Depression Among Immigrant Nigerians in Canada
AbstractImmigrant status, especially a few years post arrival, is a major risk factor for depression in populations that have been adequately studied. While information on depression among Asian migrants, including those from India, China and Philippines, in Canada have been reported in previous studies, there is inadequate information about depression among Nigerian immigrants who make up the largest percentage of African migrants and black population residing in Canada. A cross-sectional study was conducted among 187 Nigerian immigrants in Canada. Participants completed the Patient Health Questionnaire (PHQ-9). Descripti...
Source: Journal of Immigrant and Minority Health - October 21, 2022 Category: International Medicine & Public Health Source Type: research

Geographic Disparities in Availability of Spanish-Language PrEP Services Among Latino Sexual Minority Men in South Florida
We examined associations between LSMM ’s immigration status and Spanish-language PrEP service availability. LSMM clinically indicated for PrEP were recruited from October 2018 to August 2019 in South Florida and completed an interviewer-administered questionnaire. PrEP service navigators in South Florida were identified using the CD C PrEP Directory. We constructed network service areas of 1-, 2-, and 5-miles from Spanish-speaking PrEP navigators. We used multilevel logistic regression to examine associations of individual (i.e., age, income, immigration status, network density) and zip code-level (i.e., population den...
Source: Journal of Immigrant and Minority Health - October 20, 2022 Category: International Medicine & Public Health Source Type: research

PEARL: A Guide for Developing Community-Engaging and Culturally-Sensitive Education Materials
AbstractCommunity outreach and engagement has been a regular activity of the National Cancer Institute at its designated Cancer Centers. However, in 2016, community outreach and engagement became a required activity for all cancer centers. Yet there is a gap in the literature that provides guidelines for developing materials that resonate with communities. We developed the PEARL rubric to fulfill that gap from our work developing culturally sensitive breast cancer education materials for African American and Immigrant African women. We conducted a targeted literature review to understand the approaches that have been used ...
Source: Journal of Immigrant and Minority Health - October 20, 2022 Category: International Medicine & Public Health Source Type: research

The Predictive Utility of Trauma Subtypes in the Assessment of Mental Health Outcomes for Persons Resettled as Refugees
This study investigated the predictive utility of trauma subtypes in the assessment of refugee mental health. Multiple regression was used to determine whether cumulative trauma or trauma subtypes explained more variance in depression, anxiety, and post-traumatic stress disorder (PTSD) symptom scores in 70 Syrian and Iraqi refugees. Subtype models performed better than cumulative trauma models for PTSD (cumulativeR2 = 0.138; subtypeR2 = 0.32), anxiety (cumulativeR2 = 0.061; subtypeR2 = 0.246), and depression (cumulativeR2 = 0.041; subtypeR2 = 0.184). Victimization was the only subtype significantly ...
Source: Journal of Immigrant and Minority Health - October 19, 2022 Category: International Medicine & Public Health Source Type: research

The Presence and Profile of Neurological Conditions and Associated Psychiatric Comorbidities in U.S. Resettled Refugees: A Retrospective Single Center Study
This study aimed to characterize the frequency and range of neurological disorders in a sample of resettled refugees receiving care at a community health center in Massachusetts, U.S.A. We performed a retrospective medical record review of adult ( ≥ 18 years) resettled refugees between May 2001 and December 2012 at a community health center in Northeast Massachusetts. Sociodemographic and clinical characteristics pertaining to neuropsychiatric health were collected from medical records using a standardized data extraction tool. Group comp arisons between those with and without neurological illness and associated sociod...
Source: Journal of Immigrant and Minority Health - October 17, 2022 Category: International Medicine & Public Health Source Type: research

Language Accommodations for Limited English Proficient Patients in Rural Health Care
AbstractOver 25 million individuals living in America are limited English proficient, many of whom live in rural communities. Adequate language accommodations are critical to providing effective healthcare for these populations. An online questionnaire was delivered to 42 rural facilities in Washington State. It included questions about their demand for language services, modalities of interpretation, translated documentation and barriers to providing accommodations. Fifteen of 42 (35.7%) responded. Spanish, Russian, Vietnamese, Japanese, Ukrainian and Mam were encountered daily. Telephonic and virtual remote interpreter s...
Source: Journal of Immigrant and Minority Health - October 17, 2022 Category: International Medicine & Public Health Source Type: research

Linkage-to-Care Following Community-Based HBV and HCV Screening Among Immigrants from the Washington –Baltimore Metropolitan Area, 2016–2019
AbstractUnderstanding characteristics that impact linkage-to-care (LTC) among individuals living with HBV and/or HCV can enhance public health efforts to provide tailored care services to prevent and treat viral hepatitis among immigrants. Using HBV/HCV screening and LTC data from immigrants (2016 –2019), descriptive and logistic regression analyses were conducted to assess (1) the relationship between LTC and sociodemographic factors and (2) factors associated with HBV/HCV LTC. About 87% of those positive HBsAg had LTC and 52% had LTC among those with HCVAB and confirmed PCR. Access to car e was an important LTC predict...
Source: Journal of Immigrant and Minority Health - August 18, 2022 Category: International Medicine & Public Health Source Type: research

