Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Journal of Immigrant and Minority Health
Erschienen in: Journal of Immigrant and Minority Health 6/2014

01.12.2014 | Original Paper

Mental Health and Migration: Depression, Alcohol Abuse, and Access to Health Care Among Migrants in Central Asia

verfasst von: Leyla Ismayilova, Hae Nim Lee, Stacey Shaw, Nabila El-Bassel, Louisa Gilbert, Assel Terlikbayeva, Yelena Rozental

Erschienen in: Journal of Immigrant and Minority Health | Ausgabe 6/2014

Einloggen, um Zugang zu erhalten

Abstract

One-fifth of Kazakhstan’s population is labor migrants working in poor conditions with limited legal rights. This paper examines self-rated health, mental health and access to health care among migrant workers. Using geo-mapping, a random sample of internal and external migrant market workers was selected in Almaty (N = 450). We used survey logistic regression adjusted for clustering of workers within stalls. Almost half of participants described their health as fair or poor and reported not seeing a doctor when needed, 6.2 % had clinical depression and 8.7 % met criteria for alcohol abuse. Female external migrants were at higher risk for poor health and underutilization of health services. High mobility was associated with depression among internal migrants and with alcohol abuse among female migrant workers. This study demonstrates the urgent need to address health and mental health needs and improve access to health care among labor migrants in Central Asia.
Literatur
1.
IOM. World Migration Report 2010. The future of migration: building capacities for change. Geneva: International Organization for Migration; 2010.
2.
3.
Affairs UNDoEaS. Trends in international migrant stock: the 2008 revision. New York: UN DESA, Population Division; 2009. p. 2009.
4.
Sadovskaya Y. International labor migration and remittances in Central Asian Republics: strategy for survival or development? Int Migr Econ Polit. 2006;18:38–46.
5.
Marat E. Labor migration in Central Asia: implications of the global economic crisis. Central Asia-Caucasus Institute & Silk Road Studies Program; 2009.
6.
Laruelle M. Central Asian Labor Migrants in Russia: The ‘Diasporization’ of the Central Asian States? China Eurasia Forum Q. 2007;5(3):101–19.
7.
Laruelle M. Kazakhstan, the New Country of Immigration for Central Asian Workers. Central Asia Cauc Anal. 2008;10(9):6–8.
8.
Gushulak BD, MacPherson DW. The basic principles of migration health: population mobility and gaps in disease prevalence. Emerg Themes Epidemiol. 2006;3(3):1742.
9.
Benach J, Muntaner C, Santana V. Employment conditions and health inequalities. Final report to the WHO commission on social determinants of health (CSDH). Employment Conditions Knowledge Network (EMCONET); 2007.
10.
Benach J, Solar O, Vergara M, Vanroelen C, Santana V, Castedo A, et al. Six employment conditions and health inequalities: a descriptive overview. Int J Health Serv. 2010;40(2):269–80.PubMedCrossRef
11.
Parrado EA, Flippen CA, McQuiston C. Migration and relationship power among Mexican women. Demography. 2005;42(2):347.PubMedCrossRef
12.
McMann K. The shrinking of the welfare state: Central Asians’ assessments of Soviet and post-Soviet governance. Everyday life Central Asia Past Present 2007; 233–47.
13.
Bridges AJ, de Arellano MA, Rheingold AA, Danielson CK, Silcott L. Trauma exposure, mental health, and service utilization rates among immigrant and United States-born Hispanic youth: results from the Hispanic family study. Psychol Trauma. 2010;2(1):40–8.CrossRef
