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The Spanish agricultural sector depends on seasonal agricultural migrant workers. This study aimed to examine the associations among dietary patterns, sociodemographic factors, and food security among seasonal agricultural workers.
Design:
A cross-sectional multicentre study. The dietary pattern was evaluated according to the Spanish Society of Community Nutrition recommendations for the adult population. Descriptive analysis was disaggregated according to sex. Multi-adjusted logistic models were used to assess the association between dietary patterns and explanatory variables.
Setting:
Work sites and temporary accommodations in 4 Spanish provinces: North Spain: Lleida and La Rioja, and South Spain: Almeria and Huelva.
Participants:
Male and Female Seasonal Agricultural Migrant Workers (n=623).
Results:
The final sample consisted of 609 migrant agricultural workers. Of these, 36% were female, and 61% were classified as North African. Overall, 40% of the participants adhered to the evaluated dietary pattern. Adherence was positively associated with North African nationality, being married or cohabiting, and low socio-economic status. Not skipping meals due to economic constraints and receiving food aid emerged as key factors contributing to greater adherence to the assessed dietary pattern.
Conclusions:
This study provides an initial insight into the dietary pattern of seasonal agricultural migrant workers in Spain. The findings indicate that external socioeconomic and structural factors primarily shape their dietary habits. Policies aimed at enhancing food security and other food coping strategies, such as access to food aid, are crucial for improving dietary adherence to a healthy dietary pattern.
Ischaemic heart disease (IHD) is a global health issue, with people of Indian origin facing earlier onset and more severe cases, leading to higher mortality at younger ages compared to Western countries. Indian migrants maintain similar risks post-migration. Managing modifiable risk factors and improving risk knowledge and health-seeking behaviours are essential, but research on IHD risk perceptions among Indian migrants is limited.
Aim:
This study explores how first-generation Indian migrants perceive their IHD risk and the factors influencing these perceptions.
Methods:
As a component of a mixed- method study, a qualitative descriptive study design was employed to examine study participants perception of their IHD risk and the influencing factors. Semi-structured interviews were conducted with Indian migrants residing in metropolitan Melbourne, Victoria using multiple Indian languages and English. Data were analysed in the original language, with findings reported in English. NVivo software was used for data management and analysis. A qualitative content analysis was conducted using a hybrid coding approach where the main categories were developed deductively and subcategories were developed inductively from the data.
Results:
Twenty interviews were conducted with participants aged 32 to 70, 55% of whom were female, with an average stay in Australia of 11.2 years. The main themes included: perceptions shaped by personal experiences, especially family history, with most underestimating their risk; migration, cultural norms, and time constraints hindering behaviour change; family support, religious beliefs, and longevity aspirations motivating healthier behaviours; and limited primary healthcare engagement and culturally appropriate health resources. These results are discussed within the context of Capability, Opportunity and Motivation model of behaviour change (COM-B).
Conclusion:
The study highlights key factors influencing IHD risk perceptions among Indian migrants. By understanding these specific risk perceptions and cultural nuances, healthcare professionals can develop and implement more effective, culturally sensitive health promotion and disease prevention strategies. This tailored approach can lead to better patient outcomes and a more equitable healthcare system.
In the 1970s, the voluntary sector acted as a key space for advocacy and support for communities that were marginalised from statutory provision. This paper explores how East London voluntary sector organisations addressed the needs of new migrant communities in this period. Drawing on data from six case study organisations, this historical study explores the dual role these organisations played in advocating for these communities and providing needed services. The findings show that in the 1970s through the 1990s advocacy and service delivery functions were closely linked rather than service delivery crowding out advocacy as has been the trend in recent decades. The findings also emphasise the importance of the creation of trusted relationships between the organisations and the communities they served.
Missing Minorities (MIMI) is a research project initiated by the European Blood Alliance that aims to develop new strategies to recruit blood donors from minority groups. This paper contributes to this larger project by analyzing data of the German Socio-Economic Panel study 2011 that questioned over 20,000 respondents about their blood donation behavior. Within this sample, the authors identify 1,726 potential blood donors from various migrant groups. Applying logistic regression analysis, the authors analyze differences between blood donors and non-donors with migration background. The results show that non-donors trust other people significantly less, use the internet less often, and have a significantly lower reading ability in German. Based on these findings, the authors discuss the current practices in minority blood donor recruitment as found in the MIMI project. Furthermore, promising recruitment tactics for blood donation managers and areas for further research are derived.
