Journal of Migration and Health最新文献

{"title":"Development and validation of a psychosocial adaptation scale for migrant women (PAS-MW)","authors":"Patricia Silva ,&nbsp;Henrique Pereira","doi":"10.1016/j.jmh.2025.100348","DOIUrl":"10.1016/j.jmh.2025.100348","url":null,"abstract":"<div><div>This study aimed to develop and validate a self-report scale to measure the psychosocial adaptation of migrant women, integrating dimensions of psychological and sociocultural adaptation. After a literature review and focus group with migrant women, the Psychosocial Adaptation Scale for Migrant Women (PAS-MW) with 22 items was developed. For the validation, we conducted (I) the evaluation of internal consistency, sensitivity, difficulty, and reliability of the items, (II) exploratory factor analysis, (III) analysis of construct validity (convergent, discriminant, comparison between known groups and correlations), and (IV) predictive criterion validity. Factor analysis identified two most significant factors, representing components of psychological adaptation (Factor 1) and sociocultural adaptation (Factor 2). The final scale showed great internal consistency (α = 0.87, ω = 0.875, KMO = 0.850, and Bartlett's significant). The construct and criterion validity were significant and consistent with the previous theory. The PAS-MW offers a specific instrument for assessing the psychosocial adaptation process of migrant women. Future studies could explore the application in diverse cultural contexts and compare its results between different groups of migrant women.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"12 ","pages":"Article 100348"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144737997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial support for Arabic-speaking refugees residing in Switzerland (Sui app): A mixed-methods randomised controlled trial","authors":"Rilana T Stoeckli ,&nbsp;Viktoria Zoellner ,&nbsp;Farhad Haji ,&nbsp;Monia Aebersold ,&nbsp;Sebastian Burchert ,&nbsp;Jessica Wabiszczewicz ,&nbsp;Christine Knaevelsrud ,&nbsp;Eva Heim ,&nbsp;Thomas Berger","doi":"10.1016/j.jmh.2025.100379","DOIUrl":"10.1016/j.jmh.2025.100379","url":null,"abstract":"<div><h3>Introduction</h3><div>Refugees’ quality of life (QOL) is significantly impacted by the challenging post-migration context. Digital mental health and psychosocial support (MHPSS) services offer scalable, culturally adaptable solutions. This study evaluates the Sui app, co-developed with Arabic-speaking refugees in Switzerland to address barriers to mental healthcare and promote psychosocial well-being.</div></div><div><h3>Methods</h3><div>A mixed-methods randomised controlled trial assessed the app’s impact on QOL and mental health outcomes among Arabic-speaking refugees. Participants were randomised (2:2:1) into app-only (Sui, <em>n</em> = 68), app with peer support (Sui+, <em>n</em> = 68), or waitlist (WL, <em>n</em> = 34). The primary outcome was QOL (WHOQOL-BREF), secondary outcomes included mental health indicators (e.g., depressive, anxiety, post-traumatic stress and somatic symptoms). Quantitative data were collected at baseline, post (8 weeks), and follow-up (16 weeks). Semi-structured interviews explored user experiences. Ethical approval was obtained, and all participants gave informed consent.</div></div><div><h3>Results</h3><div>Intention-to-treat analyses (<em>N</em> = 170) using linear mixed-effects models revealed no significant group-by-time interaction effects, indicating that changes over time did not differ significantly between the three groups for QOL (e.g., psychological domain: <em>F</em>(2134.67) = 1.85, <em>p</em> = .16) and for any of the secondary outcomes at post-assessment. Small but significant effects emerged at follow-up between active groups. Median app usage for was 13.1 min, with 95 participants successfully logging in. Qualitative findings identified barriers such as unclear onboarding, technical issues, and limited applicability. Nonetheless, participants expressed general satisfaction with the app’s content and peer support.</div></div><div><h3>Conclusions</h3><div>The Sui app was well-accepted and its context-sensitive design offers promise for digital MHPSS services for refugees. However, lack of significant outcome improvements and limited engagement underscore the need for technical refinements, stronger onboarding, and more visible peer support.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"12 ","pages":"Article 100379"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145690387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implications of migration on health and education: returned migrants and school teachers perspective in India: A qualitative study","authors":"Bernard Attah-Otu ,&nbsp;Nikita Jaiswal ,&nbsp;Priya Gupta ,&nbsp;Angan Sengupta","doi":"10.1016/j.jmh.2024.100289","DOIUrl":"10.1016/j.jmh.2024.100289","url":null,"abstract":"<div><h3>Background</h3><div>Poor tribal communities migrate from rural to urban areas to tackle their financial hardships. However, limited empirical literature collectively delves into the implications of health and educational attainments of household members of migrant households, while examining the intricate dynamics of labour migration among tribal Indian communities in India.