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International Journal of Migration, Health and Social Care
Number of Followers: 12  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1747-9894 - ISSN (Online) 2042-8650
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  • Access and utilization of health services by migrant domestic helpers in
           Cyprus: the role of the employer
    • Pages: 46 - 60
      Abstract: International Journal of Migration, Health and Social Care, Volume 15, Issue 1, Page 46-60, March 2019.
      Purpose The dominant role of the employer regarding the access and use of healthcare services by migrant domestic helpers (MDH) often has a negative impact on healthcare provision for migrants in Cyprus. Research relating to the perceptions of MDH employers remains scarce. The purpose of this paper is to investigate the role of employers on the access and use of healthcare services by their MDH. Design/methodology/approach Three studies were carried out using semi-structured interviews with MDH (n=13) and employers of MDH (n=12) and structured questionnaires with MDH (n=625). Content analysis for qualitative findings was carried out using QSR Nvivo 10 and for quantitative using Statistical Package for Social Sciences version 17. Findings Findings provide information about migrant health needs from different views leading to improved documentation via multiple triangulation. Employers play a key gatekeeping role but are not in position to provide sufficient information and guidance to their MDH. MDH reported a need for health services which was not met (18 percent), attributing this to their employers not granting them permission. Originality/value The role of the employer is critical and has an impact on the quality of care provided to this migrant group. The involvement of the employer in MDH health matters functions as a barrier. A significant gap exists between employers and MDH regarding the health needs of the latter.
      Citation: International Journal of Migration, Health and Social Care
      PubDate: 2019-01-25T02:59:16Z
      DOI: 10.1108/IJMHSC-09-2017-0037
       
  • The body against the tides: a pilot study of movement-based exploration
           for examining Burmese refugees’ resilience
    • Pages: 61 - 75
      Abstract: International Journal of Migration, Health and Social Care, Volume 15, Issue 1, Page 61-75, March 2019.
      Purpose The purpose of this paper is to to understand Burmese refugees’ resilience in the USA, as well as to explore the potential contributions of arts- or movement-based interviews (movement elicitation (ME)) to the exploration of the immigration experience. Design/methodology/approach A qualitative case study was used for this pilot study (n=3), with verbal interviews combined with a ME procedure. ME is guided expressive movement that is engaged within verbal interviews. Utilizing ME involved probing interview responses to clarify and deepen the themes related to the resilience of Burmese refugees. Further, thematic analysis was conducted to identify themes within the interviews as related to the resilience of Burmese refugees. Findings Eight themes emerged from analysis of verbal interviews. Four themes pertained to adversities faced during the resettlement experience: financial and employment-based problems; racial issues and discrimination; challenges in adjustment and acculturation; and rough, unsafe neighborhoods. Four themes described the elements promoting Burmese refugees’ resilience: acquiring functional skills; drawing upon personal qualities; finding a sense of identity in family and beliefs; and accepting social support. Originality/value This study describes the resilience of refugees from Burma in the USA, with additional focus on how body and movement may serve as resources for coping, and thus provides information on the development of a framework for mental health assessment and intervention during refugees’ integration in their resettlement country.
      Citation: International Journal of Migration, Health and Social Care
      PubDate: 2019-01-23T11:59:19Z
      DOI: 10.1108/IJMHSC-03-2018-0022
       
  • The psychosocial experience of UK immigration detention
    • Pages: 76 - 89
      Abstract: International Journal of Migration, Health and Social Care, Volume 15, Issue 1, Page 76-89, March 2019.
      Purpose Existing quantitative research demonstrates negatively impacted mental health outcomes for people detained in immigration removal centres (IRCs) in the UK. However, there is limited qualitative research on the phenomenology of life inside UK IRCs. The purpose of this paper is to explore the psychosocial stressors experienced by people in detention, the psychological impacts of being detained and the ways in which people express resilience and cope in detention. Design/methodology/approach In-depth interviews were conducted with nine people who had previously been held in UK IRCs. Interview transcripts were analysed using interpretative phenomenological analysis. Findings Participants experienced incredulity and cognitive dissonance at being detained, and found themselves deprived of communication and healthcare needs. These stressors led participants to feel powerless, doubt themselves and their worldviews, and ruminate about their uncertain futures. However, participants also demonstrated resilience, and used proactive behaviours, spirituality and personal relationships to cope in detention. Antonovsky’s (1979) theory on wellbeing – sense of coherence – was found to have particular explanatory value for these findings. Research limitations/implications The sample of participants used in this study was skewed towards male, Iranian asylum seekers, and the findings therefore may have less applicability to the experiences of females, ex-prisoners and people from different geographical and cultural backgrounds. Originality/value This study offers a range of new insights into how detention in the UK impacts on people’s lives. The findings may be useful to policy makers who legislate on and regulate the UK immigration detention system, as well as custodial staff and health and social care practitioners working in IRCs.
      Citation: International Journal of Migration, Health and Social Care
      PubDate: 2019-01-07T03:48:26Z
      DOI: 10.1108/IJMHSC-04-2018-0024
       
