Maternal Postpartum Depression Screening and Referral in a Latinx Immigrant Population: A Quality Improvement Study
AbstractPostpartum depression (PPD) is the most underdiagnosed obstetric complication in the United States. Left undiagnosed and untreated, PPD can have lasting effects on the infant and the mother. A quality improvement project was conducted to improve rates of screening and referrals with postpartum Latinx immigrant mothers. Community health workers were designated to assist with PPD screening and referral for behavioral health services, at a pediatric patient-centered medical home, using a referral process algorithm (Byatt, N., Biebel, K.& Straus, J. Postpartum Depression Screening Algorithm for Pediatric Providers ...
Source: Journal of Immigrant and Minority Health - June 10, 2023 Category: International Medicine & Public Health Source Type: research

Social Risk of Pregnant Women at a Community Health Center: An Application of the PRAPARE Assessment Tool
AbstractCommunity health centers (CHCs) screen patients for social determinants of health (SDoH). The study ’s purpose was to assess the relationship between demographic factors and unmet social needs (SDoH risk) among pregnant mothers. Patient data from 345 pregnant women between January 2019-December 2020 assessed SDoH risk, using the Protocol for Responding to and Assessing Patients’ Assets, Risks , and Experiences (PRAPARE) tool. Chi-square analyses explored relationships between social needs and demographic factors, and a multivariate logistic regression examined associations between these variables controlling f...
Source: Journal of Immigrant and Minority Health - June 7, 2023 Category: International Medicine & Public Health Source Type: research

Innovative Approaches to Improve COVID-19 Case Investigation and Contact Tracing Among Refugees, Immigrants, and Migrants: Lessons Learned from a Newly Established National Resource Center
AbstractEffective COVID-19 case investigation and contact tracing (CICT) among refugee, immigrant, and migrant (RIM) communities requires innovative approaches to address linguistic, cultural and community specific preferences. The National Resource Center for Refugees, Immigrants, and Migrants (NRC-RIM) is a CDC-funded initiative to support state and local health departments with COVID-19 response among RIM communities, including CICT. This note from the field will describe NRC-RIM and initial outcomes and lessons learned, including the use of human-centered design to develop health messaging around COVID-19 CICT; trainin...
Source: Journal of Immigrant and Minority Health - June 7, 2023 Category: International Medicine & Public Health Source Type: research

Postpartum Expansion of Emergency Medicaid is Associated with Increased Receipt of Recommended Glycemic Screening and Care
AbstractOregon expanded Emergency Medicaid coverage to 60  days of postpartum care in 2018, facilitating ongoing care for conditions such as gestational diabetes. We linked Medicaid claims and birth certificates from 2010 to 2019 in Oregon and South Carolina, which did not expand postpartum care. We used a difference-in-difference design to measure the ef fects of postpartum care coverage among Emergency Medicaid recipients with gestational diabetes. Primary outcomes were receipt of recommended glucose tolerance testing and new diagnosis of Type 2 diabetes. Our sample included 2,270 live births among a predominantly...
Source: Journal of Immigrant and Minority Health - June 6, 2023 Category: International Medicine & Public Health Source Type: research

Evaluation of a Community COVID-19 Vaccine Ambassador Train-the-Trainer Program
AbstractRacially minoritized groups are more likely to experience COVID-19 vaccine hesitancy and have lower vaccination rates.   As part of a multi-phase community-engaged project, we developed a train-the-trainer program in response to a needs assessment. “Community vaccine ambassadors” were trained to address COVID-19 vaccine hesitancy. We evaluated the program’s feasibility, acceptability, and impact on participan t confidence for COVID-19 vaccination conversations. Of the 33 ambassadors trained, 78.8% completed the initial evaluation; nearly all reported gaining knowledge (96.8%) and reported a high confidence w...
Source: Journal of Immigrant and Minority Health - June 5, 2023 Category: International Medicine & Public Health Source Type: research

DACA Recipient Health Care Workers ’ Barriers to Professionalization and Deployment of Navigational Capital in Pursuit of Health Equity for Immigrants
We report findings from a mixed-method (interview and questionnaire) study of 30 DACA recipients in Maryland. Nearly half of participants (14; 47%) worked in health care and social service fields. The longitudinal design featured three research phases conducted between 2016 and 2021, which enabled us to observe participants ’ evolving career trajectories and capture their experiences during a tumultuous period (due to the DACA rescission and COVID-19 pandemic). Using a community cultural wealth (CCW) framework, we present three case studies that demonstrate challenges recipients encountered as they embarked on health -re...
Source: Journal of Immigrant and Minority Health - June 5, 2023 Category: International Medicine & Public Health Source Type: research

Changes in Acute ED Visits by Race/Ethnicity During the Early COVID-19 Pandemic
This study used 2018 –2020 ED visit data from the largest safety net hospital in Los Angeles County to estimate ED visit differences for cardiac emergencies, diabetic complications, and strokes, during the first societal lockdown among Black and Hispanic patients using time series analyses. Emergency department visits were lower than the expected levels during the first societal lockdown. However, after the lockdown ended, Black patients experienced a rebound in ED visits while visits for Hispanics remained depressed. Future research could identify barriers Hispanics experienced that contributed to prolonged ED avoidance...
Source: Journal of Immigrant and Minority Health - June 3, 2023 Category: International Medicine & Public Health Source Type: research

