Testing a Religiously Tailored Intervention with Somali American Muslim Women and Somali American Imams to Increase Participation in Breast and Cervical Cancer Screening
AbstractSomali American women have low rates of breast and cervical screening. This research aimed to test the feasibility and impact of religiously tailored workshops involving Somali American Muslim women and male imams to improve intention to undergo breast or cervical cancer screening. Religiously tailored workshops addressing cancer screening (each approximately 3  h in length) were conducted with 30 Somali American women and 11 imams. Pre- and post-test surveys measured attitudes toward screening, screening intention, and workshop experience. The workshops were feasible, and both the women and the imams found th...
Source: Journal of Immigrant and Minority Health - March 21, 2019 Category: International Medicine & Public Health Source Type: research

Lead Exposure in Newly Resettled Pediatric Refugees in Syracuse, NY
This article addresses lead exposure upon arrival and post-resettlement in 705 refugee children (age 0 –16 years) attending a university clinic in Syracuse, NY, a city with a large refugee population. 17% of the newly arrived children had elevated blood lead levels (BLLs) (≥ 5 µg/dL); 10% had elevated BLL upon follow-up; 8.3% of the children’s follow-up elevated BLL were new exposures. 30% were found to have increased BLL at follow-up regardless of arrival status. An analysis of new exposures found a significant proportion of children would have been missed on routine screening that ta...
Source: Journal of Immigrant and Minority Health - March 20, 2019 Category: International Medicine & Public Health Source Type: research

Role of the Ambulatory Care Clinical Pharmacist in Management of a Refugee Patient Population at a University-Based Refugee Healthcare Clinic
AbstractBackgroundThe International Family Medicine Clinic (IFMC) at University of Virginia Health System serves refugees and special immigrants in Virginia. The IFMC comprises an interprofessional team including a clinical pharmacist.MethodsA retrospective chart review of electronic medical records was performed. Adult refugee patients who attended a scheduled clinical pharmacist visit between October 6, 2015 and December 31, 2016 were included. The primary outcome was to characterize interventions made by a clinical pharmacist. Secondary outcomes included describing chronic disease states experienced by certain refugee p...
Source: Journal of Immigrant and Minority Health - March 20, 2019 Category: International Medicine & Public Health Source Type: research

The Prevalence of Elevated Blood Lead Levels in Foreign-Born Refugee Children Upon Arrival to the U.S. and the Adequacy of Follow-up Treatment
This study sought to evaluate the prevalence of blood lead levels (BLL) in refugee children upon arrival to the U.S. and determine whether they received BLL screening and follow-up according to CDC guidelines. 301 refugee children ages 6  months to 16 years were seen at the International Family Medicine Clinic from 2003 to 2016. Data were collected on BLL, treatment, age, gender, English proficiency, native language, anemia, malnutrition, and microcytosis. Bivariate analyses were conducted to determine the association between thes e variables and BLL. The prevalence of elevated blood lead levels (EBLL), defined a...
Source: Journal of Immigrant and Minority Health - March 19, 2019 Category: International Medicine & Public Health Source Type: research

Sexual Health, HIV Care and Pre-exposure Prophylaxis in the African Immigrant Population: A Needs Assessment
The objective was to gain insight, from the perspective of healthcare professionals, non-medical service providers and community-based organizations working with a large majority of African immigrant patients or clients, regarding sexual health and the potential for the use of HIV PrEP in  this priority population. Thirty key informants participated in a needs assessment. A questionnaire was used to obtain information through focus groups, structured interviews and by self-administration. There are cultural and linguistic barriers to engaging Africans in discussing sexual health iss ues. Key challenges to uptake of Pr...
Source: Journal of Immigrant and Minority Health - March 11, 2019 Category: International Medicine & Public Health Source Type: research

Self-Rated Health and Relative Socioeconomic Deprivation in the Palestinian Refugee Communities of Lebanon
This study seeks to understand deprivation among these refugees through an exploration of the relationship between indicators of general health and economic deprivation. A nationally representative sample of 2501 Palestinian refugee households were randomly selected and surveyed in 2010. Social workers interviewed the homemaker in each  household using a questionnaire on health, economic, and socio-demographic information. This data was analyzed to understand the associations between health and levels of deprivation. 31% of respondents reported poor health and nearly 52% of households had two or more poverty indicator...
Source: Journal of Immigrant and Minority Health - March 8, 2019 Category: International Medicine & Public Health Source Type: research

