Search Results (335)

Background: International migration is a growing global phenomenon involving diverse groups, such as labor migrants, international marriage migrants, refugees, and international students. International migrants face unique mental health challenges influenced by adversities such as social isolation and limited access to mental health services. This study employs bibliometric methods to systematically analyze the global body of literature on international migrants’ mental health. Methods: The literature on the mental health of international migrants published until October 2024 was searched using the Web of Science database. The search terms included (‘International migrants’ OR ‘migrant workers’ OR ‘international students’ OR ‘refugees’ OR ‘asylum seekers’ OR ‘smuggled migrants’) AND ‘mental health’. VOSviewer was used to conduct bibliometric analysis, focusing on co-authorship patterns, keyword co-occurrence, and citation networks. Results: Over the past four decades, research on the mental health of international migrants has grown substantially, with major migration destinations such as the United States, Europe, and Australia playing prominent roles in this field. ‘Post-traumatic stress disorder (PTSD)’ was the most frequent keyword in publications, with strong links to ‘trauma’ and ‘depression’. In recent years, with the impact of global socioenvironmental changes and emergencies such as the COVID-19 pandemic, the research focus has gradually shifted towards social support, service accessibility, and cultural adaptation. Conclusions: International migration is a far-reaching global phenomenon, and addressing the mental health of migrant populations is essential for advancing public health, social cohesion, and sustainable development. This study provides the first bibliometric overview of research in this domain, mapping its thematic evolution and collaborative structure. The findings offer valuable insights into the field’s development and may support future interdisciplinary collaboration and the formulation of culturally informed, evidence-based approaches in migrant mental health. Full article

Global data reveal ongoing inequalities faced by minorities, often reinforced by media portrayals that depict them as threats, victims, or passive individuals without agency. While media framing has been extensively studied, especially in terms of media content and representation, few studies have examined how journalists perceive and navigate the coverage of minorities. This study addresses that gap by examining how Greek journalists perceive mainstream media coverage of refugees and migrants, LGBTQ+ individuals, and people with mental health challenges, with particular attention to their sourcing practices and sense of ethical responsibility. Fourteen journalists participated in semi-structured interviews, and thematic analysis was applied to identify key patterns. Journalists described dominant media narratives as fragmented, stereotypical, and dehumanizing, noting the frequent use of linguistic inaccuracies, misinformation, and the absence of personal stories. At the same time, they reported opportunities within their own sourcing practices to promote more inclusive and accurate coverage. Ethical concerns were expressed on three levels—union; corporate; and personal—with calls for clearer editorial guidelines and dedicated training. Many participants emphasized the role of personal ethics as a guiding compass in navigating complex newsroom pressures. Full article

Enhancing and developing multicultural education is essential in today’s interconnected world, characterized by significant migration and refugee movements, as it serves as a fundamental element for effectively integrating migrant and refugee students within host nations. In Greece, which has long dealt with the challenge of integrating thousands of individuals fleeing conflict and disasters, there is a pressing need to evolve and modernize this educational approach. This qualitative study, based on semi-structured interviews with nine multicultural educators in Greece, seeks to explore how teachers foster a sense of belonging and inclusion in their diverse classrooms. Despite facing systemic challenges, the findings reveal that educators strive to highlight students’ cultural heritages through collaborative group activities that encourage trust, respect, and appreciation for diversity. Additionally, the research delves into how teachers cope with the psychological trauma often experienced by these students. Participants expressed that the inconsistent availability of specialists and monitoring for students dealing with severe psychological issues complicates their teaching efforts. Full article

