Search Results (19)

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

Introduction: Sexually transmitted infections (STIs) continue to occur at high levels. According to the WHO, each year there are an estimated 374 million new infections with syphilis, gonorrhea, chlamydia, and trichomoniasis. STIs are associated with an increased risk of acquiring HIV infection. Migrants are reportedly highly affected by STIs. Objectives: This study aims to characterize factors associated with STIs in a population of HIV-positive migrants living in Portugal. Methodology: This is a cross-sectional observational study of 265 newly diagnosed HIV-1 positive migrants, who were defined as individuals born outside Portugal. This group of people were part of the BESTHOPE study that was developed in 17 Portuguese hospitals between September 2014 and December 2019, and included information collected through sociodemographic and behavioral questionnaires filled in by the migrant patients, clinical questionnaires filled in by the clinicians and HIV-1 genomic sequences generated through resistance testing (Sanger sequencing). A multivariable statistical analysis was used to analyze the association between sociodemographic characteristics, sexual behaviors, HIV testing and sexual infections. Results: Most HIV-1 positive individuals included in the study were men (66.8%) and aged between 25 and 44 years old (59.9%). Men had a higher proportion of STIs when compared to women (40.4% vs. 14.0%) and the majority of men reported homosexual contacts (52.0%). Most men reported having had two or more occasional sexual partners in the previous year (88.8%) and 50.9% reported always using condoms with occasional partners, while 13.2% never used it. For regular partners, only 29.5% of the women reported using condoms, compared to 47.3% of men. Other risk behaviors for acquiring HIV, such as tattooing and performing invasive medical procedures, were more prevalent in men (38.0% and 46.2%, respectively), when compared to women (30.4% and 45.1% respectively) and 4.7% of men reported having already shared injectable materials, with no data for comparison in the case for women. Additionally, 23.9% of women reported having had a blood transfusion while only 10.3% of men reported having had this medical procedure. Meanwhile, 30.9% of the individuals reported having been diagnosed with some type of STI in the last 12 months. In addition, 43.3% of individuals that answered a question about hepatitis reported to be infected with hepatitis B, while 13.0% reported having hepatitis C infection. According to the multivariable analysis, the only transmission route was significantly associated with reports of previous STI infection: men who have sex with men (MSM) were 70% more likely to have been diagnosed with an STI in the past 12 months compared to the heterosexual route. Conclusion: HIV-1 infected men were more likely to report previous STIs than women. On the other hand, most migrant women had a regular sexual partner and never or only sometimes used condoms. This somewhat discrepant findings suggest that gender inequalities may make women unable to negotiate safe sexual practices, resulting in increased susceptibility to infection. However, since migrant women report less STIs, we cannot exclude that these STIs may remain undiagnosed. The implementation of safer sex awareness campaigns for condom use and screening for STIs in women is crucial. On the other hand, health education campaigns for STI knowledge need to be implemented for both MSM and women and their partners. Full article

The causes and conditions of displacement often increase the vulnerability of migrant and refugee populations to food insecurity, alongside other material hardships. We aimed to examine the multidimensional aspects and patterns of food insecurity and other material hardships in a cross-sectional sample of 6221 Venezuelan refugees and migrants in urban Colombia using a latent class analysis. Using multinomial and logistic regression models, we investigated the demographic and migratory experiences associated with identified classes and how class membership is associated with multiple health outcomes among Venezuelan refugees and migrants, respectively. Approximately two thirds of the sample was comprised cisgender women, and the participants had a median age of 32 years (IQR: 26–41). Four heterogeneous classes of food insecurity and material hardships emerged: Class 1—low food insecurity and material hardship; Class 2—high food insecurity and material hardship; Class 3—high income hardship with insufficient food intake; and Class 4—income hardship with food affordability challenges. Class 2 reflected the most severe food insecurity and material hardships and had the highest class membership; Venezuelans with an irregular migration status were almost 1.5 times more likely to belong to this class. Food insecurity and material hardship class membership was independently associated with self-rated health, mental health symptoms, and recent violence victimization and marginally associated with infectious disease outcomes (laboratory-confirmed HIV and/or syphilis infection). Social safety nets, social protection, and other interventions that reduce and prevent material hardships and food insecurity among refugees and migrants, alongside the host community, may improve public health, support development, and reduce healthcare costs. In the long term, regularization and social policies for migrants aimed at enhancing refugees’ and migrants’ social and economic inclusion may contribute to improving food security in this population. Full article

