Journal of Migration and Health最新文献

{"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":"Health vulnerabilities of undocumented central and eastern European migrants in Switzerland","authors":"Zsolt Temesvary,&nbsp;Sabrina Roduit ,&nbsp;Matthias Drilling","doi":"10.1016/j.jmh.2025.100327","DOIUrl":"10.1016/j.jmh.2025.100327","url":null,"abstract":"<div><div>Destitute Central and Eastern European migrants, including homeless people, beggars, and sex workers, are in a highly vulnerable position in Switzerland. In the absence of residence permits, their access to health services and insurance is severely limited, and they suffer from institutional discrimination in Swiss medical facilities. The aim of this study is to examine the forms of health vulnerabilities of destitute mobile Eastern European citizens in Geneva and Zürich. To do this, we carried out narrative-biographical interviews with destitute migrants (<em>n</em> = 38) on their level of access to medical facilities and insurance. The results confirm that our respondents face severe vulnerabilities in accessing medical services and insurance mechanisms in Switzerland. This tendency is exemplified in the paper through the respondents' experiences of psychiatric disorders and substance abuse. Destitute migrants often transfer health vulnerabilities from their home countries. They mostly receive therapies and medicines in their countries of origin but remain untreated in Switzerland after arrival. Without Swiss health insurance, they turn to medical services only in cases of emergency, and even then, they are either rejected or discharged after very brief treatments. This dangerous combination of individual and systemic health vulnerabilities greatly exacerbates the disadvantages of destitute Eastern Europeans and hampers their integration into Swiss society.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100327"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143783708","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 role of selected social and psychological factors in violence against Myanmar migrant women in Thailand.","authors":"Kaung Zaw ,&nbsp;Wirin Kittipichai ,&nbsp;Kanittha Chamroonsawasdi ,&nbsp;Arpaporn Powwattana","doi":"10.1016/j.jmh.2025.100314","DOIUrl":"10.1016/j.jmh.2025.100314","url":null,"abstract":"<div><h3>Introduction</h3><div>Violence against women (VAW) is a serious human rights violation with significant implications for public health. VAW affects the well-being of women, children, and families. This cross-sectional study aimed to determine the structural relationship of a set of variables—attitude towards violence (ATT), self-esteem (SE), relationship with residential unit members (RES), social support (SS), and coping strategies (COP)- influencing VAW and to test the model using the empirical data.</div></div><div><h3>Methods</h3><div>The measurement was deployed to assess violence experienced by 295 Myanmar migrant women residing in Thailand. Data collection involved the use of a self-administered questionnaire consisting of six scales. These scales exhibit Cronbach's alpha coefficients ranging from 0.74 to 0.90. The construct validity was confirmed through confirmatory factor analysis. The structural equation modeling method was employed to test the validity of the model using Mplus Software.</div></div><div><h3>Results</h3><div>The model provided fitted well with the empirical data (χ2/df =1.74, CFI = 0.93; TLI = 0.91; RMSEA = 0.05; SRMR = 0.06). The VAW accounted for 33 percent of the variance through its set of variables. Among these, ATT, RES, and COP directly impacted VAW, while SS and SE had indirect effects. ATT exhibited the most significant overall influence on VAW, with RES and COP serving as mediators among other antecedents studied in relation to VAW.</div></div><div><h3>Conclusion</h3><div>The current findings suggest that violence against Myanmar migrant women residing in Thailand is associated with many factors. Understanding these factors can provide valuable insights for policymakers and stakeholders to develop and implement awareness and community-based intervention programs. These findings underscore the importance of targeted strategies to address this issue effectively.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100314"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143388393","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":"Oral health literacy and oral health status of a german adult population with migration background – findings from the MuMi Study","authors":"Berit Lieske ,&nbsp;Christopher Kofahl ,&nbsp;Katrin Borof ,&nbsp;Kristin Spinler ,&nbsp;Anna Poth ,&nbsp;Demet Dingoyan ,&nbsp;Thomas Beikler ,&nbsp;Guido Heydecke ,&nbsp;Ghazal Aarabi","doi":"10.1016/j.jmh.2025.100309","DOIUrl":"10.1016/j.jmh.2025.100309","url":null,"abstract":"<div><h3>Background</h3><div>People with migration background in Germany demonstrate poorer oral health and different oral health behaviors compared to people without migration background. One crucial factor for achieving and maintaining good oral health is a person's oral health literacy. This article presents results on oral health and oral health literacy from the baseline data of the cluster-randomized controlled MuMi study (Promotion of oral health literacy and oral health of persons with migration background).