Barriers to Cardiac Rehabilitation in Ethnic Minority Groups: A Scoping Review
This study aimed to identify barriers associated with referral, enrollment, and completion/adherence of CR for cardiac participants from ethnic minorities. Medline, Embase, Emcare, CINAHL, Pubmed and APA PsycInfo were searched from data inception through January 2020. We excluded studies referring to race minorities, considering barriers reported by providers or family members, and those published in languages other than English or Portuguese. Data was extracted in an individual, provider, and system level. Of 1847 initial citations, 20 studies were included, with most being qualitative in design and classified as “g...
Source: Journal of Immigrant and Minority Health - January 25, 2021 Category: International Medicine & Public Health Source Type: research

Could the Aid System Be Reinforcing Mental Health Symptoms Among Refugees? Clinicians ’ Experiences from Lebanon
We describe two clusters of ‘internalized’ and ‘externalized’ behaviors that may be reinforced by the assistance system. These may indicate an underlying structural dysfunction and a lack of trust on the part of refugees in the capacities of the humanitarian system to help them. At the clinical level, we suggest implic ations to strengthen the therapeutic alliance and avoid mistrust. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - January 24, 2021 Category: International Medicine & Public Health Source Type: research

Health Conditions and Dietary Intake Among Brazilian Immigrants in the United States of America
AbstractImmigration can improve economic status and access to education compared to the country of origin, but it challenges access to health and preventive care. Assess Brazilian immigrants' overall health conditions and dietary intake in New Jersey (US). This pilot study assessed health conditions and dietary intake. Brazilians immigrants were interviewed through their communities. Trained dietitians interviewed them using a questionnaire and three days of 24H recall. Dietary intake was analyzed using the Nutrition Data System for Research software. A sample of 118 individuals completed the protocol, majority female and ...
Source: Journal of Immigrant and Minority Health - January 23, 2021 Category: International Medicine & Public Health Source Type: research

Genetic Knowledge and Communication Among Mexican Farmworkers and Non-farmworkers in North Carolina
This study demonstrates a need for increased dissemination of genetic information to Mexican-origin farmworkers and non-farmworkers. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - January 19, 2021 Category: International Medicine & Public Health Source Type: research

Correction to: Health Literacy Within a Diverse Community-Based Cohort: The Multi-Ethnic Study of Atherosclerosis
The original version of this article unfortunately contained a typo in co-author name. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - January 13, 2021 Category: International Medicine & Public Health Source Type: research

A Review of Cultural Influences on Risk for HIV and Culturally-Responsive Risk Mitigation Strategies Among African Immigrants in the US
AbstractThere is a paucity of research on HIV risk factors and risk reduction among African immigrants living in the US. This is despite the fact that the literature on HIV prevention and treatment continues to grow. We conducted a focused review to identify cultural factors contributing to the high incidence of HIV among African immigrants and best practices to increase engagement in HIV prevention services in this population. We conducted a search for empirical research published between 2009 and 2019, yielding 17 relevant studies with 16 unique samples. Inadequate knowledge about HIV transmission, low HIV risk perceptio...
Source: Journal of Immigrant and Minority Health - January 11, 2021 Category: International Medicine & Public Health Source Type: research

Predictors of Healthcare Access and Utilization by Syrian Americans in the United States
AbstractThere are currently no studies examining healthcare access and utilization by Syrian Americans. A better understanding of the determinants of healthcare utilization among this group could help aid in the design of culturally competent programs. A self-administered survey was distributed at events across Southern California and Jacksonville, Florida from January 2018 to May 2019. Statistical analysis utilized multivariate regressions. Insurance coverage was associated with a preference for speaking Arabic (OR 0.433,p = 0.02) and increased length of residency (OR 1.04, p = 0.02). Routine c...
Source: Journal of Immigrant and Minority Health - January 2, 2021 Category: International Medicine & Public Health Source Type: research

Immigrant Status and Unmet Home Care Needs: Results from the Canadian Community Health Survey
This study assessed the relationship between immigration status, including recency, and unmet home care needs. Data from the 2015 –2016 Canadian Community Health Survey (CCHS) was used to analyze the relationship between immigration status and unmet home care needs. Descriptive analyses and multivariable logistic regression controlling for age, sex, marital status, and education were calculated. Of the study sample of 5976 r espondents, 34.5% had unmet home care needs. Prevalence of unmet needs was highest among recent immigrants (43.8%), compared with long-time immigrants (40.5%) and non-immigrants (32.7%). Adjusted...
Source: Journal of Immigrant and Minority Health - January 2, 2021 Category: International Medicine & Public Health Source Type: research

