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Exploring Factors Influencing Childhood Obesity Prevention Among Migrant Communities in Victoria, Australia: A Qualitative Study
AbstractDespite the availability of numerous obesity prevention initiatives in developed countries including Australia, rising childhood obesity levels have been found among migrant communities which contribute to widening obesity-related disparities in these countries. We sought to understand the factors influencing the participation of migrant communities in childhood obesity prevention initiatives. We conducted a qualitative study using semi-structured interviews among 48 migrant parents from African, Middle Eastern, Indian and Vietnamese origins living in disadvantaged areas of Victoria, Australia to explore their view...
Source: Journal of Immigrant and Minority Health - July 12, 2017 Category: International Medicine & Public Health Source Type: research

Living with Diabetes: Personal Interviews with Pakistani Women in Norway
This study aims to assess how they live with the disease and their response to lifestyle and medical information. 120 Pakistani women living in Norway (mean age: 55.7 years) were personally interviewed about their T2D using a structured questionnaire (response rate: 95%). The participants were first-generation immigrants (mean residence time: 28.7 years) of whom 27% were illiterates. Poor health was reported by one-third, and 71% had developed macrovascular comorbidities. A majority reported physical inactivity and an unhealthy diet included religious fasting. One-third was not able to self-measure their blood glucose. The...
Source: Journal of Immigrant and Minority Health - July 11, 2017 Category: International Medicine & Public Health Source Type: research

Emotional Distress, Medical Utilization, and Disability Claims in Adult Refugees
AbstractThe refugee health screener-15 (RHS-15) is utilized as a diagnostic proxy for common mental disorders in refugees. Studies are needed to determine its clinical and social utility. A retrospective chart analysis of adult refugees compared RHS-15 scores to utilization of medical services and presence of disability claims. Refugees with negative, positive, and highly positive RHS-15 scores attended 3.1, 4.4, and 5.7 mean primary care visits and 1.6, 2.8, and 4.4 mean non-primary care visits, respectively (p  
Source: Journal of Immigrant and Minority Health - July 6, 2017 Category: International Medicine & Public Health Source Type: research

Anxiety Sensitivity and Age: Roles in Understanding Subjective Social Status among Low Income Adult Latinos in Primary Care
AbstractOne social determinant of health construct that is reliably related to health disparities among the Latino population is subjective social status, reflecting subjective ratings of social standing. Yet, little research has explored factors that may undergird variability in subjective social status among this population or in general. Accordingly, the present investigation examined one possible etiological model wherein age moderates the relation between individual differences in anxiety sensitivity (fear of the negative consequences of stress sensations) and subjective social status among a Latino primary care sampl...
Source: Journal of Immigrant and Minority Health - July 5, 2017 Category: International Medicine & Public Health Source Type: research

The Impact of Refugee Mothers ’ Trauma, Posttraumatic Stress, and Depression on Their Children’s Adjustment
AbstractThe mechanisms linking refugee parents ’ trauma onto their children’s functioning are not well understood. The current study sought to identify how Somali refugee mothers’ past trauma and current mental health impact their children’s psychosocial adjustment. One hundred and ninety-eight Somali mothers (M age  = 39 years) and their children (M age  = 10 years; 56% male) were studied. On average, mothers spent 7 years in refugee camps, experienced significant trauma, and some had been tortured. Measures of mothers’ posttraumatic stress and depre...
Source: Journal of Immigrant and Minority Health - July 3, 2017 Category: International Medicine & Public Health Source Type: research

Exploring Health Service Underutilization: A Process Evaluation of the Newcomer Women ’s Health Clinic
AbstractThe BC Women ’s Hospital and Health Centre’s Newcomer Women’s Health Clinic (NWHC) opened in 2014 to fill a gap in services for newcomer women to Canada residing in Metro Vancouver. After 1 year the NWHC was operating at only 50% capacity. An evaluation was conducted to better understand the underutilizat ion of clinic services. Evaluation data was collected via patient intake forms, patient feedback surveys, and one-to-one interviews with both newcomer women and service providers who work with newcomer women. Results highlight the heterogeneity in newcomer women’s experiences including...
Source: Journal of Immigrant and Minority Health - June 28, 2017 Category: International Medicine & Public Health Source Type: research

