Moving country and building a life there.
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226 to 250 of 843Health of China's rural-urban migrants and their families: a review of literature from 2000 to 2012.
Background: Socioeconomic transformation in China at the beginning of the twenty-first century has led to rapid urbanization and accelerated rural-urban migration. As a result, the concerns about public health problems triggered by increasing internal population mobility have been more widely studied in recent years.
Sources of data: Published data in Chinese and English on health of migrants and their families in mainland China from 2000 to 2012.
Areas of agreement: The shifting patterns of disease distribution due to rural-urban migration, health equity and health reform strategies that cater for this specific yet substantial subpopulation are outstanding concerns. Infectious diseases, mental health, occupational health and women's health are emerging public health priorities related to migration.
Areas of controversy: The high mobility and large numbers of Chinese rural-urban migrants…
matched on Transients and Migrants (mesh), migrant (text)
Modesti C, Talamo A (2021)reviewMEDLINE-indexed journal, not yet read by usInternational journal of environmental research and public health2 citations Defining Adjustment to Address the Missing Link between Refugees and Their Resettlement Communities.
Background: data from the United Nations High Commissioner for Refugees (UNHCR) show that, in 2020, among 82.4 million refugees, only 251,000 returned to their home countries, indicating the desire for refugees to stay, for the long-term, in their new homelands. The paper contributes to the scientific-psychological debate on the social representation of refugee populations, by studying this population, not simply as "foreigners", traumatized and resourceless people, but rather focusing on the factors that lead to their positive adjustments within local communities.
Method: a scoping review was carried out to explore the phenomenon of adjustment (RQ1) and to identify the factors that foster adjustment among refugees and their resettlement communities (RQ2). A research protocol and eligibility criteria were defined prior to conducting the literature research through the Scopus database. Af…
matched on Acculturation (mesh), resettlement (text), Refugees (mesh)
Hodes M (2019)reviewMEDLINE-indexed journal, not yet read by usEvidence-based mental health6 citations New developments in the mental health of refugee children and adolescents.
The increase in refugees globally since 2010 and the arrival of many into Europe since 2015, around 50% of whom are under 18 years, have been the stimulus to greater investigation and publications regarding their mental health. This clinical review summarises selected themes in the field as described in the published literature since 2016. The themes include refugee statistics, premigration and postmigration experiences, psychopathology focusing on parent-child relationships, unaccompanied refugee minors and associations between resettlement, acculturation and mental health. Some important reviews and studies are discussed that address service and treatment provision. While there has been a recent increase in research in this field, more is needed into the course of psychopathology, protective factors and the promotion of integration into resettlement countries, as well as models of serv…
matched on Acculturation (mesh), resettlement (text), Refugees (mesh)
Experiences of registered nurses from a refugee background: A scoping review.
Aims and objectives: This scoping review presents an exploration of international literature on the factors that impact refugees' personal and professional experiences during their journey to being registered nurses in a new host country.
Background: Governments of host countries receiving refugees seek to develop strategies that facilitate the successful resettlement, employment and enculturation of refugees that arrive as skilled professionals. There is a scarcity of studies focussing on issues faced by refugees that are RNs or those pursuing nursing registration and employment in a new host country. This study is relevant for resettlement services, nursing registration authorities and education providers and informs the international nursing workforce.
Design: Scoping review.
Methods: Databases such as MEDLINE, EMBASE, Cochrane Library, CINAHL; Google Scholar; PubMed; Scopus and Web o…
matched on Transients and Migrants (keyword), resettlement (text), Refugees (mesh)
Between power and powerlessness: a meta-ethnography of sources of resilience in young refugees.
Objective: This article reviews available qualitative studies that report young refugees' ways of dealing with adversity to address their sources of resilience.
Design: We searched five electronic databases. Twenty-six empirical studies were included in the review. A meta-ethnography approach was used to synthesize these qualitative studies.