</div></div><div><h3>Objective</h3><div>This study aims to examine the effects of labour migration on household health and education for accompanied and left-behind children.</div></div><div><h3>Methods</h3><div>Twenty-two semi-structured interviews and two focus group discussions (6–8 participants) were conducted in four tribal communities in India from August to November 2022 comprising 14 migrant households that recently returned from migration, three left behind adolescents of school age, three primary school head teachers and two Panchayat heads (community head). Data were analysed through an inductive thematic approach.</div></div><div><h3>Results</h3><div>Participants identified a lack of adequate housing and sanitation conditions, with intense and long labour hours as conditions at migration destinations that affect their health. Lack of maternal and child healthcare is staggering at the place of work. In particular, our findings revealed that temporary labour migrants do not enrol their children in schools; however, the case was different from permanent and long-term migrants who enrol their children in private schools. At their place of origin, school teachers reported frequent school dropouts, low enrolment, attendance and poor academic achievements among children of migrating households. There is prominent gender dynamics in academic performances, and its determinants. Early age marriage and joining labour force dropping-out of school is common.</div></div><div><h3>Conclusion</h3><div>The results highlight the negative effects of migration as a livelihood strategy on rural communities, particularly in the health and education of household members, asking for immediate government interventions.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100289"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143163765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating trauma: Venezuelan women's and adolescent's experiences before and after migration amidst the humanitarian crisis","authors":"C. Correa-Salazar ,&nbsp;J.J. Amon ,&nbsp;K.R. Page ,&nbsp;A.K. Groves ,&nbsp;E.N. Agudelo-Avellaneda ,&nbsp;D.S. Torres-Benítez ,&nbsp;A. Martínez-Donate","doi":"10.1016/j.jmh.2024.100299","DOIUrl":"10.1016/j.jmh.2024.100299","url":null,"abstract":"<div><div>Migrant and refugee women and adolescents are extremely vulnerable in humanitarian crisis and armed conflict contexts. The Venezuelan crisis has unleashed the largest exodus of migrants/refugees in recent Latin American history, most of whom have relocated to Colombia. There is a scarcity of research addressing the how adverse and traumatic experiences related to violence presents mental health amidst the Venezuelan-Colombian humanitarian crisis context and how it affects communities in relocation communities. This study sought to explore how traumatic experiences pre-, during and post-migration might relate to mental health risks for Venezuelan migrant and refugee women and adolescents and assess feasible mechanisms that can protect and promote these populations upon relocation in Colombia. We conducted semi-structured interviews with 30 migrant women and adolescents, inclusive of cis- and transgender women in two Colombian cities using a participatory-action research framework. Key findngs suggest that parental abandonment in origin contexts, experiences of household and community violence before and after migration and structural barriers to access services are main factors impacting this population. Feasible strategies to promote and support wellbeing and better mental health access ought to include community leaderships and community-based support networks post-migration that can support trust in services, disseminate information and engage vulnerable groups in services.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100299"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating migration and cancer in Asia: A narrative analysis of stories told by Filipino migrant domestic workers with breast cancer","authors":"Margo Turnbull,&nbsp;Xiaoyan I. Wu","doi":"10.1016/j.jmh.2025.100337","DOIUrl":"10.1016/j.jmh.2025.100337","url":null,"abstract":"<div><div>This article presents the narrative analysis of interview data collected from 15 migrant domestic workers (MDWs) from the Philippines who were diagnosed with breast cancer in Hong Kong. The analysis draws on a social constructionist understanding of identity as multiple and performed through language, communication, and social interaction to explore how these MDWs narrated their cancer experiences and changing identities as they worked to incorporate serious illness into their lives as MDWs. The narratives of these MDWs highlight their multiple and changing identities as they move and communicate across places, systems of migration and networks of relationships.