Retention of Ethnic Participants in Longitudinal Studies
AbstractWe aimed to identify effective participant retention strategies utilized in longitudinal studies of ethnic groups, specifically those from South Asian and Chinese communities. We conducted a systematic review of the literature focusing on the retention of ethnic minorities in longitudinal studies, up until April 2017. Only peer-reviewed research was included. 11,316 citations were retrieved, of which 4808 were duplicates and 51 met the inclusion criteria. Financial incentives, involving key community members, flexible scheduling, developing trust and personal connections with participants, and having extensive part...
Source: Journal of Immigrant and Minority Health - June 28, 2017 Category: International Medicine & Public Health Source Type: research

A Conceptual Model for Home Based Primary Care of Older Refugees
AbstractThe needs of refugees in the United States can often optimally be met through home based primary care (HBPC). Until recently, however, there has been little research into the methods of best practice and challenges of providing home based care to refugee groups. The model for the HBPC of refugees proposed here is the result of a comprehensive review of the literature combined with professional practice. Emphasis is placed on the elements of care identified as most affecting health and quality of life outcomes for refugees receiving HBPC. The key inputs for positive health and quality of life outcomes identified are...
Source: Journal of Immigrant and Minority Health - June 26, 2017 Category: International Medicine & Public Health Source Type: research

A Comprehensive Health Profile of Guyanese Immigrants Aged 18 –64 in Schenectady, New York
AbstractGuyanese immigrants are the 5th largest foreign-born group in NY State, but sparse literature is available on their health status and health needs. A community-based health interview survey of Schenectady NY residents aged 18 –64 (N = 1861) was analyzed. Bivariate comparisons between Guyanese respondents and White, Black, and Hispanic respondents were made for each variable to identify disparities. As predominantly low SES immigrants, Guyanese adults were less likely to be covered by health insurance, have a usual place for care, and receive cancer screenings. They were more likely to engage in ...
Source: Journal of Immigrant and Minority Health - June 24, 2017 Category: International Medicine & Public Health Source Type: research

Latinas ’ Colorectal Cancer Screening Knowledge, Barriers to Receipt, and Feasibility of Home-Based Fecal Immunochemical Testing
AbstractLatinas ’ high colorectal cancer (CRC) mortality makes them a priority population for CRC screening. CRC screening knowledge, perceived barriers, and feasibility of using the Fecal Immunochemical Test (FIT) was assessed among Latinas in Utah. Participants aged ≥50 (n = 95) were surveyed about knowle dge and barriers to CRC screening. 27 participants completed a FIT and evaluation survey. Fisher’s exact tests assessed sociodemographic correlates of CRC screening outcomes. Most participants were overdue for CRC screening (n = 81, 85%). Age, acculturation, education, and empl...
Source: Journal of Immigrant and Minority Health - June 23, 2017 Category: International Medicine & Public Health Source Type: research

Associations of Work Stress, Supervisor Unfairness, and Supervisor Inability to Speak Spanish with Occupational Injury among Latino Farmworkers
This study attempts to address these questions. Surveys were administered via interviews to 225 Latino thoroughbred farmworkers. Multivariable logistic regression analyses were performed to calculate odds ratios (OR) and 95% confidence intervals (CI) of occupational injury in the past year in relation to occupational characteristics. Work stress (OR 6.70, 95% CI 1.84 –24.31), supervisor unfairness (OR 3.34, 95% CI 1.14–9.73), longer tenure at farm (OR 2.67, 95% CI 1.13–6.34), and supervisor inability to speak Spanish (OR 2.29, 95% CI 1.05–5.00) were significantly associated with increased odds of oc...
Source: Journal of Immigrant and Minority Health - June 22, 2017 Category: International Medicine & Public Health Source Type: research

Knowledge, Awareness, and Prevention of Hepatitis B Virus Infection Among Korean American Parents
This study demonstrates a low level of knowledge of HB among Korean American parents electing to attend a hepatitis education program. In addition, many parents are not aware of their children’s screening and immune (or non-immune) status. The lack of health literacy may contribute to poor heal th access in HB care, not only in adults but also in children. This suggests an urgent need for education on HB in Korean American parents as well as in young children. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - June 21, 2017 Category: International Medicine & Public Health Source Type: research