Results: Six sources of resilience emerged: (1) social support, (2) acculturation strategies, (3) education, (4) religion, (5) avoidance, and (6) hope. These sources indicated social as well as personal factors that confer resilience in young refugees, but most of them also had counterproductive aspects.
Conclusion: The results, from an ecological developmental perspective, stressed the interplay between protective and risk processes in the mental health of young refugees who had resettled in Western countries, and they emphasized the variability as …
matched on Acculturation (mesh), resettlement (text), Refugees (mesh)
Stress Factors Contributing to Depression Among Latino Migrant Farmworkers in Nebraska.
Migrant farmworkers represent a structurally vulnerable population coming to rural communities to work, but often are economically disadvantaged and socially isolated. Based on survey data from 200 migrant farmworkers in rural Nebraska in 2013, this study seeks to identify and categorize major stressors that have contributed to depression among farmworkers. Over 30% of respondents were identified to have high stress levels as indicated by the Migrant Farmworker Stress Inventory (MFWSI). The MFWSI was categorized into eight domains: economics and logistics; acculturation and social isolation; relationship with partner; health; entertainment; concerns for children; and substance use by others. Nearly half (45.8%) of respondents were depressed. Correlations between the principal component scores of the eight stressor domains and the cumulative depression score were significant for the domai…
matched on Transients and Migrants (mesh), Acculturation (mesh), Mexican Americans (mesh), immigrant (text), migrant (text)
Nutrition and its role in human evolution.
Our understanding of human evolution has improved rapidly over recent decades, facilitated by large-scale cataloguing of genomic variability amongst both modern and archaic humans. It seems clear that the evolution of the ancestors of chimpanzees and hominins separated 7-9 million years ago with some migration out of Africa by the earlier hominins; Homo sapiens slowly emerged as climate change resulted in drier, less forested African conditions. The African populations expanded and evolved in many different conditions with slow mutation and selection rates in the human genome, but with much more rapid mutation occurring in mitochondrial DNA. We now have evidence stretching back 300 000 years of humans in their current form, but there are clearly four very different large African language groups that correlate with population DNA differences. Then, about 50 000-100 000 years ago a small s…
matched on Emigration and Immigration (mesh)
Clinicians as advocates amid refugee resettlement agency closures.
As ongoing war and violence forcibly displace people worldwide, resettlement remains a critical response to the unprecedented global refugee crisis. In recent years, however, the USA (US) has diminished admissions, forcing agencies to shutter offices and resettlement programs across the nation-posing a silent threat to the refugee resettlement system. We provide historical context of refugee resettlement, discuss challenges, and offer recommendations for healthcare providers to become more effective advocates for refugee health in the USA. The need is urgent for healthcare providers and institutions-particularly in regions of high resettlement-to advocate for expanding and assuring sustainable capacity to care for refugees. Key elements include promotion of trauma-informed care, integration of social services in primary care settings, partnership with community-based organizations to pro…
matched on resettlement (text), Refugees (mesh), immigrant (text)
Global Mental Health and Services for Migrants in Primary Care Settings in High-Income Countries: A Scoping Review.
Migrants are at a higher risk for common mental health problems than the general population but are less likely to seek care. To improve access, the World Health Organization (WHO) recommends the integration of mental health services into primary care. This scoping review aims to provide an overview of the types and characteristics of mental health services provided to migrants in primary care following resettlement in high-income countries. We systematically searched MEDLINE, EMBASE, PsycInfo, Global Health, and other databases from 1 January 2000 to 15 April 2020. The inclusion criteria consisted of all studies published in English, reporting mental health services and practices for refugee, asylum seeker, or undocumented migrant populations, and were conducted in primary care following resettlement in high-income countries. The search identified 1627 citations and we included 19 studi…
matched on resettlement (text), Refugees (mesh), migrant (text)
Prevalence and clinical severity of mood disorders among first-, second- and third-generation migrants.
