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Myers N, Meeker R, Odeng V. Pastors as Partners in Care: African Immigrant Pastors' on Mental Health Care Referral Processes for Young Congregants Experiencing Symptoms of Psychosis in the US. Community Ment Health J 2024:10.1007/s10597-024-01335-x. [PMID: 39162968 DOI: 10.1007/s10597-024-01335-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Accepted: 07/25/2024] [Indexed: 08/21/2024]
Abstract
Early support for young people experiencing psychosis is key to preventing negative outcomes. First and second-generation Black immigrants to predominantly white countries are at higher risk for psychosis (Bourque et al. in Psychol Med 41(5):897-910, 2011) and novel interventions are needed to help support immigrants youths and families. African immigrant pastors are culturally valued and poised to help congregants with psychosis and their families, but we know little about the supports pastors offer and what kinds of tools they might need to address the needs of their congregants. This qualitative study explores semi-structured interviews with 16 primarily nondenominational, Christian, African immigrant pastors to elucidate how they served young adult congregants experiencing symptoms of psychosis and their families. Using grounded theory analytic methods, five key themes emerged: (1) building supportive relationships; (2) identifying the source; (3) healing the problem; (4) families as partners in care; and, (5) referring congregants to and collaborating with mental health professionals. These findings describe an initial set of care practices as a starting point for understanding the current and future role of African immigrant pastors as partners in providing mental health care.
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Affiliation(s)
- Neely Myers
- Department of Anthropology, Southern Methodist University, Dallas, TX, USA.
- Department of Psychiatry, University of Texas - Southwestern Medical School, Dallas, TX, USA.
| | - Robert Meeker
- Crown Family School of Social Work, University of Chicago, Chicago, IL, USA
| | - Valerie Odeng
- The George Washington University - Milken Institute School of Public Health, Washington, DC, USA
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2
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Rezaei SJ, Twardus S, Collins M, Gartland M. Utilizing a participatory curriculum development approach for multidisciplinary training on the forensic medical evaluation of asylum seekers. J Forensic Leg Med 2024; 105:102718. [PMID: 39059836 DOI: 10.1016/j.jflm.2024.102718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2023] [Revised: 06/27/2024] [Accepted: 06/29/2024] [Indexed: 07/28/2024]
Abstract
BACKGROUND Clinicians play an important role in asylum applications through the forensic medical evaluation (FME). The lack of adequately trained and knowledgeable clinicians limits access to FME. Participatory curriculum development is a powerful tool that elevates voices of multiple stakeholders to generate innovation in FME education. The objective of this study was to conduct an interview-based curricular needs assessment of the core skills needed to perform safe and effective FME and the most effective teaching methods targeting multidisciplinary learners. METHODS In accordance with a participatory curriculum development framework, we conducted semi-structured interviews of individuals in four key stakeholder groups that play an important role in FME: asylees, experienced educators, prospective learners, and attorneys. We used grounded theory, an inductive approach to the thematic coding of interview transcripts. RESULTS Interview participants described the most important skills for performing FME and approaches to teaching these skills. Thematic saturation was reached at 13 interviews. Four major themes central to an FME curriculum were identified: (1) Core knowledge and technical skills to perform effective FME, (2) Practical skills in a trauma-informed approach to FME, (3) Mitigating secondary trauma and building resilience, and (4) Teaching approaches for multi-disciplinary learners. CONCLUSION We conducted an interview-based study utilizing participatory curriculum development principles to investigate the most important skills to conduct safe and effective FME of asylum seekers. We found that experiential training that emphasizes the practice of skills in a multi-disciplinary environment is more aligned with stakeholder needs than existing frameworks built around one-way knowledge transfer.