Mortality Paradox of Older Italian-Born Men in Australia: The Concord Health and Ageing in Men Project
AbstractItalian migrants are one of the largest groups of older migrants in Australia. Past research has found lower mortality rates in Italian migrants but it is unclear if this persists into older age. Data came from 334 Italian-born and 849 Australian-born men aged 70  years and over participating in a longitudinal study of men’s ageing. Male Italian migrants were more likely to smoke, be overweight, and have lower socio-economic status (SES). They also had higher morbidity from diabetes, chronic pain, dementia and depressive symptoms but lower morbidity from heart disease and cancer. There was no age-adjuste...
Source: Journal of Immigrant and Minority Health - March 6, 2019 Category: International Medicine & Public Health Source Type: research

Determinants of Parenting Practices Related to Monitoring Sugar Sweetened Beverages Among Hispanic Mothers
AbstractThe purpose of this study was to evaluate Hispanic mothers (n = 238) of 2–5 year old children and determinants of their monitoring practices related to their preschooler’s consumption of sugar-sweetened beverages (SSB). Hispanic mothers were recruited from numerous areas (i.e. churches, community agencies, and daycares) in southwest Oklahoma City. Co nstructs of the Reasoned Action Approach (RAA) were evaluated along with demographic questions. Most mothers (92%) were born outside the US, and a majority had been in the US ≥ 11 years (61%). The RAA constructs auto...
Source: Journal of Immigrant and Minority Health - March 5, 2019 Category: International Medicine & Public Health Source Type: research

Prevalence of Mental Health Screening and Associated Factors Among Refugees and Other Resettled Populations  ≥ 14 Years of Age in Georgia, 2014–2017
AbstractMental health screening (MHS) during the initial health assessment is recommended within 90  days of arrival to the U.S. Yet, MHS prevalence is not well understood. Screening prevalence [prevalence ratio (PR), adjusted prevalence ratio (adjPR)] and factors associated with MHS were assessed among refugees, Special Immigrant Visa holders, parolees, asylees, and victims of human trafficking  ≥ 14 years old resettling in Georgia from 2014 to 2017. Of the 2019 individuals included, 55% received a MHS. Screening was more common among older individuals [reference: 13–22 years old; adj...
Source: Journal of Immigrant and Minority Health - March 2, 2019 Category: International Medicine & Public Health Source Type: research

Prevalence and Factors Associated with Visiting the Dentist Only for Emergency Care Among Indigenous People in Ontario
This study aims to examine the prevalence and factors associated with poor dental care use amongst the Indigenous in Ontario. Data from the 2014 cycle of the Canadian Community Health Survey was used. The main outcome was defined as visiting the dentist only for emergency care. Stepwise multivariable logistic regression was performed to assess the association between socio-demographic, socio-economic, and the health related factors and emergency dental care use. 28% of the participants reported visiting the dentist only for emergencies. First Nations people were at increased odds of having poor dental care (OR 2.01, CI 1.1...
Source: Journal of Immigrant and Minority Health - February 28, 2019 Category: International Medicine & Public Health Source Type: research

Tattoo Removal as a Resettlement Service to Reduce Incarceration Among Mexican Migrants
AbstractIn Mexico, tattooed migrants face discrimination and are at high-risk of incarceration, thus, we assessed whether receiving laser tattoo removal affected the likelihood of incarceration. In 2015 –2016, 89 adults ages ≥ 18 years with visible tattoos were recruited at a free-clinic to receive laser tattoo removal or assigned to the wait-list; all completed baseline and 6-month questionnaires. Overall, 97.8% of participants ever migrated to the USA. In multivariate analyses restricted to migrants (n = 87), those receiving laser tattoo removal [Adjusted Odds Ratio (AOR) 0.27, 9...
Source: Journal of Immigrant and Minority Health - February 27, 2019 Category: International Medicine & Public Health Source Type: research

Higher Rates of Tuberculosis Among Class B1 Filipino Immigrants to Hawaii Compared to Nationwide, 2010 –2014
AbstractBackgroundImmigrants to the United States from countries with a high burden of tuberculosis (TB) who have abnormal chest radiographs but negative sputum cultures during pre-immigration screening (TB Class B1) have a high risk of being diagnosed with TB disease within 1 year of arrival.MethodsUsing 2010 –2014 national surveillance data, we compared proportions of Class B1 Filipino immigrants who received a diagnosis of TB disease within 1 year of arrival to Hawaii to proportions in other U.S. states (not including Hawaii) using chi-squared tests.ResultsIn Hawaii, 40/1190 (3.4%) of Class B1 Filipino immigrants ...
Source: Journal of Immigrant and Minority Health - February 26, 2019 Category: International Medicine & Public Health Source Type: research

