Migration and health: human rights in the era of populism

A Scoping Review of Health Outcomes Among Transgender Migrants

Purpose

Transgender people constitute diverse populations who experience a range of adverse health outcomes. Despite increasing awareness of adverse health outcomes among migrant populations, there has been a dearth of studies focused on the health of transgender migrants. The goal of this scoping review was to describe common themes and empirical trends in research on the health of transgender migrants and identify gaps for future research and programming.

Methods

Using a systematic review protocol, we searched PubMed, Embase, Scopus, PsycINFO, CINAHL, and Web of Science with a combination of terms to identify empirical articles that examined health outcomes among transgender migrants. The search included studies published as of May 2019.

Results

Twenty of 1666 identified records met inclusion criteria. All studies were cross-sectional, and 50% were quantitative designs, 45% were qualitative designs, and 5% were mixed-methods designs. The majority reported on sexually transmitted infections (55%), violence (40%), and mental health (35%). Qualitative studies were generally high quality, while many quantitative studies had high risk of bias. While some adverse health outcomes may abate, stigmatizing social conditions continue to impact transgender migrant's health postmigration.

Conclusions

Anti-transgender and anti-immigrant stigma may contribute to adverse health outcomes for transgender migrants. Additional research using rigorous inclusive methods to survey a broader range of health domains is needed. The lives of transgender migrants are continuously upended by oppressive policies; therefore, it is vital to continue to expand the breadth of transgender health research.

The Impact of COVID-19 on the Support for the German AfD: Jumping the Populist Ship or Staying the Course?

Populist parties enjoy stable support in various European countries. The literature on the rise of populism argues that this support especially increases in times of crises. Surprisingly, the German right-wing populist Alternative für Deutschland (AfD) did not increase its support in the wake of the COVID-19 pandemic. Moreover, the party even lost 2.3 percentage points in the 2021 federal election. We address this puzzle and ask why the AfD has not been able to use the crisis to its advantage. Our main argument in answering this question is that, although the AfD pursued the classic populist strategy of fundamental opposition, the support base of the AfD is strongly divided on the preference towards measures containing the spread of COVID-19. This division is reinforced by individual affectedness by the pandemic. Introducing a novel weekly dataset on voter preferences, we show that the AfD support base is strongly divided on the issue with approval of the government measures being a significant and substantial contributor to vote switching away from the AfD. Using regional-level data and a difference-in-differences approach, we further show that western German regions hit especially hard by the pandemic display a lower AfD vote share than other regions. Our findings have important implications for the impact of exogenous shocks on electoral competition and also on the future of populist parties.