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Affiliation(s)
- Shawheen J Rezaei
- Massachusetts General Hospital (MGH) Asylum Clinic, MGH Center for Global Health and Department of Medicine, Boston, MA, USA; Stanford University School of Medicine, Stanford, CA, USA.
| | - Shaina Twardus
- Massachusetts General Hospital (MGH) Asylum Clinic, MGH Center for Global Health and Department of Medicine, Boston, MA, USA; University of Virginia School of Medicine, Charlottesville, VA, USA
| | - Michelle Collins
- Massachusetts General Hospital (MGH) Asylum Clinic, MGH Center for Global Health and Department of Medicine, Boston, MA, USA
| | - Matthew Gartland
- Massachusetts General Hospital (MGH) Asylum Clinic, MGH Center for Global Health and Department of Medicine, Boston, MA, USA; Department of Medicine, Harvard Medical School, Boston, MA, USA
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3
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Korte KJ, Hook K, Levey EJ, Cooper-Vince CE, Denckla CA, Ghebrehiwet S, Hock RS, Harris BL, Menyongai J, Baul TD, Borba CPC, Fricchione GL, Henderson DC. A Global-Local Paradigm for Mental Health: A Model and Implications for Addressing Disparities Through Training and Research. ACADEMIC PSYCHIATRY : THE JOURNAL OF THE AMERICAN ASSOCIATION OF DIRECTORS OF PSYCHIATRIC RESIDENCY TRAINING AND THE ASSOCIATION FOR ACADEMIC PSYCHIATRY 2023; 47:196-200. [PMID: 35941340 PMCID: PMC9360676 DOI: 10.1007/s40596-022-01695-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Accepted: 07/27/2022] [Indexed: 05/25/2023]
Affiliation(s)
- Kristina J Korte
- Harvard T.H. Chan School of Public Health, Boston, MA, USA
- Massachusetts General Hospital, Boston, MA, USA
| | - Kimberly Hook
- Boston Medical Center, Boston, MA, USA.
- Massachusetts General Hospital, Boston, MA, USA.
- Boston University School of Medicine, Boston, MA, USA.
| | | | | | | | | | | | | | | | | | - Christina P C Borba
- Boston Medical Center, Boston, MA, USA
- Boston University School of Medicine, Boston, MA, USA
| | | | - David C Henderson
- Boston Medical Center, Boston, MA, USA
- Boston University School of Medicine, Boston, MA, USA
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Hamadi HY, Zhao M, Park S, Xu J, Haley DR, Lox C, Spaulding AC. Improving Health and Addressing Social Determinants of Health Through Hospital Partnerships. Popul Health Manag 2023; 26:121-127. [PMID: 36856461 DOI: 10.1089/pop.2023.0002] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2023] Open
Abstract
Hospitals and health systems are forming partnerships to develop an integrated social network of services that better address the needs of their surrounding communities and their social determinants of health (SDOH). There is little research on the association of these partnered services with hospital outcomes. This study examined the association between hospital social need partnerships and activities to improve hospital and community outcomes. A secondary cross-sectional design to analyze 2021 census data of nonfederal short-term acute care hospitals in the United States was utilized. Data were obtained from the American Hospital Association. Four multilevel logistic regression models were used to analyze data from 1005 hospitals. The authors found that hospital partnership type differed in association to social need outcomes. They found that hospitals with a partnership with health insurance providers were more likely to have better health outcomes. Hospitals partnered with health insurance providers, local organizations addressing housing insecurity, local businesses, or chambers of commerce were more likely to have decreased health care costs. Hospitals partnered with health care providers, health insurance providers, local organizations providing legal assistance, or law enforcement/safety forces were more likely to have decreased utilization of hospital services. However, hospitals partnered with other local or state government or social service organizations were less likely to indicate decreased utilization of services. Many hospitals and health systems across the United States are screening for SDOH and are advancing health care delivery and improving the community's overall health and well-being by identifying unmet social needs and partnering with the community to address them.
