scholarly journals The mental health status of asylum seekers in middle to high income countries and The potential application of artificial intelligence for diagnosis and management of glaucoma in adults

2020 ◽  
Vol 134 (1) ◽  
pp. 1-3
2020 ◽  
Vol 134 (1) ◽  
pp. 4-20 ◽  
Author(s):  
Miriam Posselt ◽  
Heather McIntyre ◽  
Mtho Ngcanga ◽  
Thomas Lines ◽  
Nicholas Procter

Abstract Introduction The last 5 years have witnessed a significant increase in the number of people fleeing their countries of origin and seeking refuge in host countries. By the end of 2018, there were 3.5 million asylum seekers awaiting outcomes on their applications, the majority of whom were hosted by middle- to high-income countries. This review aimed to identify and synthesize current knowledge regarding the mental health status of asylum seekers in middle- to high-income countries. Sources of data A search was conducted across various databases for research literature published within the last 5 years (2014–2019). The final review and synthesis included 25 articles. Areas of agreement Findings highlighted significant differences in the mental health status of asylum seekers compared to those with refugee status and permanent residence. Areas of controversy Guidelines from the World Health Organization and the United Nations High Commissioner for Refugees emphasize the need to understand and address mental health issues. Instead, there have been policy changes in many host countries regarding asylum applications, and the associated effects of these changes have been shown to negatively impact mental health. Growing points The synthesized findings from the present review provide information regarding the current mental health status of asylum seekers hosted by middle- to high-income countries. Areas of intervention and resource allocation were also identified. Areas timely for developing research Future research should consider the impact of large-scale, low-cost interventions to support the mental health of those seeking asylum.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 179-179 ◽  
Author(s):  
Nan Dou ◽  
Diane Mitchell ◽  
Muzi Na

Abstract Objectives To assess the prevalence and trend of food insecurity (FI), mental wellbeing and their associations in the understudied immigrants living in high-income countries between 2014–2017. Methods Using nationally representative Gallup World Poll data from 2014 to 2017, a total of 15,343 immigrants from 48 World Bank defined high-income countries were included. Individual FI status was measured by the Food Insecurity Experience Scale (FIES) and categorized into food secure and mild, moderate and severe FI groups. Mental wellbeing was assessed by the Negative Experience Index (NEI, the greater the worse) and the Positive Experience Index (PEI, the greater the better). Multiple linear regression models were used to examine the association between FI and NEI/PEI, adjusting for age, gender, marital status, education, employment status, annual household income, residency, household size, and the number of children younger than 15 y in the household. Results The prevalence of FI in immigrants decreased from 38.4% in 2014 to 28.9% in 2017 globally (p-trend <0.001). During 2014–2017, the overall mental wellbeing in immigrants improved as the mean (SD) NEI decreased from 32.8 (1.1) to 27.8 (0.5) and PEI increased from 63.1 (1.1) to 73.2 (0.5), respectively (both p-trend <0.001). In the pooled adjusted model, FI was dose-responsively associated with greater NEI in mild (12.8 [11.7, 14.1]), moderate (20.5 [18.7,22.3]), and severe FI groups (28.3 [26.1, 30.5]) as compared to the food secure referent. By year analyses revealed that the gap in NEI between immigrants in the severe FI and food secure group widened by ∼10 points from 22.7 [14.7, 30.8] in 2014 to 32.3 [28.24, 36.38] in 2017. The dose-responsive association and its trend over time was less clear in PEI. Conclusions Progressive FI is significantly associated with poor mental wellbeing among immigrants in high income countries. Despite the improvement in food security and mental health status in immigrants, severely food insecure immigrants have had worsened mental wellbeing in recent years. Future policies are required to address disparities in food access and mental health in vulnerable immigrants. Funding Sources FAO's Voices of the Hungry Project for having granted access to the full GWP data set and supporting materials, which allowed the present study to be conducted.


Author(s):  
Derrick Silove ◽  
Zachary Steel ◽  
Ina Susljik ◽  
Naomi Frommer ◽  
Celia Loneragan ◽  
...  

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