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PubMed2006

Own and parental war experience as a risk factor for mental health problems among adolescents with an immigrant background: results from a cross sectional study in Oslo, Norway.

BACKGROUND: An increasing proportion of immigrants to Western countries in the past decade are from war affected countries. The aim of this study was to estimate the prevalence of war experience among adolescents and their parents and to investigate possible differences in internalizing and externalizing mental health problems between adolescents exposed and unexposed to own and parental war experience. METHOD: The study is based on a cross-sectional population-based survey of all 10th grade pupils in Oslo for two consecutive years. A total of 1,758 adolescents were included, all with both parents born outside of Norway. Internalizing and externalizing mental health problems were measured by Hopkins Symptom Checklist-10 and subscales of the Strengths and Difficulties Questionnaire, respectively. Own and parental war experience is based on adolescent self-report. RESULTS: The proportion of adolescents with own war experience was 14% with the highest prevalence in immigrants from Eastern Europe and Sub-Saharan Africa. The proportion of parental war experience was 33% with Sub-Saharan Africa being highest. Adolescents reporting own war experience had higher scores for both internalizing and externalizing mental health problems compared to immigrants without war experience, but only externalizing problems reached statistically significant differences. For parental war experience there was a statistically significant relationship between parental war experience and internalizing mental health problems. The association remained significant after adjustment for parental educational level and adolescents' own war experience. CONCLUSION: War exposure is highly prevalent among immigrants living in Oslo, Norway, both among adolescents themselves and their parents. Among immigrants to Norway, parental war experience appears to be stronger associated with mental health problems than adolescents own exposure to war experience.

Journal Article↗

PubMed2007

Prevalence of human papillomavirus genotypes and their variants in high risk West Africa women immigrants in South Italy.

BACKGROUND: The distribution of human papillomaviruses (HPVs) varies greatly across populations and HPV surveys have been performed in different geographical regions in order to apply appropriate vaccine strategies. Little information, however, exists regarding HPV genotypes distribution in immigrant women from countries at high incidence for cervical cancer. The aim of this study was to determine the spectrum of HPVs and their variants among HIV-positive and HIV-negative women immigrants in South Italy mainly from West Africa and with a history of prostitution. RESULTS: Cervical cytological samples have been collected from 14 HIV-positive and 31 HIV-negative immigrants (38 out of 45 were born in Nigeria), attending a gynecological outpatient clinic in the Campania region. Human papillomaviruses were detected by broad spectrum consensus-primer-pairs MY09/MY11 and GP5+/GP6+-based polymerase chain reaction and characterized by nucleotide sequence analysis. Altogether, 42.2% (19/45) of samples were HPV positive with detection rates of 57.1% (8/14) in HIV-positive and 35.5% (11/31) in HIV-negative women. Among the twelve different viral genotypes identified, HPV33, 58, 70 and 81 were the prevalent genotypes with a frequency of 6.7% each, followed by HPV16, 35, 42, 54, 31, 52, 56 and 67, in descending order of prevalence. Sequence homology studies performed on the L1 amplified fragments of HPV16, 52 and 58 isolates allowed the identification of nucleotide changes distinctive of non-European variants. CONCLUSION: The overall HPV prevalence (42.2%) was high in this immigrant women group with the most common viral types other than HPV16 and 18, against which current vaccine strategies have been developed. The distribution of HPV genotypes and their variants in high-risk immigrants reflects that of their original countries. The surveillance of risk groups that may act as viral reservoirs of uncommon genotypes within different countries are necessary to determine the severity of HPV infection with the different viral types and to monitor a possible shift of prevalent strains following vaccination.

Journal Article↗

PubMed1997

Two-year follow up study of stress-related disorders among immigrants to Israel from the Chernobyl area.