Challenges in the Provision of Sexual and Reproductive Health Care to Refugee and Migrant Women: A Q Methodological Study of Health Professional Perspectives
AbstractThis Q methodological study was conducted to examine the perspectives of health professionals in providing sexual and reproductive health (SRH) care to refugee and migrant women. Forty-seven health professionals rank-ordered 42 statements and commented on their rankings in subsequent open-ended questions. A bi-person factor analysis was performed and factors were extracted according to the centroid method with a varimax rotation. Seven factors each with a distinct and meaningful viewpoint were identified. These factors are: “Communication difficulties—hurdles to counselling”, “Lack of access...
Source: Journal of Immigrant and Minority Health - June 15, 2017 Category: International Medicine & Public Health Source Type: research

Challenges to the Provision of Sexual and Reproductive Health Care to Refugee and Migrant Women: A Q Methodological Study of Health Professional Perspectives
AbstractThis Q methodological study was conducted to examine the perspectives of health professionals in providing sexual and reproductive health (SRH) care to refugee and migrant women. Forty-seven health professionals rank-ordered 42 statements and commented on their rankings in subsequent open-ended questions. A bi-person factor analysis was performed and factors were extracted according to the centroid method with a varimax rotation. Seven factors each with a distinct and meaningful viewpoint were identified. These factors are: “Communication difficulties—hurdles to counselling”, “Lack of access...
Source: Journal of Immigrant and Minority Health - June 15, 2017 Category: International Medicine & Public Health Source Type: research

A Response to Predictors of Heart Disease Knowledge Among Older and Younger Asian Indian Adults
(Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - June 14, 2017 Category: International Medicine & Public Health Source Type: research

Reaching Out for Help: An Analysis of the Differences Between Refugees Who Accept and Those Who Decline Community Mental Health Services
AbstractIn 2012, clinics in Louisville, Kentucky began to use the RHS-15 to screen for mental health issues among refugees. At the same time, mental health outreach programs were developed and implemented by the Mental Health Coordinator. Data from 563 refugee clients referred to the Mental Health Coordinator from 2012 to 2015 was analyzed to examine differences between refugees who accepted referral to community mental health services and those who declined on the variables age, gender, country of origin, time in the U.S., and referral source. Results indicate significant differences with regard to time in the U.S. and re...
Source: Journal of Immigrant and Minority Health - June 13, 2017 Category: International Medicine & Public Health Source Type: research

Healthful, Cultural Foods and Safety Net Use Among Cambodian and Brazilian Immigrant Communities in Massachusetts
AbstractDeclining health and food security status among low-income immigrants in the U.S. may result from limited access to healthful, cultural foods and safety net programs. We held focus group discussions with low-income Cambodian and Brazilian immigrants (11 groups, n  = 84) living in Massachusetts. Cambodians and Brazilians valued healthful, cultural foods, emphasizing their beliefs that cultural foods are healthier and beneficial for weight management and aging. Although both groups could access these foods, some individuals had difficulty affording them. C ambodians reported that food quality decreased ...
Source: Journal of Immigrant and Minority Health - June 12, 2017 Category: International Medicine & Public Health Source Type: research

How Have You Been? or ¿Como estás?: Does Language of Interview Influences Self-Rated Health Among Hispanic Subgroups?
AbstractThis paper reports language differences in poor/fair self-rated health (SRH) among adults from six Hispanic groups in the United States. Data are from the cross-sectional 1997 –2013 National Health Interview Survey (NHIS). The total sample of Hispanic adults with valid information for the variables considered in the study (n = 156,374) included Mexican-Americans (Mex-Am; n = 43,628), Mexicans (n = 55,057), Puerto Ricans (n = 14,631), Cubans (n = 8,04 1), Dominicans (from Dominican Republican, n = 4,359) and Other Hispanics (n&...
Source: Journal of Immigrant and Minority Health - June 8, 2017 Category: International Medicine & Public Health Source Type: research

