Let ’s Walk: A Quasi-Experimental Multi-Component Intervention to Improve Physical Activity and Social Engagement for Older Chinese American Adults
AbstractPhysical activity (PA) is critical for healthy aging, yet< 16% of U.S. older adults meet federal recommendations for moderate to vigorous PA. Asian Americans are a rapidly growing segment of the older adult population, who are less likely to meet these guidelines, and are frequently under-represented in clinical trials. This quasi-experimental pilot study evaluated the feasibility, acceptability, and preliminary effectiveness of a culturally tailored walking program to improve PA and social engagement for older Chinese Americans in Boston, MA. Participants at two community organizations were assigned to an enhan...
Source: Journal of Immigrant and Minority Health - February 13, 2024 Category: International Medicine & Public Health Source Type: research

Utilization of Traditional Complementary and Alternative Medicine Across Ethnically Diverse Asian Americans
AbstractWe conducted an analysis to identify factors influencing the use of traditional complementary and alternative medicine (TCAM), with a particular emphasis on ethnic variations. Using the 2015 Asian American Quality of Life survey (N = 2,609), logistic regression analyses were performed, considering acculturation, health status, healthcare accessibility/utilization, and socio-demographic factors. Ethnicity, specifically being Chinese or Korean Americans, having chronic medical conditions, experiencing unmet healthcare needs , and having regular check-ups were significant predictors of TCAM use among Asian America...
Source: Journal of Immigrant and Minority Health - February 9, 2024 Category: International Medicine & Public Health Source Type: research

A Narrative Review of Cervical Cancer Screening Utilization Among Haitian Immigrant Women in the U.S.: Health Beliefs, Perceptions, and Societal Barriers and Facilitators
AbstractHaitian immigrant women living in the U.S. have a higher rate of cervical cancer mortality than any other ethnic group, primarily due to lower rates of screening test utilization. Therefore, it is important to understand the issues affecting their pap smear screening behaviors. We conducted a narrative review of articles from PubMed, SCOPUS, Embase, CINAHL/Nursing, and Psych Info. Inclusion criteria: U.S. Haitian immigrant, screening, cervical cancer, health beliefs/perceptions. Exclusion criteria: HPV-vaccine. Primary barriers: (1) lack of knowledge of cervical cancer, HPV, and pap smears; (2) lack of culturally a...
Source: Journal of Immigrant and Minority Health - February 3, 2024 Category: International Medicine & Public Health Source Type: research

Factors Associated with Korean American Women ’s Health-Related Internet Use: Findings from Andersen’s Behavioral Model
This study investigated health-related Internet use levels and examined which factors influence health-related Internet use in Korean American women, grounded by Andersen ’s Behavioral Model. Participants included 243 Korean American women aged 19–85 years old residing in a Southeastern metropolitan area. Health-related Internet use was assessed by 11 items taken from HINTS 4 Cycle 2. Multiple regression analysis was conducted to reveal factors significantly ass ociated with health-related Internet use of Korean American women. Predisposing factors of being aged 60 or older (β = − 0.329, SE = 0.694,p = 0...
Source: Journal of Immigrant and Minority Health - January 25, 2024 Category: International Medicine & Public Health Source Type: research

Conventional or Alternative Mental Health Service Utilization According to English Proficiency Among Asians in the United States
This study examines the conventional and alternative mental health service utilization among Asians in the United States according to their English proficiency. From the 2015 –2018 National Survey on Drug Use and Health, this study examined 3,424 self-identified non-Hispanic Asians aged 18–64 with Kessler score of at least 5. Stratified bivariate analysis and multivariable logistic regression analysis were conducted. Regardless of English proficiency, Asians did not utilize alternative mental health service more than conventional mental health service. However, those with limited English proficiency consistently utiliz...
Source: Journal of Immigrant and Minority Health - January 25, 2024 Category: International Medicine & Public Health Source Type: research

Social Work in Outpatient Neurology at a Safety-Net Hospital: A 200-Hour Profile
AbstractSocial work plays a critical role in preventive health and mitigation of healthcare disparities, but few studies focus on its role in multi-specialty clinics serving marginalized populations. We aimed to characterize the role of outpatient neurology social work at an urban, safety-net hospital. In December 2021, we introduced a dedicated social worker to a neurology clinic primarily caring for an underserved patient population. We logged and characterized the first 200 consecutive hours of patient encounters, classifying interventions based on a recently popularized 10-category scheme in social work literature deri...
Source: Journal of Immigrant and Minority Health - January 25, 2024 Category: International Medicine & Public Health Source Type: research

Impact of Language Barriers on Outcomes and Experience of COVID-19 Patients Hospitalized in Quebec, Canada, During the First Wave of the Pandemic
AbstractLanguage barriers (LB) contribute to coronavirus disease 2019 (COVID-19) health inequities. People with LB were more likely to be SARS-CoV-2 positive despite lower testing and had higher rates of hospitalization. Data on hospital outcomes among immigrants with LB, however, are limited. We aimed to investigate the clinical outcomes of hospitalized COVID-19 cases by LB, immigration status, ethnicity, and access to COVID-19 health information and services prior to admission. Adults with laboratory-confirmed community-acquired COVID-19 hospitalized from March 1 to June 30, 2020, at four tertiary-care hospitals in Montr...
Source: Journal of Immigrant and Minority Health - January 25, 2024 Category: International Medicine & Public Health Source Type: research