China’s distinct rural revitalization process has attracted global attention due to its impressive speed, massive scale, and policy interventions. A relatively limited amount of research has been conducted on how rural transition characteristics and policy mechanisms are interrelated at the micro level. To fill this research gap, following the main research thread of dividing rural development stages, revealing transition characteristics and exploring policy mechanisms, this paper utilizes a participatory rural appraisal, a landscape metrics analysis, and in-depth interviews to analyze the spatial transition laws of Dayu Village. First, the results show that the village experienced three stages from 1990 to 2020: strict homestead control, village relocation, and land consolidation. Second, the village exhibits multidimensional transition characteristics. With a reduced rural settlement area, regular patch formation, and a dense interior subdivision of rural houses, the land use layout changed from homogeneous to multiple nests. As the industrial structure became more diversified, the villagers’ livelihoods became more differentiated. Inflows of tourists and migrants changed the population structure, causing social relations to become defamiliarized. Moreover, mechanism research finds that policy can promote rural settlement transition by allocating land resources and regulating village behavior. The policy’s scope expanded from a single settlement to the whole village, optimizing external forces, with village behavior effects acting as an internal force. The degree of matching between policy formulation and villagers’ needs is the key to promoting the transition of rural settlements. This research deepens the understanding of the transition laws of suburban villages in megacities in developing countries at the micro scale and provides a reference for land policies in similar villages. Full article

Bahrain is a cluster of islands in the mid-section of the Arabian Gulf that serves as an important wintering and stop-over ground for many migratory shorebirds in the Central Asian Flyway (CAF). However, natural and anthropogenic factors have had a significant impact on these ecosystems over the last few decades. Long-term, systematic studies based on standardized survey observations are needed to understand the population dynamics and diversity changes of shorebirds in these critical sites. We systematically surveyed the shorebird population and community in Bahrain between 2010 January to 2021 December. This is the first comprehensive study from the entire Kingdom of Bahrain, and covered 13 sites over 12 years to establish the results. A total of 39 species were encountered during the study period from all 13 sites in Bahrain, of which 27 species were common and regular migrants to all the study sites; these were selected to analyze the population trend. Five species represented 77% or more of the total wintering shorebird population. All the shorebird species assessed exhibited significant declining trends over the years, and majority of them had over 1% relative abundance. Shorebirds in Bahrain were severely threatened at these sites, indicating that their population trend in the area could be crucially affected. Further conservation efforts are needed, aided by an understanding of the mechanisms driving the decline and diversity changes of shorebirds in the most stressed coastal regions of Bahrain. Further studies organized throughout the country’s coasts may aid in establishing improved conservation measures to protect the shorebirds of the CAF in Bahrain. Full article

Reporting on uncommon wide animal movements could help in depicting potential carry-over effects at the population level, particularly in an era of rapid climate and environmental changes. The razorbill (Alca torda, Linnaeus 1758) is a regular passage migrant and winter visitor to Italian seas, but with sporadic presences usually involving small numbers of individuals. Irruptions have been occasionally documented, with the last records of an unusually large number dating back to 1982. However, in the past, irruptions have only been locally reported and poorly described. Here we report on an unprecedented massive irruption of hundreds of razorbills which occurred in the central Mediterranean Sea in November-December 2022. Using citizen science platforms and photos/videos shared on social networking sites (SNSs), we estimated the relative magnitude of the irruption and described the spatial distribution of birds at sea, as well as report cases of stranded individuals. We collected a total of 267 records, both from Italy and from neighboring countries. We also discuss the likely factors affecting razorbill irruption and stress the importance of open social platforms and data sharing to aid in the early detection and estimation of such events at a wide-scale, as well as for the monitoring of the mortality of the irrupted species. Full article

The size of the foreign-born population living in the United States makes migrants’ health a substantive policy issue. The health status of Mexican immigrants might be affected by the level of social capital and the social context, including the rhetoric around immigration. We hypothesize that a diminished perception of trust and safety in the community has a negative impact on self-reported health. In a cross-sectional study, we conducted a survey among 266 Mexican Immigrants in the New York City Area who used the Mexican Consulate between May and June 2019 for regular services provided to documented and undocumented immigrants. A univariate and bivariate descriptive analysis by trust and security items first shows the diversity of the Mexican population living in the US and the conditions of vulnerability. Then, logistic regression models estimate the association between trust and security items with self-reported health status. Results show that safety is consistently associated with good self-rated health, especially when rating the neighborhood, and trust showed mixed results, more reliant to the way it is operationalized. The study illustrates a pathway by which perceptions of the social context are associated with migrants’ health. Full article