Examining Profiles of Latinx Sexual Minority Adolescents Associated with Suicide Risk
AbstractFew studies have focused on within-group heterogeneity about specific factors that make lesbian, gay, or bisexual (LGB) Latinx adolescents at greater odds than other LGB adolescents for suicide We take a unique mixture-modeling approach by creating profiles of Latinx LGB adolescents based on suicide risk factors used in previous investigations (bullying, alcohol, sleep, social media, and poor grades). We use these profiles in a logistic regression to investigate suicidality A sample of 686 LGB, Latinx adolescents were used in a latent profile analysis yielding four distinct profiles. Class 4 represented the highest...
Source: Journal of Immigrant and Minority Health - January 2, 2021 Category: International Medicine & Public Health Source Type: research

Early Life Exposure to Food Insecurity is Associated with Changes in BMI During Childhood Among Latinos from CHAMACOS
AbstractEarly life exposures have been associated with obesity later in life. We aim to assess the association between early life exposure to food insecurity and change in BMI throughout childhood and adolescents. Food security status and growth variables from 243 Mother –child dyads from the Center for the Health Assessment of Mothers and Children of Salinas study were assessed 7 times over a 12-year period. Generalized log linear models with Poisson distributions and linear regression models were implemented to assess the associations between early life food ins ecurity and obesity and growth. Early life food insec...
Source: Journal of Immigrant and Minority Health - January 2, 2021 Category: International Medicine & Public Health Source Type: research

An Implementation Science Approach Improves Language Access in the Emergency Department
ConclusionIn this pilot study, we found a statistically significant increase in the met need for language assistance. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - January 2, 2021 Category: International Medicine & Public Health Source Type: research

Depression Mediates Association Between Perceived Ethnic Discrimination and Elevated Blood Glucose Levels Among Sub-Saharan African Migrants in Australia
AbstractDepression and perceived ethnic discrimination (PED) are both implicated in type 2 diabetes mellitus (T2DM) risk in some migrant populations. The role of these factors remains understudied in sub-Saharan African migrants, who comprise a significant at-risk group for T2DM in Australia. To assess interactions between PED, depression scores and elevated blood glucose levels among sub-Sahara African immigrants in North-Eastern Australia. Face to face surveys were used to assess PED and depressive tendencies in a purposive sample of 170 adults (aged ≥18 year). Fasting blood glucose levels (FBGL) were measured at...
Source: Journal of Immigrant and Minority Health - January 1, 2021 Category: International Medicine & Public Health Source Type: research

An Exploration of the Relationship Between Diabetes and Depression Among Immigrants in the United States
This study  examines the relationship between diabetes and depression among immigrants using the 2006–2015 National Health Interview Survey (NHIS). We find a correlation between having diabetes and depression among foreign-born individuals. Being a woman, poor, and from specific regions in Latin America are associated with a higher odds of comorbid diabetes and depression. Out of the individuals with both diabetes and depression, the burden of both conditions seems to be concentrated among foreign-born individuals from Mexico, Central America, and the Caribbean. We find a correlation between having d iabete...
Source: Journal of Immigrant and Minority Health - January 1, 2021 Category: International Medicine & Public Health Source Type: research

Estimating and Explaining the Prevalence of Tuberculosis for Asylum Seekers Upon Their Arrival in Germany
AbstractUp until recently incidences of tuberculosis (TB) had been declining for many years in Germany. The rise in TB cases coincided with a large increase in the number of people applying for asylum. We combine data from various sources to estimate the at-entry prevalence of TB for asylum seekers from 18 countries of origin and rely on survey data to explain the varying risk of suffering from TB. Our results reveal that asylum seekers from Eastern Africa show a much higher risk of suffering from TB than asylum seekers from Afghanistan, Syria, or Iraq. The survey data suggests that asylum seekers from Africa were by far m...
Source: Journal of Immigrant and Minority Health - December 23, 2020 Category: International Medicine & Public Health Source Type: research