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"12 ","pages":"Article 100337"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144204230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lived experiences of migrant and refugee parents: Challenges encountered during their journey and settlement in Europe","authors":"Elena Rousou ,&nbsp;Paraskevi Apostolara ,&nbsp;Venetia Sofia Velonaki ,&nbsp;Irena Papadopoulos ,&nbsp;Athena Kalokairinou ,&nbsp;Ourania Sakellaraki ,&nbsp;Victor Dudau ,&nbsp;Andrea Kuckert ,&nbsp;Runa Lazzarino ,&nbsp;Manuela Mauceri ,&nbsp;Alfonso Pezzella ,&nbsp;Christiana Kouta ,&nbsp;Theologia Tsitsi","doi":"10.1016/j.jmh.2024.100294","DOIUrl":"10.1016/j.jmh.2024.100294","url":null,"abstract":"<div><div>Parenting in the context of migration presents a unique set of challenges for refugee parents, who must navigate the cultural norms and expectations of both their home and resettlement countries while balancing their daily parenting responsibilities and practices. This study aims to provide a critical analysis of the experiences, needs, and challenges faced by migrant and refugee parents during their journey and settlement in Europe, as recounted through their personal narratives. Utilizing a qualitative approach, the researchers collected twenty-seven life narratives of migrant and/or refugee parents through purposive sampling. An analysis of the narratives identified four overarching themes that represent the primary challenges faced by refugee families and the need for support. These macro-themes include up rootedness, spatio-temporal uncertainty, trauma and abuses, and parental powerlessness. Parental powerlessness emerged as a synthesis of the causes of trauma from the previous three challenges and highlights the increased loss of parental identity and self-conflict that refugee parents experience. The study reveals that refugee parents face various challenges and barriers, such as language barriers, lack of information and awareness, and cultural differences. It is crucial for healthcare providers and policymakers to consider these findings and develop targeted interventions, such as utilizing interpreters, cultural mediators, and providing culturally sensitive and appropriate healthcare and educational services, as well as implementing specific policies to enhance the health and well-being of refugee parents and their children.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100294"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The transition of legal status among Korean immigrants in the United States: immigration story, challenges, and mental health","authors":"Chulwoo Park ,&nbsp;Airi Irene Trisnadi","doi":"10.1016/j.jmh.2025.100359","DOIUrl":"10.1016/j.jmh.2025.100359","url":null,"abstract":"<div><h3>Background</h3><div>With an increase in the Asian immigrant population, Koreans are among the top five Asian immigrants in the U.S. When immigrants move to the U.S., many encounter challenges related to obtaining, transitioning, or maintaining their legal status. Temporary immigration visa, including H1-B working visas and F-1 student visas, allows immigrants to move to or remain in the U.S. Immigrants planning to stay in the U.S. are required to renew their working visa or obtain a green card or U.S. citizenship. While existing studies focused on the challenges of obtaining legal status, there is little emphasis on the immigration experiences of Korean immigrants. This study aimed to examine the challenges faced by Korean immigrants in obtaining primary legal status when coming to the U.S. and transitioning to their current legal status after moving to the U.S. Furthermore, this study assessed the relationship of change in legal status with experiences of racism and discrimination and immigrant mental health.</div></div><div><h3>Methods</h3><div>A qualitative study was conducted with 24 participants through an online survey for demographic data collection, followed by semi-structured in-depth interviews. Participants consisted of Korean immigrants who attended a Korean Christian church in the San Francisco Bay Area. Interviews were conducted between March 2023 and July 2023.</div></div><div><h3>Results</h3><div>The majority of immigrants came to the U.S. with an F-1 student visa and currently hold an H1-B visa, green card, or U.S. citizenship. While immigrants faced relatively few challenges in obtaining their primary legal status before coming to the U.S., many struggled with the transition from an F-1 student visa to an H1-B working visa. Common challenges included finding company sponsorship and being selected in the visa lottery. In addition, immigrants experienced an additional set of challenges through racism or discrimination and cultural shocks upon moving to the U.S., which contributed to their mental health.