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Search Results (365)

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Keywords = models with immigration

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20 pages, 1576 KiB  
Article
Human Capital and Labor Supply Decisions in Immigrant Families: An Alternative Test of the Family Investment Hypothesis
by Sarit Cohen Goldner, Chemi Gotlibovski and Nava Kahana
Economies 2025, 13(8), 211; https://doi.org/10.3390/economies13080211 - 23 Jul 2025
Viewed by 198
Abstract
Immigrant households frequently face liquidity constraints upon arrival, which potentially hinders their long-term economic integration. The Family Investment Hypothesis (FIH) suggests that couples may respond to these constraints by coordinating their labor supply: one spouse works to finance the other’s investment in local [...] Read more.
Immigrant households frequently face liquidity constraints upon arrival, which potentially hinders their long-term economic integration. The Family Investment Hypothesis (FIH) suggests that couples may respond to these constraints by coordinating their labor supply: one spouse works to finance the other’s investment in local human capital. Previous studies have tested the FIH by comparing married immigrants to married natives, attributing differences in outcomes to financial constraints. However, this approach may conflate such constraints with other inherent differences between immigrants and natives. This paper introduces a novel identification strategy that compares the differences in labor market outcomes of married and single immigrants to those of their native-born counterparts, allowing for better isolation of the effects of liquidity. Applying this strategy to repeated cross-sectional data on immigrants from the Former Soviet Union who arrived in Israel during the 1990s, the analysis finds no supporting evidence for the FIH. One possible explanation for this finding is the substantial government support extended to these immigrants, which may have mitigated their financial constraints. Alternatively, the results may indicate that immigrant households do not systematically adjust their labor supply in accordance with the FIH framework. These findings highlight the importance of the institutional context in shaping household labor supply decisions. Full article
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34 pages, 2061 KiB  
Article
Analyzing Communication and Migration Perceptions Using Machine Learning: A Feature-Based Approach
by Andrés Tirado-Espín, Ana Marcillo-Vera, Karen Cáceres-Benítez, Diego Almeida-Galárraga, Nathaly Orozco Garzón, Jefferson Alexander Moreno Guaicha and Henry Carvajal Mora
Journal. Media 2025, 6(3), 112; https://doi.org/10.3390/journalmedia6030112 - 18 Jul 2025
Viewed by 420
Abstract
Public attitudes toward immigration in Spain are influenced by media narratives, individual traits, and emotional responses. This study examines how portrayals of Arab and African immigrants may be associated with emotional and attitudinal variation. We address three questions: (1) How are different types [...] Read more.
Public attitudes toward immigration in Spain are influenced by media narratives, individual traits, and emotional responses. This study examines how portrayals of Arab and African immigrants may be associated with emotional and attitudinal variation. We address three questions: (1) How are different types of media coverage and social environments linked to emotional reactions? (2) What emotions are most frequently associated with these portrayals? and (3) How do political orientation and media exposure relate to changes in perception? A pre/post media exposure survey was conducted with 130 Spanish university students. Machine learning models (decision tree, random forest, and support vector machine) were used to classify attitudes and identify predictive features. Emotional variables such as fear and happiness, as well as perceptions of media clarity and bias, emerged as key features in classification models. Political orientation and prior media experience were also linked to variation in responses. These findings suggest that emotional and contextual factors may be relevant in understanding public perceptions of immigration. The use of interpretable models contributes to a nuanced analysis of media influence and highlights the value of transparent computational approaches in migration research. Full article
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19 pages, 276 KiB  
Article
Interreligious Dialogue as a Communicative Process: Intersubjectivity and Misunderstandings in Brescia
by Maddalena Colombo
Religions 2025, 16(7), 856; https://doi.org/10.3390/rel16070856 - 1 Jul 2025
Viewed by 336
Abstract
This article stems from the PRIN GOV_REL (Urban Governance of Interreligious Dialogue) research project carried out in four Italian cities in 2023–2025 and reports on some preliminary results of the empirical enquiry held in the city of Brescia. The Brescia area is characterised [...] Read more.
