Mamá Empoderada:study protocol for a pilot trial of a novel parenting and mental health prevention intervention for migrant mothers with young children at the Mexico-US border
BMJ Open,
Год журнала:
2025,
Номер
15(1), С. e094917 - e094917
Опубликована: Янв. 1, 2025
Migrant
women
in
transit
face
high
risk
of
developing
mental
health
problems
such
as
depression
and
anxiety,
driven
by
gendered
social-structural
factors
including
violence,
social
isolation,
migration
uncertainty,
limited
access
to
services
gender
inequities.
Although
migrant
who
endure
conditions
have
need
for
prevention,
few
evidence-based
interventions
are
tailored
this
population.
Moreover,
while
children's
interconnected,
address
parenting
needs.
The
aim
study
is
pilot-test
a
novel
prevention
intervention
mothers
with
young
children
(MMC)
Tijuana,
Mexico,
(a)
assessing
acceptability;
(b)
estimating
effect
sizes
on
symptoms
depression,
stress;
(c)
identifying
which
theory-based
mechanisms
action
predict
changes
outcomes;
(d)
associated
differential
response.
'Mamá
Empoderada'
(Mom
Power)
theory-based,
trauma-informed
group
promote
responsive
among
(0-5
years).
This
an
that
has
been
previously
evaluated
the
USA
recently
adapted
Spanish-speaking
mothers.
We
MMC
Mexico
will
conduct
pilot
randomised
controlled
trial
(RCT)
(n=100;
Ntreatment=50;
Ncontrol=50).
(IG)
receive
10
three
individual
sessions
addressing
attachment-based
skills,
linkage
resources
(eg,
food,
shelter),
support,
self-care
resilience
over
5-week
period.
control
standard
care
programming
be
offered
participation
following
completion.
Both
groups
complete
baseline
exit
surveys,
well
follow-up
surveys
at
2,
4
6
months
postintervention.
Statistical
analyses
compare
primary
(ie,
anxiety;
stress)
intermediate
outcomes
resilience,
service
utilisation)
exposure
condition.
approved
San
Diego
State
University
El
Colegio
de
la
Frontera
Norte
Institutional
Research
Boards.
Findings
inform
larger
evaluate
efficacy.
In
collaboration
our
community
partners,
results
disseminated
via
peer-reviewed
publications;
presentations;
plain-language
reports,
infographics,
presentations
community,
clinical,
policy
audiences.
If
efficacious,
highly
promising
novel,
low-cost,
feasible
model
could
implemented
border
settings
elsewhere.
Amid
rising
population
displacement
prolonged
traumatic
journeys,
addresses
urgent
scalable
contexts.
NCT06468046.
Язык: Английский
“In the end… I got pregnant. And that wasn’t what the plans were”: threats to reproductive health and rights for migrant women intending to seek safety in the U.S.
SSM - Qualitative Research in Health,
Год журнала:
2025,
Номер
unknown, С. 100553 - 100553
Опубликована: Март 1, 2025
Язык: Английский
Inequalities in access to health care: an exploration of the cascade of care for in-transit migrants and asylum seekers, and the general population in Mexico
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 10, 2025
All
over
the
world,
migrants
experience
inequalities
in
access
to
health
care.
While
this
issue
has
been
amply
explored
among
immigrants
and
refugees
high-income
countries,
there
is
a
dart
of
information
on
situation
in-transit
asylum
seekers
(IMAS)
low-
or
middle-income
countries.
Since
these
are
main
recipient
countries
for
population,
it
important
document
care
context,
especially
such
as
Mexico,
which
IMAS
entitled
par
with
general
population.
assess
experienced
by
compared
population
employing
cascade
approach.
We
analyzed
data
from
cross-sectional
survey
shelters
Tijuana
(November
2020-April
2021,
n=481),
ENSANUT-COVID
2020,
representative
Mexico
conducted
at
about
same
time
(unweighted
n=25,959).
-
self-reported
presence
needs,
whether
participants
sought
given
need,
they
received
two
samples.
A
higher
percentage
had
need
past
three
months,
(43.0%
vs
21.9%).
were
less
likely
seek
(58.9%
81.8%),
receive
when
(86.9%
97.7%),
public
system
(19.7%
43.3%).
Inequalities
apparent,
even
that
normatively
should
provide
regardless
migration
status.