Background: The role of migration as a risk factor remains unknown for mood disorders because of poor data. We sought to examine the prevalence and severity of mood disorders (bipolar disorder (BD), unipolar depressive disorder (UDD) and dysthymia) in first, second, and third generation migrants in France.
Methods: The Mental Health in the General Population survey interviewed 38,694 individuals. The prevalence of lifetime mood disorders, comorbidities, and clinical features was compared between migrants and non-migrants and by generation. All analyses were adjusted for age, sex and level of education.
Results: The prevalence of any lifetime mood disorder was higher in migrants compared with non-migrants (OR = 1.36, 95% CI [1.27 - 1.45]). This increased prevalence was significant for UDD (OR = 1.44, 95% CI [1.34 - 1.54]), but not for BD (OR = 1.15, 95% CI [0.96 - 1.36]) or dysthymia (OR …
matched on Emigrants and Immigrants (mesh), Transients and Migrants (mesh), migrant (text)
Long-term impacts of parental migration on Chinese children's psychosocial well-being: mitigating and exacerbating factors.
Purpose: Prolonged separation from migrant parents raises concerns for the well-being of 60 million left behind children (LBC) in rural China. This study aimed to investigate the impact of current and previous parental migration on child psychosocial well-being, with a focus on emotional and behavioral outcomes, while considering factors in family care and support.
Methods: Children were recruited from schools in migrant-sending rural areas in Zhejiang and Guizhou provinces by random stratified sampling. A self-administered questionnaire measured children's psychosocial well-being, demographics, household characteristics, and social support. Multiple linear regression models examined the effects of parental migration and other factors on psychosocial difficulties.
Results: Data from 1930 current, 907 previous, and 701 never LBC were included (mean age 12.4, SD 2.1). Adjusted models showe…
matched on Emigration and Immigration (mesh), Transients and Migrants (mesh), migrant (text)
Hacker K, Chu J, Leung C, Marra R, Pirie A, Brahimi M, English M, Beckmann J, Acevedo-Garcia D, Marlin RP (2011)MEDLINE-indexed journal, not yet read by usSocial science & medicine (1982)148 citations The impact of Immigration and Customs Enforcement on immigrant health: perceptions of immigrants in Everett, Massachusetts, USA.
U.S. immigrants have faced a changing landscape with regard to immigration enforcement over the last two decades. Following the passage of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, and the creation of the Immigration and Customs Enforcement (ICE) agency after the attacks of September 11, 2001, detention and deportation activity increased substantially. As a result, immigrants today are experiencing heightened fear of profiling and deportation. Little research exists on how these activities affect the health and well-being of U.S. immigrant communities. This study sought to address this gap by using community-based participatory research to investigate the impact of enhanced immigration enforcement on immigrant health in Everett, Massachusetts, USA, a city with a large and diverse immigrant population. Community partners and researchers conducted 6 focus gro…
matched on Emigration and Immigration (mesh), Transients and Migrants (mesh), immigrant (text)
Sousa E, Agudelo-Suárez A, Benavides FG, Schenker M, García AM, Benach J, Delclos C, López-Jacob MJ, Ruiz-Frutos C, Ronda-Pérez E, Porthé V, ITSAL project (2010)MEDLINE-indexed journal, not yet read by usInternational journal of public health47 citations Immigration, work and health in Spain: the influence of legal status and employment contract on reported health indicators.
Objective: To analyze the relationship of legal status and employment conditions with health indicators in foreign-born and Spanish-born workers in Spain.
Methods: Cross-sectional study of 1,849 foreign-born and 509 Spanish-born workers (2008-2009, ITSAL Project). Considered employment conditions: permanent, temporary and no contract (foreign-born and Spanish-born); considered legal statuses: documented and undocumented (foreign-born). Joint relationships with self-rated health (SRH) and mental health (MH) were analyzed via logistical regression.