Factors Associated to Medication Consumption Among the Immigrant Population Residing in Spain
AbstractWe aimed to determine the prevalence of medication use by the immigrant population residing in Spain, and to identify the factors associated with this consumption. Descriptive cross-sectional study was performed using secondary data retrieved from the 2012 Spanish National Health Survey (SNHS). Using logistic multivariate regression analysis, three models were generated: one for immigrants from high income countries (HIC), another for immigrants from low income countries (LIC), and a third one for the native population. The prevalence of total consumption of medicinal products is greater in the native population (6...
Source: Journal of Immigrant and Minority Health - June 8, 2017 Category: International Medicine & Public Health Source Type: research

Tensions and Coping Strategies in Ethnically Mixed Teams: Findings from a Study in Two Emergency Departments
The objective of the study was to assess tensions and coping strategies among ethnic minority and majority healthcare workers. A questionnaire was delivered to 60 healthcare workers e mployed in emergency departments in two hospitals, where Jewish majority and Arab minority workers care for a mixed Jewish and Arab population. Internal consistency reliability was assessed and the survey data were statistically analyzed. Several differences were found between Arab and Jewish health care workers. The questionnaire may be used to examine tensions in other healthcare systems, characterized by ethnic/racial diversity in the work...
Source: Journal of Immigrant and Minority Health - June 6, 2017 Category: International Medicine & Public Health Source Type: research

Factors Predicting Sodium Intake of Korean Americans with Type 2 Diabetes
AbstractThe increasing prevalence of type 2 diabetes mellitus (T2DM) and its complications including cardiovascular disease and chronic kidney disease threaten Korean Americans (KAs). High dietary sodium intake contributes to both conditions. The purpose of the study was to assess dietary sodium consumption and to examine the predictors of sodium intake among KA with T2DM. A total 232 KA who had uncontrolled diabetes participated in this study. The majority of the sample (69%) consumed more sodium than current national guidelines. A high level of energy intake was the strongest predictor for sodium intake with gender and m...
Source: Journal of Immigrant and Minority Health - June 6, 2017 Category: International Medicine & Public Health Source Type: research

Changing SNAP-Participation Trends Among Farmworker Households in the U.S., 2003 –2012
AbstractWe investigated Supplemental Nutrition Assistance Program (SNAP) participation among citizen, documented and undocumented immigrant hired crop farmworkers for ten recent years. We analyzed population representative data from the National Agricultural Workers Survey for 2003 –2012 (N = 18,243 households). Time-chart, simple mean differences, and logistic regressions described farmworker household participation in SNAP. The 2008 financial crisis almost doubled SNAP-participation by agriculture households (6.5% in 2003–2007 vs. 11.3% in 2008–2012). The increasin g SNAP-participation was...
Source: Journal of Immigrant and Minority Health - June 6, 2017 Category: International Medicine & Public Health Source Type: research

Health of International Marriage Immigrant Women in South Korea: A Systematic Review
AbstractInternational marriage migration is now one of the most prominent forms of migration in Asia, and the number of women migrating to South Korea for marriage has increased dramatically in the last two decades. In this article, we provide a systematic review regarding the health status and health-related issues of international marriage immigrant women. The literature search identified 620 articles, of which 53 studies are presented in the article. Three overarching categories including six subcategories were identified according to the research focus; ‘Environmental factors of health’ including social sup...
Source: Journal of Immigrant and Minority Health - June 5, 2017 Category: International Medicine & Public Health Source Type: research

Preventing Tuberculosis in a Low Incidence Setting: Evaluation of a Multi-lingual, Online, Educational Video on Latent Tuberculosis
AbstractTreating latent tuberculosis infection (LTBI) in those at risk is an important yet challenging cornerstone of TB elimination. We evaluated a culturally-tailored, multi-lingual, 4.5-min, health promotional video on LTBI. Mixed methods study assessed use of the video with web-analytics, acceptability of content through interviews and survey questions, and compared knowledge scores in viewers and non-viewers using a survey. The video was viewed 6999 times in six languages over 1  year. Of 1598 survey respondents, 193 viewers had a mean knowledge score of 59%, compared to 38% in non-viewers. Eighty-four percent of...
Source: Journal of Immigrant and Minority Health - June 5, 2017 Category: International Medicine & Public Health Source Type: research