This article stems from the PRIN GOV_REL (Urban Governance of Interreligious Dialogue) research project carried out in four Italian cities in 2023–2025 and reports on some preliminary results of the empirical enquiry held in the city of Brescia. The Brescia area is characterised by high rates of residents with an immigrant background and a consolidated presence of religious minorities (Muslim, Orthodox, Sikh, Hindu and Protestant groups), many recognised centres (mosques, temples and Christian non-Catholic churches) and a significant commitment of ethnic–religious communities to local public life. This paper examines the creation of grassroots-level interreligious dialogue, seen as a communicative process. The empirical evidence is based on material collected by participant observations and semi-structured interviews regarding four initiatives that occurred in 2024. A sociocultural analysis outlines the communicative frame: text; context; aims; acts; interlocutors and their power/freedom of expression; interactions; results. The article examines the communicative pattern of each initiative, considering an intercultural orientation and a pluralistic model of interfaith dialogue. It seeks to answer the following questions: what was the fundamental message that the promoters wanted to convey? How do the single actors communicate their perspective of religious “others”, and what results did they achieve or not achieve? The analysis leads to identifying the patterns that facilitate and/or hamper dialogue, taking into account misunderstandings and “cul-de-sac” aspects. Final recommendations highlight the recurrent breaking points that should be prevented and some premises to guarantee successful communication between members of different religions in multicultural urban spaces. Full article
24 pages, 312 KiB  
Article
Social Ecological Influences on HPV Vaccination Among Cape Verdean Immigrants in the U. S.: A Qualitative Study
by Ana Cristina Lindsay, Celestina V. Antunes, Aysha G. Pires, Monica Pereira and Denise L. Nogueira
Vaccines 2025, 13(7), 713; https://doi.org/10.3390/vaccines13070713 - 30 Jun 2025
Viewed by 349
Abstract
Background: Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States (U.S.) and a major contributor to several cancers, including cervical, anal, penile, and oropharyngeal cancers. Although a safe and effective vaccine is available, HPV vaccination rates remain suboptimal, [...] Read more.
Background: Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States (U.S.) and a major contributor to several cancers, including cervical, anal, penile, and oropharyngeal cancers. Although a safe and effective vaccine is available, HPV vaccination rates remain suboptimal, particularly among racial, ethnic, and immigrant minority groups. This study explored multiple factors, such as cultural, social, and structural influences, influencing HPV vaccine decision-making among Cape Verdean immigrant parents in the U.S., a population currently underrepresented in HPV research. Methods: Qualitative study using individual, in-depth interviews with Cape Verdean immigrant parents of children aged 11 to 17 years living in the U.S. Interviews were transcribed verbatim and analyzed thematically using the social ecological model (SEM) to identify barriers and facilitators at the intrapersonal, interpersonal, organizational, community, and policy levels. Results: Forty-five Cape Verdean parents (27 mothers, 18 fathers) participated. Fathers were significantly older than mothers (50.0 vs. 41.1 years, p = 0.05). Most were married or partnered (60%), had at least a high school education (84.4%), and reported annual household incomes of US$50,000 or more (66.7%), with no significant gender differences. Nearly all spoke Creole at home (95.6%). Fathers had lower acculturation than mothers (p = 0.05), reflecting less adaptation to U.S. norms and language use. Most parents had limited knowledge of HPV and the vaccine, with gendered beliefs and misconceptions about risk. Only seven mothers (25.9%) reported receiving a provider recommendation; all indicated that their children had initiated vaccination (1 dose or more). Mothers were the primary decision-makers, though joint decision-making was common. Trust in providers was high, but poor communication and the lack of culturally and linguistically appropriate materials limited informed decision-making. Stigma, misinformation, and cultural taboos restricted open dialogue. Trusted sources of information included schools, churches, and Cape Verdean organizations. While parents valued the U.S. healthcare system, they noted gaps in public health messaging and provider engagement. Conclusions: Findings revealed that HPV vaccine uptake and hesitancy among Cape Verdean immigrant parents in the U.S. were influenced by individual beliefs, family dynamics, healthcare provider interactions, cultural norms, and structural barriers. These findings highlight the need for multilevel strategies such as culturally tailored education, community engagement, and improved provider communication to support informed vaccination decisions in this population. Full article
(This article belongs to the Special Issue Vaccine Strategies for HPV-Related Cancers: 2nd Edition)
23 pages, 2651 KiB  
Article
Asymptotic Analysis of Poverty Dynamics via Feller Semigroups
by Lahcen Boulaasair, Mehmet Yavuz and Hassane Bouzahir
Mathematics 2025, 13(13), 2120; https://doi.org/10.3390/math13132120 - 28 Jun 2025
Viewed by 227
Abstract
Poverty is a multifaceted phenomenon impacting millions globally, defined by a deficiency in both material and immaterial resources, which consequently restricts access to satisfactory living conditions. Comprehensive poverty analysis can be accomplished through the application of mathematical and modeling techniques, which are useful [...] Read more.