A clear majority of Ph.D. students in the United States still aim to enter the domestic job market. Nonetheless, a growing number of graduates choose to teach at universities in other parts of the world. Despite this apparently upward trend toward relocating abroad, few graduate programmes in the United States prepare their students for an academic career outside of the States. Having made the transition from a doctoral programme in the United States to a university position in Europe, I outline what I have learned from my experience in order to provide information for Ph.D.s who are considering an academic career in Europe.
This article analyses and explains the rapid electoral success of an emergent populist radical right party in Romania—the Alliance for the Union of Romanians (AUR). AUR’s definition of ‘a transnational people’ relates to a multi-layered community—native Romanians within Romania, co-ethnic communities in neighbouring countries, and Romanians living and working abroad—that create, together, a Romanianness in need of representation, and preservation. By focusing on AUR’s definition of ‘the people’ and on (trans)national mobilization, we unwrap a new dimension of populism which refers to broader fields of connectedness across borders in which bottom-up and top-down dynamics co-exist, acting as rhetorical and operational openings for the party’s development and success in the homeland arena.
The health of migrants with type 2 diabetes has become a public health concern. Minority populations, including migrants, are often considered ‘hard-to-reach groups’ in clinical research, as researchers face challenges in engaging, accessing and retaining participants. Previous reviews have focused on either recruitment or retention, highlighting the need to gather experiences to obtain a more comprehensive picture for improving participation in research.
Aim:
To share lessons learned about the challenges of recruiting and implementing an intervention study including migrants with type 2 diabetes.
Methods:
This was a descriptive study, where researchers recorded experiences in reflective diaries and held discussions with the multi-professional teams involved. Data were analysed using Pawson’s conceptual framework, evaluating four dimensions of context: individual, interpersonal, institutional and infrastructural.
Findings:
The individual context concerns the time-consuming recruitment process since about half of the prospective participants did not want to participate, often due to illness, lack of time, the need to work, or having travelled abroad. In the interpersonal context, the main challenge was involving several professional groups; the greater the involvement, the less flexibility there was to meet expectations. The priorities in the institutional context were to provide care, with efficiency and productivity taking precedence over research. The infrastructural context was crucial due to a lack of staff available to support recruitment, the healthcare system’s burden caused by the pandemic, and the impact of laws and regulations in healthcare.
Conclusions:
Recruiting and implementing clinical research studies among migrant populations is complex. Factors across all contextual levels play a role, but the main challenges are within the institutional and infrastructural contexts. Changes in infrastructure influence institutional priorities, particularly with an already strained staff situation in primary healthcare. While political and social changes are difficult to alter, fostering positive attitudes towards research at the individual and interpersonal levels is important.
Diabetes mellitus is a prevalent chronic illness worldwide and largely impacts migrants who have settled in developed countries. In diabetes care, patients play a central role and are natural partners in self-care education for improving health. Upon reviewing the literature, no studies were found that evaluated culturally adapted education models led by a nurse and delivered by a multi-professional team from the perspective of migrants in a group setting. Therefore, this study aims to explore patients’ evaluation of the content and implementation of a person-centred, group-based diabetes education model for migrants with type 2 diabetes led by a nurse and delivered by a multi-professional team.
Method:
Qualitative exploratory study, using semi-structured interviews in focus groups and individually to collect data. Eleven migrants who had participated in an intervention testing the education model aged 45–70, who had been living in Sweden between 4–32 years participated. Inductive qualitative content analysis of data was undertaken.
Results:
Participants gave a positive picture of their experiences concerning the content and organisation of the person-centred, group-based, culturally adapted diabetes education model. The education sessions were described as providing new and evidence-based knowledge. The multi-professional education staff and the interpreter were perceived as having a professional and familiar approach. They wanted to recommend the education model to others.
Conclusions:
The study revealed a well-functioning diabetes education model tailored to individual beliefs and cultural aspects. It improved perceived knowledge about type 2 diabetes among migrants, thus increasing self-care behaviour and health. In today’s multicultural society, the study offers insights into migrants’ feelings, ideas, concerns, knowledge, and experience regarding the content, structure, and outcome of a group-based, culturally adapted diabetes education model that can improve self-care behaviour to promote health and prevent illness. As a result, the education model can be used in primary healthcare as a central and natural partner in self-care education to improve health.
