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Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
Migrant health experiences
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Migrant health experiences

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Overview of the health impact of migration

Overview of the health impact of migration

Published in: Health & Medicine
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  • Abbotts, J., Williams, R. & Ford, G. (2001) Morbidity and Irish Catholic descent in Britain. Relating health disadvantage to socio-economic position. Soc Sci Med, 52, 999-1005.
    Bhugra, D. & Jones, P. (2001) Migration and Mental Illness. Advances in Psychiatric Treatment, 7, 216-223.
    Bhugra, D. & Oyedeji, A. (2004) Depression in Migrants and Ethnic Minorities. Advances in Psychiatric Treatment, 7, 216-223.
    Davey-Smith, G. et al. (2000) Ethnic inequalities in health: a review of UK epidemiological evidence. Critical Public Health, 10, 375-408.
    Fazel, M. & Stein, A. (2005) The Mental Health of Refugee Children. Archives of Disease in Childhood, 878, 366-370.
    Haworth, E.A., Soni Raleigh, V. & Balarajan, R. (1999) Cirrhosis and primary liver cancer amongst first generation migrants in England and Wales. Ethn Health, 4, 93-99.
    Landman, J. & Cruickshank, J.K. (2001) A review of ethnicity, health and nutrition-related diseases in relation to migration in the United Kingdom. Public Health Nutr, 4, 647-657.
    Leavey, G. et al. (2004) Psychological disorder amongst refugee and migrant schoolchildren in London. Social Psychiatry and Psychiatric Epidemiology, 39, 191-195.
    Netuveli, G., Hurwitz, B. & Sheikh, A. (2005) Ethnic variations in incidence of asthma episodes in England & Wales: national study of 502,482 patients in primary care. Respir Res, 6, 120.
    Rose, A. et al. (2001) Tuberculosis at the end of the 20th century in England and Wales: results of a national survey in 1998. Thorax, 56, 173-179.
    Silveira, E. & Allebeck, P. (2001) Migration, ageing and mental health: an ethnographic study on perceptions of life satisfaction, anxiety and depression in older Somali men in east London. International Journal of Social Welfare, 10, 309-320.
  • Abbotts, J., Williams, R. & Ford, G. (2001) Morbidity and Irish Catholic descent in Britain. Relating health disadvantage to socio-economic position. Soc Sci Med, 52, 999-1005.
    Bhugra, D. & Jones, P. (2001) Migration and Mental Illness. Advances in Psychiatric Treatment, 7, 216-223.
    Bhugra, D. & Oyedeji, A. (2004) Depression in Migrants and Ethnic Minorities. Advances in Psychiatric Treatment, 7, 216-223.
    Davey-Smith, G. et al. (2000) Ethnic inequalities in health: a review of UK epidemiological evidence. Critical Public Health, 10, 375-408.
    Fazel, M. & Stein, A. (2005) The Mental Health of Refugee Children. Archives of Disease in Childhood, 878, 366-370.
    Haworth, E.A., Soni Raleigh, V. & Balarajan, R. (1999) Cirrhosis and primary liver cancer amongst first generation migrants in England and Wales. Ethn Health, 4, 93-99.
    Landman, J. & Cruickshank, J.K. (2001) A review of ethnicity, health and nutrition-related diseases in relation to migration in the United Kingdom. Public Health Nutr, 4, 647-657.
    Leavey, G. et al. (2004) Psychological disorder amongst refugee and migrant schoolchildren in London. Social Psychiatry and Psychiatric Epidemiology, 39, 191-195.
    Netuveli, G., Hurwitz, B. & Sheikh, A. (2005) Ethnic variations in incidence of asthma episodes in England & Wales: national study of 502,482 patients in primary care. Respir Res, 6, 120.
    Rose, A. et al. (2001) Tuberculosis at the end of the 20th century in England and Wales: results of a national survey in 1998. Thorax, 56, 173-179.
    Silveira, E. & Allebeck, P. (2001) Migration, ageing and mental health: an ethnographic study on perceptions of life satisfaction, anxiety and depression in older Somali men in east London. International Journal of Social Welfare, 10, 309-320.
  • Abbotts, J., Williams, R. & Ford, G. (2001) Morbidity and Irish Catholic descent in Britain. Relating health disadvantage to socio-economic position. Soc Sci Med, 52, 999-1005.
    Bhugra, D. & Jones, P. (2001) Migration and Mental Illness. Advances in Psychiatric Treatment, 7, 216-223.
    Bhugra, D. & Oyedeji, A. (2004) Depression in Migrants and Ethnic Minorities. Advances in Psychiatric Treatment, 7, 216-223.
    Davey-Smith, G. et al. (2000) Ethnic inequalities in health: a review of UK epidemiological evidence. Critical Public Health, 10, 375-408.