Poverty is a multifaceted phenomenon impacting millions globally, defined by a deficiency in both material and immaterial resources, which consequently restricts access to satisfactory living conditions. Comprehensive poverty analysis can be accomplished through the application of mathematical and modeling techniques, which are useful in understanding and predicting poverty trends. These models, which often incorporate principles from economics, stochastic processes, and dynamic systems, enable the assessment of the factors influencing poverty and the effectiveness of public policies in alleviating it. This paper introduces a mathematical compartmental model to investigate poverty within a population (ψ(t)), considering the effects of immigration, crime, and incarceration. The model aims to elucidate the interconnections between these factors and their combined impact on poverty levels. We begin the study by ensuring the mathematical validity of the model by demonstrating the uniqueness of a positive solution. Next, it is shown that under specific conditions, the probability of poverty persistence approaches certainty. Conversely, conditions leading to an exponential reduction in poverty are identified. Additionally, the semigroup associated with our model is proven to possess the Feller property, and its distribution has a unique invariant measure. To confirm and validate these theoretical results, interesting numerical simulations are performed. Full article
(This article belongs to the Special Issue Mathematical Modelling of Nonlinear Dynamical Systems)
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16 pages, 789 KiB  
Article
Social Capital and Family Well-Being Among Immigrant Chinese and Native Japanese Families Raising Children in Japan: A Cross-Sectional Study
by Qiting Lin, Takafumi Soejima, Shiqi Zhang, Hisashi Nakaguchi, Satoshi Takatani, Junko Honda, Naohiro Hohashi and Noriyuki Nishimura
Healthcare 2025, 13(13), 1518; https://doi.org/10.3390/healthcare13131518 - 25 Jun 2025
Viewed by 352
Abstract
Background/Objectives: Although several studies have examined the importance of social capital to individual health, the relationship between social capital and family well-being remains unclear. This study examines the relationships among social capital, parental depressive symptoms, and family well-being, and evaluates whether parental [...] Read more.
Background/Objectives: Although several studies have examined the importance of social capital to individual health, the relationship between social capital and family well-being remains unclear. This study examines the relationships among social capital, parental depressive symptoms, and family well-being, and evaluates whether parental depressive symptoms mediate the association between social capital and family well-being in immigrant Chinese and native Japanese families. Methods: A cross-sectional study using Google questionnaires was conducted between January and April 2024 among parents of local Japanese and immigrant Chinese families with children. The survey assessed demographics and social capital using the PSCS-16 and K6 Scale, family well-being using the General Functioning Index of the Family Assessment Device, and family life satisfaction using the New Brief Job Stress Questionnaire. Multiple-group structural equation modeling clarified the association between bonding and bridging social capital and family well-being. Results: The survey data was collected from 133 parents (75 Japanese and 58 Chinese) of preschool children aged six years and under. About 81.2% of respondents were mothers and 18.8% were fathers, with the majority aged between 30 to 39 years (63.9%). Bonding social capital was positively associated with family well-being among Japanese families. In Chinese families, bonding social capital was indirectly associated with family well-being by reducing parental depressive symptoms. Conclusions: These findings highlight the importance of enhancing bonding social capital to benefit both native and immigrant families. Besides, policymakers should consider tailored strategies that reflect the differing needs of both groups. Full article
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16 pages, 295 KiB  
Article
Occupational Health and Safety Among Brazilian Immigrant Women in the United States: A Cross-Sectional Survey
by Ashley Scott, Salima F. Taylor and Jennifer D. Allen
Int. J. Environ. Res. Public Health 2025, 22(6), 963; https://doi.org/10.3390/ijerph22060963 - 19 Jun 2025
Viewed by 450
Abstract
The Brazilian population in the United States is growing, and many Brazilian workers are employed in settings that may lack occupational health and safety (OHS) protections. In this study, we examined two domains of OHS (measured by the Occupational Health and Safety Vulnerability [...] Read more.