Urban refugees in low- and middle-income countries (LMICs) often face housing insecurity, undermining their ability to achieve self-reliance and well-being. Few studies have evaluated the impact of housing interventions in these contexts. This study offers preliminary evidence on the effectiveness of a 9-month rental assistance program targeting female-headed Venezuelan migrant households in Colombia. Using pre-post data from 517 participants, we assessed changes over time in household-level self-reliance, domains of self-reliance, subjective well-being and perceived agency. We also employed ordinary least squares regression and fixed-effects models to estimate changes in self-reliance and the relationship between self-reliance, psychosocial and housing outcomes. Our analysis found significant improvements in overall self-reliance, well-being and agency after controlling for observed individual and household characteristics. Increases were observed across almost all domains of self-reliance. Fixed-effects models also found that subjective well-being, perceived agency and select housing conditions were positively associated with self-reliance. Rental support appears to promote both material and psychosocial recovery for displaced households by alleviating financial stress and enabling forward-looking behaviors. However, the impact of housing quality dimensions varies, and the sustainability of outcomes remains uncertain. Future evaluations should incorporate longitudinal designs and control groups to inform holistic refugee housing strategies.
Studies focusing on how the migrant population understands and utilises family policies are scarce in Southern European countries. We focus on the use of paternity leave by American and European migrant fathers in Spain. This work is based on an online survey of parents (QUIDAN, 2021), which is nationally representative with a sample of 3100 respondents. We have conducted descriptive statistics and explanatory multivariate models. The main result shows that American-born (but not European) fathers take paid paternity leave less often than Spanish fathers. This outcome raises new questions about migrant parental roles and the shortcomings of public policies.
Immigration is one of the most politically charged aspects of human rights law. This chapter examines the application of Article 8 ECHR in cases where migrants face deportation and where family members seek entry to the Contracting State. In practice few applicants succeed in using Article 8 ECHR to resist deportation even in cases where they were born or lived almost their entire life in the State. This has led to the criticism that the ECtHR prioritises State sovereignty, above migrants, rendering the rights virtually meaningless and legitimising States’ practices. An opposing perspective is that the process of having to justify deportation to an international human rights court is an incursion into State sovereignty that exceeds the limits of the ECtHR’s role. The case law on family reunification is equally contested by both those that believe the ECtHR is exceeding its legitimate function and those that believe the ECtHR is averting its eyes to the hardship and suffering of migrants. The final part of this chapter examines the ways in which Article 8 ECHR has been shaped by domestic immigration law and the driving forces behind the interpretation and application of rights.
Scholarship on cross-border migration and welfare state politics has focused on native-born individuals’ attitudes. How does migration affect the redistribution preferences of migrants—key constituents in host and home countries? We argue that migration causes migrants to adopt more fiscally conservative attitudes, driven not only by economic gains but also by psychological shifts toward self-reliance and beliefs in the prospect of upward mobility. We present results from a randomized controlled trial that facilitated labor migration from India to the Middle East. The intervention prompted high rates of cross-border migration and significantly reduced support for taxation and redistribution among migrants. By contrast, left-behind family members did not become more fiscally conservative despite also experiencing economic gains. While the migrants became economically confident and self-reliant, their family members grew increasingly dependent on remittances. Our results demonstrate that globalization’s impacts on welfare-state preferences depend on the pathways by which it generates economic opportunity.
International migration is a complex phenomenon of global and historical relevance. It includes voluntary, forced, and workforce migration, shaped by diverse determinants. Push factors comprise war, persecution, and political instability, while pull factors include stability, economic opportunities, education, and favorable living conditions. Forced migration is frequently associated with displacement and a disproportionate burden of mental health disorders, which are urgent yet difficult to address due to structural, cultural, and legal barriers.
Methods
Evidence demonstrates that restricted health care access exacerbates psychiatric disorders, while treatment delays contribute to poorer outcomes. Barriers include administrative limitations, linguistic and cultural differences, stigma, and resource shortages. This policy paper was developed by the Committee on Ethics and the Task Force on Migration and Mental Health of the European Psychiatric Association (EPA). Relevant literature was reviewed and combined with the professional expertise of committee members. The draft was subsequently evaluated by the Publication Committee and the EPA Board, and revised accordingly.
Results
Ethical principles in refugee care are insufficiently implemented in many European countries. Core principles of medical ethics – beneficence, respect for autonomy, non-maleficence, and justice – as well as the obligation to advance psychiatric standards and apply psychiatric expertise for societal benefit, are inconsistently upheld.
Conclusions
The primary duty of physicians is to promote health and well-being through competent, timely, and compassionate care. The EPA therefore advocates coordinated strategies to mitigate the mental health consequences of war, displacement, and trauma, and to secure equitable access to psychiatric services for migrants and refugees.