We report on findings from a 2-year follow-up study of immigrants originating from exposed areas around the site of the 1986 Chernobyl accident matched with comparison subjects emigrating from other republics in the Confederation of Independent States. In the initial study of 708 immigrants, the samples were matched by age, gender, and year of immigration. We assessed two exposure groups--high and low--by estimating levels of ground cesium contamination from the International Atomic Energy Agency maps. We reinterviewed 520 immigrants from the first wave of data collection (a reinterview rate of 73%), 87 from high-exposure areas, 217 from low-exposure areas, and 216 comparison subjects. This study examined the prevalence of symptoms of posttraumatic stress disorders (PTSD), depression, somatization, anxiety, and physical effects (high blood pressure, acute symptoms, and chronic illness). The results obtained in the first wave conducted 8 years after the accident showed that psychological symptoms were significantly higher in exposed respondents than in the comparison group. During the second wave (10 years after the accident) we observed a decline in the prevalence of PTSD and related distress except for somatization, which remained at the same level. An association between exposure and high blood pressure was observed in the first wave of data, but was not still significant in the second wave of data collection. The proportion of those who reported three or more chronic health problems was 48.3% among the high-exposure group, 49.3% in the low-exposure group, and 30.6% in the comparison group (p = 0.0003). The most commonly reported problems were heart disease. problems with vision or hearing, migraine headaches, problems with the lymphatic system, and arthritis. Based on the results, it was concluded that the Chernobyl accident was a powerful stressor, having a strong impact on both mental and physical health. Since all respondents were engaged in the process of acculturation and accommodation to a new country after emigration, it is encouraging that this study shows that levels of psychological distress are waning as the new immigrants are absorbed into Israeli society. However, there still remains some independent effect on health associated with the experience of the Chernobyl accident.

Adult↗

PubMed2004

[Epidemiology of tuberculosis in immigrant patients hospitalised in Infectious Diseases Units in Italy: multicentric study].

In order to retrospectively evaluate the prevalence of immigrant patients affected by active tuberculosis, we analysed the clinical data of 2255 immigrant patients hospitalised during 2002 in ordinary admission or in Day Hospital in 48 Clinics of Infectious Diseases. In all, 303 patients were affected by active tuberculosis (13.4% of the total immigrant hospitalised patients); 30 patients (9.9%) were also HIV-positive. There was a considerable male gender bias (62.5%); the mean age was 29.7 years; 144 patients were from Africa (47.5%), 72 (23.7%) from Asia, 47 (15.5%) from eastern Europe and 40 (13.2%) from South America. The clinical variants were: pulmonary (57.7%), lymph node (15.8%), meningitis (13.8%), intestinal (4.2%), bone (3.3%), pleurical (2.3%), peritoneal (2.3%) and renal (0.6%). We conclude that tuberculosis is a very frequent disease among immigrants, especially of African origin. The high percentage is due to several factors, such as no vaccine prophylaxis and poor, overcrowded living conditions. It is fundamental to focus on the need to provide better health support for all subjects by setting up screening plans to estimate the real incidence of this pathology and ensure medical treatment to prevent the spread of this infection among immigrants and the local host population.

Adolescent↗

PubMedDate not supplied

Health promotion and health advocacy for and by immigrants enrolled in English as a second language classes.

An intersectoral immigrant health promotion project in Hamilton, Ontario is described. The project goal was to facilitate the entry of new immigrants to the Ontario health care system and equip them with knowledge and skills to strengthen their preventive and promotive health practices. A needs assessment preceded project development. The three phases of the project are described. The first phase commenced with the development of culturally sensitive health promotion resource materials to be used with immigrants enrolled in English as a Second Language Classes. In phase two, activities focussed on strengthening the ability of ESL teachers to incorporate a preventive and promotive health focus in their classes. The final phase shifted to a community-based project. During this phase, a core immigrant group developed their skills as health advocates for their immigrant community.

Adult↗

PubMed1998

Immigrant quality and assimilation: a review of the U.S. literature.

"Empirical research on U.S. immigrants is reviewed: their productivity and assimilation; their contribution and use of public services; and their impact on native Americans. I discuss the characteristics of cohorts of immigrants that enter the United States at different times, and then quantify the assimilation of immigrants, typically in terms of economic productivity of immigrants compared with natives."

Acculturation↗

PubMed2005

Simit epidemiological multicentric study on hospitalized immigrants in Italy during 2002.