The Pregnancy Outcomes Among Newly Arrived Asylum-Seekers in Italy: Implications of Public Health
We examined the following pregnancy outcomes: miscarriage, self-induced abortion, voluntary pregnancy termination, live-birth; and studied potentially related socio-demographic factors.ResultsOut of the 110 pregnant women living in the reception centers, 44 (40%) had eutocic delivery, 8 (7.3%) dystocic delivery, 15 (13.6%) miscarriage, 17 (15.5%) self-induced abortion and 26 (23.6%) underwent voluntary pregnancy termination. Nigerian women were at a significantly higher risk of abortive outcomes for voluntary pregnancy termination (p 
Source: Journal of Immigrant and Minority Health - December 5, 2020 Category: International Medicine & Public Health Source Type: research

Depression and Health Self-perception: Associations Within the Isolated Mennonite Population in South Brazil
AbstractThe Mennonite population suffered several bottlenecks due to religious/political persecution, increasing the frequency of diseases with a strong genetic component. We evaluated health self-perception in 430 Mennonites from South Brazilian settlements (two rural, one urban), along with life habits, xenobiotic exposure, and chronic ilnesses, using a modified version of the 2013 Brazilian National Health Survey and eight psychometric tests (applied in 2016 –2018). Mennonites from rural settlements considered their health worse (P 
Source: Journal of Immigrant and Minority Health - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Pathways Linking School-Based Ethnic Discrimination to Latino/a Adolescents ’ Marijuana Approval and Use
AbstractLatino/a adolescents are a growing part of U.S. public high schools, and many experience stressors related to their ethnicity within their schools that can contribute to risky behaviors such as drug use. Marijuana remains the most common illicit drug that Latino/a adolescents use. Using a sample of 121 Latino/a 9th grade students, the current study examined pathways linking perceived peer- and educator-perpetrated ethnic discrimination with marijuana approval and use. Findings revealed that perceived peer-perpetrated ethnic discrimination was linked with lower school belonging (βapproval model = &thinsp...
Source: Journal of Immigrant and Minority Health - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Association of Cancer History and Health Care Utilization Among Female Immigrants Using NHANES 2007 –2016 Data
DiscussionAn outpatient doctor ’s visit for adult female immigrant cancer survivors would provide an opportunity for essential preventive health services. They must be educated about the importance of ongoing outpatient care for cancer surveillance and health maintenance. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - November 23, 2020 Category: International Medicine & Public Health Source Type: research

