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Background: Globally, migrant sex workers have a higher burden of sexually transmitted infections (STI)/human immunodeficiency virus (HIV). This large study aimed to assess demographics, STI/HIV burden, and sexual health care-seeking behavior of first-generation migrant and second-generation migrant male sex workers who have sex with men (MSW-MSM) versus Western-born MSW-MSM.
Methods: Coded STI clinic consultations (n = 6970) from 3116 individual MSW-MSM attending any Dutch STI clinic between 2016 and 2021 were included. First-generation migrant: born outside of northern/central/southern/western Europe/North America/Oceania. Second-generation migrant: ≥1parent born outside of northern/central/southern/western Europe/North America/Oceania. Multivariable logistic regression analysis assessed associations between MSW-MSM groups and STI in first consultation in the data. A Cox proportional hazard regression compared the incidence of a first repeat consultation between migration groups, stratified by STI in first consultation. All analyses were adjusted for age and urbanity of STI clinic region.
Results: First-generation migrant MSW-MSM (n = 1085) were mostly born in Latin America (50%), whereas second-generation migrant MSW-MSM (n = 368) mostly originated from North Africa (30.4%). The proportion of STI diagnoses differed (33.2%, 29.3%, 23.3%; P < 0.001) between the first-generation migrant, second-generation migrant, and Western-born MSW-MSM. First-generation migrant MSW-MSM versus Western-born had an adjusted odds ratio of 1.6 (95% confidence interval, 1.3-1.9) of STI diagnosis in the first consultation. First-generation migrant MSW-MSM versus Western-born had an adjusted hazard ratio of 1.5 (95% confidence interval, 1.3-1.8) of having a first repeat consultation at any time, when stratified for no STI in the first consultation.
Conclusions: The STI/HIV burden is high among all 3 MSW-MSM groups. First-generation migrants have higher odds of STI, but retention in care seems similar. Results highlight the importance of low-threshold STI testing and care for (migrant) MSW-MSM.
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http://dx.doi.org/10.1097/OLQ.0000000000001902 | DOI Listing |
Inj Epidemiol
September 2025
Bamford Centre for Mental Health and Wellbeing, Ulster University, Northern Ireland, BT52 1SA, UK.
Background: Although health inequalities associated with ethnic disadvantage are of increasing concern to policymakers in the United Kingdom (UK), evidence on ethnicity and childhood unintentional injuries is unclear. Given that people from some minority ethnic communities face disproportionate disadvantage such as unemployment, poverty, and insecure and low-quality housing, children from these families might be expected to have higher risks of unintentional injuries compared to their White counterparts.
Aims: To determine whether the likelihood of unintentional childhood injuries vary among children from minority ethnic backgrounds and whether this variation can be explained by maternal migration status and variables relating to household composition, parenting attitudes and behaviours.
J Public Health Res
July 2025
Department of Health Sciences, Brunel University London, UK.
Background: Many Black Africans live in the UK. More than 850,000 people live with dementia in the UK, and more than 25,000 people with dementia are from Black and minority ethnic groups. The study explores themes of lay knowledge and beliefs about dementia.
View Article and Find Full Text PDFInt J Equity Health
August 2025
School of Public Health, Faculty of Health and Medical Science, University of Adelaide, Adelaide, SA, 5000, Australia.
Background: Sexual function is a fundamental aspect of sexual health, yet migrant and refugee women from Low- and Middle-Income Countries (LMICs) often face unique challenges in navigating intimacy and sexual function post-migration. While sociocultural norms, migration-related stressors, and healthcare access influence their experiences, yet these perspectives remain underexplored.
Methods: This qualitative exploratory study explored the perspectives and experiences of sexual function among first-generation migrant and refugee women from low- and middle-income countries residing in South Australia.
Front Public Health
August 2025
School of Social and Public Administration, East China University of Science and Technology, Shanghai, China.
Introduction: Overwork is a typical phenomenon in developing countries, especially in China, and also a significant issue that restricts the high-quality development of labor markets. Protecting the health rights' accessibility of migrant workers in China, addressing persistent issues of overwork, and reducing generational disparities in well-being are urgent concerns. Investigating the formation mechanisms and generational variations in migrant workers' overwork through the lens of health rights accessibility enriches theoretical explanations of overwork's causes while offering actionable strategies for mitigation.
View Article and Find Full Text PDFBMC Psychiatry
August 2025
Center for Primary Health Care Research, Department of Clinical Sciences, Lund University, Malmö, Sweden.
Objectives: While high socioeconomic status (SES) indicators generally protect against mental health issues such as mood disorders in overall populations, evidence suggests that these protective effects might be attenuated for marginalized groups such as immigrants, in comparison to groups who are more socially privileged. This phenomenon is referred to as Marginalization-related Diminished Returns (MDRs). Existing knowledge on diminished returns of SES indicators primarily stems from cross-sectional comparisons of racial groups of adults in the US.
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