Factors Impacting Adherence to Diabetes Medication Among Urban, Low Income Mexican-Americans with Diabetes
AbstractMexican-Americans carry a high burden of type 2 diabetes and are disproportionately affected by diabetes related mortality and morbidity. Poor adherence to medication is an important barrier to achieving metabolic control and contributes to adverse health outcomes and health disparities. Little is known about barriers and facilitators to medication adherence among Mexican-Americans with diabetes. This is a qualitative study of semi-structured interviews with a sample of 27 adults (25 Mexican-Americans and 2 Latinos of other origin) with self-reported type 2 diabetes who were recruited as part of a church-based, ran...
Source: Journal of Immigrant and Minority Health - February 23, 2019 Category: International Medicine & Public Health Source Type: research

Factors Associated with Virological Rebound in HIV-Positive Sub-Saharan Migrants Living in France After Traveling Back to Their Native Country: ANRS-VIHVO 2006 –2009 Study
AbstractIn France, around 25% of the estimated number of people living with HIV are migrants, of whom three quarters are from sub-Saharan Africa (SSA). Our objective was to determine factors associated with virological rebound (VR) at the occasion of a transient stay to the country of origin. HIV-positive migrants from SSA participating to the ANRS-VIHVO adherence study between 2006 and 2009, on effective ART with controlled pre-travel HIV-1 plasma viral load (VL), were included. Outcome was VR, defined as VL ≥ 50 copies/ml at the post-travel visit during the week following the return to France. Among 237 persons...
Source: Journal of Immigrant and Minority Health - February 22, 2019 Category: International Medicine & Public Health Source Type: research

The Association Between Self-perceived Health and Sleep-Quality and Anxiety Among Newly Arrived Refugees in Sweden: A Quantitative Study
AbstractPrevious research findings suggest that insomnia could be related to decreased health status and that it could also be affected by traumatic life experiences, such as war. Good health is important for newly arrived refugees for an effective integration process. The aim of the present study is, therefore, to investigate the association between self-perceived health and sleep quality among newly arrived refugees in Sweden. The results are based on 681 migrants who participated in a survey between 2015 and 2016. There was a significant odds ratio (OR) after adjustment for confounders for newly arrived refugees that we...
Source: Journal of Immigrant and Minority Health - February 20, 2019 Category: International Medicine & Public Health Source Type: research

Perceptions of Tuberculosis Among Individuals Born in a High-Endemic Setting, Now Living in a Low-Endemic Setting
This study aimed to understand the perception of TB among people originating from a high-endemic region, currently living in a low-endemic region. A qualitative study design, with male and female participants from a high-endemic region divided into focus groups. A semi-structured interview guide was used to elicit their perceptions of TB. A qualitative content analysis was performed on the recorded material from the interviews. The informants noted that their attitude towards individuals with TB had changed, previously they had felt prejudiced towards them whereas now they felt supportive. It seems possible to diminish TB ...
Source: Journal of Immigrant and Minority Health - February 20, 2019 Category: International Medicine & Public Health Source Type: research

Prevalence and Correlates of Injecting with Visitors from the United States Among People Who Inject Drugs in Tijuana, Mexico
AbstractCross-border infectious disease transmission is a concern related to drug tourism from the U.S. to Mexico. We assessed this risk among people who inject drugs (PWID) in Tijuana, Mexico. We measured the prevalence and identified correlates of injecting with PWID visiting from the U.S. among PWID in Tijuana using univariable and multivariable logistic regression. Of 727 participants, 18.5% injected during the past 6  months in Mexico with U.S. PWID described mostly as friends (63%) or acquaintances (26%). Injecting with U.S. PWID was independently associated with higher education [adjusted odds ratio (aOR)&thins...
Source: Journal of Immigrant and Minority Health - February 15, 2019 Category: International Medicine & Public Health Source Type: research