  • Migrant women’s health and housing insecurity: an intersectional
           analysis
    • Pages: 90 - 106
      Abstract: International Journal of Migration, Health and Social Care, Volume 15, Issue 1, Page 90-106, March 2019.
      Purpose This paper presents an analysis of how health intersects with the experience of housing insecurity and homelessness, specifically for migrant women. The authors argue that it is important to understand the specificities of the interplay of these different factors to continue the advancement of our understanding and practice as advocates for health and housing security. Design/methodology/approach An exploratory, qualitative, methodological approach was adopted, using a broad definition of housing insecurity: from absolute homelessness (e.g. residing rough) to invisible homelessness (e.g. couch surfing) to those at risk of homelessness. In total, 26 newcomer (foreign-born women who came to live in Canada during the previous ten years, regardless of their immigration status) women were recruited in Montreal, Canada. Participants were recruited directly through advertisements in public places and in collaboration with community organizations (women’s centers, homeless shelters, crisis centers, domestic violence shelters, immigrant settlement agencies and ethnic associations) and they self-identified as having experienced housing insecurity. Efforts were made to include a diversity of immigrant statuses as well as diversity in ethnicity, race, country of origin, family composition, sexual orientation, age and range of physical and mental ability. Women were engaged in semi-structured, open-ended interviews lasting approximately 1 h. Interviews were conducted in English or French in a location and time of participants’ choosing. Findings The findings are presented around three themes: how health problems instigate and maintain migrant women’s housing insecurity and homelessness; ways in which women’s immigration trajectories and legal status may influence their health experiences; and particular coping strategies that migrant women employ in efforts to maintain or manage their health. The authors conclude with implications of these findings for both policy and practice in relation to migrant women who experience or are at risk of housing insecurity and homelessness. Originality/value Intersections of women experiencing migration and housing insecurity in Canadian contexts have rarely been examined. This paper addresses a gap in the literature in terms of topic and context, but also in terms of sharing the voices of migrant women with direct experience with housing insecurity.
      Citation: International Journal of Migration, Health and Social Care
      PubDate: 2019-01-18T03:09:47Z
      DOI: 10.1108/IJMHSC-05-2018-0027
       
  • Transnational marriages and the health and well-being of Thai migrant
           women living in Norway
    • Pages: 107 - 119
      Abstract: International Journal of Migration, Health and Social Care, Volume 15, Issue 1, Page 107-119, March 2019.
      Purpose The purpose of this paper is to investigate the health and well-being of Thai immigrant women in transnational marriages. Design/methodology/approach Interviews with 13 Thai women living in Norway who have (had) a Norwegian spouse/partner were conducted and the transcripts were analysed using thematic analysis. Findings Initial culture shock and a mixture of employment issues, transnational ties, marital relationships and social networks intertwined to influence women’s health and well-being over time. Sending financial remittances to family in Thailand could be challenging due to struggles to obtain suitable employment, working in low-paid physical jobs and spouses’ lack of understanding of this cultural practice. Over time, these intertwined factors led to chronic stress and deteriorating health for some. Thai networks and friendships were important for emotional and practical support. Practical implications More organised assistance may be beneficial to facilitate integration, reduce social isolation and improve employment opportunities. Originality/value Research on Thai women has so far focused on their position as immigrant wives and the vulnerabilities to exploitation and abuse they face. Focusing on only discourses around marital relationships may be limiting when trying to understand factors that influence the health and well-being of Thai immigrant women.
      Citation: International Journal of Migration, Health and Social Care
      PubDate: 2019-01-07T03:42:43Z
      DOI: 10.1108/IJMHSC-01-2018-0002
       
