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Herold R, Feißt M, Morawa E, Hondong S, Rothermund E, Waldmann T, Heming M, Weber J, Hander NR, Mulfinger N, Kröger C, Erim Y. [Mental health in the workplace - What role do socioeconomic-, gender-, and migration-related inequalities play?]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2024:10.1007/s00103-024-03902-9. [PMID: 38898128 DOI: 10.1007/s00103-024-03902-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2023] [Accepted: 05/21/2024] [Indexed: 06/21/2024]
Abstract
BACKGROUND Risk factors for mental health can be found in socio-economic-, gender- and migration-specific inequalities. These factors and the extent of depression, anxiety, and somatization among employees were examined in the present study. METHODS As part of the Early Intervention in the Workplace Study (friaa), mentally burdened employees at five locations in Germany were surveyed on socio-demographic-, work-, migration-, and health-related content. Regression analyses were used to examine the relationship between these factors and depression (Patient-Health-Questionnaire-9, PHQ-9), anxiety (Generalized Anxiety Disorder-2, GAD-2), and somatization (Somatic Symptom Scale-8, SSS-8) in the entire sample and in people with migration background (MB). For the latter, acculturation (Frankfurt Acculturation Scale, FRACC) and the perception of burden in terms of demands of immigration (Demands of Immigration Scale, DIS) were also taken into account. RESULTS On average, the 550 employees (12% with MB) showed clinically relevant depression (M = 13.0, SD = 5.1) (PHQ-9 ≥ 10), anxiety (M = 3.5, SD = 1.7) (GAD ≥ 3) and somatization (M = 13.0, SD = 5.8) (SSS-8 ≥ 12). Female gender was associated with higher anxiety and somatization. Older age and night shift work were associated with higher somatization. DISCUSSION The results confirm the high level of mental burden among this sample of employees in Germany. In order to maintain their mental health, support measures should be offered, especially for vulnerable groups such as women, older employees, and night shift workers.
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Affiliation(s)
- Regina Herold
- Psychosomatische und Psychotherapeutische Abteilung, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Schwabachanlage 6, 91054, Erlangen, Deutschland.
| | - Manuel Feißt
- Institut für Medizinische Biometrie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland
| | - Eva Morawa
- Psychosomatische und Psychotherapeutische Abteilung, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Schwabachanlage 6, 91054, Erlangen, Deutschland
| | - Sinja Hondong
- Psychosomatische und Psychotherapeutische Abteilung, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Schwabachanlage 6, 91054, Erlangen, Deutschland
| | - Eva Rothermund
- Klinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Ulm, Ulm, Deutschland
| | - Tamara Waldmann
- Klinik für Psychiatrie und Psychotherapie II der Universität Ulm am Bezirkskrankenhaus Günzburg, Günzburg, Deutschland
| | - Meike Heming
- Institut für Arbeits‑, Sozial- und Umweltmedizin, Centre of Health and Society, Medizinische Fakultät und Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Deutschland
| | - Jeannette Weber
- Institut für Arbeits‑, Sozial- und Umweltmedizin, Centre of Health and Society, Medizinische Fakultät und Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Deutschland
| | - Nicole R Hander
- Klinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Ulm, Ulm, Deutschland
| | - Nadine Mulfinger
- Klinik für Psychiatrie und Psychotherapie II der Universität Ulm am Bezirkskrankenhaus Günzburg, Günzburg, Deutschland
| | - Christoph Kröger
- Institut für Psychologie, Abteilung Klinische Psychologie und Psychotherapie, Universität Hildesheim, Hildesheim, Deutschland
| | - Yesim Erim
- Psychosomatische und Psychotherapeutische Abteilung, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Schwabachanlage 6, 91054, Erlangen, Deutschland
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Isik V, Ozdemir MC. Analysis of the relationship between unregistered employment and occupational accidents in Turkey. Work 2024:WOR240158. [PMID: 38905077 DOI: 10.3233/wor-240158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/23/2024] Open
Abstract
BACKGROUND Occupational accidents are anticipated to decline when unregistered employment declines because of more regulated working conditions, inspections, and opportunities for legal protection. In the study, the accuracy of this presumption was examined. OBJECTIVE This study aims to examine how to protective legal regulations generate a relationship between occupational accidents and informal employment such as the Occupational Health and Safety Law in Turkey. METHODS In the research, which was structured within the framework of the quantitative method, various levels of relationship chains were created between informal employment and occupational accidents using correlation and slope calculations. The official data set was created using secondary data from the Turkish Statistical Institute and the Social Security Institution. RESULTS It has been determined that the low positive correlation (r = 0.166) between unregistered employment and occupational accidents in 2008-2012 (pre-legislation period) in Turkey changed to the medium-negative direction (r=-0.602) in 2013-2020 (legislation period). While the assumption that unregistered employment would decrease in the first period was confirmed, the hypothesis was falsified by the increase in occupational accidents despite the decrease in informality in the second period. CONCLUSION This study is unique because it shows that in a developing country where unregistered employment is high, the protective regulations for work accidents do not reflect a decrease in the number of work accidents in the short and medium term.