14.
Kirkcaldy BD, Siefen R, Wittig U, Schüller A, Brähler E, Merbach M. Health and emigration: subjective evaluation of health status and physical symptoms in Russian-speaking migrants. Stress Health. 2005;21(5):295–309.CrossRef
15.
Arcury TA, Quandt SA. Delivery of health services to migrant and seasonal farmworkers. Annu Rev Public Health. 2007;28:345–63.PubMedCrossRef
16.
Ingleby D. Health inequalities and risk factors among migrants and ethnic minorities: Maklu; 2012.
17.
Shaokang Z, Zhenwei S, Blas E. Economic transition and maternal health care for internal migrants in Shanghai, China. Health Policy Plan. 2002;17(Journal Article):47.PubMedCrossRef
18.
McMichael C, Manderson L. Somali women and well-being: social networks and social capital among immigrant women in Australia. Human Organ. 2004;63(1):88–99.
19.
Yip W, Subramanian S, Mitchell A, Lee D, Wang J, Kawachia I. Does social capital enhance health and well-being? Evidence from rural China. Soc Sci Med. 2007;64:35–49.PubMedCrossRef
20.
21.
Kawachi I. Commentary: social capital and health: making the connections one step at a time. Int J Epidemiol. 2006;35(4):989–93.PubMedCrossRef
22.
Pahud M, Kirk R, Gage JD, Hornblow AR. New issues in refugee research: the coping processes of adult refugees resettled in New Zealand. Switzerland: United Nations High Commissioner for Refugees; 2009.
23.
Gilpin C, de Colombani P, Hasanova S, Sirodjiddinova U. Exploring TB-related knowledge, attitude, behaviour, and practice among migrant workers in Tajikistan. Tuberc Res Treat. 2011;2011:10 pp. doi:10.​1155/​2011/​548617.
24.
Huffman SA, Veen J, Hennink MM, McFarland DA. Exploitation, vulnerability to tuberculosis and access to treatment among Uzbek labor migrants in Kazakhstan. Soc Sci Med. 2012;74(6):864–72.PubMedCrossRef
25.
El-Bassel N, Gilbert L, Terlikbayeva A, West B, Bearman P, Wu E, et al. Implications of mobility patterns and HIV risks for HIV prevention among migrant market vendors in Kazakhstan. Am J Public Health. 2011;101(6):1075–81.PubMedCrossRefPubMedCentral
26.
Amirkhanian YA, Kuznetsova AV, Kelly JA, DiFranceisco WJ, Musatov VB, Avsukevich NA, et al. Male labor migrants in Russia: HIV risk behavior levels, contextual factors, and prevention needs. J Immigr Minor Health. 2011;13(5):919–28.PubMedCrossRef
27.
Weine S, Bahromov M, Loue S, Owens L. HIV Sexual risk behaviors and multilevel determinants among male labor migrants from Tajikistan. J Immigr Minor Health 2013;15(4):700–10.
28.
Atkinson AC. Optimum biased coin designs for sequential clinical trials with prognostic factors. Biometrika. 1982;69(1):61–7.CrossRef
29.
Atkinson AC, Biswas A. Bayesian adaptive biased-coin designs for clinical trials with normal responses. Biometrics. 2005;61(1):118–25.PubMedCrossRef
30.
Sargent-Cox KA, Anstey KJ, Luszcz MA. The choice of self-rated health measures matter when predicting mortality: evidence from 10 years follow-up of the Australian longitudinal study of ageing. BMC Geriatr. 2010;10(1):18.PubMedCrossRefPubMedCentral
31.
Kondo N, Sembajwe G, Kawachi I, van Dam RM, Subramanian S, Yamagata Z. Income inequality, mortality, and self rated health: meta-analysis of multilevel studies. BMJ Br Med J. 2009;339:b4471.
32.
Mansyur C, Amick BC, Harrist RB, Franzini L. Social capital, income inequality, and self-rated health in 45 countries. Soc Sci Med. 2006;66(1):43–56.CrossRef
33.
Iglesias E, Robertson E, Johansson S-E, Engfeldt P, Sundquist J. Women, international migration and self-reported health. A population-based study of women of reproductive age. Soc Sci Med. 2003;56(1):111–24.PubMedCrossRef