What Role Can Trained Volunteers Add to Chronic Disease Care of Immigrants?
AbstractTo help primary care teams improve patient-centered care, we elicited health and life goals of immigrants with a chronic disease. We conducted an exploratory study of the (1) acceptability of home visits by volunteers to collect health information and (2) content of health and life goals within a primary care program for immigrants with chronic disease. Pairs of trained community volunteers visited 23 patients in their homes and asked them to identify three life goals and three health goals. We conducted content analyses of written notes. Health goals were related to disease prevention and symptom control, family w...
Source: Journal of Immigrant and Minority Health - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Efficacy of Psychological Interventions on Depression Anxiety and Somatization in Migrants: A Meta-analysis
AbstractMany studies reveal the effectiveness of different psychological interventions on the adult refugees reporting mental health distress. Aim of this metanalysis was to test the efficacy of different psychological treatments on the depressive, anxiety and somatization symptoms on refugees and asylum seekers. Fifty-two studies, since 1997 to 2019, were included in the systematic review and 27 of those were included in the metanalysis. Studies providing a pre and post treatment methodological design were included. All treatments reported significant effects on the three outcomes. Qualitative observations showed a probab...
Source: Journal of Immigrant and Minority Health - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Immigrant Children ’s Proficiency in the Host Country Language is More Important than Individual, Family and Peer Characteristics in Predicting Their Psychological Well-Being
AbstractImmigrant children are exposed to high levels of psychological distress, leading to an increased risk of mental and physical health problems. In the present study we investigated the impact of first and second generation immigrant children ’s proficiency in the host country language on their psychological well-being one year later. The effects of gender, family SES, and classmates’ characteristics were also examined. A structural equation model was tested on 2334 immigrant children in a representative sample of 561 Italian primar y schools taking measurement errors into account. Children’s la...
Source: Journal of Immigrant and Minority Health - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Factors Associated with Buying Medications Abroad by Nativity and Race/Ethnicity in the US
AbstractGrowing costs of prescription medication are leading to increased purchases of prescriptions abroad. Yet there is a research gap of factors associated with this practice by nativity and race/ethnicity. We analyzed the 2017 National Health Interview Survey (n = 26,488). The outcome was whether the respondent purchased prescription medications from another country to save money in the past 12 months. Predictors were drawn from Andersen ’s healthcare utilization model. We used logistic regression models to examine factors associated with purchases by nativity and race/ethnicity. Foreign-born and Hispanic respond...
Source: Journal of Immigrant and Minority Health - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Prevalence of Overweight and Obesity in US-Bound Refugees: 2009 –2017
AbstractRefugees are an often  understudied population and vulnerable to poor health outcomes. No large-scale analyses have evaluated the prevalence of overweight and obesity in US-bound refugees. Using data obtained from the Centers for Disease Control (CDC) Electronic Disease Notification system, we quantified the prevalence of overweight and obesity in adult US-bound refugees by nationality from 2009 through 2017. This repeated cross-sectional analysis used CDC data to quantify and examine body mass index (BMI) trends in US-bound adult refugees during 2009–2017. Utilizing data from an overseas medical ex...
Source: Journal of Immigrant and Minority Health - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Social Capital Matters for Older Bhutanese Refugees ’ Integration
This study’s aim is to examine the effect of social capital and age on integration for Bhutanese refugees living in the United States. A cross-sectional moderated multiple linear regression analysis examined the effect of social capital and age on integration outcomes for 244 Bhutanese refugees in the United States. Higher social capital may contribute to higher levels of integration for older adult Bhutanese refugees’ integration. These findings bring recommendations for policy and practice, including more targeted rese ttlement programs for older refugees. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Mechanisms Explaining the Relationship Between Maternal Torture Exposure and Youth Adjustment In Resettled Refugees: A Pilot Examination of Generational Trauma Through Moderated Mediation
AbstractThe intergenerational effects of trauma resulting from torture and war are complex and multi-faceted and have important implications for the family system. The current study aimed to identify key relationships between refugee maternal caregiver exposure to torture, mental health, and physical health with maternal-reported youth adjustment. Ninety-six Karen maternal caregivers originating from Burma and resettled in the United States participated in a cross-sectional, explanatory mixed methods study. Maternal mental health distress was found to mediate the relationship betweenmaternal torture experiences and youth a...
Source: Journal of Immigrant and Minority Health - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Cross-Sectional Survey of Two Community-Based Health Fairs: Demographics, Healthcare Attitudes, and Hepatitis B
We report the demographic make-up, healthcare attitudes, and HBV-related health histories of event attendees in Nassau and Suffolk Counties. Participants in Nassau County generally had more access to healthcare (97.1% vs 74.1% insured, 91.4% vs. 63.0% annual physician visit) and more familiarity with HBV screening (57.1% vs 17.2% history of HBV screening, 42.9% vs 3.9% physician recommendation for HBV screening). AAPI are a heterogenous population. Communities in close proximity may be demographically distinct and efforts to screen for HBV should be tailored to individual communities. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Experiences of Advanced Breast Cancer Among Latina Immigrants: A Qualitative Pilot Study
AbstractTo explore the experiences of Latina immigrants with advanced breast cancer and their support networks. We conducted semi-structured interviews with low-income Latina immigrants with advanced breast cancer and their support networks (informal caregivers, physicians, and complementary medicine (CM) practitioners). Patient interviews explored patients ’ illness experience and end of life (EOL) concerns. Support network member interviews focused on the relationship of the interviewee with the patient and EOL conversations. Six authors independently coded transcripts and jointly conducted qualitative thematic ana...
Source: Journal of Immigrant and Minority Health - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Use of Traditional Chinese Herbal Medicine Concurrently with Conventional Cancer Treatment Among Chinese Cancer Patients
This study highlights the urgent need for the development of interventions to assist providers and patients in improving communication around this important topic. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Nutritional Status and Obstacles to Healthy Eating Among Refugees in Geneva
AbstractRefugees face various nutritional challenges during and after migration. This cross-sectional, mixed-methods study seeks to investigate the prevalence of undernutrition and obesity among refugees in Geneva, and to identify barriers to healthy eating. Anthropometric measurements of 354 adult refugees were collected between 2017 and 2019 by trained nurses and dietitians. Seven focus group discussions totaling 51 participants, refugees and social workers, investigated conceptions and needs regarding diet. The mean Body Mass Index is 24.6  ± 4.8 kg/m2. Women are disproportionately affected by obes...
Source: Journal of Immigrant and Minority Health - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Cervical Cancer Screening Among Immigrant and Refugee Women: Scoping-Review and Directions for Future Research
AbstractThe purpose of this study is to explore existing research on determinants of cervical cancer screening among immigrants and refugees in the U.S. A scoping review was conducted on 77 studies targeting immigrant and/or refugee women in the U.S., investigating factors related to cervical cancer screening. Sixty-three percent of studies were conducted in the past ten years, and included 122,345 women. Studies predominately explored knowledge, beliefs and barriers related to cervical cancer and screening. Common beliefs included fear of cancer, treatment and death. Participants perceived pap smears to be associated with...
Source: Journal of Immigrant and Minority Health - November 23, 2020 Category: International Medicine & Public Health Source Type: research