The Differential Role of Vitamin D in Type 2 Diabetes Management and Control in Minority Populations
AbstractVitamin D deficiency is associated with incidence of type 2 diabetes (T2DM) as well as poor glycemic control among T2DM patients, yet comparative studies of its association among ethnic minority populations are scarce. Using baseline data from a behavioral intervention study of Korean Americans (KAs) with T2DM (N = 250 KAs) and the NHANES data set, we explored differential roles of vitamin D on HbA1C level or T2DM control in several racial groups. Significantly more KAs (55.2%) were vitamin D-deficient (U.S. average, 37.8%). Both common and unique correlates of vitamin D deficiency in minority populat...
Source: Journal of Immigrant and Minority Health - February 11, 2019 Category: International Medicine & Public Health Source Type: research

Smoking Prevalence Inequalities Among Roma and Non-Roma Population in Spain Between 2006 and 2014
The objective was to identify trends in tobacco use among the General and Spanish Roma populations in 2006 and 2014, years characterized by strengthening of anti-smoking policy in Spain. We calculated prevalences and logistical regression models based on the Spanish National Health Survey (2006/2012) and the National Health Survey of the Roma population (2006/2014). Smoking decreased only in men in the General population (OR 0.885). In the Roma population, there were no significant changes observed for the 2  years studied (OR: men 1.095, and women 1.147). In fact, Roma men smoke 4.2 cigarettes more, and they have a y...
Source: Journal of Immigrant and Minority Health - February 1, 2019 Category: International Medicine & Public Health Source Type: research

Using the Children with Special Health Care Needs Screener with Immigrant Families: An Analysis of the National Survey of Children ’s Health
AbstractChildren in immigrant families are less likely to screen positive with the Children with Special Health Care Needs Screener (CSHCN-S). This may indicate that children in immigrant families are healthier or require fewer health services than non-immigrant peers. Alternatively, the screener may under-identify special healthcare needs in this population. Using the 2011 –2012 National Survey of Children’s Health, we examined the prevalence of a positive CSHCN-S among children from first, second, and third generation households with an equivalent number of currently diagnosed chronic conditions (0, 1, 2+). M...
Source: Journal of Immigrant and Minority Health - January 18, 2019 Category: International Medicine & Public Health Source Type: research

Differences Between U.S.-Born and Non-U.S.-Born Black Adults Reported with Diagnosed HIV Infection: United States, 2008 –2014
AbstractDespite improvements in its treatment, HIV infection continues to affect Blacks disproportionally. Using National HIV Surveillance System data from 50 U.S. states and the District of Columbia, we examined demographic and epidemiologic differences between U.S.-born and non-U.S.-born Black adults. Of 110,452 Black adults reported with diagnosed HIV during 2008 –2014 with complete country of birth information, 11.1% were non-U.S.-born. Non-U.S.-born were more likely to be older, female, have HIV infection attributed to heterosexual contact, have been diagnosed late, and live in the northeastern U.S. region. Duri...
Source: Journal of Immigrant and Minority Health - January 18, 2019 Category: International Medicine & Public Health Source Type: research

Acculturation and Unmet Health Needs Among Refugees in Omaha, Nebraska
This study assessed the association between acculturation and unmet health needs among refugees. Based on data from the Refugee Health Needs Assessment Survey (n  = 291) recently conducted in Omaha, Nebraska, Chi square tests and multivariate logistic regressions were estimated to examine how acculturation among refugees was related to their unmet health needs. Relative to refugees who had been in the U.S. for less than 3 years, refugees who had been in the U.S. for 3–5 years were more likely to report lack of health insurance coverage (AOR 2.87, 95% CI 1.19, 6.92) and delaying to see a health...
Source: Journal of Immigrant and Minority Health - January 18, 2019 Category: International Medicine & Public Health Source Type: research

The Impact of Acculturation and Racialization on Self-Rated Health Status Among U.S. Latinos
AbstractWe investigate the Hispanic paradox by examining the relationship between acculturation and health status of Latinos to understand nuances among this growing heterogeneous population using a 2011 Latino Decisions survey. We find that acculturation remains an important determinant of Latino health; however, this varies based on whether the sample is restricted to immigrants or includes all Latino adults and on the measures of acculturation employed. We find Latino citizens reported better health than non-citizens; however, other acculturation measures, such as language use and time in the U.S. do not have a marked e...
Source: Journal of Immigrant and Minority Health - January 18, 2019 Category: International Medicine & Public Health Source Type: research