The Brazilian population in the United States is growing, and many Brazilian workers are employed in settings that may lack occupational health and safety (OHS) protections. In this study, we examined two domains of OHS (measured by the Occupational Health and Safety Vulnerability Survey), namely, Workplace Hazards (potential dangers that may result in injury or illness) and Workplace Vulnerability (inadequate occupational health and safety resources), and described health and demographic characteristics associated with these conditions. Eligible participants were women aged 18 and over, born in Brazil, currently residing in the United States, and employed. A cross-sectional online survey was conducted between July and August 2020. Recruitment occurred through community partnerships and social media. Multivariable models among n = 191 women revealed that greater exposure to Workplace Hazards was associated with employment in private household settings, including childcare and housecleaning (p < 0.001). The association between Workplace Vulnerability and jobs in private household services approached statistical significance (p = 0.07). Both Workplace Hazards and Workplace Vulnerability were associated with lower incomes and educational attainment, as well as having public insurance. Our findings suggest the need for stronger OHS protections and policies, particularly among those working in private household services, to ensure safer working conditions for Brazilian immigrant women. Full article
(This article belongs to the Section Global Health)
19 pages, 2521 KiB  
Article
Leveraging a Systems Approach for Immigrant Integration: Fostering Agile, Resilient, and Sustainable Organizational Governance
by Pablo Farías
Systems 2025, 13(6), 467; https://doi.org/10.3390/systems13060467 - 13 Jun 2025
Viewed by 1218
Abstract
Effectively managing immigrant workforces presents a significant contemporary challenge for organizations operating in a globalized world. Current management practices often fall short, failing to adequately address the complex interplay of social issues, cultural and linguistic distances, and the valuable human capital immigrants possess. [...] Read more.
Effectively managing immigrant workforces presents a significant contemporary challenge for organizations operating in a globalized world. Current management practices often fall short, failing to adequately address the complex interplay of social issues, cultural and linguistic distances, and the valuable human capital immigrants possess. This paper proposes a theoretically developed conceptual model for immigrant management, synthesized from a comprehensive review of systems theory, migration studies, and organizational governance literature. The model advances systems theory by operationalizing its core tenets—interdependence, feedback loops, and holistic perspective—into a practical governance framework for the specific domain of immigrant workforce integration, demonstrating the theory’s applicability to complex socio-organizational challenges. It outlines six interdependent subsystems—from needs assessment to end-of-work transitions. While conceptual, this paper lays a robust foundation for future empirical research by providing testable propositions regarding the efficacy of its subsystems and their impact on integration outcomes. It calls for empirical validation of the proposed relationships and the model’s overall effectiveness in diverse organizational contexts. By adopting this structured yet adaptable framework, organizations can move towards more agile governance practices in human resource management, allowing for iterative adjustments and fostering more resilient and sustainable immigrant integration. This approach directly contributes to addressing immigrant integration issues by offering a holistic, actionable framework that moves beyond piecemeal solutions, thereby enhancing organizational capability and promoting positive societal impact. Full article
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28 pages, 1310 KiB  
Article
Bridging Crisp-Set Qualitative Comparative Analysis and Association Rule Mining: A Formal and Computational Integration
by Acácio Dom Luís, Rafael Benítez and María del Carmen Bas
Mathematics 2025, 13(12), 1939; https://doi.org/10.3390/math13121939 - 11 Jun 2025
Viewed by 420
Abstract
In this paper, a novel mathematical formalization of Crisp-Set Qualitative Comparative Analysis (csQCA) that enables a rigorous connection with a specific class of association rule mining (ARM) problems is proposed. Although these two methodologies are frequently used to identify logical patterns in binary [...] Read more.