Qualitative Study of Latino Cancer Patient Perspectives on Care Access and Continuity in a Rural, U.S.-Mexico Border Region
AbstractAccess to quality cancer care for cancer patients living in the rural U.S.-Mexico border region is complex due to common binational health care-seeking behaviors and regional socio-economic and cultural characteristics. But little is known about the challenges border dwelling residents face when navigating their cancer care systems. In-depth interviews were conducted with 22 cancer patients in Southern California. Thematic analysis was applied to identify patterns of meaning in the data. Emerging themes were: (1) delays in cancer care coordination: (a) poor coordination of cancer care (b) U.S. and cross-border disc...
Source: Journal of Immigrant and Minority Health - June 5, 2017 Category: International Medicine & Public Health Source Type: research

The Psychological Consequences of Pre-Emigration Trauma and Post-Migration Stress in Refugees and Immigrants from Africa
AbstractOver 50 million people have been displaced, some as a result of conflict, which exposure can lead to psychiatric sequelae. The aims of this study were to provide estimates of pre-emigration trauma, post-migration stress, and psychological sequelae of immigrants and refugees from predominantly Sub-Saharan Africa who immigrated to  Sweden. We also examined the predictors of the psychiatric sequelae as well as acculturation within the host country. A total of 420 refugees and immigrants were enrolled using stratified quota sampling. A battery of questionnaires including the Harvard Trauma Questionnaire, Post-Migr...
Source: Journal of Immigrant and Minority Health - April 21, 2017 Category: Global & Universal Source Type: research

Sensitivity and Specificity in Three Measures of Depression Among Mexican American Women
This study suggests that the K-10 and MDD CIDI-SF measures are complementary to each other for screening of depressive symptomatology. Implications for cultural and linguist ic assessment of depression are further discussed. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - April 21, 2017 Category: Global & Universal Source Type: research

Mental Health Status of Double Minority Adolescents: Findings from National Cross-Sectional Health Surveys
This study aimed to provide an overview on their mental health. Analysis of data from a total of 17,607 high school students from New Zealand ’s 2007 and 2012 cross-sectional nationally representative Adolescent Health Surveys, including a total of 1306 (7.4%) SG minority participants, of whom 581 (3.3%) were also an ethnic minority. SG minority status, minority ethnicity, and female sex were associated with higher mental distress and p oorer well-being. Generally speaking, double minority students reported poorer mental health than SG majority students of the same ethnicity, but reported better mental health than SG...
Source: Journal of Immigrant and Minority Health - April 21, 2017 Category: Global & Universal Source Type: research

Chronic Physical Illness Burden and Suicidal Ideation Among Dominicans in New York City
This study used data from a community survey of 2753 Dominican adults in New York City. SI included thoughts of self-harm or being better off dead in the past month. Chronic physical illness burden was categorized as having 0, 1, or 2+ diagnosed conditions. Adjusted logistic regressions evaluated the association between number of conditions and SI, overall and stratified by sex and age. Adjusted models yielded a strong association between chronic illness burden and SI among men [odds ratio (OR) 5.57, 95  % confidence interval (CI) 2.19–14.18] but not women (OR 0.80, 95 % CI 0.50–1.29; interactionp&nbs...
Source: Journal of Immigrant and Minority Health - April 21, 2017 Category: Global & Universal Source Type: research

Barriers Accessing Mental Health Services Among Culturally and Linguistically Diverse (CALD) Immigrant Women in Australia: Policy Implications
This article proposes recommendations for policies to better address the mental health needs of immigrant and refugee women. Key policy recommendations include: support for gender specific research, implementation and evaluation of transcultural policies, cultural responsiveness in service delivery, review of immigration and refugee claims policies and social integration of immigrants. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - April 21, 2017 Category: Global & Universal Source Type: research

An 11-Year Analysis of Emergency Presentations of Melioidosis in Northeastern Malaysia
AbstractA neglected tropical disease, melioidosis is known to have variability in clinical presentations. Here, we described clinical features that should alert the physicians on the possibility of melioidosis. In this review of 86 cases from 2001 to 2011, the common presentations of melioidosis in the Emergency Department (ED), Hospital Universiti Sains Malaysia were; male gender (79.1  %), in working age group (47.8 ± 15.2 year-old), worked in contact with soil (73.3 %), presented with fever (91.9 %), in rainy season (55.8 %), have underlying diabetes mellitus (79.1 %), have...
Source: Journal of Immigrant and Minority Health - April 21, 2017 Category: Global & Universal Source Type: research