The Relationship Between Immigration Status and Chronic Kidney Disease Risk Factors in Immigrants and US-Born Adults
AbstractTo understand the relationship between nativity and measures of kidney function including estimated glomerular filtration rate (eGFR) and albumin-to-creatinine ratio (ACR). Seven waves of data from the National Health and Nutrition Examination Survey (2001 –2014) was analyzed. General linear regression methods were used to assess the relationship between eGFR, ACR and nativity (foreign-born vs. US-born). Models were adjusted for length of time in the US, demographic variables, comorbidities, lifestyle factors, and access to healthcare. There were 27 ,111 individuals representing 217,842,257 US adults included...
Source: Journal of Immigrant and Minority Health - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Beyond Occupational Hazards: Abuse of Day Laborers and Health
AbstractWith the increase in labor market flexibility and worksite immigration enforcement, day labor is a common type of informal employment arrangement among immigrants. Our study contextualized day laborers ’ physical and mental health within work- and community-level factors. We use a nationally representative sample of 2015 day laborers from the National Day Labor Survey. Multivariable logistic regression models estimated the association of occupational and socioenvironmental abuses with self-rated health (SRH), a positive PHQ-2 screening, morbidities, and workplace injuries. Employer abuse was associated with f...
Source: Journal of Immigrant and Minority Health - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Evaluating the Relationship Between Post Traumatic Stress Disorder Symptoms and Psychological Resilience in a Sample of Turkoman Refugees in Turkey
In this study, 101 Iraqi Turkoman refugees who migrated to Turkey following the increasing civil war events in their country were evaluated psychologically. Sociodemographic data form Resilience Scale for Adults (RSA) and Clinician-Administered Post-Traumatic Stress Disorder Scale (CAPS) were used for psychological evaluation. The prevalence of lifetime post-traumatic stress disorder (PTSD) among the refugees was 25.7%. There was no significant difference between the psychological resilience of the patients who developed PTSD and those who did not (p  = 0.709). As the severity of trauma decreased, psychologic...
Source: Journal of Immigrant and Minority Health - November 22, 2020 Category: International Medicine & Public Health Source Type: research

Assessing HIV Care Outcomes Among African-Born People Living with HIV in Seattle: An Analysis of the University of Washington Electronic Medical Record
AbstractTo examine the relationship between African birth and HIV outcomes and comorbidities among individuals accessing care at the University of Washington. Patients who received a diagnosis of HIV at the University of Washington from 1995 to 2018 were identified. African-born patients were defined as those with recorded birthplace or primary language belonging to an African country. This cohort was compared to all non-African-born patients for initial CD4 count
Source: Journal of Immigrant and Minority Health - November 18, 2020 Category: International Medicine & Public Health Source Type: research

Health Literacy Within a Diverse Community-Based Cohort: The Multi-Ethnic Study of Atherosclerosis
DiscussionWithin MESA limited health literacy was common, particularly among Chinese and Hispanic participants, with some of the variance explained by differences in acculturation. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - November 18, 2020 Category: International Medicine & Public Health Source Type: research