This paper examines the effectiveness of media literacy interventions in countering misinformation among in-transit migrants in Mexico and Colombia. We conducted experiments to assess whether well-known strategies for fighting misinformation are effective for this understudied yet particularly vulnerable population. We evaluate the impact of digital media literacy tips on migrants’ ability to identify false information and their intentions to share migration-related content. We find that these interventions can effectively decrease migrants’ intentions to share misinformation. We also find suggestive evidence that asking participants to consider accuracy may inadvertently influence their sharing behavior by acting as a behavioral nudge, rather than simply eliciting their sharing intentions. Additionally, the interventions reduced trust in social media as an information source while maintaining trust in official channels. The findings suggest that incorporating digital literacy tips into official websites could be a cost-effective strategy to reduce misinformation circulation among migrant populations.
Edited by
Grażyna Baranowska, Friedrich-Alexander-Universität Erlangen-Nürnberg,Milica Kolaković-Bojović, Institute of Criminological and Sociological Research, Belgrade
In the last decade, the number of migrants within the African continent has increased significantly, which triggered many African states to adopt laws criminalizing illegal entry or working without a work permit. Further, the European Union has signed agreements with several African states to prevent migrants entering the EU, which resulted in many migrants are utilizing dangerous routes, being exposed to serious human rights violations, including enforced disappearances. The Convention for the Protection of All Persons from Enforced Disappearance prohibits expulsion of persons who can be in danger of being tortured or forcibly disappeared. However, many states lack these provisions within the domestic laws or do not implement them, leaving many migrants vulnerable to criminal gangs and state security abuses. However, the lack of political will, technical expertise, lack of legal structure and understanding of the crime of enforced disappearances all lead to the failure of the states to prevent enforced disappearances of the migrants on the continent.
This study addresses the mental health needs of refugees and migrants in the Netherlands, highlighting the urgent public health challenges they face. Unique psychosocial hurdles, exacerbated by cultural dislocation, language barriers and systemic inequalities, hinder their access to quality mental healthcare. This study explores how coloniality intersects with mental healthcare access, using a decolonial framework to challenge stereotypes and assumptions that marginalize migrant voices. Through semi-structured interviews with migrants and language service providers, this research reveals the complexities of navigating the mental healthcare system. Findings reveal that temporality, professionalism and language barriers are key issues in migrants’ mental healthcare journeys. We advocate for systemic changes that prioritize migrant perspectives. Ultimately, this study aims to inform policy and practice to enhance mental health services for migrant populations in the Netherlands and contribute to the broader dialogue on decolonization in mental health.
This paper draws upon the theoretical literature on migration policy and health, and empirical data on three European states with differing welfare models – Sweden (social democrat), France (conservative), and the United Kingdom (liberal) – during Covid-19, to highlight the often hidden and contradictory politics through which refugees, asylum seekers, and undocumented migrants were forced to navigate during the most uncertain period of the pandemic. Although migrants’ treatment during Covid-19 was generally better in Sweden with a social democrat welfare tradition, we see migration management priorities greatly undermining the extent to which welfare systems function overall for the benefit of population health. Furthermore, Sweden’s recent political shift to the right exacerbates those negative tendencies. As the paper shows, there was considerable effort by civil society and local government to fill the gap where national governments failed to protect this group, stepping in to provide health information, and support.
Organizations often face moral dilemmas. For example, in 2004 the UN Refugee Agency (UNHCR) needed to decide whether to help refugees in enclosed camps in Pakistan repatriate to Afghanistan. On the one hand, helping with repatriation might have made UNHCR complicit in forced returns, as refugees sought to repatriate just to avoid life without freedom in Pakistan. On the other hand, refusing to help with repatriation would leave refugees stranded in camps: perhaps repatriation was the best option if this was what refugees wanted. When organizations face this and other dilemmas, it is not clear how they should proceed. In other words, it is unclear which policy they should pursue when all feasible policies seem wrong. Some might think that, at least for hard dilemmas, every choice is just wrong, and so no choice is right. But that is not quite true. Even difficult dilemmas can be resolved using certain methods. One method is to ask those affected by potential policies what they think the most justifiable policy is. A second method is to choose what to do randomly. Randomly selecting a course of action can sometimes be the fairest way of determining what to do when every option seems wrong.
Like many well-known Irish writers, O’Casey chose to spend much of his life away from his homeland. However, this chapter examines how O’Casey rarely succumbed to sentiments of loss and exile that can be found in other similarly positioned writers. He was, in fact, far more likely to use the dual position of the migrant – simultaneously familiar with the home country and able to view it anew from a space of geographical and ideological distance – to query, critique, and satirise Ireland. The chapter spends time examining the way in the late plays Oak Leaves and Lavender, Cock-a-Doodle Dandy, The Drums of Father Ned, and Behind the Green Curtains deal centrally with Irish migrant characters.