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Affiliation(s)
- Hanadi Y Hamadi
- Department of Health Administration, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA
| | - Mei Zhao
- Department of Health Administration, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA
| | - Sinyoung Park
- Department of Health Administration, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA
| | - Jing Xu
- Department of Health Administration, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA
| | - Donald Rob Haley
- Department of Health Administration, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA
| | - Curt Lox
- Department of Clinical & Applied Movement Sciences, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA
| | - Aaron C Spaulding
- Division of Health Care Delivery Research, Robert D. and Patricia E. Kern Centre for the Science of Health Care Delivery, Mayo Clinic, Jacksonville, Florida, USA
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Alegría M, O’Malley IS, Smith R, Rosania AU, Boyd A, Cuervo-Torello F, Williams DR, Acevedo-Garcia D. Addressing health inequities for children in immigrant families: Psychologists as leaders and links across systems. AMERICAN PSYCHOLOGIST 2023; 78:173-185. [PMID: 37011168 PMCID: PMC10071405 DOI: 10.1037/amp0001016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
Abstract
What can psychologists do to address social determinants of health and promote health equity among America's approximately 20 million children in immigrant families (CIF)? This article identifies gaps in current research and argues for a stronger role for psychologists. Psychologists can advocate for and enact changes in institutional systems that contribute to inequities in social determinants of health and promote resources and services necessary for CIF to flourish. We consider systemic exclusionary and discriminatory barriers faced by CIF, including a heightened anti-immigrant political climate, continued threat of immigration enforcement, restricted access to the social safety net, and the disproportionate health, economic, and educational burden of the COVID-19 pandemic. We highlight the potential role of psychologists in (a) leading prevention that addresses stressors such as poverty and trauma; (b) changing systems to mitigate risk factors for CIF; (c) expanding workforce development across multiple disciplines to better serve their needs; (d) identifying mechanisms, such as racial profiling, that contribute to health inequity, and viewing them as public health harms; and (e) guiding advocacy for resources at local, state, and federal levels, including by linking discriminatory policies or practices with health inequity. A key recommendation to increase psychologists' impact is for academic and professional institutions to strengthen relationships with policymakers to effectively convey these findings in spaces where decisions about policies and practices are made. We conclude that psychologists are well positioned to promote systemic change across multiple societal levels and disciplines to improve the well-being of CIF and offer them a better future. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Affiliation(s)
- Margarita Alegría
- Massachusetts General Hospital, Disparities Research Unit, Boston, MA
- Harvard Medical School, Departments of Medicine and Psychiatry, Boston, MA
| | | | - Robert Smith
- City University of New York, School of Public Affairs at Baruch College, New York, NY
- City University of New York, Graduate Center, Department of Sociology, New York, NY
| | | | - Azariah Boyd
- Harvard T.H. Chan School of Public Health, Department of Environmental Health Epidemiology, Boston, MA
| | | | - David R. Williams
- Harvard T.H. Chan School of Public Health, Department of Social and Behavioral Sciences, Boston, MA
- Harvard University, Departments of Sociology and African and African American Studies, Boston, MA
| | - Dolores Acevedo-Garcia
- Brandeis University, The Heller School for Social Policy and Management, Institute for Child, Youth, and Family Policy, Waltham, MA
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Rezaei F, Keyvanara M, Yarmohammadian MH. Participation' goals of Community- based organizations in the COVID-19 pandemic based on capacity gaps: A cross-sectional study. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2022; 11:336. [PMID: 36567999 PMCID: PMC9768742 DOI: 10.4103/jehp.jehp_1672_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Accepted: 01/03/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND There have been criticisms that local authorities develop disaster planning independently, which led to less sensitiveness and responsibility of community-based organizations (CBOs). Disasters planning should incorporate into CBOs' management processes. This study aims to set goals of a community-based plan based on preparedness capacities that CBOs need to have in the COVID-19 pandemic. MATERIALS AND METHODS This cross-sectional study used a prevalidated and reliable questionnaire assessing (CBOs). The tool assesses preparedness in the field of planning, training, and infrastructure. Forty CBOs met the inclusion criteria as assisting or cooperating agencies during the COVID-19 pandemic. Then, key informants, who simultaneously have been working in the health system and CBOs, prioritized low-scale items that have shown capacity gaps according to effects on the vulnerable group, sustainability, and capability of the health system. Descriptive statistics performed using SPSS18 software (SPSS Inc., Chicago, USA). RESULTS The results showed that the preparedness of CBOs was weak in the field of planning, training, and infrastructure. Besides, overlaps of CBOs' resources and covering the clients' medical needs in the COVID-19 pandemic were the most priority that needs to be intervened. CONCLUSION Providing medical needs by CBOs require legal legitimacy assigned by health authority, especially in epidemic-prone diseases. In addition, assigning a coordinator to set a priority list and mutual agreements authoried by health departments can solve the problem of overlapped resources. Therefore, functional roles of CBOs in the pandemic should focus mostly on resource allocation and the medical needs of clients to set goals and functional objectives.