Acknowledging Reviewers of 2020
(Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - November 17, 2020 Category: International Medicine & Public Health Source Type: research

Understanding the Pap Testing Behaviors of African Immigrant Women in Developed Countries: A Systematic Review
ConclusionsHealthcare providers and social determinants-particularly income and healthcare access, play an important role in improving Pap testing among AI women. Larger qualitative and mixed methods studies are needed to explore other important determinants of Pap testing such as disease knowledge, self-efficacy, health literacy to reduce the burden of cervical cancer among AI women. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - November 9, 2020 Category: International Medicine & Public Health Source Type: research

Effectiveness of Respondent-Driven Sampling for Conducting Health Studies Among Undocumented Immigrants at a Time of Heightened Immigration Enforcement
AbstractThis paper assessed the effectiveness of Respondent Driven Sampling (RDS) in recruiting undocumented Latinx immigrants for a prevalence health study at a time of heightened immigration enforcement. RDS was used to collect and analyze data from clinical interviews with 254 undocumented Latinx immigrant adults, enabling inference to a population of 22,000. 45% of the sample reported having a chronic medical condition. The desired sample size was achieved and exceeded with three initial recruits and 10 waves of recruitment across 9  weeks. There was substantial cross-group mixing for recruitment in terms of sex a...
Source: Journal of Immigrant and Minority Health - November 2, 2020 Category: International Medicine & Public Health Source Type: research

The Hispanic/Latinx Perinatal Paradox in the United States: A Scoping Review and Recommendations to Guide Future Research
AbstractFor decades, epidemiologists have documented a health advantage among Hispanic/Latinx individuals who live in the United States, despite their significant socioeconomic barriers. This observation is often described as the “Hispanic paradox.” In this scoping review, we aimed to summarize literature published on Hispanic/Latinx perinatal outcomes over the past two decades and place these findings within the context of the overarching “Healthy Immigrant” paradox. Studies were eligible for inclusion if they utili zed large population datasets to describe rates of preterm birth, low birth weight ...
Source: Journal of Immigrant and Minority Health - October 31, 2020 Category: International Medicine & Public Health Source Type: research

“En la Lucha”: Strategies to Improve HIV Care for Puerto Ricans with Opioids Use Disorders
This article describes the barriers and trajectories to HIV viral suppression for Puerto Ricans with a transnational profile and dual diagnoses (HIV and OUD), and the strategies applied to increase retention in care.MethodsCase study methodology was used to select two patient life histories that illustrate the most common pathways to success in reducing HIV viral load to undetectable and achieving OUD long-term recovery.Results and DiscussionPatients ’ major challenges included: (1) Persistent migrating while seeking substance use treatment services with limited or no support from their sending and hosting communitie...
Source: Journal of Immigrant and Minority Health - October 30, 2020 Category: International Medicine & Public Health Source Type: research

Parent Cultural Stress and Internalizing Problems in Latinx Preschoolers: Moderation by Maternal Involvement and Positive Verbalizations
AbstractParent cultural stress has a pervasive and significant impact on family functioning and increases risk for socioemotional problems among Latinx children. Identifying factors that can protect against the negative influence of cultural stressors and enhance the developmental trajectories of Latinx children early in life is key as these children experience disproportionate risk for psychosocial adversity and internalizing mental health problems. The present study evaluated the effect of maternal cultural stress on young children ´s internalizing problems, and the moderating role of maternal parenting behaviors. ...
Source: Journal of Immigrant and Minority Health - October 27, 2020 Category: International Medicine & Public Health Source Type: research

Infant mortality among Arabic-speakers in Quebec, Canada, 1989 –2017
DiscussionArabic-speakers in Quebec have a lower risk of infant mortality than French and English-speakers, but increasing infant mortality among Arabic-speakers is narrowing the gap. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - October 24, 2020 Category: International Medicine & Public Health Source Type: research

Correction to: Mental Health in Immigrant Children and Adolescents in Northern Chile
The original version of this article unfortunately contained an error in article title. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - October 24, 2020 Category: International Medicine & Public Health Source Type: research