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Affiliation(s)
- Volkan Isik
- Vocational School of Social Sciences, Hacettepe University, Ankara, Turkiye
| | - Mustafa Caglar Ozdemir
- Department of Labour Economics and Industrial Relations, Faculty of Political Sciences, Sakarya University, Sakarya, Turkiye
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Radka K, Wyeth EH, Craik B, Ergler CR, Derrett S. "On the books" yet "off the record"-occupational injury and migrant women: scoping review findings from OECD countries, with implications for New Zealand. Front Glob Womens Health 2024; 5:1346834. [PMID: 38784943 PMCID: PMC11111975 DOI: 10.3389/fgwh.2024.1346834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Accepted: 04/26/2024] [Indexed: 05/25/2024] Open
Abstract
Introduction Little appears to be known regarding the work-related injury (WRI) experiences of migrants (those born in a country other than their identified host country) and specifically, women migrants. Methods As part of a wider PhD project investigating the WRI experiences of New Zealand (NZ) migrants, a review of NZ mainstream media coverage of migrants WRIs was undertaken, which identified no representations of migrant women's WRI experiences. In turn, a scoping review was undertaken to identify peer-reviewed publications reporting empirical findings about WRI experiences and outcomes for migrants in Organization for Economic Co-operation and Development (OECD) member countries, including NZ. This paper aims to identify and describe findings for migrant women specifically. From 2,243 potential publications, 383 proceeded to full text review; ultimately 67 were retained. These 67 publications were reviewed to identify findings specifically for occupationally injured migrant women; 22 such publications (from 21 studies) were found. This paper reports: the characteristics of identified studies; characteristics of migrant women within; frameworks and theories used, and knowledge (and gaps) related to occupationally injured migrant women. Results Publications came from only four OECD countries, the United States, Canada, Australia, and Spain. A range of study designs, and topic areas (working conditions, legal rights, identities, the role of gatekeepers, and precarity), were identified; however, only three studies reported findings for longer-term experiences and outcomes of WRIs. Nine publications considered theoretical models underpinning research, including theories about precarious work, stigmatization, and citizenship. However, there was a paucity of analyses of the WRI experience throughout the life-course, highlighting a gap in understanding of how these experiences are "lived" over the long term by occupationally injured migrant women. Discussion Scoping review findings were synthesized using a provisional "matryoshka framing narrative" model, to be refined through forthcoming qualitative interviews with occupationally injured NZ migrant women. This model highlights the multitude of influences in WRI experiences, potentially specific to migrant women, suggesting the consequences of WRIs may be uneven, with migrant women experiencing different, and potentially, greater disparities in outcomes. These findings provide an impetus to investigate knowledge gaps and urgently address potential disparities in WRI outcomes for migrant women specifically.
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Affiliation(s)
- Kelly Radka
- Ngāi Tahu Māori Health Research Unit, Division of Health Sciences, University of Otago, Dunedin, New Zealand
- School of Geography, Division of Humanities, University of Otago, Dunedin, New Zealand
| | - Emma H. Wyeth
- Ngāi Tahu Māori Health Research Unit, Division of Health Sciences, University of Otago, Dunedin, New Zealand
| | - Brooke Craik
- Ngāi Tahu Māori Health Research Unit, Division of Health Sciences, University of Otago, Dunedin, New Zealand
| | - Christina R. Ergler
- School of Geography, Division of Humanities, University of Otago, Dunedin, New Zealand
| | - Sarah Derrett
- Ngāi Tahu Māori Health Research Unit, Division of Health Sciences, University of Otago, Dunedin, New Zealand
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Herold R, Lieb M, Borho A, Voss A, Unverzagt S, Morawa E, Rothermund E, Erim Y. Working conditions and mental health of migrants and refugees in Europe considering cultural origin- a systematic review. BMC Public Health 2024; 24:662. [PMID: 38429674 PMCID: PMC10908099 DOI: 10.1186/s12889-024-18096-7] [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] [Received: 09/04/2023] [Accepted: 02/14/2024] [Indexed: 03/03/2024] Open
Abstract
BACKGROUND Migrants and refugees/asylum seekers, as a large part of the European work force, are often confronted with unfavorable working conditions in the host country. Main aim of this systematic review was to compare the association of these working conditions with mental health between migrants and refugees/asylum seekers due to their diverse migration experiences and cultural origins, and between different European host countries. METHODS Systematic search for eligible primary studies was conducted in three electronic databases (PubMed/MEDLINE, PsycINFO and CINAHL) using quantitative study designs written in English, German, French, Italian, Polish, Spanish or Turkish and published from January 1, 2016 to October 27, 2022. Primary health outcomes were diagnosed psychiatric and psychological disorders, suicide and suicide attempts, psychiatric and psychological symptoms, and perceived distress. Secondary health outcomes were more general concepts of mental health such as well-being, life satisfaction and quality of life. Two reviewers independently completed screening, data extraction and the methodological quality assessment of primary studies using the Newcastle-Ottawa-Scale. Descriptive summary of primary studies on working conditions and their relationship with mental health were conducted, comparing migrants and refugees/asylum seekers, migrants and refugees/asylum seekers of different cultural backgrounds (collectivistic and individualistic) and migrants and refugees/asylum seekers living in different host countries. RESULTS Inclusion criteria were met by 19 primary studies. Voluntary migrants are more likely to experience overqualification in the host country than refugees. In all examined host countries, migrants and refugees suffer from unfavorable working conditions, with migrants from collectivistic countries being slightly at risk compared to migrants from individualistic countries. Most unfavorable working conditions are related to poor mental health, regardless of migrant status, cultural origin or host country. CONCLUSIONS Although the results should be interpreted with caution due to the small number of studies, it is evident that to maintain both the mental health and labor force of migrants and refugees/asylum seekers, their working conditions in host countries should be controlled and improved. Special attention should be paid to specific subgroups such as migrants from collectivistic societies. ETHICS AND DISSEMINATION This systematic review is excluded from ethical approval because it used previously approved published data from primary studies. TRIAL REGISTRATION NUMBER CRD42021244840.