</div></div><div><h3>Methods</h3><div>Comparative cross-sectional data on oral health and oral health literacy of patients with and without migration background were examined in 40 dental practices in Hamburg, Germany. Oral examination included a full dental status, the degree of caries restoration, and the approximal plaque index (API). To assess oral health literacy, the Oral Health Literacy Profile (OHLP) was used. Associations between migration status and oral health or oral health literacy were analyzed with linear mixed regression, adjusted for age, sex, education level. The relationship between oral health literacy and oral health was calculated using logistic regression.</div></div><div><h3>Results</h3><div>Participants with and without migration background differed significantly in oral health literacy and clinical parameters of oral health. The former showed significantly lower oral health literacy (lower OHLP-Scores) and poorer oral health (higher API values as well as a more problem-oriented dental service use). Furthermore, the degree of caries restoration is significantly lower among participants with migration background than those without. Lastly, the logistic regression analysis revealed a significant association between better oral health literacy and lower API values.</div></div><div><h3>Discussion</h3><div>Migration background appears to be a risk factor in its own right, as the differences in oral health literacy and oral health status remain even after statistically controlling for several confounders. In order to better reflect the diversity within the population with migration background, information on potential access barriers and migration-related factors must be included in further analyses.</div></div><div><h3>Conclusion</h3><div>Oral health literacy has been found to be a strong predictor for an individual's oral health outcome. Improving the oral health literacy of patients may help in the efforts to improve oral health behaviors and the overall treatment outcomes. Thus, future research should focus on tailored preventive measures for improving oral health literacy, thereby helping to strengthen equal opportunities in oral health in Germany.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100309"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453387","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":"Health in Transit: A case study on the migratory trajectories of Haitian populations in Chile and Mexico","authors":"Loreto Watkins ,&nbsp;Francesca McLaren ,&nbsp;Lindsey Carte ,&nbsp;Carla Olivari ,&nbsp;Kenya Lazos ,&nbsp;Teresita Rocha-Jiménez","doi":"10.1016/j.jmh.2025.100328","DOIUrl":"10.1016/j.jmh.2025.100328","url":null,"abstract":"<div><div>Current migration journeys often involve crossing several borders, exposing migrants to numerous difficulties and dangers. This article qualitatively describes the migrant trajectories of twenty-five Haitian migrants who intended to travel from Chile to Mexico in an attempt to cross into the United States, delving into the dynamic physical and mental health outcomes at different phases of their journey. Our findings reveal that Haitian participants began their journeys in a context of instability, violence, insecurity, and precariousness from their country of origin, and factors such as stress, sadness, feelings of disappointment, and unfulfilled expectations followed them into their receiving societies. Participants in transit encountered severe health issues, including starvation, sickness, fatigue, exposure to contaminated water, violence, and sexual abuse—all without access to healthcare or medical assistance. Despite these adversities, migrants demonstrated a remarkable ability in surviving the hardships of their journey. The challenging physical and mental health situation faced by Haitian migrants on the move underscores the limitations of current health systems in effectively responding to this reality, and it should be recognized as a critical public health issue. This article focuses on the health challenges faced by Haitian migrants, who currently depend on the support of their community to ensure their well-being and emphasizes the need for policies that recognize the fluidity of migrant trajectories and foster collaboration to address health disparities throughout the migration journey.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100328"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738954","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 impact of healthcare provision on immigrant pregnancy behaviors: the case of Ramadan fasting in Germany","authors":"Paul Witte ,&nbsp;Fabienne Pradella ,&nbsp;Reyn van Ewijk","doi":"10.1016/j.jmh.2025.100349","DOIUrl":"10.1016/j.jmh.2025.100349","url":null,"abstract":"<div><div>Germany and other Western countries are home to a growing number of Muslims. This implies that health-related behaviors more common among Muslims are becoming increasingly important in routine healthcare. For example, Ramadan during pregnancy has been shown to be associated with adverse offspring health outcomes along the life course. At the same time, a high share of pregnant Muslims worldwide chooses to fast. In this study, we investigate the