  • Lived experiences of street girls in Côte d’Ivoire
    • Abstract: International Journal of Migration, Health and Social Care, Ahead of Print.
      Purpose The United Nations continues to identify street children as one of the most vulnerable sub-populations of children and youth globally. The purpose of this paper is to present social and contextual perspectives of 11 girls living on the streets of Abidjan, Côte d’Ivoire. Implications with respect to the development and delivery of effective sexual/reproductive and mental health interventions and services are discussed. Design/methodology/approach Through semi-structured interviews and applied qualitative thematic analysis, this paper aims to achieve in-depth understanding about the lives of 11 girls living on the street. A socio-ecological framework is utilized to interpret the experiences of the girls at the individual (micro), community (mezzo) and structural (macro) levels. Findings Six main themes evolved from the thematic analysis of interview transcripts: exposure to violence and abuse before and on the street, exposure to violence and sex work, risk and vulnerability to HIV, substance use and sex work, substance use and physical and reproductive health and ways of coping and future planning. Originality/value The interplay of experiences illustrates how girls navigate their lives, and along with an appreciation of intersectionality validates the need for an integrated approach to health and social care related to health and mental health services. Integrated interventions should focus on common issues such as improving access to HIV testing and contraceptives for young girls living on the street.
      Citation: International Journal of Migration, Health and Social Care
      PubDate: 2019-06-26T10:38:42Z
      DOI: 10.1108/IJMHSC-12-2017-0052
       
  • Forward-backward translation and cross-cultural validation of the Center
           for Epidemiologic Studies Depression scale among Tigrigna-speaking
           Eritrean refugees
    • Abstract: International Journal of Migration, Health and Social Care, Ahead of Print.
      Purpose The Center for Epidemiologic Studies Depression (CES-D) scale is a widely used instrument for studying depression in the general population. It has been translated into several languages. Cross-cultural relevance of the construct of depression and cultural equivalence of the CES-D items used to measure it are crucial for international research on depression. Given the increasing number of refugees from Eritrea entering the USA and Europe, there is a need among health care researchers and providers for an instrument to assess depressive symptoms in the native language of this vulnerable population. The paper aims to discuss these issues. Design/methodology/approach The study employed forward–backward translation and assessed the CES-D scale for cross-cultural research and depression screening among Tigrigna-speaking Eritrean refugees. Forward–backward translation, cognitive interview and semantic analysis were conducted to ensure equivalence of comprehension of the items and instructions between Tigrigna- and English-speaking samples. Multi-group confirmatory factor analysis was used to assess the measurement invariance of the translated version. Findings Translation efforts were successful as reflected by the results of semantic analysis and pilot testing. Evidence supporting the measurement invariance of data collected using the Tigrigna version of the CES-D was obtained from a sample of 253 Eritrean refugees in the USA. Practical implications The findings of this study provide support for reliability and validity of data collected using the Tigrigna version of the CES-D scale. This important tool for assessing depression symptoms among Eritrean refugees is now available for health care providers and researchers working with this vulnerable population. Originality/value This work is an original work of the authors and it has not been published previously.
      Citation: International Journal of Migration, Health and Social Care
      PubDate: 2019-06-21T01:14:51Z
      DOI: 10.1108/IJMHSC-03-2017-0007
       
  • What can Somali community talk about mental health tell us about our
           own' Contextualizing the symptoms of mental health
    • Abstract: International Journal of Migration, Health and Social Care, Ahead of Print.
      Purpose The purpose of this paper is to review all the research on Somali refugee communities’ “explanatory models” of “mental health” or psychological suffering, and also report original research in order to allow for more contexts on their “mental health” terms to emerge. Design/methodology/approach The authors talked in a conversational manner with a small number (11) of Somali people (10 females and 1 male), but this was done intensively over time and on multiple occasions. They discussed their community terms for “mental health” issues but in their own contexts and with their own examples. Findings The results showed that Somali as a community had three main groupings of symptoms: Jinn or spirit possession; waali or “craziness”; and a group of terms for serious anxieties, rumination, worrying and thinking too much. What was new from their broader descriptions of context was that the community discourses were based on particular contexts of the person and their behavior within their life history, rather than aiming to universal categories like the DSM. Practical implications Both research and practice on mental health should focus less on universal diagnoses and more on describing the contexts in which the symptoms emerge and how to change those contexts, especially with refugee and other less well-understood groups. Originality/value The review and original results support symptom-based or contextual approaches to mental health; we should treat the “mental health” symptoms in their life contexts rather than as a disease or disorder. We can learn from how Somali describe their “mental health” symptoms rather than treat their descriptions as crude forms of the “correct” western diagnostics.
      Citation: International Journal of Migration, Health and Social Care
      PubDate: 2019-04-12T02:56:42Z
      DOI: 10.1108/IJMHSC-03-2018-0020
       
