Journal of Migration and Health最新文献

{"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":"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":"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":"Care and decision-making at the end of life for migrants living in the Netherlands: An intersectional analysis","authors":"Marieke Torensma ,&nbsp;Xanthe de Voogd ,&nbsp;Roukayya Oueslati ,&nbsp;Irene G.M. van Valkengoed ,&nbsp;Dick L. Willems ,&nbsp;Bregje D. Onwuteaka-Philipsen ,&nbsp;Jeanine L. Suurmond","doi":"10.1016/j.jmh.2024.100293","DOIUrl":"10.1016/j.jmh.2024.100293","url":null,"abstract":"<div><div>As migrant populations age, the care system is confronted with the question how to respond to care needs of an increasingly diverse population of older adults. We used qualitative intersectional analysis to examine differential preferences and experiences with care at the end of life of twenty-five patients and their relatives from Suriname, Morocco and Turkey living in The Netherlands. Our analysis focused on the question how – in light of impairment – ethnicity, religion and gender intersect to create differences in social position that shape preferences and experiences related to three main themes: place of care at the end of life; discussing prognosis, advance care, and end-of-life care; and, end-of-life decision-making.</div><div>Our findings show that belonging to an ethnic or religious minority brings forth concerns about responsive care. In the nursing home, patients’ minority position and the interplay thereof with gender make it difficult for female patients to request and receive responsive care. Patients with a strong religious affiliation prefer to discuss diagnosis but not prognosis. These preferences are at interplay with factors related to socioeconomic status. The oversight of this variance hampers responsive care for patients and relatives. Preferences for discussion of medical aspects of care are subject to functional impairment and faith. Personal values and goals often remain unexpressed. Lastly, preferences regarding medical end-of-life decisions are foremost subject to religious affiliation and associated moral values. Respondents’ impairment and limited Dutch language proficiency requires their children to be involved in decision-making. Intersecting gendered care roles determine that mostly daughters are involved.</div><div>Considering the interplay of aspects of social identity and their effect on social positioning, and pro-active enquiry into values, goals and preferences for end-of-life care of patients and their relatives are paramount to achieve person centred and family-oriented care responsive to the needs of diverse communities.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100293"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068438","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":"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":"Time in the United States and walking for physical activity among Black Californians: Findings from the California Health Interview Survey (2012–2017)","authors":"Kougang Anne Mbe ,&nbsp;Mark Fedyk ,&nbsp;Sheryl L. Catz ,&nbsp;Christiana Drake ,&nbsp;Julie T. Bidwell ,&nbsp;Janice F Bell","doi":"10.1016/j.jmh.2025.100315","DOIUrl":"10.1016/j.jmh.2025.100315","url":null,"abstract":"<div><h3>Background</h3><div>No studies examine associations between acculturation and physical activity (PA) in California's foreign-born Black population, even though rates of PA are lower in Black populations, lower PA rates are a risk for cardiovascular disease, and this population is growing. Further, despite differences in CVD and PA by sex and mental health status; no studies have examined whether these factors modify associations between acculturation and PA.</div></div><div><h3>Methods</h3><div>We used the California Health Interview Survey (2012–2017) and fully adjusted, survey-weighted regression models to examine associations between time in the US as a proxy for acculturation (i.e., foreign-born &lt;10 years in the US, foreign-born ≥10 years in the US) and walking for PA [leisure time (LTPA) and transportation-related (TRPA)] among Black Californians (<em>n</em> = 5,952). We also tested effect modification by sex and mental health status.</div></div><div><h3>Results</h3><div>About 7 % in the sample were foreign-born. In the adjusted model of TRPA, the odds of walking for PA were significantly higher in the foreign-born group living &lt;10 years in the US (OR = 8.63; 95 %CI: 2.49, 29.86; <em>p</em> &lt; 0.01) and no different in the foreign-born group living ≥10 years in the US (OR = 1.05; 95 % CI: 0.62, 1.75; <em>p</em> = 0.85), compared to US-born Black Californians. We found no effect modification of the associations by sex or mental health, except by frequency of feeling depressed.