A Scoping Review of Cancer Interventions with Arab Americans
AbstractThis scoping review provides an overview of cancer interventions implemented with Arab Americans across the cancer control continuum, including an examination of outcomes and implementation processes. The search strategy included database searching  and reviewing reference lists and forward citations to identify articles describing interventions with Arab adults living in the US, with no restrictions on date of publication or research methodology. The review included 23 papers describing 12 unique cancer interventions. Most interventions focu sed on individual-level determinants of breast and cervical cancer scree...
Source: Journal of Immigrant and Minority Health - June 2, 2023 Category: International Medicine & Public Health Source Type: research

Correlates of Stigma Toward Mental Health Service Use Among Filipino Americans and Korean Americans
This study highlights the significance of subgroup specific interventions to be effective in addressing unmet mental care needs in distinct subgroups of Asian Americans. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - June 1, 2023 Category: International Medicine & Public Health Source Type: research

Association of Area-Based Socioeconomic Measures with Tuberculosis Incidence in California
AbstractWe assessed the association of area-based socio-economic status (SES) measures with tuberculosis (TB) incidence in California. We used TB disease data for 2012 –2016 (n = 9901), population estimates, and SES measures to calculate incidence rates, rate ratios, and 95% confidence intervals (95% CI) by SES and birth country. SES was measured by census tract and was categorized by quartiles for education, crowding, and the California Healthy Places Index (HPI)and by specific cutoffs for poverty. The lowest SES areas defined by education, crowding, poverty, and HPI had 39%, 40%, 41%, and 33% of TB cases respective...
Source: Journal of Immigrant and Minority Health - May 26, 2023 Category: International Medicine & Public Health Source Type: research

Modifiable Risk Factors for Dementia Among Migrants, Refugees and Asylum Seekers in Australia: A Systematic Review
AbstractWhile the prevalence of non-communicable disease risk factors is understood to be higher among migrants than for people born in host nations, little is known about the dementia risk profile of migrants, refugees and asylum seekers. This systematic review examines published literature to understand what is currently reported about 12 identified modifiable risk factors for dementia among migrants, refugees, and asylum seekers residing in Australia. Three literature databases (PubMed/CINAHL/MEDLINE) were systematically searched to find articles reporting excessive alcohol consumption, traumatic brain injury, air pollu...
Source: Journal of Immigrant and Minority Health - May 26, 2023 Category: International Medicine & Public Health Source Type: research

Psychiatric Admission Among Migrants Before and During Pandemic: a Retrospective Study in Acute Psychiatric Ward in Bologna, Italy
AbstractPrevious evidence showed significant discrepancies in psychiatric services utilization between migrants and reference populations. Our study aims were to evaluate incidence and characteristics of psychiatric hospitalizations of migrant patients compared with reference populations and to assess how the COVID-19 pandemic affected admissions. All patients admitted to the psychiatric ward"SPDC-Malpighi" of the Bologna Mental Health Department from 01/01/2018 to 31/12/2020 were included. Differences in sociodemographic and clinical characteristics were tested by migrant status. Incidence rate ratios of hospita...
Source: Journal of Immigrant and Minority Health - May 26, 2023 Category: International Medicine & Public Health Source Type: research

Single-Centre Retrospective Cohort Study of Demographic Characteristics and Perinatal Outcomes in Pregnant Refugee Patients in Toronto, Canada
AbstractPregnant refugee patients are especially vulnerable to adverse perinatal outcomes. Detailed characterization of this heterogenous population will identify risk factors and thus guide contextualized initiatives for improved patient care. A retrospective cohort study of obstetrical refugee patients at a tertiary-care hospital in Toronto, Ontario. Of 196 pregnant refugees, 48% were fluent English speaking, 57% had poor social support, and 42% lived in a shelter. Eighty-seven percent started prenatal care after the first trimester, which was associated with delivery of a large-for-gestational-age infant (p = 0.043)...
Source: Journal of Immigrant and Minority Health - May 26, 2023 Category: International Medicine & Public Health Source Type: research

Evaluation of Perinatal and Neonatal Outcomes of Syrian Refugees Compared to Turkish Population: A Snapshot During the COVID-19 Pandemic
Conclusion: Despite poorer antenatal care during the COVID-19 pandemic, Syrian refugee pregnant women had similar perinatal and neonatal outcomes compared with the Turkish pregnant population. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - May 26, 2023 Category: International Medicine & Public Health Source Type: research

Cardiovascular Risk Factors Among Asian Americans: Perspectives on the Role of Acculturation in Cardiovascular Diseases Health Disparities
AbstractThe growing prevalence of cardiovascular diseases in the United States (US) has disproportionately affected minority populations more than their white counterparts. A population that is often overlooked is the Asian American population, particularly Southeastern Asian immigrants. Despite having relatively favorable socioeconomic indicators compared to the general US population, Asian Americans, specifically Southeast Asian individuals, face a significant burden of traditional cardiovascular risk factors and are considered a high cardiovascular disease risk group. In addition, most studies have aggregated Asian popu...
Source: Journal of Immigrant and Minority Health - May 24, 2023 Category: International Medicine & Public Health Source Type: research