  • Protecting my baby: a qualitative study of the health promoting practices
           of pregnant Burmese migrant women living in Thailand
    • Pages: 1 - 16
      Abstract: International Journal of Migration, Health and Social Care, Volume 15, Issue 1, Page 1-16, March 2019.
      Purpose The purpose of this paper is to describe Burmese migrant women’s perceptions of health and well-being during pregnancy, their health promoting practices and their experiences with the Thai antenatal services. Design/methodology/approach The study used an ethnographic design. Observations were conducted in two antenatal clinics in southern Thailand. Ten Burmese migrant women and three Burmese interpreters participated in interviews. Data were analysed using thematic analysis. Findings The Burmese women wanted to take care of themselves and their baby to the best of their ability. This included following traditional practices and attending the antenatal clinic if able. Negotiating the demands of earning an income, and protecting their unborn baby, sometimes led to unhealthy practices such as consuming energy drinks and herbal tonics to improve performance. Accessing antenatal care was a positive health seeking behaviour noted in this community, however, it was not available to all. Research limitations/implications This is a small ethnographic study conducted in one Province in Thailand and all Burmese participants were legal migrants. Further research is required to understand the needs of pregnant women not able to access maternity services because of their status as an illegal migrant. Practical implications Community-based health promotion initiatives need to focus on the nutrition of pregnant women who are migrants living in southern Thailand. New models of care may increase migrant women’s use of antenatal services. Originality/value Most studies of the health of migrant women are conducted in high-income countries. This study demonstrates the difficulties experienced by women migrating from a low to middle-income country.
      Citation: International Journal of Migration, Health and Social Care
      PubDate: 2018-11-23T03:48:16Z
      DOI: 10.1108/IJMHSC-08-2017-0032
       
  • Social cohesion and immigrant health: does language-efficacy matter'
    • Pages: 17 - 30
      Abstract: International Journal of Migration, Health and Social Care, Volume 15, Issue 1, Page 17-30, March 2019.
      Purpose While social cohesion is important for the promotion of immigrant health, language is a core component through which immigrant groups establish social connections. Since language is a vehicle through which immigrant groups establish social linkages and that English language proficiency has been established as a virtual requirement for full participation in US society, the purpose of this paper is to examine the role of language in establishing social cohesion affecting immigrant health. Design/methodology/approach Using the 2012 California Health Interview Survey, the authors investigated the role of language efficacy in the relationship between social cohesion and utilization of healthcare among immigrant groups with good and poor health statuses (n=11,134). Mediation analyses were conducted using PROCESS Macro. Findings The direct effect of social cohesion on healthcare utilization and the effect of English language efficacy on healthcare utilization were significant for both groups. English language efficacy was a significant mediator between social cohesion and healthcare utilization among immigrants with good health statuses. Research limitations/implications Limitations include generalizability issues across immigrant sub-populations, limited measures in terms of English language efficacy and limitations with measures variables such as length of stay. Social implications This study highlights that language is the channel that plays a crucial role not only to establish and maintain social cohesion for positive health outcomes, but also the ripple effects of promoting trust, belonging, opportunity of upward mobility and inclusion. Originality/value The findings of the study add value to other pertinent issues of linguistic diversity, positive social relationships and well-being of diverse communities.
      Citation: International Journal of Migration, Health and Social Care
      PubDate: 2018-12-14T03:39:33Z
      DOI: 10.1108/IJMHSC-02-2018-0007
       
  • The value and meaning of a community drop-in service for asylum seekers
           and refugees
    • Pages: 31 - 45
      Abstract: International Journal of Migration, Health and Social Care, Volume 15, Issue 1, Page 31-45, March 2019.
      Purpose Asylum seekers and refugees experience substantial barriers to successful transition to a new society. The purpose of this paper is to explore the value and meaning of a community drop-in service offering social support for refugees and asylum seekers in the northeast of England and to identify the occupational preferences of the service users. Design/methodology/approach A qualitative approach using semi-structured interviews was conducted with refugees and asylum seekers using a community drop-in service. In total, 18 people participated from ten countries. Data were analysed using interpretive phenomenological analysis. Findings The value and meaning of the service was expressed through four key areas: the need to experience a sense of community; being able to make an altruistic contribution within the community; the need for societal integration; and having the opportunity to engage in meaningful and productive occupations. Practical implications Community and altruism have profound cultural meaning for asylum seekers and refugees and the need to integrate, belong and contribute is paramount to successful resettlement. Community-based drop-in services can aid this at deep, culturally relevant levels. This study may inform policy and practice development, future service development and highlight potential opportunities for health and social care services provision amongst this growing population. Originality/value To date there are no studies that provide empirical evidence on how community-based drop-in services for refugees and asylum seekers are received. This study provides a cultural insight into the deeper value and meaning of such services, and is particularly relevant for professionals in all sectors who are working with asylum seekers and refugees.
      Citation: International Journal of Migration, Health and Social Care
      PubDate: 2018-12-17T02:07:06Z
      DOI: 10.1108/IJMHSC-07-2018-0042
       
 
 
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