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Affiliation(s)
- Regina Herold
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.
| | - Marietta Lieb
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Andrea Borho
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Amanda Voss
- Institute and Outpatient Clinic of Occupational, Social, and Environmental Medicine, Friedrich-Alexander University Erlangen, Erlangen, Germany
| | - Susanne Unverzagt
- Center of Health Sciences, Institute of General Practice and Family Medicine, Martin-Luther University of Halle-Wittenberg, Halle, Germany
| | - Eva Morawa
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Eva Rothermund
- Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Ulm, Germany
| | - Yesim Erim
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany
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Herold R, Lieb M, Borho A, Voss A, Unverzagt S, Morawa E, Erim Y. Relationship between working conditions and mental health of migrants and refugees/asylum seekers vs. natives in Europe: a systematic review. Int Arch Occup Environ Health 2023; 96:931-963. [PMID: 37439904 PMCID: PMC10361874 DOI: 10.1007/s00420-023-01981-w] [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] [Received: 03/07/2023] [Accepted: 05/15/2023] [Indexed: 07/14/2023]
Abstract
OBJECTIVE Migrants and refugees/asylum seekers make up a significant proportion of the European workforce. They often suffer from poor working conditions, which might impact mental health. The main objective of this systematic review was to summarize and analyze existing research on working conditions of migrants and refugees/asylum seekers in European host countries and compare them to those of natives. Furthermore, the relationship between working conditions and mental health of migrants/refugees/asylum seekers and natives will be compared. METHODS Three electronic databases (PubMed/MEDLINE, PsycInfo and CINAHL) were systematically searched for eligible articles using quantitative study designs written in English, German, French, Italian, Polish, Spanish or Turkish and published from January 1, 2016 to October 27, 2022. Primary health outcomes were diagnosed psychiatric and psychological disorders, suicide (attempts), psychiatric and psychological symptoms, and perceived distress. Secondary health outcomes were more general concepts of mental health such as well-being, life satisfaction and quality of life. Screening, data extraction and the methodological quality assessment of primary studies by using the Newcastle-Ottawa Scale were done independently by two reviewers. The results of the primary studies were summarized descriptively. Migrants and refugees/asylum seekers were compared with natives in terms of the association between working conditions and mental health. RESULTS Migrants and refugees often face disadvantages at work concerning organizational (low-skilled work, overqualification, fixed-term contracts, shift work, lower reward levels) and social conditions (discrimination experiences) in contrast to natives. Most unfavorable working conditions are associated with worse mental health for migrants as well as for natives. CONCLUSIONS Even if the results are to be taken with caution, it is necessary to control and improve the working conditions of migrants and refugees/asylum seekers and adapt them to those of the native population to maintain their mental health and thus their labor force.
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Affiliation(s)
- Regina Herold
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Schwabachanlage 6, 91054, Erlangen, Germany.
| | - Marietta Lieb
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Schwabachanlage 6, 91054, Erlangen, Germany
| | - Andrea Borho
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Schwabachanlage 6, 91054, Erlangen, Germany
| | - Amanda Voss
- Institute and Outpatient Clinic of Occupational, Social, and Environmental Medicine, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Susanne Unverzagt
- Center of Health Sciences, Institute of General Practice and Family Medicine, Martin-Luther University of Halle-Wittenberg, Halle, Germany
| | - Eva Morawa
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Schwabachanlage 6, 91054, Erlangen, Germany
| | - Yesim Erim
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Schwabachanlage 6, 91054, Erlangen, Germany
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Chi L. How Does Migration Working Experience Change Farmers' Social Capital in Rural China? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13435. [PMID: 36294047 PMCID: PMC9603662 DOI: 10.3390/ijerph192013435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Revised: 09/29/2022] [Accepted: 10/09/2022] [Indexed: 06/16/2023]
Abstract
While a growing number of farmers migrate to urban sectors to engage in off-farm employment, little is known whether and how the migration working experience (MWE) changes farmers, especially their social capital. Using a survey data set with 2863 farm households in 14 provinces in China, we developed a mediation model to examine the impact of MWE on social capital, as well as the roles of household income, farmers' risk attitude, and information and communications technologies (ICTs). We show that MWE has a significantly positive impact on social capital and weak ties in social capital, which is mediated by household income, risk attitude, and ICT adoption. In particular, MWE can increase income, enhance risk preference, and promote ICT adoption, thus, leading to higher social capital. Moreover, ICTs play a moderating role in the impact of MWE on income and risk preference, that is, ICTs can decrease the impact of MWE on income, and completely substitute the impact of MWE on risk attitude. Our study provides an explanation for the reason why farmers are willing to migrate despite unfavorable working conditions they may endure in urban areas.
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Affiliation(s)
- Liang Chi
- Agricultural Information Institute, Chinese Academy of Agricultural Sciences, Beijing 100081, China
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Handtke O, Günther LV, Mösko M. Assessing the psychosocial work environment of migrant and non-migrant workers in inpatient mental health centres: A feasibility study. PLoS One 2022; 17:e0275003. [PMID: 36170329 PMCID: PMC9518876 DOI: 10.1371/journal.pone.0275003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2022] [Accepted: 09/08/2022] [Indexed: 11/18/2022] Open
Abstract
The number of migrant workers in Germany has increased over the last decades and will probably further increase in the context of a growing cultural diversity of the population and shortage of skilled professionals. Since migrant workers face different challenges, they may experience poorer psychosocial work environments than non-migrants. A negative psychosocial work environment can increase burnout and depression symptoms. To this date no study has investigated differences in the perceived psychosocial work environment in the mental health field. The aim of this study is to evaluate the feasibility of a cross sectional study comparing the perceived psychosocial work environment of migrants and non-migrant workers in inpatient mental health centres in Germany. The study was conducted in four inpatient mental health centres in Germany using the Copenhagen Psychosocial Questionnaire. All staff members (N = 659) categorized in seven professional groups were invited to participate in the study. The feasibility of the study was determined by four criteria (1) Implementation of the study in inpatient mental health centres (2) Representativity of the sample (3) Reliability and usability of the questionnaire and (4) Variability of collected data. Three of four feasibility criteria were achieved. The study was successfully implemented in four mental health centres, the usability of the used questionnaire was confirmed as well as the variability of the data. The targeted response rate was partially met, and the total number of migrant workers could not be provided, which limits the representativity of the sample. In conclusion, a main study is feasible, but an effort must be put in an effective recruitment strategy to obtain valid results.