In this paper, a novel mathematical formalization of Crisp-Set Qualitative Comparative Analysis (csQCA) that enables a rigorous connection with a specific class of association rule mining (ARM) problems is proposed. Although these two methodologies are frequently used to identify logical patterns in binary datasets, they originate from different traditions. While csQCA is rooted in set theory and Boolean logic and is primarily applied in the social sciences to model causal complexity, ARM originates from data mining and is widely used to discover frequent co-occurrences among items. In this study, we establish a formal mathematical equivalence between csQCA configurations and a subclass of association rules, including both positive and negative conditions. Moreover, we propose a minimization procedure for association rules that mirrors the Quine–McCluskey reduction method employed in csQCA. We demonstrate the consistency of the results obtained using both methodologies through two examples (a small-N study on internet shutdowns in Sub-Saharan Africa and a large-N analysis of immigration attitudes in Europe) and some numerical experiments. However, it is also clear that ARM offers improved scalability and robustness in high-dimensional contexts. Overall, these findings provide researchers with valuable theoretical and practical guidance when choosing between these approaches in qualitative data analysis. Full article
(This article belongs to the Section E1: Mathematics and Computer Science)
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15 pages, 590 KiB  
Article
Sex/Gender Differences in the Effects of Childhood Abuse on Future Risk of Depression: Longitudinal Evidence from the Global Flourishing Study
by Shervin Assari, Babak Najand and Alexandra Donovan
Children 2025, 12(6), 754; https://doi.org/10.3390/children12060754 - 11 Jun 2025
Cited by 2 | Viewed by 719
Abstract
Background: Adverse childhood experiences (ACEs) such as abuse (defined as emotional, physical, or sexual abuse without distinguishing type or severity) have long been linked to mental health challenges in adulthood. However, less is known about how these effects differ by sex/gender in global [...] Read more.
Background: Adverse childhood experiences (ACEs) such as abuse (defined as emotional, physical, or sexual abuse without distinguishing type or severity) have long been linked to mental health challenges in adulthood. However, less is known about how these effects differ by sex/gender in global samples, particularly using large-scale, multi-country panel data. Objectives: To examine whether the long-term association between childhood abuse and changes in depressive symptoms during adulthood differ between men and women, after adjusting for demographic and socioeconomic factors. Methods: We conducted a secondary analysis of Waves 1 and 2 of the Global Flourishing Study (GFS), a longitudinal panel study covering 22 diverse countries. The sample included adult participants with complete data on childhood abuse (yes/no); depression at baseline and follow-up; sex/gender; and relevant covariates (age; education; marital status; immigration status; smoking status; and employment). Depression was measured using a two-item scale. Multi-group structural equation models were used to test the effect of ACE on changes in depression over time where groups were defined based on sex/gender. Results: Overall, childhood abuse was associated with a statistically significant increase in depression scores between Wave 1 and Wave 2. This association was significant among women but not among men. Conclusions: Our findings suggest that the mental health consequences of childhood abuse extend into adulthood and disproportionately affect women. These sex/gender differences may reflect variations in stress processing; coping; and social roles. Interventions addressing early adversity may need to be tailored to recognize and respond to such sex/gender-specific vulnerabilities. Full article
(This article belongs to the Special Issue Adverse Childhood Experiences: Assessment and Long-Term Outcomes)
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20 pages, 925 KiB  
Article
Socioecological Models of Acculturation: The Relative Roles of Social and Contextual Factors on Acculturation Across Life Domains
by Sara L. Buckingham
Behav. Sci. 2025, 15(6), 715; https://doi.org/10.3390/bs15060715 - 22 May 2025
Viewed by 524
Abstract
Although acculturation research recognizes that a community’s context of reception shapes acculturation, relatively limited research has explored how social and contextual variables shape the divergence of ‘real’ acculturation from ‘ideal’ (or individually desired) acculturation across life domains. Building on the Relative Acculturation Extended [...] Read more.
Although acculturation research recognizes that a community’s context of reception shapes acculturation, relatively limited research has explored how social and contextual variables shape the divergence of ‘real’ acculturation from ‘ideal’ (or individually desired) acculturation across life domains. Building on the Relative Acculturation Extended Model, this study examines how one’s local context and interactions within it shape acculturation in peripheral (public), intermediate (social), and central (private) life domains. In this cross-sectional study, 408 first-generation immigrant adults born in Latin America (M = 37.91, SD = 12.93) who had lived in the United States for 1–55 years (M = 16.56; SD = 9.50) completed self-report measures across four communities with distinct contexts of reception. Results revealed that perception of the receiving community’s acculturation preferences, prejudice, community contact, and symbolic threat all shaped immigrants’ ‘real’ acculturation beyond ‘ideal’, both directly and indirectly via their sense of community and intergroup anxiety. These socioecological factors had a stronger impact on peripheral domain acculturation overall, though pathways generally remained consistent across life domains. Results have numerous implications for policy, practice, and the future of acculturation research as they suggest that social context more readily shapes public expressions of acculturation than more private expressions. Full article
(This article belongs to the Special Issue Social and Psychological Determinants of Acculturation)
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17 pages, 1070 KiB  
Article
Barriers and Facilitators to Engagement in Collective Gardening Among Black African Immigrants in Alberta, Canada
by Destiny Otoadese, Issa Kamara and Elizabeth Onyango
Int. J. Environ. Res. Public Health 2025, 22(5), 789; https://doi.org/10.3390/ijerph22050789 - 16 May 2025
Viewed by 538
Abstract
Background: Community gardens are increasingly popular in Canadian cities, serving as transformative spaces where immigrants can develop self-reliant strategies for accessing culturally familiar and healthy nutritious foods. However, numerous facilitators and barriers exist that limit the engagement of racialized groups such as Black-identifying [...] Read more.