The Sustainable Development Goals commit states to Universal Health Coverage (UHC) for all; yet displaced populations—including asylum seekers, refugees, internally displaced persons (IDPs), and undocumented migrants—remain systematically excluded from national health systems across southern and eastern Africa. This paper applies a whole-of-route, rights-based framework to examine how legal status, policy implementation, and structural governance shape healthcare access for displaced populations across South Africa, Kenya, Somalia, and the Democratic Republic of Congo (DRC). Drawing on 70 key informant interviews and policy analysis conducted between 2020 and 2025, the study finds that despite formal commitments to health equity, access remains constrained by restrictive legal regimes, administrative discretion, and fragmented service delivery models. Critical gaps persist in migration-sensitive planning, gender-responsive care, and mental health integration. The findings highlight the limitations of rights-based rhetoric in the absence of legal coherence, intersectoral coordination, and political will. To realise UHC in displacement contexts, health systems must move beyond citizen-centric models and embed migration-aware, inclusive, and sustainable approaches across all stages of displacement. Without such structural reforms, displaced populations will remain at the margins of national health agendas—and the promise of health for all will remain unmet. Full article

Seoul systematically removed all graveyards that once lay within the city and its surrounding areas, a phenomenon notably distinct from urban development patterns in other parts of the world. After the Korean War, refugees and migrants poured into the devastated capital. In this postwar environment, cemeteries—traditionally sites of mourning and death—transformed into spaces of survival for displaced populations. With the military demarcation line preventing their return home, refugees began to envision their lost hometowns as “absent places”: unattainable utopias, idealized lands where all beauty resides—the very origin and endpoint of life. In contrast, Seoul, where they were forced to settle, became a “dystopia,” stripped of sanctity. Over time, however, the next generation reinterpreted this dystopia, gradually transforming it into a heterotopia. As Seoul’s urban landscape expanded, this heterotopia evolved into a Christian paradise. The second generation, having never experienced the trauma of displacement, found the newly constructed city comfortable and secure. Reinforced concrete buildings and asphalt roads became symbolic of paradise. The development of Gangnam—famously captured in Psy’s global hit “Gangnam Style”—represents a belated cultural revolution among younger generations in modern South Korea and exemplifies the transformation into a concrete paradise. Full article

Partner selection is a complex process shaped by structural, social, and personal factors. For refugees and forced migrants, displacement and adaptation add further challenges, with families—even from far away—playing a crucial role in shaping expectations and influencing partnership decisions. This influence can be direct—through arranged marriages or introductions—or indirect, by setting expectations based on ethnicity, religion, or social status. Family endorsement is often crucial in reinforcing ethnic, religious, or language group continuity and community acceptance. This study examines the role of family in partner selection among refugees who arrived in Germany largely during the 2015–2016 period, a group characterized by a high proportion of unmarried men with limited family support. This group is compared to the German resident population, both with and without a migration background. For the descriptive analyses, we draw on two data sources: the PARFORM dataset, collected in 2022–2023, which covers male Syrian and Afghan refugees who arrived between 2014 and 2018; and the ninth wave of the CILS4EU-DE, collected in 2022. The multivariate analyses rely exclusively on the PARFORM dataset and utilize linear probability models with selection correction. We contribute to the literature in three key ways: identifying mechanisms of family influence despite physical distance; introducing a multidimensional framework to measure partnership outcomes based on ethnic, religious, and linguistic endogamy; and providing new insights into the underexplored partnership formation of this refugee cohort. Full article

The detection of “silent” poliovirus (PV) circulation among clinically healthy populations is an important component of supplementary surveillance for poliomyelitis. Migrants from countries or regions where polio is endemic, affected by outbreaks, or at risk may contribute to the introduction of PVs of epidemic significance: wild poliovirus type 1, vaccine-derived polioviruses (VDPVs), or poliovirus type 2 into polio-free countries. Migrant children, refugees under 5 years of age, are considered a “risk group” in Russia and are subject to testing for PVs. During 2014–2023, guided by the algorithm of virological and molecular investigation of acute flaccid paralysis cases recommended by the WHO, 51,548 migrant children, arriving from 40 countries, were examined. Among 4% of children excreting various cytopathogenic viruses, polio excretors accounted for 20.8%. Among the PVs, PV3 was predominant (41.7%), and PV types 2, 1, and a mixture of PVs accounted for, respectively, 28.2%, 18.8%, and 11.3%. All isolates of PVs 1 and 3 were identified as Sabin-like. The detection of five children excreting epidemically significant PV2 (four VDPV2 and one Sabin-like) required an assessment of the risk of dissemination and additional immunization activities. Among 580 identified isolates of NPEV, the most abundant was the E. betacoxsakie species at 73.8% (CVB1–6, E11, E6, E13, E7). Information on NPEVs expands our knowledge of the spectrum of NPEVs circulating among healthy children worldwide, but its prognostic significance is still unclear. The detection of PVs in children from the “risk group” allows targeted anti-epidemic measures and is a significant advantage of this type of supplementary surveillance for polio. Full article