</div></div><div><h3>Conclusions</h3><div>This study provided a new perspective on the challenges encountered by Korean immigrants, focusing on the differences in obtaining their primary legal status and transitioning to their current legal status. We showed the importance of assessing the effects of change in legal status on the psychological well-being of Korean immigrants by looking into the immigrants' experiences of racism and discrimination and analyzing the immigrants' mental inconsistencies of their expectations versus reality. These findings open the way for future research on Asian immigrants in the U.S. and contribute to the development of U.S. immigration policies.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"12 ","pages":"Article 100359"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Syrian refugee and diaspora healthcare professionals: Case studies from the eastern mediterranean and European regions","authors":"Aula Abbara ,&nbsp;Munzer Alkhalil ,&nbsp;Kinan Wihba ,&nbsp;Omer Abdrabbuh ,&nbsp;Diana Rayes ,&nbsp;Andrew Ghobrial ,&nbsp;Manar Marzouk ,&nbsp;Fadi Halabi ,&nbsp;Mahmoud Hariri ,&nbsp;Abdulkarim Ekzayez","doi":"10.1016/j.jmh.2024.100298","DOIUrl":"10.1016/j.jmh.2024.100298","url":null,"abstract":"<div><div>Thousands of Syrian healthcare professionals have been forced to leave Syria since the onset of the uprisings in March 2011 and subsequent descent into conflict. Initially, many stayed in the eastern mediterranean region; however, as the conflict became increasingly protracted and employment policies for Healthcare Professionals (HCPs) became increasingly restrictive, some moved elsewhere, particularly to Germany and the United Kingdom, both of which have aimed to capitalise on both refugee and diaspora HCPs to support human resources gaps in their health systems. Our aim is to explore the different policy practices towards Syrian refugee and diaspora HCPs in the eastern mediterranean and European regions. Methods: We completed a narrative literature review and held a closed, virtual workshop in November 2022 in which 45 participants, most of whom had lived experience in the different refugee hosting contexts, participated. This allowed us to probe the primary themes arising from the literature review and the authors’ observations and present our findings as case studies. Results: We explore through case studies from countries near Syria (Turkey, Lebanon, Jordan, Egypt) and in Europe (Germany, UK) different policies which support or restrict entry into the health workforce. For host countries, those which implement policies that support retraining, accreditation and entry into the workforce have the potential for sustained and cost-effective benefit to their health systems; the impact of this on the HCPs and health system needs further exploration. Without such policies, Syrian HCPs are forced to work in the informal health sector such as in Lebanon or Egypt, leading to potential exploitation and security risks. Discussion: Now is an important opportunity to support Syrian and other refugee HCPs who have been forced to leave their homes to capitalise on their skills to explore the impacts of potentially effective policies and interventions. Such policies that aim to invest in refugee HCPs’ skills, further develop their aptitudes, and potentially establish a connection between them and their homeland in a mutually beneficial manner for both health systems in exile and in their homeland. Nonetheless, this topic still has large research gaps and remains in need of urgent research and data, particularly in view of the fall of the Syrian regime in December 2024 and its potential impacts.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100298"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143101963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Migrant parent-child separation in the first three years of life and mental health problems at preschool age: A cross-sectional study","authors":"Hailati Akezhuoli ,&nbsp;Minghui Tan ,&nbsp;Yuyin Ma ,&nbsp;Xintian Liu ,&nbsp;Jiayao Xu ,&nbsp;Jingjing Lu ,&nbsp;Xudong Zhou","doi":"10.1016/j.jmh.2025.100310","DOIUrl":"10.1016/j.jmh.2025.100310","url":null,"abstract":"<div><h3>Background</h3><div>Parent-child separation is one of the adverse childhood experiences, becoming more common due to economic migration worldwide today. However, there is a lack of understanding of the association between this separation during the critical first three years of life and the development of mental health issues in early childhood. This study aimed to determine the association of parent-child separation in the first three years and its specific patterns with mental health problems that emerged at preschool age.