Background: Community gardens are increasingly popular in Canadian cities, serving as transformative spaces where immigrants can develop self-reliant strategies for accessing culturally familiar and healthy nutritious foods. However, numerous facilitators and barriers exist that limit the engagement of racialized groups such as Black-identifying immigrants. Using a socio-ecological framework, this research explores barriers and facilitators of engagement of Black African immigrants in collective community gardening in Alberta, Canada. Methods: The study adopted a community-based participatory research (CBPR) approach using mixed methods. Data collection included structured surveys (n = 119) to assess general engagement, facilitators, and barriers; in-depth interviews (n = 10) to explore lived experiences; and Afrocentric sharing circles (n = 2) to probe collective perspectives in relation to engagement in collective gardening. Participants were purposefully recruited through community networks within African immigrant-serving community organizations. Results: Our findings revealed how barriers at various levels of the socio-ecological model (SEM) interact to shape the interest and engagement of African immigrants in collective community gardening. Access to collective gardens was associated with significant benefits, including maintaining healthy foodways, knowledge exchange, growing social capital, and community connections that support overall wellbeing. Conclusions: This study contributes an accessible framework for understanding and addressing the complex barriers that limit engagement in community gardens for vulnerable communities, while highlighting opportunities for creating more inclusive and culturally responsive urban agriculture initiatives. Full article
(This article belongs to the Special Issue Migrant Health and Newly Emerging Public Health Issues)
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29 pages, 4542 KiB  
Article
Why Do Back Vowels Shift in Heritage Korean?
by Laura Griffin and Naomi Nagy
Languages 2025, 10(5), 105; https://doi.org/10.3390/languages10050105 - 8 May 2025
Viewed by 470
Abstract
For heritage speakers (HSs), expectations of influence from the community’s dominant language are pervasive. An alternative account for heritage language variability is that HSs are demonstrating sociolinguistic competence: HSs may either initiate or carry forward a pattern of variation from the homeland variety. [...] Read more.
For heritage speakers (HSs), expectations of influence from the community’s dominant language are pervasive. An alternative account for heritage language variability is that HSs are demonstrating sociolinguistic competence: HSs may either initiate or carry forward a pattern of variation from the homeland variety. We illustrate the importance of this consideration, querying whether /u/-fronting in Heritage Korean is best interpreted as influence from Toronto English, where /u/-fronting also occurs, or a continuation of an ongoing vowel shift in Homeland (Seoul) Korean that also involves /ɨ/-fronting and /o/-fronting. How can patterns of social embedding untangle this question that is central to better understanding sociolinguistic competence in HSs? For Korean vowels produced in sociolinguistic interviews by Heritage (8 adult immigrants, 8 adult children of immigrants) and 10 Homeland adults, F1 and F2 were measured (13,232 tokens of /o/, 6810 tokens of /u/, and 20,637 tokens of /ɨ/), normalized and subjected to linear regression. Models predict effects of gender, age, orientation toward Korean language and culture, the speaker’s average F2 for the other shifting vowels, and duration. These models highlight HS’s sociolinguistic competence: Heritage speakers share linguistic and social patterns with Homeland Korean speakers that are absent in English. Additionally, heritage speakers lack the effects of factors attested in the English change. Full article
(This article belongs to the Special Issue The Acquisition of L2 Sociolinguistic Competence)
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14 pages, 719 KiB  
Article
Surgery on the Road to the Land of Promise–Ιmpact of the Refugee Crisis on the Greek Healthcare System: Results from a Surgical Department of a Tertiary Hospital
by Christos Damaskos, Nikolaos Garmpis, Dimitrios Lamprinos, Gregory Kouraklis, Dionysios Prevezanos, Anna Garmpi, Miltiadis-Panagiotis Papandroudis, Iason Psilopatis, Dimitrios Papoutsas, Georgios Marinos, Stavros Kourlakis and Eleni I. Effraimidou
Healthcare 2025, 13(9), 975; https://doi.org/10.3390/healthcare13090975 - 23 Apr 2025
Viewed by 425
Abstract
Background/Objectives: The surge in migration from the Middle East and North Africa due to conflicts has significantly impacted healthcare systems, particularly in Greece. This study investigates how the sharp increase in refugees and migrants after July 2015 has strained the surgical departments of [...] Read more.