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Affiliation(s)
- Oriana Handtke
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
- * E-mail:
| | - Lisa Viola Günther
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Mike Mösko
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
- Department of Applied Human Sciences, Magdeburg-Stendal University of Applied Sciences, Stendal, Germany
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Agudelo-Suárez AA, Vargas-Valencia MY, Vahos-Arias J, Ariza-Sosa G, Rojas-Gutiérrez WJ, Ronda-Pérez E. A qualitative study of employment, working and health conditions among Venezuelan migrants in Colombia. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e2782-e2792. [PMID: 35023594 DOI: 10.1111/hsc.13722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Revised: 11/29/2021] [Accepted: 01/03/2022] [Indexed: 06/14/2023]
Abstract
This study aims to explore the perceptions of the Venezuelan immigrant population in Medellín, Colombia, regarding their employment, working and health conditions (physical, mental and psychosocial). A qualitative study was conducted (focused ethnography perspective). Semi-structured interviews were carried out with 31 Venezuelans and 12 key informants from different social organisations that work with the immigrant population. A narrative content analysis was carried out (Atlas.Ti 8.0 software). The migratory process for Venezuelans is caused for political, economical and social aspects in Venezuela and Colombia is offered as the first destination for labour establishing. Access to the labour market is limited to certain occupations, in many cases in the informal economy. Participants referring low salaries, working long hours and reduced social benefits. Occupational risks are evidenced by low experience in the labour market. Some health problems are perceived, and a good part of the interviewed population referred to signs and symptoms related to mental health problems. Barriers to access health and social protection services were found. Finally, future expectations depend on their adaptation to Colombia, the improvement of social conditions in Venezuela or having chances of improving their social and living conditions in another country. A high labour and social vulnerability were found in Venezuelan participants that impact on physical and mental health. Political and strategies from a public health perspective are required and the implementation of systems for monitoring and evaluating the labour and health situation in the working immigrant population.
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Affiliation(s)
- Andrés A Agudelo-Suárez
- Faculty of Dentistry, University of Antioquia, Medellín, Colombia
- Public Health Research Group, University of Alicante, Alicante, Spain
| | - Mary Y Vargas-Valencia
- The National Training Service (Servicio Nacional de Aprendizaje-SENA), Medellín, Colombia
| | | | | | | | - Elena Ronda-Pérez
- Public Health Research Group, University of Alicante, Alicante, Spain
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Oliva-Arocas A, Benavente P, Ronda E, Diaz E. Health of International Migrant Workers During the COVID-19 Pandemic: A Scoping Review. Front Public Health 2022; 10:816597. [PMID: 35252094 PMCID: PMC8888537 DOI: 10.3389/fpubh.2022.816597] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Accepted: 01/21/2022] [Indexed: 11/13/2022] Open
Abstract
Background The coronavirus (COVID-19) pandemic and control measures adopted have had a disproportionate impact on workers, with migrants being a group specifically affected but poorly studied. This scoping review aims to describe the evidence published on the impact of the COVID-19 pandemic on the physical and mental health of migrant workers. Methods Papers written in English covering physical and mental health among international migrant workers during the COVID-19 pandemic, retrieved from six electronic databases searched on July 31, 2021, were included. A total of 1,096 references were extracted, of which 26 studies were finally included. Results Most of the migrant populations studied were born in Asia (16 of 26) and Latin America (8 of 26) and were essential workers (15 of 26). Few studies described the length of stay in the host country (9 of 26), the legal status of the migrant population (6 of 26), or established comparison groups (7 of 26). Ten studies described COVID-19 outbreaks with high infection rates. Fourteen studies evaluated mental health (anxiety, depression, worries, fears, stress, and post-traumatic stress disorder). Three of the 26 studies presented collateral positive effects of the COVID-19 pandemic because of improved hygiene. Conclusion There is a limited number of original publications related to the impact of the COVID-19 pandemic on the physical and mental health of migrant workers around the world. These publications mainly focus on migrants born in Asia and Latin America. The physical, long-term impact of the COVID-19 pandemic has, so far, not been evaluated. The positive collateral effects of improving healthcare conditions for migrant workers should also be further investigated.
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Affiliation(s)
- Adriana Oliva-Arocas
- Department of Community Nursing, Preventive Medicine and Public Health and History of Science, Faculty of Health Sciences, University of Alicante, Alicante, Spain
- *Correspondence: Adriana Oliva-Arocas
| | - Pierina Benavente
- Pandemic Centre, Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, Norway
| | - Elena Ronda
- Department of Community Nursing, Preventive Medicine and Public Health and History of Science, Faculty of Health Sciences, University of Alicante, Alicante, Spain
- CIBER for Epidemiology and Public Health, Health Institute Carlos III, Madrid, Spain
| | - Esperanza Diaz
- Pandemic Centre, Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, Norway
- Unit for Migration and Health, Norwegian Public Health Institute, Oslo, Norway
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Herold R, Wuchenauer F, Kandler A, Morawa E, Unverzagt S, Voss A, Erim Y. Association of cultural origin and migration status with work-related mental health of migrants and refugees in Europe: a systematic review protocol. BMJ Open 2022; 12:e052395. [PMID: 35039288 PMCID: PMC8765017 DOI: 10.1136/bmjopen-2021-052395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
UNLABELLED IntroductionMigrants make up a significant proportion of the European working population. Previous studies have already shown that migrants and refugees often suffer from poor work-related conditions in the host country, which might have an impact on mental health. Thus, the main objective of this systematic review is to analyse and summarise existing research on work-related conditions of migrants and refugees in Europe and to investigate the relationship of these conditions with their mental health. METHODS AND ANALYSIS Three electronic databases (PubMed/MEDLINE, PsycINFO and CINAHL) will be systematically searched for eligible articles using quantitative study designs (randomised controlled trials, cohort, case-control and cross-sectional studies with and without control groups) written in English, German, French, Italian, Polish, Spanish or Turkish and published from 1st January 2016 onwards. The primary health outcomes will be diagnosed psychiatric and psychological disorders, suicide and suicide attempts, psychiatric and psychological symptoms, and perceived distress. The secondary health outcomes will be more general concepts of mental health such as well-being, life satisfaction and quality of life. Outcome measures must have been assessed by validated questionnaires. Screening of all articles, reference lists of included studies and relevant reviews as well as data extraction will be performed independently by two review authors. Methodological quality of primary studies will be assessed and discussed. The results of the primary studies will be summarised descriptively. Migrants and natives, migrants and refugees, migrants of different cultural backgrounds and migrants living in different host countries will be compared in terms of the association between their work-related conditions and their mental health. ETHICS AND DISSEMINATION This systematic review is excluded from ethical approval because it will use previously approved published data from primary studies. The results of this review will be submitted to a related peer-reviewed journal. PROSPERO REGISTRATION NUMBER CRD42021244840.