Social Capital and the Paradox of Poor but Healthy Groups in the United States
AbstractIncreased income strongly correlates with improved health and lower mortality risk. Yet in spite of having a lower mean and median income, both Hispanics and the foreign-born living within the U.S. have higher longevity compared with native-born, non-Hispanics. We explored the role of structural social capital in conferring protection against poor health outcomes among Hispanics and the foreign-born in the US. We used the National Health and Nutrition Examination Survey III 1988 –1994 linked to prospective mortality follow up to examine the relationship between five measures of structural social capital and: ...
Source: Journal of Immigrant and Minority Health - April 21, 2017 Category: Global & Universal Source Type: research

Food Insecurity and Risk of Depression Among Refugees and Immigrants in South Africa
AbstractSouth Africa ’s refugee population has grown considerably over the last decade. Both food insecurity and mental illness are common in developing countries, but this relationship remains unexamined in an African refugee population. 335 adult refugees in Durban, South Africa were interviewed using a self-report of food insecurity and the Hopkins Symptom Checklist-25. The proportion of those who responded ‘often true’ to not having enough food and eating less was 23.1 and 54.3 %, respectively. The proportion of individuals with a significant level of anxiety and depressive symptomatology was 49....
Source: Journal of Immigrant and Minority Health - April 21, 2017 Category: Global & Universal Source Type: research

Postpartum Depression Among Somali Women in Norway
AbstractPostpartum depression (PPD) has been described as the most common complication experienced postpartum, affecting about 10 –15 % of all new mothers. Factors like a history of mental illness, and experienced recent adverse life events has been associated with an increased risk for developing PPD. Immigrant women in Western countries have been found to have a marked higher prevalence of PPD compared to the general pop ulation. In Norway the prevalence of PPD in the general population has been found to be around 8–10 %, and among Pakistani immigrants a rate of 7.6 % was found. Somali pe...
Source: Journal of Immigrant and Minority Health - April 21, 2017 Category: Global & Universal Source Type: research

Mental Health of Refugees and Non-refugees from War-Conflict Countries: Data from Primary Healthcare Services and the Norwegian Prescription Database
This study aims to determine whether their mental health differs. Using national registry data, refugees and non-refugees from the same countries were compared on primary healthcare service use for mental health problems and purchase of psychotropic medicine. Refugees had higher odds of using primary health care services than non-refugees. Refugee women were more likely to purchase psychotropic medicine than non-refugee women. Refugee men were more likely to purchase anti-depressants. The findings suggest that refugees have poorer mental health than non-refugees. This may be due to a combination of greater pre-migration tr...
Source: Journal of Immigrant and Minority Health - April 21, 2017 Category: Global & Universal Source Type: research

Involuntary Tobacco Smoking Exposure Among Korean American Emerging Adults: A Qualitative Study
AbstractHigh smoking prevalence among Korean American (KA) males place KA family members and co-workers at an elevated risk of involuntary tobacco smoke exposure (ITSE). KA emerging adults (EAs) face an additional risk of ITSE by their peers, as emerging adulthood is associated with increased smoking. This paper explores health behaviors, attitudes and beliefs of ITSE among KAEA. Qualitative data analysis was conducted on transcripts from ten focus groups (N  = 67). Themes related toattitudes and perceptions of ITSE were identified: high level of cultural tolerance, lack of knowledge/insufficient information, per...
Source: Journal of Immigrant and Minority Health - April 21, 2017 Category: Global & Universal Source Type: research

Indigenous Adolescents ’ Suicidal Behaviors and Risk Factors: Evidence from the National Youth Risk Behavior Survey
AbstractThe study sought to examine indigenous adolescents ’ suicidal behaviors and risk factors in a nationally representative sample and explore potential causes of disparities. The study analyzed the 1991–2013 Youth Risk Behavior Survey National Combined Datasets. Suicidal behavior outcomes included suicide consideration, planning, and attempts durin g the past 12 months. Logit regressions were used to estimate the effects of potential suicide risk factors on these suicidal behaviors. The results showed that a high percentage of indigenous adolescents exhibited suicidal behaviors (consideration: 24.6&nb...
Source: Journal of Immigrant and Minority Health - April 21, 2017 Category: Global & Universal Source Type: research