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Affiliation(s)
- Fatemeh Rezaei
- Department of Health in Disasters and Emergencies, Social Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mahmoud Keyvanara
- Department of Healthcare Management, Faculty of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mohammad H Yarmohammadian
- Department of Health in Disasters and Emergencies, Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
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A Bridging-Community (ABC) Project: A Community Building Social Participation Intervention Among Resettled Refugees in Boston. JOURNAL OF INTERNATIONAL MIGRATION AND INTEGRATION 2022. [DOI: 10.1007/s12134-021-00908-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
AbstractGiven the complexities of displacement and resettlement in the United States (US), few resources have been invested in facilitating social relationships, social integration, and social support for recently resettled refugees. Studies indicate low levels of socialization and thus extreme isolation among refugees, suggesting the need to create additional safety nets that encourage social connectivity (Strang & Quinn, 2019). In partnership with a resettlement agency, university researchers developed a pilot study exploring the feasibility and impact of a social participation intervention for a target group of recently resettled refugees. Research facilitators from the A Bridging-Community (or ABC) Project hosted weekly social events for resettled refugees (N=12). Participants were split into three groups and attended social events either two, four, or six times over a four month period. To assess the experiences of participants in the program, survey data were collected at the beginning and end of the program, and semi-structured qualitative interviews were conducted upon entry into the program and at the conclusion of the study. Findings suggest that the ABC Project helped cultivate new relationships and a sense of belonging among participants, with stronger results observed among participants who met four or six times. The overall effectiveness of the program was rated highly by all participants, indicating a need for additional research about targeted social interventions among groups at risk for social isolation.
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8
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Hwang DA, Lee A, Song JM, Han HR. Recruitment and Retention Strategies Among Racial and Ethnic Minorities in Web-Based Intervention Trials: Retrospective Qualitative Analysis. J Med Internet Res 2021; 23:e23959. [PMID: 34255658 PMCID: PMC8314154 DOI: 10.2196/23959] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Revised: 10/26/2020] [Accepted: 04/30/2021] [Indexed: 12/17/2022] Open
Abstract
Background Racial and ethnic minority groups are underrepresented in health research, contributing to persistent health disparities in the United States. Identifying effective recruitment and retention strategies among minority groups and their subpopulations is an important research agenda. Web-based intervention approaches are becoming increasingly popular with the ubiquitous use of the internet. However, it is not completely clear which recruitment and retention strategies have been successful in web-based intervention trials targeting racial and ethnic minorities. Objective This study aims to describe lessons learned in recruiting and retaining one of the understudied ethnic minority women—Korean Americans—enrolled in a web-based intervention trial and to compare our findings with the strategies reported in relevant published web-based intervention trials. Methods Multiple sources of data were used to address the objectives of this study, including the study team’s meeting minutes, participant tracking and contact logs, survey reports, and postintervention interviews. In addition, an electronic search involving 2 databases (PubMed and CINAHL) was performed to identify published studies using web-based interventions. Qualitative analysis was then performed to identify common themes addressing recruitment and retention strategies across the trials using web-based intervention modalities. Results A total of 9 categories of recruitment and retention strategies emerged: authentic care; accommodation of time, place, and transportation; financial incentives; diversity among the study team; multiple, yet standardized modes of communication; mobilizing existing community relationships with efforts to build trust; prioritizing features of web-based intervention; combined use of web-based and direct recruitment; and self-directed web-based intervention with human support. Although all the studies included in the analysis combined multiple strategies, prioritizing features of web-based intervention or use of human support were particularly relevant for promoting recruitment and retention of racial and ethnic minorities in web-based intervention trials. Conclusions The growing prevalence of internet use among racial and ethnic minority populations represents an excellent opportunity to design and deliver intervention programs via the internet. Future research should explore and compare successful recruitment and retention methods among race and ethnic groups for web-based interventions. Trial Registration ClinicalTrials.gov NCT03726619; https://clinicaltrials.gov/ct2/show/NCT03726619.