Results: When compared with male permanently contracted Spanish-born workers, worse health is seen in undocumented foreign-born, time in Spain ≤3 years (SRH aOR 2.68, 95% CI 1.09-6.56; MH aOR 2.26, 95% CI 1.15-4.42); in Spanish-born, temporary contracts (SRH aOR 2.40, 95% CI 1.04-5.53); and in foreign-born, temporary contracts, time in Spain >3 …
matched on Emigrants and Immigrants (mesh), Transients and Migrants (mesh), immigrant (text)
Wong DF, Song HX (2008)MEDLINE-indexed journal, not yet read by usThe International journal of social psychiatry44 citations The resilience of migrant workers in Shanghai China: the roles of migration stress and meaning of migration.
Background: In China, more than 10 million rural migrants move to cities every year. Because of the Household Registration System, migrant workers are not entitled to subsidised housing, education, social security or medical benefits.
Aims: Using a resilience perspective, this study attempted to explore not only the migration stress that is experienced by migrant workers, but also the protective function of meaning of migration in helping migrant workers withstand the stress of migration.
Method: A survey design with multistage cluster sampling was used and 475 migrant workers were recruited. The questionnaire contained demographic data, the Brief Symptom Inventory, a migration stress scale and meaning of migration scale.
Results: Financial and employment difficulties stood out as the most stressful issues for migrant workers. More financial and material gains and personal aspirations an…
matched on Emigration and Immigration (mesh), Transients and Migrants (mesh), migrant (text)
"This Group is Like a Home to Me:" understandings of health of LGBTQ refugees in a Swedish health-related integration intervention: a qualitative study.
Background: When large numbers of asylum seekers immigrate to a country, civil society is encouraged to contribute to their integration. A subgroup of asylum seekers comprising lesbian, gay, bisexual, transgender, or queer (LGBTQ) refugees are specifically deemed vulnerable to developing health and integration problems due to the double stigma of being a sexual/gender minority and a refugee. The Swedish Federation for LGBTQ Rights (RFSL) is a civil societal organization that has established the support group "RFSL Newcomers," a health-related integration intervention that targets such refugees. The aim of the present study is reconstructing the subjective understanding of health of LGBTQ refugees.
Methods: Eleven participants in Newcomers and eight organizers were interviewed about LGBTQ refugees' experiences of migrating and participating in RFSL Newcomers. Qualitative content analysis …
matched on Transients and Migrants (mesh), resettlement (text), Refugees (mesh), immigrant (text), migrant (text)
Acculturation and post-migration psychological symptoms among Iraqi refugees: A path analysis.
Refugees frequently experience symptoms of posttraumatic stress and depression, which impede their acculturation in the new host country where they are resettling. There are few longitudinal studies investigating predictors of mental health and acculturation during the early postmigration period. We conducted a longitudinal study of 298 Iraqi refugees, assessing them upon arrival to the U.S. and 1 year after migration. Premigration trauma was associated with increased PTSD and depressive symptoms at baseline, and with decreased acculturation 1 year later. Resilience was associated with depressive symptoms at 1-year follow-up, but not with other resettlement outcomes (PTSD symptoms, English-language skills, or acculturation). PTSD and depressive symptoms at baseline predicted the same symptoms at 1-year follow-up, but not any other resettlement outcomes. The number of chronic diseases at …
matched on Emigration and Immigration (mesh), Acculturation (mesh), resettlement (text), Refugees (mesh)
Mental health problems and post-migration stress among multi-traumatized refugees attending outpatient clinics upon resettlement to Norway.
Refugees have often been exposed to multiple traumas making them prone to mental health problems later. The aim of this study is to describe the prevalence and symptom load of psychiatric disorders in refugees admitted to psychiatric outpatient clinics and to investigate the relationship between multiple exposure to traumatic events, the severity of traumatic symptoms and post-migration stressors. A clinical sample of 61 refugee outpatients from psychiatric clinics in Southern Norway was cross-sectionally examined using three structured clinical interviews (SCID-PTSD, SIDES and MINI) and self-report psychometric instruments (HSCL-25, IES-R). Post-traumatic Stress Disorder (PTSD) was diagnosed in 82% of the patients, while Disorders of Extreme Stress Not Otherwise Specified (DESNOS) was present in 16% of them. Comorbidity was considerable; 64% of the patients had both PTSD and major depre…
matched on Emigration and Immigration (mesh), Acculturation (mesh), resettlement (text), Refugees (mesh)
Factors Explaining Variation in Alcohol Use Disorder Prevalence Across Border and Nonborder Communities in Texas.