(1) Research is fundamentally important in developing evidence-informed and effective policies and appropriate programs and services to reduce the burden of mental health problems, and prevent suicide, among migrants. However, this population continues to be underrepresented in mental health and suicide research, resulting in large evidence gaps that limit policy making, service design and delivery, as well as evaluation of outcomes. (2) Experts in mental health and suicide prevention research with migrants provided free-text responses to a survey that asked about the knowledge and skills required to effectively conduct mental health and suicide prevention research with migrants, and effective strategies for engaging migrant and refugee communities in such research. An adapted thematic analysis method was used to analyze the free-text responses to the six questions. (3) The study identified specific areas of knowledge and skills required for effective mental health and suicide research with migrants; the methodological and ethical challenges that may arise in such research; and strategies that are likely to be effective in engaging people with lived experience and migrant and refugee communities in such research. (4) The findings from this project can be used to inform researchers on how to ethically and effectively undertake mental health and suicide research with migrant and refugee populations. Full article

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

In the context of a European Union-funded project, a mentorship programme was developed and implemented in a Portuguese school serving as the initial destination for newly arrived migrant children. This initiative arose from a gap in interventions aimed at promoting integration and inclusion of migrant children in this educational context. The programme was designed, following the participatory action research and co-creation approaches, guided by three primary objectives: amplifying the voices of migrant children and youth, empowering their agency and active citizenship, and facilitating their integration in the school. Recognising that integration is a two-way process, the programme engaged established students as mentors and peers of newly arrived migrant children. Over an academic year, collaborative activities were created and implemented in the school in partnership with participating students. These activities aimed to promote integration, foster a pro-diversity environment, and ensure sustainability. The programme’s evaluation included a questionnaire and a focus group involving participating children and teachers responsible for the activities. Findings highlighted the cultivation of values like tolerance, respect, and empathy, with effects extending beyond the school. Moreover, results revealed heightened teacher awareness of the unique needs of migrant children and the importance of incorporating their voices into school activities. Full article

The 2021 military coup in Myanmar triggered a severe humanitarian crisis, forcing many to flee through regular and irregular channels to neighboring countries like Thailand. This study explores the resulting migration patterns and precarious situation of Myanmar nationals seeking refuge in Thailand. Drawing on contemporary sources, it highlights how the crisis, worsened by military conscription laws, displaced many citizens. Refugees face constant fear of incarceration and forced repatriation while struggling with limited access to basic services in Thailand, which worsens mental health and reduces quality of life. The military’s revenue tactics, such as taxing overseas workers and remittances, have contributed to their hardships. In response, Thailand introduced a cabinet resolution to legalize work and residence for irregular migrants for four years. However, ongoing detentions and deportations risk forced military enlistment upon return, raising doubts about the resolution’s effectiveness, accessibility, and affordability. The study concludes with policy recommendations to address the humanitarian needs of Myanmar’s displaced population both at home and abroad. It also suggests ways to implement protective measures effectively, such as the Thai Cabinet resolution, to safeguard the dignity and rights of Myanmar’s people. Full article