Patterns of Primary Care Use Among Young Adult Refugees Resettled in Colorado
AbstractLittle is known about the prevalence of young adult refugees ’ primary care use following resettlement in Colorado. Among a sample of Bhutanese and Burmese young adult refugees resettled in Colorado, proportions with a primary care provider (PCP), physical exam in the last 12 months, and knowledge to make an appointment were calculated across 4 years and compared within the refugee population by demographics using Pearson’s Chi-Squared tests and compared to older refugees and to the general population using two-tailed tests of proportions. Greater than 70% of young adult refugees reported a ph...
Source: Journal of Immigrant and Minority Health - October 23, 2020 Category: International Medicine & Public Health Source Type: research

Intersectional Disparities Among Hispanic Groups in COVID-19 Outcomes
AbstractPrevious geographically limited studies have shown differential impact of COVID-19 on Hispanic individuals. Data were obtained from the Centers for Disease Control and Prevention. We performed multivariate Poisson regression assessing risk of hospitalization and death in Hispanic White (HW), Hispanic Black (HB), and Hispanic Multiracial/Other (HM) groups compared to non-Hispanic Whites (NHW). The relative risk of hospitalization was 1.35, 1.58, and 1.50 (p  
Source: Journal of Immigrant and Minority Health - October 22, 2020 Category: International Medicine & Public Health Source Type: research

Challenges in Founding and Developing Medical School Student-Run Asylum Clinics
This study aims to identify the common challenges in building SRACs and to collect insights to inform a structured approach to collaborative problem-solving. This study gathered data from online surveys and semi-structured phone interviews with representative medical student SRAC leaders. 14 clinics participated in the 2017 online survey, 15 clinics in the 2018 online survey, and eight clinics in the 2018 –2019 phone interviews. We identified common challenges in five areas: volunteer recruitment, clinic operations, case demand, institutional support, and leadership. SRACs stand to benefit from ongoing extramural col...
Source: Journal of Immigrant and Minority Health - October 21, 2020 Category: International Medicine & Public Health Source Type: research

Asylum-Seeking Children with Medical Complexity and Rare Diseases in a Tertiary Hospital in Switzerland
AbstractThe aim of this study was to assess the characteristics of asylum-seeking children with medical complexity visiting a tertiary care hospital in Switzerland, detailing their underlying medical conditions and management. Asylum-seeking patients with frequent visits between January 2016 and December 2017 were identified using administrative and electronic health records. Of 462 patients, 19 (4%) fulfilled the inclusion criteria with 811 (45%) visits. The age of the 19 patients ranged from 0 to 16.7  years (median of 7 years) with two main age groups identified:   12 years. Nine (47%) patie...
Source: Journal of Immigrant and Minority Health - October 20, 2020 Category: International Medicine & Public Health Source Type: research

Healthcare-Experience Survey Assessment in the Rhode Island Cambodian Community
AbstractThe Cambodian community is the largest Southeast Asian cultural identity in Rhode Island (RI) with high poverty rates and limited healthcare access. Investigators conducted a cross-sectional observational survey study from 2016 to 2017 on eligible Cambodians to better understand their healthcare experiences. Questions were reviewed by the RI Cambodian Society for cultural sensitivity. 123 surveys were collected; 98 respondents had medical providers. Respondents with providers reported difficulty understanding of their providers (59%) and limited access to medical interpreters (50%). The non-provider group were less...
Source: Journal of Immigrant and Minority Health - October 20, 2020 Category: International Medicine & Public Health Source Type: research

Understanding Opioid Addiction in The Chaldean Community: A Brief Report
(Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - October 19, 2020 Category: International Medicine & Public Health Source Type: research

Potential Impact of COVID-19 on Recently Resettled Refugee Populations in the United States and Canada: Perspectives of Refugee Healthcare Providers
AbstractRecently resettled refugee populations may be at greater risk for exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a virus that causes coronavirus 2019 (COVID-19), and face unique challenges in following recommendations to protect their health. Several factors place resettled refugees at elevated risk for exposure to persons with COVID-19 or increased severity of COVID-19: being more likely to experience poverty and live in crowded housing, being employed in less protected, service-sector jobs, experiencing language and health care access barriers, and having higher rates of co-morbidities....
Source: Journal of Immigrant and Minority Health - October 16, 2020 Category: International Medicine & Public Health Source Type: research