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Affiliation(s)
- Regina Herold
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Frederik Wuchenauer
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Anja Kandler
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Eva Morawa
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Susanne Unverzagt
- Center of Health Sciences, Institute of General Practice and Family Medicine, Martin-Luther University of Halle-Wittenberg, Halle, Germany
| | - Amanda Voss
- Institute and Outpatient Clinic of Occupational, Social, and Environmental Medicine, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Yesim Erim
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany
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11
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Mailan Arachchige Don RK, Hong SC. Sri Lankan migrant worker perceptions of workplace hazard and safety awareness: case of the manufacturing industry in Korea. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2021; 28:2355-2361. [PMID: 34704538 DOI: 10.1080/10803548.2021.1992158] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
This study was carried out to understand the perspective of unskilled Sri Lankan employees in the manufacturing industry to gain a deeper understanding to learn how to utilize expatriate labor meaningfully in a host country workplace. The structural questionnaire was developed according to previous studies and international labor standards and was validated with an expert in the field. The questionnaire included three parts covering the basic information, perception of workplace hazards, and health and safety awareness of workers. Unfamiliar work practices and processes due to lack of safety and work training have become an impediment. Further investigation of this study shows that language is one of the main barriers to living and working in Korea, the findings of this study indicate where employment permit system (EPS) workers appear to be fervent and our research exhibits the unrevealed image of EPS workers in the Republic of Korea.
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Affiliation(s)
| | - Seung-Cheol Hong
- Department of Emergency & Disaster Management, Inje University, Korea.,Department of Occupational Health & Safety Engineering,Inje University, Korea
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12
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Gosselin A, Malroux I, Desprat D, Devetter FX, Memmi S, Pannetier J, Valat E, Melchior M. Prevalence of psychosocial risks among immigrants in France and associations with mental health: findings from the national French Working Conditions Survey. Int Arch Occup Environ Health 2021; 95:1017-1026. [PMID: 34595568 DOI: 10.1007/s00420-021-01763-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Accepted: 09/19/2021] [Indexed: 10/20/2022]
Abstract
PURPOSE Few studies examined psychosocial risks among immigrants and explored their association with mental health. Our study aims to 1) describe the prevalence of job strain and iso-strain according to migratory status and model the probability of exposure, 2) verify whether the association between job strain, iso strain and anxiety holds for all immigrant groups. METHODS We used the nationally-representative cross-sectional French Working Conditions Survey (N = 24 640). Anxiety was measured with the GAD-Mini. We described the prevalence of job strain and iso-strain according to migratory status and sex. We used multivariate Poisson regressions to model the probability to be exposed to job strain and iso-strain. We described the prevalence of anxiety according to migratory status and sex. In each immigrant group, we modelled the probability of anxiety according to sociodemographic characteristics, lifetime suicidal attempt and job strain/iso-train. RESULTS Overall, there were important variations in psychosocial risks prevalence, with immigrants groups more exposed than majority population. After adjustment, being first-generation immigrant from Africa remained associated with job strain (aIRR = 1.21 [0.99; 1.47]), and being second-generation immigrant from Africa with iso-strain (aIRR = 1.33 [1.05; 1.69]). The prevalence of anxiety was the highest in second-generation immigrants from Africa (12%). In this population, job strain and iso-strain were associated with anxiety (aIRR job strain = 2.70[1.22;6.01]; aIRR iso-strain 4.26 [2.29;7.92]). CONCLUSION Our study provides first estimates of psychosocial risks among first and second-generation immigrants in France and shows that immigrants are particularly exposed to job strain and iso-strain, which could contribute significantly to their mental health.
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Affiliation(s)
- Anne Gosselin
- French National Institute for Demographic Studies (Ined), Mortality, Health and Epidemiology Unit, Campus Condorcet, 9 cours des Humanités, 93322, Aubervilliers, France. .,French Collaborative Institute On Migrations/CNRS, Aubervilliers, France.