The aim of this article is to retrospectively evaluate the patient characteristics and the most common infectious diseases in immigrant patients hospitalized in 46 Italian infectious disease clinics during 2002. The main Italian infectious disease clinics were invited to fill in a questionnaire that regarded the number and type of hospital admissions, the country of origin, and demographic features (age, sex, and resident state) of immigrants. A total of 46 clinics including 2255 patients participated in the study. Most patients were men (63%) with an age between 16 and 40 years (63.4%) covered by the National Health Service (71%) and coming from Africa (44.3%). The main infectious diseases observed were: 378 (16.76%) cases of HIV infection, 303 (13.43%) cases of tuberculosis diseases, 282 (12.5%) cases of various forms of viral hepatitis, 177 (7.84%) cases of respiratory diseases, and 196 (8.69%) gastrointestinal diseases. Tropical diseases found were 134 (5.94%) including 95 cases of malaria (70.9%). In conclusion, a broad range of diseases was noted in immigrants which were directly correlated with conditions of poverty. Only a few tropical diseases were diagnosed and therefore the immigrant should not be considered as an infectious disease carrier.

Adolescent↗

PubMed1998

Germany and its immigrants: a socio-demographic analysis.

"Germany is today, along with the USA and Russia, one of the three most important immigration countries worldwide. The authors examine how the immigrant population of Germany has risen despite the fact that the German government has sought to restrict it. They analyse six major streams of migration: refugees and expellees who came immediately after World War II, German resettlers from Eastern Europe (¿Aussiedler'), emigration of (West) Germans, migration between East and West Germany, foreign labour migrants and asylum seekers. The dynamics of immigration within each of these channels was remarkably different. As far as absorption and integration are concerned the authors argue that different groups of immigrants should be treated more equally."

Acculturation↗

PubMed1996

A contribution of the Asian female immigrants into the Canadian population.

"In Canada, the proportion of women among immigrants fluctuates around 50 percent, with a slight increase in recent years. Another important characteristic of immigration...is a radical change in the composition of origin of flows in the past three decades--European-dominated streams have been replaced by those originating mostly in Asia. This paper focuses on female Asian immigrants in Canada.... Major Asian source countries of female immigrants (Hong Kong, Philippines, India, China, Sri Lanka, Taiwan, Lebanon and Iran) give evidence to the growing importance of political push factors and sending countries' policies-facilitation factors as crucial determinants of international migration."

Americas↗

PubMed1997

Skilled Hong Kong immigrants' intention to repatriate.

"An emphasis on skills in Australian immigration policy in the past decade has led to the increase of highly skilled Hong Kong immigrants. However, Australia has not been able to retain all of them.... This paper reports the results of an in-depth study on intention to repatriate and work in Hong Kong, conducted in Australia with 111 professional and managerial Hong Kong immigrants. Correlational and loglinear analyses on prediction of such an intention are presented. Research findings on the career-family dilemma experienced by a number of immigrants are likewise discussed."

Asia↗

PubMed1998

Living arrangements and residential overcrowding among older immigrants in Canada.

"Because older immigrants arriving in Canada are not eligible for government transfer payments or welfare benefits for up to 10 years, many of them choose to live with their relatives or sponsors in crowded three- or more than three-generation households. Cultural preferences also influence this tendency and the propensity of immigrant groups from developing regions to live in three- or more than three-generation households ranges up to 18 times those of their Canadian-born and immigrant counterparts from the developed regions. Variables such as average income, percent receiving Old Age Security payments, percent widowed and duration of residence in Canada are significantly associated with proportions of immigrants living in such arrangements, and explain about 84 percent of birthplace variation for males and 81 percent for females."

Adult↗

PubMed1998

Immigration and welfare magnets.

"This paper investigates if the location choices made by immigrants when they arrive in the United States are influenced by the interstate dispersion in welfare benefits. Income-maximizing behavior implies that foreign-born welfare recipients unlike their native-born counterparts, may be clustered in the states that offer the highest benefits. The empirical analysis indicates that immigrant welfare recipients are indeed more heavily clustered in high-benefit states than the immigrants who do not receive welfare, or than natives. As a result, the welfare participation rate of immigrants is much more sensitive to changes in welfare benefits than that of natives."