dynamics underlying Ramadan fasting during pregnancy in Germany, using survey data (N=326) of Muslims delivering after being pregnant during a Ramadan. In this sample, 36.5 % of women fasted during their recent pregnancy, for an average of 17 days. Respondents generally did not regard fasting during pregnancy as obligatory and women tended to make their own, independent decisions about whether to fast. Most women did not expect fasting to be associated with impaired offspring health, even though many women actively searched for information on Ramadan during pregnancy. They often did so on the internet or by talking to family and friends. Only about one-third of women consulted with their prenatal caregiver about fasting. These consultations were associated with a reduction in days fasted by about 11 days. A sensitization of healthcare providers to Ramadan during pregnancy, and routinely addressing the issue with Muslim families of reproductive age can have important public health benefits.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"12 ","pages":"Article 100349"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144737996","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":"Prevalence of peripheral neuropathy, diabetic foot and level of glycemic control in refugees and migrants residing in Greece","authors":"Zisimangelos Solomos ,&nbsp;Eftychia Pappa ,&nbsp;Nikolaos Tentolouris","doi":"10.1016/j.jmh.2025.100345","DOIUrl":"10.1016/j.jmh.2025.100345","url":null,"abstract":"<div><h3>Introduction</h3><div>Data regarding access to diabetic neuropathy (DN) and diabetic foot (DF) examination, as well as the prevalence of these conditions in refugees and migrants (R&amp;M) with diabetes mellitus (DM) residing in European countries are currently lacking. The study’s primary objective was the estimation of DN and DF prevalence among diabetic R&amp;M residing in Greece. Associations between DN diagnosis, demographic characteristics, glycemic control (HbA1c value), housing status and level of access to the National Healthcare System (ESY) were secondarily explored.</div></div><div><h3>Materials and methods</h3><div>R&amp;M with DM were screened for DN/DF at the Doctors of the World’s central polyclinic in Athens. For DN diagnosis, calculation of the Neuropathy Disability and Neuropathy Symptoms scores for each patient was followed by examination with 10 g Semmes-Weinstein monofilament. Demographic characteristics were also collected. Logistic regression was used for DN correlation with various variables. For HbA1c value association with the variables “Social Security Number (AMKA) possession” (representing access to ESY) and \"unstable housing\", Shapiro-Wilk regularity and Mann-Whitney tests were used. <em>P</em> &lt; 0.05 was selected as the cutoff for statistical significance.</div></div><div><h3>Results</h3><div>From 67 patients examined, 47.8 % (<em>n</em> = 32) and 7.5 % (<em>n</em> = 5) were diagnosed with DN and DF respectively, while none had been previously screened for DN in Greece. In the single-factor analysis, age, years of diabetes and AMKA were significantly associated with DN. In the multivariate analysis, only age remained statistically significant. A statistically significant decrease in HbA1c values was observed in AMKA holders. Lower HbA1c values were observed in those with stable housing, but the association was not statistically significant.</div></div><div><h3>Conclusion</h3><div>A significant percentage of our study participants were diagnosed with DN and DF. Significantly lower HbA1c values were observed in patients with AMKA, thus underlining the importance of improving access to healthcare services for marginalized populations in Greece.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"12 ","pages":"Article 100345"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144738663","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":"Corrigendum to “The association of migration-related stress with poor mental health among recently resettled Afghan refugees” [Journal of Migration and Health Volume 10, 2024, 100282]","authors":"Munjireen Sifat ,&nbsp;Sarah Kenney ,&nbsp;Venera Bekteshi ,&nbsp;Shawn C. Chiang ,&nbsp;Motolani Ogunsanya ,&nbsp;Laili K. Boozary ,&nbsp;Adam C. Alexander ,&nbsp;Darla E. Kendzor","doi":"10.1016/j.jmh.2025.100372","DOIUrl":"10.1016/j.jmh.2025.100372","url":null,"abstract":"","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"12 ","pages":"Article 100372"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145747631","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":"Meaning and value attributed to non-therapeutic circumcision of boys among Danish parents of Jewish Origin: The formation of parents and families","authors":"Tania Aase Dræbel,&nbsp;Jane Brandt Sørensen,&nbsp;Dan Wolf Meyrowitsch","doi":"10.1016/j.jmh.2025.100366","DOIUrl":"10.1016/j.jmh.2025.100366","url":null,"abstract":"<div><div>Non-therapeutic circumcision of boys (NTCB) has been the subject of a heated public debate in Denmark from around 2010 to 2022. In this debate, the parents' perspective has largely been missing. Until now, very little is known about the meaning with and attribution of value to NTCB by Danish-Jewish parents. In the present study, we have examined social and discursive practices of NTCB