Atenção à saúde de imigrantes haitianos em diferentes países na atualidade: revisão integrativa de literatura

Com a globalização, os fluxos migratórios intensificaram-se e as razões financeiras são umas das principais impulsionadoras de tais eventos. As populações migrantes têm diferentes necessidades, sendo o acesso à saúde algo primordial para garantir a qualidade de vida. Assim, este estudo objetivou analisar a produção científica sobre atenção à saúde de imigrantes internacionais haitianos em diferentes contextos e países, buscando compreender quais são os desafios e as perspectivas para a atenção à saúde dessa população nos contextos investigados. Trata-se de uma Revisão Integrativa de Literatura, realizada a partir de pesquisas nas bases Sistema Online de Busca e Análise de Literatura Médica (Medline/PubMed) e Scientific Electronic Library Online (SciELO), com os descritores padronizados ‘Health Care’ (‘Public Health’), ‘Haiti’ e ‘Emigrants and Immigrants’, combinados por meio do operador booleano AND. Selecionaram-se artigos publicados no período de 2015 a 2019 que fossem em português, inglês ou espanhol e que tratassem desse tema. A partir da análise dos artigos, identificaram-se três categorias de análise temática: Impactos das regulamentações imigratórias na integração dos imigrantes haitianos; Competência intercultural para a atenção à saúde de imigrantes haitianos; e Condições de saúde e acesso a serviços por imigrantes haitianos. Destaca-se a importância da inclusão de aspectos políticos interculturais nas políticas de saúde voltadas à atenção à saúde do imigrante.

Metaphors of migration over time

This paper aims to cast light on contemporary migration rhetoric by integrating historical discourse analysis. I focus on continuity and change in conventionalised metaphorical framings of emigration and immigration in the UK-based Times newspaper from 1800 to 2018. The findings show that some metaphors persist throughout the 200-year time period (liquid, object), some are more recent in conventionalised form (animals, invader, weight) while others dropped out of conventionalised use before returning (commodity, guest). Furthermore, we see that the spread of metaphor use goes beyond correlation with migrant naming choices with both emigrants and immigrants occupying similar metaphorical frames historically. However, the analysis also shows that continuity in metaphor use cannot be assumed to correspond to stasis in framing and evaluation as the liquid metaphor is shown to have been more favourable in the past. A dominant frame throughout the period is migrants as an economic resource and the evaluation is determined by the speaker’s perception of control of this resource.

Space-Time Variation and Spatial Differentiation of COVID-19 Confirmed Cases in Hubei Province Based on Extended GWR

Clarifying the regional transmission mechanism of COVID-19 has practical significance for effective protection. Taking 103 county-level regions of Hubei Province as an example, and taking the fastest-spreading stage of COVID-19, which lasted from 29 January 2020, to 29 February 2020, as the research period, we systematically analyzed the population migration, spatio-temporal variation pattern of COVID-19, with emphasis on the spatio-temporal differences and scale effects of related factors by using the daily sliding, time-ordered data analysis method, combined with extended geographically weighted regression (GWR). The results state that: Population migration plays a two-way role in COVID-19 variation. The emigrants’ and immigrants’ population of Wuhan city accounted for 3.70% and 73.05% of the total migrants’ population respectively; the restriction measures were not only effective in controlling the emigrants, but also effective in preventing immigrants. COVID-19 has significant spatial autocorrelation, and spatio-temporal differentiation has an effect on COVID-19. Different factors have different degrees of effect on COVID-19, and similar factors show different scale effects. Generally, the pattern of spatial differentiation is a transitional pattern of parallel bands from east to west, and also an epitaxial radiation pattern centered in the Wuhan 1 + 8 urban circle. This paper is helpful to understand the spatio-temporal evolution of COVID-19 in Hubei Province, so as to provide a reference for similar epidemic prevention.

Differences and new trends in migration of demographic groups in Lithuania

The article investigates various demographic groups and their migration differences, and trends changing in Lithuania. The perspectives of various authors on the ongoing migration in Lithuania are discussed. The research draws attention to the differences in migration trends among men and women. The analysis includes significant components such as emigration and immigration that influence changes in population and demographics. One of the most important priorities of this publication is highlighting of differentiation in migration and its assessment by age groups. As the authors’ conclusions show, attitudes of various age groups towards migration are different and rapidly changing. The research reveals the specific structural changes in emigrants’ and immigrants’ demographic groups. The study shows that socially these groups differ, however, only detailed sociological researches could identify real reasons for such differences. In addition, the article presents the new statistical indicators such as various migration statistical indicators calculated by the authors, which are relevant in demographic analysis. The authors have done the calculations of the average age of emigrants and immigrants, as well as the comparative analysis of these indicators and the assessment by the age of net migration (migration balance).