    Fazel, M. & Stein, A. (2005) The Mental Health of Refugee Children. Archives of Disease in Childhood, 878, 366-370.
    Haworth, E.A., Soni Raleigh, V. & Balarajan, R. (1999) Cirrhosis and primary liver cancer amongst first generation migrants in England and Wales. Ethn Health, 4, 93-99.
    Landman, J. & Cruickshank, J.K. (2001) A review of ethnicity, health and nutrition-related diseases in relation to migration in the United Kingdom. Public Health Nutr, 4, 647-657.
    Leavey, G. et al. (2004) Psychological disorder amongst refugee and migrant schoolchildren in London. Social Psychiatry and Psychiatric Epidemiology, 39, 191-195.
    Netuveli, G., Hurwitz, B. & Sheikh, A. (2005) Ethnic variations in incidence of asthma episodes in England & Wales: national study of 502,482 patients in primary care. Respir Res, 6, 120.
    Rose, A. et al. (2001) Tuberculosis at the end of the 20th century in England and Wales: results of a national survey in 1998. Thorax, 56, 173-179.
    Silveira, E. & Allebeck, P. (2001) Migration, ageing and mental health: an ethnographic study on perceptions of life satisfaction, anxiety and depression in older Somali men in east London. International Journal of Social Welfare, 10, 309-320.
  • Abbotts, J., Williams, R. & Ford, G. (2001) Morbidity and Irish Catholic descent in Britain. Relating health disadvantage to socio-economic position. Soc Sci Med, 52, 999-1005.
    Bhugra, D. & Jones, P. (2001) Migration and Mental Illness. Advances in Psychiatric Treatment, 7, 216-223.
    Bhugra, D. & Oyedeji, A. (2004) Depression in Migrants and Ethnic Minorities. Advances in Psychiatric Treatment, 7, 216-223.
    Davey-Smith, G. et al. (2000) Ethnic inequalities in health: a review of UK epidemiological evidence. Critical Public Health, 10, 375-408.
    Fazel, M. & Stein, A. (2005) The Mental Health of Refugee Children. Archives of Disease in Childhood, 878, 366-370.
    Haworth, E.A., Soni Raleigh, V. & Balarajan, R. (1999) Cirrhosis and primary liver cancer amongst first generation migrants in England and Wales. Ethn Health, 4, 93-99.
    Landman, J. & Cruickshank, J.K. (2001) A review of ethnicity, health and nutrition-related diseases in relation to migration in the United Kingdom. Public Health Nutr, 4, 647-657.
    Leavey, G. et al. (2004) Psychological disorder amongst refugee and migrant schoolchildren in London. Social Psychiatry and Psychiatric Epidemiology, 39, 191-195.
    Netuveli, G., Hurwitz, B. & Sheikh, A. (2005) Ethnic variations in incidence of asthma episodes in England & Wales: national study of 502,482 patients in primary care. Respir Res, 6, 120.
    Rose, A. et al. (2001) Tuberculosis at the end of the 20th century in England and Wales: results of a national survey in 1998. Thorax, 56, 173-179.
    Silveira, E. & Allebeck, P. (2001) Migration, ageing and mental health: an ethnographic study on perceptions of life satisfaction, anxiety and depression in older Somali men in east London. International Journal of Social Welfare, 10, 309-320.
  • Transcript

    • 1. The Health Experiences of Migrants in the UK
    • 2. The Health Experiences of Migrants in the UK Assumptions Evidence Questions
    • 3. Some migrants have poorer health than people born in the UK
    • 4. Some migrants have poorer health than people born in the UK African Caribbean Migrants Twice as likely to suffer from Asthma (Netuveli et al., 2005) 2.4 - 14.6 times higher Incidence of Schizophrenia (Bhugra and Jones, 2001) Three times as likely to die from liver cancer (Haworth et al., 1999)
    • 5. Some migrants have poorer health than people born in the UK African Caribbean Migrants Twice as likely to suffer from Asthma (Netuveli et al., 2005) 2.4 - 14.6 times higher Incidence of Schizophrenia (Bhugra and Jones, 2001) Three times as likely to die from liver cancer (Haworth et al., 1999) East African Migrants have a tenfold excess of deaths from liver cancer (SMR 1014) (Landman and Cruickshank, 2001)
    • 6. Infant Mortality Davey-Smith et al., 2000, Critical Public Health, 10, 375-408
    • 7. Infant Mortality 11.000 10.1 7.333 5.8 3.667 0 UK Born Mothers Pakistan Born Mothers Rate per 100,000 Davey-Smith et al., 2000, Critical Public Health, 10, 375-408