| | - Inès Malroux
- French Collaborative Institute On Migrations/CNRS, Aubervilliers, France
| | - Diane Desprat
- DREES (Direction de La Recherche, des Études, de l'Évaluation Et Des Statistiques), , Ministry of Health, Paris, France
| | - François-Xavier Devetter
- CLERSE (Centre Lillois d'Etudes Et de Recherches Sociologiques Et Economiques), Université de Lille, Lille, France
| | - Sarah Memmi
- DARES (Direction de L'Animation de La Recherche, Des Études Et Des Statistiques), Ministry of Labour, Paris, France
| | - Julie Pannetier
- French Collaborative Institute On Migrations/CNRS, Aubervilliers, France.,CRESPPA (Centre de Recherches Sociologiques Et Politiques de Paris), CNRS, Université de Nanterre, Université Paris 8, Paris, France
| | - Emmanuel Valat
- ERUDITE (Equipe de Recherche Sur L'utilisation Des Données Individuelles en Lien Avec La Théorie Économique), Université Gustave Eiffel, Marne-la-Vallée, Paris, France
| | - Maria Melchior
- French Collaborative Institute On Migrations/CNRS, Aubervilliers, France.,Institut Pierre Louis d'Epidémiologie Et de Santé Publique (IPLESP), Equipe de Recherche en Epidémiologie Sociale (ERES), Sorbonne Université, INSERM, Paris, France
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13
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Drydakis N. Adverse working conditions and immigrants' physical health and depression outcomes: a longitudinal study in Greece. Int Arch Occup Environ Health 2021; 95:539-556. [PMID: 34490499 DOI: 10.1007/s00420-021-01757-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Accepted: 07/26/2021] [Indexed: 11/27/2022]
Abstract
PURPOSE Τhe study examines whether adverse working conditions for immigrants in Greece bear an association with deteriorated physical health and increased levels of depression during 2018 and 2019. METHODS A panel dataset resulted from the collaboration with centers providing free Greek language courses to immigrant population groups. Random Effects models assess the determinants of physical health and depression. RESULTS Findings indicate that workers with no written contract of employment, receiving hourly wages lower than the national hourly minimum wages, and experiencing insults and/or threats in their present job experience worse physical health and increased levels of depression. Moreover, the study found that the inexistence of workplace contracts, underpayment, and verbal abuse in the workplace may coexist. An increased risk of underpayment and verbal abuse reveals itself when workers do not have a contract of employment and vice versa. CONCLUSION Immigrant workers without a job contract might experience a high degree of workplace precariousness and exclusion from health benefits and insurance. Immigrant workers receiving a wage lower than the corresponding minimum potentially do not secure a living income, resulting in unmet needs and low investments in health. Workplace abuse might correspond with vulnerability related to humiliating treatment. These conditions can negatively impact workers' physical health and foster depression. Policies should promote written employment contracts and ensure a mechanism for workers to register violations of fair practices.
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Affiliation(s)
- Nick Drydakis
- Faculty of Business and Law, School of Economics, Finance and Law, Centre for Pluralist Economics, Anglia Ruskin University, East Road, Cambridge, CB1 1PT, UK.
- Pembroke College, University of Cambridge, Cambridge, UK.
- Centre for Science and Policy, University of Cambridge, Cambridge, UK.
- Institute for the Study of Labor, Bonn, Germany.
- Global Labor Organization, Essen, Germany.
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14
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Murillo-Pedrozo AM, Martínez-Herrera E, Ronda-Pérez E, Agudelo-Suárez AA. A Qualitative Study of the Health Perceptions in the Venezuelan Immigrant Population in Medellín (Colombia) and Its Conditioning Factors. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:3897. [PMID: 33917688 PMCID: PMC8068052 DOI: 10.3390/ijerph18083897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Revised: 04/03/2021] [Accepted: 04/06/2021] [Indexed: 11/17/2022]
Abstract
This study explored the general and oral health perceptions in the Venezuelan immigrant population in Medellín (Colombia) and its conditioning factors. A qualitative study involving Venezuelan immigrants ≥18 years with a minimum stay of six months in Colombia was conducted. Dentists, dental students, and other health professionals also participated. Semi-structured interviews (n = 17), focus groups (n = 2), and key informants' interviews (n = 4) were utilized. The interviews and focus groups were recorded and transcribed for later narrative content analysis. A high degree of vulnerability of participants was found due to the precarious living conditions from the premigratory moment and the lack of job placement possibilities at the time of settling in Colombia, where the migratory status played a fundamental role. Among the perceived needs, the mitigation of noncommunicable diseases stood out. Poor mental health symptoms (depression and anxiety) were perceived, and oral health was not a priority. Barriers to accessing health and dental care were found. The migrant condition was found to be a determinant that affected physical, mental, and oral health and the provision of health care. This situation is of interest to the construction of public health policies that guarantee access to fundamental rights.
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Affiliation(s)
| | - Eliana Martínez-Herrera
- Research Group of Epidemiology, National School of Public Health “Héctor Abad Gómez”, University of Antioquia, Medellín 050010, Colombia;
- Research Group on Health Inequalities, Environment, Employment Conditions (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, 08005 Barcelona, Spain
| | - Elena Ronda-Pérez
- Public Health Research Group, University of Alicante, 03690 Alicante, Spain;
- CIBERESP, 28029 Madrid, Spain
| | - Andrés A. Agudelo-Suárez
- Faculty of Dentistry, University of Antioquia, Medellín 050010, Colombia;
- Public Health Research Group, University of Alicante, 03690 Alicante, Spain;
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15
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Determinants of Disability in Minority Populations in Spain: A Nationwide Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18073537. [PMID: 33805538 PMCID: PMC8037545 DOI: 10.3390/ijerph18073537] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/10/2021] [Revised: 03/20/2021] [Accepted: 03/25/2021] [Indexed: 11/17/2022]
Abstract
Some population groups could be especially vulnerable to the effects of population ageing. The Global Activity Limitation Indicator (GALI) has been proposed as a measure of disability, but it has not been used in minority groups. The aim of this study is to estimate the prevalence of disability using the GALI and to analyse its determinants in immigrant and Roma populations. Data from the Spanish National Health Survey 2017 and the National Health Survey of the Roma Population 2014 were used, including adults aged 50 and above. Prevalence of disability was estimated, and odds ratios were calculated using logistic regression models to assess the association between disability and demographic, socioeconomic, and health variables. The prevalence of disability was estimated at 39.4%, 30.6%, and 58.7% in the native, immigrant, and Roma populations, respectively. Gender was a common determinant for the native and Roma populations. On the other hand, among immigrants, the risk of disability increased over the time residing in Spain. There were significant interactions with age and gender in the native population. Disability has different determinants in the three population groups. Public health measures to protect the Roma population and immigrants' health should be considered.