Using Community-Based Participatory Research to Characterize Health and Lifestyle Behaviors of Montagnards, a Refugee-Origin Asian-American Subgroup
AbstractMontagnards, an indigenous multitribal refugee-origin population concentrated in North Carolina, remain an invisible, medically underserved, and socioeconomically underrepresented Asian American sub-group. Yet this group is resilient, with language diversity, rich cultural traditions and family caregiving in multigenerational households. Using community-based participatory research methods, we developed and administered a two-part survey to 144 Montagnard adults, documenting socioeconomic characteristics, health indicators and lifestyle behaviors. Forty-one percent of participants had no formal education, 76% had l...
Source: Journal of Immigrant and Minority Health - August 18, 2022 Category: International Medicine & Public Health Source Type: research

Fitting Health Care to People: Understanding and Adapting to the Epidemiology and Health Literacy of People Affected by Viral Hepatitis from Culturally and Linguistically Diverse Migrant Backgrounds
This study explored the epidemiology and health literacy of people affected by viral hepatitis (VH) from migrant culturally and linguistically diverse (CALD) backgrounds attending a community-based general practitioner and specialty hepatology shared-care (HEPREACH) clinic in Brisbane, Australia. Patient-reported data on health literacy and clinical information from adult patients (n  = 66) of CALD background recruited from the liver clinic were analyzed. Health literacy was assessed using a 5-question, 12-point scale. Variance weighted multiple linear regression was used to identify factors associated with knowledge a...
Source: Journal of Immigrant and Minority Health - August 18, 2022 Category: International Medicine & Public Health Source Type: research

Assessing Knowledge and Experience of Integrated Behavioral Health among Patients with Limited English Proficiency at a Diverse, Urban Federally Qualified Health Center
This study investigates whether co-located IBH impacts knowledge and experiences of behavioral healthcare, particularly for individuals with limited English proficiency (LEP). 330 patients were recruited from the waiting rooms of a federally qualified health center to answer multiple-choice and Likert scale questions about behavioral healthcare. English-speaking patients were more confident in their knowledge of IBH (X2(1)  = 4.79, p = .03) and external behavioral healthcare (X2(1)  = 28.75, p <  .001). On average, the 77 patients who accessed IBH believed that IBH appointments had a positive impact (Lik...
Source: Journal of Immigrant and Minority Health - August 18, 2022 Category: International Medicine & Public Health Source Type: research

Examining the Potential Effect of a Salt Sensitivity Biomarker in Korean American Immigrants: A Pilot Study
Conclusions: Further studies are warranted to test the effect of a reduced sodium diet on BP while accounting for the moderating influence of an SS genotype. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - August 18, 2022 Category: International Medicine & Public Health Source Type: research

The Burden of and Factors Associated with Age-Related Eye Diseases in Arab American Adults
AbstractTo estimate the age- and sex-adjusted proportions of cataract, diabetic retinopathy, glaucoma, and macular degeneration among the Arab American community, a notably understudied minority that is aggregated under whites. The Arab American Eye Study is a multicenter retrospective chart review involving 10 years of electronic medical records (1/1/2010 through 1/1/2020). The study sample included 1390 Arab Americans and 4950 whites 45  years of age and older, totaling 6340 subjects. Arab Americans were identified using an Arab American name algorithm. Subjects with race variables other than white or Arab American or t...
Source: Journal of Immigrant and Minority Health - August 18, 2022 Category: International Medicine & Public Health Source Type: research

The Role of Ethnicity and Nativity in the Correspondence between Subjective and Objective Measures of In-Home Smoking
AbstractStudies are needed to understand the association between self-reported home smoking bans and objective measures of in-home smoking according to smokers ’ ethnicity/nativity. Data came from a trial that used air particle monitors to reduce children’s secondhand smoke exposure in smokers’ households (N = 251). Linear regressions modeled (a) full home smoking bans by ethnicity/nativity, and (b) objectively measured in-home smoking events, pr edicted by main and interaction effects of self-reported home smoking bans and ethnicity/nativity. Among smokers reporting <  a full ban, US-born and Foreign-born...
Source: Journal of Immigrant and Minority Health - August 18, 2022 Category: International Medicine & Public Health Source Type: research

Migrants on the Move and Food (In)security: A Call for Research
AbstractFood insecurity contributes to negative outcomes for health and wellbeing, and its impact may be exacerbated during periods of vulnerability. While food insecurity is both a driver and a consequence of migration, anecdotal evidence indicates that it is also common during migration when people are ‘on the move’, although its prevalence and severity during these periods are largely undocumented. Food security monitoring is critical to ensuring the universal right to food for migrants, and instruments must be designed which capture the unique challenges faced during these ‘extra-ordinary’ periods of mobility, ...
Source: Journal of Immigrant and Minority Health - August 18, 2022 Category: International Medicine & Public Health Source Type: research

Changes in Self-management During the COVID-19 Pandemic Among Adults with Type 2 Diabetes at a Federally Qualified Health Center
AbstractThe COVID-19 pandemic affected how adults with diabetes perform self-management, and impacts may be greater among vulnerable populations. We assessed the impact of the pandemic on diabetes self-management among adults with type 2 diabetes at a Federally Qualified Health Center. Participants were surveyed by phone in Spanish and English from July to October of 2020. Most respondents (74%) were Latino and preferred to speak Spanish, with mean age of 54  years and mean HbA1c of 9.2%. Fifty-three percent reported less physical activity during the pandemic. While 43% had more difficulty obtaining healthy food, 38% repo...
Source: Journal of Immigrant and Minority Health - August 18, 2022 Category: International Medicine & Public Health Source Type: research