The COVID-19 pandemic had acute and lasting gendered impacts around the world, with UN Women declaring a shadow pandemic of violence against women. This study aimed to explore the impact of the COVID-19 pandemic on migrant and refugee women’s experiences of family domestic violence (FDV) in Western Australia (WA) using a community-based participatory research approach. Thirty-eight interviews and two qualitative surveys conducted with 27 women were included in the analysis. Interview and survey data underwent reflexive thematic analysis informed by the Power and Control Wheel, generating three themes and ten subthemes: (1) the facets of violence women experienced (isolation; economic violence; emotional violence; visa vulnerabilities; fear and uncertainty), (2) the systemic enablers of FDV and barriers to seeking help (FDV service provision; the immigration system), and (3) the impact of the COVID-19 pandemic and government measures on women and family (enabling FDV; reducing the impact of FDV; COVID-19 paled into insignificance). While for some migrant and refugee women, government measures facilitated access to support for FDV, our findings show that for others, the COVID-19 pandemic exacerbated and became part of the violence they had already experienced. Recommendations for tailored FDV and other support during the COVID-19 pandemic are discussed, including the expansion of family violence provisions for all visa types. Full article

Objective: This study examines the barriers and facilitators to COVID-19 vaccination among immigrant and refugee populations, with a focus on informing primary healthcare stakeholders on effective strategies to address the health needs of these groups. Although conducted in Canada, the findings are relevant to countries facing similar challenges in promoting vaccine uptake among migrant communities. Methods: As part of an evaluation of best practices in COVID-19 vaccination promotion and provision, data were collected using in-depth key informant interviews with a cross-section of primary care stakeholders (n = 11). Main findings: Key barriers to vaccine promotion and provision included distrust of health and government services, misinformation, lack of vaccine confidence, and access or systems-level barriers. Effective facilitators were relationship-building and equity-driven approaches, such as community engagement and development, culturally and linguistically effective communication, one-on-one supports, and collaboration with community members as valued partners and staff. These strategies were identified as best practices that enhanced vaccine confidence and uptake. Conclusion: The risk and impacts of COVID-19 are disproportionately distributed worldwide, affecting migrant populations in many countries. Primary healthcare stakeholders must understand the barriers and facilitators to vaccine promotion to effectively address health inequalities. Increasing vaccine uptake and confidence among immigrant and refugee populations requires targeted and tailored approaches that are culturally responsive and equity-informed. These findings provide valuable insights for health systems globally, supporting efforts to reduce health inequities by using inclusive vaccination strategies. Full article

Background: Mobile populations, including refugees, asylum seekers, and undocumented migrants, face challenges related to access, continuity, and quality of healthcare, among others, due to the lack of available health records. This study aimed to examine the current landscape of Electronic Personal Health Records (EPHRs) developed for and used by mobile populations. Methods: A rapid systematic review was conducted between September 2024 and January 2025, identifying relevant publications through searches in Embase, PubMed, Scopus, and grey literature. Results: The literature search yielded 2303 articles, with 74 remaining after title and abstract screening. After full-text screening, 10 scientific articles and 9 grey literature records were included in a qualitative data synthesis. Six distinct EPHRs were identified, differing in how they centralize health records, in additional functionalities, and the level of patient autonomy granted. Discussion and Conclusions: Limited evidence exists on EPHRs impact on health outcomes or continuity of care, and user adoption remains a critical challenge. Key elements in the development and implementation of EPHRs include ensuring a high level of data security and co-designing easy-to-use EPHRs. The review indicates a need for future research on user experiences of EPHRs and their impact on the health outcomes of mobile populations. Full article

There is a substantial body of research that focuses on comprehensive relationships and sexuality education (CRSE). However, support for people with migrant and refugee backgrounds in Australia is often neglected. Reflections from schools and community educators from Sexual Health Victoria (SHV) suggest that focusing on respect and empathy can assist teachers to navigate sensitive topics in a culturally responsive way whilst still meeting government requirements for delivering CRSE. By applying the suggested approaches, the confidence and comfort of the whole school community can increase, leading to higher levels of sexual health and relationships literacy for all parties involved. Full article