Understanding
why
occurs
important,
our
results
represent
baseline
evaluate
future
improvements
universal
coverage
Mexico.
Язык: Английский
Manifestation, causes and approach to mental distress among the population of migrant and refugee women in Ecuador and Panama: a qualitative study with key informants
International Journal for Equity in Health,
Год журнала:
2025,
Номер
24(1)
Опубликована: Апрель 3, 2025
Язык: Английский
Borders and liminality in the right to health of migrants in transit: The case of Colchane in Chile and Necoclí in Colombia
Journal of Migration and Health,
Год журнала:
2024,
Номер
9, С. 100230 - 100230
Опубликована: Янв. 1, 2024
The
absence
of
the
right
to
health
migrants
in
transit
has
evolved
into
a
significant
global
concern,
particularly
border
regions
thus,
this
study
aims
improve
knowledge
area
by
exploring
effects
spatio-temporal
liminal
characteristics
at
borders
achievement
moving
across
two
most
transited
and
dangerous
Latin
America:
Colchane
(Chile-Bolivia)
Darién
Gap
(Colombia-Panamá).
Through
qualitative
descriptive
multi-case
study,
we
implemented
50
semi-structured
interviews
(n=30
Chile
n=20
Darién/Necoclí)
involving
national,
regional,
local
stakeholders.
findings
highlight
that
fulfilment
is
hindered
dynamics
borders.
These
include
closure
borders,
(in)securities,
uncertainty
waiting,
lack
economic
resources,
protection
all,
politics,
humanitarian
interventions.
surface
how
borders'
liminality
exacerbates
segregation
placing
them
temporospatial
limbo
undermines
their
health.
Our
concludes
not
just
politics
but
also
everyday
practices,
relationships
social
infrastructure
impedes
enjoyment
distressed
transit.
short-term
response;
illicit
borders;
migratory
regulations;
cross-border
political
structures
are
some
determinants
these
borderlands.
Язык: Английский
Longitudinal health survey of women from Venezuela in Colombia (ELSA-VENCOL): First report
PLoS ONE,
Год журнала:
2023,
Номер
18(3), С. e0274157 - e0274157
Опубликована: Март 30, 2023
Background
Colombia
is
currently
the
world’s
main
recipient
country
for
Venezuelan
migrants,
and
women
represent
a
high
proportion
of
them.
This
article
presents
first
report
cohort
migrant
entering
through
Cúcuta
its
metropolitan
area.
The
study
aimed
to
describe
health
status
access
healthcare
services
among
in
with
irregular
migration
status,
analyze
changes
those
conditions
at
one-month
follow-up.
Methods
We
carried
out
longitudinal
women,
18
45
years,
who
entered
an
status.
Study
participants
were
recruited
At
baseline,
we
administered
structured
questionnaire
including
sociodemographic
characteristics,
history,
services,
sexual
reproductive
health,
practice
early
detection
cervical
cancer
breast
cancer,
food
insecurity,
depressive
symptoms.
again
contacted
by
phone
one
month
later,
between
March
July
2021,
second
was
applied.
Results
A
total
2,298
included
baseline
measurement
56.4%
could
be
23.0%
reported
self-perceived
problem
or
condition
past
29.5%
6
months,
14.5%
evaluated
their
as
fair
poor.
significant
increase
found
percentage
during
(from
23.1%
31.4%;
p<0.01);
well
share
moderate,
severe,
extreme
difficulty
working
performing
daily
chores
5.5%
11.0%;
p
=
0.03)
rated
13.0%
31.2%;
p<0.01).
Meanwhile,
symptoms
decreased
from
80.5%
71.2%
(p<0.01).
Conclusion
initial
information
on
Colombia,
starting
point
further
longer
follow-ups
assess
over
time
conditions.
Язык: Английский
Aid Worker’s Perceptions of Psychological First Aid amid Border Externalization in Mexico
Journal of International Migration and Integration / Revue de l integration et de la migration internationale,
Год журнала:
2023,
Номер
25(1), С. 155 - 170
Опубликована: Июнь 15, 2023
Язык: Английский
Migrant Deaths in California’s Borderlands, 2018–2023
Journal on Migration and Human Security,
Год журнала:
2024,
Номер
unknown
Опубликована: Ноя. 12, 2024
Executive
Summary
We
examine
the
deaths
of
undocumented
migrants
in
southern
California
(i.e.,
San
Diego
and
Imperial
counties)
for
fiscal
years
(FYs)
2018–2023
using
data
obtained
from
County
Medical
Examiner’s
Office
(SDCMEO)
Coroner’s
(ICCO).
recorded
314
migrants,
with
157
(SDC)
(IC).
describe
trend
fluctuations
migrant
both
overall
county-specific
proportions
as
they
relate
to
causes
death
demographic
characteristics
(biological
sex
age
at
death).