Thailand has the highest HIV burden in the Asia-Pacific region, with the majority of cases occurring in specific populations. Migrant Sex Workers (MSWs) in Thailand are an important population for HIV risk, yet there has been limited literature on this group and their protective sexual behavior. A cross-sectional study was conducted among 396 MSWs 18–49 years old from 23 sex work-identified venues in Chiang Mai. Participants were surveyed on their own sociodemographic information, health behavior, sexual risk behavior, quality of life, and depression. Male respondents were significantly younger than females (p = 0.003). Most respondents were from Myanmar and were ethnic Shan. In the month preceding the survey, 17.0% of MSWs had consistent condom use with regular partners, 53.7% with casual partners, and 87.9% with clients. Condom use was least practiced with regular partners and most practiced with clients (17% and 87.9%, respectively; p < 0.001). There was a significant positive association between condom use and starting high school (χ² = 8.08, p = 0.018). Education was the only variable that was significantly correlated with condom use with any sexual partner (OR = 0.41; 95%CI 0.20–0.82). Findings of the study indicate that further efforts are needed to promote condom use among migrant sex workers and their sexual partners in Thailand. Full article

During 2020–2021, the COVID-19 pandemics exacerbated the use of digital communication tools for the general population as well as for migrant and diasporic communities. Due to social distancing requirements, church activities had to be suspended or restricted, therefore, local congregations and denominations had to incorporate social media as part of their regular worship channels in an unprecedented way. At the same time, these new spaces opened an opportunity for diasporas to reconnect with their churches back home, and to participate in digital worship projects. In this paper, we study the case of the digital worship collective Adorando en Casa (AeC), which was started at the onset of the pandemics, producing several crowdsourced original musical compositions, uploaded in popular social media sites, and distributed via messaging apps. We focus on the reasons for participation of Venezuelan musicians and singers from different regions in the country, and from the large diaspora of Venezuelan Evangelicals. Additionally, we analyze the characteristics, structure, and theology of some of the songs recorded, to show how the concept of a digital diasporic spiritual consciousness is powerfully expressed through worship music. Full article

Background: Approximately 500,000 migrants work in the agricultural sector in Italy. Many of them live in shantytowns, wrongly called “ghettos”, far away from city centers, with no water, proper hygienic conditions or health services. The aim of this study is to assess general health conditions and HIV prevalence by giving hygienic and sanitary sustenance. Methods: Between June 2019 and February 2020, we performed a screening campaign for HIV–diabetes–hypertension, involving migrants living in three Apulian establishments: ghetto Pista, “Sankara House” and “Arena House”. Results: Overall, 321 migrants were enrolled in the study. In the medical screening, one HIV test resulted positive. Hypertension was found in 12% of the migrants visited, diabetes in 2% and TB symptoms in 17%. Among others symptoms explored, muscle and joint pain/fatigue resulted in being the most frequent, and was reported by 34% of the migrants, followed by cough (10%). Significant predictors of muscle and joint pain/fatigue were: low BMI values (OR = 1.32; 95% CI 1.19–1.99), the absence of education (OR = 1.85; 95% CI 1.02–2.95), being employed with a regular contract (OR = 2.64; 95% CI 2.39–2.83) and living in the ghettos since >12 months (OR = 1.74; 95% CI 1.24–2.21). Conclusions: Our experience suggests that, in this population, the health condition is mainly linked to the specific working activities in the agricultural fields, as well as to the hygienic and living conditions, and that all of this is due to the lack of social protection in their life and job. Full article

Local and Regional Authorities require indicators at the intra-urban scale to design adequate policies to foster the achievement of the objectives of Sustainable Development Goal (SDG) 11. Updated high-resolution population density and settlement maps are the basic input products for such indicators and their sub-indicators. When provided at the intra-urban scale, these essential variables can facilitate the extraction of population flows, including both local and regular migrant components. This paper discusses a modification of the dasymetric method implemented in our previous work, aimed at improving the population density estimation. The novelties of our paper include the introduction of building height information and site-specific weight values for population density correction. Based on the proposed improvements, selected indicators/sub-indicators of four SDG 11 targets were updated or newly implemented. The output density map error values are provided in terms of the mean absolute error, root mean square error and mean absolute percentage indicators. The values obtained (i.e., 2.3 and 4.1 people, and 8.6%, respectively) were lower than those of the previous dasymetric method. The findings suggest that the new methodology can provide updated information about population fluxes and processes occurring over the period 2011–2020 in the study site—Bari city in southern Italy. Full article

Globally, cervical cancer constitutes a substantial public health concern. Evidence recommends regular cervical cancer screening (CCS) for early detection of “precancerous lesions.”Understanding the factors influencing screening participation among various groups is imperative for improving screening protocols and coverage. This study aimed to explore barriers and facilitators to CCS participation in women of Nigerian, Ghanaian, Cameroonian, and Kenyan origin in Finland. We utilized a qualitative design and conducted eight focus group discussions (FGDs) in English, with women aged 27–45 years (n = 30). The FGDs were tape-recorded, transcribed verbatim, and analyzed utilizing the inductive content analysis approach. The main barriers to CCS participation included limited language proficiency, lack of screening awareness, misunderstanding of screening’s purpose, and miscomprehension of the CCS results. Facilitators were free-of-charge screening, reproductive health services utilization, and women’s understanding of CCS’s importance for early detection of cervical cancer. In conclusion, among women, the main barriers to CCS participation were language difficulties and lack of screening information. Enhancing screening participation amongst these migrant populations would benefit from appropriate information about the CCS. Those women with limited language skills and not utilizing reproductive health services need more attention from healthcare authorities about screening importance. Culturally tailored screening intervention programs might also be helpful. Full article