    • 8. Standardised Mortality Ratios (SMR) for Male and Female African-Caribbean Migrants, 20-64 years (England and Wales 1991-1993) Males Females Source: Davey-Smith et al., 2000, Critical Public Health, 10, 375-408
    • 9. Standardised Mortality Ratios (SMR) for Male and Female African-Caribbean Migrants, 20-64 years (England and Wales 1991-1993) Males Females 200 178 169 150 121 104 100 103 100 89 60 59 59 49 50 32 0 All Causes IHD Stroke Lung Cancer Accident Suicide Source: Davey-Smith et al., 2000, Critical Public Health, 10, 375-408
    • 10. Standardised Mortality Ratios (SMR) for Indian Born Males, 20-64 years (England and Wales 1991-1993) Source: Davey-Smith et al., 2000, Critical Public Health, 10, 375-408
    • 11. Standardised Mortality Ratios (SMR) for Indian Born Males, 20-64 years (England and Wales 1991-1993) 148 150 140 125 106 109 100 97 75 50 43 25 0 All Causes IHD Stroke Lung Cancer Accident Suicide Source: Davey-Smith et al., 2000, Critical Public Health, 10, 375-408
    • 12. Poor health may be a consequence of migration
    • 13. Poor health may be a consequence of migration Migrants have been found to develop higher rates of mental illness than those who remain at home (Louden, 1995)
    • 14. Poor health may be a consequence of migration Migrants have been found to develop higher rates of mental illness than those who remain at home (Louden, 1995) Despite originating from areas of the world with low rates of asthma South Asians are three times as likely to be admitted to hospital for Asthma (Netuveli et al., 2005)
    • 15. Poor health may be a consequence of migration Migrants have been found to develop higher rates of mental illness than those who remain at home (Louden, 1995) Despite originating from areas of the world with low rates of asthma South Asians are three times as likely to be admitted to hospital for Asthma (Netuveli et al., 2005)
    • 16. Poor health may be a consequence of migration Migrants have been found to develop higher rates of mental illness than those who remain at home (Louden, 1995) Despite originating from areas of the world with low rates of asthma South Asians are three times as likely to be admitted to hospital for Asthma (Netuveli et al., 2005)
    • 17. TB Infection in the UK: Rate per 100,000 pop. UK All Born Abroad Recent Entrant +3yr Entrant Source: Rose, A. et al. 2001 Thorax, 56, 173-179
    • 18. TB Infection in the UK: Rate per 100,000 pop. UK All Born Abroad Recent Entrant +3yr Entrant 150 118.0 120 90 73.6 60 40.9 30 4.8 0 TB Infection Source: Rose, A. et al. 2001 Thorax, 56, 173-179
    • 19. Standardised Mortality Ratios (SMR) for Irish Migrants by Sex, aged 20-64 years (England and Wales 1991-1993) Males Females Source: Davey-Smith et al., 2000, Critical Public Health, 10, 375-408
    • 20. Standardised Mortality Ratios (SMR) for Irish Migrants by Sex, aged 20-64 years (England and Wales 1991-1993) Males Females 189 190.0 157 160 143 144 142.5 135 135 129 130 121 118 115 95.0 47.5 0 All Causes IHD Stroke Lung Cancer Accident Suicide Source: Davey-Smith et al., 2000, Critical Public Health, 10, 375-408
    • 21. Standardised Mortality Ratios (SMR) for Scottish Migrants by Sex, aged 20-64 years (England and Wales 1991-1993) Males Females Source: Davey-Smith et al., 2000, Critical Public Health, 10, 375-408
    • 22. Standardised Mortality Ratios (SMR) for Scottish Migrants by Sex, aged 20-64 years (England and Wales 1991-1993) Males Females 210 201 177 168 164 146 149 153 129 127 127 131 126 117 111 84 42 0 All Causes IHD Stroke Lung Cancer Accident Suicide Source: Davey-Smith et al., 2000, Critical Public Health, 10, 375-408
    • 23. Migration and Vulnerability Source: Bhugra, D. & Jones, P. 2001, Adv. in Psych. Treatment, 7, 216-223.
    • 24. Personal Factors Migration and Vulnerability Relational Factors Age Gender Reason Economic Preparation Social Personality Pre Migration Educational Separation The process Education Support Migration Expectations Alone/Group Language Social Support networks Achievement Cultural identity Racism Self esteem Post Migration Ethnic Density Self concept Social isolation Unemployment Source: Bhugra, D. & Jones, P. 2001, Adv. in Psych. Treatment, 7, 216-223.