Neighborhood Racial Diversity and Metabolic Syndrome: 2003 –2008 National Health and Nutrition Examination Survey
This study investigated the independent association between neighborhood racial/ethnic diversity and metabolic syndrome among US adults, and focused on how this association differed across individual and neighborhood characteristics (i.e., race/ethnicity, sex, age, urbanity, neighborhood poverty). Objectively-measured biomarker data from 2003 to 2008 National Health and Nutrition Examination Survey were linked to census-tract profiles from 2000 decennial census (N  = 10,122). Multilevel random intercept logistic regression models were estimated to examine the contextual effects of tract-level racial/ethnic di...
Source: Journal of Immigrant and Minority Health - January 18, 2019 Category: International Medicine & Public Health Source Type: research

Acculturation and Adherence to Physical Activity Recommendations Among Chinese American and Non-Hispanic White Breast Cancer Survivors
This study investigated their PA adherence by acculturation level (vs. non-Hispanic White (NHW) survivors). One hundred ninety five Chinese and 202 NHW breast cancer survivors (stage 0–III) responded to a cross-s ectional survey including a self-reported PA questionnaire. PA adherence referred to meeting PA recommendations for cancer survivors. Acculturation among Chinese was defined by proxies of U.S. residency, English proficiency, and interview language. Logistic regression was performed to examine factor s associated with PA adherence. More-acculturated Chinese survivors’ PA adherence rate was 76%. Less-acc...
Source: Journal of Immigrant and Minority Health - January 18, 2019 Category: International Medicine & Public Health Source Type: research

Racial Disparities in Type of Heart Failure and Hospitalization
AbstractHeart failure (HF) is one of the leading causes of hospitalization and readmissions. Our study aimed to examine racial disparities in heart failure patients including onset, mortality, length of stay (LOS), direct costs, and readmission rates. This is a secondary data analysis. We analyzed the risk-adjusted inpatient data of all patients admitted with HF to one health academic center. We compared five health outcomes among three racial groups (white, black, and Hispanic). There were 1006 adult patients making 1605 visits from 10/01/2011 to 09/30/2015. Most black patients were admitted in younger age than other raci...
Source: Journal of Immigrant and Minority Health - January 18, 2019 Category: International Medicine & Public Health Source Type: research

Stress and Resilience: Key Correlates of Mental Health and Substance Use in the Hispanic Community Health Study of Latino Youth
This study examined associations of immigrant generation, acculturation, and sources of stress and resilience with four outcomes —depression symptoms, anxiety symptoms, alcohol susceptibility, and smoking susceptibility. We used data from 1466 youth (ages 8–16) enrolled in the Hispanic Community Health Study of Latino Youth (SOL Youth), a probability sample of Hispanic/Latino youth living in Chicago (IL), Miami (FL), Bron x (NY), and San Diego (CA). We found no evidence of an immigrant paradox. Greater children’s acculturative stress was associated with depression/anxiety symptoms; greater parent’s ...
Source: Journal of Immigrant and Minority Health - January 18, 2019 Category: International Medicine & Public Health Source Type: research

Lessons Learned in Clinical Research Recruitment of Immigrants and Minority Group Members with First-Episode Psychosis
We describe methods used to recruit 43 U.S. Latinos with FEP and their family caregivers (n = 41) participating in a study to reduce duration of untreated psychosis. A key challenge was that patients were not continuing treatment at an outpatient clinic, as initially expected. To facilitate identification of patients prior to outpatient care, we collaborated with clinic and hospital a dministrators. Many patients and families were grappling with the aftermath of a hospitalization or adjusting to a diagnosis of a serious mental illness. A considerable amount of time was devoted to addressing participants&rsquo...
Source: Journal of Immigrant and Minority Health - January 18, 2019 Category: International Medicine & Public Health Source Type: research

Disparities in Health Care Coverage Among U.S. Born and Mexican/Central American Born Labor Workers in the U.S.
We examined health insurance coverage among U.S. and Mexican/Central American (M/CA) born labor workers living in the U.S. Using data from the 2010 –2015 National Health Interview Survey, we employed logistic regression models to examine health insurance coverage and covariates among U.S. and M/CA born labor workers. Prevalence ratios between U.S. and M/CA born workers were also obtained. U.S. born workers had double the prevalence of insuran ce coverage. Regarding private insurance coverage, U.S. born workers had a higher prevalence of coverage compared to their M/CA born counterparts. Among foreign born workers wit...
Source: Journal of Immigrant and Minority Health - January 18, 2019 Category: International Medicine & Public Health Source Type: research

Refugee Health: A Moral Discussion
(Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - January 18, 2019 Category: International Medicine & Public Health Source Type: research