The re-emergence of smallpox is an increasing and legitimate concern due to advances in synthetic biology. Vaccination programs against smallpox using the vaccinia virus vaccine ceased with the eradication of smallpox and, unlike many other countries, Australia did not use mass vaccinations. However, vaccinated migrants contribute to population immunity. Testing for vaccinia antibodies is not routinely performed in Australia, and few opportunities exist to estimate the level of residual population immunity against smallpox. Serological data on population immunity in Australia could inform management plans against a smallpox outbreak. Vaccinia antibodies were measured in 2003 in regular plasmapheresis donors at the Australian Red Cross Blood Service from New South Wales (NSW). The data were analysed to estimate the proportion of Australians in NSW with detectable serological immunity to vaccinia. The primary object of this study was to measure neutralising antibody titres against vaccinia virus. Titre levels in donor samples were determined by plaque reduction assay. To estimate current levels of immunity to smallpox infection, the decline in geometric mean titres (GMT) over time was projected using two values for the antibody levels estimated on the basis of different times since vaccination. The results of this study suggest that there is minimal residual immunity to the vaccinia virus in the Australian population. Although humoral immunity is protective against orthopoxvirus infections, cell-mediated immunity and immunological memory likely also play roles, which are not quantified by antibody levels. These data provide an immunological snapshot of the NSW population, which could inform emergency preparedness planning and outbreak control, especially concerning the stockpiling of vaccinia vaccine. Full article

Chagas disease (CD) poses a major public health challenge for the Americas and non endemic regions around the world. This study discusses the legal framework surrounding access to healthcare for CD for Bolivian migrants living in São Paulo, Brazil. While recent guidelines stipulating care for CD exist, there is a lack of legal provisions to ensure they are regularly implemented. Bolivian migrants in SP have specific needs, including language differences and a high level of mobility. Interviews were conducted with ten participants representing public health institutions or organizations working with the Bolivian migrant community. Additionally, a review was conducted of legal, official, and health policy documents pertaining to rights of Bolivian migrants in SP. Although the right to healthcare is constitutionally guaranteed for all, in practice, immigrants, especially those without documentation, encounter barriers to initiating treatment for CD. Providing the primary health care system (SUS) card would not only improve access to healthcare for Bolivian migrants, but also provide a potential pathway toward regularization of status. The approval of clinical protocols and therapeutic guidelines for CD (2018) represents an opportunity to improve care for all Brazilians with CD. Programs with multidisciplinary teams should be developed taking into account the specific social and cultural needs of this population. Full article

This study focused on implementation of the Sustainable Development Goal (SDG) 11 indicators, at local scale, useful in monitoring urban social resilience. For this purpose, the study focused on updating the distribution map of the migrant population regularly residing in Bari and a neighboring town in Southern Italy. The area is exposed to increasing migration fluxes. The method implemented was based on the integration of Sentinel-2 imagery and updated census information dated 1 January 2019. The study explored a vector-based variant of the dasymetric mapping approach previously used by the Joint Research Center (JRC) within the Data for Integration initiative (D4I). The dasymetric variant implemented can disaggregate data from census areas into a uniform spatial grid by preserving the information complexity of each output grid cell and ensure lower computational costs. The spatial distribution map of regular migrant population obtained, along with other updated ancillary data, were used to quantify, at local level, SDG 11 indicators. In particular, the map of regular migrant population living in inadequate housing (SDG 11.1.1) and the ratio of land consumption rate to regular migrant population growth rate (SDG 11.3.1) were implemented as specific categories of SDG 11 in 2018. At the local level, the regular migrant population density map and the SDG 11 indicator values were provided for each 100 × 100 m cell of an output grid. Obtained for 2018, the spatial distribution map revealed in Bari a high increase of regular migrant population in the same two zones of the city already evidenced in 2011. These zones are located in central parts of the city characterized by urban decay and abandoned buildings. In all remaining city zones, only a slight generalized increase was evidenced. Thus, these findings stress the need for adequate policies to reduce the ongoing process of residential urban segregation. The total of disaggregated values of migrant population evidenced an increase of 44.5% in regular migrant population. The indicators obtained could support urban planners and decision makers not only in the increasing migration pressure management, but also in the local level monitoring of Agenda 2030 progress related to SDG 11. Full article