    • 25. Psychological Distress
    • 26. Psychological Distress Refugees may be more likely than other migrant groups to suffer psychological stress. (Leavey et al., 2004)
    • 27. Psychological Distress Refugees may be more likely than other migrant groups to suffer psychological stress. (Leavey et al., 2004) Older migrants and refugees more likely to suffer post migration stress (Silveira and Allebeck, 2001)
    • 28. Psychological Distress Refugees may be more likely than other migrant groups to suffer psychological stress. (Leavey et al., 2004) Older migrants and refugees more likely to suffer post migration stress (Silveira and Allebeck, 2001) Migrant children are more likely to have psychological support needs than UK born children (Leavey et al., 2004)
    • 29. Psychological Distress Refugees may be more likely than other migrant groups to suffer psychological stress. (Leavey et al., 2004) Older migrants and refugees more likely to suffer post migration stress (Silveira and Allebeck, 2001) Migrant children are more likely to have psychological support needs than UK born children (Leavey et al., 2004) Most common psychological problems for refugee children: Post Traumatic Stress Disorder Anxiety Depression (Fazel and Stein, 2005)
    • 30. Culture Shock Osberg 1960 cited in Bhugra and Oyedeji 2004
    • 31. Culture Shock A stress reaction arising from uncertainty of important physical and psychological rewards Osberg 1960 cited in Bhugra and Oyedeji 2004
    • 32. Culture Shock A stress reaction arising from A transitional experience essential uncertainty of important physical and Social Strain for self development and growth psychological rewards Feelings of Impotence Role Expectation Confusion Rejection by Host Culture Sense of Loss or Deprivation Surprise, Anxiety, Indignation Osberg 1960 cited in Bhugra and Oyedeji 2004
    • 33. Experiencing Culture Shock Language is a significant barrier to psychological well being for migrant children (Leavey et al., 2004) My New Home Channel 4 TV, 15 June 2006
    • 34. Cultural Conflict (Bhugra and Oyedeji, 2004)
    • 35. Cultural Conflict Children and Subsequent Generations Expectations v Achievements Alienation and Isolation From Majority and Minority Culture Sense of Cultural Tension (Bhugra and Oyedeji, 2004)
    • 36. Post Migration Experiences
    • 37. Post Migration Experiences Ethnic density is significant in the genesis and maintenance of some types of psychological distress (Bhugra and Jones, 2001)
    • 38. Post Migration Experiences Ethnic density is significant in the genesis and maintenance of some types of psychological distress (Bhugra and Jones, 2001) Second generation Irish more likely to die before reaching 44 (SMR 147 males 153 Females) (Davey-Smith et al., 2000)
    • 39. Post Migration Experiences Ethnic density is significant in the genesis and maintenance of some types of psychological distress (Bhugra and Jones, 2001) Second generation Irish more likely to die before reaching 44 (SMR 147 males 153 Females) (Davey-Smith et al., 2000) Mortality in men of patrileneal Irish descent in Scotland (19th century migrants) is elevated for overall mortality, CHD accidental and violent death. (Abbotts et al., 2001)
    • 40. Post Migration Experiences Ethnic density is significant in the genesis and maintenance of some types of psychological distress (Bhugra and Jones, 2001) Second generation Irish more likely to die before reaching 44 (SMR 147 males 153 Females) (Davey-Smith et al., 2000) Mortality in men of patrileneal Irish descent in Scotland (19th century migrants) is elevated for overall mortality, CHD accidental and violent death. (Abbotts et al., 2001) UK Born African Carribean men have higher smoking rates than UK born White males (Abbotts et al., 2004)
    • 41. Purpose of the Research To enrich understanding of the impact of migration on health and well being in the North West To facilitate the empowerment of individuals, groups and the migrant community To help participants (and services) deal with factors that influence their health and that of their community
    • 42. Research Methods Participatory ethnographic case study using documentary analysis, interviews, narrative workshops- e.g. construction of visual narratives, photo elicitation, story telling. 17
    • 43. Research Methods Participatory ethnographic case study using documentary analysis, interviews, narrative workshops- e.g. construction of visual narratives, photo elicitation, story telling. 17
    • 44. Participatory Narratives Collaborative Construction and Analysis of Migration and Health Narratives 18
    • 45. Knowledge and Capacity Building
    • 46. Knowledge and Capacity Building Make positive use of knowledge & community resources
    • 47. Knowledge and Capacity Building Make positive use of knowledge & community resources Allows for learning about research methods
    • 48. Knowledge and Capacity Building Make positive use of knowledge & community resources Allows for learning about research methods Allows for flexibility and change in methods and focus
    • 49. Knowledge and Capacity Building Make positive use of knowledge & community resources Allows for learning about research methods Allows for flexibility and change in methods and focus Enable expression and valuing of personal and collective experiences
    • 50. Participatory Research Services Communities
    • 51. Participatory Research Services Research Communities
    • 52. Participatory Research Services Research Research Education Communities
    • 53. Participatory Research Services Research Research Education Action Education Communities
    • 54. Participatory Research Services Research Perceived Needs Research Education Action Education Communities
    • 55. Participatory Research Services Research Perceived Needs Actual Needs Research Education Action Education Communities
    • 56. Participatory Research Services Research Align Knowledge and Resources Perceived Needs Actual Needs Research Education Action Education Communities

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