, the role of the immune system in the etiology of schizophrenia is gaining increased recognition. Here, we propose that the population-specific genetic variation within the immune system interacts with unfavourable environments to contribute to a higher risk of schizophrenia in people of African ancestry. Our hypothesis is supported by recent findings from two separate fields of research-population genetics and psychoneuroimmunology. Moreover, we highlight the need to inc…
matched on Transients and Migrants (mesh), migrant (text)
Urban social exclusion and mental health of China's rural-urban migrants - A review and call for research.
China's internal rural-urban migrants experience social exclusion that may have significant mental health implications. This has historically been exacerbated by the hukou system. Echoing recent calls for interdisciplinary research on the interdependencies of urbanization and mental health, this review examines evidence of rural-urban migrants' mental health status in comparison with nonmigrants and its association with various dimensions of social exclusion. We found conflicting evidence on the mental health status of migrants in comparison with nonmigrants, but strong evidence that social exclusion is negatively associated with migrants' mental health: limited access to full labour rights and experience of social stigma, discrimination and inequity were the most significant factors. We discuss the limitations of current social epidemiological research and call for an attempt to use clo…
matched on Transients and Migrants (mesh), migrant (text)
Dhavan P, Dias HM, Creswell J, Weil D (2017)reviewMEDLINE-indexed journal, not yet read by usThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease70 citations An overview of tuberculosis and migration.
With nearly one billion migrants worldwide, migration is both a dynamic and a divisive phenomenon facing the world today. Migrants are a heterogeneous group, and the conditions surrounding migration pathways often pose risks to the physical, mental and social well-being of migrants, with certain subgroups being more vulnerable than others. Several determinants of health and tuberculosis (TB) interplay to increase the vulnerability of migrants to tuberculous infection, TB disease and poor treatment outcomes, making them a key population for TB. This article is the first in the State-of-the-Art series of the International Journal of Tuberculosis and Lung Disease on TB and migration. It provides an overview of migration trends, migration pathways and social determinants, and impact on TB. This article outlines a framework for the prevention and reduction of the TB burden among migrants, ada…
matched on Transients and Migrants (mesh), migrant (text)