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888 result(s) for "Length of residency"
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Understanding the Healthy Immigrant Effect in the Context of Mental Health Challenges: A Systematic Critical Review
The “Healthy Immigrant Effect” (HIE) suggests that immigrants have a health advantage over the domestic-born which vanishes with increased length of residency. Most HIE research focuses on physical health, with less attention given to mental health (MH). This systematic review of 58 MH studies examines whether there is a MH advantage among immigrants and explores changes in immigrants’ MH, besides critically assessing the use of HIE theory. Inconsistent evidence was detected regarding the presence of MH advantage, whereas consistent, convincing evidence was revealed for a decline in immigrants’ MH over years. Although the HIE theory can help reveal MH disparities, this theory alone does not explain the reasons for these disparities nor inform about potential avenues to improve immigrants’ MH. A paradigm shift is needed to incorporate other potential theoretical concepts/frameworks, including the “Health Inequalities Action” framework, for a broader understanding of MH issues and to inform effective, culturally-sensitive interventions.
Migration history and risk of psychosis: results from the multinational EU-GEI study
Psychosis rates are higher among some migrant groups. We hypothesized that psychosis in migrants is associated with cumulative social disadvantage during different phases of migration. We used data from the EUropean Network of National Schizophrenia Networks studying Gene-Environment Interactions (EU-GEI) case-control study. We defined a set of three indicators of social disadvantage for each phase: pre-migration, migration and post-migration. We examined whether social disadvantage in the pre- and post-migration phases, migration adversities, and mismatch between achievements and expectations differed between first-generation migrants with first-episode psychosis and healthy first-generation migrants, and tested whether this accounted for differences in odds of psychosis in multivariable logistic regression models. In total, 249 cases and 219 controls were assessed. Pre-migration (OR 1.61, 95% CI 1.06-2.44, = 0.027) and post-migration social disadvantages (OR 1.89, 95% CI 1.02-3.51, = 0.044), along with expectations/achievements mismatch (OR 1.14, 95% CI 1.03-1.26, = 0.014) were all significantly associated with psychosis. Migration adversities (OR 1.18, 95% CI 0.672-2.06, = 0.568) were not significantly related to the outcome. Finally, we found a dose-response effect between the number of adversities across all phases and odds of psychosis (⩾6: OR 14.09, 95% CI 2.06-96.47, = 0.007). The cumulative effect of social disadvantages before, during and after migration was associated with increased odds of psychosis in migrants, independently of ethnicity or length of stay in the country of arrival. Public health initiatives that address the social disadvantages that many migrants face during the whole migration process and post-migration psychological support may reduce the excess of psychosis in migrants.
Understanding the Relationship between Urban Public Space and Social Cohesion: A Systematic Review
Public space serves as opportunities for everyday engagement including cultural activities and social interactions. The co-presence of diverse groups and activities is seen as an important building block of social cohesion. This review synthesised the empirical evidence to understand the relationship between public space and social cohesion. Databases searched included Scopus, Web of Science, and PubMed with the inclusion of peer reviewed articles published in English, between 2000 and 2023 (till 22nd February 2023). A total of 63 published studies were identified. A variety of physical aspects of different public spaces was found to potentially encourage social interaction and cohesion, i.e., accessibility, mixed land use, presence of street furniture, etc. Furthermore, such impact was found to be affected by a range of sociodemographic factors, for example ethnicity, age, and length of residence, and perceptual factors such as safety perception, visual perceptions, and place attachment. Overall, research exploring the relationship between public space and social cohesion has occurred within disciplinary silos, posing a significant challenge in conceptualising this relationship. The recognition of these findings bridges the research effort in understanding the social mechanism between people and space across research agendas including urban design and planning, sociology, environmental psychology, public health, and human geography. We describe future work in studying the intangible aspects of urban space in the directions of assessing the social performance of public space and devising interventions to promote social interaction and foster social cohesion.