Cross-Cultural Contact and Norwegian Language Skills Among Ethnic Minority Women in Norway, and Relationship with Physical Activity in Pregnancy and Postpartum: The STORK-Groruddalen Cohort Study
AbstractThere are few studies of the migration context factors and physical activity (PA) level among minority ethnic women in Europe. We investigated the association between migration context factors and moderate to vigorous physical activity (MVPA) among minority ethnic women. Objectively recorded MVPA were obtained from 487 minority ethnic women included in the STORK-Groruddalen Cohort Study at three time points in pregnancy/postpartum. We investigated the associations between (a) contact with ethnic Norwegians and (b) Norwegian language skills and. No associations were observed in pregnancy. Postpartum, women who repor...
Source: Journal of Immigrant and Minority Health - January 25, 2024 Category: International Medicine & Public Health Source Type: research

Enhanced Participation in Diabetes Screening and Care After Gestational Diabetes Through Community Health Workers: Results from the Es Mejor Saber Randomized Controlled Trial
The objective of this study was to therefore determine whether bilingu al, bicultural community health workers (i.e., promotoras) increase participation in postpartum disease screening and referral for diabetes prevention or care in an urban, low-resource Hispanic community. Ninety-four women with GDM were recruited from the postpartum ward of a safety-net hospital and randomized equally to receive either standard-of-care alone or standard-of-care with a promotora-based intervention consisting of education, appointment reminders, and assistance navigating the healthcare system. Adherence to diabetes screening visits by 12...
Source: Journal of Immigrant and Minority Health - January 25, 2024 Category: International Medicine & Public Health Source Type: research

Barriers to and Recommendations for Equitable Access to Healthcare for Migrants and Refugees in Aotearoa, New Zealand: An Integrative Review
AbstractThe health system in Aotearoa New Zealand is predicated on equity in access to health services as a fundamental objective yet barriers to equitable access for migrant and refugees continue to exist. There is a paucity of studies that synthesise the experiences and realities of migrants, refugees and healthcare providers that hinder access to healthcare and provide recommendations to improve services. This review synthesised these barriers and recommendations, with an aim to improve equitable access to healthcare to migrants and refugees. An integrative review of 13 peer-reviewed research studies from EBSCOhost rese...
Source: Journal of Immigrant and Minority Health - January 25, 2024 Category: International Medicine & Public Health Source Type: research

The Role of Social Support and Acculturation Factors on Postpartum Mental Health Among Latinas in the MADRES Pregnancy Cohort
We examined the associations between social support and postpartum mental health in 137 U.S. and foreign-born Latinas in the MADRES pregnancy cohort. We also examined whether language, years in the U.S., and country of birth moderates these relationships. Participants were administered PROMIS support measures 1  month postpartum; the Perceived Stress and Postpartum Distress Measure 3, 6, and 12 months postpartum; and the CESD scale 12 months postpartum. Perceived stress was lower at 6 months postpartum for women reporting higher emotional (p = 0.01), informational (p = 0.03), and instrumental support (p < ...
Source: Journal of Immigrant and Minority Health - January 25, 2024 Category: International Medicine & Public Health Source Type: research

Changes in Primary HIV-1 Drug Resistance Due to War Migration from Eastern Europe
AbstractIn recent years, especially as a result of war in Ukraine, enormous movements of migration to Poland from eastern European countries have been reported, including people living with Human Immunodeficiency Virus (HIV). We have conducted multi-center, prospective study, which aimed to establish HIV-1 subtype and assess the presence of primary drug resistance mutations to nucleoside reverse transcriptase inhibitors, non-nucleoside reverse transcriptase inhibitors and protease inhibitors in antiretroviral treatment na ïve patients. The clinical trial recruited 117 individuals during 2 years period (2020–2022). The ...
Source: Journal of Immigrant and Minority Health - January 25, 2024 Category: International Medicine & Public Health Source Type: research

Impact of English Proficiency on Health Literacy in Older Korean Immigrants: Mediating Effects of Social Support and Acculturation
This study aims to find the mediating effect of social support and acculturation between LEP and PHL by conceptualizing social support and acculturation as an organizational health literacy strategy. Data from 244 older Korean immigrants living in the states of Alabama and Georgia, USA, were used to conduct the study. Korean version of the Multidimensional Scale of Perceived Social Support (MSPSS), East Asian Acculturation Measure (EAAM), and Health Literacy Survey-12 Questionnaires (HLS-Q12) were used to measure the variables. The path analysis was conducted to find the serial mediation effects of social support and accul...
Source: Journal of Immigrant and Minority Health - January 25, 2024 Category: International Medicine & Public Health Source Type: research

Disparities in HPV and the HPV Vaccine Knowledge Among Non-Hispanic Black Adults in the US - HINTS 2017 –2020
AbstractDisparities persists in HPV awareness and vaccination among different racial and ethnic groups. We assessed disparities in awareness of HPV and the HPV vaccine among non-Hispanic Black US adults. We analyzed the nationally representative data from the Health Information National Trends Survey of US adults 18 years or older (n  = 16,092) administered by the National Cancer Institute (HINTS5-Cycle 1,2,3,4) for the years 2017–2020, of which 2,011 (n = 2,011) were non-Hispanic Black adults. Weighted Poisson regression models were used to estimate disparities in HPV and HPV vaccination awareness among non-Hisp...
Source: Journal of Immigrant and Minority Health - January 25, 2024 Category: International Medicine & Public Health Source Type: research

A Scoping Review of Cancer Interventions with Arab Americans
AbstractThis scoping review provides an overview of cancer interventions implemented with Arab Americans across the cancer control continuum, including an examination of outcomes and implementation processes. The search strategy included database searching  and reviewing reference lists and forward citations to identify articles describing interventions with Arab adults living in the US, with no restrictions on date of publication or research methodology. The review included 23 papers describing 12 unique cancer interventions. Most interventions focu sed on individual-level determinants of breast and cervical cancer scree...
Source: Journal of Immigrant and Minority Health - January 25, 2024 Category: International Medicine & Public Health Source Type: research