Harms of Workplace Inspections for Im/Migrant Sex Workers in In-Call Establishments: Enhanced Barriers to Health Access in a Canadian Setting
AbstractGiven shifting sex work criminalization and enforcement in Canada, this study examined worrying about workplace inspections by authorities amongst indoor sex workers in Vancouver (2014 –2017). Data were drawn from a community-based prospective cohort of sex workers (AESHA). Bivariate and multivariable logistic regression were used to investigate factors associated with worry about inspections. 23.9% of participants experienced workplace inspections; 51.6% worried about inspecti ons. In multivariable analyses, worrying about inspections was associated with recent im/migration [adjusted odds ratio (AOR) 3....
Source: Journal of Immigrant and Minority Health - January 16, 2019 Category: International Medicine & Public Health Source Type: research

Unmet Health Care Needs for Syrian Refugees in Canada: A Follow-up Study
AbstractUnmet health care needs are under explored among refugees. Previously we found unmet health care needs in Syrian refugees may be higher than in the general Canadian population (Oda et al. CMAJ Open 5(2):E354 –E358,2017; Oda et al. J Immigr Minor Health,2018.https://doi.org/10.1007/s10903-018-0780-z). This follow-up study with Syrian refugees who entered Canada between July 2015 and July 2016 aimed to understand if there are changes in unmet health care needs 6  months to a year after baseline collection. The number reporting unmet needs was high (42.6%). Although some refugees had their needs met, unmet ...
Source: Journal of Immigrant and Minority Health - January 8, 2019 Category: International Medicine & Public Health Source Type: research

Geospatial Analysis of Refugee Access to Primary Care Physicians in San Antonio, Texas
This study investigated refugee access to primary care physicians (PCP) in San Antonio, Texas. Catholic Charities of San Antonio (CCSA) is the primary agency responsible for connecting refugees to a PCP. Data on refugees were collected from CCSA between May to September 2013 (N  = 547). PCPs information was accessed at the Texas Medicaid and Healthcare Partnership (TMHP) website. The 2SFCA method was used in geographic information systems (GIS) to analyze the ratio of healthcare providers relative to refugees within varying walking distances. The highest concentration of accessibility was at 20 min dista...
Source: Journal of Immigrant and Minority Health - January 6, 2019 Category: International Medicine & Public Health Source Type: research

Prevalence of Tuberculosis Disease Among Adult US-Bound Refugees with Chronic Kidney Disease
AbstractThe association between chronic kidney disease (CKD) and tuberculosis disease (TB) has been recognized for decades. Recently CKD prevalence is increasing in low- to middle-income countries with high TB burden. Using data from the required overseas medical exam and the recommended US follow-up exam for 444,356 US-bound refugees aged  ≥ 18 during 2009–2017, we ran Poisson regression to assess the prevalence of TB among refugees with and without CKD, controlling for sex, age, diabetes, tobacco use, body mass index ( kg/m2), prior residence in camp or non-camp setting, and region of birth co...
Source: Journal of Immigrant and Minority Health - January 5, 2019 Category: International Medicine & Public Health Source Type: research

Changing Mammography-Related Beliefs Among American Muslim Women: Findings from a Religiously-Tailored Mosque-Based Intervention
Discussion Religiously-tailored messages provide an opportunity for addressing barriers to preventive health in a theologically consonant way. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - January 2, 2019 Category: International Medicine & Public Health Source Type: research

Mental Health Status of Expatriate Nurses in Northcentral Saudi Arabia
AbstractMental health status may vary by nationality among expatriate workers; no conclusive data is available in Saudi Arabia. We invited expatriate nurses employed in governmental hospitals in Al-Qassim, Saudi Arabia to fill out an electronic survey that contained questions on demography (including nationality), lifestyle, job, depression, anxiety, and stress (assessed with DASS-21 scale). We categorized each outcome into normal, mild to moderate, and severe, and used adjusted multinomial logistic regressions for analyses. Nurses (n  = 999) were from India (54.1%), the Philippines/Indonesia (37.0%), Pakista...
Source: Journal of Immigrant and Minority Health - January 2, 2019 Category: International Medicine & Public Health Source Type: research

The Impact of Cyberbullying on Physical and Psychological Health of Arab American Adolescents
AbstractUtilizing a community-based, cross-sectional design, the present study explored Arab American adolescents ’ experiences in cyberbullying and its effect on their health. A convenience sample of 150 Arab American adolescents, ages 12–16, were recruited from two community centers located at Southeast Michigan. The survey focused on cyberbullying victimization and perpetration in the past year including frequencies and types of technology used. Thirty-four percent of adolescents reported cyberbullying victimization and 26.7% reported cyberbullying perpetration at least once in the past year. Males were sign...
Source: Journal of Immigrant and Minority Health - January 2, 2019 Category: International Medicine & Public Health Source Type: research