Gender Differences in Stressors Related to Migration and Acculturation in Patients with Psychiatric Disorders and Turkish Migration Background
AbstractMigration, acculturation, and psychiatric disorders may cause stress and adaptation processes differently in men and women, but empirical research is scarce. In a retrospective study n  = 62 Turkish migrants and n = 62 native German inpatients with depressive or anxiety disorders, matched for age, gender, and diagnoses, were compared using a 10-item instrument for the assessment of migration- and acculturation related stressors (MIGSTR10). Gender differences in the prevalence of stressors and in the total sum of stressors were calculated and compared between migrants and indigenous patients. Res...
Source: Journal of Immigrant and Minority Health - April 21, 2017 Category: Global & Universal Source Type: research

African Immigrants in Low-Wage Direct Health Care: Motivations, Job Satisfaction, and Occupational Mobility
This study explores motivations, job satisfaction, and overall perceived occupational mobility for African immigrants working in low-wage direct health care occupations. The study uses qualitative semi-structured interviews with a sample of thirty African immigrant workers in the greater Pittsburgh metropolitan area. Results show that four major themes captured the motivations of interviewees for doing direct care work: passion for care work, quick money, easily obtained employment, and direct care work as a pathway to other health occupations. The majority of the interviewees were satisfied with their jobs, yet almost all...
Source: Journal of Immigrant and Minority Health - April 21, 2017 Category: Global & Universal Source Type: research

Medical Care, Screening and Regularization of Sub-Saharan Irregular Migrants Affected by Hepatitis B in France and Italy
This study describes how specific national immigration and health policies impact in a different way the therapeutic and social path of migrants suffering from hepatitis B. The analysis provides useful material for the development of strategies to prevent and control hepatitis B among the migrant population. It also shows how social determinants affect migrants’ health more than values or cultural factors do. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - April 20, 2017 Category: Global & Universal Source Type: research

Alcohol use Exacerbates Acculturative Stress Among Recently Immigrated, Young Adult Latinas
AbstractAssociations between theorized sociocultural factors and acculturative stress were examined among Latina immigrants (aged 18 –23 years) during their initial months in the US. Participants’ quantity of alcohol use was hypothesized to be linked with more acculturative stress. Using respondent-driven sampling, 530 Latinas who recently immigrated to Miami-Dade County, Florida, were recruited from community activities, Lat ino health fairs, advertisements at community agencies, and online postings. A path analysis revealed associations between acculturative stress and more time in the US and greater commitme...
Source: Journal of Immigrant and Minority Health - April 19, 2017 Category: Global & Universal Source Type: research

Correlates and Predictors of Mobility Limitation in Community-Dwelling Hispanic Older Adults in the United States: A Systematic Review
This article presents a systematic review of the literature on correlates/predictors of mobility limitation among community-dwelling U.S. Hispanic older adults. A search of scientific databases (PubMed, CINAHL, and PsycINFO) was conducted. After abstract and full text review, 20 epidemiologic studies that met all eligibility criteria were included. The theoretical framework of mobility was used to categorize factors related to mobility limitation. The majority of the studies reviewed (n = 17) examined some aspect of physical factors in relation to mobility limitation. Several factors emerged as important infl...
Source: Journal of Immigrant and Minority Health - April 19, 2017 Category: Global & Universal Source Type: research

Changing Places, Changing Plates? A Binational Comparison of Barriers and Facilitators to Healthful Eating Among Central American Communities
AbstractTo understand the process by which immigrants adopt dietary practices, this study offers a binational comparison of factors that predispose, enable, and reinforce healthful eating in the sending and receiving countries. Data are from two qualitative studies that examined barriers and facilitators to healthful eating in El Salvador (four focus groups, n  = 28 adults) and in the US (30 in-depth interviews n = 15 mothers recently migrated from Central America). There was a strong emphasis on hygiene and vitamin-content of foods among participants in El Salvador. In both settings, participan...
Source: Journal of Immigrant and Minority Health - April 19, 2017 Category: Global & Universal Source Type: research