Americas↗

PubMed1996

Economic deregulation and changes in New Zealand's immigration policy: 1986 to 1991.

"New Zealand's immigration intake is small by the standards of the main immigrant receiving nations and many of her immigrants are subsequently lost through the process of re-emigration. Nevertheless, changes in New Zealand immigration policy over the last 10 years have been profound. This article is the first of a two-part history of these changes."

Demography↗

PubMed1997

A cohort analysis of Korean immigrants' class backgrounds and socioeconomic status in the United States.

"In this article, I first survey briefly the history of Korean immigration to the United States from 1903 to the present. Second, I explain the motivations and entry mechanisms that brought Korean immigrants into the United States. Third, I document and explain the changes in the class backgrounds of Korean immigrants during the last three decades. Finally, I examine how such changes have affected the patterns of social and economic adaptation among the different waves of immigrants."

Acculturation↗

PubMed1997

Rethinking assimilation theory for a new era of immigration.

"We argue that assimilation theory has not lost its utility for the study of contemporary immigration to the United States. In making our case, we review critically the canonical account of assimilation provided by Milton Gordon and others; we refer to Shibutani and Kwan's theory of ethnic stratification to suggest some directions to take in reformulating assimilation theory. We also examine some of the arguments frequently made to distinguish between the earlier mass immigration of Europeans and the immigration of the contemporary era and find them to be inconclusive. Finally, we sift through some of the evidence about the socioeconomic and residential assimilation of recent immigrant groups. Though the record is clearly mixed, we find evidence consistent with the view that assimilation is taking place, albeit unevenly."

Acculturation↗

PubMed1997

How much do immigration and trade affect labor market outcomes?

"This paper provides new estimates of the impact of immigration and trade on the U.S. labor market.... We examine the relation between economic outcomes for native workers and immigrant flows to regional labor markets.... We...use the factor proportions approach to examine the contributions of immigration and trade to recent changes in U.S. educational wage differentials and attempt to provide a broader assessment of the impact of immigration on the incomes of U.S. natives." Comments and discussion by John DiNardo, John M. Abowd, and others are included (pp. 68-85).

Americas↗

PubMed1993

[The territorial dimension of Quebec's international immigration].

"This paper is devoted to the spatial distribution of Quebec's international immigrants, and to the main territorial stakes related to this type of migration. After analysing international immigration as a flow (distribution of the cohorts of immigrants who entered Quebec during a given period) as well as a stock (distribution of all immigrants surviving in Quebec and their redistribution through internal migration), a critical analysis of the territorial stakes as defined by various agents (active at different levels) is proposed." (SUMMARY IN ENG)

Agriculture↗

PubMed1995

High prevalence of vitamin D deficiency among Ethiopian women immigrants to Israel: exacerbation during pregnancy and lactation.

A population of 125 adult Ethiopian women immigrants to Israel was screened for serum levels of calcium, phosphorus, and alkaline phosphatase. Five women (prevalence of 4%) had hypocalcemia and in one of them osteomalacia was found. In the other 120 subjects normal values were recorded. All five patients had low serum levels of 25 hydroxy (OH) vitamin D3 and high parathyroid hormone (PTH) levels. In four of the five patients, clinical and biochemical manifestations of vitamin D deficiency were detected during pregnancy or lactation. Treatment with vitamin D2 for 4-13 months resulted in clinical improvement and partially corrected the biochemical abnormalities, but low serum vitamin D levels and elevated PTH levels persisted. We conclude that vitamin D deficiency among female Ethiopian immigrants to Israel can be ascribed either to dark skin or low calcium and vitamin D intake, or both. As far as we known this is the first report of vitamin D deficiency among such immigrants. Our study suggests the need to be alert to the possibility of vitamin D deficiency in Ethiopian women who have immigrated to Israel, in particular those who are pregnant or are breast-feeding.

Adult↗