Los límites de la participación política en una democracia excepcional: migrantes en Costa Rica

In comparison to other countries in the Latin American region, especially in Central America, support for democracy in Costa Rica is high –despite ups and downs in recent years. Still, regarding the challenges that immigration poses for the principles of democratic inclusion and representation, Costa Rica lag behind 11 countries in Latin America –and 35 democracies in the world– where immigrant residents have the right to vote in local elections. In Chile and Uruguay, the only countries in the region where support for democracy tops that observed in Costa Rica, the right to vote of immigrant residents even reaches national elections. With such a comparative background, this article addresses the question: how to explain that this democracy ignores the tendency to give the right to vote to resident migrants? The study reveals a society in which the narrative of exceptionality with respect to other countries of the continent and the formal primacy of nationality to political citizenship, allow tolerating a clear inequality between the political rights of emigrants and immigrants.

Migration, Quality of Life And Health of Brazilian Immigrants in Portugal

Background: Immigrants face many challenges when settling in a foreign country, numerous factors influence this immigrant experience including the resources they bring with them and those they find in the host society. The literature has indicated that a significant number of individuals migrate in search of a better quality of life. In this context, the objective of the study was to analyze the quality of life and health of Brazilian immigrants living in Portugal, using the "Medical Outcomes Study: 36-Item Short Form Survey" (SF-36). Methods and Results: A cross-sectional study with a quantitative approach developed under the project titled: Health status and quality of life of Brazilian immigrants in Portugal conducted in the first half of 2016, with 682 Brazilian immigrant women over 18 living in Portugal. This study adopted as reference SF-36, a generic instrument for the evaluation of Quality of Life. It can be affirmed that the quality of life and health of Brazilian immigrants living in Portugal is good, since all dimensions presented values above 50%. It was evidenced that Brazilian immigrants who live alone have lower levels of quality of life and health than those who live with someone and, that Brazilian immigrants who are unemployed, have low levels of quality of life and health compared to those who are in another employment situation, and Brazilian immigrants entering the labor market with a workload of more than 40 hours per week present similar levels of quality of life and health compared to those who work fewer hours. Conclusion: In general, one can affirm that the quality of life and health of Brazilian immigrants living in Portugal is good, but due to the particularities of the migration process in the current political and international context, a systematic monitoring of living conditions and health of this population is necessary. Keywords: Emigrants and Immigrants; Quality of life; Women, Mental health

Claiming Identities in Palestine: Migration and Nationality under the Mandate

In the decades just prior to the end of World War I, residents of the Ottoman Empire's provinces alternated with ease between a variety of personal identities and affiliations. Overlapping imperial, supranational, and localized identities could all be claimed with flexibility by Arab travelers and migrants in the region and in the wider diaspora. Arab, and later Jewish, inhabitants of Palestine conceived of nationality as a choice based on personal understandings of identity that were not necessarily tied to domicile in a particular territory. This article traces the demise of such a notion of nationality, and its practical repercussions after 1918, showing how Palestine's emigrants and immigrants did not immediately understand or reimagine themselves as part of the more rigid nationality system imposed by the British Mandate. Analyzing regional migration into and out of Palestine during the interwar period, the study seeks to explain the ways in which a system of flexible national affiliation transformed into a rigid system of nationality based on domicile.

Intervenção PRAdA: Efeitos no Peso Induzidos por Proposta de Alteração de Comportamento Alimentar em Hipertensos Medicados Nativos Portugueses e Imigrantes de Origem Africana

<p><strong>Introduction:</strong> Blood pressure is significantly improved with weight loss. Behavioral interventions for weight loss seem to be less successful in African immigrants. Our main aims were to assess the effect of a dietary and lifestyle intervention on weight among hypertensive Portuguese natives and immigrants and to identify success factors for weight loss, and also to evaluate changes in knowledge and compliance with food recommendations.<br /><strong>Material and Methods:</strong> Hypertensive medicated patients followed in primary care setting were randomly enrolled in a two phase study, observational (15-months) and behavioral intervention (six months). Participants were divided in two groups: immigrants from African Countries of Portuguese Official Language and Portuguese natives. Participants were given dietary and life styles recommendations in individual face-to-face and telephone sessions.<br /><strong>Results:</strong> Of 110 participants with a mean BMI of 31.6 ± 3.7 Kg/m2, 60 were immigrants. The number of dietary recommendations known and followed at the end was significantly greater than at baseline; however natives performed a greater number of recommendations. Weight loss during intervention was in average 1.4 ± 2.7% in natives and 0.8 ± 3.6% in immigrants and was greater than in the observational period. Being male and consuming more than 2 servings of low-fat dairy products/day was associated with higher weight loss, independently of age and ethnicity.<br /><strong>Discussion:</strong> In general the proposed intervention was efficacious especially in Portuguese natives, confirming other studies.<br /><strong>Conclusion:</strong> The intervention increased knowledge and adherence to recommendations, highlighting the relevance of nutrition education, culturally adapted in primary care.<br /><strong>Keywords:</strong> Africa; Emigrants and Immigrants; Intervention Studies; Food Habits; Hypertension; Weight Loss; Portugal.</p>