</div></div><div><h3>Methods</h3><div>We conducted a kindergarten-based parent-reported questionnaire survey in Nanling, Anhui Province, from October 30 to November 3, 2023. Data on parent-child separation in the first three years and its specific patterns concerning parental number, gender, accumulated separation period, and present separation status at preschool age were collected. The parent version of the Strengths and Difficulties Questionnaire (SDQ) was adopted to assess outcomes of interest, including children's total difficulties, internalizing problems, externalizing problems, and pro-social behaviors.</div></div><div><h3>Results</h3><div>A total of 7487 children from eighty-one kindergartens were included, with a mean (SD) age of 4.2 (0.92) years, and 52.3 % were male. After adjusting for socio-demographic characteristics, compared to non-separation, parent-child separation within the first three years was significantly and positively associated with preschool-aged children's internalizing problems (β = 0.19, [95 % CI, 0.10-0.28]), externalizing problems (β = 0.24, [95 % CI, 0.12- 0.35]), and total difficulties (β = 0.42, [95 % CI, 0.25-0.59]), but not with pro-social behavior. The associations were significant when separated from either one parent or both parents, whether the separation lasted for less than or more than three years in total, and whether the separation occurred previously or persisted into preschool age.</div></div><div><h3>Conclusions</h3><div>Our findings illustrated the association between early parent-child separation and developing mental health in early childhood, indicating potential opportunities for cost-efficient prevention and intervention for the health and development of vulnerable children separated in the highly mobile society to achieve sustainable development.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100310"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of a multi-component, participatory social and health promoting intervention on health and wellbeing in refugee families from Syria resettled in Denmark","authors":"Nina Odgaard Nielsen ,&nbsp;Anne Vollen Rafn ,&nbsp;Signe Andersen ,&nbsp;Jan Rafn ,&nbsp;Hanne Kjærsgaard ,&nbsp;Birthe Petersen ,&nbsp;Anne Juul Sønderskov ,&nbsp;Morten Dahl ,&nbsp;Eirikur Benedikz ,&nbsp;Marianne Lindahl","doi":"10.1016/j.jmh.2025.100338","DOIUrl":"10.1016/j.jmh.2025.100338","url":null,"abstract":"<div><h3>Aim</h3><div>The aim was to evaluate the effect of a multi-component social and health promoting intervention on health and wellbeing in a well-defined group of refugee families 2–4 years after resettlement in Denmark.</div></div><div><h3>Methods</h3><div>This longitudinal open-label comparison study involved 82 individuals from Syria aged 13–53 years comprising an intervention group (IG, <em>n</em> = 50) and a comparison group (CG, <em>n</em> = 32), was conducted from 2019 to 2021. The main outcomes were self-rated health, assessed using a single item question from the Danish National Health Surveys, and mental wellbeing measured by the Short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS). Objective levels of cholesterol, blood glucose (HbA1c), and blood pressure were also determined. Multiple linear regression models were used to estimate the effect of the intervention on SWEMWBS scores.</div></div><div><h3>Results</h3><div>A higher proportion in the IG (38 %) than in the CG (22 %) had rated their general health more positively after the intervention, though the difference was statistically insignificant (<em>p</em> = 0.38). There was a less decrease in SWEMWBS scores in the IG (slope 0.47) than in the CG (slope 0.27) from 2019 to 2020, indicating a positive, but insignificant, effect of the intervention (estimate: 0.20, 95 % CI:0.06 – 0.47, <em>p</em> = 0.13). This tendency of a positive effect was absent in 2021. High participation rate was significantly associated with higher post-intervention SWEMWBS scores (coefficient: 3.45, 95 % CI: 1.86 – 5.03, <em>p</em> &lt; 0.01). No effects on objectively measured biomarkers were observed.</div></div><div><h3>Conclusions</h3><div>The study demonstrated changes in self-rated health and SWEMWBS scores in the IG and CG, and indicated an overall tendency of a positive effect of the intervention on general health and mental wellbeing among the study participants. The effects might have been more pronounced without the convergence of counteracting factors, such as the COVID-19 pandemic and substantial fear arising from the European repatriation policies debated in 2021.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"12 ","pages":"Article 100338"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144223093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}