among Danish-Jewish parents. The analysis is based on 20 semi-structured interviews with parents about their views and experiences with either choosing or opting out of NTCB. The concepts used in the analysis are Sense of Coherence proposed by medical sociologist Aaron Antonovsky, and Davies and Harré positioning theory of Subjectivation, Becoming, Belonging and Positioning. Using these concepts, the analysis indicates that NTCB may be understood as a cultural act and related to the interviewees' process of becoming parents and a family, actualizing questions of gender, ethnic-cultural identity, origin, family biography, and affiliation to Judaism as well as questions of identity and belonging. Parents viewed NTCB as a valuable and meaningful continuation of culture and tradition. The analysis shows how NTCB is currently articulated and how parents make sense of the practice based on their cultural, social and religious identity and within the current context of Denmark where debates about NTCB are raised. This article makes an important contribution to the understanding of the perspective of Danish-Jewish parents. Knowledge on the cultural and religious reasons for NTCB is critical to inform the debate and decision about a ban on non-therapeutic circumcision of boys in Denmark. Taking the views of Danish-Jewish parents into account will allow us to understand the complexity of the practice as well as reveal new and different ways of making sense of non-therapeutic circumcision of boys.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"12 ","pages":"Article 100366"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145332288","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":"Determinants of institutional delivery service utilization among internally displaced vulnerable populations in Benadir region, Somalia: A community based cross-sectional study","authors":"Hassan Abdullahi Dahie,&nbsp;Mohamed Abdullahi Osman,&nbsp;Yusuf Ali Jimale,&nbsp;Falis Ibrahim Mohamud,&nbsp;Hamdi Ahmed Hussein,&nbsp;Mohamed Osman Alasow,&nbsp;Abukar Abdi Osman,&nbsp;Abdirahman Mohamed Abdullahi,&nbsp;Mohamed Maalin Dakane,&nbsp;Dek Abdi Hussein","doi":"10.1016/j.jmh.2025.100319","DOIUrl":"10.1016/j.jmh.2025.100319","url":null,"abstract":"<div><h3>Background</h3><div>Every day, nearly 830 women succumb to preventable pregnancy and childbirth-related complications, with 99 % of maternal deaths occurring in developing nations. Maternal mortality is disproportionately higher among women in rural areas and impoverished communities, especially in Sub-Saharan Africa, where approximately 85 % of cases are concentrated. In Somalia, a country grappling with prolonged conflicts and a healthcare system in disarray, maternal mortality remains alarmingly high at 692 per 100,000 live births. Delivery institutions in the IDP camps are mainly operated by humanitarian agencies and offer their services free of charge. We aim to investigate the prevalence of institutional delivery and factors associated with it among internally displaced mothers in Benadir region.</div></div><div><h3>Methods</h3><div>Community-based survey was conducted in ten Internally Displaced Persons (IDP) camps in the Benadir region of Somalia from September to October 2023. Questionnaires were administered to 410 women who had given birth in the last 6 months. Subsequent to data collection, a logistic regression analysis was performed to reveal associations between covariates of interest and the outcome variable.</div></div><div><h3>Results</h3><div>The study observed a 25 % prevalence of institutional delivery, with key associations identified. Women who were married during the data collection period had more than twice the odds of opting for healthcare facility deliveries (AOR 2.283, CI: 1.272–4.097), while employed women demonstrated nearly double the odds (AOR 1.916, CI: 1.109–3.312). Those who experienced their first pregnancy before the age of 20 had 1.7 times higher odds of delivering at a health facility (AOR 1.741, CI: 1.088–2.785). ANC attendees displayed over thirteen times the odds of choosing health facilities for delivery (AOR 13.299, CI: 6.752–26.196), and women knowledgeable about danger signs exhibited four times higher odds (AOR: 4.483, CI: 2.381–8.438). On the other hand, home deliveries are driven by various factors such as financial constraints, distant facility locations, urgent labor situations, lack of transportation, facility closures, a preference for the comfort of home, and fear of surgical procedures at health facilities.</div></div><div><h3>Conclusion &amp; recommendation</h3><div>The study highlights a troublingly low prevalence of institutional delivery compared with the national target, underscoring challenges in promoting healthcare facility utilization for childbirth. To improve rates, interventions should address socio-economic factors, emphasize healthcare benefits, and enhance community awareness of danger signs and antenatal care importance. Tackling access barriers, including financial constraints and facility distance, is pivotal in reducing the preference for home deliveries.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100319"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143471570","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}