Acculturation and Dental Caries Among Children in Spain
This study explored the relationship between different indicators of acculturation and children ’s caries experience. Data from 313 children attending the Dental Clinic of the European University of Madrid were analysed. Acculturation was measured via generational status, age at arrival, length of residence and language spoken at home. The association between each indicator of acculturation and caries experience was assessed in Poisson regression models adjusting for confounders. First- and second-generation migrant children had greater caries experience than Spanish-born children. These differences only persisted fo...
Source: Journal of Immigrant and Minority Health - December 18, 2018 Category: International Medicine & Public Health Source Type: research

Substance Use and Depression Among Recently Migrated African Gay and Bisexual Men Living in the United States
AbstractImmigrant African gay and bisexual men (GBM) are at risk for substance use and adverse mental health outcomes due to negative experiences in home and host countries. Little is known about correlates of substance use and mental health outcomes in this population. We explored pre- and post-migratory factors associated with substance use and depression in recently migrated African GBM. Participants (N = 70) were recruited between July and November 2015 in NYC. Eligible participants were administered a structured questionnaire. Correlates of substance use and depression were identified using bivariate and...
Source: Journal of Immigrant and Minority Health - December 14, 2018 Category: International Medicine & Public Health Source Type: research

Hispanic Mothers ’ Beliefs About Having Their Adolescent Sons Initiate the HPV Vaccine Series
This study identified Hispanic mothers ’ salient beliefs regarding having their sons initiate the HPV vaccine series. Twenty-seven Hispanic mothers completed in-depth interviews. They responded to questions that elicited the salient behavioral, normative and control beliefs associated with initiating the HPV vaccine series. We content analyzed their responses. We found that, regarding having their sons initiate the HPV vaccine, mothers: (1) express mostly positive feelings; (2) believe that the vaccine has positive effects, with side effects as the main negative effect; (3) believe that their sons’ father and d...
Source: Journal of Immigrant and Minority Health - December 12, 2018 Category: International Medicine & Public Health Source Type: research

Acceptability, Feasibility and Uptake of HPV Self-Sampling Among Immigrant Minority Women: a Focused Literature Review
AbstractThis review uncovers the extent to which immigrant and minority women find HPV self-sampling an acceptable and feasible alternative to PAP testing for screening for cervical cancer. A focused literature review was conducted using CINAHL, Medline, Proquest and Pubmed databases to search for content relating to acceptability or feasibility of HPV self-testing for immigrant populations or minorities. 575 prospective relevant papers  were included in the final analysis and 28 selected using the inclusion and exclusion criteria. HPV self-sampling was found to be acceptable and feasible among immigrant and mino...
Source: Journal of Immigrant and Minority Health - December 7, 2018 Category: International Medicine & Public Health Source Type: research

Nutrition Interventions for Type 2 Diabetes in Chinese Populations: A Scoping Review
AbstractDeveloping culturally appropriate diabetes nutrition interventions for immigrants could be facilitated knowing what is successful in the home country and other relevant countries. The primary purpose of this scoping review was to identify the design and delivery methods of nutrition interventions for Chinese populations with type 2 diabetes, in their home countries and as immigrants to western countries. A total of 14 articles was retrieved and included. Overall, the approaches used in China often were modelled on intensive lifestyle programs although alternative strategies were also identified. Most interventions ...
Source: Journal of Immigrant and Minority Health - December 4, 2018 Category: International Medicine & Public Health Source Type: research

Correction to: The Effects of Hispanic Immigrant Mother ’s Resiliency on Children’s Dietary Adjustment
The original version of this article unfortunately contained errors in Affiliation 3, Acknowledgement, Table 1 and in the text under Methods section. Also, a Co-corresponding author has to be included in the article. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - December 3, 2018 Category: International Medicine & Public Health Source Type: research