Family Complexity into Adulthood
As a result of the divorce revolution, more children grow up in complex families. Yet, we know little about how family complexity affects relationships when children are adults and parents are ageing. In this article, we use unique survey data to test fundamental ideas about intergenerational ties: the role of biology, partnerships (marriage and cohabitation), residence, and selection. The survey used a register-based oversample of Dutch adults who grew up in nonstandard families, collected data among adult children and their parent figures, and used a double multi-actor design in which adult children reported on their parents and parents reported on their children. Using random-and fixed-effects models, we confirm most hypotheses but the results are highly gendered. For fathers, we find evidence for a partnership premium and no disadvantage of being a stepparent once the length of residence is adjusted. For mothers, the partnership premium is weaker but the effect of biology is strong: stepmotherstepchild ties are much weaker, even after taking residence patterns into account. Biological mothers are the primary kinkeepers, and for fathers of any type, their relationship to children depends on their partnership to the biological mother. Within-family comparisons suggest that selection into divorce and remarriage do not explain these disadvantages.
Exploring proxies for occupation intensity in hunter-gatherer settlement systems: A combination of ethnohistoric and archaeological data
A primary concern for hunter-gatherer archaeology is whether occupation intensity can be broken down into its constituent components: group size, length of stay(s), and frequency of reoccupation. This article contributes to this discussion with settlement pattern data from the traditional homeland of the Hia-Ced O’odham. We employ multiple material proxies of occupation intensity in addition to site area. Our approach highlights that patterns produced by logistically mobile systems with significant levels of site reuse present unique obstacles that contrast with the residentially mobile systems that underpin much current discussion and most ethnographic baselines. We provide one simple measure for identifying the relative magnitude of site reuse in settlement pattern data. Our multiple proxy landscape scale analysis also allows us to move beyond broad characterizations of economic strategies and identify site specific roles and strategies within larger settlement systems. Rather than viewing sites with anomalous relationships between proxies as problematic, they provide an avenue for identifying unique components of settlement systems and the impact of social negotiations intrinsic to human landscape use.
Need estimates of psychiatric beds: a systematic review and meta-analysis
This study aimed to review and synthesize the need estimates for psychiatric beds, explore how they changed over time and compare them against the prevalence of actually existing beds. We searched PubMed, Embase classic and Embase, PsycINFO and PsycIndex, Open Grey, Google Scholar, Global Health EBSCO and Proquest Dissertations, from inception to September 13, 2022. Publications providing estimates for the required number of psychiatric inpatient beds were included. Need estimates, length of stay, and year of the estimate were extracted. Need estimates were synthesized using medians and interquartile ranges (IQRs). We also computed prevalence ratios of the need estimates and the existing bed capacities at the same time and place. Sixty-five publications with 98 estimates were identified. Estimates for bed needs were trending lower until 2000, after which they stabilized. The twenty-six most recent estimates after 2000 were submitted to data synthesis ( n = 15 for beds with unspecified length of stay, n = 7 for short-stay, and n = 4 for long-stay beds). Median estimates per 100 000 population were 47 (IQR: 39 to 50) beds with unspecified length of stay, 28 (IQR: 23 to 31) beds for short-stay, and 10 (IQR: 8 to 11) for long-stay beds. The median prevalence ratio of need estimates and the actual bed prevalence was 1.8 (IQR: 1.3 to 2.3) from 2000 onwards. Historically, the need estimates for psychiatric beds have decreased until about 2000. In the past two decades, they were stable over time and consistently higher than the actual bed numbers provided.
eHealth Literacy Among Portuguese-Speaking Migrants: The Role of Length of Stay in Portugal
Abstract Background Although sharing the language of the host country, migrants from African countries with Portuguese as an official language face specific challenges in digital integration. The length of stay in the host country may influence their eHealth literacy, impacting access to health services and the promotion of health equity. Methods Descriptive, cross-sectional and exploratory study, applying the eHealth Literacy Questionnaire (Norgaard et al., 2015) along with a sociodemographic and health characterization. Data were collected and processed from a sample of 101 participants from a migrant community, mostly from African Countries with Portuguese as an Official Language as their country of origin, fluent in Portuguese. Results The study population represented 17.7% of the total population, with a 95% confidence level and a 9% margin of error. The internal consistency for the full scale was 0.95, with Cronbach's alpha values ranging from 0.60 to 0.92 across the dimensions. Overall, eHealth literacy scores were mostly below the scale average. Participants residing in Portugal for less than one year showed significantly lower scores in the ‘Understanding of health concepts and language’ dimension compared to longer-term residents. Conclusions Findings indicate that, despite sharing the host country's language, migrants remain vulnerable in eHealth literacy, particularly in understanding health concepts. This underscores the need for targeted health interventions to support their digital integration in the host country. Key messages • Excluding the language factor, migrants still face significant challenges in eHealth literacy, particularly in understanding health concepts. • The length of stay in the host country influences migrants’ eHealth literacy levels, underlining the need for targeted digital integration strategies.