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Affiliation(s)
- DaSol Amy Hwang
- Johns Hopkins University School of Nursing, Baltimore, MD, United States
| | - Alex Lee
- Johns Hopkins University School of Nursing, Baltimore, MD, United States
| | - Jae Min Song
- Johns Hopkins University School of Nursing, Baltimore, MD, United States
| | - Hae-Ra Han
- Johns Hopkins University School of Nursing, Baltimore, MD, United States
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Hospital Partnerships for Population Health: A Systematic Review of the Literature. J Healthc Manag 2021; 66:170-198. [PMID: 33960964 DOI: 10.1097/jhm-d-20-00172] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
EXECUTIVE SUMMARY The U.S. healthcare system continues to experience high costs and suboptimal health outcomes that are largely influenced by social determinants of health. National policies such as the Affordable Care Act and value-based payment reforms incentivize healthcare systems to engage in strategies to improve population health. Healthcare systems are increasingly expanding or developing new partnerships with community-based organizations to support these efforts. We conducted a systematic review of peer-reviewed literature in the United States to identify examples of hospital-community partnerships; the main purposes or goals of partnerships; study designs used to assess partnerships; and potential outcomes (e.g., process- or health-related) associated with partnerships. Using robust keyword searches and a thorough reference review, we identified 37 articles published between January 2008 and December 2019 for inclusion. Most studies employed descriptive study designs (n = 21); health needs assessments were the most common partnership focus (n = 15); and community/social service (n = 21) and public health organizations (n = 15) were the most common partner types. Qualitative findings suggest hospital-community partnerships hold promise for breaking down silos, improving communication across sectors, and ensuring appropriate interventions for specific populations. Few studies in this review reported quantitative findings. In those that did, results were mixed, with the strongest support for improvements in measures of hospitalizations. This review provides an initial synthesis of hospital partnerships to address population health and presents valuable insights to hospital administrators, particularly those leading population health efforts.
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Corley A, Sabri B. Exploring African Immigrant Women's Pre- and Post-Migration Exposures to Stress and Violence, Sources of Resilience, and Psychosocial Outcomes. Issues Ment Health Nurs 2021; 42:484-494. [PMID: 32886021 PMCID: PMC7930131 DOI: 10.1080/01612840.2020.1814912] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
This qualitative study seeks to identify pre- and post-migration stressors experienced by African women who had immigrated to the United States along with the vulnerability and resilience factors that exacerbate or mitigate the negative health effects of these experiences. Seventeen interviews and six focus groups were conducted with 39 African immigrant women. Participants reported encountering experiences of political instability and armed conflict pre-migration and intimate partner violence pre- and post-migration. Religious faith was an important source of resilience for women. Findings support the design of culturally appropriate interventions to improve the mental health of vulnerable African immigrant women.
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Affiliation(s)
- Andrew Corley
- School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA
| | - Bushra Sabri
- School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA
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Salami B, Fernandez-Sanchez H, Fouche C, Evans C, Sibeko L, Tulli M, Bulaong A, Kwankye SO, Ani-Amponsah M, Okeke-Ihejirika P, Gommaa H, Agbemenu K, Ndikom CM, Richter S. A Scoping Review of the Health of African Immigrant and Refugee Children. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18073514. [PMID: 33800663 PMCID: PMC8038070 DOI: 10.3390/ijerph18073514] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 03/18/2021] [Accepted: 03/22/2021] [Indexed: 12/02/2022]
Abstract
Migration is a growing phenomenon around the world, including within the African continent. Many migrants, especially African children, face challenges related to health and social inclusion and can face increased health risks. A systematic scoping review of available literature on the health of African migrant children across the globe was conducted to offer insight into these health risks. The review was conducted over a 15-month period from January 2019 to April 2020, yielding 6602 articles once duplicates were removed. This search included electronic databases, reference lists of articles reviewed, and searches of libraries of relevant organisations. A total of 187 studies met the inclusion criteria, of which 159 were quantitative, 22 were qualitative, and 6 used mixed methods. The findings reveal decreased health in this population in areas of nutrition, infectious diseases, mental health, birth outcomes, sexual and reproductive health, physical and developmental health, parasitic infections, oral health, respiratory health, preventative health, endocrine disorders, health care services, and haematological conditions. The findings offer insights into factors influencing the health of African immigrant and refugee children. Further studies, especially qualitative studies, are needed to determine barriers to service access after migration and to investigate other underexplored and overlooked health concerns of African migrant children, including pneumonia and child maltreatment.