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16
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Ricci F, Bravo G, Modenese A, De Pasquale F, Ferrari D, Bello M, Favero G, Soddu S, Gobba F. Risk Perception and Ethnic Background in Construction Workers: Results of a Cross-Sectional Study in a Group of Trainees of a Vocational School in Italy. Eur J Investig Health Psychol Educ 2021; 11:96-109. [PMID: 34542452 PMCID: PMC8314337 DOI: 10.3390/ejihpe11010008] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Revised: 01/13/2021] [Accepted: 01/24/2021] [Indexed: 11/25/2022] Open
Abstract
Risk perception can be influenced by cultural background. The study aims to evaluate risk perception, considering different ethnicities of construction workers from vocational schools in Italy. We administered a questionnaire investigating four different dimensions: Perceived behavioral control (PBC), Danger perception (DP), Safety climate (SC), and Attitude towards safe actions (ATSA). 562 workers answered: 72.4% from Italy, 14.2% from eastern Europe, 9.4% from Balkans, and 3.9% from North Africa. The participants indicated quite low control, attributable to the haste in performing the job. The workers perceived their specific job tasks as riskier compared to the tasks of their colleagues. They reported as fundamental the respecting of safety rules, but indicating that supervisors do not adequately promote safety behaviors. Finally, construction workers judged as “brave” the colleagues working without protective equipment. When compared to Italians, North Africa workers showed a lower perception of the possibility to control their safe behaviors (p = 0.040), while both eastern Europeans and Balkan obtained higher scores at the ATSA dimension, indicating a kind of fatalistic acceptance of the risky situations at work. Eastern Europeans also showed a lower perception of the dangers (p = 0.002), while Balkan demonstrated a perception of SC even better than the Italian group (p = 0.005).
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Affiliation(s)
- Federico Ricci
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena & Reggio Emilia, 41125 Modena, Italy; (F.R.); (G.B.); (A.M.); (M.B.)
| | - Giulia Bravo
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena & Reggio Emilia, 41125 Modena, Italy; (F.R.); (G.B.); (A.M.); (M.B.)
- Department of Medicine, University of Udine, 33100 Udine, Italy
| | - Alberto Modenese
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena & Reggio Emilia, 41125 Modena, Italy; (F.R.); (G.B.); (A.M.); (M.B.)
| | - Fabrizio De Pasquale
- Department of Public Health, National Health Service, 41126 Modena, Italy; (F.D.P.); (D.F.)
| | - Davide Ferrari
- Department of Public Health, National Health Service, 41126 Modena, Italy; (F.D.P.); (D.F.)
| | - Massimo Bello
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena & Reggio Emilia, 41125 Modena, Italy; (F.R.); (G.B.); (A.M.); (M.B.)
| | | | - Sergio Soddu
- Department of Public Health, National Health Service, 40068 San Lazzaro di Savena, Italy;
| | - Fabriziomaria Gobba
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena & Reggio Emilia, 41125 Modena, Italy; (F.R.); (G.B.); (A.M.); (M.B.)
- Correspondence:
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17
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Psychosocial job characteristics and mental health: Do associations differ by migrant status in an Australian working population sample? PLoS One 2020; 15:e0242906. [PMID: 33253270 PMCID: PMC7703972 DOI: 10.1371/journal.pone.0242906] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2019] [Accepted: 11/12/2020] [Indexed: 12/26/2022] Open
Abstract
Migrant workers may experience higher burdens of occupational injury and illness compared to native-born workers, which may be due to the differential exposure to occupational hazards, differential vulnerability to exposure-associated health impacts, or both. This study aims to assess if the relationships between psychosocial job characteristics and mental health vary by migrant status in Australia (differential vulnerability). A total of 8969 persons from wave 14 (2014–2015) of the Household Income and Labour Dynamics in Australia Survey were included in the analysis. Psychosocial job characteristics included skill discretion, decision authority and job insecurity. Mental health was assessed via a Mental Health Inventory-5 score (MHI-5), with a higher score indicating better mental health. Migrant status was defined by (i) country of birth (COB), (ii) the combination of COB and English/Non-English dominant language of COB and (iii) the combination of COB and years since arrival in Australia. Data were analysed using linear regression, adjusting for gender, age and educational attainment. Migrant status was analysed as an effect modifier of the relationships between psychosocial job characteristics and mental health. Skill discretion and decision authority were positively associated with the MHI-5 score while job insecurity was negatively associated with the MHI-5 score. We found no statistical evidence of migrant status acting as an effect modifier of the psychosocial job characteristic―MHI-5 relationships. With respect to psychosocial job characteristic―mental health relationships, these results suggest that differential exposure to job stressors is a more important mechanism than differential vulnerability for generating occupational health inequities between migrants and native-born workers in Australia.
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18
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de Diego-Cordero R, Vega-Escaño J, Tarriño-Concejero L, García-Carpintero-Muñoz MÁ. The Occupational Health of Female Immigrant Caregivers: A Qualitative Approach. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17217807. [PMID: 33113817 PMCID: PMC7663160 DOI: 10.3390/ijerph17217807] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Revised: 10/20/2020] [Accepted: 10/22/2020] [Indexed: 11/25/2022]
Abstract
In general, immigrants suffer poor working conditions. This is particularly true in the case of women, who constitute 48% of international migrants, and these poor conditions are closely linked to the sectors they mainly occupy, such as domestic and care-giving services. The aim of the present study was to investigate the working conditions of the female immigrant population living in southern Spain and how these conditions may affect their health. A qualitative study using semi-structured interviews and discussion groups was conducted over one year in 2019, with 61 immigrant women recruited. The sectors occupied by immigrant women were caregiving for dependent people and domestic services. Most of the female immigrants interviewed were working (63.94%), although the majority were employed in an irregular situation, with a very long working day. Among the main risks identified were biological risks, physical attacks, falls, wounds and musculoskeletal complaints related to handling patients and carrying out household chores. Most of them had not taken an occupational health test and did not report accidents occurring in the workplace for fear of losing their jobs. The main health problems were related to physical and mental health (such as musculoskeletal diseases and stress). These findings highlight the importance of making a major change in our perspective regarding the social value of including immigrant women in the labour market and the different aspects related to their health.