The Business of (Im)migration: Bodies Across Borders
Irrespective of length of stay or voluntariness, (im)migration is the movement of individuals across borders. From national identity to labor markets, (im)migration affects various dimensions and spheres of social life. Currently, 3.6% of the global population are international (im)migrants, underscoring its profound significance in contemporary debates on humanitarianism, ethical governance, socioeconomic realities and sustainability. The analysis of (im)migration as a business is relevant since it raises important questions about precarious conditions and situations including marginalization, exploitation, and vulnerability in which (im)migrants often find themselves, and about the much-needed policy and management and organizational practice responses needed to address them. This Special Issue aims to bring (im)migration to the attention of business and management researchers interested in ethics. The intention behind it is to enhance the current understanding of (im)migration in order to develop comprehensive policies, foster inclusive societal and organizational frameworks, and focus on the ethical issues raised by (im)migration for organizations and management, as well as the complex realities faced by (im)migrants all over the world. Moreover, we aim to call for new research perspectives and streams that would address the novel challenges that (im)migrants encounter as a result of technological advancements, climate (in)justice, the ‘dark side’ of the business of international (im)migration, and new—or the lack thereof—migration policies.
Neighborhood Effects in Temporal Perspective: The Impact of Long-Term Exposure to Concentrated Disadvantage on High School Graduation
Theory suggests that neighborhood effects depend not only on where individuals live today, but also on where they lived in the past. Previous research, however, usually measures neighborhood context only once and does not account for length of residence, thereby understating the detrimental effects of long-term neighborhood disadvantage. This study investigates effects of duration of exposure to disadvantaged neighborhoods on high school graduation. It follows 4,154 children in the Panel Study of Income Dynamics, measuring neighborhood context once per year from age 1 to 17. The analysis overcomes the problem of dynamic neighborhood selection by adapting novel methods of causal inference for time-varying treatments. In contrast to previous analyses, these methods do not \"control away\" the effect of neighborhood context operating indirectly through time-varying characteristics of the family; thus, they capture the full impact of a lifetime of neighborhood disadvantage. We find that sustained exposure to disadvantaged neighborhoods has a severe impact on high school graduation that is considerably larger than effects reported in prior research. We estimate that growing up in the most (compared to the least) disadvantaged quintile of neighborhoods reduces the probability of graduation from 96 to 76 percent for black children, and from 95 to 87 percent for nonblack children.
Social networks and social support of older immigrants in Aotearoa New Zealand
Immigrants commonly report difficulties with developing social connections post-transition, which can lead to social isolation as they age. Understanding what factors promote/hinder the social integration of immigrants is an important public health objective. We tested the public health model of social integration of Berkman et al. in a sample of older immigrants. This model calls for considering both the social conditions in which social networks are embedded (upstream influences) and the levels of social support offered by different types of networks (downstream influences). First, we derived an empirical typology of social networks of older immigrants. Next, we tested associations of social networks with upstream and downstream influences. Data came from the New Zealand Health, Work and Retirement Study. The sample included 568 older adults (54% male) who immigrated as adults (mean length of stay = 28.5 years, standard deviation = 12.5). Latent profile analysis was employed on responses to the Practitioner Assessment of Network Type to identify social networks. Associations with upstream and downstream correlates were tested using logistic and multiple regression. Four network configurations emerged: ‘private-restricted’ (43.4%), ‘family-dependent’ (35.8%), ‘locally integrated’ (10.9%) and ‘wider community-based’ (9%). Having shorter length of residence and individualistic cultural background was predictive of being in a restricted network (private-restricted, family-dependent). Being in a restricted network was associated with lower levels of social support. Network type interacted with partner status: having a partner buffered the negative impact of having a restricted network on social support. Although restricted networks are common among older immigrants, they do not necessarily result in compromised social support. While we may see differences across countries regarding the impact of specific upstream and downstream influences, our findings highlight that both contextual and individual-level resources need to be considered alongside network structure to promote social integration of immigrants as they age.