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Affiliation(s)
- Bukola Salami
- Faculty of Nursing, University of Alberta, 11405 87 Avenue, Edmonton, AB T6G 0Z7, Canada; (H.F.-S.); (M.T.); (A.B.); (S.R.)
- Correspondence:
| | - Higinio Fernandez-Sanchez
- Faculty of Nursing, University of Alberta, 11405 87 Avenue, Edmonton, AB T6G 0Z7, Canada; (H.F.-S.); (M.T.); (A.B.); (S.R.)
| | - Christa Fouche
- Faculty of Education and Social Work, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand;
| | - Catrin Evans
- School of Health Sciences, University of Nottingham, University Park, Nottingham NG7 2RD, UK;
| | - Lindiwe Sibeko
- Department of Nutrition, School of Public Health and Health Sciences, University of Massachusetts, 204 Chenoweth Laboratory, Amherst, MA 01003-9282, USA;
| | - Mia Tulli
- Faculty of Nursing, University of Alberta, 11405 87 Avenue, Edmonton, AB T6G 0Z7, Canada; (H.F.-S.); (M.T.); (A.B.); (S.R.)
| | - Ashley Bulaong
- Faculty of Nursing, University of Alberta, 11405 87 Avenue, Edmonton, AB T6G 0Z7, Canada; (H.F.-S.); (M.T.); (A.B.); (S.R.)
| | - Stephen Owusu Kwankye
- Regional Institute for Population Studies, University of Ghana, P.O. Box LG 96, Legon, Accra GA184, Ghana;
| | - Mary Ani-Amponsah
- School of Nursing, University of Ghana, P.O. Box LG 43, Legon, Accra GA184, Ghana;
| | | | - Hayat Gommaa
- Department of Nursing Science, Ahmadu Bello University, Sokoto Road, PMB 06, Zaria 810107, Nigeria;
| | - Kafuli Agbemenu
- School of Nursing, The State University of New York (SUNY), University at Buffalo, 3435 Main Street, Buffalo, NY 14214, USA;
| | | | - Solina Richter
- Faculty of Nursing, University of Alberta, 11405 87 Avenue, Edmonton, AB T6G 0Z7, Canada; (H.F.-S.); (M.T.); (A.B.); (S.R.)
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12
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Salma J, Jones A, Ali SA, Salami B, Yamamoto S. A Qualitative Exploration of Immigrant Muslim Older Adults' Experiences and Perceptions of Physical Activity. J Aging Phys Act 2020; 28:765-773. [PMID: 32434148 DOI: 10.1123/japa.2019-0297] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2019] [Revised: 02/06/2020] [Accepted: 02/19/2020] [Indexed: 11/18/2022]
Abstract
Physical activity is essential for healthy aging; however, there has been little exploration of physical activity in Muslim older immigrants in Canada. Over one million Canadians identify as Muslim, the majority is first-generation immigrants, with increasing cohorts entering older age. A community-based participatory research project on healthy aging was conducted with 68 older adults and community members from South Asian, Arab, and African Muslim ethnocultural communities in a Canadian urban center. A combination of individual interviews and focus groups discussions were completed, followed by thematic analysis of data. Participating community groups emphasized the importance of physical activity in older age and prioritized the need for physical activity programs. The four themes highlight Muslim older immigrants' perspectives on physical activity in Canada: (a) values and approaches to staying active; (b) health factors: pain and health limitations; (c) social factors: culture, religion, and belonging; and (d) environmental factors: safety and accessibility.
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