Background/Objectives: The surge in migration from the Middle East and North Africa due to conflicts has significantly impacted healthcare systems, particularly in Greece. This study investigates how the sharp increase in refugees and migrants after July 2015 has strained the surgical departments of the Greek National Health System (NHS). Methods: A retrospective analysis was conducted on 229 patients treated at the emergency department of a public hospital in Athens, Greece. Data were compared between two periods: January 2012–July 2015 (pre-July 2015) and July 2015–December 2018 (post-July 2015), with July 2015 chosen as the cutoff due to a significant influx of immigrants during that time. Results: Patients’ demographic details, diagnoses, and surgical interventions were analyzed. Results indicated a significant rise in surgical cases, with 72.5% of patients requiring procedures, notably for appendicitis (23.6%), cholecystitis (10.9%), lower extremity thrombophlebitis (9.6%), perianal abscess (8.3%), and inguinal hernia (5.7%). Post-July 2015, there was a notable increase in perianal abscess (12.2%), inguinal hernia (8.4%), and cholelithiasis (6.1%). However, the average hospital stay of 3.9 days remained unchanged. Conclusions: The findings reveal the profound economic and operational pressures on the NHS during the refugee crisis, highlighting the urgent need for resource optimization and policy reforms. Future studies should address long-term healthcare impacts to support more sustainable healthcare models amidst ongoing and future migration challenges. Full article
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20 pages, 689 KiB  
Article
“When Somebody Comes into This Country and You Are Trans on Top of That Is Like You Got… Two Strikes on You”: Intersectional Barriers to PrEP Use Among Latina Transgender Women in the Eastern and Southern United States
by Rodrigo A. Aguayo-Romero, Genesis Valera, Erin E. Cooney, Andrea L. Wirtz and Sari L. Reisner
Int. J. Environ. Res. Public Health 2025, 22(5), 659; https://doi.org/10.3390/ijerph22050659 - 22 Apr 2025
Viewed by 861
Abstract
In the United States (U.S.), Latina transgender women (LTW) are highly burdened by HIV and are prioritized for pre-exposure prophylaxis (PrEP). This study explored intersectional barriers and facilitators to PrEP uptake among LTW. Between February–November 2022, in-depth interviews were conducted with 27 LTW [...] Read more.
In the United States (U.S.), Latina transgender women (LTW) are highly burdened by HIV and are prioritized for pre-exposure prophylaxis (PrEP). This study explored intersectional barriers and facilitators to PrEP uptake among LTW. Between February–November 2022, in-depth interviews were conducted with 27 LTW in the LITE Study. Participants were purposively sampled from 196 LTW in the cohort based on PrEP uptake (PrEP-naïve n = 8, PrEP-eligible and not user n = 5, current PrEP user n = 6, previous PrEP user n = 8). We conducted content analysis guided by a Modified Social Ecological Model and Intersectionality Framework. The mean age of participants was 32.3 (SD = 12.9). Themes were: (1) Intrapersonal: Medical distrust, acceptability of PrEP modalities, and concerns about long-term health; (2) Interpersonal: Mistreatment in healthcare, discrimination-related healthcare avoidance, difficulty finding trans-competent providers, language barriers, and shame and stigma; and (3) Structural: PrEP in the context of limited access to gender-affirming care and widespread silicone use, immigration status, economic marginalization, lack of community outreach, transphobia and anti-transgender legislative contexts, and xenophobia. This study found multilevel intersectional barriers influence PrEP uptake and persistence. Culturally tailored HIV prevention efforts are needed to address LTW-specific barriers, provide information on programs subsidizing PrEP, and implement policy change to ensure equitable PrEP access. Full article
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