</div></div><div><h3>Conclusion</h3><div>Some foreign-born Black Californians have higher odds of walking for PA related to transportation than their US-born counterparts. Future research is needed to examine the role of mental health status on PA levels of this immigrant group.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100315"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419152","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":"Determinants of HIV viral load suppression rates in Amhara region, Ethiopia with a large number of internally displaced people","authors":"Gizachew Yismaw ,&nbsp;Muluken Azage Yenesew ,&nbsp;Tegegn Kebebaw ,&nbsp;Leslie Hinyard ,&nbsp;Asaminew Gizaw ,&nbsp;Alemitu Mequanint ,&nbsp;Christian Hendrix ,&nbsp;Getahun Abate","doi":"10.1016/j.jmh.2025.100304","DOIUrl":"10.1016/j.jmh.2025.100304","url":null,"abstract":"<div><h3>Background</h3><div>The Amhara region in Ethiopia has been affected by a war that led to displacement of millions of people. This study was conducted with the objectives of evaluating HIV viral suppression rates, assessing viral load (VL) testing turnaround time (TAT) and pilot testing of a new webapp to make VL results available in real time while the health system is affected by large numbers of internally displaced people (IDP).</div></div><div><h3>Methods</h3><div>Data was obtained from 7 HIV VL testing centers that serve 378 anti-retroviral treatment centers. Viral load (VL) suppression rates and VL result turnaround time (TAT) were used as markers of effectiveness of HIV control.</div></div><div><h3>Findings</h3><div>A total of 98,957 records were analyzed. Patients at three of the seven VL testing sites including Debre-Birehan Referral Hospital (aOR 1.87, 95 CI [1.63–2.14]), Debre-Markos Referral Hospital (aOR 1.76, 95 CI [1.61–1.93]) and University of Gonder (aOR 2.28, 95 CI [2.07–2.51]) had increased risk of virologic failure. TAT between the time VL results were available to the time results were mailed to treatment centers was ≤ 1 week for 61,148 (63.4%) and 2 weeks for 25,172 (26.1%) tests. TAT vary among the 7 VL testing centers.</div></div><div><h3>Interpretation</h3><div>In a region with large numbers of IDP, virologic failure is more common in older age groups. VL and TAT vary by testing centers which could be reflective of ART default and delay in courier mail driven by internal displacement.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100304"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419153","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}

{"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":"Exploring healthcare challenges for Latin American migrant women in Madrid through the lens of dignified treatment","authors":"Nancy Armenta-Paulino ,&nbsp;Luisa N. Borrell ,&nbsp;María Sandín-Vázquez","doi":"10.1016/j.jmh.2025.100370","DOIUrl":"10.1016/j.jmh.2025.100370","url":null,"abstract":"<div><div>This qualitative study utilized the Dignified Treatment framework to identify the main problems related to the treatment received by Spanish-speaking Latina migrants who use health services in the Community of Madrid. We conducted 16 semi-structured interviews with Spanish-speaking women of Latin American origin based on the dimensions of Dignified Treatment (choice of care provider, access to support networks, basic amenities, prompt attention, autonomy, clarity of communication, confidentiality, dignity, and trust). Our analysis was interpretative-phenomenological to explore migrant women's experiences with health services. The study was conducted in Madrid, Spain, between April and November 2023, and recruited women aged 25–72 years from various Latin American countries, reflecting diversity in occupations, lengths of residence in Spain, and migration reasons. The study identified several access issues, including difficulty in obtaining a health card, long wait times for medical appointments, and short consultations. Communication problems were also prevalent, stemming from a lack of empathy, more understandable language, and warmth. Some participants reported instances of verbal abuse, disrespectful treatment, underestimation, or additional challenges due to their migratory status. Overcoming these barriers is essential for dignified, equitable healthcare regardless of origin. Intercultural approaches and changes are required to reduce institutional discrimination.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"12 ","pages":"Article 100370"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145473344","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}