34.
Acevedo-Garcia D, Bates LM, Osypuk TL, McArdle N. The effect of immigrant generation and duration on self-rated health among US adults 2003–2007. Soc Sci Med. 2010;71(6):1161–72.PubMedCrossRef
35.
DuBard CA, Gizlice Z. Language spoken and differences in health status, access to care, and receipt of preventive services among US Hispanics. Am J Public Health. 2008;98(11):2021–8.PubMedCrossRefPubMedCentral
36.
Lasser KE, Himmelstein DU, Woolhandler S. Access to care, health status, and health disparities in the United States and Canada: results of a cross-national population-based survey. Am J Public Health. 2006;96(7):1300–7.PubMedCrossRefPubMedCentral
37.
Boulet J, Boss MW. Reliability and validity of the Brief Symptom Inventory. Psychol Assess. 1991;3(3):433.CrossRef
38.
Derogatis LR, Melisaratos N. The brief symptom inventory: an introductory report. Psychol Med. 1983;13(03):595–605.PubMedCrossRef
39.
Derogatis LR. BSI 18, Brief Symptom Inventory 18. Administration, scoring and procedures manual. NCS Pearson, Incorporated. Minneapolis, MN: National Computer Systems (NCS); 2001.
40.
Mayfield D, McLeod G, Hall P. The CAGE questionnaire: Validation of a new alcoholism screening instrument. Am J Psychiatry 1974.
41.
O’Brien CP. The CAGE questionnaire for detection of alcoholism: a remarkably useful but simple tool. JAMA. 2008;300(17):2054–6.PubMedCrossRef
42.
43.
Sidorenkov O, Nilssen O, Grjibovski AM. Determinants of cardiovascular and all-cause mortality in northwest Russia: a 10-year follow-up study. Ann Epidemiol. 2012;22(1):57–65.PubMedCrossRef
44.
Cepeda JA, Niccolai LM, Eritsyan K, Heimer R, Levina O. Moderate/heavy alcohol use and HCV infection among injection drug users in two Russian cities. Drug Alcohol Depend. 2013.
45.
Footman K, Roberts B, Stickley A, Kizilova K, Rotman D, McKee M. Smoking cessation and desire to stop smoking in nine countries of the Former Soviet Union. Nicotine Tob Res. 2013.
46.
Ewing JA. Screening for alcoholism using CAGE. Cut down, annoyed, guilty, eye opener. JAMA. 1998;280(22):1904–5.PubMedCrossRef
47.
Chambers RL, Skinner CJ. Analysis of survey data. New York: Wiley; 2003.CrossRef
48.
Fidell LS, Tabachnick B. Using multivariate statistics. Boston: Allyn & Bacon; 2006.
49.
Bridges AJ, Andrews AR, Deen TL. Mental health needs and service utilization by Hispanic immigrants residing in mid-southern United States. J Transcult Nurs. 2012;23(4):359–68.PubMedCrossRefPubMedCentral
50.
Deen T, Bridges A. Depression literacy: rates and relation to perceived need and mental health service utilization in a rural American sample. Rural Remote Health. 2011;11:1803.PubMed
51.
Deen TL, Bridges AJ, McGahan TC, Andrews AR III. Cognitive appraisals of specialty mental health services and their relation to mental health service utilization in the rural population. J Rural Health. 2012;28(2):142–51.PubMedCrossRefPubMedCentral
52.
Malmusi D, Borrell C, Benach J. Migration-related health inequalities: showing the complex interactions between gender, social class and place of origin. Soc Sci Med. 2010;71(Journal Article):1610–9.PubMedCrossRef
53.
Schoevers M, van den Muijsenbergh M, Lagro-Janssen A. Self-rated health and health problems of undocumented immigrant women in the Netherlands: a descriptive study. J Public Health Policy. 2009;30(4):409–22.PubMedCrossRef
54.
Wong D, He X, Leung G, Lau Y, Chang Y. Mental health of migrant workers in China: prevalence and correlates. Soc Psychiatry Psychiatr Epidemiol. 2008;43(6):483–9.PubMedCrossRef
