Search Results (7)

Longitudinal research provides critical insights into the evolving health trajectories of immigrants, capturing changes from initial arrival through to long-term settlement. However, longitudinal studies on immigrant health in Canada face persistent methodological challenges that limit their impact and policy relevance. This review critically examines 34 peer-reviewed articles, published between 1996 and 2024, that employed longitudinal data to investigate physical and mental health outcomes among Canadian immigrants. We identify key methodological limitations, including a heavy reliance on earlier datasets (71% of studies used data collected between 1994 and 2007), oversimplified outcome measures (e.g., collapsing continuous or Likert-scale variables into dichotomous categories without clear justification), the limited use of appropriate longitudinal methods, and the inadequate handling of missing data. Advancing immigrant health research in Canada will require enhanced data infrastructure, greater methodological rigor, and more transparent reporting practices to better inform evidence-based policy. This review offers researchers and policymakers a clear summary of existing methodological gaps and presents practical strategies to strengthen future longitudinal research on immigrant health in Canada. Full article

Background: Being breastfed, following a healthy diet and staying active during childhood shape health trajectories across the life course, promoting long-term well-being. Despite the growing immigrant child population in Portugal, evidence on these behaviours, particularly among preschool-aged children, remains limited. In this context, this study examines the associations between migrant status and breastfeeding patterns, fruit and vegetable consumption, and participation in sports among children living in the Lisbon Metropolitan Area. Methods: A cross-sectional study nested within a cross-sequential cohort was carried out in the Lisbon region between May 2022 and April 2024. Approximately 760 children (49.4% immigrants) born in 2018 and 2020 were enrolled in the study. Data were collected through a face-to-face interview with parents, using a structured questionnaire with information on socioeconomic variables, migration history, breastfeeding habits, and children’s diet (fruit and vegetable consumption) and physical activity. We used parametric and non-parametric tests to compare migrant and non-migrant children. To quantify factors associated with the main outcomes, we estimated a logistic regression model and calculated crude and adjusted odds ratios and their respective 95%CI. Results: Immigrant children were disproportionately represented in socioeconomically disadvantaged families. Breastfeeding initiation rates were higher among immigrant mothers (96.3% vs. 87.6%, p < 0.001). Additionally, immigrant mothers had a longer median duration of any breastfeeding (14 vs. 8 months, p < 0.001) and of exclusive breastfeeding (6 vs. 4 months, p < 0.001). Immigrant children had significantly lower odds of consuming three or more portions of fruit (aOR = 0.700; 95%CI: 0.511–0.959; p = 0.027) and two or more portions of vegetables per day (aOR = 0.489; 95%CI: 0.350–0.684; p < 0.001) compared with non-immigrant children. They were also twice as likely to not engage in sports (aOR = 2.185; 95%CI: 1.512–3.158; p < 0.001). Conclusions: Breastfeeding was better implemented in immigrant children. The findings highlight the need to address social determinants of health and the challenges faced by immigrant families in promoting a balanced diet and sports participation for their children. Multisectoral, culturally appropriate interventions that sustain and promote good breastfeeding practices, improve access to healthy food, and encourage sports are crucial to reducing health inequalities. Full article

Background/Objectives: The study investigated the dynamic interrelations of both positive and negative self-esteem with depression among immigrant adolescents. Methods: Longitudinal data from the Children of Immigrants Longitudinal Study (CILS) were analyzed using a Cross-Lagged Panel Network (CLPN) model. Results: The results showed strong autoregressive effects; both the positive and negative dimensions of self-esteem and symptoms of depression were fairly stable across the two measurement times. Cross-lagged effects indicated that higher levels of positive self-esteem predicted reduced depressive symptoms; for example, higher self-worth at Time 1 was associated with a lower lack of motivation at Time 2. However, some components, for instance, positive self-attitude, predicted in greater sadness from Time 1 to Time 2. On the other hand, certain dimensions of negative self-esteem, such as feeling useless at Time 1, were related to decreases in depressive symptoms at Time 2, which points to complex and bidirectional effects that challenge traditional hypotheses on how self-esteem may affect mental health. Conclusions: The current study teases apart sub-components of self-esteem and, in doing so, demonstrates how different facets uniquely predict depression over time and inform nuanced mental health trajectories among immigrant youth. The findings indicate that selective self-esteem interventions should be carried out to enhance resilience and mental well-being in adolescents from diverse backgrounds. Full article