Socioeconomic and Health Profile of Haitian Immigrants in a Brazilian Amazon State
AbstractWe analyzed the sociodemographic profile, migration journey, health conditions, and health care access and utilization among recent Haitian immigrants to the Brazilian Amazon state of Mato Grosso. We conducted a cross-sectional study with a probabilistic sample of 452 Haitians. We administered a bilingual questionnaire from December 2014 to February 2015. Data were analyzed using chi square tests to evaluate differences among groups. The majority of participants were married men younger than 35  years old. They mostly came from the Haiti’s Artibonite Department, living in Brazil for less than a year. Hal...
Source: Journal of Immigrant and Minority Health - November 19, 2018 Category: International Medicine & Public Health Source Type: research

The Role of Physician Recommendation in Colorectal Cancer Screening Receipt Among Immigrant Chinese Americans
AbstractChinese Americans have low colorectal cancer (CRC) screening rates. It is unclear whether physicians should offer all CRC screening modalities (fecal occult blood test [FOBT], sigmoidoscopy, colonoscopy) to Chinese Americans to increase screening. Seven hundred and twenty-five Chinese Americans were asked in a survey if their physician had ever recommended CRC screening and to self-report receipt and type of CRC screening. Participants whose physician had recommended all CRC screening modalities were significantly more likely to report ever having screening (adjusted odds ratio 4.29, 95% CI 1.26 –14.68) and b...
Source: Journal of Immigrant and Minority Health - November 19, 2018 Category: International Medicine & Public Health Source Type: research

Prevalence and Risk Factors Associated with Self-Rated Morbidities Among South Asian Migrant Gas Station Workers in Kuwait
In conclusion, GSWs suffer from ailments of multiple organ systems and need education and facilitation for self-protection. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - November 19, 2018 Category: International Medicine & Public Health Source Type: research

Access to and Use of Psychiatric Services by Migrants Resettled in Northern Italy
AbstractThe present study was conducted to describe access to and use of psychiatric services by migrants resettled in a large and well-defined catchment area. The study was conducted in a catchment area of 459,536 inhabitants in Verona, a city located in the Northeast of Italy. Using a psychiatric case register, all native and migrant individuals with a first ever psychiatric contact from 2000 to 2015 were identified. Service use data during the 12 months following first contact were collected. During the study period a total of 2610 migrants and 28,860 natives had at least one psychiatric contact. A progressive rise in t...
Source: Journal of Immigrant and Minority Health - November 19, 2018 Category: International Medicine & Public Health Source Type: research

Increasing Stroke Knowledge and Decreasing Stroke Risk in a Latino Immigrant Population
We present results of an evaluation of a tailored, community-based intervention in Durham, North Carolina. The intervention included integration of stroke knowledge into classes and workshops at a community-based organization. Knowledge surveys were administered to participants immediately before and after stroke education, and at multiple points over the following year. For both low-risk participants receiving classroom-based education and individually care managed participants with risk factors, stroke knowledge improved dramatically and remained high among those who could be reached for follow-up. Evidence of behavior c...
Source: Journal of Immigrant and Minority Health - November 19, 2018 Category: International Medicine & Public Health Source Type: research

The Association Between the Intersection of Immigrant Status and Insurance with Adverse Birth Outcomes Among Mexican Women Residing in the San Joaquin Valley: A Mediation Analysis of Late Initiation or No Prenatal Care
This study used cross-sectional data (2002 –2004) limited to 109,399 women of Mexican ethnicity who had singleton births in the San Joaquin Valley, California. We conducted hierarchical mediation analyses. US-born Mexican women who used private or public insurance for PNC were more likely to have infants born at low-birth weight and premat ure compared to Mexican first generation immigrant women. Nonetheless, initiation of late or no PNC positively mediated the relationship between infants born premature to Mexican first generation immigrant women who used public insurance (ab/se(ab) = 2.123,p =&...
Source: Journal of Immigrant and Minority Health - November 19, 2018 Category: International Medicine & Public Health Source Type: research

Measuring Nutrition Literacy in Spanish-Speaking Latinos: An Exploratory Validation Study
This study aimed to adapt the validated Nutrition Literacy Assessment Instrument for Spanish-speaking Latinos. This study was developed in two phases: adaptation and validity testing. Adaptation included translation, expert item content review, and interviews with Spanish speakers. For validity testing, 51 participants completed the Short Assessment of Health Literacy-Spanish (SAHL-S), the Nutrition Literacy Assessment Instrument in Spanish (NLit-S), and socio-demographic questionnaire. Validity and reliability statistics were analyzed. Content validity was confirmed with a Scale Content Validity Index of 0.96. Validity te...
Source: Journal of Immigrant and Minority Health - November 19, 2018 Category: International Medicine & Public Health Source Type: research