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Affiliation(s)
- Rocío de Diego-Cordero
- Research Group CTS 969 Innovation in HealthCare and Social Determinants of Health, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain;
| | - Juan Vega-Escaño
- Research Group CTS 1054 Interventions and Health Care, Red Cross, Spanish Red Cross Nursing School, University of Seville, 41009 Sevilla, Spain
- Correspondence: (J.V.-E.); (L.T.-C.)
| | - Lorena Tarriño-Concejero
- Research Group PAIDI-CTS 1050 Complex Care, Chronicity and Health Outcomes, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain;
- Correspondence: (J.V.-E.); (L.T.-C.)
| | - María Ángeles García-Carpintero-Muñoz
- Research Group PAIDI-CTS 1050 Complex Care, Chronicity and Health Outcomes, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain;
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Environmental, Health and Sociodemographic Determinants Related to Common Mental Disorders in Adults: A Spanish Country-Wide Population-Based Study (2006-2017). J Clin Med 2020; 9:jcm9072199. [PMID: 32664638 PMCID: PMC7408656 DOI: 10.3390/jcm9072199] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 07/08/2020] [Accepted: 07/09/2020] [Indexed: 11/17/2022] Open
Abstract
Common mental disorders (CMD) represent a serious, growing public health concern, especially in women. The aims of this study were to report the prevalence of CMD among the adult population in Spain, to analyze the time trends from 2006 to 2017 and to explore the associations between CMD and gender, in relation to the perceived environmental and sociodemographic problems and clinical factors. A nationwide cross-sectional study was conducted including 48,505 participants aged 16 to 64 years old who had participated in the Spanish National Health Surveys in 2006, 2011/2012 and 2017. A logistic regression analysis was performed to identify the variables associated with CMD by gender. The prevalence of CMD was 20.4% in 2006, 20.8% in 2011/2012 and 16.9% in 2017 (p = 0.36). In women, the probability of having a CMD was higher in widowed or separated/divorced compared with single individuals and as the perception of distressing noise levels from outside the home increased. The probability of CMD was lower as the level of education increased in men. Foreigners and those with limitations due to health problems, chronic conditions and worse perceived health were more likely to suffer from a CMD in both women and men.
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20
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Bretones FD, Jain A, Leka S, García-López PA. Psychosocial Working Conditions and Well-Being of Migrant Workers in Spain. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E2547. [PMID: 32276385 PMCID: PMC7178116 DOI: 10.3390/ijerph17072547] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/22/2020] [Revised: 03/30/2020] [Accepted: 04/06/2020] [Indexed: 11/23/2022]
Abstract
This study examines the relationship beween employment and psychosocial working conditions and well-being of native and migrant workers in the working population of Spain. Data from the 7th Spanish Survey of Working Conditions was used to conduct a confirmatory factor analysis (n = 8508) to identify the main latent variables that influenced well-being. Using structural equation modeling and multivariate analysis, we found different patterns and perceptions of well-being and working conditions in these two groups. We discuss the reasons for these differences and suggest directions for further research in this area.
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Affiliation(s)
- Francisco Díaz Bretones
- School of Labour Relations and Human Resource, Universidad de Granada, 18071 Granada, Spain;
| | - Aditya Jain
- Nottingham University Business School, University of Nottingham, Nottingham NG8 1BB, UK;
| | - Stavroula Leka
- Cork University Business School, University College Cork, T12 K8AF Cork, Ireland;
- Centre for Organizational Health and Development, School of Medicine, University of Nottingham, Nottingham NG8 1BB, UK
| | - Pedro A. García-López
- School of Labour Relations and Human Resource, Universidad de Granada, 18071 Granada, Spain;
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21
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Combes SJB, Simonnot N, Azzedine F, Aznague A, Chauvin P. Self-Perceived Health among Migrants Seen in Médecins du Monde Free Clinics in Europe: Impact of Length of Stay and Wealth of Country of Origin on Migrants' Health. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16244878. [PMID: 31817068 PMCID: PMC6950051 DOI: 10.3390/ijerph16244878] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/25/2019] [Revised: 11/29/2019] [Accepted: 11/30/2019] [Indexed: 11/16/2022]
Abstract
Health of migrants is a widely studied topic. It has been argued that migrant health may deteriorate over time. Though migrants are a “hard to reach” population in survey data, this paper builds on a unique dataset provided by Médecins du Monde from five countries. We study self-perceived health (SPH) in connection with socio-economic and demographic factors and length of stay. Results differ for men and women. Compared to other documented migrants, asylum seekers have a 50–70% greater chance of having worse health. Migrants with better living conditions have a 57–78% chance of being in better health. Male migrants with a job have between a 82–116% chance of being in good health. The probability for women from poorer countries to have a better physical SPH after three months of residing in the host country is six-fold that of women from richer countries. This paper contributes widely to the knowledge of health of migrants. Contrary to other evidence, health of women migrants from poorer countries tends to improve with length of stay.
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Affiliation(s)
- Simon Jean-Baptiste Combes
- Univ Rennes, EHESP, CNRS, ARENES–UMR 6051, 35000 Rennes, France; (F.A.); (A.A.)
- French Collaborative Institute on Migration, 93322 Aubervilliers, France
- Correspondence:
| | - Nathalie Simonnot
- Médecins du Monde–Doctors of the World, International Network, 75018 Paris, France;
| | - Fabienne Azzedine
- Univ Rennes, EHESP, CNRS, ARENES–UMR 6051, 35000 Rennes, France; (F.A.); (A.A.)
- French Collaborative Institute on Migration, 93322 Aubervilliers, France
| | - Abdessamad Aznague
- Univ Rennes, EHESP, CNRS, ARENES–UMR 6051, 35000 Rennes, France; (F.A.); (A.A.)
| | - Pierre Chauvin
- Department of Social Epidemiology, Sorbonne Université, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP), 75012 Paris, France;
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