55.
Al-Maskari F, Shah S, Al-Sharhan R, Al-Haj E, Al-Kaabi K, Khonji D, et al. Prevalence of depression and suicidal behaviors among male migrant workers in United Arab Emirates. J Immigr Minor Health. 2011;13(6):1027–32.PubMedCrossRef
56.
Lindert J, Ehrenstein OSV, Priebe S, Mielck A, Brähler E. Depression and anxiety in labor migrants and refugees—a systematic review and meta-analysis. Social Sci Med. 2009;69(2):246–57.CrossRef
57.
Yakushko O, Watson M, Thompson S. Stress and coping in the lives of recent immigrants and refugees: considerations for Counseling. Int J Adv Counsel. 2008;30(3):167.CrossRef
58.
Bhugra D. Review article migration and mental health. Acta Psychiatr Scand. 2004;109(4):243–58.PubMedCrossRef
59.
Jibeen T, Khalid R. Predictors of psychological well-being of Pakistani Immigrants in Toronto, Canada. Int J Intercult Relat. 2010;34(5):452–64.CrossRef
60.
Ritsner M, Ponizovsky A, Kurs R, Modai I. Somatization in an immigrant population in Israel: a community survey of prevalence, risk factors, and help-seeking behavior. Am J Psychiatry. 2000;157(3):385–92.PubMedCrossRef
61.
Østbye T, Yarnall KSH, Krause KM, Pollak KI, Gradison M, Michener JL. Is there time for management of patients with chronic diseases in primary care? Ann Fam Med. 2005;3(3):209–14.PubMedCrossRefPubMedCentral
62.
Andrews AR, Bridges AJ, Gomez D. A multi-study analysis of conceptual and measurement issues related to health research on acculturation in Latinos. J Transcult Nurs. 2013;24(2):134–43.PubMedCrossRefPubMedCentral
63.
Pomerleau J, McKee M, Rose R, Haerpfer CW, Rotman D, Tumanov S. Drinking in the Commonwealth of Independent States—evidence from eight countries. Addiction. 2005;100(11):1647–68.PubMedCrossRef
64.
McDonald JT, Kennedy S. Insights into the ‘healthy immigrant effect’: health status and health service use of immigrants to Canada. Soc Sci Med. 2004;59(8):1613–27.PubMedCrossRef
65.
Lee S. Racial variations in major depressive disorder onset among immigrant populations in the United States. J Mental Health. 2011;20(3):260–9.CrossRef
66.
Hernández-Plaza S, Alonso-Morillejo E, Pozo-Muñoz C. Social support interventions in migrant populations. Br J Soc Work. 2006;36(7):1151–69.CrossRef
Metadaten
Titel
Mental Health and Migration: Depression, Alcohol Abuse, and Access to Health Care Among Migrants in Central Asia
verfasst von
Leyla Ismayilova
Hae Nim Lee
Stacey Shaw
Nabila El-Bassel
Louisa Gilbert
Assel Terlikbayeva
Yelena Rozental
Publikationsdatum
01.12.2014
Verlag
Springer US
Erschienen in
Journal of Immigrant and Minority Health / Ausgabe 6/2014
Print ISSN: 1557-1912
Elektronische ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-013-9942-1

Weitere Artikel der Ausgabe 6/2014

Journal of Immigrant and Minority Health 6/2014 Zur Ausgabe

Original Paper

Everyday Discrimination, Diabetes-Related Distress, and Depressive Symptoms Among African Americans and Latinos with Diabetes

Original Paper

Language Barriers in Mental Health Care: A Survey of Primary Care Practitioners

Brief Communication

Family Cohesion Moderates the Relationship between Acculturative Stress and Depression in Japanese Adolescent Temporary Residents

Original Paper

Physical and Mental Health Status of Iraqi Refugees Resettled in the United States

Original Paper

The Prevalence of Torture and Associated Symptoms in United States Iraqi Refugees

Original Paper

Self-reported Vicarious Trauma in Asylum Evaluators: A Preliminary Survey