This study investigated the health trajectories of married immigrant women in South Korea and examined the mediating role of psychosocial resources in linking acculturation profiles to health trajectories. A sample of 1635 mothers who participated in the Multicultural Adolescents Panel Study was examined. The results identified three distinct health trajectories, that is, high-stable, decrease-from-high, and low-stable. In addition, three acculturation profiles (maladaptive, Korean-oriented bicultural, and undifferentiated) indirectly predicted health class through self-esteem and social network. Specifically, self-esteem mediated the path from the maladaptive and Korean-oriented bicultural profiles to a stable-low health class. Further, social networks mediated the effect of the Korean-oriented bicultural profile on the decrease from the high health class. These findings highlight the heterogeneity of married immigrant women’s health and suggest the importance of considering the relationship between individual acculturation profiles and psychosocial resources to promote the health of married immigrant women. Full article

Atopic dermatitis (AD) is a common, chronic, inflammatory skin disease affecting Australians of all ages, races, ethnicities, and social classes. Significant physical, psychosocial, and financial burdens to both individuals and Australian communities have been demonstrated. This narrative review highlights knowledge gaps for AD in Australian skin of colour. We searched PubMed, Wiley Online Library, and Cochrane Library databases for review articles, systematic reviews, and cross-sectional and observational studies relating to AD in Australia for skin of colour and for different ethnicities. Statistical data from the Australian Institute of Health and Welfare and the Australian Bureau of Statistics was collected. In recent years, there has been substantially increased awareness of and research into skin infections, such as scabies and impetigo, among various Australian subpopulations. Many such infections disproportionately affect First Nations Peoples. However, data for AD itself in these groups are limited. There is also little written regarding AD in recent, racially diverse immigrants with skin of colour. Areas for future research include AD epidemiology and AD phenotypes for First Nations Peoples and AD trajectories for non-Caucasian immigrants. We also note the evident disparity in both the level of understanding and the management standards of AD between urban and remote communities in Australia. This discrepancy relates to a relative lack of healthcare resources in marginalised communities. First Nations Peoples in particular experience socioeconomic disadvantage, have worse health outcomes, and experience healthcare inequality in Australia. Barriers to effective AD management must be identified and responsibly addressed for socioeconomically disadvantaged and remote-living communities to achieve healthcare equity. Full article

This study aimed to investigate the prevalence and trajectories of chronic diseases and risk behaviors in immigrants from high-income countries (HIC), low–middle-income countries (LMIC), to Australian-born people. Data were used from five waves of the HABITAT (2007–2016) study—11,035 adults living in Brisbane, Australia. Chronic diseases included cancer, diabetes mellitus, coronary heart disease, and chronic obstructive pulmonary disease (COPD). Risk factors assessed were body mass index (BMI), insufficient physical activity, and cigarette smoking. Diabetes mellitus increased in all groups, with the highest increase of 33% in LMIC immigrants. The prevalence of cancers increased 19.6% in the Australian-born, 16.6% in HIC immigrants, and 5.1% in LMIC immigrants. The prevalence of asthma increased in HIC immigrants while decreased in the other two groups. Poisson regression showed that LMIC immigrants had 1.12 times higher rates of insufficient physical activity, 0.75 times lower rates of smoking, and 0.77 times lower rates of being overweight than the Australian-born population. HIC immigrants had 0.96 times lower rates of insufficient physical activity and 0.93 times lower rates of overweight than Australian-born. The findings of this study can inform better strategies to reduce health disparities by targeting high-risk cohorts. Full article

Latinos in the United States experience numerous alcohol-related health disparities. There is accumulating evidence that pre-immigration factors are associated with post-immigration alcohol use, but the explanation for health disparities remains unclear. The present study is a secondary analysis of data from the Recent Latino Immigrant Study (RLIS), the first community-based cohort study to examine the pre- to post-immigration alcohol use trajectories of young adult Latino immigrants during their initial years in the United States. Exploratory analysis and hierarchical multiple logistic regression were performed to assess associations between various pre- and post-immigration factors and alcohol misuse among young adult Latino immigrants early in the immigration process. Using an ecodevelopmental approach, we examined potential social and environmental determinants across multiple levels of influence associated with post-immigration alcohol misuse in this population. The study sample consisted of 474 young adult Latino immigrants between the ages of 18–34. The sample was comprised of the following national/regional origins: Cuban (43%), South American (28.7%), and Central American (28.3%). Approximately half of the sample (49.6%) reported a family history of substance use problems (FHSUP+). Participants who reported FHSUP+ and who engaged in alcohol misuse prior to immigrating to the US were more likely to engage in post-immigration alcohol misuse. Results revealed various social and environmental factors associated with pre-immigration alcohol misuse in this population. Study findings can inform culturally tailored prevention interventions aimed at mitigating problem drinking behaviors among young adult recent Latino immigrants. Full article