Cognitive Function and Vascular Risk Factors Among Older African American Adults
AbstractTo evaluate the association between vascular risk factors and cognitive impairment among older African American (AA) adults in a primary care clinic. Participants included 96 AA adults aged 60 years or older who were evaluated for global and domain-specific cognition. Participants were interviewed using the Computerized Assessment of Memory and Cognitive Impairment (CAMCI). The relationship between CAMCI cognitive domain scores and vascular risk factors were examined using hierarchical regression models. Patients who smoked, those with higher SBP/DBP values had lower accuracy rates on CAMCI cognitive domains (atten...
Source: Journal of Immigrant and Minority Health - April 17, 2017 Category: Global & Universal Source Type: research

Self-management Following a Cardiac Event in People of Chinese Ethnicity Living in Western Countries: A Scoping Review
AbstractHealth outcomes and impact of cardiovascular disease vary between populations, where ethnic minorities and immigrant groups are more likely to be disadvantaged. Compared with the majority residents, health outcomes, especially short-term mortality from coronary heart disease event are worse in people of Chinese ethnicity, potentially due to poor self-management and experiences with the healthcare system in host countries. A scoping review was conducted. Four overarching themes were found: (1) understanding of heart disease, risk factors and symptom recognition, (2) adherence to medication and lifestyle modification...
Source: Journal of Immigrant and Minority Health - April 13, 2017 Category: Global & Universal Source Type: research

Racial/Ethnic Differences in Those Accompanying Medicare Patients to the Doctor: Insights from the 2013 Medicare Current Beneficiary ’s Survey
AbstractSurprisingly little current, population-level detail exists regarding companion accompaniment for health care among Medicare beneficiaries, particularly by race/ethnicity. For respondents in the 2013 Medicare Current Beneficiary ’s Survey Access to Care public use data (N = 12,253), multivariable models predicted accompaniment to the doctor by race/ethnicity, adjusting for confounders. Chi square analyses compared, by race/ethnicity, who was accompanying and why. Overall, 37.5% of beneficiaries had accompaniment. In m ultivariable analyses, non-Hispanic blacks (OR 1.18; 95% CI 1.03–1.36) a...
Source: Journal of Immigrant and Minority Health - April 12, 2017 Category: Global & Universal Source Type: research

Injuries Among School-aged Children of Immigrants
AbstractIn response to a dearth of research on injuries among children of immigrants, this study examined child injury rates by immigrant generation. We used generalized estimating equations and nationally representative data to estimate injury risk for school-aged children of immigrants of different generations compared to children of native, US-born parents. After controlling for multiple other factors including socioeconomic status, citizenship, and children ’s general health, both 1st and 2nd generation school-aged children had significantly lower odds of having injuries compared to children of natives. Additiona...
Source: Journal of Immigrant and Minority Health - April 9, 2017 Category: Global & Universal Source Type: research

Unaccompanied Children at the United States Border, a Human Rights Crisis that can be Addressed with Policy Change
AbstractIn recent years, unaccompanied minors have been journeying to the United States (U.S.) –Mexico border in great numbers in order to escape violence, poverty and exploitation in their home countries. Yet, unaccompanied children attempting to cross the United States border face treatment at the hands of government representatives which violates their inherent rights as children. The re sult is a human rights crisis that has severe health consequences for the children. Their rights as children are clearly delineated in various, international human rights documents which merit increased understanding of and recogn...
Source: Journal of Immigrant and Minority Health - April 8, 2017 Category: Global & Universal Source Type: research

Trust and Perceptions of Physicians ’ Nonverbal Behavior Among Women with Immigrant Backgrounds
AbstractPrevious findings suggest immigrant patients have lower trust in their physicians, and perceive nonverbal communication differently compared to non-immigrant patients. We tested discrepancies in trust and the impact of non-verbal behavior between immigrants and non-immigrants in The Netherlands. Nonverbal communication of an oncologist was systematically varied in an experimental video vignettes design. Breast cancer patients (n = 34) and healthy women (n = 34) viewed one of eight video versions and evaluated trust and perceived friendliness of the oncologist. In a matched control design...
Source: Journal of Immigrant and Minority Health - April 8, 2017 Category: Global & Universal Source Type: research

Restrictive ID Policies: Implications for Health Equity
(Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - April 8, 2017 Category: Global & Universal Source Type: research