Background: U.S. border populations have been found to be at high risk for alcohol problems. However, results from the U.S.-Mexico Study on Alcohol and Related Conditions (UMSARC) revealed surprisingly large variation in alcohol outcomes even among Texas border sites, with alcohol use disorder (AUD) prevalence ~1.5 to 1.6 times greater in the border city of Laredo compared to both San Antonio and the border site of McAllen/Brownsville. Because a better understanding of this variation is important to identifying environmental influences on AUD, we developed and tested a conceptual model addressing variation in AUD prevalence across Texas UMSARC sites.
Methods: Surveys involved in-person, household interviews with Mexican-origin residents of the Texas border cities Laredo (n = 751) and McAllen/Brownsville (n = 814), with San Antonio as an off-border comparison (n = 771). Interviews assesse…
matched on Emigration and Immigration (mesh), Acculturation (mesh), Mexican Americans (mesh), Mexico (mesh)
Gender Differences in Acculturative Stress and Habitual Sleep Duration in Korean American Immigrants.
Korean American immigrants (KAIs) face diverse sociocultural stressors in the acculturation process. While stress is known to cause short sleep, little is known about how acculturative stress affects sleep differently for KAI men and women. The purpose of this cross-sectional study was to examine gender differences in the association between diverse domains of acculturative stress and sleep duration among KAIs. Middle-aged KAIs were recruited in community settings and online. KAIs completed validated measures of acculturative stress (homesickness, social isolation, employment barriers, discrimination, civic disengagement, and family problems) and sleep duration. Multiple linear regression analysis was performed and stratified by gender. 343 KAIs participated (mean age = 41 ± 10 years, 47% female, 11% short sleepers [< 6 h]). After adjustment for covariates, higher homesickness (β = - 23.…
matched on Emigrants and Immigrants (mesh), Acculturation (mesh), Asian (mesh), immigrant (text)
Explaining the Immigrant Paradox: The Influence of Acculturation, Enculturation, and Acculturative Stress on Problematic Alcohol Consumption.
The present study explored the Immigrant Paradox (IP), generational differences in problematic alcohol use (alcohol consumption and alcohol-related consequences), among immigrants and US born groups from a number of ethnic minority backgrounds. Our approach separates group differences in problematic alcohol consumption in a counterfactual manner for immigrants and the US born to answer the following counterfactual question: "What would problematic alcohol use levels be for the US born had they been exposed to the alcohol use generation (or protective) processes of immigrants and vice versa?" Multidimensional measures of enculturation (involvement with heritage culture), acculturation (involvement with US culture), acculturative stress, and demographic covariates were used to statistically explain these differences. The sample consisted of Asian American (n = 1,153), Black American (n = 8…
matched on Emigrants and Immigrants (mesh), Acculturation (mesh), Asian (mesh), immigrant (text)
Acculturation, acculturative stress and resilience among older immigrants in United States.
Background: Previous studies have demonstrated a strong and consistent association between higher acculturative stress and poorer mental and physical health outcomes while acculturating to a new country. Acculturative stress is multifactorial and nurses work in variety of settings that encounter older immigrants with different levels of acculturative stress. Research on resilience among older immigrants has linked resilience to successful acculturation.
Purpose: The aim of this study was to explore the interplay between acculturation, acculturative stress and resilience, and their collective impact on physical and mental health self-evaluation among older Filipino Americans.