Additionally,
capture
potential
effects
2019
border
wall
expansion
COVID-19
pandemic
on
deaths,
we
examined
differences
these
factors
between
two
periods:
FY
2018–2019
2020–2023.
conclude
by
comparing
reported
medicolegal
authorities
estimates
published
US
Customs
Border
Protection’s
(CBP)
Patrol
California.
From
2018
2020,
there
were
approximately
30
known
fatalities
annually
This
increased
about
88
per
year
2021
2022
before
dropping
50
2023.
Across
study
period,
leading
drowning
(35.4
percent),
environmental
exposure
(23.6
blunt
force
trauma
(16.9
latter
cause
being
largely
associated
falls
wall.
However,
found
significant
SDC
IC.
For
instance,
51.6
percent
IC
due
drowning,
compared
19.1
SDC.
Conversely,
21.7
trauma,
while
just
12.1
occurred
this
manner.
Overall,
that
75.2
decedents
male,
20.4
female,
4.5
unknown
sex.
Among
cases
which
a
precise
was
listed,
average
34.6
years.
Nevertheless,
differed
county
had
higher
proportion
female
(28
vs.
12.7
IC)
(SDC
x¯
=
36.8
32.0).
also
periods
examined.
Perhaps
most
striking,
3.4
19.9
Decedent
appear
have
changed
across
time.
The
share
male
decreased
84.5
73.0
percent,
females
5.2
23.8
periods,
ages
64
significantly
(from
4.7
percent).
Finally,
FYs
2018–2022,
CBP
25.6
fewer
than
High
numbers
can
be
attributed
circumstances
during
following
pandemic,
including
Trump
Administration
policy
aimed
blocking
access
asylum
system.
era
may
explain
mortality
2022.
Decreases
2023
because
novel
entry
location
Judas
Break
or
result
shift
migration
trends
toward
other
states
Arizona,
New
Mexico,
Texas).
likely
presence
All-American
Canal
(drowning),
greater
coverage
pedestrian
(blunt
trauma),
respectively.
Although
speculatory,
percentage
older
vulnerable
individuals
perceive
safer
route.
Changes
2020–2023
(3.4
percent)
are
newly
expanded
constructed
suggest
after
more
implementation,
United
States
should
eliminate
use
“deterrence”
strategies
prevent
further
unnecessary
loss
life.
actions
could
reduce
California:
installing
buoys
anti-drowning
devices
Canal,
making
potentially
life-saving
resources
(e.g.,
blankets
water)
available
routes,
reducing
height
removing
barrier.
call
provide
disaggregated
fatalities,
would
facilitate
an
accurate
accounting
increase
understanding
where
why
occur,
therefore
used
support
changes.
Язык: Английский
Forced migration and psychological distress among migrants in transit through Mexico
Salud Pública de México,
Год журнала:
2023,
Номер
66(2, mar-abr), С. 173 - 181
Опубликована: Дек. 18, 2023
To
assess
the
presence
of
psychological
distress
among
non-Mexican
migrants
in-transit
through
Mexico,
and
to
evaluate
association
forced
migration
in
this
population.
Cross-sectional
survey
a
non-probability
sample
six
shelters
November
2021
-
May
2022.
We
assessed
with
PHQ-4,
defined
as
motivated
by
social
or
political
conflict,
violence
insecurity,
natural
disasters
sexual
identity.
analyzed
between
distress,
adjusting
other
variables,
means
negative
binomial
regression.
Out
2,355
participants,
52.2%
were
migrants,
51%
all
participants
had
PHQ-4
scores
mild-severe
range.
Forced
was
associated
higher
(coefficient
0.11,
p=.004),
experiences
before
journey
0.16,
p<.001)
during
.09,
p=.013).
Our
results
confirm
that
persons
who
leave
their
countries
origin
because
mobility
experience
more
than
types
migrants.
It
is
important
address
mental
health
needs
group
transit
Mexico.
Язык: Английский