Method: This study employed a cross-sectional, quantitative, descriptive design using older Filipino immigrants, 55 years and older (N = 123) who were living in the western part of the United States.
Findings: Our st…
matched on Emigrants and Immigrants (mesh), Acculturation (mesh), Asian (mesh), immigrant (text)
Duration of U.S. stay and body mass index among Latino and Asian immigrants: A test of theoretical pathways.
Studies find that longer-term immigrants have higher body mass index (BMI) than their more recently arrived counterparts. Most interpretations of these health patterns by duration of U.S. residence rely on theories of immigrant integration; they posit that with increasing time in the United States, immigrants incorporate economically, socially, and culturally into aspects of U.S. society, and that these changes impact health. Few studies empirically examine whether these aspects of integration are indeed mediators of the association between duration of U.S. stay and BMI, and if their patterns differ across immigrant subgroups. This study examines data from the National Latino and Asian American Survey, using path analytic methods to simultaneously test six hypothesized mediators between duration and BMI: household income, English language ability, ethnic identity, family cohesion, accult…
matched on Emigrants and Immigrants (mesh), Acculturation (mesh), Asian (mesh), immigrant (text)
Stress, Place, and Allostatic Load Among Mexican Immigrant Farmworkers in Oregon.
Cumulative exposure to chronic stressors has been shown to contribute to immigrants' deteriorating health with more time in US residence. Few studies, however, have examined links among common psychosocial stressors for immigrants (e.g., acculturation-related) and contexts of immigrant settlement for physical health. The study investigated relationships among social stressors, stress buffers (e.g., family support), and allostatic load (AL)--a summary measure of physiological "wear and tear"--among 126 adult Mexican immigrant farm workers. Analyses examined social contributors to AL in two locales: (1) White, English-speaking majority sites, and (2) a Mexican immigrant enclave. Our six-point AL scale incorporated immune, cardiovascular, and metabolic measures. Among men and women, older age predicted higher AL. Among women, lower family support related to higher AL in White majority commu…
matched on Emigrants and Immigrants (mesh), Acculturation (mesh), Mexican Americans (mesh), immigrant (text)
A life domains perspective on acculturation and psychological adjustment: a study of refugees from the former Soviet Union.
The study articulates a contextual approach to research on acculturation of immigrants, suggesting that the relationship between acculturation and adjustment is dependent on the cultural demands of the life domains considered. Specifically, the study investigated the mediating effects of adjustment in occupational and social life domains on the relationship between acculturation and psychological adjustment for 391 refugees from the former Soviet Union. The study used bilinear measures of acculturation to the host (American) and heritage (Russian) cultures. Using Structural Equation Modeling, the study confirmed the hypothesized relationships, such that the positive effects of American acculturation on psychological adjustment were mediated by occupational adjustment, and the effects of Russian acculturation on psychological adjustment were mediated by satisfaction with co-ethnic social …
matched on Emigration and Immigration (mesh), Acculturation (mesh), Refugees (mesh), immigrant (text)
Psychosocial and contextual determinants of alcohol and drug use disorders in the National Latino and Asian American Study.
Background: In the U.S., Latino and Asian American immigrants and ethnic minorities may be at increased risk for alcohol and drug use disorders (AUDs/DUDs). The role of psychosocial and contextual characteristics as potential factors underlying this increased risk is unresolved.
Methods: Participants include 4649 adults from the National Latino and Asian American Study. Logistic regression was used to determine the relationship between acculturation, acculturative stress, neighborhood characteristics, family characteristics, and discrimination and AUDs/DUDs. Models were stratified by age of immigration and ethnicity and controlled for demographic and mental health characteristics.
Results: Overall, 9.6% of Latino and 4.1% of Asian participants met criteria for lifetime AUDs/DUDs. Acculturation, family conflict, and discrimination were positively associated with AUDs/DUDs (odds ratios [OR…
matched on Emigrants and Immigrants (mesh), Acculturation (mesh), Asian (mesh), immigrant (text)